The Evolution of a Public Academic Medical Center Replacement Project - Louis Saksen, Parkland...

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Commissioner Cantrell| February 1, 2013

Louis Saksen, AIA, Louis Saksen, AIA, FHFI ,Senior FHFI ,Senior Vice PresidentVice PresidentNew Parkland ConstructionNew Parkland Construction

iliili1954 Facility1954 Facility

Typ i ca l  Nurs ing  Un i t  F loo rTyp i ca l  Nurs ing  Un i t  F loo r

CURRENT CORRIDOR

Master Facility PlanMajor Components of each Scenario

Scenario A B C

Medical/Surgical/Trauma (M/S/T) 546 b li b d +36 St t i546 baseline beds +36 Strategic Investment beds New Build New Build New Build

Women’s and Infants Specialty Hospital (WISH) (280 beds) New Build Existing PMH Zale Liphsy

Teaching and Non-TeachingTeaching and Non Teaching Clinics, Administrative space Existing PMH Existing PMH Existing PMH

Community Oriented Primary Care 3 Additional 3 Additional 3 Additional

Community Specialty Clinic 1 Additional 1 Additional 1 Additional

2007 Blue Ribbon Panel2007 Blue Ribbon Panel

Master ProjectMaster Project Budget Summary July 10, 2009Budget Summary July 10, 2009

Gross Square Feet, Acute Care Hospital: 1,678,520 SF

Gross Square Feet, Administration Building: 269,000 SF

G S F t Cli i 387 000 SFGross Square Feet, Clinic: 387,000 SF

Gross Square Feet, Central Energy Plant: 71,000 SF

Total Gross Square Feet, Project: 2,405,520 SF

SummarySummary BudgetBudget

Land Acquisition $10,000,000

Acute Care Hospital $907,761,690

$Administrative Office Building $41,918,000

Demo PSSA & Occupational Health $4,345,000

Demo Lofland Warehouse $462,000

Site & Infrastructure Improvements $95,455,000

Teaching & Non-Teaching Clinics $87,297,000

Central Utility Plant $81,308,000

New Structured Parking (2,035 Spaces) $34,000,000

Demo Lofland Garage $985 000Demo Lofland Garage $985,000

Replace 500 Lingo Lot Spaces $1,096,000

Amelia Court Parking $4,000,000

Maple Avenue Parking $3,000,000

Bond Issue Scope November 2008Bond Issue Scope November 2008

Total Estimated Cost: $1,271,627,690

BARA E ti t f S t b 23 2009BARA Estimate of September 23, 2009

$1 684 785 471$1,684,785,471

Over Budget :  $413,157,781

Mitigations 1

Size – 1,678,520 SF had risen to 2,351,251 SF

Changed the column spacing from 32 feet on center to 30 feet thereby reducing 300,000SF

Result by May 2010 63,470,199 budget deficitResult by May 2010 63,470,199 budget deficit

Mitigation 2

Set Budget Goals:

Goal Actual

S $50/SF $49/SFStructure $50/SF $49/SF

Interiors $45/SF $44/SF

MEP $120/SF $101/SFMEP $120/SF $101/SF

Total $300/SF $297/SF

January 2011 GMP 

$905,390,262

$2,371,482 Under budget

New Board of Managers

Six of Seven replaced

February 2011February 2011

September 2011

CMS Sanctions Parkland

December 2011

C‐Suite replaced

• Subsequently 2 interim CEO’s

• 1 interim CMO, 1 interim COO, 2 interim CFO’s,

• 1 CNO currently vacant 

June 2012

No original Board Members remain

Total Program FundingTotal Program FundingTotal Program Funding Total Program Funding June 21, 2012June 21, 2012

June 21 2012June 21, 2012

Budget at

• $130,082,541 deficit

Total Program Funding Total Program Funding February 22, 2013February 22, 2013y ,y ,

May 2013 May 2013 i ii iCommissioners CourtCommissioners Court

Total Program FundingTotal Program Funding

Total Program Funding, Cont.Total Program Funding, Cont.

Total Program Square FootTotal Program Square Foot

April 2014 April 2014 i ii iCommissioners CourtCommissioners Court

Total Program FundingTotal Program Funding

Over/(Under)

(610,756)

(198,956)(1,745,724)

(1,816,784)

(5,943,407)

Total:(10,315,627)

Total Program Not Yet ApprovedTotal Program Not Yet Approved

July 2014 July 2014 i ii iCommissioners CourtCommissioners Court

Total Program FundingTotal Program Funding

July 2014

Total Program Not Yet ApprovedTotal Program Not Yet Approved

July 2014

Cost and ScheduleCost and Schedule

Safety and DiversitySafety and Diversity

QualityQuality

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Commissioner Cantrell| February 1, 2013