Bioscience CT Report 2013-

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    Bioscience ConnecticutReport to the General AssemblyMay 2013

    Received by the Office of the House Clerk, Tuesday, May 21, 2013

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    Bioscience Connecticut

    Introduction

    In 2011, the General Assembly enacted groundbreaking legislation to enable Connecticut to be at the forefront of the growing bioscience industry. The Bioscience Connecticut initiative, Public Act 11 75, committed the state to making strategic investments in the UConn Health Center. As the states only public academic medical center, UConn Health Center serves Connecticut through excellence in education, research, patient care and outreachto prevent disease and improve health and health care across the state. It is the states primary source of new physicians and dentists; a key provider of vital health services to some of our most vulnerable citizens; and an engine of economic growth generating nearly $1 billion in gross state product each year. The Health Center touches every corner of the state.

    The Bioscience Connecticut plan aims to strengthen our states position as a national and global center for bioscience innovation and to improve access to quality health care for Connecticut citizens while simultaneously securing the UConn Health Centers future as a top tier academic medical center. This is the second in a series of biennial reports to update the General Assembly on progress of the initiative pursuant to the provision of Section 10a 109mm of the Connecticut General Statutes.

    Project Update

    Bioscience Connecticut is composed of two major components: 1) infrastructure expansion and renovationthat is, the buildings that will house our new doctors and scientists and the expanded medical and dental school classes, and 2) programs to improve access to quality health care.

    The infrastructure elements of the plan will result in the construction and/or renovation of more than 1.1

    million square feet of space over eight years. Bioscience Connecticut is already driving short term economic activity through a surge of construction related jobs. With only six percent of the project budget expended, nearly 81,000 hours have been worked on the project. To date, 62 construction contracts have been awarded85 percent of them to Connecticut companies. The Health Center has awarded more than $115 million in contracts to small businesses and minority owned companies. All projects are on time and on budget.

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    Detailed components of the infrastructure plan include:

    Constructing a new 384,000 square foot, 169 bed, 11 floor patient care tower and two parking garages

    with nearly

    800

    spaces

    for

    patients

    and

    staff.

    Renovating portions of the existing John Dempsey Hospital and adjacent clinic building, including upgrades to the utility and electrical systems.

    Constructing, with private financing, a 300,000 square foot ambulatory care facility to include the Carole and Ray Neag Comprehensive Cancer Center, outpatient services, and a parking garage for patients and staff.

    Adding

    new

    and

    renovating

    existing

    classroom

    and

    academic

    space.

    Renovating and modernizing the Health Centers original research facilities on the Farmington campus, including a 28,000 square foot expansion of space for start up bioscience businesses at the Cell and Genome Sciences Building.

    A groundbreaking ceremony for the start of the Bioscience Connecticut construction projects was held in June 2012, the first phase of research lab space renovation commenced in December 2012, and construction on the Ambulatory Care Center began in January 2013. In March, the first facility in the complex construction plan received its certificate of

    occupancya parking garage to serve patients and staff. Additional details of the capital projects can be found beginning on page 5.

    This year we embark on the programmatic initiatives of Bioscience Connecticut, including faculty recruitment and increases in medical and dental school class sizes. The governor and legislature expect these investments

    to generate

    long

    term,

    sustainable

    economic

    growth

    based

    on

    bioscience

    research,

    innovation,

    entrepreneurship and commercializationand to address critical shortages of health care providers.

    Details of the programmatic components of Bioscience Connecticut include:

    Recruiting 100 new faculty, including clinician scientists, basic scientists and clinicians, to increase health care access and double federal and industry research awards.

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    Implementing a loan forgiveness program for UConn medical and dental school graduates who pursue careers in primary care in Connecticut.

    Partnering

    with

    local

    hospitals

    and

    health

    care

    organizations

    to

    address

    pressing

    regional

    and

    statewide

    health care needs.

    Recruitment of leading scientists and clinicians is underway. Exciting recruits in the areas of quantitative medicine, aging, cell biology, and psychiatry have already begun or will begin work soon at the Health Center. Additionally, the Health Disparities Institute, a key element of Bioscience Connecticut, is in the process of recruiting its first executive director and has already hired a few key staff members. The Health Disparities Institute will enhance research and the delivery of care to minority and medically underserved populations in

    the state. Dr. Jewel Mullen and Dr. Frank M. Torti are cochairing a recently appointed governing committee for the Institute.

    The School of Medicine received approval from the Liaison Committee on Medical Education (LCME), the nationally recognized accrediting authority for medical education programs, to increase class size. The plan calls for an increase from the current 85 first year students to 98 first years in 2014 and 110 in 2016. Preparing for class size expansion is already in progress. Increasing the size of the dental school will lag in order to

    complete dental

    facilities

    expansion

    first.

    Efforts to develop a regional cancer initiative have centered on creating a statewide biobanking initiative. Building on independent efforts at UConn Health Center and Hartford Hospital, the initiative aims to create a virtual bank system that allows investigators to use data and more than 8,000 specimens from cancer patients at UConn and non tumor specimens from nearly 7,000 patients at Hartford Hospital. The effort will soon be expanded to other hospitals in the area such as Bristol Hospital, Connecticut Childrens Medical Center, Hospital of Central Connecticut, and St. Francis Hospital.

    In addition to the Bioscience Connecticut legislation, the General Assembly adopted Public Act 11 2 in special session, which established the Connecticut Bioscience Collaboration Program, a bioscience cluster anchored by The Jackson Laboratory for Genomic Medicine facility. The UConn Health Centers collaboration with Jackson Laboratory is advancing. Their scientists are on site working out of space on the Health Centers campus, and construction of their facility began in January of this year. Together, Jackson and the Health Center organized a joint symposium bringing scientists from The Jackson Laboratory and UConn together for a

    twoday

    event

    to

    stimulate

    opportunities

    for

    scientific

    collaboration.

    Five

    Jackson

    Laboratory

    scientists

    are

    now affiliated faculty at UConn School of Medicine, with others in the pipeline.

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    Future Plans

    The immediate goals of the Bioscience Connecticut initiative are already being realizedconstruction and renovation of the Health Center campus is well underway. With the promised programmatic funding that is now before the legislature, the Health Center will aggressively recruit additional basic and clinical/translational scientists who will increase our research awards and create new drugs, new medical devices, and companies located in Connecticut. This biennial report details the progress that has occurred as a result of the enactment of the Bioscience Connecticut initiative, but we are just in the beginning stages of efforts to transform health care for all citizens in the state and to create permanent, quality jobs in Connecticut.

    The University of Connecticut and its Health Center remain extremely appreciative of the states investment in its only public academic health center and confident that the states sustained commitment will produce the public health and economic development advances which Connecticuts citizens deserve.

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    Bioscience

    Jobs Today,

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    ciencect.uchc.ed

    Tomorrow, Inno

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    u

    vation for the Fut

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    Bioscience Connecticut biosciencect.uchc.eduJobs Today, Economic Growth Tomorrow, Innovation for the Future 1

    Program Overview

    Program Description The construction program at the Health Center includes all aspects of planning, constructing, and activating these projects.

    New Hospital Tower, Site, and Parking: Construction of a new 384,000 square

    foot, 169 bed, 11 floor hospital tower housing key patient areas including the

    emergency department, surgery suite, MRI suite, renal dialysis, respiratory

    therapy, inpatient rehab (orthopaedics, rehab gym and workspace), clinical support, and patient education space. The project includes a new 403 space public

    garage and a new 397 space staff garage. Existing Hospital Renovations: Renovation to several departments and upgrades

    to utility and electrical systems. Academic Building Addition and Renovations: Addition of new and renovation of

    existing classrooms of various sizes, lab space, and more. Clinical Building Renovations: Renovations will include the upgrade or

    replacement of the mechanical, electrical, and plumbing infrastructure and program expansions for the Pat and Jim Calhoun Cardiology Center and the School of Dental Medicine.

    Main Building Lab (L) Renovations: Two multi phased renovation projects totaling 238,000 square feet of existing research facilities to double bioscience research

    funding from $100 million to $200 million annually. New Ambulatory Care Center: Construction of a new ambulatory care facility

    (estimated value at $203 million and 300,000 square feet) will be occupied by the

    Carole and Ray Neag Comprehensive Cancer Center and other outpatient services. This project will include a new parking garage. Incubator Lab Addition: New building addition to the existing Cell and Genome Science Building to create an additional 28,000 square feet of new

    incubator space to foster new business start ups.

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    Bioscience Connecticut biosciencect.uchc.eduJobs Today, Economic Growth Tomorrow, Innovation for the Future 2

    Program Team

    Owner: University of Connecticut Health Center Facilities Development & Operations

    Project Management Oversight: Jacobs

    Funding The new facilities and renovations for the Health Center are being planned for funding of $839 million with $568 million from UC21. The balance will be from private financing and Health Center funds (including philanthropy).

    Schedule and Budget Planning and design was initiated in June of 2010. There are many interdependencies between the projects which dictate much of the timing of the individual components. The program is planned for completion in 2018. Currently, no issues have been identified which put the completion at risk. All projects are tracking according to plan. The most aggressive and therefore highest risk project is the new Ambulatory Care Center (ACC) Building. Completion by December of 2014 is required in order to relocate current Dowling building operations and maintain our commitment to the Jackson Laboratory.

    Summary Schedule and Cash Flow

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    Bioscience Connecticut biosciencect.uchc.eduJobs Today, Economic Growth Tomorrow, Innovation for the Future 3

    Milestones and Schedule

    Milestones Achieved

    June 2010 PA 10104 is signed into law, creating the UConn Health Network community initiatives as well as plans to renovate the John Dempsey Hospital and build a new patient care tower on the UConn Health Center campus. The legislation, however, was contingent on receiving $100 million of non state funding to proceed beyond the planning stage.

    September 2010 SBA/HKS Architects chosen to design new hospital tower.

    December 2010 Transfer of NICU beds to Connecticut Childrens Medical Center and addition of ten medical/surgical beds approved by state Office of Health Care Access.

    May 2011 Gov. Dannel P. Malloy announces Bioscience Connecticut initiative that greatly expands previously approved plans, including bold initiatives for the Health Centers research, education, and clinical enterprises.

    June 2011 Bioscience Connecticut proposal receives legislative approval.

    July 2011 Gov. Dannel P. Malloy signs Bioscience Connecticut legislative bill.

    September 1,

    2011

    NICU

    regionalization

    and

    integration

    with

    Connecticut

    Childrens

    Medical

    Center

    is

    completed.

    September 30, 2011 The Jackson Laboratory announces plans to collaborate with the state, UConn, UConn Health Center, and Yale University in the development of a new center for personalized medicine on the UConn Health Center campus.

    October 2011 The State Bond Commission released $28 million to support the community initiatives that are connected with Bioscience Connecticut and will address pressing health care needs.

    January 2012 Gov. Malloy signs Jackson Laboratory legislation and legal agreements.

    June 2012 Gov. Malloy attends groundbreaking for new hospital and related projects.

    October 2012 Demolition of metal buildings begins on lower campus (Jackson Laboratory site).

    December 2012 L Building phase 1 renovations begin (will be completed mid 2015).

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    January 2013 Jackson Laboratory for Genomic Medicine construction starts.

    January 2013 Ambulatory Care Center construction begins.

    Expected Schedule (Please note that dates are subject to change.)

    April 2013 I Lot Parking Garage and utility relocation work completed.

    April 2013 New hospital tower and second parking garage construction begins.

    Late 2014 Jackson Laboratory for Genomic Medicine construction completed.

    January 2015 Ambulatory Care Center construction completed.

    Mid 2015 L Building phase 1 renovations completed.

    2015 L Building phase 2 renovations begin.

    2015 C Building renovations begin.

    January 2016 New hospital tower and second parking garage construction completed.

    2016 H Building renovations begin.

    Fall 2017 L Building phase 2 renovations completed.

    Late 2017 H Building renovations completed.

    2018 C Building renovations completed.

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    Bioscience Connecticut biosciencect.uchc.eduJobs Today, Economic Growth Tomorrow, Innovation for the Future 5

    Planning and Design

    Hospital Tower: Phase 2: Bid set was completed and submitted to Turner Construction Company on January 7, 2013. Turner began subcontractor bidding on January 22, 2013.

    Ambulatory Care Center: ACC core and shell design is continuing by Fusco Clark. Design review meetings occur weekly. Macchi Engineers has continued with structural peer review services to facilitate the permitting effort. The soil nail wall permit was received. The site/foundation permit documentation is being reviewed by the Office of State Building Inspector (OSBI). Structural steel permit documentation is being reviewed by OSBI. Perkins Eastman continued the programming and schematic design meetings with the clinical departments. The 100 percent schematic design package

    was completed at the end of January 2013. We are on schedule to start the Design Development phase in the first week of February 2013. Fusco Clark issued the first set of owner review documents (plans and specification) on January 17, 2013. LEED meetings have started between the bridging document architects, core and shell builders and architects, fitout architects, and the commissioning

    agent (Facilities Dynamics Engineering). The commissioning agent is reviewing the Fusco Clark plans and specifications to develop the owners project requirements.

    Academic Renovation and Addition: Project overview meeting took place on January 23, 2013 with Deans Torti and MacNeil. Vision for the schools and for a Wellness Center were

    discussed.

    Clinic Building Renovations: ARC/Architectural Resources Cambridge Inc. and Svigals + Partners have been chosen as the architectural design team for the project. In process of

    reviewing scope and financial data.

    Incubator Lab Addition (Cell and Genome Science Building): Request for quotation for architectural services was issued on January 17, 2013.

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    Bioscience Connecticut biosciencect.uchc.eduJobs Today, Economic Growth Tomorrow, Innovation for the Future 6

    Information Technology

    New Hospital Tower: Information technology device and equipment list has been completed and budget review is underway. Based upon the completed list, the IT

    procurement schedule is being developed. The IT group is initiating a pilot project to test the planned universal communicator technology in a current John Dempsey Hospital practice. This project

    is intended to obtain end user feedback on enhancements and challenges in the clinical workspace. Critical information technology activities are being incorporated into the project master schedule.

    Ambulatory Care Center (ACC): Building communication and network site utilities coordination with the design team engineers are underway. Space programming for the network IT closets and IT support space in the project has been completed. Completed kickoff meeting with the design team technology engineers to begin the development for the buildings technology infrastructure. This

    process will ramp up with Health Center IT participation in the next design phase. Several Health Center IT meetings presenting new technology possibilities to clinical users have occurred and will continue into February. First of the two web cameras were installed to monitor construction progress of the ACC site. The second camera will be installed in February.

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    Construction

    Hospital Tower Phase 1 Site and Parking Garage: F lot utility work is scheduled to be completed January 31, 2013 and lot reopened by February 4th.

    Installation of precast concrete garage sections is complete and the erection crane has been dismantled and removed from the site. Rough in electrical work in academic research building is on going in preparation for feeding new garage.

    Main Building Lab (L) Renovations: Demolition and asbestos abatement continues on floors 4 through 7.

    Fabrication of steel for platform to accommodate the new cell service equipment has begun.

    Ambulatory

    Care

    Center

    (ACC):

    The Medical Arts and Research Building turnaround for the shuttle/valet service was completed. The Circle Road turnaround for emergency vehicles, delivery vehicles, and passenger vehicles was completed. Construction was started on January 18, 2012. Site fence has been installed and the site has been cleared. The steel mill order was released for the building.

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    Bioscience

    Jobs Today,onnecticut bi

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    Bioscience Connecticut biosciencect.uchc.eduJobs Today, Economic Growth Tomorrow, Innovation for the Future 9

    Project Budget & Funding Summary Anticipated Cash Flow

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    Project Budget & Funding Summary Anticipated Cost

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    Project Reports

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    Master Projects Schedule