wah takoma park campus master plan 09-05-2013mhcc.maryland.gov/mhcc/pages/hcfs/hcfs_con/... ·...

Takoma Park Campus Master Plan

September 5, 2013


Site Development Planning

Critical Planning Issues

� Available site building area does not support retaining existing low-rise buildings

Current site restricted areas, including stream buffer setback and Pond agreement

development restrictions, limits site future development potential

To provide available site building area for medical office and structured parking facilities,

future site development will require higher-density building footprints

� Limited building floor to floor heights

10’-9” and 11’-0” floor to floor heights do not support high-acuity services, limiting future

repositioning for contemporary acute care healthcare services

� Aging facilities limit asset value of existing facilities

1950 era building is over 60 years old with substantial deferred maintenance and building

upgrade issues, providing diminished asset value going forward

1970 era building is approaching 50 years old with substantial deferred maintenance and

building upgrade issues, providing diminished asset value going forward



Site Plan – Site Restrictions

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

1950

Building

1990

South

1990

North1970 / 1980

1980

West

1980

East

N

Stream

Buffer

Restricted

Development

Area

MOB

Property

CUP



Site Plan – Building Age

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

N

CUP

1950

Building

1990

South

1990

North1970 / 1980

1980

West

1980

East

1950 1970-80 1990

1990 1970-80 1990

Bed Capacity

1950 79 Beds

1970 132 Beds

1990 40 Beds

Total 251 Beds



Site Plan – Building Height

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

N

CUP

8-Story

2-Story 4-Story8-Story

4-Story

3-Story

1950 1970-80 1990

1990 1970-80 1990

Bed Capacity

1950 79 Beds

1970 132 Beds

1990 40 Beds

Total 251 Beds



Development Approach

� Campus Planning Concept

Long-range institutional campus regeneration requires an “empty chair” site planning

approach to facilitate development of replacement facilities while maintaining operations

1990 development on-campus constructed relatively low-rise additions to the main hospital

building on both the north and south sides, restricting the ability to economically replace aging

assets going forward without disruption to services or loss of services for a period of time

� Maximize Future Campus Development Potential

To maximize utilization of the limited existing available site area, future site development will

require higher-density building footprints

Low-density building areas less than 7-stories include:

• 1980 East & West 4-story additions

• 1990 South 2-story addition

• 1990 North 4-story addition

These building areas are considered to provide limited asset value going forward



Development Approach

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

NPhased redevelopment plan providing contemporary healthcare facilities

CUP

1990

South

1990

North1970 / 1980

Stream

Buffer

MOB

Property

Restricted

Development

Area



Site Plan – Step 1

MOB

CUP

MOB

Parking

Structure

N

1950

Building

1990

South

1990

North1970 / 1980

1980

West

1980

East

Phase 1

05 Cardiac Acute Care Unit

04 OB Couplet Care Unit

03 OB Labor & Delivery

OB Perinatal Diagnostics

02 Sleep Center

Laboratory

Pharmacy

Respiratory Therapy

01 Lobby & Public Services

Heart Center (EKG/Echo)

Medical Same Day Unit

Cardiac Cath

CV Admin. & Research

CUP (Elect. & IT)

LL1 CUP (Boiler & Chillers)

Parking (100 Spaces)

LL2 Parking (100 Spaces)

Phase

1CUP

Conference Center & Lisner Building demolition required

Phase 1

Interim

Parking

Bed Capacity

Phase 1 72 Beds

1950 0 Beds

1970 132 Beds

1990 40 Beds

Total 244 Beds




MOB

CUP

Parking

Structure

Phase

1CUP

N1950 Building & 1990 South Wing building demolition required

1970 / 1980

1980

West

1980

East

Phase 2

05 General Acute Care Unit

04 Critical Care Unit


02 Surgical Suite

SDS & PACU

GI Endoscopy


Central Admitting / PAT)

Radiology

LL1 Emergency Services

LL2 Dietary Services

Support Services

Phase

2

Bed Capacity

Phase 1 72 Beds

Phase 2 78 Beds

1970 102 Beds

1990 0 Beds

Total 252 Beds

Phase 2

Parking

StructurePhase 2

1990 Bldg. Renovations

Parking Structure

1990

North

MOB




MOB

Parking

Structure

Phase

1

Phase

2CUP

NPhase 3 development to occur in 2 steps to maintain surgical capacity

1970 / 1980

1980

East

Phase 3



03 Behavioral Health Unit

02 Surgical Suite

01 Radiology

LL1 Support Services

LL2 Support ServicesPhase

3A & 3B

Bed Capacity

Phase 1 72 Beds

Phase 2 78 Beds

Phase 3 88 Beds

1970 0 Beds

1990 0 Beds

Total 238 Beds

Phase 2

Parking

Structure

1990

North

MOB




MOB

Parking

Structure

Phase

1

Phase

2CUP

N

Phase

3A & 3B

Bed Capacity

Phase 1 72 Beds

Phase 2 78 Beds

Phase 3 88 Beds

Phase 4 14 Beds

1990 0 Beds

Total 252 Beds

Phase 2

Parking

Structure

1990

North

MOBPhase 4

Phase 4

05 Administrative Services




01 Ancillary Services

LL1 Outpatient Services



Level LL 31234

LL 1

LL 2

1

2

3

4

5

597,000 GSF: 252 Beds @ 2,100 GSF / Bed

Patient Care 14’-0” Floor to Floor4

3 Patient Care 14’-0” Floor to Floor

2 Surgery 16’-0” Floor to Floor

1 Radiology / Cardiology 16’-0” Floor to Floor

LL 1 Emergency 16’-0” Floor to Floor

LL 2 Support Services 14’-0” Floor to Floor

5 Patient Care 14’-0” Floor to Floor


Phase 1 Detail

Compelling Priorities

� 1950 Building Construction

10’-9” floor to floor heights do not support

high-acuity services such as OB L&D, Clinical

Laboratory, Nuclear Medicine and Inpatient

Services

Site is critical to providing OB Post-Partum

patient care adjacent to Phase 1 L&D Suite

� Critical Adjacencies

Priorities include locating emergency

services in close proximity to cardiac cath,

and locating radiology, surgery & critical care

in close proximity to the ED

� Empty Chair

Site is planned to accommodate remaining

services located in 1980 West Building

Level LL 3Project Scope

� Interim Development

Parking relocation to Adventist University

leased open site area

� New Construction

211,000 gross building area

143,000 hospital building area

68,000 structured parking area

� Services

Inpatient Services

• 72 beds

• OB Labor & Delivery & Special Care Nursery

Ancillary Clinical Services

• Pathology Clinical Laboratory

• Pharmacy

• Respiratory Therapy


Phase 1 Detail

Critical Phasing Issues

� Education Building

Federally Qualified Health Center (FQHC)

future location unresolved

� Lisner Building

Services located in this building location

unresolved

� Unresolved Hospital Departments

Acute Rehabilitation Hospital

Utilization Review & Quality Management

Risk Management

Coffee Shop

Education Private Dining Room

Environmental Services Linen Distribution

Level LL 3


Phase 1 Detail

Site Plan

MOB

CUP

MOB

Parking

Structure

N

1950

Building

1990

South

1990

North1970 / 1980

1980

West

1980

East

Phase 1

05 Cardiac Acute Care Unit


03 OB Labor & Delivery

OB Perinatal Diagnostics

02 Sleep Center

Laboratory

Pharmacy

Respiratory Therapy


Heart Center (EKG/Echo)

Medical Same Day Unit

Cardiac Cath

CV Admin. & Research

CUP (Elect. & IT)

LL1 CUP (Boiler & Chillers)

Parking (100 Spaces)

LL2 Parking (100 Spaces)

Phase

1CUP

Conference Center & Lisner Building demolition required

Phase 1

Interim

Parking

Bed Capacity

Phase 1 72 Beds

1950 0 Beds

1970 132 Beds

1990 40 Beds

Total 244 Beds


Phase 1 Detail

Level LL 2

MOB

CUP

MOB

Parking

Structure

ESMorgue

DietaryGen

Stores

Plant Op

N

CUP

Parking

100 Spaces

Vacant

Vacant

Location for QM unresolved

Service


Phase 1 Detail

Level LL 1

MOB

CUP

MOB

Parking

Structure

Rad Onc.

Rad

RadED

CSS

N

CUP

Parking

100 Spaces

Vacant

Vacant

Vacant

Walk

InEMS


Phase 1 Detail

Level 01

MOB

CUP

MOB

Parking

Structure

PACU

Surgery

SSDS

ICU

PAT

N

CUP

MSDS

Cath

CV

Vacant

Vacant

Location for medical records & executive administration unresolved

Main

Entry

Main

Entry


Phase 1 Detail

Level 02

MOB

CUP

MOB

Parking

Structure

IMUBehavioral

Health

BH OP

SW

N

CUP

Outpatient

Services

Ancillary

Services Vacant


Phase 1 Detail

Level 03

MOB

CUP

MOB

Parking

Structure

Gen Acute

N

CUP Vacant

3100 vacated OB unit interim general acute care unit

OB

L&D

Perinatal

Diagnostics

SCN


Phase 1 Detail

Level 04

MOB

CUP

MOB

Parking

Structure

Gen Acute

ICU

N

CUPOB

Acute

Care

Vacant


Phase 1 Detail

Level 05

MOB

CUP

MOB

Parking

Structure

Gen Acute

ICU

N

CUP Vacant

5200 Acute Rehabilitation Unit location unresolved

General

Acute

Care


Phase 1 Detail

Level 06

MOB

CUP

MOB

Parking

Structure

N

CUP Vacant


Phase 2 Detail


� 1950 Building Construction


high-acuity services such as OB L&D, Clinical

Laboratory, Nuclear Medicine and Inpatient

Services

Site is critical to providing OB Post-Partum

patient care adjacent to Phase 1 L&D Suite

� Critical Adjacencies

Priorities include locating emergency

services in close proximity to cardiac cath,

and locating radiology, surgery & critical care

in close proximity to the ED

� Empty Chair

Site is planned to accommodate remaining

services located in 1980 West Building


� Building Demolition

1950 Building 98,200 gross area

1990 South Building 24,160 gross area



� Services

Inpatient Services

• 78 beds


• Emergency Services

• Radiology suite

• Surgical Suite

Support services

• Dietary Services

• Central Sterile Supply (CSS)


Phase 2 Detail

Site Plan

MOB

CUP

Parking

Structure

Phase

1CUP

N1950 Building & 1990 South Wing building demolition required

1970 / 1980

1980

West

1980

East

Phase 2


04 Critical Care Unit


02 Surgical Suite

SDS & PACU

GI Endoscopy


Central Admitting / PAT)

Radiology

LL1 Emergency Services

LL2 Dietary Services

Support Services

Phase

2

Bed Capacity

Phase 1 72 Beds

Phase 2 78 Beds

1970 102 Beds

1990 0 Beds

Total 252 Beds

Phase 2

Parking

StructurePhase 2

1990 Bldg. Renovations

Parking Structure

1990

North

MOB


Phase 2 Detail

Level LL 2

MOB

CUP

Parking

Structure

ESMorgue

Cafe

Gen

Stores

Plant Op

N

CUP

Parking

100 SpacesVacant

SupportKitchen

Service

Service

Phase 2

Parking

Structure

100 Spaces


Phase 2 Detail

Level LL 1

MOB

CUP

Parking

Structure

Rad Onc.

Rad

Emergency

N

CUP

Parking

100 Spaces

Vacant

Walk

InEMS

Phase 2

Parking

Structure

100 Spaces

MD

Office

Lease

Space


Phase 2 Detail

Level 01

MOB

CUP

Parking

Structure

Radiology

SSDS

PAT

N

CUP

MSDS

Cath

CVVacant

VacantMain

Entry

MD

Office

Lease

Space

Phase 2

Parking

Structure

100 Spaces


Phase 2 Detail

Level 02

MOB

CUP

Parking

Structure

Behavioral

Health

SSDS

SW

N

CUP

Outpatient

Services

Ancillary

ServicesVacant

PACU

Endo

Surgery

Location for BH partial hospitalization & outpatient services unresolved

MD

Office

Lease

Space

Phase 2

Parking

Structure

100 Spaces


Phase 2 Detail

Level 03

MOB

CUP

Parking

Structure

Gen Acute

N

CUPOB

L&D

Perinatal

Diagnostics

SCN

OB

Couplet

Care

Phase 2

Parking

Structure


Phase 2 Detail

Level 04

MOB

CUP

Parking

Structure

Gen Acute

ICU

N

CUPGeneral

Acute

Care

Critical

Care

Phase 2

Parking

Structure


Phase 2 Detail

Level 05

MOB

CUP

Parking

Structure

Gen Acute

ICU

N

CUPGeneral

Acute

Care

General

Acute

Care

Phase 2

Parking

Structure


Phase 3 Detail


� 1980 West Building Construction


high-acuity services such as radiology and

surgical services

Site is critical to providing total area

required for radiology and surgical services

partially located in Phase 2 development

� Empty Chair

West site is planned to accommodate

remaining services located in 1970-80

Central & East Buildings and 1990 North

Building



1980 West – 64,650 gross area



� Hospital Services

Inpatient Services

• 88 beds


• Radiology suite

• Surgical Suite

Support services

• Environmental Services

• Materials Management

• Plant Operations

� 1990 North Building MOB

72,630 gross building area renovations


Phase 3 Detail

Site Plan

MOB

Parking

Structure

Phase

1

Phase

2CUP

NPhase 3 development to occur in 2 steps to maintain surgical capacity

1970 / 1980

1980

East

Phase 3




02 Surgical Suite

01 Radiology

LL1 Support Services

LL2 Support ServicesPhase

3A & 3B

Bed Capacity

Phase 1 72 Beds

Phase 2 78 Beds

Phase 3 88 Beds

1970 0 Beds

1990 0 Beds

Total 238 Beds

Parking

Structure

1990

North

MOB


Phase 3 Detail

Level LL 2

MOB

Parking

Structure

Cafe

N

CUP

Parking

100 Spaces

Support

StoresKitchen

ES

Gen

Stores

Plant Op

Service

Vacant

Service

Parking

Structure


Phase 3 Detail

Level LL 1

MOB

Parking

Structure

Emergency

N

CUP

Parking

100 SpacesMedical

Office

Vacant

Support

Stores

Walk

InEMS

MOB

Entry

Parking

Structure


Phase 3 Detail

Level 01

MOB

Parking

Structure

Radiology

PAT

N

CUP

MSDS

Cath

CV

Vacant

Main

Entry

Medical

Office

Parking

Structure


Phase 3 Detail

Level 02

MOB

Parking

Structure

SSDS

SW

N

CUP

Outpatient

Services

Ancillary

ServicesPACU

Endo

Surgical

Suite

Vacant

Medical

Office

Parking

Structure


Phase 3 Detail

Level 03

MOB

Parking

Structure

N

CUP

Vacant

OB

Couplet

Care

Behavioral

HealthOB

L&D

Perinatal

Diagnostics

SCN

Parking

Structure


Phase 3 Detail

Level 04

MOB

Parking

Structure

N

CUP

Vacant

Critical

Care

General

Acute

Care

General

Acute

Care

Parking

Structure


Phase 3 Detail

Level 05

MOB

Parking

Structure

N

CUP

Vacant

General

Acute

Care

General

Acute

Care

General

Acute

Care

Parking

Structure


Phase 4 Detail


� 1970-80 Central & East Construction


high-acuity services such as Radiation

Oncology, Surgical Same Day Services, MRI

Suites and Inpatient Services

Site is critical to providing total area

required for behavioral health services

partially located in Phase 3 development

� Floor Level Alignment

If 1970-80 Central & East Buildings remain,

their floor levels will not align with Phase 1-

3 new facility development, impacting way-

finding



1970-80 Central – 107,485 gross area

1970-80 East 35,480 gross area

� New Hospital Construction


Hospital Services

• Inpatient Services

14 Behavioral Health Beds

Behavioral Health Partial Hospitalization

Behavioral Health Outpatient & Administration

• Administrative & Outpatient Services


Phase 4 Detail

Site Plan

MOB

Parking

Structure

Phase

1

Phase

2CUP

N

Phase

3A & 3B

Bed Capacity

Phase 1 72 Beds

Phase 2 78 Beds

Phase 3 88 Beds

Phase 4 14 Beds

1990 0 Beds

Total 252 Beds

Phase 2

Parking

Structure

1990

North

MOBPhase 4

Phase 4





01 Ancillary Services

LL1 Outpatient Services


Phase 4 Detail

Level LL 2

MOB Cafe

N

CUPPhase 1

Parking

Structure

2 levels

200 Spaces

Kitchen Support

Stores

Support

Stores

Phase 2

Parking Structure

6 Levels

600 Spaces

Service

Elev. -34’-0”

Existing

Parking Structure

2 Levels

150 Spaces

ES

Gen

Stores

Plant Op

Service


Phase 4 Detail

Level LL 1

MOB

Emergency

N

CUPPhase 1

Parking

Structure

Support

Stores

Outpatient

Walk

InEMS

MOB

Entry

Elev. -20’-0”

Parking

Structure

Phase 2

Parking

Structure

Medical

Office


Phase 4 Detail

Level 01

MOB

Radiology & other

Diagnostic Services

PAT

N

CUP

MSDS

Cath

CVOutpatient

Main

Entry

Elev. -4’-0”

Parking

Structure

Phase 2

Parking

Structure

Medical

Office

OP

Entry


Phase 4 Detail

Level 02

MOBSSDS

N

CUP

Outpatient

Services

Ancillary

ServicesPACU

Endo

Outpatient

Surgical

Suite

Elev. +12’-0”

Parking

Structure

Phase 2

Parking

Structure

Medical

Office


Phase 4 Detail

Level 03

MOB

N

CUPOB

Couplet

Care

Behavioral

HealthOB

L&D

Perinatal

Diagnostics

SCN

Behavioral

Health

Elev. +28’-0”

Parking

Structure

Phase 2

Parking

Structure


Phase 4 Detail

Level 04

MOB

N

CUP Critical

Care

General

Acute

Care

General

Acute

Care

Elev. +42’-0”

Parking

Structure

Phase 2

Parking

Structure


Phase 4 Detail

Level 05

MOB

N

CUPGeneral

Acute

Care

General

Acute

Care

General

Acute

Care

Elev. +56’-0”

Parking

Structure

Phase 2

Parking

Structure


Existing Facility

Level LL 3


Existing Facility

Level LL 3

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

Mech.

Elect.

N


Existing Facility

Level LL 2

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

BuildingElect.

IS ES

ESMorgue

DietaryGen

Stores

Plant Op

QM

N

Service


Existing Facility

Level LL 1

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

CathCath

Rad Onc.

Rad

Rad

MSDS

ED

Lab

Lab

CSS

N

CUP

Walk

InEMS


Existing Facility

Level 01

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building Pharmacy

PACURT

Exec

Admin.

Surgery

SSDS

ICU

PAT

N

CUP

Main

Entry


Existing Facility

Level 02

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

IMUBehavioral

Health

Gen AcuteBH OP

SW

N

CUP


Existing Facility

Level 03

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

Gen Acute

OB Post Partum

SCN

L&D

N

CUP


Existing Facility

Level 04

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

Gen Acute

Gen Acute

ICU

N

CUP


Existing Facility

Level 05

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

Acute Rehab

Gen Acute

ICU

N

CUP


Existing Facility

Level 06

Conference

Center

MOB

CUP

MOB

Parking

Structure

Lisner

Building

CV NM

Sleep

UR

N

CUP

wah takoma park campus master plan 09-05-2013mhcc.maryland.gov/mhcc/pages/hcfs/hcfs_con/... ·...

Documents