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Table of Contents
Section 1
Executive Summary
Introduction
Overview
Development Process
Space Program Objectives and Assumptions
Findings
Recommendations
Program Summary
Section 2
Site Review
Introduction
Site Review
Stacking
Floor Plans
Section 3
Section 4
Section 5
Acknowledgments
Steering Committee
Inpatient
ICU/Step-down
Women & Children
Diagnostic
Emergency
Perioperative
Ancillary Support
DPH Program Management/Administration
DPW Project Management
Fong & Chan Architects
Forell/Elsesser Engineers, inc.
Gayner Engineers
TBD Consultants
Herrero Contractors
Section 6
Appendices
Appendix A Space Program Work Plan
Appendix B Bed Projections
Appendix C Meeting Minutes
Section 1
Executive Summary
Introduction
This space program report provides the basis for the
development of the design and eventual construction of the
new acute care hospital building at San Francisco General
Hospital Medical Center (SFGHMC).
The report includes a comprehensive written space program
and a preliminary site review.
Overview
In 1994, California Senate Bill (SB) 1953 was passed as an
amendment to and furtherance of the Alfred E. Alquist Hospital
Seismic Safety Act (Alquist Act) enacted in 1973. The intent of
the original act was to ensure that acute care hospitals remain
functional shortly after a major earthquake. The Alquist Act
requires all general acute care hospital buildings to meet
explicit seismic safety standards by either retrofitting existing
buildings or electing the option, provided by SB 1801 (Speier)
adopted in 2000, to rebuild a new hospital building by 2013.
Fig. 1-1
1-1
Fig. 1-2
1-2
Development Process
The essential data used to develop the space program was
collected through the implementation of a work plan. This work
plan involved a series of workshops and meetings with hospital
staff and Fong & Chan Architects under the guidance of the
Steering Committee.
Hospital staff participated in seven distinct user groups:
Inpatient, Women & Children, Diagnostic, ICU/Step-down,
Emergency, Perioperative and Ancillary Support representing a
broad cross section of healthcare expertise at SFGHMC.
Refer to Appendix A for a copy of the Work Plan.
1-3
To maximize facility flexibility by programming multifunctional spaces and flexible step-down nursing units
Potrero Avenue
ASSUMPTIONS
Fig. 1-3
Acute Psych
SNF
Clinical Labs (except for the blood bank and specific
functions that by code are required to be in a compliant
acute care facility)
Cafeteria
Kitchen
Rehab
Nuclear Medicine
1-4
Findings
This report describes a space program for a 284 bed new acute
care hospital to be located in the west lawn of SFGHMC with an
assumed building massing of 8 stories (including basements)
and an area of 420,260 square feet. The principal findings of
the space program study are as follow:
Fig. 1-4
1-5
Recommendations
In the course of the space programming effort the various User
Group Committees and the Steering Committee identified
project goals and objectives to be considered in the design
phase of this project. These committees envisioned the
creation of a modern healthcare facility that embodied the
Hospitals Mission to deliver humanistic, cost-effective, and
culturally competent health services to the residents of the City
and County of San Francisco. The following recommendations
should be used as a foundation for the development of the
design of the new acute care Hospital:
1-6
PROGRAM SUMMARY
Beds/Rm
DGSF
Remarks
Inpatient
Acute Medical
Medical/Surgical
Medical/Surgical - Forensic Unit
ICU/CCU
Step-Down
Obstetrics
Pediatrics
NICU
Subtotal
144
8
40
46
22
12
12
284
72,466
6,744
31,086
27,287
21,427
9,194
7,830
176,032
Perioperative
Surgery
Gastroenterology
Patient Intake and Recovery
15
5
57
23,369
4,158
17,914
Diagnostic Imaging
Cardiology
Radiology
6
8
4,606
15,425
Ancillary Services
Sterile Processing
Pharmacy
Clinical Laboratory
Pulmonary Function
Biomed
Morgue and Autopsy
Subtotal
91
6,774
6,139
2,344
2,071
1,019
1,920
85,738
60
36,668
Inpatient only
Blood bank + Urinalysis
Emergency
Emergency
Clinical Care
1-7
PROGRAM SUMMARY
Beds/Rm
DGSF
5,755
2,801
621
Auxiliary Support
Material Management
Messenger/Mailroom
Environmental Services
Information Technology
PBX
Dietary
Subtotal
8,250
2,544
1,294
2,731
719
828
25,544
18%
9%
323,982
58,317
34,407
416,706
Remarks
Support
DGSF Total
Circulation/ Exterior Wall
Plant Services
BGSF Total
1-8
Section 2
Site Review
Introduction
San Francisco General Hospital Medical Center is located in the
southeast quadrant of San Francisco, at the junction between
the Mission and Potrero Hill Districts.
101
1
Financial
District
SFGHMC
101
280
Fig. 2-1
Potrero
Hill
Mission
District
SFGHMC
101
208
Fig. 2-2
2-1
Building 90
Service Building
Building 1
Volunteer Center
Building 3
Building 10/20
Building 100
Building 30/40
Building 9 Trailer
Building 9
Parking Structure
01
y1
wa
Building 80
21st Street
gh
Hi
S.
U.
22nd Street
G
22nd Street
J
L
23rd Street
23rd Street
Vermont Street
Utah Street
Potrero Avenue
Fig. 2-3
Existing campus
2-2
Site Review
BUILDING SITE
The West Lawn building site was established by SFGHMC prior
to this space program study. The buildable area on this building
site is approximately 72,100 square feet, defined on the west
by Potrero Avenue, on the north by Building 20, on the south by
Building 30 and on the east by Building 5. The buildable area
was determined using planning and building code best
practices.
21st Street
S.
U.
Hi
y1
wa
gh
01
22nd Street
Fig. 2-4
22nd Street
West Drive
23rd Street
23rd Street
Vermont Street
Utah Street
Buildable area
Potrero Avenue
Fig. 2-5
2-3
SETBACKS
The following assumptions were made in determining the
extents of the buildable area:
Along the west the buildable area is defined by a plane created
by the alignment of Buildings 20 and 30.
Along the north/south/east the buildable area is defined by an
assumed property line located 20-feet from existing adjacent
structures to eliminate the need to fire rate the exterior walls
and windows of these existing structures.
Building 20
20'
20'
Building 5
20'
Building 30
Fig. 2-6
2-4
Building 20
20'
20'
20'
Building 5
20'
20'
Building 30
Fig. 2-6
2-5
Fig. 2-7
Along the first floor the east exterior wall is aligned with the
assumed property line, on the floors above the east exterior
wall shifts 20-feet west to avoid opening protection
requirements due to proximity to assumed property line.
Fig. 2-8
2-6
Fig. 2-9
2-7
SITE CIRCULATION
The suggested circulation on the SFGHMC campus is shown on
the plan below. In general, ambulance and service vehicle
access is from 22nd Street. Public vehicle access is from 23rd
Street. Pedestrian access is from Potrero Avenue, 22nd Street
and 23rd Street.
21st Street
S.
U.
gh
Hi
01
y1
wa
Fig. 2-10
22nd Street
22nd Street
23rd Street
Fig. 2-11
Utah Street
Service
Potrero Avenue
Ambulance
Pedestrians
Bus stop
2-8
ZONING CONSIDERATION
The SFGHMC campus is zoned as 105 E, this zoning
designation reveals building height and bulk limits. The
height limit for the new acute care hospital is 105 feet
with the following exemptions:
Unroofed recreation
including tennis and
swimming pools with
and play equipment
feet.
Property line
Grade line
Building height limit
Elevator/mechanical
penthouse height limit
Helipad
New hospital massing
Existing hospital building
Mechanical penthouse
Fig. 2-12
103'
105'
16'
159'
PLANT SERVICES
PLANT SERVICES
12,000
BGSF
BGSF
CLINIC/PSYCH/SNF
73,272
CLINIC
79,362
CLINIC
78,070
CLINIC
77,597
MED/SURG
43,428
MED/SURG
43,428
ICU/STEP-DOWN
45,588
45,588
CLINIC
84,432
OBSTETRICS/PEDIATRICS/NICU
47,096
CLINIC LAB/CAFETERIA/SUPPORT
87,804
RADIOLOGY
91,934
82,407
ADMITTING/EMERGENCY
51'
69'
53,092
59,547
69'
84'
69,303
2-8
Property line
Grade line
Helipad
Building massing above 65
Building massing below 65
Existing hospital building
Mechanical penthouse
Fig. 2-13
PLANT SERVICES
65'
NEW HOSPITAL
7 15'-0"
6 15'-0"
5 15'-0"
4 15'-0"
3 15'-0"
2 15'-0"
1 15'-0"
B116'-0"
B216'-0"
Fig. 2-14
PLANT SERVICES
12,000
BGSF
BGSF
CLINIC/PSYCH/SNF
73,272
CLINIC
79,362
CLINIC
78,070
CLINIC
77,597
MED/SURG
43,428
MED/SURG
43,428
ICU/STEP-DOWN
45,588
45,588
CLINIC
84,432
OBSTETRICS/PEDIATRICS/NICU
47,096
CLINIC LAB/CAFETERIA/SUPPORT
87,804
ADMITTING/EMERGENCY
53,092
RADIOLOGY
91,934
PERIOPERATIVE/CLINICAL LABORATORY
59,547
82,407
69,303
Max 110'
Ma
x1
40
'
8
13'-0" 7
13'-0" 6
13'-0" 5
13'-0" 4
13'-0" 3
15'-0" 2
15'-0" 1
16'-0" B1
13'-0"
2-9
MEDICAL HELIPAD
SFGHMC is proposing to construct and operate a medical
helipad on the roof of the existing hospital building in
order to provide timely access to and from their Trauma
Center.
500'
500'
250'
Helipad transitional
surfaces
Helipad
New hospital massing
Existing hospital building
Mechanical penthouse
Fig. 2-15
NEW HOSPITAL
PLANT SERVICES
'
00
40
250'
500'
PLANT SERVICES
12,000
BGSF
BGSF
CLINIC/PSYCH/SNF
73,272
CLINIC
79,362
CLINIC
78,070
CLINIC
77,597
MED/SURG
43,428
MED/SURG
43,428
ICU/STEP-DOWN
45,588
45,588
CLINIC
84,432
OBSTETRICS/PEDIATRICS/NICU
47,096
CLINIC LAB/CAFETERIA/SUPPORT
87,804
ADMITTING/EMERGENCY
53,092
RADIOLOGY
91,934
PERIOPERATIVE/CLINICAL LABORATORY
59,547
82,407
69,303
2-10
Stacking
Fig. 2-17
Stacking diagram
2-12
20'
10'
40'
30'
2-13
20'
10'
40'
30'
2-14
20'
10'
40'
30'
2-15
20'
10'
40'
30'
2-16
20'
10'
40'
30'
2-17
20'
10'
40'
30'
2-18
20'
10'
40'
30'
2-19
Helipad
Plant Services
Elevator Hoistway
Sixth Floor Roof
Courtyard
20'
10'
40'
30'
2-20
Section 3
3-1
PROGRAM SUMMARY
Beds/Rm
DGSF
Remarks
Inpatient
Acute Medical
Medical/Surgical
Medical/Surgical - Forensic Unit
ICU/CCU
Step-Down
Obstetrics
Pediatrics
NICU
Subtotal
144
8
40
46
22
12
12
284
72,466
6,744
31,086
27,287
21,427
9,194
7,830
176,032
Perioperative
Surgery
Gastroenterology
Patient Intake and Recovery
15
5
57
23,369
4,158
17,914
Diagnostic Imaging
Cardiology
Radiology
6
8
4,606
15,425
Ancillary Services
Sterile Processing
Pharmacy
Clinical Laboratory
Pulmonary Function
Biomed
Morgue and Autopsy
Subtotal
91
6,774
6,139
2,344
2,071
1,019
1,920
85,738
60
36,668
Inpatient only
Blood bank + Urinalysis
Emergency
Emergency
Clinical Care
3-2
PROGRAM SUMMARY
Beds/Rm
DGSF
5,755
2,801
621
Auxiliary Support
Material Management
Messenger/Mailroom
Environmental Services
Information Technology
PBX
Dietary
Subtotal
8,250
2,544
1,294
2,731
719
828
25,544
18%
9%
323,982
58,317
34,407
416,706
Remarks
Support
DGSF Total
Circulation/ Exterior Wall
Plant Services
BGSF Total
3-3
SERVICE
Beds/Rm
ASF
Remarks
Inpatient - Summary
Acute Medical
Medical/Surgical
Medical/Surgical Unit
Support Areas
Administrative/Staff Areas
Public Areas
144
144
42,280
500
2,080
1,880
46,740
72,466
8
8
3,000
1,350
4,350
6,744
ICU/CCU
ICU/CCU Unit
ICU/CCU Unit
ICU/CCU Unit
Trauma ICU Unit
Shared Support Areas
Administrative/ Staff Area
Public Areas
ASF Total
DGSF
10
10
10
10
40
3,290
3,290
3,290
3,990
2,480
2,510
1,200
20,050
31,086
Step-Down
Step-Down Unit - Flex Up
Step-Down Unit - Flex Up
Step-Down Unit - Flex Down
Support Areas
Administrative/ Staff Areas
Public Areas
ASF Total
DGSF
20
10
26
46
6,760
3,370
6,540
2,000
1,300
1,000
17,600
27,287
ASF Total
DGSF
Medical/Surgical - Forensic Unit
Medical/Surgical - Forensic Unit
Administrative/Staff Areas
ASF Total
DGSF
3-4
SERVICE
Beds/Rm
ASF
Remarks
Inpatient - Summary
Acute Medical
Obstetrics
Triage
Post-Partum
LDRP
C-Section
Support Areas
Administrative/Staff Area
Public Areas
ASF Total
DGSF
3
13
9
2
22
650
3,150
3,270
1,420
2,240
2,210
880
13,820
21,427
Pediatrics
Pediatrics Unit
Administrative/Staff Area
Public Areas
ASF Total
DGSF
12
12
4,440
1,030
460
5,930
9,194
NICU
NICU unit
Administrative/Staff Area
Public Areas
ASF Total
DGSF
12
12
3,670
1,260
120
5,050
7,830
DGSF Total
176,032
3-5
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Medical/Surgical
Medical/Surgical Unit
19
180
3,420
Toilet
17
30
510
Toilet - ADA
50
100
280
1,120
Toilet
30
60
Toilet - ADA
50
100
180
1,620
Toilet
50
350
w/ shower
Toilet - ADA
70
140
w/ shower
Anteroom
100
500
Nursing Station
300
300
150
300
Physician Workroom/Charting
200
200
Medication
120
240
Clean Supply
100
100
Clean Utility
100
100
Nourishment
100
100
Linen
30
60
Equipment/Storage
200
400
Soiled Utility
100
100
Soiled Linen
60
60
50
100
Custodian Closet
40
40
100
100
100
100
100
100
Toilet - ADA
50
50
Conference Room
200
200
10,570
250
Patient Room
Support
Administrative/Staff Areas
10,570
42,280
Support Areas
Procedure Room
Support Areas ASF
500
1 per Floor
500
3-6
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Medical/Surgical
Administrative/Staff Areas
Office - Social Worker
200
400
100
100
250
250
Dayroom
250
250
Staff Lounge
200
400
1 per floor
Women's Locker
120
240
Toilet - ADA
50
100
120
240
50
100
Men's Locker
Toilet - ADA
Team based
Common room
2,080
Public Areas
Waiting
200
400
1 per floor
Multipurpose Room
200
400
Consultation
120
360
Women's Toilet
180
360
Men's Toilet
180
360
1,880
46,740
36%
16,826
14%
8,899
Medical/Surgical DGSF
72,466
3-7
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Medical/Surgical - Forensic (Jail)
Medical/Surgical - Forensic Unit
Patient Room
Toilet
Patient Room
Toilet - ADA
Patient Room - Isolation
180
900
30
150
180
180
50
50
180
360
Toilet - ADA
70
140
Anteroom
100
100
Nursing Station
200
200
Medication
120
120
Physician Workroom/Charting
150
150
Consultation
120
120
Equipment/ Storage
120
120
Linen
30
30
Clean Utility/Supply
120
120
Nourishment
50
50
Soiled Utility
80
80
Soiled Linen
40
40
50
50
Custodian Closet
40
w/ shower
Support
40
3,000
3-8
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Medical/Surgical - Forensic (Jail)
Administrative/Staff Areas
Office - Head Nurse
100
100
100
100
Office - Sheriff
100
100
Interview Room
80
160
Visiting
60
120
Command Center
150
150
Conference Room
150
150
Toilet - ADA
60
60
Staff Lounge
150
150
Women's Locker
80
80
Toilet - ADA
50
50
80
80
50
Men's Locker
Toilet - ADA
50
1,350
4,350
Intra-Department Circulation
36%
1,566
14%
828
6,744
3-9
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Step-Down
Step-Down Unit - Flex Up
8
210
1,680
Toilet
30
90
Toilet - ADA
50
50
210
420
Toilet - ADA
70
140
Anteroom
80
80
Patient Room
w/ shower
Support
Nursing Station/Charting
300
300
Viewing Alcove
30
30
Medication
120
120
Clean Utility/Supply
120
120
Linen
30
30
Nourishment
50
50
Equipment/Storage
200
200
80
Soiled Utility
Step-Down Unit - Flex Up ASF
80
3,390
12
180
2,160
12
30
360
280
1,120
Toilet
30
60
Toilet - ADA
50
100
180
1,080
Toilet
50
200
w/ shower
Toilet - ADA
70
140
w/ shower
Anteroom
80
240
Toilet
Patient Room - Double Occupancy
Support
Nursing Station/Charting
300
300
150
150
Viewing Alcove
30
30
Medication
120
120
Clean Utility/Supply
120
120
Linen
30
30
Nourishment
50
50
Equipment/Storage
200
200
Soiled Utility
Step-Down Unit - Flex Down ASF
80
80
6,540
3-10
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Step-Down
Support Areas
Physician Workroom/Charting
150
300
Medical Equipment
200
200
Mobile Imaging
150
150
Biomed
150
150
Respiratory Therapy
150
300
Pharmacy
150
150
Physical Therapy
150
150
Storage
200
400
Soiled Linen
60
60
50
100
Custodian Closet
40
40
2,000
100
100
100
100
100
100
150
150
Toilet - ADA
50
50
Conference Room
150
150
Staff Lounge
200
200
Locker
Team based
w/ 1 PACS station
250
250
Women's Toilet
70
70
w/ Shower
Men's Toilet
70
70
w/ Shower
Changing Room
30
60
1,300
Public Areas
Waiting
200
400
Consultation
120
240
Women's Toilet
180
180
Men's Toilet
180
180
1,000
14,230
36%
5,123
14%
2,709
Step-Down DGSF
22,062
3-11
SERVICE
ASF
Remarks
Inpatient
Acute Medical
ICU/CCU/Step-Down
ICU/CCU Unit
9
210
1,890
30
150
210
210
Hopper Room
30
30
Anteroom
80
80
Nursing Station/Charting
300
300
Viewing Alcove
30
30
Medication
120
120
Clean Utility/Supply
120
120
Linen
30
30
Nourishment
50
50
Equipment/Storage
200
200
Soiled Utility
80
80
3,290
9,870
280
2,520
Patient Room
Hopper Room
Patient Room - Isolation
Support
3,290
30
150
280
280
Hopper Room
30
30
Anteroom
80
80
Nursing Station/Charting
300
300
Viewing Alcove
30
30
Medication
120
120
Clean Utility/Supply
120
120
Linen
30
30
Nourishment
50
50
Equipment/Storage
200
200
Soiled Utility
80
80
Hopper Room
Patient Room - Isolation
Support
3,990
3-12
SERVICE
ASF
Remarks
Inpatient
Acute Medical
ICU/CCU/Step-Down
Step-Down Unit - Flex Up
8
210
1,680
Toilet
30
90
Toilet - ADA
50
50
210
420
Toilet
50
50
w/ shower
Toilet - ADA
70
70
w/ shower
Anteroom
80
80
Nursing Station/Charting
300
300
Viewing Alcove
30
30
Medication
120
120
Clean Utility/Supply
120
120
Linen
30
30
Nourishment
50
50
Equipment/Storage
200
200
Soiled Utility
80
80
Patient Room
Support
3,370
150
300
Biomed
150
150
Respiratory Therapy
150
300
Satellite Pharmacy
300
300
Medical Equipment
150
150
Provider Workroom/Charting
150
450
Quiet Room
80
160
Storage
200
400
Soiled Linen
60
120
50
50
Custodian Closet
50
100
2,480
3-13
SERVICE
ASF
Remarks
Inpatient
Acute Medical
ICU/CCU/Step-Down
Administrative/ Staff Area
Office - Director
100
100
100
300
150
150
Toilet - ADA
50
50
80
640
Shared
Toilet - ADA
70
280
w/ shower
Conference Room
150
300
Staff Lounge
300
300
Locker
250
250
Women's Toilet
70
70
w/ Shower
Men's Toilet
70
70
w/ Shower
Changing Room
30
60
2,510
Public Areas
Waiting
200
600
Consultation
120
240
Women's Toilet
180
180
Men's Toilet
180
180
1,200
23,420
36%
8,431
14%
4,459
ICU/CCU/Step-Down DGSF
36,310
3-14
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Obstetrics
Triage
3
180
540
Toilet
30
60
Toilet - ADA
50
Patient Room
50
650
Triage ASF
Post-Partum
Patient Room
Toilet
Patient Room
180
1,620
50
450
180
360
70
140
180
360
Toilet - ADA
70
140
Anteroom
80
Toilet - ADA
Patient Room - Isolation
w/ shower
w/ shower
w/ shower
80
3,150
Post-Partum ASF
LDRP
Patient Room
Toilet
Patient Room
290
2,030
60
420
290
290
80
80
290
290
Toilet - ADA
80
80
Anteroom
80
80
Toilet - ADA
Patient Room - Isolation
w/ tub
w/ tub
w/ tub
3,270
LDRP ASF
C-Section
Operating Room
400
800
Resuscitation Room
200
200
Sterile Supply
100
100
Clean Supply/Utility
120
120
Sub-Sterile
120
120
Soiled Utility
80
80
C-Section ASF
Included in NICU
1,420
3-15
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Obstetrics
Support Areas
Nursing Station
300
300
Well Baby
400
400
Medication
120
120
Provider Workroom/Charting
200
200
Anesthesia/Respiratory
120
120
Equipment/ Storage
300
600
Linen
30
60
Clean Supply/Utility
120
120
Soiled Utility
80
80
Soiled Linen
90
90
Pantry
100
100
Custodian Closet
50
50
2,240
Administrative/Staff Area
4
80
320
Toilet
40
40
Toilet - ADA
70
70
100
100
100
100
100
100
Conference Room
300
300
Toilet - ADA
50
50
Staff Lounge
400
400
Locker
250
250
Women's Toilet
180
180
Men's Toilet
180
180
Changing Room
30
120
w/ shower
w/ divider
2,210
3-16
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Obstetrics
Public Areas
Waiting
400
400
Consultation
120
120
Women's Toilet
180
180
Men's Toilet
180
180
880
13,820
36%
4,975
14%
2,631
Obstetrics DGSF
21,427
3-17
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Pediatrics
Pediatrics Unit
8
180
1,440
Toilet
30
180
Toilet - ADA
50
100
180
360
30
60
Patient Room
Patient Room
Toilet
180
360
Toilet - ADA
70
140
Anteroom
100
100
Nursing Station
300
300
Medication
120
120
Pantry
80
80
Provider Workroom/Charting
200
200
Treatment Room
120
120
Play Room
150
150
Equipment/Storage
300
300
Clean Supply/Utility
100
100
Soiled Utility
80
80
Linen
30
30
Soiled Linen
60
60
60
120
40
Support
Custodian Closet
Pediatrics Unit ASF
40
4,440
Administrative/Staff Area
On-Call Sleep Room
80
160
70
70
100
100
100
100
150
150
Team based
Conference Room
400
400
w/ divider
Toilet - ADA
50
50
Staff Lounge
Toilet - ADA
Locker w/ Toilets
Administrative/Staff Area ASF
w/ shower
1,030
3-18
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Pediatrics
Public Areas
Waiting
Consultation
120
120
Parent Lounge
200
200
70
140
Toilet - ADA
Public Areas ASF
w/ shower
460
5,930
Intra-Department Circulation
36%
2,135
14%
1,129
Pediatrics DGSF
9,194
3-19
SERVICE
ASF
Remarks
Inpatient
Acute Medical
NICU
NICU unit
Patient Room - Level II
150
1,050
170
680
190
190
100
100
Anteroom
Support
Nursing Station
200
200
Provider Workroom/Charting
200
200
Respiratory Therapy
100
100
Treatment Room
100
100
Medication
120
120
Scrub
60
60
Linen
30
30
Soiled Linen
60
60
Breast Feeding
100
100
Equipment/Storage
400
400
Clean Supply/Utility
120
120
Soiled Utility
120
120
40
40
Custodian Closet
NICU Unit ASF
w/ sink
3,670
Administrative/Staff Area
On-Call Sleep Room
100
200
70
70
100
100
Toilet - ADA
70
70
400
400
Toilet - ADA
70
70
Toilet - ADA
100
100
100
100
Office - Neonatologist
100
100
Conference Room
Toilet - ADA
50
Staff Lounge
Locker w/ Toilets
w/ shower
w/ shower
4 beds with visual separation & sink
w/ shower
Shared w/ Pediatrics
50
-
1,260
3-20
SERVICE
ASF
Remarks
Inpatient
Acute Medical
NICU
Public Areas
Waiting
Consultation
120
Toilet
120
5,050
Intra-Department Circulation
36%
1,818
14%
962
NICU DGSF
120
7,830
3-21
SERVICE
Beds/Rm
ASF
Remarks
14
1
15
9,130
2,670
3,000
320
15,120
23,369
Gastroenterology
Gastroenterology Unit
Administrative/Staff Areas
ASF Total
DGSF
5
5
2,440
250
2,690
4,158
22
35
57
2,820
4,220
200
3,230
1,120
11,590
17,914
Cardiology
Cath/EP Lab Unit
Echo Lab Unit
Support Areas
Administrative/Staff Areas
ASF Total
DGSF
1
5
6
730
930
970
350
2,980
4,606
Radiology
X-ray Unit
CT Scan Unit
MRI Unit
Angiography Unit
Ultrasound Unit
Support Areas
Administrative/Staff Areas
ASF Total
DGSF
3
2
1
2
1
9
900
1,180
850
1,310
400
3,680
1,660
9,980
15,425
Diagnostic Imaging
3-22
SERVICE
Beds/Rm
ASF
Remarks
1,270
2,360
850
4,480
6,774
Pharmacy
Storage Areas
Manufacturing Areas
Dispensary
Administrative/Staff Areas
ASF Total
DGSF
640
1,230
970
1,220
4,060
6,139
Clinical Laboratory
DGSF
1,550
2,344
4
4
1,340
2,071
Biomed
DGSF
700
1,019
600
400
270
1,270
1,920
DGSF Total
85,738
3-23
SERVICE
ASF
Remarks
540
2,160
500
3,000
420
1,680
Clean Core
1,000
2,000
Scrub
30
40
Support
Custodian Closet
Surgery Unit ASF
210
80
9,130
550
550
60
60
700
700
60
60
Control
200
400
PACS Viewing
200
200
Workroom
200
200
100
100
IR Operating Room
Computer Storage
IR Operating Room
Computer Storage
w/ CT scan capability
Support
Sterile Supply
Scrub
30
30
Equipment/Tube Storage
250
250
Electrical Room
120
120
2,670
350
350
150
150
Anesthesia Induction
220
220
150
150
Satellite Pharmacy
300
300
Graft Freezer
60
60
100
100
Control/Video Equipment
100
100
Biomed
200
200
Equipment/Storage
250
1,000
Housekeeping Supplies
80
80
Decontamination
200
200
90
90
Anesthesia Workroom
Storage
Soiled Linen
Shared Support Areas ASF
Scheduling
w/ tray-veyor
3,000
3-24
SERVICE
ASF
Remarks
100
100
Office - Anesthesia
100
100
60
Toilet - ADA
Administrative/Staff Areas ASF
120
320
15,120
Intra-Department Circulation
38%
5,746
12%
2,504
Surgery DGSF
23,369
3-25
SERVICE
ASF
Remarks
350
350
Control Room
80
80
Toilet - ADA
50
50
Endoscopy Room
250
1,000
ERCP Room
Support
pH Monitoring Room
150
150
Linen
30
30
Clean Utility/Supply
120
120
Scope Closet
30
120
80
80
Equipment/ Storage
200
200
Computer Room
80
80
Soiled Utility
80
80
Soiled Linen
60
60
40
Custodian Closet
Gastroenterology Unit ASF
40
2,440
Administrative/Staff Areas
Conference Room
Toilet - ADA
Administrative/Staff Areas ASF
200
50
200
50
250
2,690
Intra-Department Circulation
38%
1,022
12%
445
Gastroenterology DGSF
4,158
3-26
SERVICE
ASF
Remarks
80
1,760
Nursing Station
120
240
Provider Workroom/Charting
100
100
Equipment/Storage
200
200
Linen
30
60
Clean Utility/Supply
120
120
Soiled Utility
80
80
Soiled Linen
60
60
50
100
Patient Toilet
30
60
40
40
Holding Cubicle
Support
Custodian Closet
Pre-OP Unit ASF
2,820
PACU
Recovery Cubicle
34
80
2,720
140
140
70
70
Nursing Station
120
240
Provider Workroom/Charting
120
120
Equipment/Storage
200
200
Nourishment
80
80
Medication
120
120
Linen
30
60
Clean Utility/Supply
120
120
Soiled Utility
80
80
Soiled Linen
60
60
50
100
70
70
40
40
Toilet - Accessible
w/ shower
Support
Custodian Closet
PACU ASF
w/ shower
4,220
100
200
200
3-27
SERVICE
ASF
Remarks
100
100
100
100
100
100
100
100
Office - CNS/Educator
140
140
Toilet - ADA
50
100
80
320
Toilet
30
30
Shared
Toilet - ADA
50
50
Shared
80
80
Surgery
Toilet - ADA
50
50
Conference Room
200
400
300
300
Staff Lounge
300
300
Women's Locker
Shared
Anesthesia (3 residents, 1 faculty)
300
300
Toilet
210
210
Men's Locker
300
300
Toilet
210
210
40
40
Custodian Closet
Administrative/Staff Areas ASF
3,230
Public Areas
Reception
120
120
Waiting
200
400
Consultation
120
240
Women's Toilet
180
180
180
180
Men's Toilet
Public Areas ASF
1,120
11,590
Intra-Department Circulation
38%
4,404
12%
1,919
17,914
3-28
SERVICE
ASF
Remarks
500
500
Includes POCT
Control Room
150
150
w/ PACS station
80
80
Equipment
Cath/EP Lab Unit ASF
730
150
600
250
250
80
Equipment
Cath Lab Unit ASF
80
930
Support Areas
Imaging Reading/Workroom
300
300
Equipment/Computer Storage
200
200
Stat Lab
100
100
Clean Supply/Utility
100
100
Linen
30
90
Soiled
80
80
Soiled Linen
60
60
40
40
PACS Workroom
Support Areas ASF
Shared w/ Radiology
970
Administrative/Staff Areas
Office - Cardiology Manager
100
100
100
100
Office - Tech
100
100
Toilet - ADA
50
50
Conference Room
Locker
Administrative/Staff Areas ASF
Shared w/ Radiology
Shared w/ Radiology
350
2,980
Intra-Department Circulation
38%
1,132
12%
493
Cardiology DGSF
4,606
3-29
SERVICE
ASF
Remarks
250
500
50
50
250
250
50
50
50
50
ADA accessible
900
CT Scan Unit
CT Scan Room
450
450
550
550
180
180
Control Room
CT Scan Unit ASF
1,180
MRI Unit
MRI Room
Control Room
Equipment
MRI Unit ASF
520
520
180
180
150
150
850
Angiography Unit
Angiography Room
500
1,000
Control Room
150
150
80
Equipment
Angiography Unit ASF
160
1,310
Ultrasound Unit
Ultrasound Room
Toilet - ADA
Ultrasound Unit ASF
350
50
350
Three cubicles
50
400
3-30
SERVICE
ASF
Remarks
150
Holding/Recovery
1,360
150
Reception
60
60
Waiting
150
150
Changing
40
80
Workroom
500
500
150
150
PACS Workroom
300
300
Linen
30
90
Clean Supply/Utility
100
100
Soiled
80
80
Soiled Linen
60
60
Equipment/Computer Storage
400
400
60
60
Patient toilet
50
100
Custodian Closet
Support Areas ASF
40
40
1,360
17 Gurneys
Scheduling
ADA accessible
3,680
Administrative/Staff Areas
Office - Imaging Director
Office - Radiology Manager
1
1
100
100
100
100
Office - Tech
100
200
Conference Room
350
350
Toilet - ADA
50
50
Staff Lounge
200
200
Women's Locker
150
150
Toilet
180
180
Men's Locker
150
150
180
180
Toilet
Administrative/Staff Areas ASF
1,660
9,980
Intra-Department Circulation
38%
3,792
12%
1,653
Radiology DGSF
w/ divider
15,425
3-31
SERVICE
ASF
Remarks
800
800
200
200
Cart Wash
120
120
Toilet - ADA
70
70
Supply Closet
50
50
30
30
Custodian Closet
Decontamination Area ASF
w/ shower
1,270
Assembly/Sterilization
Pass Through Sterilizers
150
150
Sterile Supply
400
400
Terminal Sterilizer
180
180
800
800
Cart Storage
200
200
600
600
Custodian Closet
30
30
2,360
Assembly/Sterilization ASF
Administrative/Staff Areas
Office - Manager
100
100
Office - Supervisor
100
100
Conference Room
150
150
Staff Lounge
200
200
Women's Locker
100
100
Toilet - ADA
50
50
100
100
50
50
Men's Locker
Toilet - ADA
850
4,480
Intra-Department Circulation
35%
1,568
12%
726
6,774
3-32
SERVICE
ASF
Remarks
400
400
Refrigerated Storage
30
90
Narcotics Vault
150
150
640
Manufacturing Areas
Bulk Compounding
400
400
2 auto compounders
300
300
Anteroom/Storage
300
300
Walk-in Refrigerator
80
80
150
150
1,230
Dispensary
Pick-Up
120
120
Discharge
150
150
Compounding
300
300
320
320
Cart Staging
80
80
8 Workstations
970
Dispensary ASF
Administrative/Staff Areas
Office - Director
100
100
Office
100
100
Open Office
320
320
Conference Room
200
200
Staff Lounge
200
200
Women's Locker
100
100
Toilet - ADA
50
50
100
100
50
Men's Locker
Toilet - ADA
50
1,220
4,060
Intra-Department Circulation
35%
1,421
12%
658
Pharmacy DGSF
4 Workstations
6,139
3-33
SERVICE
ASF
Remarks
1,200
1,200
Urinalysis Lab
150
150
100
100
Office - Supervisor
100
100
1,550
1,550
Intra-Department Circulation
35%
543
12%
251
2,344
3-34
SERVICE
ASF
Remarks
Equipment
80
80
200
200
80
200
600
80
960
Bronchoscopy
Procedure Room
250
250
Equipment
80
80
Toilet - ADA
50
50
Negative pressure
380
Bronchoscopy ASF
Linen
Soiled
Soiled Linen
Administrative/Staff Areas
Toilet
Conference Room
Locker
1,340
Intra-Department Circulation
38%
509
12%
222
2,071
3-35
SERVICE
ASF
Remarks
400
400
Storage
200
200
Office - Manager
100
100
700
Biomed ASF
700
Intra-Department Circulation
30%
210
12%
109
Biomed DGSF
1,019
3-36
SERVICE
ASF
Remarks
200
200
Mortuary Refrigerator
400
400
200
Vestibule
200
600
Morgue ASF
Autopsy
Autopsy
Tissue Storage
Autopsy ASF
300
300
100
100
400
Administrative/Staff Areas
Office - Supervisor
100
100
Locker
80
80
Changing Room
40
40
Toilet - ADA
50
50
270
1,270
Intra-Department Circulation
35%
445
12%
206
1,920
3-37
SERVICE
Beds/Rm
ASF
Remarks
Emergency - Summary
Emergency
Clinical Care
Exam Unit
54
10,780
Trauma Unit
3,510
Support Areas
4,305
Administrative/Staff Areas
2,780
Public Areas
ASF Total
DGSF
60
1,600
22,975
36,668
3-38
SERVICE
ASF
Remarks
Emergency
Emergency
Clinical Care
Exam Unit
Exam Room
46
140
6,440
140
560
180
180
Toilet - ADA
70
70
140
420
Toilet
30
60
Toilet - ADA
50
50
Nursing Station
200
800
Provider Charting
150
600
Medication
120
480
Clean Utility/Supply/Equipment
170
680
Soiled Utility
80
320
Soiled Linen
60
120
w/ shower
Support
10,780
Trauma Unit
6
350
2,100
120
360
Nursing Station
200
200
Provider Charting
250
250
Medication
120
120
Clean Utility/Supply/Equipment
200
200
Soiled Utility
80
80
Soiled Linen
60
60
Consultation/Quiet Room
100
100
40
40
Resuscitation Room
Equipment Storage
w/ X-ray capability
Support
Custodian Closet
Trauma Unit ASF
3,510
3-39
SERVICE
ASF
Remarks
Emergency
Emergency
Clinical Care
Support Areas
1
350
350
120
240
POCT
100
100
CT Scan Room
450
900
Control Room
150
150
Workroom
100
100
250
500
Control Room
100
100
Satellite Pharmacy
400
400
Equipment/Storage
300
600
Provider Workroom
200
200
Toilet - ADA
50
150
Toilet
35
175
Shower/Decontamination
260
260
40
40
40
Central Triage
Triage Room
X-ray Room
Storage
Custodian Closet
Including reception
40
4,305
Administrative/Staff Areas
Office - Nursing Director
100
100
100
200
Office - CNS
150
150
Shared
150
150
Shared
Admitting/Registration
500
500
6 Workstations
Interview
80
80
Radio Room
80
80
Conference Room
200
400
Toilet - ADA
50
100
Staff Lounge
300
300
Women's Locker
150
150
Toilet
210
210
Men's Locker
150
150
Toilet
210
210
40
Custodian Closet
Administrative/ Staff Areas ASF
40
2,780
3-40
SERVICE
ASF
Remarks
Emergency
Emergency
Clinical Care
Public Areas
Waiting
400
800
Waiting - Pediatrics
200
200
Consultation/Quiet Room
120
240
Women's Toilet
180
180
180
180
Men's Toilet
Public Areas ASF
1,600
22,975
Intra-Department Circulation
40%
9,190
14%
4,503
36,668
3-41
SERVICE
Beds/Rm
ASF
Remarks
3,360
1,000
4,360
5,755
Admitting
DGSF
2,030
2,801
Administration
DGSF
450
621
Material Management
DGSF
6,250
8,250
Messenger/Mailroom
DGSF
1,770
2,544
Environmental Services
DGSF
900
1,294
Information Technology
DGSF
1,900
2,731
PBX
DGSF
500
719
Dietary
DGSF
600
828
Auxiliary Support
DGSF Total
25,544
3-42
SERVICE
ASF
Remarks
Support Services
Administration and Public
Entry Area
Main Lobby
Waiting
3,000
3,000
Women's Toilet
180
180
Men's Toilet
180
180
3,360
Lobby
Waiting
1,000
Lobby ASF
1,000
1,000
4,360
Intra-Department Circulation
20%
872
10%
523
5,755
12
80
960
Reception
250
250
Registration
200
200
Cashiers
300
300
Vault
40
40
Supply
200
200
Toilet
80
80
Custodian Closet
40
40
2,030
2,030
Intra-Department Circulation
20%
406
15%
365
Admitting DGSF
2,801
3-43
SERVICE
ASF
Remarks
Support Services
Administration and Public
Administration
Administrative Offices
Office
200
200
Director of Nursing
Open Office
200
200
Including Reception
Toilet
50
50
450
Intra-Department Circulation
20%
90
15%
81
Administration DGSF
ADA accessible
450
621
3-44
SERVICE
ASF
Remarks
Support Services
Auxiliary Support
Material Management
Material Management
Storage
6,000
6,000
100
200
Toilet - ADA
50
50
6,250
6,250
Intra-Department Circulation
20%
1,250
10%
750
8,250
3-45
SERVICE
ASF
Remarks
Support Services
Auxiliary Support
Messenger/Mailroom
Messenger
Office - Supervisor
100
100
Open Office
600
600
Toilet - ADA
50
100
Changing
40
40
Specimen Storage
80
80
Mailroom
200
200
Clothes Storage
300
300
One Workstation
Gurneys/Wheelchair Storage
350
350
Two Refrigerators
1,770
Messenger ASF
1,770
Intra-Department Circulation
25%
443
15%
332
Messenger DGSF
2,544
3-46
SERVICE
ASF
Remarks
Support Services
Auxiliary Support
Environmental Services
Environmental Services
Office - Supervisor
100
100
Supply
400
400
Equipment
200
200
Linen
200
200
900
900
Intra-Department Circulation
25%
225
15%
169
1,294
3-47
SERVICE
ASF
Remarks
Support Services
Auxiliary Support
Information Technology
Information Technology
1
800
800
Lab/Test
800
800
Operator
300
300
1,900
1,900
Intra-Department Circulation
25%
475
15%
356
2,731
Auxiliary Support
PBX
PBX
1
300
350
Office - Supervisor
100
100
Toilet - ADA
50
50
PBX Room
500
PBX ASF
500
Intra-Department Circulation
25%
125
15%
94
PBX DGSF
719
3-48
SERVICE
ASF
Remarks
Support Services
Auxiliary Support
Dietary
Dietary
Storage
Refrigerator
Freezer
Dietary ASF
500
500
50
50
50
50
600
600
Intra-Department Circulation
20%
120
15%
108
Dietary DGSF
828
3-49
BASEMENT -1
Beds/Rm
ASF
Diagnostic Imaging
Cardiology
Cath/EP Lab Unit
Echo Lab Unit
Support Areas
Administrative/Staff Areas
ASF Total
DGSF
Radiology
X-ray Unit
CT Scan Unit
MRI Unit
Angiography Unit
Ultrasound Unit
Support Areas
Administrative/Staff Areas
ASF Total
DGSF
Sterile Processing
Decontamination Area
Assembly/Sterilization
Administrative/Staff Areas
ASF Total
DGSF
Morgue and Autopsy
Morgue
Autopsy
Administrative/Staff Areas
ASF Total
DGSF
FIRST FLOOR
Beds/Rm
ASF
Perioperative
1
5
-
730
930
970
350
2,980
4,606
3
1
1
2
1
-
900
1,180
850
1,310
400
3,680
1,660
9,980
15,425
Ancillary Services
Pulmonary Function Lab
DGSF
Department
960
1,484
1,270
2,360
850
4,480
6,774
Surgery
Surgery Unit
Interventional Radiology Unit
Shared Support Areas
Administrative/Staff Areas
ASF Total
DGSF
Gastroenterology
Gastroenterology Unit
Administrative/Staff Areas
ASF Total
DGSF
Patient Intake and Recovery
Pre-OP Unit
PACU
Shared Support Areas
Administrative/Staff Areas
Public Areas
ASF Total
DGSF
Department
SECOND FLOOR
Beds/Rm
ASF
Emergency
14
1
-
9,130
2,670
3,000
320
15,120
23,369
5
-
2,440
250
2,690
4,158
22
35
-
2,820
4,220
200
3,230
1,120
11,590
17,914
Clinical Care
Exam Unit
Trauma Unit
Support Areas
Administrative/Staff Areas
Public Areas
ASF Total
DGSF
Admitting
DGSF
Plant Services
54
6
-
10,780
3,510
4,305
2,780
1,600
22,975
36,668
3,360
3,360
4,435
2,030
2,801
Plant Services
DGSF
562
Ancillary Services
Bronchoscopy
DGSF
Clinical Laboratory
DGSF
THIRD FLOOR
Beds/Rm
ASF
Acute Medical
Department
Obstetrics
Triage
Post-Partum
LDRP
C-Section
Support Areas
Administrative/Staff Area
Public Areas
ASF Total
DGSF
Pediatrics
Pediatrics Unit
Administrative/Staff Area
Public Areas
ASF Total
DGSF
NICU
NICU unit
Administrative/Staff Area
Public Areas
ASF Total
DGSF
600
400
270
1,270
1,920
Entry Area
DGSF
Plant Services
Beds
ASF
Acute Medical
3
13
9
2
-
12
-
12
-
650
3,150
3,270
1,420
2,240
2,210
880
13,820
21,427
4,440
1,030
460
5,930
9,194
3,670
1,260
120
5,050
7,830
Step-Down
Step-Down Unit - Flex Up
Step-Down Unit - Flex Down
Support Areas
Administrative/ Staff Areas
Public Areas
ASF Total
DGSF
Medical/Surgical - Forensic Unit
Medical/Surgical - Forensic Unit
Administrative/Staff Areas
ASF Total
DGSF
10
26
-
3,390
6,540
2,000
1,300
1,000
14,230
22,062
8
-
3,000
1,350
4,350
6,744
640
1,230
970
1,220
4,060
6,139
1,900
2,731
Ancillary Services
Pharmacy
Storage Areas
Manufacturing Areas
Dispensary
Administrative/Staff Areas
ASF Total
DGSF
Auxiliary Support
380
587
1,550
2,344
Information Technology
DGSF
-
450
450
621
Department
Plant Services
1,000
1,320
Plant Services
Plant Services
DGSF
562
Plant Services
DGSF
562
Plant Services
DGSF
562
Auxiliary Support
Material Management
DGSF
6,250
8,250
Messenger/Mailroom
DGSF
1,770
2,544
Environmental Services
DGSF
900
1,294
Dietary
DGSF
600
828
Plant Services
Plant Services
Mechanical
Electrical
Miscellaneous
Administrative/ Staff Areas
ASF Total
DGSF
DGSF Total
Interdepartmental & Vertical
Circulation/ Exterior Wall
BGSF Total (For this floor only)
BGSF Available (For this floor only)
BGSF Available/ Total Delta
BGSF Delta %
7,000
2,800
1,100
610
11,510
15,193
58,318
18%
10,497
68,815
DGSF Total
Interdepartmental & Vertical
Circulation/ Exterior Wall
BGSF Total (For this floor only)
69,303
488
1%
50,253
18%
9,046
59,299
DGSF Total
Interdepartmental & Vertical
Circulation/ Exterior Wall
BGSF Total (For this floor only)
59,749
450
1%
44,467
18%
8,004
52,471
DGSF Total
Interdepartmental & Vertical
Circulation/ Exterior Wall
BGSF Total (For this floor only)
53,092
621
1%
39,633
18%
7,134
46,767
DGSF Total
Interdepartmental & Vertical
Circulation/ Exterior Wall
BGSF Total (For this floor only)
47,096
329
1%
38,238
18%
6,883
45,121
45,588
467
1%
3-50
FIFTH FLOOR
Beds
ASF
10
10
10
10
10
-
3,290
3,290
3,290
3,990
3,370
2,480
2,510
1,200
23,420
36,310
Medical/Surgical
Medical/Surgical Unit
Medical/Surgical Unit
Support Areas
Administrative/Staff Areas
Public Areas
ASF Total
DGSF
Plant Services
PENTHOUSE
SIXTH FLOOR
Beds
ASF
Acute Medical
Acute Medical
ICU/CCU/Step-Down
ICU/CCU Unit
ICU/CCU Unit
ICU/CCU Unit
Trauma ICU Unit
Step-Down Unit - Flex Up
Shared Support Areas
Administrative/ Staff Area
Public Areas
ASF Total
DGSF
Department
Department
Beds
ASF
Acute Medical
36
36
-
10,570
10,570
250
1,040
940
23,370
36,233
Plant Services
DGSF
562
Medical/Surgical
Medical/Surgical Unit
Medical/Surgical Unit
Support Areas
Administrative/Staff Areas
Public Areas
ASF Total
DGSF
Plant Services
Department
Rooms
ASF
Plant Services
36
36
-
10,570
10,570
250
1,040
940
23,370
36,233
Plant Services
Mechanical
Electrical
Miscellaneous
ASF Total
DGSF
BUILDING 25
Services
Beds
ASF
Inpatient
284
113,540
7,000
300
300
7,600
10,032
10,032
1,806
11,838
DGSF Total
Circulation/ Exterior Wall
Plant Services
BGSF Total
12,000
162
1%
BGSF Available
BGSF Available/ Total Delta
BGSF Delta %
76,096
Support Services
18,760
208,396
323,982
ASF Total
DGSF
Plant Services
DGSF
562
Auxiliary Support
Biomed
DGSF
700
1,019
PBX
DGSF
500
719
Plant Services
Plant Services
DGSF
DGSF Total
Interdepartmental & Vertical
Circulation/ Exterior Wall
BGSF Total (For this floor only)
BGSF Available (For this floor only)
BGSF Available/ Total Delta
BGSF Delta %
562
38,610
18%
6,950
45,560
DGSF Total
Interdepartmental & Vertical
Circulation/ Exterior Wall
BGSF Total (For this floor only)
45,588
28
0%
36,795
18%
6,623
43,418
DGSF Total
Interdepartmental & Vertical
Circulation/ Exterior Wall
BGSF Total (For this floor only)
43,922
504
1%
36,795
18%
6,623
43,418
DGSF Total
Interdepartmental & Vertical
Circulation/ Exterior Wall
BGSF Total (For this floor only)
43,922
504
1%
18%
18%
9%
323,982
58,317
34,407
416,706
420,260
3,554
1%
3-51
Section 4
4-1
Section 5
Acknowledgments
The following people participated in the development of the
San Francisco General Hospital Medical Center space program
report and provided their labor, time and expertise toward the
preparation of the final document:
Steering Committee
Gene Marie O'Connell, MSN
Roland Pickens
Sue Currin, RN, MS, CNS
Delvecchio Finley, MPP, FACHE
Andre Campbell, MD
Jeff Critchfield, MD
John Luce, MD
Sue Carlisle, MD
Kathy Jung, MPH
Carlos Villalva, RA
Ron Alameida, RA
Mark Primeau
Sharon Kotabe, PharmD
Inpatient
Sue Currin, RN, MS, CNS
Yuhum Digdigan, RN, MS
Ana Sampera, RN, MS
Michael Daly, RN
Lettie Miller, RN
Leslie Dubbin, RN
Sharon Wicher, RN, MS
Piera Wong, RN, MS, CNS
Bill Schecter, MD
Jeff Critchfield, MD
Talmadge King, MD
Kevin Grumbach, MD
Todd May, MD
Elena Fuentes-Afflick, MD
Richard Price, MD
Morris Schambelan, MD
Pat Skala
5-1
Section 5 Acknowledgments
ICU/Step-down
Sue Currin, RN, MS, CNS
Terry Dentoni, RN
Vivian Curd, RN
Genevieve Farr, RN
Paul Koo, RN, MS, CNS
Leslie Dubbin, RN
Lettie Miller, RN
Sue Carlisle, MD
Jim Marks, MD
John Luce, MD
Shirley Stiver, MD
Sheryl Calson, RN, MS, CNS
Nora Goldschlager, MD
Andre Campbell, MD
Courtney Broaddus, MD
Lisa Chen, MD
Julin Tang, MD
Rochelle Dicker , MD
Cheryl Jay, MD
Sandra Peterson
5-2
Section 5 Acknowledgments
Diagnostic
Terry Dentoni, RN
Patricia Coggan, RN, MS, CNS
Maggie Rykowski, RN
Terry Lynch, MD
Mark Wilson, MD
Geoff Manley, MD
Claude Hemphill, MD
Ebie Fiebig, MD
Walt Finkbeiner, MD
Hal Yee, MD
Jim Genevro
John Applegarth
Emergency
Bob Sypher, RN
Pat Carr, RN
John Fazio, RN, MS, CNS
Kathryn Fowler, RN
Alan Gelb, MD
Chris Barton, MD
Jeff Tabas, MD
Mark Leary, MD
Eric Isaacs, MD
Mitchell Cohen, MD
Jan Allison, RN
Perioperative
Sue Currin, RN, MS, CNS
Terry Dentoni, RN
Lawrence Nichols, RN
Jane Cino, RN
Patricia Coggan, RN, MS, CNS
Renee Navarro, MD
Bob Mackersie, MD
Sue Carlisle, MD
Rochelle Dicker, MD
Ted Miclau, MD
Jim Marks, MD
John Inadomi, MD
Courtney Broaddus, MD
Winona Mindolovich
5-3
Section 5 Acknowledgments
Ancillary Support
Sharon Kotabe, PharmD
Paul Cho
Shirley Lee, PharmD
Julie Russell
Fred Hom, PharmD
Eberhard Fiebig, MD
Cora Nunez-Talens
Lawrence Nichols, RN
James Moore
Bob Eggleston
Delvecchio Finley, MPP, FACHE
Johnson Gong
Marijane Pierson
5-4
Section 5 Acknowledgments
5-5
Section 6
Appendices
The following documents were prepared during the
development of the San Francisco General Hospital Medical
Center space program report and supplement the content of
this report.
Appendix A
Space Program Work Plan
Appendix B
Bed Projections
Appendix C
Meeting Minutes
6-1
Appendix A
View of SFGHMC
Inpatient
Diagnostic and Treatment
Emergency
Support
Plant Services
planning
Appendix A-2
Activity III:
Weeks)
Appendix A-3
Appendix B
Bed Projections
Introduction
The number of beds included in this space program have been
derived from the examination and analysis of several
variables: census trends at SFGHMC, current and expected
demands on services, the range of services provided at
SFGHMC, rates of occupancy, and services provided by other
area hospitals now and in the future. There is no prescribed
formulary for establishing bed projections.
Appendix B-1
Census does not always reflect the patients that have been
admitted but are being held in the emergency department
or PACU awaiting a bed to become available. Patients are
required to be in a bed at midnight to be counted in the
midnight census.
Appendix B-2
Summary
The bed projections provided in Table have been derived from
an examination of all the above variables. Bed flexibility is
built into the program by the number of planned step-down
beds. Step-down beds can either go from intensive care to
step-down; or step-down to acute care levels of care.
Appendix B-3
ADC
Daily Census
CY 02-03
CY 03-04
CY 04-05
CY 05-06
4 Year Total
Over 4 Years
Occupancy rate
Based on
Census Data*
Based on
Actual Needs**
Medical/Surgical
47,469
45,083
49,001
47,687
189,240
129.5
80%
162
144
Medical/Surgical - Forensic
1,939
1,425
1,066
1,031
5,461
3.7
80%
ICU
8,000
7,915
8,167
8,647
32,729
22.4
70%
32
40
Step-Down
6,844
7,679
8,805
12,037
35,365
24.2
70%
35
46
Obstetrics
4,197
4,076
4,119
3,952
16,344
11.2
80%
14
22
Pediatrics
1,069
1,082
991
1,093
4,235
2.9
80%
12
NICU
2,864
2,729
2,707
3,421
11,721
8.0
70%
11
12
Total
72,382
69,989
74,856
77,868
295,095
202.3
262
284
198.3
191.8
204.5
213.3
202.3
SERVICE
Notes:
Census is limited by the number of beds available. Lack of available beds artificially reduces the census and does not reflect actual demand.
Census numbers do not always reflect the patients that have been admitted but are being held in the emergency department or PACU awaiting a bed to become available. Patients need to be in a bed at midnight to be counted in the midnight census which is the community standard for
establishing daily census numbers.
SFGHMC's occupancy rate has frequently gone to nearly 100% of its capacity. Hospitals cannot operate efficiently at that occupancy rate.
SFGHMC operates beds beyond their budgeted capacity in order to care for as many patients as possible.
SFGHMC is the only trauma center in San Francisco. As a designated trauma center SFGHMC is required to maintain bed availability in ICU for trauma patients.
Appendix B-4
Appendix C
Meeting Minutes
The following meeting minutes will serve as the approved
record of matters discussed and conclusions reached during
the space programming effort for the new acute care hospital
at San Francisco General Hospital Medical Center.
Appendix C-1
MEETING
LOCATION:
MEETING
DATE:
December 1, 2006
2:00 pm : 4:00 pm
ISSUE DATE:
December 4, 2006
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
FCA
FONG & CHAN ARCHITECTS
This meeting was held to initiate the programming effort with the Medical/ Surgical User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Space Programming Objectives and Assumptions, dated December 1, 2006
3. Project Schedule dated November 20, 2006
4. SFGHMC Rebuild Program Subcommittee Focus Groups,
5. Average Daily Census FY 00-01 FY 04-05
6. Preliminary Summary Space Program, dated December 1, 2006
7. Med/Surg User Group Questionnaire, dated December 1, 2006
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
PROGRAM ISSUES
A.
1.01
Nuno Lopes (NL) of FCA noted that the primary goal of this
effort was to develop a Detailed Space Program for the new
Acute Care Hospital. The new Acute Care Hospital is to be
built on the West Lawn of the Campus and will not require the
demolition of any of the existing buildings currently on the
Campus. NL noted that there were several major constraints
and drivers that would direct the development of the Space
Program.
1. Operations The User Groups and the Leadership
committee need to provide input to help develop a
space program that will adequately meet the
operational needs of SFGHMC for the foreseeable
future.
2. Costs NL noted that a Site Feasibility Study was
recently completed which validated the feasibility of
the West Lawn site and set some parameters and costs
for the project. FCA has been instructed to assume a
preliminary construction cost budget of 622 million
dollars for a new building with approximately 230Page 2 of 7
Due Date
Item
Description
Action
1.03
DEPARTMENTAL ISSUES
B.
1.04
Due Date
Item
Description
Action
1.06
1.07
C.
1.08
Due Date
Item
Description
Action
envelope
1.09
1.10
1.11
D.
1.12
Due Date
Item
Description
Action
Due Date
1.14
1.15
The user group agreed that two isolation rooms with a shared
anteroom per unit would be acceptable and the remainder of
the required isolation rooms could be negative pressure rooms
without anterooms. The isolation rooms should be equally
distributed among all the nursing units.
Nuno Lopes (NL) of FCA confirmed that in the current
programming each patient room has a private toilet.
The user group agreed that all patient rooms should have
private toilets. Shared bathrooms are not considered to be an
option due to infection issues. A shower for each bathroom is
not required apart from the Obstetrics unit. Shared showers on
each unit (2 showers per unit) are sufficient.
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Medical-Surgical\Minutes_06.12.01_Medical - Surgical.doc
Page 6 of 7
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
December 1, 2006
2:00 pm : 4:00 pm
ISSUE DATE:
December 4, 2006
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
FCA
FONG & CHAN ARCHITECTS
This meeting was held to initiate the programming effort with the Medical/ Surgical User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Space Programming Objectives and Assumptions, dated December 1, 2006
3. Project Schedule dated November 20, 2006
4. SFGHMC Rebuild Program Subcommittee Focus Groups,
5. Average Daily Census FY 00-01 FY 04-05
6. Preliminary Summary Space Program, dated December 1, 2006
7. Med/Surg User Group Questionnaire, dated December 1, 2006
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
PROGRAM ISSUES
A.
1.01
Nuno Lopes (NL) of FCA noted that the primary goal of this
effort was to develop a Detailed Space Program for the new
Acute Care Hospital. The new Acute Care Hospital is to be
built on the West Lawn of the Campus and will not require the
demolition of any of the existing buildings currently on the
Campus. NL noted that there were several major constraints
and drivers that would direct the development of the Space
Program.
1. Operations The User Groups and the Leadership
committee need to provide input to help develop a
space program that will adequately meet the
operational needs of SFGHMC for the foreseeable
future.
2. Costs NL noted that a Site Feasibility Study was
recently completed which validated the feasibility of
the West Lawn site and set some parameters and costs
for the project. FCA has been instructed to assume a
preliminary construction cost budget of 622 million
dollars for a new building with approximately 230Page 2 of 7
Due Date
Item
Description
Action
Due Date
1.14
1.15
The user group agreed that two isolation rooms with a shared
anteroom per unit would be acceptable and the remainder of
the required isolation rooms could be negative pressure rooms
without anterooms. The isolation rooms should be equally
distributed among all the nursing units.
Nuno Lopes (NL) of FCA confirmed that in the current
programming each patient room has a private toilet.
The user group agreed that all patient rooms should have
private toilets. Shared bathrooms are not considered to be an
option due to infection issues. A shower for each bathroom is
not required apart from the Obstetrics unit. Shared showers on
each unit (2 showers per unit) are sufficient.
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Medical-Surgical\Minutes_06.12.01_Medical - Surgical.doc
Page 6 of 7
Item
Description
Action
1.03
DEPARTMENTAL ISSUES
B.
1.04
Due Date
Item
Description
Action
1.06
1.07
C.
1.08
Due Date
Item
Description
Action
envelope
1.09
1.10
1.11
D.
1.12
Due Date
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
December 5, 2006
2:00 pm : 4:00 pm
ISSUE DATE:
January 5, 2007
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
FCA
FONG & CHAN ARCHITECTS
This meeting was held to initiate the programming effort with the Women & Children User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Space Programming Objectives and Assumptions, dated December 1, 2006
3. Project Schedule dated November 20, 2006
4. SFGHMC Rebuild Program Subcommittee Focus Groups,
5. Average Daily Census FY 00-01 FY 04-05
6. Preliminary Summary Space Program, dated December 1, 2006
7. Women & Children Program Questionnaire, dated December 5, 2006
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
PROGRAM ISSUES
A.
1.01
Nuno Lopes (NL) of FCA noted that the primary goal of this
effort was to develop a Detailed Space Program for the new
Acute Care Hospital. The new Acute Care Hospital is to be
built on the West Lawn of the Campus and will not require the
demolition of any of the existing buildings currently on the
Campus. NL noted that there were several major constraints
and drivers that would direct the development of the Space
Program.
1. Operations The User Groups and the Leadership
committee need to provide input to help develop a
space program that will adequately meet the
operational needs of SFGHMC for the foreseeable
future.
2. Costs NL noted that a Site Feasibility Study was
recently completed which validated the feasibility of
the West Lawn site and set some parameters and costs
for the project. FCA has been instructed to assume a
preliminary construction cost budget of 622 million
dollars for a new building with approximately 230267 beds. Kathy Jung (KJ) of SFGHMC noted that
this maximum target includes construction costs only
and is what has been determined to be politically
Page 2 of 5
Due Date
Item
Description
Action
1.03
1.04
B.
DEPARTMENTAL ISSUES
Page 3 of 5
Due Date
Item
Description
Action
1.05
1.06
The User Group agreed that a total of three Triage rooms are
necessary. The Triage rooms should be the same size as the
Postpartum rooms. The User Group also commented that if
necessary during high census the postpartum rooms could also
be used for triage.
1.07
The User Group agreed that the current and future philosophy
is to follow the LDRP model- the mother and child stay in one
room during labor, delivery, recovery and postpartum
(LDRP). The average duration for a patient in a LDRP room is
2 days, in case of a C-Section patient the average duration
increases to 4 days.
The User Group confirmed there are currently:
7 LDRP
12 Postpartum
The User Group requested:
9 LDRP rooms
13 Postpartum rooms, which includes 9 single rooms, 2
ADA rooms, 2 isolation (ADA).
1 well baby nursery with 5 well baby bassinets
1 Procedure / Treatment room
1.08
1.10
1.11
1.12
1.13
Due Date
Item
Description
Action
Due Date
C.
1.14
1.15
The User Group requested lockers for a total of 125 staff (75
female and 50 male)
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Medical-Surgical\Minutes_06.12.01_Medical - Surgical.doc
Page 5 of 5
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
December 8, 2006
2:00 pm : 4:00 pm
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
FCA
FONG & CHAN ARCHITECTS
This meeting was held to initiate the programming effort with the Medical/ Surgical User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Space Programming Objectives and Assumptions, dated December 1, 2006
3. Project Schedule dated November 20, 2006
4. SFGHMC Rebuild Program Subcommittee Focus Groups,
5. Average Daily Census FY 00-01 FY 04-05
6. Preliminary Summary Space Program, dated December 8, 2006
7. ICU / Stepdown User Group Questionnaire, dated December 8, 2006
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
1.01
General
Nuno Lopes (NL) of FCA noted that the primary goal of this
effort was to develop a Detailed Space Program for the new
Acute Care Hospital to be designated as Building 25. The
new Acute Care Hospital is to be constructed on the West
Lawn of the Campus and will not require the demolition of
any of the existing buildings currently on the Campus. NL
noted that there were several major constraints and drivers that
would direct the development of the Space Program.
1. Operations The User Groups and the Leadership
committee need to provide input to help develop a
space program that will adequately meet the
operational needs of SFGHMC for the foreseeable
future.
2. Costs NL noted that a Site Feasibility Study was
recently completed which validated the feasibility of
the West Lawn site and set some parameters and costs
for the project. FCA has been instructed to assume a
preliminary construction cost budget of 622 million
dollars for a new building with approximately 230Page 2 of 6
Due Date
Item
Description
Action
Building Connections
NL noted the current assumption is that Building 25 and the
old Hospital Building (Building No. 5) will be connected on
three levels; at basement level through a tunnel, at street level
and with a bridge connection at Level 2.
KJ confirmed that connections between all levels will not be
possible since it would be too costly.
1.03
Helipad
Currently the proposed location for a new helipad is the C
wing of Building 5. The feasibility of relocating the helipad
to the top of Building 25 will be studied as part of the Building
Design.
1.04
Due Date
Item
Description
Action
B.
DEPARTMENTAL ISSUES
1.05
Space Adjacencies
The user group noted the following spaces are desirable to be
adjacent to the ICU unit::
Post Anesthesia Care Unit (PACU)
Operating Rooms (OR)
Cath Lab
Given the building limitations, it was agreed that it will not be
possible to locate all related departments on the same floor.
Dedicated elevators assigned to connect these spaces was
considered an acceptable solution to address adjacency
requirements.
The user group agreed that the final layout will depend on the
optimal allocation within the building envelope.
1.06
1.07
1.08
Page 4 of 6
Due Date
Item
Description
1.09
1.10
Action
Patient Rooms
The user group confirmed that the 2005/06 census has been
extremely high. More beds for the ICU and Step-down are
currently needed. These numbers are also expected to increase
in the future. The increase in patient number is dependent on
the development of the citys health care policies and are
unpredictable.
The user group agreed that the programming should provide
the maximum flexibility possible regarding the current and
future use of the units.
The number of ICU/Step-down was discussed.
The user group agreed to the following ICU/Step-down bed
breakdown:
Page 5 of 6
Due Date
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Medical-Surgical\Minutes_06.12.01_Medical - Surgical.doc
Page 6 of 6
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Mark Primeau
FCA
FONG & CHAN ARCHITECTS
This meeting was held to initiate the programming effort with the Diagnostic User Group. The
following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Space Programming Objectives and Assumptions, dated December 1, 2006
2. Project Schedule dated November 20, 2006
3. SFGHMC Rebuild Program Subcommittee Focus Groups,
4. Average Daily Census FY 00-01 FY 04-05
5. Preliminary Summary Space Program, dated December 1, 2006
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
1.01
General
Paolo Diaz (PD) of FCA noted that the primary goal of this
effort was to develop a Detailed Space Program for the new
Acute Care Hospital. The new Acute Care Hospital is to be
built on the West Lawn of the Campus and will not require the
demolition of any of the existing buildings currently on the
Campus. PD noted that there were several major constraints
and drivers that would direct the development of the Space
Program.
1. Operations The User Groups and the Leadership
committee need to provide input to help develop a
space program that will adequately meet the
operational needs of SFGHMC for the foreseeable
future.
2. Costs PD noted that a Site Feasibility Study was
recently completed which validated the feasibility of
the West Lawn site and set some parameters and costs
for the project. FCA has been instructed to assume a
preliminary construction cost budget of 622 million
dollars for a new building with approximately 230267 beds. Kathy Jung (KJ) of SFGHMC noted that
this maximum target includes construction costs only
and is what has been determined to be politically
feasible as a bond measure. This figure does not
include the estimated 160 million dollars required for
Page 2 of 6
Due Date
Item
Description
Action
DEPARTMENTAL ISSUES
1.02
1.03
1.04
Due Date
Item
Description
Action
Adjacencies
The user group noted that ideally the ICU/CCU should be
located closer to the Diagnostic Imaging department but that it
was acceptable to have a dedicated elevator provide access
between the departments.
The user group agreed that the IR rooms should be located
adjacent to the Operating Rooms as a swing room to be
accessible for both Diagnostic Imaging and Perioperative
departments.
Subsequent to this meeting, Dr. Andre Campbell also noted
that a wall mounted Fluoroscopy unit be provided in one of
the OR rooms for use during Trauma Surgery.
1.06
Cardiology
The user group noted that an Angiography Room is not
required within the Cath Lab. 2 Angiography Rooms in the
Inpatient Radiology department will be sufficient.
The user group agreed that one (1) Cath lab in the new
hospital building will be sufficient and that all other
Diagnostic Cardiology functions can be kept in the existing
Hospital Building (Building No.5).
The user group recommended four (4) Echo/EKG rooms and
two (2) Stress Testing Rooms.
1.07
Mammography
The user group confirmed there is no need for Mammography
in the new building. These services are provided in the Avon
Breast Center.
1.08
Nuclear Med.
The user group confirmed that the Nuclear Med. Department
should remain in the existing Hospital Building (Building
No. 5).
1.09
Due Date
Item
Description
1.10
Action
Cardio Echo
Rehab
Dialysis
Respiratory
Bronchoscopy
Main storage
Psych
SNF
Pathology- Morgue
The user group recommended that the Pathology department
should be relocated from Building No. 3 into the existing
Hospital Building. This will move it adjacent to the clinical
labs.
FCA confirmed that there is a frozen section room within the
OR area. The user group noted that this was acceptable.
The user group requested one centralized morgue for the
SFGHMC to be located with the new Hospital Building.
Size of the morgue facility to be determined.
The user group recommended that an autopsy area be provided
next to the morgue that can also be used for tissue transplant.
The user group agreed that pathology offices and faculty
rooms do not need to be next to the morgue and autopsy
facilities in the new Hospital Building. They can be located in
a separate location.
1.11
Clinical Lab
The user group agreed that the main clinical labs and blood
bank could stay in the existing hospital building if each unit is
supplied with the necessary equipment and rooms to perform
point of care testing. Satellite labs in each department/unit
need to be connected to the clinical labs in the existing
Hospital Building through a new 6 inch pneumatic tube
system that can accommodate IV bags.
The user group confirmed that point of care testing can also be
used in the ICU/CCU and Emergency.
FCA confirmed that a Building Code requires a minimum
amount of Clinical Lab space to be located within the new
Hospital Building as part of the critical facilities. FCA to
provide the exact requirements.
Subsequent to this meeting, FCA clarified that the following
Clinical Lab functions need to be available within the new
Hospital Building to meet minimum code requirements.
420A.17 Clinical Laboratory Service Space.
Page 5 of 6
Due Date
Item
Description
Action
Due Date
1.12
Storage Space
The user group is concerned about sufficient and appropriate
storage space for diagnostic equipment and addressed the
importance for it to be accessible at all times.
FCA confirmed that the storage in the basement is for general
storage purposes and that there will be additional storage
space allocated for each department. A detailed breakdown of
the programming will be presented in the next meeting.
1.13
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Medical-Surgical\Minutes_06.12.01_Medical - Surgical.doc
Page 6 of 6
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Mark Primeau
This meeting was held to initiate the programming effort with the Peri-Operative User Group. The
following is a record of the items discussed.
FCA presented and discussed the following attached documents:
FCA
FONG & CHAN ARCHITECTS
1. Agenda of Meeting
2. Space Programming Objectives and Assumptions, dated November, 2006
3. Project Schedule dated November 20, 2006
4. SFGHMC Rebuild Program Subcommittee Focus Groups,
5. Average Daily Census FY 00-01 FY 04-05
6. Preliminary Summary Space Program, dated December 15, 2006
7. Peri-Operative User Group Questionnaire, dated December 15, 2006
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
1.01
General
Nuno Lopes (NL) of FCA noted that the primary goal of this
effort was to develop a Detailed Space Program for the new
Acute Care Hospital. The new Acute Care Hospital is to be
built on the West Lawn of the Campus and will not require the
demolition of any of the existing buildings currently on the
Campus. NL noted that there were several major constraints
and drivers that would direct the development of the Space
Program.
1. Operations The User Groups and the Leadership
committee need to provide input to help develop a
space program that will adequately meet the
operational needs of SFGHMC for the foreseeable
future.
2. Costs NL noted that a Site Feasibility Study was
recently completed which validated the feasibility of
the West Lawn site and set some parameters and costs
for the project. FCA has been instructed to assume a
preliminary construction cost budget of 622 million
dollars for a new building with approximately 230267 beds. Kathy Jung (KJ) of SFGHMC noted that
this maximum target includes construction costs only
and is what has been determined to be politically
feasible as a bond measure. This figure does not
include the estimated 160 million dollars required for
equipment and furnishings or for any renovation work
Page 2 of 5
Due Date
Item
Description
Action
A.
1.03
DEPARTMENTAL ISSUES
Outpatient/Inpatient Split Peri-Operative
The feasibility of locating Inpatient Peri-Operative services in
the new hospital building and Outpatient Peri-Operative
services in the existing hospital building was discussed.
Paolo Diaz (PD) of FCA described the following 2 possible
programming scenarios to be studied.
1. Entire Peri-Operative Department to be located in
the new hospital building Sixteen (16) OR/IR
rooms with adjacent sterile processing facility.
2. Inpatient Peri-Operative Services to be located in
the new hospital building - Outpatient PeriOperative Services to remain in the existing
hospital building Ten (10) OR/IR rooms with
adjacent satellite sterile processing facility in the new
hospital building. The main sterile processing and
Outpatient Surgery services to use existing spaces.
The user group preferred the option of having the entire PeriOperative Department in the new hospital building. The
consensus was that splitting the Outpatient and Inpatient PeriOperative services was not desirable as this would have
significant impact on operational costs.
1.04
Due Date
Item
Description
Action
1.06
Due Date
Item
Description
Action
Due Date
Lockers
The user group requested for locker space for a total of One
Hundred and Fifty (150) staff members. Surgery and
Anesthesia can share the locker rooms.
Female- male ratio is 50-50.
The user group agreed that the small personal lockers for
individuals and shared full-height day-use lockers be
provided.
1.09
1.10
Miscellaneous
The user group noted the following items:
Viewing rooms are not required
Provide Anesthesia Workroom with 350sf and 100sf
storage
Provide One (1) Isolation room in the PACU Recovery
Area
Pantry area needs more space
One (1) shower is sufficient in the PACU Recovery Area
There should be 1 OR Staff lounge and 1 Anesthesia
lounge. The anesthesia lounge could be used as a
conference room as well.
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Medical-Surgical\Minutes_06.12.01_Medical - Surgical.doc
Page 5 of 5
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Mark Primeau
This meeting was held to initiate the programming effort with the Emergency User Group. The
following is a record of the items discussed.
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
1.01
General
Nuno Lopes (NL) of FCA noted that the primary goal of this
effort was to develop a Detailed Space Program for the new
Acute Care Hospital. The new Acute Care Hospital is to be
built on the West Lawn of the Campus and will not require the
demolition of any of the existing buildings currently on the
Campus. NL noted that there were several major constraints
and drivers that would direct the development of the Space
Program.
1. Operations The User Groups and the Leadership
committee need to provide input to help develop a
space program that will adequately meet the
operational needs of SFGHMC for the foreseeable
future.
2. Costs NL noted that a Site Feasibility Study was
recently completed which validated the feasibility of
the West Lawn site and set some parameters and costs
for the project. FCA has been instructed to assume a
preliminary construction cost budget of 622 million
dollars for a new building with approximately 230267 beds. Kathy Jung (KJ) of SFGHMC noted that
this maximum target includes construction costs only
and is what has been determined to be politically
feasible as a bond measure. This figure does not
Page 2 of 6
Due Date
Item
Description
Action
DEPARTMENTAL ISSUES
Emergency Rooms
The user group commented that the current number of 25
exam rooms is inadequate.
The user group requested 40 exam beds to be programmed in
the new hospital with the following breakdown
27 private exam rooms
3 private isolation exam rooms
One open space exam area capable of holding 10 beds.
The user group also inquired whether additional space in the
corridor would be available to accommodate additional
gurneys in case of a catastrophic event. KJ noted that gurneys
in hallways should be avoided.
David Fong (DF) of FCA noted that each of the 27 private
exam rooms, currently programmed at 120 sf, are capable of
holding two beds in case of a rapid patient surge. DF however
cautioned that this approach is not ideal and would likely not
be acceptable as a means to address normal daily patient
fluctuations.
1.03
Trauma Rooms
The user group requested 6 trauma rooms and noted that when
considering work flow an open floor plan layout for the
trauma rooms is preferred.
NL noted that from an acoustical, turnover and infectious
control standpoint an open floor plan layout for the trauma
rooms may not be desirable. These issues could be partially
mitigated if an opening in the partition separating the trauma
rooms is provided. The User Group agreed to this approach.
The user group also requested 3 equipment storage rooms.
1.04
Imaging
Contrary to the existing condition, the user group confirmed
Page 3 of 6
Due Date
Item
Description
Action
Department Adjacencies
The user group expressed some concern regarding the
distance between the Radiology and Emergency departments
and noted that ideally Emergency, Surgery and Radiology
departments should all be collocated on the same floor.
NL noted that given the site constraints collocating all three
departments in the same floor is not possible, however each
department is currently programmed to be located directly
above or below each other, vertically linked with dedicated
service only elevators. NL explained that currently
Radiology is located in the Basement Floor, Surgery is
located in the Ground Floor and Emergency is located in the
First Floor.
Kathy Jung (KJ) also pointed out that the Emergency
department will be equipped with two X-ray rooms and two
CT scan rooms to handle any urgent imaging needs.
Given the limited size of each floor area, the user group
confirmed that the proposed concept would be operationally
feasible.
1.06
Storage
The user group expressed concern that an 8-6 corridor would
not provide adequate storage space for equipment.
NL noted that currently two 300 sf storage rooms have been
programmed and that during the building design phase the
user group could request alcoves within the corridor to provide
for additional storage areas. The user group conquered with
this approach.
1.07
Medication Room
The user group requested larger medication rooms to facilitate
4 automated medication machines. The user group noted that a
decision needs to be made whether all 4 machines should be
located centrally in 1 room or in 4 separate rooms distributed
within the department depending on the floor plan layout.
Page 4 of 6
Due Date
Item
Description
Action
1.08
1.09
Stat. Lab
The user group requested a small 100 SF Stat. Lab to be
located in the Emergency department.
1.10
1.11
Custodian Closets
The user group requested 1 custodian closet inside the
Trauma suite and two additional custodian closets to service
the remaining Emergency department.
1.12
Linen
The user group mentioned that in the existing Emergency
department the accumulation of soiled linen has become an
issue and requested a dedicated 800 sf soiled linen room.
1.13
Manager/Director Offices
The user group requested separate offices for the manager
and director positions.
1.14
1.15
EMS Dispatch
The user group confirmed that the EMS Dispatch can be
reduced to 80 sf.
1.16
1.17
Viewing Room
The user group confirmed that a separate viewing room for
family members to view a deceased patient before taken to
the morgue is not required.
Page 5 of 6
Due Date
Item
Description
Action
1.18
Lockers
The user group requested a mix of medium and large sized
lockers to be shared with a total of 160 staff members.
Due Date
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Emergency\Minutes_06.12.18_001 Emergency.doc
Page 6 of 6
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
January 5, 2007
2:00 pm : 4:00 pm
ISSUE DATE:
February 5, 2007
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
FCA
FONG & CHAN ARCHITECTS
This meeting was held to review the programming effort with the Medical/ Surgical User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated January 5, 2007
3. Preliminary Summary Space Program, dated January 5, 2007
4. New Hospital Space Program, dated January 5, 2007
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
2.01
B.
DEPARTMENTAL ISSUES
2.02
Forensic Unit
The user group requested if it was possible to configure the
Forensic unit to allow it to be used as a regular Med/Surg unit
during low census of forensic patients.
Currently the existing forensic unit cannot accept non-forensic
patients and is required to shut down if the number of patients
is lower than 3. The average census for forensic beds was 2.3
last year, 3.4 this year.
NL commented that a Forensic Unit has unique security
Page 2 of 4
Due Date
Item
Description
Action
2.04
2.05
Lockers
The user group expressed concerns that the number of
lockers might not be sufficient.
KJ confirmed a shared day-use policy for the lockers has been
agreed for the new hospital.
2.06
Due Date
Item
Description
Action
Due Date
Isolation
The user group requested 30% to 35% of all patient rooms
to be isolation rooms.
NL confirmed that the current available space only allows
for 25% of all patient rooms to be true isolation rooms, but
additional negative pressure rooms, which are similar to
isolation rooms minus the anteroom, would be programmed
to make up the difference.
2.08
2.09
2.10
Summary
NL summarized the following points at the end of the
meeting:
Any feedback regarding the space program spreadsheet
should be forwarded to FCA to be addressed in further
planning.
There is no more available space for additional program on
the 5th and 6th floors. Any additional program on these
floors will have to replace space that has already been
allocated.
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Medical-Surgical\Minutes_06.12.01_Medical - Surgical.doc
Page 4 of 4
MEETING
LOCATION:
MEETING
DATE:
January 9, 2006
1:45 pm : 4:00 pm
ISSUE DATE:
February 8, 2007
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
FCA
FONG & CHAN ARCHITECTS
This meeting was held to initiate the programming effort with the Obstetric/Pediatric User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated January 9, 2007
3. Preliminary Summary Space Program, dated January 9, 2007
4. New Hospital Space Program, dated January 9, 2007
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
BUILDING ISSUES
2.01
2.02
Due Date
Item
Description
Action
PROGRAM ISSUES
2.03
OB/PEDS Location
NL noted that the Ob/Peds department is currently
programmed to be located on the 2nd Floor of the new hospital
building.
The user group raised concerns with collocating the OB/Peds
department on the same floor as the bridge connection to the
existing building, since this may result in higher than usual
human traffic which could pose a security concern given the
patient population of the department.
FCA discussed several options ranging from either relocating
the Ob/Peds department or the bridge connection to the 3rd
floor or to layout the floor plan in a way that provides a direct
and dedicated connection from the elevators to the bridge
connection without passing through the OB/Peds department.
It was agreed that a final decision will be made after
examining and reconsidering the floor plans and program.
2.04
Page 3 of 6
Due Date
Item
Description
Action
2.05
Triage Rooms
The user group questioned if the current number of triage
rooms being programmed is sufficient.
FCA noted that currently 3 triage rooms have been
programmed. FCA added that during high census post partum
rooms and LDRP rooms can serve as additional triage rooms.
The user group agreed to the above arrangement. KJ also
added that how the rooms are going to be utilized is an
internal discussion dealing with operational issues to be
addressed at a later point.
2.06
C-Section / Resuscitation
The user group noted that the C-Section and Resuscitation
rooms are not adequately sized.
FCA proposed to increase the size of the C-Section room to
400 sf and the Resuscitation room to 200sf.
FCA to review the impacts the additional space will have on
the program.
2.07
Patient Toilets
Obstetric
Due Date
Item
Description
Action
Isolation
FCA noted that currently 25% of the Med/Surg patient rooms
are isolation rooms and inquired if the Ob/Peds departments
would want the same isolation room ratio.
The user group confirmed the following isolation room
distribution:
Obstetrics
Anesthesia Workroom
The user group requested one 120 sf Anesthesia/Respiratory
workroom and one adjacent 300 sf storage room.
FCA to review the impacts the additional space will have on
the program.
2.11
Equipment Storage
Pediatrics
Lockers
KJ noted that a policy needs to be established by the hospital
and should be applied to all departments.
The user group would be agreeable to a concept of providing
small personalized lockers for personal belongings and shared
day-use lockers for coats and larger items.
Page 5 of 6
Due Date
Item
Description
Action
Due Date
2.14
On-Call Rooms
The user group revised the number of on-call rooms as
follows:
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Obstetrics - Pediatrics - Nursery\MIN.02_ObGynPed.doc
Page 6 of 6
`.
MINUTES OF ANCILLARY-CLINICAL LAB MEETING NO. 1
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to initiate the programming effort with the Ancillary-Clinical Lab User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Space Programming Objectives and Assumptions, dated November, 2006
2. Project Schedule dated November 20, 2006
3. Preliminary Detail Space Program, dated January 10, 2007
4. Preliminary Summary Space Program, dated January 10, 2007
5. New Hospital Space Program, dated January 10, 2007
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
Due Date
NEW BUSINESS:
B.
DEPARTMENTAL ISSUES
1.01
1.02
Space Program
FCA proposed the following spaces to be included in the
space program:
1.04
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Ancillary - Auxiliary\MIN.01_Ancillary-Clinical Lab.doc
Page 2 of 2
`.
MINUTES OF ANCILLARY- PHARMACY MEETING NO. 1
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to initiate the programming effort with the Ancillary-Pharmacy User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Space Programming Objectives and Assumptions, dated November, 2006
2. Project Schedule dated November 20, 2006
3. Preliminary Detail Space Program, dated January 10, 2007
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
B.
DEPARTMENTAL ISSUES
1.01
Pharmacy Location
The user group confirmed that the Pharmacy Department will
remain in the existing hospital building with the exception of
the Inpatient Pharmacy and any other space required by code
to be located in a compliant acute care hospital.
The user group confirmed that the Inpatient Pharmacy does
not require to be adjacent to any specific department.
1.02
Satellite Pharmacy
The user group requested a Satellite Pharmacy in the
following departments:
Emergency Department (400 sf)
Operating Rooms (300 sf)
ICU (300 sf)
1.04
1.05
Receiving Logistics
The user group agreed to receive and unpack most pharmacy
deliveries in the existing hospital building and use the tunnel
and elevator connections for distribution of goods to supply
the inpatient and satellite pharmacies.
Page 2 of 4
Due Date
Item
Description
1.06
Pharmacy Equipment
Action
Robotic Processing
Chiu Lin Tse-Chan (CLTC) of FCA recommended to consider
robotic processing equipment for the new inpatient pharmacy
because it saves space and reduces human errors. It has
become the current trend in pharmacy design.
PD also noted that storage capacity can be improved by using
vertical storage systems.
Compounders
The user group requested the inpatient pharmacy area to be
able to accommodate 2 compounders.
Automated Dispensing
The user group confirmed that the automated pharmacy
dispensing system (Sure-Med) cannot be located in the nurse
stations because licensing requires dispensers to be located in
a lockable room.
Subsequent to the meeting during a pharmacy walk- through
(1/23/07) FH and SK requested the impatient pharmacy to be
able to accommodate 2 automated carrousel dispensing
machines.
1.08
Dispensary
The user group requested the Reviewing and Recording room
to accommodate 6-8 workstations (40 sf each).
Each workstation should consist of a countertop work surface
large enough to accommodate a computer, a fax and a
scanner.
1.09
Medication Room
The user group requested one medication room per nursing
unit and 2 medication rooms for each 36-bed Med/Surg
Nursing Unit (120 sf each).
1.10
Narcotics Vault
The user group requested the area assign to Narcotics Vault to
increase to 150 sf.
1.11
Staff Lounge
The user group requested a staff lounge in the inpatient
pharmacy.
NL confirmed that currently a 200 sf staff lounge has been
programmed. The user group agreed to the proposed staff
lounge size.
Page 3 of 4
Due Date
Item
Description
Action
1.12
Lockers
The user group confirmed that lockers for inpatient pharmacy
staff can remain in the existing hospital.
Due Date
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Medical-Surgical\Minutes_06.12.01_Medical - Surgical.doc
Page 4 of 4
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
FCA
FONG & CHAN ARCHITECTS
This meeting was held to initiate the programming effort with the ICU / Step-down User Group. The
following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated January 12, 2007
3. Preliminary Summary Space Program, dated January 12, 2007
4. New Hospital Space Program, dated January 12, 2007
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
BUILDING ISSUES
2.01
B.
PROGRAMM ISSUES
2.02
Due Date
Item
Description
Action
Procedure Rooms
Paulo Diaz (PD) of FCA asked if a procedure room is
required in the ICU floor.
The user group confirmed that a dedicated procedure room
is not required because procedures can be performed in the
proposed 270 sf Trauma patient rooms.
The user group however requested one Trauma patient room
to be equipped with wall led protection to accommodate
fluoroscopic procedures.
2.04
Showers
The user group confirmed that showers are not required in
the ICU patient rooms.
2.05
Waiting Room
Given the potential for rival gang members to be in the ICU
Page 3 of 4
Due Date
Item
Description
Action
Due Date
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\ICU - Step-Down\MIN.02_ICU-Step-Down.doc
Page 4 of 4
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Mark Primeau
This meeting was held to initiate the programming effort with the Diagnostic User Group. The
following is a record of the items discussed.
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
BUILDING ISSUES
2.01
Page 2 of 5
Due Date
Item
Description
Action
2.02
Building Connections
NL confirmed the program currently assumes the following
three connections between the existing and new Hospital
buildings:
Tunnel connection at the basement level
Street connection at the 1st floor
Bridge connection at the 2nd floor
B.
PROGRAM ISSUES
2.03
Gastroenterology
NL noted that currently the programming assumption is for the
Gastroenterology department to remain in the existing
Hospital building. NL explained that endoscopic procedures in
the new Hospital could be performed in patient rooms on the
ICU/ Step-down floors and in procedure rooms in the
Med/Surg floors. Additional storage space for equipment has
also been programmed in the ICU/ Step-down and Med./Surg
floors.
The user group agreed with this approach, however stated that
the Gastroenterology department in the existing Hospital
would also require to be modernized and expanded.
KJ emphasized that funds from the upcoming bond measure
could only be used for work related to the new Hospital.
Funds to modernize and/or expand departments in the existing
Hospital would have to come from a different source. KJ
reiterated that the programming effort should not assume
funding to modernize and/or expand departments in the
existing Hospital will be available.
The user group commented that a lack of guaranteed funding
warrants a reassessment of the current approach.
Subsequent to the meeting the Perioperative user group
confirmed that while the Gastroenterology department could
remain in the existing Hospital an Endoscopy Suite with the
following spaces should be included in the new Hospital
Program:
2.04
Due Date
Item
Description
Action
information.
Subsequent to the meeting the Mr. Hal Yee confirmed in an
email that the percentage of inpatient procedures performed
in the GI unit is predicated to be less than 20%.
2.05
Emergency Evacuation
The user group expressed some concerns with the proposed 4th
& 3rd floor locations of the ICU/ Step-down units. The user
group commented that in the event patients require to be
evacuated following a major catastrophe and elevators are
decommissioned, hospital staff would have to physically
transport these patients down several flights of stairs. The user
group predicted that this scenario would result in a high
number of a patient casualties.
Subsequent to the meeting, this issue was raised with the
Steering Committee and the consensus was that from an
operational standpoint it was important to locate the
Emergency Department at grade level and given the limited
footprint of the building it would not be possible to collocate
two large departments on the same floor. The Steering
committee also noted that an emergency evacuation
procedure plan would have to be developed since
transporting patients in the ICU and Step-down floors and
perhaps certain Med/Surg patients down several flights of
stairs would not be a viable option.
2.06
250 sf
450 sf
520 sf
600 sf
60 sf
500 sf
150 sf
500 sf
150 sf
Cardiology
The user group requested a point of care testing area within
the Cardiology department. The point of care testing area
should include a workbench with a sink and some storage
space.
Page 4 of 5
Due Date
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Diagnostic\MIN.02_Diagnostic.doc
Page 5 of 5
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to present, discuss and validate the space programming process for the new
FCA
FONG & CHAN ARCHITECTS
hospital building at San Francisco General Hospital Medical Campus. The following is the list of
items to be discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Hospital Comparison Chart, dated January 18, 2007
3. Preliminary Summary Space Program, dated January 18, 2007
4. New Hospital Space Program, dated January 18, 2007
ITEMS DISCUSSED:
Item
Description
NEW
BUSINESS:
A.
BUILDING ISSUES
1.01
Actio
n
1.02
Bulk
Dr. Andre Campbell (AC) questioned the need to reduce
available floor area on the upper levels.
Page 2 of 6
Due
Date
Item
Description
Actio
n
Building Cost
KJ explained that the $622 Million probable
construction cost estimate in the Site Feasibility study is
for a 230 bed 385,000 sf hospital building, however the
consensus was that additional beds would be required.
NL noted that after meeting with all the user groups the
total number of beds has increased to 284 beds and the
new hospital square footage has increase to 405,000 sf.
NL noted that even though the total number of beds has
increased by 23% the overall square footage of the
building has only increased by 5%. This is due in part
with our initial assumption to reduce the spacing of each
column bay from 29x 29 to 26x 29, to note each
column bay can accommodate 2 patient rooms. This
adjustment resulted in the addition of an entire row of
column bays without increasing the size of the building.
CLTC also explained that using code concepts such as
horizontal exits and suites the net to gross ratio could be
further reduced, resulting in a more compact and
efficient building.
CLTC concluded that since the overall square footage of
the building has only increased by 5%, and since healthy
cost contingencies were assumed in the probable
construction cost estimate, the overall project cost
should not substantially increase.
1.04
Bridge Connection
NL noted that in the space program the following floors
in the existing and new hospital buildings are assumed
to be connected:
Basement Floor - Tunnel connection
1st floor - Street level connection
2nd floor - Bridge connection
KJ noted that the Ob/Peds/NICU departments have
Page 3 of 6
Due
Date
Item
Description
Actio
n
Loading Dock
The lack of a loading dock in the new hospital building
was discussed. The user group agreed that due to site
constraints an appropriately sized loading dock for the
new hospital would not be possible.
The user group concluded that the existing loading dock
could be used to facilitate the movement of materials for
both existing and new hospital buildings.
FCA noted that the Auxiliary user group requested at a
minimum a small loading dock be provided to facilitate
the movement of blood into the Blood Bank and
cadavers from the Morgue. The user group requested
FCA to review site conditions and to propose locations
where a small loading dock could be incorporated into
the building design.
DEPARTMENTAL ISSUES
B.
1.06
Due
Date
Item
Description
Actio
n
12 bed unit - NICU
Total of
284 beds
Morgue
NL noted that due to several unresolved operational
concerns the final location of the Morgue has not yet
been determined. Currently the Morgue has been
programmed in Basement 1 in close proximity to the
tunnel connection.
The user group agreed to review this issue internally and
provide FCA with direction in the next user group
meeting.
1.08
Resuscitation Rooms
NL noted that contrary to the existing condition, the
Emergency user group had confirmed that a dedicated xray room for each Resuscitation room was not required.
The user group questioned this approach and requested
this issue be reconfirmed in the next Emergency user
group meeting.
Subsequent to this meeting the Emergency user group
requested X-ray capability in each Resuscitation room
and two X-ray rooms inside the Emergency
Department.
1.09
Patient Rooms
NL noted that in the space program all patient rooms are
assumed to be single handed rooms. FCA explained that
this layout concept has proven to minimize nursing
errors.
NL also noted that in the space program 25% of all
patient rooms are assumed to be true isolation rooms
with an anteroom.
The user group took no exceptions.
1.10
Linen
NL explained that the Auxiliary user group requested
alcoves for clean linen and dedicated rooms for soil
linen.
The user group took no exceptions.
1.11
Dietary
Page 5 of 6
Due
Date
Item
Description
Actio
n
Due
Date
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Steering\MIN.01_Steering.doc
Page 6 of 6
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Mark Primeau
This meeting was held to initiate the programming effort with the Diagnostic User Group. The
following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated January 19, 2007
3. Preliminary Summary Space Program, dated January 19, 2007
4. New Hospital Space Program, dated January 19, 2007
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
BUILDING ISSUES
2.01
2.02
Building Connections
NL confirmed the program currently assumes the following
three connections between the existing and new Hospital
buildings:
Tunnel connection at the basement level
Street connection at the 1st floor
Bridge connection at the 2nd floor
B.
PROGRAM ISSUES
2.03
Gastroenterology
NL noted that currently the programming assumption is for the
Gastroenterology department to remain in the existing
Hospital building. NL explained that endoscopic procedures in
the new Hospital could be performed in patient rooms on the
ICU/ Step-down floors and in procedure rooms in the
Page 2 of 4
Due Date
Item
Description
Action
2.04
2.05
Due Date
Item
Description
2.06
2.07
Action
Due Date
Lounge
The user group requested a separate lounge for the anesthesia
staff.
FCA programmed a total of 2 staff lounges, each 300 sf.
2.08
2.09
Morgue
NL noted that due to several unresolved operational concerns
the final location of the Morgue has not yet been determined.
Currently the Morgue has been located on the ground floor in
close proximity to the tunnel connection.
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Perioperative\MIN.02_Perioperative.doc
Page 4 of 4
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Mark Primeau
This meeting was held to initiate the programming effort with the Diagnostic User Group. The
following is a record of the items discussed.
FCA presented and discussed the following attached documents:
FCA
FONG & CHAN ARCHITECTS
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated January 23, 2007
3. Preliminary Summary Space Program, dated January 23, 2007
4. New Hospital Space Program, dated January 23, 2007
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
BUILDING ISSUES
2.01
B.
PROGRAM ISSUES
2.02
Program Assumptions
NL clarified that initial program assumption have been
derived from SFGHMC current and past census figures,
previous SFGHMC commissioned studies and comparative
data from other hospitals.
The user group explained that this past year the Emergency
Page 2 of 4
Due Date
Item
Description
Action
DEPARTMENTAL ISSUES
2.03
Exam Rooms
NL presented the following distribution of exam rooms:
27 Exam Rooms
3 Isolation Exam Room
1 Semi Private Room with 10 beds
The user group agreed with the following exam room
distribution however theyve request that one of the exam
rooms be designated as a SART exam room. The SART Exam
room should be sized to accommodate all required equipment
and have a dedicated toilet with a shower.
2.04
Urgent Care
KJ confirmed that Urgent Care is remaining in the existing
hospital.
2.05
X-ray Rooms
The user group requested X-ray capability in each
Resuscitation room and two X-ray rooms inside the
Emergency Department.
2.06
Meeting Rooms
NL confirmed the following number of meeting rooms:
3 Consultation/ Quiet Rooms
2 Conference Rooms
The user group requested a space capable of accommodating
20 staff members for patient rounds. NL proposed to locate the
two conference rooms next to each other separated by a
movable partition that can be opened to provide 400 sf of
Page 3 of 4
Due Date
Item
Description
Action
Due Date
Resuscitation Rooms
The user group requested the Resuscitation rooms to be
located near the ambulance entrance and service elevators.
2.08
CT Scan Rooms
The user group requested the CT Scan rooms to be located
adjacent to the Resuscitation rooms with access from the
corridors as well as from a Resuscitation room.
2.09
Pediatric Emergency
The user group discussed the need for a dedicated Pediatric
Emergency area with a separate waiting area. A final
conclusion was not made.
2.10
Toilets
The user group requested additional toilets in the Emergency
Department. The user group agreed to the following
distribution:
6 private patient toilets (incl. 2 ADA)
2 private ADA staff toilets
2 multi-accommodation public toilets (3 fixtures each)
NL noted that in addition staff toilets have been programmed
in the staff locker area.
2.11
2.12
Security
The user group confirmed that security does not need a
dedicated enclosed space inside the Emergency department. A
visible workstation near the emergency entrance is preferred.
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Emergency\MIN.02_ Emergency.doc
Page 4 of 4
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to initiate the programming effort with the Ancillary-Sterile Processing User
Group. The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated January 26, 2007
3. Preliminary Summary Space Program, dated January 26, 2007
FCA
FONG & CHAN ARCHITECTS
Item
Description
Action
NEW BUSINESS:
B.
DEPARTMENTAL ISSUES
2.01
Messenger/Mail Services
The user group noted that Messenger services should be
located in the new acute care hospital building since most of
their work is related to inpatients services. They also added
that since Mail services is staffed by the same personnel as
Messenger services Mail services should also be located in the
new acute care hospital.
FCA revised the space program to include the following
spaces:
Supervisor Office
@ 100 sf
Open Space Office
@ 600 sf
(12 workstations and 12 half height lockers)
Womens Toilet
@ 50 sf
Mens Toilet
@ 50 sf
Changing room
@ 40 sf
Specimen Storage
@ 80 sf
(incl. 2 commercial grade refrigerators)
Storage Area
@ 350 sf
(10 gurneys and 10 wheelchairs)
Clothes Storage
@ 300 sf
Mailroom
@ 200 sf
2.02
Material Management
The Receiving and Administrative areas were discussed. The
user group noted that since the main loading dock will remain
in the existing hospital the Receiving and Administrative areas
should also remain in the existing hospital.
The user group did request to increase the material
management Storage area in the new acute care hospital from
5000 sf to 6000 sf .
2.03
Dietary
NL explained that dry and refrigerated storage space for
emergency supplies is required by code to be included in the
new acute care hospital.
The user group acknowledged this code requirement however
confirmed that the supervisors office included in the Dietary
storage area is not required.
Page 2 of 4
Due Date
Item
Description
Action
2.05
Custodian Closets
The user group commented that based on the programmed
area in general two 40 sf custodian closets on each floor would
be required.
The user group agreed to the following custodian closet
arrangement for each department:
Med/Surg
1 closet @ 40 sf.
ICU
1 closet @ 50 sf
Peds
1 closet @ 40 sf.
NICU
1 closet @ 40 sf.
Surgery
3 closet @ 40 sf.
Gastroenterology
1 closet @ 40 sf.
Pre-Op
1 closet @ 40 sf.
PACU
1 closet @ 40 sf.
Emergency
3 closets @ 40 sf.
2.06
Linen
The user group noted that in general one 30 sf alcove for a
clean linen cart and one 60 sf room for two soiled linen carts is
required for each inpatient unit.
The user group also commented that the Emergency
Department needs three soiled linen rooms.
Page 3 of 4
Due Date
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Ancillary - Auxiliary\MIN.01_Auxillary Support.doc
Page 4 of 4
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
May 25 2007
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to initiate the programming effort with the Ancillary-Sterile Processing User
Group. The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated January 26, 2007
3. Preliminary Summary Space Program, dated January 26, 2007
4. New Hospital Space Program, dated January 26, 2007
ITEMS DISCUSSED:
FCA
FONG & CHAN ARCHITECTS
Item
Description
Action
NEW BUSINESS:
B.
DEPARTMENTAL ISSUES
2.01
Sterile Processing
FCA proposed to locate the entire Sterile Processing (SP)
in the new acute care hospital. SP would sterilize all
equipment for both existing and new hospitals and
distribute sterile equipment directly to the ORs.
The user group concurred with the proposed arrangement,
noting that the current breakdown of SP services to the
various departments is as follows:
5% Clinics (existing hospital)
5% ER (new acute care hospital)
70% OR (new acute care hospital)
20% Labor & Delivery (new acute care hospital)
The user group also noted that operating and maintaining
two separate SPs would be inefficient and costly.
2.02
2.03
Dumbwaiter
FCA proposed locating SP directly below the ORs and to
receive and distribute clean and soiled equipment by way of
dumbwaiters.
The user group agreed to this arrangement however
requested that in addition to providing separate clean and
soiled dumbwaiters a third dumbwaiter should be provided
as backup.
2.04
Decontamination room
The user group requested a Decontamination room to be
included in the OR suite off the peripheral corridor (patient
corridor). The soiled dumbwaiter should be located in the
Decontamination room.
Page 2 of 3
Due Date
Item
Description
Action
2.05
2.06
Decontamination Area
The user group requested a toilet with shower to be included
inside the Decontamination Area.
2.07
Sterile Supply
The user group requested to increase Sterile Supply from
250 sf to 400 sf.
2.08
Offices
FCA included in the space program three offices. An office
for a supervisor to be located in the Assembly/Sterilization
Area and two additional offices in the Administration and
Staff Areas.
Due Date
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Ancillary - Support\MIN.02_Ancillary-Sterile Proc..doc
Page 3 of 3
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
February 6, 2007
2:00 pm : 4:00 pm
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to review the programming effort with the Medical/ Surgical User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
3.01
3.02
3.03
Page 2 of 4
Due Date
Item
Description
Action
3.04
Nursing Station
Instead of programming a centralized nursing station, the user
group suggested to split the nursing station into nursing pods
to improve workflow.
FCA noted that a primary nursing station is required by code,
but stated that currently two additional auxiliary nursing
station have been programmed. The user group agreed to this
arrangement.
3.05
Nursing Lounge
The size of the nursing lounge was discussed. The user
group requested one 200 sf staff lounge per floor to serve
two Med/Surg units.
3.06
Meeting Rooms
The user group noted that during morning rounds, 7 teams
approximately 6-8 members each would require a private
space to meet on each floor.
FCA noted that currently 12 meeting rooms in total on 2
floors have been programmed.
The user group acknowledged that the number of meeting
rooms currently programmed is an improvement to the
current existing condition and requested that these meeting
rooms not be eliminated.
3.07
Forensic Beds
NL confirmed that Forensic Med/Surg patients are required
to be treated in a compliant acute care hospital.
The user group discussed whether it would be more efficient
to treat forensic patients in the Med/Surg units rather than
creating a dedicated Forensic Med/Surg unit.
KJ noted that this concept would require security guards to
monitor each forensic patient outside their room, which
during high census would significantly increased the total
number of security guards required. KJ commented that this
concept needs to be discussed with the sheriffs department.
3.08
Page 3 of 4
Due Date
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Medical-Surgical\MIN.03_MedSurg.doc
Page 4 of 4
MEETING
LOCATION:
MEETING
DATE:
February 9, 2007
2:00 pm : 4:00 pm
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to initiate the programming effort with the Obstetric/Pediatric User Group.
The following is a record of the items discussed.
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
3.01
NICU Bassinets
The user group noted that in 2006 the average daily census for
NICU was between 7-11. They also commented that in 2006 a
total of ten days the daily census for NICU was between 1517.
Based on this information the user group requested to increase
the NICU area to accommodate 5 additional bassinets, with
the following distribution:
10 Level II bassinets
6 Level III bassinets
1 Level III isolation bassinet
Medication Room
The user group noted that a sink with counter will be required
for the Mother boarding room. FCA acknowledged the
Page 2 of 4
Due Date
Item
Description
Action
Showers for the NICU were requested and added to the on-call
sleep rooms, family sleep room and the mother boarding
room.
3.02
Provider Workroom/Charting
The user group requested to increase
Workroom/Charting in the NICU to 200 sf.
the
Provider
3.02
Medication Room
The user group requested to add a 120 sf Medication room in
the NICU.
3.02
3.02
3.03
3.04
3.04
Lactation Room
The user group noted that the Lactation room currently
programmed is not required and can be eliminated.
3.06
Conference Rooms
The user group noted that the proposed 200 sf conference
rooms for Pediatrics and NICU are too small to
accommodate large gatherings.
FCA suggested combining both the Pediatrics and NICU
Conference rooms into one large 400 sf Conference room
separated by a movable room divider. This arrangement can
accommodate large gatherings and preserve the same
number of meeting spaces.
The user group agreed to the above arrangement and
Page 3 of 4
Due Date
Item
Description
Action
Due Date
Lockers
The user group requested to combine separate male and
female Locker rooms into one unisex Locker room with
multiple toilet and changing facilities as indicated below:
1 Unisex Locker room 250 sf
2 multi-accommodation separate male and female Toilet
rooms 180 sf
4 Changing rooms 30 sf
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Obstetrics - Pediatrics\MIN.03_ObPeds.doc
Page 4 of 4
PROJECT:
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to initiate the programming effort with the ICU / Step-down User Group. The
following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
3.01
Nourishment/Clean Supply
The user group requested separate Nourishment and Clean
Supply rooms.
FCA proposed programming 50 sf for a Nourishment room
and 120 sf for a Clean Supply room. The user group agreed
to the proposed space allocation.
3.03
3.04
Physical Therapy
The user group confirmed the proposed 150 sf Physical
Therapy room is not required in the ICU floor, instead the
user group requested FCA to program a Medical
Equipment room of equal size.
3.05
Due Date
Item
Description
Action
Due Date
3.07
Lockers
The user group requested to combine separate male and
female Locker rooms into one unisex Locker room with
multiple toilet and changing facilities as indicated below:
1 Unisex Locker room 250 sf
2 single accommodation Toilet rooms w/ shower 70 sf
2 Changing rooms 30 sf
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\ICU - Step-Down\MIN.03_ICU-Step-Down.doc
Page 3 of 3
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to initiate the programming effort with the Obstetric/Pediatric User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated February 16, 2007
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
DEPARTMENTAL ISSUES
3.01
Cardiology
NL noted that currently only the Cath Lab is located in the
new hospital building. The user group emphasized that with
the exception of EKG and Dialysis the Cardiology Department
should be located in the new hospital building since 50% of
the services provided are inpatient services.
The user group requested the additional following spaces to be
included in the space program:
4 Echo bays
1 Stress Test
3.02
Pulmonary Function
The user group requested the following Pulmonary Function
rooms to be included in the space program:
Pulmonary Function Lab
Special Procedures
Bronchoscopy
3.03
@ 150 sf each
@ 250 sf
600 sf
220 sf
230 sf
Holding/Recovery
The user group requested to increase the number of bays in the
Holding/Recovery room to accommodate a total of 17
gurneys, with the following distribution:
Radiology
Cardiology
15 gurneys
2 gurneys
3.04
Equipment/Computer Storage
FCA noted that a large Equipment/Computer Storage room for
Cardiology and Radiology has been programmed and inquired
if multiple smaller rooms are more practical. The user group
confirmed that one large Equipment/Computer Storage room
for each department is preferred.
3.05
Linen
Page 2 of 3
Due Date
Item
Description
Action
Due Date
3.07
3.08
Elevators
The user group noted that the service elevators should be
equipped with double acting doors.
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Diagnostic\MIN.03_Diagnostic.doc
Page 3 of 3
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to initiate the programming effort with the Obstetric/Pediatric User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated February 20, 2007
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
DEPARTMENTAL ISSUES
3.01
3.02
4 OR (large) @ 540 sf
6 OR (medium) @ 500 sf
4 OR (small) @ 420 sf
2 IR
Clean Core
FCA stated that the existing ORs were designed around a
clean core room and bounded by a peripheral corridor. FCA
proposed to program the new OR suite using a similar
approach, however given the total number of OR rooms
currently programmed two surgical suites rather than one large
surgical suite maybe more practical.
The user group agreed to the proposed surgical suite
arrangement.
3.03
IR Room
FCA noted that 550 sf has been programmed for each IR room
and 60 sf for associated computer/equipment storage,
matching the size of the existing IR room.
The user group noted that the existing IR room did not provide
enough space at the end of the patient table for the
anesthesiologist and the required anesthesia equipment.
FCA confirmed that the current IR room proportions were not
Page 2 of 4
Due Date
Item
Description
Action
3.05
3.06
Lockers
The size of both womens and mens Locker rooms were
discussed. The user group noted that the current locker room
setup is not adequate. FCA confirmed that the existing mens
locker room was divided into two rooms measuring
approximately 260 sf and 130sf and the womens locker room
was approximately 320 sf.
FCA noted that the lockers in the rooms were poorly layout
creating an inefficient and uncomfortable space. FCA
reintegrated that a well layout 300 sf locker room could easily
accommodate a combination of 75 full height and purse
lockers and still offer a comfortable space for changing.
Certain members of the user group were still concern with the
proposed locker room size, however they agreed to defer their
opinion until theyve had the opportunity to review a detail
locker room layout.
Page 3 of 4
Due Date
Item
Description
Action
3.07
Due Date
Office
The user group requested to replace the Material Management
office with a IS Clinical Staff office.
FCA to revise the space program as requested.
3.09
3.10
Clean Core
Equipment/Tube Storage
Biomed
Housekeeping Supplies
ECRP
Endo
Holding
(from 26 to 22 cubicles)
from 1400 sf
from 300 sf
from 250 sf
from 120 sf
from 400 sf
from 280 sf
from 2080 sf
to 1000 sf
to 250 sf
to 200 sf
to 100 sf
to 350 sf
to 250 sf
to 1760 sf
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Perioperative\MIN.03_Perioperative.doc
Page 4 of 4
MEETING
LOCATION:
MEETING
DATE:
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to initiate the programming effort with the Obstetric/Pediatric User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated February 23, 2007
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
DEPARTMENTAL ISSUES
3.01
Exam Rooms
Number of exam rooms
The size of exam rooms was discussed. FCA noted that 140 sf
exam rooms are currently programmed. The user group noted
that preferably the dimensions for exam rooms in a teaching
Page 2 of 4
Due Date
Item
Description
Action
The user group requested 1 exam room with shower for RTC
patients to be included in the program. The RTC room should
be located in close proximity to a Consultation room.
Summary
3.02
46 Exam Rooms
4 Exam Rooms Behavioral Health
1 Exam Room RTC
3 Exam Rooms Isolation
@ 140 sf
@ 140 sf
@ 180 sf
@ 140 sf
3.03
Resuscitation Rooms
Open Space Layout
The user group confirmed that an open space layout for the
resuscitation rooms is not desirable citing infection control,
Page 3 of 4
Due Date
Item
Description
Action
Due Date
@ 400 sf each
@ 200 sf
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Emergency\MIN.03_ Emergency.doc
Page 4 of 4
MEETING
LOCATION:
MEETING
DATE:
March 5, 2007
9:00 am : 11:00 am
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
FCA
FONG & CHAN ARCHITECTS
This meeting was held to review the overall programming effort with the Steering Committee. The
following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Summary Space Program, dated March 2, 2007
3. New Hospital Space Program, dated March 2, 2007
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
2.01
Nuno Lopes (NL) of FCA noted that after meeting with all
user groups the overall program has increased 20% compared
to the initially proposed program. This will cause an increase
in cost. A revised cost estimate is being prepared to determine
whether the overall building construction budget is acceptable
or if program areas need to be reduced to meet the budget.
NL noted that the construction budget would not increase
linearly with the increase of the program areas.
B.
DEPARTMENTAL ISSUES
Overview of Current Space Program
NL presented the currently proposed space program for each
floor of the new hospital building as follows. Items in bold
italics are areas that were added since the previous Steering
Committee meeting:
Basement 2
Cardiology
Radiology
Sterile Processing
Morgue and Autopsy
Material Management
Messenger/Mailroom
Environmental Services
Basement 1
Surgery
Gastroenterology
Patient Intake and Recovery
Entry Area
Page 2 of 6
Due Date
Item
Description
Action
First Floor
Entry Area
Clinical Care Emergency
Admitting
Second Floor
Obstetrics
Pediatrics
NICU
Third Floor
Step-Down
Medical / Surgical Forensic Unit
Pharmacy
Information Technology
Fourth Floor
ICU/CCU/Step-Down
Administration
Dietary
Biomed
Fifth Floor
Medical / Surgical
2.02
FCA noted that the Cath/EP Lab, Echo Lab and Pulmonary
Function have been included in the basement 2 level of the
new hospital.
The steering committee agreed to the proposed arrangement
however noted that if cuts need to be made the Pulmonary
Function could remain in the existing building.
Morgue and Autopsy
Page 3 of 6
Due Date
Item
Description
Action
Due Date
Item
Description
Action
FCA noted that the Women & Children user group has
requested the number of NICU bassinets to increase from 12
to 17.
Gene OConnell (GOC) of SFGH noted that currently the
NICU is budgeted for only 8 bassinets.
2.03
Med/Surg Forensic
The steering committee and FCA discussed whether the
Med/Surg Forensic beds could be used as regular Med/Surg
beds instead of having to close down the Med/Surg Forensic
unit during times of low census.
FCA noted that converting a Forensic Med/Surg unit to a
regular Med/Surg unit is not recommended, and advised
against it.
The steering committee noted that forensic beds could be
integrated into the Med/Surg unit if dedicated security guards
are assigned to each forensic patient room. This option
however needs to be discussed with the sheriff department.
GOC noted that a meeting with the sheriff department needs to
be established during the design phase to discuss the issues for
this area.
2.04
Page 5 of 6
Due Date
Item
Description
Action
Due Date
2 Conference Room
2 Consultation Rooms
2 Physician Workrooms
1 Multi-purpose Room (can be divided into 2 meeting
rooms during morning hours)
@ 120 sf
@ 250 sf
@ 250 sf
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Steering\MIN.02_Steering.doc
Page 6 of 6
MEETING
LOCATION:
MEETING
DATE:
March 8, 2007
9:00 am : 10:30 am
ISSUE DATE:
ATTENDEES:
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
This meeting was held to initiate the programming effort with the Obstetric/Pediatric User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Preliminary Detail Space Program, dated March 7, 2007
3. Preliminary Summary Space Program, dated March 7, 2007
4. New Hospital Space Program, dated March 7, 2007
FCA
FONG & CHAN ARCHITECTS
ITEMS DISCUSSED:
Item
Description
Action
Due Date
NEW BUSINESS:
A.
DEPARTMENTAL ISSUES
4.01
4.02
Ultrasound
In lieu of two ultrasound rooms the user group requested one
large room with 3 separate bays and one dedicated toilet.
FCA revised the space program to include one 350 sf
ultrasound room with one 50 sf toilet.
4.03
Reading Rooms
The number of Reading rooms was discussed. FCA confirmed
that separate Reading rooms for Cardiology (300 sf) and
Radiology (150 sf) have been programmed. In addition FCA
confirmed that a shared 300 sf PACS room was also included
in the space program.
The user group expressed some concern that not enough space
was being provided for image reading. FCA suggested
increasing the shared Conference room from 200 sf to 350 sf
and adding a movable partition allowing the room to be
divided in half. This flexible Conference room could be used
as additional image reading or meeting room depending on the
user needs. The user group agreed to the proposed approach.
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Diagnostic\MIN.04_Diagnostic.doc
Page 2 of 2