Alkek Expansion - MD Anderson Cancer Center

siennatearfulUrban and Civil

Nov 25, 2013 (3 years and 11 months ago)

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Alkek Expansion


Pre
-
Submittal Conference

October 5, 2006

Team Members



Jim Waters,
Project Director, Shell and Core


Janet Sisolak,
Project Director, Interior Build
-
out


Pam Redden,
Project Director, Clinical Operations


Dan Butterwick,
Chief Architect


Greg Hudgins,
Project Manager

Project Organization


Facilities Steering Committee
Executive Steering
Committee

Core Team

Project Directors
Jim Waters
,
Core and Shell
Janet Sisolak
,
Interior Buildout
Feasibility Study



Conducted from

December 2005 through July 2006


Impacts Evaluated


Construction Impacts



Design Impacts



Operational Impacts



Downstream Impacts


Construction Impacts




Site Logistics/Staging


Construction Access


Construction Supply
-

Bates and Bertner


Crane Placement & Removal


Vibration/Noise


Waterproofing


Infection Control
-

dust


Safety
-
dropped loads





Construction Impacts


Site Logistics/Staging







o
Create Contractor’s
Entrance to Rotunda

o
Removal of Canopies

o
Closing West
Entrance to Rotunda

Construction
Access


Allow for
emergency exits


Keep reception
desk open


Keep
construction
traffic out of the
main lobby


Maintain access
to Physical
Therapy

Construction Impacts


Construction Supply
-

Bates and Bertner





Intermittent
Lane
Closures
along
Bertner
and Bates
will be
required

Construction Impacts


Crane Placement & Removal





In existing empty staff
elevator shafts

Construction Impacts




Site Logistics/Staging


Construction Access


Construction Supply
-

Bates and Bertner


Crane Placement & Removal


Vibration/Noise


Waterproofing


Infection Control
-

dust


Safety
-
dropped loads





Design Impacts



Structure


continuation of concrete frame


Use of lighter weight wall panels


fiber reinforced
concrete


HVAC Issues


Electrical Issues


Plumbing Issues


Wind Tunnel Study





Impacts to Number of Beds per Floor



Changes to Codes and Standards


Increased Room Size


Increased Toilet Size


all fully accessible

Operational Improvements


Additional space to accommodate Murphy
Beds and to allow appropriate circulation for
nursing


Flexible Acuity Room Design



Current 52
-
Bed Floorplate



Proposed Floorplate


40


44 beds

Design Impacts



Maximize footprint by eliminating deep
recesses at windows, put square footage back
into patient room


Overall appearance of the tower can be
preserved





Design Impacts


Shift stairs and major mechanical chases
closer to elevator core, creating more support
space directly adjacent to nursing unit


Transition can happen at Level 13, the new
mechanical floor





Elevators


Infill two
existing
shafts for
staff


Create 6 new
passenger
cabs

Design Impacts



Optimal sequence for future build
-
out





o
Growth model may drive recommendation for
build out (Inpatient vs. Outpatient vs. support)

o
Sequence should minimize disruption to
occupants as shell floors are built out.

Proposed Stacking



Floor
Proposed Alkek
Beds
Proposed Lutheran
Beds
21
Shell
20
Shell
19
Shell
18
1/2 Shell - 1/2 Med/Surg
20
17
Med/Surg
40
16
Med/Surg
40
15
Med/Surg
40
14
Med/Surg
40
13
Mechanical
GMP Lab
12
Med/Surg
Consider full remodel for 20 rooms or 1/2 for 46
40
Med Surg
32
11
Med Surg
52
Med Surg
32
10
Med Surg
52
Med Surg
32
9
Pediatrics
Children's Hospital incl ICU
52
Med Surg
32
8
Mechanical
Med Surg
32
7
ICU
54
Med Surg
32
6
Interstitial
Med Surg
32
5
ORs/Frozen Section,
Stage 1 PACU
Stage 2 PACU
4
Interstitial
Med Surg
32
3
DI, Cytopathology, FNA, Procedure
Suite
DI Expansion?
ARD Unit? Cytopathology?
2
Interstitial/Park
Emergency Center
1
Pathology, PT/OT
Emergency Center
International Patient Center
B
Sterile Processing
Radiation Oncology
430
256
Total Beds Lutheran + Alkek
686
Projected Need
673
2012
Vacant during construction

Shell

Operational Impacts



Closing of Rotunda drive and west entrance


Visitors
-

Garage 2


Valet Operations


Access


Flooding Exposure


Discharges


Patient Advocacy/Visitor Center/Porcelain Bird
Collection


12th Floor/protected environment rooms


PT/OT


Closure of gardens used for gait
training and pet therapy








Alkek Drive and West Entrance


How can the duration be mitigated?



G12 must be vacated


Potential staging area for contractor, but space
must be preserved


Operational Impacts

Key Issues





Questions?