MASTER PLANNING THE ENTIRE

BUILDING | AN INTEGRATED

ARCHITECTURAL AND

ENGINEERING APPROACH

Why is Engineering Important to Master Planning Design?

Your Presenters

MASTER PLANNING THE ENTIRE BUILDING – AN INTEGRATED ARCHITECTURAL AND ENGINEERING APPROACH

▸ Jeff Harris, PE

Mechanical Engineer

HGA Architects and Engineers

▸ Dennis Vonasek, AIA

Architect | Healthcare Principal

HGA Architects and Engineers

▸ Krista McDonald Biason, PE

Electrical Engineer

HGA Architects and Engineers

Agenda

Learning Objectives

Team Roles

Master Planning

Definition

Process

Tools

Financial Impact

Case Studies

Questions, Comments and Queries

MASTER PLANNING THE ENTIRE BUILDING – AN INTEGRATED ARCHITECTURAL AND ENGINEERING APPROACH

Learning Objectives

Understand objectives of master planning

Determine options for Engineering systems

to complement architectural programming

needs

Evaluate facility needs for new, modified or

upgraded engineering systems and planning

Identify opportunities to incorporate

engineering master planning efforts

LEARNING OBJECTIVES

Team Roles

Roles | Misconception

Owner

Has money to spend

Architect

Designs a showpiece building

Engineer

Designs complicated systems that aren’t understood

by anyone else.

TEAM ROLES

Roles | Redefined

Master Plan

Engineer

Owner Architect

Master Planning Definition

Facility Master Plan

Improve Patient and Staff Safety

Reduce or Optimize Operational

Costs

Create Ideal Patient Experience

Long Term Flexibility

Careful Stewardship of Resources

MASTER PLANNING DEFINITION

Support Physician and Staff

Recruitment and retention

Maximize Return on Investment

Create a sustainable solution

Incorporate resiliency

CRITERIA

Facility Master Plan

Continue hospital inpatient services as a key strategic distinction in the

community, but “right size” capacity to match the community need.

Address safety, accreditation, maintenance, and structural issues in

current facilities

Deliver exceptional services deployed in easy to access, impressively

branded facilities.

Assure safe, effective and efficient performance by developing an efficient,

universal inpatient care platform.

SPECIFIC PROJECT PRIORITIES – EXAMPLE MASTERPLAN PROJECT GOALS

So, when do Engineers

enter the picture?

And… how can their efforts

complement the

architectural programming

needs?

I do not like ducts. I do not like

pipes. I hate them really thoroughly.

But because I hate them thoroughly I

feel that they have to be given their

place. If I hated them and took no

care, I think they would invade the

building and completely destroy it. I

want to correct any notion you may

have that I am in love with that kind

of thing.”

– Louis Kahn, World Architecture 1964

“

Centre Georges Pompidou

Not a Louis Kahn Building

AN ARCHITECT’S VIEWPOINT

A Century of Engineering Design

Master Planning Process

Process | Overview

Step

ONE

Send questionnaires to departments

Step

TWO

Current state meetings

Step

THREE

Future state meetings

Step

FOUR

Extreme schemes of master planning

Step

FIVE

Owner master plan final review

Step SIX

Board report out

MASTER PLANNING PROCESS

Process | Engineering

When to include

Engineering

When not to Include

engineering

Master Planning | Preliminary Questions Project Vision

Is program already planned

Is expansion realistic

Is it necessary

Type of Construction

Remodel / Expansion

Greenfield Site

Existing Campus

Who owns the building

Location of building

Urban – Rural – Strip mall

Operational and Planning Considerations

Business Success

• Increase Market Share

• Increase Patient Volume

• Flexibility

• Ongoing Operations

• Meet Schedule and Budget

Patient Experience

• Wayfinding

• Convenience

• Healing Environment

• HCAPS

Staff

• Retention

• Recruitment

• Productive and Efficient

Functionality

• Maintenance & Operations

• Infrastructure

• Adaptability

• Resiliency

• Need for new, modified, or upgraded engineered systems

Master Planning Tools

Many Tools Available Program

Pull scheduling

Owner’s Project Requirements (OPR)

A3s

Basis of Design (BOD)

Forced Ranking

Set Logs

Component Design

Match tools to Project and Team

MASTER PLANNING TOOLS

Program

Here is where we start…

Space program

Modalities

Expansion plans

Architectural design flexibility

Infrastructure

ARCHITECTURAL SPACES

Clinic Program Summary January 21, 2015

Space Needs Total

DGSF

Actual

DGSF COMMENTS

Public

/

Lobby

A. Public and Patient Support - Entry 2,171 1,743

B. Central Registration/ Appointment Center 910 636

Provid

er/

Clinic

Space

C. Clinic Module 30,083 30,818

C1. Urgent Care Module 3,423 4,109

D. Clincal Support 8,628 7,558

E. Staff Support 1,946 2,226

Ancilla

ry

Space

F. Pharmacy 2,445 2,116

G. Diagnostic Imaging 4,437 4,278

H. Therapy - PT/ OT/ Speech 7,765 6,976

J. Clinical Laboratory 2,113 2,125

Health

and

Wellne

ss

K. Conference/ Education Center 2,500 1,313

L. Retail 1,670 1,351

Admini

stratio

n

M. Administrative Offices 1,885 2,242

Suppor

t

N. Building Support Area 1,463 1,161

Total DGSF 71,438 68,652

DGSF to BGSF Multiplier 1.20 1.27

Total BGSF 85,725 87,015

500 Line item add for enclosed mechanical penthouse

87,515

Program | Infrastructure Base Line

Mechanical Rooms and Penthouses

7 to 9% of Building Gross Square Feet (BGSF)

16 feet clear vertical height

Access to exterior walls

Shafts

0.27% of BGSF- 1 sf per 375 sf

One shaft per smoke compartment- Aligned vertically

Coordinated with structural system

Program | Infrastructure Base Line

Main Electrical Rooms

1 to 2% of BGSF

Distribution “Closets”

8x10 is good for planning- stacked

Server Room

1 sf per 100 of total GSF

Tele/Data Rooms

Minimum 10’x15’ or Owner’s standards

Central Plant

2 to 3% of BGSF

Program | Code Considerations

These are only some of the documents required for health care design

Existing System Evaluation

Age of system

Condition of equipment

Code compliance

Applicability

Desire for future flexibility

ELECTRICAL CONSIDERATIONS

High Level Pull Schedule

Program Needs

Staffing and Department

Considerations

Infrastructure to support program

Utility location

Phasing

Department of Health Approvals

AHJ Approvals

CONSIDERATIONS

Tools | Owner’s Project Requirements

TOOLS

Design Goals

System

Descriptions

Equipment

Details

System

Details

Functional

Goals

Future

Provisions

Tools | A3

Tools | Basis of Design

Forced Ranking

…

Tools | Set Logs

MAIN GOALS Evaluation Criteria

ID Description

En

erg

y

Cap

ital

Co

st

En

erg

y C

ost

Healt

hcare

En

vir

on

men

tal

Qu

ali

ty

Su

sta

inab

ilit

y

Co

mp

lexit

y

Fle

xib

ilit

y

Red

un

dan

cy

Sp

ace N

eed

ed

Main

ten

an

ce

Alt 2 Water Cooled Magnetic Bearing Chiller w/Cooling Tower

++ - ++ 0 + 0 0 0 - 0

This option could

also use a non-

modular heat

recovery chiller.

Alt 2 Chilled Beams (Patient areas, admin & wellness/rehab areas). 100% OA

AHU.

+ - + 0 + 0 0 - + 0

The air handling

unit serving the

chilled beam

system(s) is a

standalone 100%

OA air handling

unit. In the

energy model this

is dealt with

separately.

Alt 2 Overhead Variable Air Volume (remainder of buidling). 25% Min OA AHU

0 0 0 + 0 + + 0 0 0

The air handling

unit serving the

variable air volume

system(s) is a

standalone 25%

min. OA air

handling unit.

Alt 2 Radiant Floor Heating (Perimeter of new building, match existing

building)

+ 0 + 0 + + 0 0 + 0

Radiant floor

heating is used

through out the

existing building

and will be

continued through

out the new

building.

Alt 2 Gas Fired Condensing Boilers

+ 0 + 0 + + 0 + 0 0

Alt 2 Supplement w/Exisitng Facility

- + - 0 0 - - + + -

TOOLS | COMPONENT DESIGN

Master Planning Financial Impact

Financial Impact | Example New Project

Approximately $6.8 M Construction Cost

Approximately $3.5 M Soft Costs

COMPONENT TEAM PRICING PROJECT COST $10.3 M

Cost Impact

Stakeholder input: Who will yell the loudest if their program doesn’t make

the final cut?

What can the project afford?

What is the “code required” minimum?

Where is the money best spent?

Rarely shifts towards

infrastructure budget

Case Studies

Case Study #1 Remodel / Expansion

REMODEL / EXPANSION

Process | Current State

REMODEL / EXPANSION

Process | Future State

REMODEL / EXPANSION

Process | Owner’s Project Requirements

REMODEL / EXPANSION

Process | Extreme Schemes

REMODEL / EXPANSION

Process | Report Out

Case Study #1 Remodel / Expansion

Required Infrastructure upgrades extend beyond program

requirements

“You can’t afford it. ”

Misleading budget when based on a square foot basis

Multiple phases complicate solution

Occupied throughout construction process

Case Study #2 Greenfield Site

GREENFIELD SITE

Main Electrical Rooms;

Expansion in Room

and North

Utility Yard

Architectural Expansion

Mechanical Room

Expansion East

GREENFIELD SITE

GREENFIELD SITE

Case Study #2 Greenfield

First phase of a new campus with imminent expansion

Planned growth in multiple directions

Infrastructure scaled for future growth

Case Study #3 Existing Campus

Goals for Masterplan Provide enhanced patient care by

Improving patient convenience and satisfaction

Increasing operational efficiency of staff

Improving recruitment and retention of providers and staff, and increase staff

satisfaction

Build future capacity by

Replacing aging facilities and infrastructure which are at the end of their useful

life

Building spaces that will enhance the patient experience

Developing a strong brand identity

Current Campus

Truyu

53

Parkwood

Family Medical Center

Rehab

Building #1

Cancer

Center

Clinic #1

Hospital

Implementation – Future

54

This Masterplan is

implemented in four

phases

Procedure Center

Imaging & Emergency

Departments

Bed Tower

Main Clinic

Background

Phase 1 Scope • Procedure Center / SCCU (125,000 BGSF) • Interventional Suites

Cardiology/Minor Procedure SCCU Pre/Post/PACU Beds Extended Stay Beds Patient Access Entry / Public Area Central Sterile Supply Shared Staff Support Building Services

• Electrical Building

• Loading Dock

• Associated site work

Make Ready Requirements • New west parking lot (550 stalls) w/ retention

pond • New retention pond • Relocate displaced departments in the

Hospital. New Electrical Building • Demolish generators and portion of Hospital

building west of public corridor on lower and main levels

• Grow and renew the procedure

platform

• Move toward private beds

EXISTING

ED ENTRY

NEW PROCEDURE

CENTER ENTRY

EXISTING INPATIENT ENTRY

EXISTING REHAB ENTRY

Implementation Phase 1 - Procedure Center

Procedure Center / SCCU, (125,000 BGSF) Electrical Building and associated site work

• Interventional Suites

• Cardiology/Minor Procedure • SCCU • Pre/Post/PACU Beds • Extended Stay Beds • Patient Access • Entry / Public Area • Central Sterile Supply • Shared Staff Support • Building Services • Linen Services • Maintenance • Purchasing • Loading Dock • Electrical Building Loading Dock

55

Infrastructure Masterplan - Phase 1 Electrical

New Electrical Building

• 2 new generators; 3 relocated generators

• Room for 2 future generators

• 3 peak shaving gear (1 new and 2 relocated)

• Room for 1 future peak shaving line up

• New infrastructure sized to accommodate future &

relocated mechanical equipment and future buildings

Existing Central Plant Building

• Serve existing mechanical equipment in Central Plant with

new infrastructure distributed from the new Electrical

Building, eliminate utility switches and generator

Existing Electrical Vault (LL of Hospital)

• Feed existing vault with new feeders from new Electrical

Building. Existing distribution to be revisited due to event

Distribution for Procedure Center(in Procedure Center)

• Unit substations, transfer switches, distribution panels

• Fed from switches in new Electrical Building

Mechanical

• Extent of mechanical system in Central Plant remains as

is – systems rebalanced

• Add new fuel oil tank for generators In new Procedure

Center

• New steam-to-water heat exchangers with pumps

• Air-handling units

Extend and modify chilled water and steam piping mains

EXISTING

ED ENTRY

NEW PROCEDURE

CENTER ENTRY

EXISTING INPATIENT ENTRY

EXISTING REHAB ENTRY

Background Phase 2 Scope

• Imaging / Emergency Departments

(57,100 BGSF )

• Central Plant

• Associated site work

The Imaging and Emergency Departments are in the

existing Hospital And require crossing the main public

corridor to access the Procedure Center. Structural bays

and floor-to-floor heights make expanding in place

difficult.

Make Ready Requirements

• New Central Plant and cooling towers

• Relocate displaced departments in the

Hospital and Central Plant

• Demolish existing Central Plant and

cooling towers

• Rework loading dock at Rehab Building

Implementation Phase 2 – Imaging and Emergency Departments

EXISTING MAIN

CLINIC ENTRY

NEW PROCEDURE

CENTER ENTRY

EXISTING INPATIENT ENTRY

EXISTING REHAB ENTRY

NEW IMAGING / ED ENTRY

57

Infrastructure Masterplan - Phase 2

Electrical • Add additional distribution equipment for new and

relocated mechanical loads in new Central Plant

• Add and modify distribution equipment in Imaging/ED

Mechanical New Central Plant

• Migrate existing 2 chillers

and associated pumps

• New cooling tower pumps

• New chilled water distribution pumps

• Add new steam boilers as back-up for

UND steam supply

• Relocate and upgrade building automation management

control center

Adjacent to new Central Plant

• Add new cooling towers and associated pumps

• Demo fuel tanks and add new fuel tanks

• Relocate O2

Existing Plant

• Demo building and equipment that is not to be relocated

• Maintain small distribution hub in location of existing plant

for incoming steam

• Rework existing steam piping to accommodate new

building layout

In Image/ED Building

• New steam-to-water heat exchangers with pumps

• Air-handling units

Extend and modify chilled water and steam piping mains

58

EXISTING MAIN

CLINIC ENTRY

NEW PROCEDURE

CENTER ENTRY

EXISTING INPATIENT ENTRY

EXISTING REHAB ENTRY

NEW IMAGING / ED ENTRY

Background Phase 3 Scope

Make Ready Requirements

Schedule

Current Cost Estimate

• Bed Tower – 220 beds (180,840 BGSF )

• Program relocation

• Demolition

• Associated site work

30 Months (Design and construction)

Bed Tower, program relocation, demo and associated site work:

$81,852,205 (Project Cost)

With a new diagnostic and treatment

platform complete and an aging

existing Bed Tower, a new Bed Tower

is able to begin construction.

None

Implementation Phase 3 – Bed Tower

NEW PROCEDURE

CENTER ENTRY

EXISTING REHAB ENTRY

NEW ED DROP-OFF NEW INPATIENT AND

OUTPATIENT ENTRY

59

Infrastructure Masterplan Phase 3

Electrical • Add additional distribution equipment for new and

relocated mechanical loads in new Central Plant

• Add and modify electrical equipment for new tower

Mechanical Central Plant

• Add 4th chiller and associated pump

Adjacent to Central Plant

• Add 1 new cooling tower with associated pumps in the

Central Plant

In new Bed Tower

• New steam-to-water heat exchangers with pumps

• Air-handling units

Extend and modify chilled water and steam piping mains

60

NEW PROCEDURE

CENTER ENTRY

EXISTING REHAB

ENTRY

NEW ED DROP-OFF NEW INPATIENT AND

OUTPATIENT ENTRY

Phase 4 Scope

Make Ready Requirements

• Main Clinic (140,500 BGSF)

• Demolition

• Fleet vehicle building

• Associated site work

Utility Modifications

Background The Main Clinic is undersized by

current design standards with no

capacity for adding new physicians

Implementation Phase 4 – Main Clinic

NEW ED DROP-OFF

NEW INPATIENT AND

OUTPATIENT MAIN

ENTRIES

NEW PROCEDURE

CENTER ENTRY

61

Infrastructure Masterplan Phase 4

Electrical • Provide exterior normal and emergency feeders from Electrical

Building to new Clinic

Mechanical In new Clinic Building

• New steam-to-water heat exchangers with pumps

• Air-handling units

Extend and modify chilled water and steam piping mains

62

EXISTING REHAB

ENTRY

NEW ED DROP-OFF

NEW PROCEDURE

CENTER ENTRY

NEW INPATIENT AND

OUTPATIENT MAIN

ENTRIES

Future Growth

Case Study #3 Existing Campus

Phased replacement of 1970’s campus

Through 4 large phases and multiple make ready projects

Address sustainability and resiliency

Address electrical and mechanical code deficiencies

Provide measures to address natural disasters

Maintain occupancy for all phases until project completion in 2024

THANK YOU!

Questions, Comments and Queries