UCSF Medical Center at Mission Bay - University of California€¦ · UCSF Medical Center at...
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UCSF Medical Center at Mission Bay Cindy Lima Project Director UCSF Medical Center at Mission Bay September, 2008 SIXTEE NTH STREET SI XTE ENTH STREET FOUR TH STREET FOURTH ST REET Mark R. Laret Chief Executive Officer UCSF Medical Center J. Michael Bishop, MD Chancellor UCSF
Transcript of UCSF Medical Center at Mission Bay - University of California€¦ · UCSF Medical Center at...
UCSF Medical Center at Mission Bay
Cindy LimaProject DirectorUCSF Medical Center at Mission Bay
September, 2008
SIXTEENTH STREET
SIXTEENTH STREETFOURTH STREET
FOURTH STREET
Mark R. LaretChief Executive OfficerUCSF Medical Center
J. Michael Bishop, MDChancellorUCSF
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Agenda
• Background and introduction• Design presentation• Financial plan
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UCSF Medical Center• Track record of achievement in applying advanced
research to clinical care– Highest-ranked children’s hospital in Bay Area– Northern California's only nationally-designated
Center of Excellence in Women's Health– National Cancer Institute-designated Comprehensive
Cancer Center– Most kidney transplants performed in the world– Most liver transplants performed in Northern
California– Largest brain tumor treatment program in the nation
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Why UCSF Medical Center at Mission Bay?
• Comply with seismic law
• Address obsolete facilities
• Resolve capacity constraints
• Fulfill long-term potential for integrated clinical and research programs
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Why Now?
• 2013 deadline for Mount Zion Hospital retrofit or replacement
• 2015 extension requires plans for new hospital be submitted by December 2008
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UCSF Mission Bay Hospitals Milestones• 2000: UCSF begins hospital
replacement process• 2004-2006: Regents approve Mission Bay
hospital land acquisition • January 2006: Regents urge UCSF to pursue
Mission Bay project• May 2007: Regents approve fundraising
campaign• March 2008: Regents receive project update• May 2008: Regents endorse preliminary
design
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Planning Groundwork
• Design team led by healthcare experts Anshen + Allen
• Sustainability specialists William McDonough + Partners
• Nationally recognized DPR Construction, Inc., selected as general contractor
• Project delivery team with local market knowledge and strong OSHPD experience
• Lessons learned from other hospital projects• City agencies and elected officials engaged
Design
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Program – Phase 1
• 183-bed children's hospital urgent/ emergency care and pediatric primary and specialty ambulatory facilities
• 70-bed adult cancer hospital
• Women's hospital for cancer care, specialty surgery, a 36-bed birth center and select women's ambulatory services
• Energy center (central plant)
• Surface parking (450 spaces)
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Program – Future
• Cancer Outpatient Building & Parking (1A)– Outpatient clinical cancer center
(design now; build as soon as possible)– 580-car parking structure (total 1,030 spaces)
• Future – West Block Expansion (2)– Add up to 261 beds (550 total beds),
additional outpatient building and structured parking (total 1,400-1,750 spaces)
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Architectural Vision
• Transformative: Flexible, expandable, adaptable -incorporating evidence-based design, patient safety and family areas
• Distinct identities: Children’s, Women’s, Cancer
• Efficient: Operational, first and life-cycle costs
• Integrated: Translational research, multi-disciplinary, education
• Sustainable: Reduce carbon footprint, healthy environment, water conservation
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Sustainability
Byers Hall and Genentech Hall
HousingArthur and Toni Rembe Rock Hall
William J. Rutter Center
Architectural Context• UCSF
• Mission BayResearch Campus
• Neighborhood
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15 Phase 1 – Site Plan
Hospitals
Phase 2 Site
Temporary Parking
Phase 1A Parking Structure
UCSF Research Campus
Phase 1A Cancer Outpatient Building
Outpatient Building
Energy Center
N
Mariposa Street
Sixteenth Street
Ow
ens Street Third Street
Fourth Street
Phase 1
Phase 1.A
Mariposa City Park
Highw
ay 280
16 Phase 2 – Site Plan
Hospitals
UCSF Research Campus
Phase 1A Cancer Outpatient Building
Outpatient Building
Energy Center
Phase 2 Hospital
Phase 1A Parking Structure
N
Mariposa Street
Sixteenth Street
Ow
ens Street Third Street
Fourth Street
Phase 2 Clinical Plinth
Phase 2
Phase 2 Parking Structure
Highw
ay 280
Mariposa City Park
17 Landscape Site Plan
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50’ 100’ 200’
Graphic Scale
0’
PHASE 1A CANCER OUTPATIENT BUILDING
Mariposa Street
Sixteenth Street
Ow
ens Street
Fourth Street
PHASE 1A PARKING
STRUCTURE
MARIPOSA CITY PARK
Cancer View Garden
Fourth Street Plaza
S
Third Street Plaza
Women’s View Garden
Meditation Garden
Teaching Garden
Children’s Play Plaza
Campanile Plaza
Campus Gateway
Landscape Setback
18 View from Southwest
Children’s Hospital(183 beds)
Women’s & CancerHospitals (106 beds)
Energy Center
OutpatientBuilding
UCSFUCSFResearchResearchCampusCampus
Phase 1A CancerOutpatient Building
MAR
IPO
SA S
TREE
T
MAR
IPO
SA S
TREE
T
FOURTH STREET
FOURTH STREET NN
19 View from Southeast
ENERGY CENTER
CHILDREN’S HOSPITAL
WOMEN’S & CANCER HOSPITALS
SIXTEENTH STREET
SIXTEENTH STREET
FOURTH STREET
FOURTH STREET
THIR
D STR
EET
THIR
D STR
EET
MARIPOSA STREET
MARIPOSA STREET
PHASE 1A PARKING STRUCTURE
OUTPATIENTBUILDING
PHASE 1A CANCEROUTPATIENT BUILDING
OWENS STREET
OWENS STREET
NN
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East Elevation (Third Street)
West Elevation (Fourth Street)
Building Elevations
30’ 60’
Graphic Scale
0’ 120’
Children’s Hospital(183 beds)
Women’s & CancerHospitals (106 beds)
OutpatientBuilding
Energy Center
Phase 1A CancerOutpatient Building
Women’s & CancerHospitals (106 beds)
Children’s Hospital(183 beds)
21 Color-Coded Floor Plan – Level 1
N
30’ 60’ 120’
Graphic Scale
0’
Servery
Dining
Food Services
Plant Ops/ Materiel
ManagementEVS/ EH&S
Conference Center
Imaging
Radiation Oncology
Children’s Hospital
Lobby
Administration
Outpatient Building Lobby
Energy Center
Urgent Care / Emergency
Women’s & Cancer Hospitals Lobby
Third Street Entrance Lobby
22Color-Coded Floor Plan – Level 5
N
30’ 60’ 120’
Graphic Scale
0’
Peds Surgical Specialty Clinics
Sky Lobby
Waiting
Dental
PrepareRehabilitation Services
Women’s & Cancer Acute Care
Peds Acute Care
Peds Transitional Care
PedsChild Life
23 Color Scheme & Materials
Vision Glass Mullions Precast Concrete
Shadowbox/ Spandrel Glass Metal Stone Accents
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UCSF Medical Center at Mission Bay Children’s, Women’s & Cancer Hospitals
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FOURTH STREET
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Video Animation
Financial Plan
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$1.686 BillionProject Cost Breakdown
Design Fees$70M
Project Management
$30M
Surveys, Tests, Plans and
Specifications$22.8M
Special Items/Capitalized
Interest$174.6M
Contingency @ 5%
$54.7M
Equipment & Furnishings
$239M
Construction$1,094.9M
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$1.686 Billion Project Funding Sources
Gifts$600M
State Funds$200M
Children's Hospital Bonds
$69M
Medical Center Equity$117M
Medical Center Debt
$700M
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Medical Center Debt: $700M
• UC Medical Centers Pooled Credit Revenue Bonds
• Debt capacity verified by UC Finance and Lehman Brothers
• Primary repayment source: hospital cash flow
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Medical Center Equity: $117M
• $81M from hospital operating cash flow– Average annual cash flow FY2004-
FY2008: $146M• $36M in interest income from gift-
funded portion of construction fund
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Children’s Hospitals Bonds: $69M
• $30M authorized in 2004 (Proposition 61)
• $39M on November 2008 ballot (Proposition 3)
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State Funds: $200M
• Targeting November 2010 ballot• Consistent with amounts received by
UCLA, UC Irvine and UC Davis for seismic repairs
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Gifts: $600M• Strong support from UCSF Foundation
and UCSF Medical Center Executive Council
• Premier campaign cabinet established• Fundraising campaign underway
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Financial Risks
• Operating performance does not support debt
• Voters do not approve ballot initiatives• Philanthropy does not materialize• Construction escalation exceeds
budget assumptions
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Amelioration of Shortfalls
• Compensate from other sources• Modify scope• Potential bridge financing • Seek state authorization to extend
seismic deadline • Implement Mount Zion retrofit and
clinical expansion
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• Benefits the University, San Francisco, California and the world
• Plan has been vetted against hospital projects locally, across UC and nationally
• We have the momentum and the opportunity
• We appreciate the magnitude• Risks and contingencies identified
UCSF Medical Center at Mission Bay
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UCSF Medical Center at Mission Bay
SIXTEENTH STREET
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FOURTH STREET
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Back up slides
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Outpatient Building (Sixteenth & Fourth Streets) NN
41Inpatient Buildings (Fourth Street)
NN
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Women’s and Cancer Hospitals EntranceNN
43Children’s Hospital
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44Children’s Hospital Entrance
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Children’s Hospital (Mariposa and Fourth Streets)NN
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Inpatient Buildings and Plaza (Third Street)NN
47Energy Center (Third Street )
NN
48Color-Coded Floor Plan – Level 1
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30’ 60’ 120’
Graphic Scale
0’
Servery
Dining
Food Services
Plant Ops/ Materiel
Management
Conference Center
Imaging
Radiation Oncology
Children’s Hospital
Lobby
Administration
Outpatient Building Lobby
Energy Center
Emergency / Urgent Care
Women’s & Cancer Hospitals Lobby
49Color-Coded Floor Plan – Level 2
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30’ 60’ 120’
Graphic Scale
0’
Adult Perioperative
Cancer Outpatient
Pathology
Clinical Lab
Radiation Oncology
Materiel Support
Sterile Processing
Children’s Perioperative
House Staff/ On-Call
50Color-Coded Floor Plan – Level 3
N
30’ 60’ 120’
Graphic Scale
0’
Sky Lobby Mother-
Baby Care
Concierge Medicine
Fetal Treatment Center
Waiting
Women’s Surgery
Satellite Op
PerinatalClinic/
Antenatal Test
PDC
IntrapartumCare
NCPL
ICN
51Color-Coded Floor Plan – Level 4
N
30’ 60’ 120’
Graphic Scale
0’
Waiting
Imaging Exam Suite Dialysis
Peds Primary Care Clinic
Peds Medical Specialty Clinic
Peds Clinics Shared Support
Sky Lobby Adult
ICUOn-Call
Administrative Support
PCICU PICU
Pediatric Transitional
Pharmacy
Respiratory Therapy
Compass Care
52Color-Coded Floor Plan – Level 5
N
30’ 60’ 120’
Graphic Scale
0’
Peds Surgical Specialty Clinic
Sky Lobby
Waiting
Dental
PrepareRehabilitation Services
Women’s & Cancer Acute Care
Peds Acute Care
Peds Transitional Care
53Color-Coded Floor Plan – Level 6
N
30’ 60’ 120’
Graphic Scale
0’
PCRC/ PTRT
Peds Specialty Clinic (Cancer)
ChildLife, Peds SS
Sky Lobby
On-Call
Women’s & Cancer Acute Care
PedsPark
Peds BMT Pediatric Hematology Oncology
Pediatric Acute - PCRC
