Design Criteria Package

Transcription

1 Design Criteria Package The Pavilion CP&M Project No Table of Contents PART 1 - EXECUTIVE SUMMARY Project Description Scope of Preconstruction Services... 4 PART 2 - PROGRAMMING Objectives Existing Conditions Program Drivers and Guiding Principals Perioperative Enterprise Diagnostic Imaging PART 3 - SITE UTILIZATION Studies Completed To Date Building Setbacks Pedestrian Bridge PART 4 - FACILITY STUDIES Regulatory/Code Issues Existing Infrastructure Assessment Block Diagrams PART 5 - CONTRACTOR LOGISTICS / CONSTRUCTABILITY ISSUES General Texas Medical Center Construction Requirements The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

2 Design Criteria Package The Pavilion CP&M Project No Temporary Floodwater Control Measures Closure of Rotunda/ Impacts to Bridges PART 6 - ARCHITECTURAL ANALYSIS Integration With Existing Architecture Exit Stair(s) Discharge Locations/Changes to Exit Strategy Level 7 Design Impact of Removing Rotunda PART 7 - CIVIL ANALYSIS General Site Utility / Civil Considerations PART 8 - STRUCTURAL ANALYSIS Structural Considerations PART 9 - MEP SYSTEMS ANALYSIS Overview Mechanical Utilities HVAC Systems Plumbing and Piping Systems Electrical Systems PART 10 - TELECOMMUNICATIONS ANALYSIS PART 11 - APPENDICES The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

3 Design Criteria Package The Pavilion CP&M Project No PART 1 - EXECUTIVE SUMMARY 1.01 PROJECT DESCRIPTION A. M. D. Anderson is currently expanding the inpatient room tower above its Albert B. and Margaret M. Alkek Hospital building (Alkek Hospital). Under the project, eight inpatient floors are being added. Each of these floors will accommodate 48 inpatient rooms. About half of the new inpatient floors are currently being built-out and 192 new inpatient rooms are expected to become available in early The balance of the floors is to be built-out over time. As the number of inpatients being treated at M. D. Anderson continues to grow, the demand for surgical and diagnostic imaging services will increase, as well. B. The Alkek Hospital footprint is maximized and has no capacity to add additional operating rooms or imaging equipment. To provide the additional space, M. D. Anderson has decided to build a new structure adjacent to the Alkek Hospital and the Lutheran Pavilion. Completion of this project will provide new space which will allow certain functions housed on levels 3 and 5 of the Alkek Hospital to be relocated, thereby facilitating the addition of operating rooms and diagnostic imaging suites in the future. While neither the design nor the construction of operating rooms or imaging suites within the existing Alkek Hospital are part of this project at this time, the design or the design and construction of either or both of these spaces could be added to the scope of the project during the pre-design phase or the design phase. C. Under this project, the first nine levels of the existing Alkek Hospital, including a basement, is to be expanded to the south. Optimization of the site will be achieved through the demolition of the existing Melcher Rotunda, allowing the existing Alkek and Lutheran floor plates to be connected on levels 1 through 7. This will provide immediate adjacency to existing imaging and surgical services on levels 3 and 5, respectively. Level 7 will provide a means for expanding surgical services with direct connectivity to the Intensive Care Unit (ICU). Level 8 will provide space for major mechanical, electrical and plumbing (MEP) equipment needed to serve this new facility. In addition, this expansion will provide covered drop-off and circulation for patients and visitors entering the Alkek Hospital or the Lutheran Pavilion from the southwest corner of the institution s Main Building. Finally, the expansion of the basement level will facilitate the expansion of sterile processing and the materials management component of the Perioperative Enterprise to support the addition of the operating rooms in the future. D. In order to align with the existing Alkek Hospital and Lutheran Pavilion floors, the new structure will include interstitial floors at level 4 and level 6 to house horizontal distribution of MEP systems. This expansion; however, should be designed to optimize opportunities to create occupiable space on these interstitial floors where possible. E. This expansion will also afford the opportunity to provide a new main entry or front door for the institution. To that end, the architecture should enhance the existing site image while still blending with existing architectures. The interior of the front door area is to maintain the character of the existing high ceiling entrance. The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

4 Design Criteria Package The Pavilion CP&M Project No SCOPE OF PRECONSTRUCTION SERVICES A. The scope of the preconstruction services to be provided by the design-build team is set forth in the Draft Agreement Between Owner and Design/Build Contractor, which is attached to the Request for Qualifications. B. Complete a Facility Program in accordance with the Facility Programming Guidelines promulgated by The University of Texas System Office of Facilities Planning & Construction. The completed program is to incorporate existing room-by-room programs, which are to be provided by M. D. Anderson, for Diagnostic Imaging and Perioperative Enterprise. C. In completing the Facility Program, the design-build team will be expected to analyze and make recommendations for resolving certain key issues identified below. It is expected that all project cost estimates will include all costs associated with implementing resolutions to these issues; 1. Issues associated with including a basement level, and the optimal size of the basement level expansion. 2. The development of strategies for providing the new facility with utility services. Known utility service issues include; a. Electrical service: Upgrade the existing service to meet the electrical demand of the new facility or install a new service to meet the demands of the new facility. b. Thermal energy service: Upgrade the existing thermal energy services (steam and chilled water) to meet the thermal energy demands of the new facility or install new service(s). In addition, evaluate the use of a heat recovery chiller(s), a desiccant dehumidification system to meet the heating and cooling demand of the new facility. c. Relocate existing utility services that are located in or routed through the project site, as well as develop strategies for providing interim services until new services are installed. Known utilities include; 1) Telecommunications service, at least two underground telecommunications duct banks. 2) Box culvert storm water collection system, including associated pumps. 3) Roof drain to storm sewer connection lines. 4) Sanitary sewer lines. 5) The floodwall and associated flood water protection devices. d. Protect existing utilities proximate to the project site from damage during construction. Known utilities include; The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

5 Design Criteria Package The Pavilion CP&M Project No ) Duct banks, storm sewer lines, steam, condensate, chilled water supply and chilled water return lines that are routed between Bertner Avenue and the floodwall. 3. Design and construct the third floor of the new structure to accommodate the installation of imaging equipment, with magnets rated up to 3 Teslas, in the future. Consider vibration, sound transmission, path for transporting equipment, shielding, etc. 4. On levels 3, 5, and 7, develop strategies for providing overhead mounting of sensitive equipment. 5. Develop strategies associated with reinforcing the roof over the sixth floor to facilitate greater expansion of the seventh floor. 6. Develop strategies associated with expanding the seventh floor to its fullest extent, including the impact on the intensive care unit located on the seventh floor of the existing hospital. D. Provide interior design services to include, but not necessarily be limited to, designing architectural elements and developing finish schedules for M. D. Anderson s review and approval, prior to issuing them for construction. E. Provide comprehensive furniture selection, planning and procurement services, including, but not necessarily limited to, furniture to be purchased by M. D. Anderson in addition to any furnishings to be procured by the design-build contractor. F. Provide comprehensive equipment and infrastructure planning and procurement services including, but not necessarily limited to, all equipment regardless of classification like architecturally significant equipment as well as any contractor provided, contractor installed, minor movable equipment. G. Provide Life Safety Code consulting as needed to support the project including, but not necessarily limited to, assisting M. D. Anderson in developing interim life safety measures as needed over the life of the project and designing alternate exiting means from the Alkek Hospital and Lutheran Pavilion that comply with requirements of the Life Safety Code. Determine the need for a smoke removal system in the new Lobby/Park configuration. H. Provide commissioning services to include the authoring of pre-functional and functional testing criteria, which will be utilized by the subcontractors to validate the functionality of their systems. M. D. Anderson will retain a third-party commissioning consultant to validate test criteria and witness tests. I. Provide acoustical and vibration studies to determine the impact the construction of the new facility will have on existing facilities and the surrounding area. J. Provide wind tunnel investigation and air entrainment studies to determine the impact that constructing the new facility will have on the air intakes and exhaust systems for existing facilities and the surrounding areas, and vice versa. The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

6 Design Criteria Package The Pavilion CP&M Project No K. Provide connections to existing soiled linen collection, electric track vehicle (ETV), and pneumatic tube systems. PART 2 - PROGRAMMING 2.01 OBJECTIVES A. Main Entry 1. A two-story covered drop-off drive will be created as part of this project. Removal of the existing Rotunda will require evaluation of the seating and circulation capacity in the new lobby space. In addition, programming and design for the relocation of patient discharge services needs to be addressed. 2. Balance the lobby and patient discharge space with the vehicular drop-off area. B. Perioperative Enterprise 1. A nine-month strategic study of the Perioperative Enterprise was conducted throughout FY2008, which culminated in a presentation to the Perioperative Executive Committee in June Projections for surgical growth suggest that by FY2015, the institution will require 50 operating rooms, 37 supporting inpatient cases and 13 supporting outpatient cases. 2. Three strategies for providing additional operating rooms were developed to meet these space demands. Ultimately, the institution decided to focus on consolidating its surgical services within the Main Building. 3. A Straw-Man room-by-room program has been completed and is appended to this Design Criteria Package (Appendix 2). Finalization of the room-by-room programming will be completed by M. D. Anderson under separate contract and will be provided for this project. C. Diagnostic Imaging 1. In general, it is the overall goal to consolidate all pediatric and inpatient imaging services in the Alkek Hospital. Currently, five functions are located on the third floor of Alkek - inpatient diagnostic imaging services, interventional imaging, Pediatric diagnostic imaging, a Fine Needle Aspiration clinic and Cytology lab, and a Non-operating room (Non-OR) Procedure Suite, which includes a Cardiac Catheterization lab. It is envisioned that this project will afford the opportunity to create a shared holding and recovery area for these services, creating a centralized receiving and dressing facility for all services. This would enable public access to the floor to be limited to the zone parallel to or south of the current patient elevator bank. Space currently occupied by Admission, Recovery, Discharge (referred to as the ARD ) supporting Diagnostic Imaging services would be The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

7 Design Criteria Package The Pavilion CP&M Project No renovated to provide increased inpatient imaging services. These renovations are not included in this project EXISTING CONDITIONS A. Perioperative Enterprise 1. Currently, M. D. Anderson has 31 operating rooms on level 5 of the Alkek Hospital. The southwest corner of the floor provides post-anesthesia care unit (PACU) services (29 beds) plus a central control room. The southeast corner of the floor houses Frozen Section, a satellite Pharmacy, Blood and Tissue Banks as well as miscellaneous support functions. Rooms range from 440 square feet to 500+ square feet, which includes 4 larger special procedure rooms. The breakdown of utilization is as follows: General Plastics, Lapro. Gyn H&N,Ophth Alkek Hospital Level 5 North Neuro Pain Ortho Thoracic Urology 8 IORT davinci Brain Suite 20 Cyst o Frozen Section, Pharmacy, Blood/Tissue Bank PACU 2. The Mays Clinic, located at the corner of Holcombe Boulevard and Bertner Avenue, houses 6 additional operating rooms. The average room size is 450 square feet with one operating room for special procedures, which is 660 square feet. The Mays Clinic has 18 The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

8 Design Criteria Package The Pavilion CP&M Project No Holding/PACU beds, 6 of which are private and can be used to support 23-hour observation. 3. The basement of the existing Alkek Hospital houses the Sterile Processing and Materials Management component of Perioperative Enterprise. All services are land-locked and growth has been accommodated to date via increasing numbers of shifts to process instrumentation and pack case carts. Alkek Hospital Basement Sterile Processing and Materials Management Sterile Supply The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

9 Design Criteria Package The Pavilion CP&M Project No B. Diagnostic Imaging: 1. Diagnostic Imaging services are located within the Main Building on level 3. Primarily outpatient services are located on the east half of level 3 (in the Rose Zone Old Clark, New Clark, Love and LeMaistre Clinic buildings). Inpatient services are located primarily in the Alkek Hospital, however; some outpatient services are provided in the Alkek Hospital, and some inpatient services are performed in the Rose Zone. Additional outpatient imaging services are also provided at the Mays Clinic and the Radiology Outpatient Center. Rad CT ARD PET IR Diagnostic Imaging Main Building - Level 3 Read Alkek Hospital Rad/ RF NM US CT MRI CT General Radiology Interventional Radiology MRI Nuclear Medicine Reading/ Film Ultrasound PET Admission, Recovery, & Discharge The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

10 Design Criteria Package The Pavilion CP&M Project No PROGRAM DRIVERS AND GUIDING PRINCIPALS A. Perioperative Enterprise 1. The primary drivers for Perioperative Enterprise are listed below. These primary drivers are to be considered during the completion of the program and the design for this new facility. a. Consolidation of surgical services. b. Right-sizing some existing operating rooms (current average is 450 square feet ideal is 650 for general operating rooms. c. Aligning equipment needs with operating rooms. d. Optimizing the existing sterile processing area. e. Optimizing the Perioperative Enterprise Materials Management area. f. Optimizing the prep of case carts or eliminating the need for them. g. Validating the capacity of the Frozen Section and expanding as necessary. h. Validating the capacity of the Alkek 5th floor Pharmacy and expanding as necessary. i. Validating the capacity of the Alkek 5th floor Blood and Tissue Banks that support the operating rooms. j. Confirm locations for supporting functions including administrative offices; information technology support; lockers; lounges, equipment storage, etc. k. Accommodating user specific technology needs. B. Diagnostic Imaging 1. It is the overall objective to consolidate all inpatient services in the Alkek Hospital and all outpatient services to the outpatient clinical area (Rose Zone) or the Mays Clinic (south of Holcombe Boulevard). In addition, pediatric outpatient services are not performed in the Mays Clinic, so consolidation of all pediatric imaging services in the Alkek Hospital footprint is an objective. Since many of these patients rely on Anesthesia services, adjacency to that service is also an objective. C. Nursing 1. A planful approach to the overall nursing strategy to support surgical services, imaging, non-or procedures and cardiac catheterization lab needs will drive decisions regarding post-anesthesia care unit (PACU) design, step-down units and shared support areas. This will support the objective to optimize bed utilization and staff support. The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

11 Design Criteria Package The Pavilion CP&M Project No PERIOPERATIVE ENTERPRISE A. POE Master Plan 1. Refer to Appendix 1 B. POE Straw-Man Programming 1. Refer to Appendix DIAGNOSTIC IMAGING A. DI Room By Room Programming 1. Refer to Appendix 3 B. DI Space Layouts 1. Refer to Appendix 4 PART 3 - SITE UTILIZATION 3.01 STUDIES COMPLETED TO DATE A. During 2007 and 2008 M. D. Anderson developed several conceptual studies to test the ability to better utilize the property currently located at the corner of Bertner Avenue and Bates Street. At this time, the institution envisions a multi-phased development of this site. This project is a first phase that would create a multi-story addition over a drop off drive, with a basement below. B. M. D. Anderson expects that this project will be implemented as a base project with optional alternates: 1. Base Project a. Demolition of the existing Melcher Rotunda and rework of site utilities. b. Basement level expansion to address deficiencies with Sterile Processing and Perioperative Enterprise Materials Management Services (Sterile Supply). c. Level 1 for a new front door and valet/drop-off drive for the Main Building. It is assumed that the drop-off drive area will be a two-story space. The drive will be used for both shuttle buses as well as private cars. Larger bus-type vehicles are not planned for this drive. A fume exhaust system with a carbon monoxide detection and alarm must be provided if required by the final design. The main lobby area will be integrated with the existing Alkek Park within the Main Building. Provide waterproofing at the Level 1 floor and drive structure. The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

12 Design Criteria Package The Pavilion CP&M Project No d. A partial level 2 to be provided as required for MEP distribution to serve the level 1 lobby and for pedestrian circulation. e. Level 3 for Diagnostic Imaging expansion, which may include shared recovery, patient preparation and holding, waiting, gowning and associated facilities to support not only General Radiography, but also Interventional Imaging, Non-OR Procedure Suite, Magnetic Resonance Imaging, as well as the Cardiac Catheterization lab patient mix. f. Level 4 for expansion of the existing fourth floor interstitial space and circulation. Provide waterproofing at interstitial floor structure. g. Level 5 for Perioperative Enterprise expansion, which may include relocation or expansion of existing PACU beds, inclusion of check-in, gowning and patient preparation for same-day surgical patients, and waiting. Alternative uses of this space may include relocation of the existing Frozen Section or relocation and expansion of other support services. h. Level 6 for expansion of the existing interstitial space and circulation. Consideration of providing additional surgical waiting on this floor needs to be evaluated. i. Level 7 for additional operating room space, PACU and support functions. j. Level 8 for major mechanical, electrical and plumbing equipment to serve this project and to support the remodeling of space in the existing Alkek Hospital. Provide waterproofing at interstitial floor structure. 2. Alternates 3.02 BUILDING SETBACKS a. In addition to a base scope of work related to the basement, an alternate to expand the footprint of the basement below the drive will be included. b. An alternate pedestrian bridge, connecting the new expansion on level 3 to the existing Texas Medical Center Garage 2 located at Bertner Avenue and Bates Street. A. M. D. Anderson has negotiated setbacks for this site, which are delineated in the following site layout. In general, the setback is 25-feet off the backside face of the curbs along Bertner Avenue and Bates Street PEDESTRIAN BRIDGE A. During the pre-design phase, studies are to be conducted to determine the feasibility of connecting a pedestrian bridge from the Alkek Hospital to Texas Medical Center Garage No. 2. It is envisioned that this bridge would connect into Level 3 of the Alkek Hospital with existing elevators providing access to other floors. The purpose is to allow family members and guests visiting the institution to more easily travel from the garage to the hospital. The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

13 Design Criteria Package The Pavilion CP&M Project No B. The bridge would serve pedestrians only and would be approximately 15 to 16-feet outside dimension with approximately 10-foot of clear interior space. Column locations on either side of Bates Street would need to be negotiated with the Texas Medical Center. The bridge should be self-supporting and should cantilever to Garage 2 and the new facility. Exiting should be assumed via existing Garage 2 or M.D. Anderson facilities, without the creation of separate exit stairs. Provide space for a security station at the hospital. PART 4 - FACILITY STUDIES 4.01 REGULATORY/CODE ISSUES A. Regulatory and Code information can be found in M.D. Anderson s Design Guidelines, Design Guideline Element Z2005, Attachment E to the RFQ EXISTING INFRASTRUCTURE ASSESSMENT A. An areaway along the west side of the Alkek Hospital provides a means for the delivery and removal of linear accelerators through the basement level of the Alkek Hospital. This pathway can be re-routed but must be maintained. B. An areaway providing make-up air for existing stair pressurization systems must beprovided. If it is determined that a smoke control system will be needed in the new Lobby/Park, makeup air must be provided. C. Outside air intakes on existing Alkek Hospital level 8 needs to be maintained. Updating of the wind tunnel and entrainment study completed as part of the Alkek Expansion project will be required. Consider building massing, generator exhaust, existing and new air intakes, and other exhaust systems. D. TECO chilled water and steam run along the western side of the property and must be maintained throughout the project. E. Existing ICU rooms on level 7 may be impacted along the southwest pod. Strategies for retaining these rooms must be evaluated. Build-out over the existing 6th floor roof area needs to be verified structurally BLOCK DIAGRAMS A. Refer to Appendix 4 for existing Diagnostic Imaging Space Layout plans. B. The following diagrams represent initial concepts regarding floor occupancy for the expansion: The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

14 Design Criteria Package The Pavilion CP&M Project No Basement Level Expansion Block Plan The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

15 Design Criteria Package The Pavilion CP&M Project No Level 1 and 2 Expansion Block Plan The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

16 Design Criteria Package The Pavilion CP&M Project No Level 3 Existing Alkek D.I. Level 3 Diagnostic Imaging Expansion Block Plan The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

17 Design Criteria Package The Pavilion CP&M Project No Existing Alkek DI Interstitial Level 4 Interstitial Expansion Block Plan The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

18 Design Criteria Package The Pavilion CP&M Project No Level 5 Existing Alkek POE Level 5 Perioperative Enterprise Expansion Block Plan The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

19 Design Criteria Package The Pavilion CP&M Project No Existing Alkek Interstitial Level 6 Interstitial Expansion Block Plan The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

20 Design Criteria Package The Pavilion CP&M Project No Level 7 Existing Alkek I.C.U. Level 7 Perioperative Enterprise Expansion Block Plan The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

21 Design Criteria Package The Pavilion CP&M Project No Existing Alkek Mechanical Mechanical Level 8 Mechanical Expansion Block Plan PART 5 - CONTRACTOR LOGISTICS / CONSTRUCTABILITY ISSUES 5.01 GENERAL A. During the programming phase of the project, due diligence is expected to be performed to identify and document constructability issues for the project, and to devise strategies for The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

22 Design Criteria Package The Pavilion CP&M Project No resolving those issues. It is expected that foreseeable logistics issues and the costs for addressing those issues will be identified and included in all construction cost estimates, including, but not limited to: 1. Determining the optimal location for material and personnel hoists. 2. Determining the optimal location(s) and configuration(s) for tower crane(s). 3. Determining the most effective use of available staging and lay down areas. a. On-site staging and lay down areas on the west edge of the project site and continuing adjacent to the Alkek Hospital building parallel to Bertner Avenue. Refer to Appendix 5 for Diagram. b. Off-site staging and lay down areas M. D. Anderson anticipates providing off-site staging and lay down areas to support the project. The design-build team will determine the optimal size of any off-site staging and lay down areas TEXAS MEDICAL CENTER CONSTRUCTION REQUIREMENTS A. The project site is located within the boundaries of the Texas Medical Center. All construction activities are to be conducted in accordance the requirements of the Texas Medical Center. These requirements can be found in the Texas Medical Center Architectural Standards, which are included within Design Guidelines. Key construction concerns include, but are not limited to: 1. Avoidance of lane closures. No construction vehicle traffic will be allowed to sit in or on Bertner Avenue or Bates Street and all loading or unloading operations should be assumed inside the existing on-site staging and lay down area. The design-build contractor should assume only limited short-term lane closures of Bertner Avenue and Bates Street for tasks such as tower crane erection and dismantle TEMPORARY FLOODWATER CONTROL MEASURES A. The institution s Main Building is currently protected from floodwater by a floodwall. The area around the project site is protected by granite clad concrete walls with mechanical floodgates to prevent floodwater from entering pedestrian and vehicle entrances. B. The scope of the project shall include the provision of temporary floodwater control measures to maintain the same level of protection from floodwaters throughout the construction phase. C. A stormwater pollution prevention plan (SWPPP) is expected to be implemented and monitored at the project site throughout the entire construction phase CLOSURE OF ROTUNDA/ IMPACTS TO BRIDGES A. To implement the project, M. D. Anderson s main entry into the Melcher Rotunda will be closed, which will have a significant impact on access to the Main Building. The design-build The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

23 Design Criteria Package The Pavilion CP&M Project No team will assist M. D. Anderson in determining and implementing alternate long-term means for entering the Main Building until the new front door is complete. B. While travel into the Main Building is understood to change, no limitations on travel between the Alkek Hospital and the Lutheran Pavilion on levels 1, 2 or the existing bridges may occur. The design-build team will be required to design and construct temporary exterior enclosures for these bridges. PART 6 - ARCHITECTURAL ANALYSIS 6.01 INTEGRATION WITH EXISTING ARCHITECTURE A. The exterior design of the new facility shall respect the vernacular of the adjacent facilities, and shall serve as an upgrade to the existing front door image of the institution. B. The development of interior finish requirements needs to consider the extent of interior renovations within the existing space. Options need to be included as part of this project to evaluate the utilization of the existing 1998 Alkek Hospital finishes versus the re-designed 2011 finish package being used for the upper floor expansion EXIT STAIR(S) DISCHARGE LOCATIONS/CHANGES TO EXIT STRATEGY A. Three existing Alkek Hospital exit stairs and one Lutheran Pavilion exit stair will be impacted by this project. The design-build team will need to modify these stairs as needed, but shall ensure that these exit stairs comply with all Life Safety Code requirements LEVEL 7 DESIGN A. The design and construction of level 7 to allow for further expansion of Perioperative Enterprise in the future is to be taken into account and coordinated structurally. The design of level 7 will also need to take into consideration the adjacency of the existing ICU and the impact on external views from existing patient rooms IMPACT OF REMOVING ROTUNDA A. Demolition of the Rotunda will require evaluation of components that will be retained to support on-going and future circulation needs. All existing elevators are to be retained and are to be operational throughout construction. Impact to the existing escalators as it relates to the basement excavation shall be evaluated. The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

24 Design Criteria Package The Pavilion CP&M Project No PART 7 - CIVIL ANALYSIS 7.01 GENERAL A. M. D. Anderson will be updating existing survey drawings for the site. This will include underground utilities and all topographic references. The updated drawings are to be available to the design-build team during the pre-design phase of the project. B. The items listed below are intended to reflect initial concepts related to this project and are to be verified by the design-build team during the pre-design stage of the project SITE UTILITY / CIVIL CONSIDERATIONS A. An existing box culvert system satisfies retention requirements for the existing building. This system will need to be maintained or relocated. The existing pumps that serve the box culvert will be required as there are no lines deep enough in either Bertner Avenue or Bates Street to support a gravity-fed system. The box culvert, flow lines, and equipment space access locations will need to be verified to minimize impact on patient drop-off operations. B. The existing sanitary sewer and storm sewer lines will need to be relocated and a new service for the building will need to be provided. C. The location and depth of the existing telecommunications and power duct bank will need to be verified. These lines will need to be relocated or avoided with the new construction. D. All the existing underground utilities currently serve the existing buildings. Existing service will need to be maintained and any new/relocated lines will need to be connected prior to any demolition. E. Additional underground utilities (electrical duct banks, storm sewer, etc.) exist between the existing floodwall and Bertner Avenue. Utilities in this area will need to be protected in place. F. TECO lines in the drop off area, particularly the steam expansion loop, may possibly require relocation. This will need to be closely coordinated with TECO. G. The new basement waterproofing and flood protection systems must be compatible and integrated with the existing Alkek Hospital and Lutheran Tower systems. PART 8 - STRUCTURAL ANALYSIS 8.01 STRUCTURAL CONSIDERATIONS A. M. D. Anderson anticipates that the new structure will be reinforced concrete due to the size constraints of the site and to avoid having to include intermediate structural bracing that would impact the layout of usable space within the new facility. The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

25 Design Criteria Package The Pavilion CP&M Project No B. M. D. Anderson expects that the basement foundation will be designed as a mat foundation or with spread footings, depending on the loads. In areas where there is no basement, it is expected that the foundation would be designed with clusters of appropriately sized auger cast piles or straight drilled piers with pile caps. C. M. D. Anderson anticipates that infilling the seventh floor to provide a contiguous space to the ICU can be accomplished, but will require some structural strengthening of the existing roof deck either through the installation of additional steel beams or by strengthening the existing structure through the use of carbon fiber reinforcement. D. It is expected that the foundations and columns supporting the bridges connecting the Lutheran Pavilion and the Alkek Hospital are independent and can be maintained when the Melcher Rotunda is demolished. PART 9 - MEP SYSTEMS ANALYSIS 9.01 OVERVIEW A. The following are intended to reflect initial concepts related to this project and are to be verified by the design-build team during the pre-design stage of the project. B. Mechanical, electrical, and plumbing services for the new facility should be considered as independent from the systems serving the existing Alkek Hospital MECHANICAL UTILITIES A. Based on the outcome of the services described in Part 1.02 of this document, chilled water, steam and condensate may require additional service connections from TECO pipelines located along Bertner Avenue. B. A new steam pressure reducing station and a new condensate receiver will be required. C. A new clean steam generator will be needed to serve Sterile Processing equipment. D. In designing the new facility to accommodate the installation of magnetic resonance imaging equipment, consideration must be given for the installation of process cooling water and quench piping HVAC SYSTEMS A. A new HVAC system, which includes variable volume air handlers with fan array applications, primary and secondary chilled water pumps, frame plate heat exchangers and exhaust fan and exhaust air plenum arrangements, is to be provided. B. Design the control sequences of the HVAC systems to have the capability to perform temperature setbacks to spaces when unoccupied or during night hours of operation for The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

26 Design Criteria Package The Pavilion CP&M Project No designated areas or rooms. New HVAC equipment and systems provided for this project are to be compliant with the requirements of ASHRAE C. M. D. Anderson maintains two (2) different versions of DDC building automation specifications. For this project, edit the BAS Retrofit master construction specifications. The BAS Retrofit specifications describe product and installation requirements for a Siemens Apogee system, to match the existing system at the Alkek Hospital. D. The secondary chilled water system, along with frame plate heat exchangers located on interstitial floors, should be designed so that they may be used to provide process cooling where required for diagnostic imaging equipment that may be installed in the future. E. A redundant air handling unit with associated supply and return air ducts will be needed to serve the existing operating rooms in the Alkek Hospital on the 5th floor, in addition to serving as an air handler for the new facility. This air handler will serve as a back-up unit for existing AHU-P-7-3. F. Hot water heating will be used for the re-heat coils at air terminal units and also for the pre-heat coils in outside air pre-treat air handling units. Redundant shell and tube type steam to hot water converters are to be used to generate heating hot water. If further study determines the heat recovery chiller to be viable option, then it will operate in conjunction with the hot water converters PLUMBING AND PIPING SYSTEMS A. New centralized medical vacuum equipment and compressed air source equipment are to be provided. B. New oxygen service lines routed from the institution s existing central oxygen tank are being installed as part of a separate project. Capacity to support the new facility is being incorporated into these lines. C. Other medical gases (nitrogen, nitrous oxide, etc.) will also be required. The source of these gases shall be determined as part of this project. D. New fire protection water supply pump and domestic water booster pump systems, water service break tanks, water treatment equipment, domestic hot water heating equipment and hot water circulating pumps are to be provided as part of this expansion. E. Catch basins and oil separators are to be provided to support the new driveway ELECTRICAL SYSTEMS A. If it is determined that existing electrical equipment cannot be used or upgraded, a new electrical service from CenterPoint at 4160 volts with dual service feeders shall be provided for this project. The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

27 Design Criteria Package The Pavilion CP&M Project No B. The main transformer and switches for the normal power feeds to the project must be placed at a location where the equipment will be in conformance with CenterPoint Energy s technical and physical clearance requirements. C. Redundant diesel generators and an emergency distribution panel located in the new facility will provide emergency power. A diesel fuel tank and transfer pump are to be located where a fuel truck can easily access the remote fill pipe, and the fuel transfer pump can supply the tanks incorporated with the diesel generator skids. PART 10 - TELECOMMUNICATIONS ANALYSIS A. To clarify the telecommunications evaluation, M. D. Anderson requires a study to determine the most economical course of action with regards to two (2) outside duct banks currently located on the proposed construction site of this project. These duct banks enter the Alkek building and contain large amounts of active connections that provide telecommunications transport for many critical areas of the hospital. These duct banks are used by both M. D. Anderson and Telecommunications Service Providers. B. Two possible alternatives are described as follows, however; other options may be considered so that their economic benefit can be weighed against the operational business needs of the institution. 1. Move all fiber and copper to newly created duct banks with new routes that avoid the construction area, or; 2. Preserve the existing duct banks with adequate access at all times during and after construction. C. M. D. Anderson requires that all telecommunications pathways leading to the new project do not use existing pathways within the Lutheran Pavilion. These pathways will be demolished long before the new building expansion reaches the end of its useful life. D. The new pathways should provide access to R and G M. D. Anderson requires a study to explore multiple routing options for these pathways. E. This project must consider an upgrade of existing telecommunications backbone as may be needed to accommodate robotics and new imaging equipment. PART 11 - APPENDICES A. Appendix 1: Perioperative Enterprise Strategic Plan B. Appendix 2: Perioperative Enterprise Programming The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

28 Design Criteria Package The Pavilion CP&M Project No C. Appendix 3: Diagnostic Imaging Programming D. Appendix 4: Diagnostic Imaging Space Layouts E. Appendix 5: Project Site Drawing END OF DESIGN CRITERIA PACKAGE The University of Texas DESIGN CRITERIA PACKAGE M. D. Anderson Cancer Center RFQ THE PAVILION Issued: March 22, OF 28

29 Appendix 1 Perioperative Enterprise Strategic Plan

30 Perioperative Enterprise Strategic Plan 2015 M.D. Anderson Cancer Center June 24, 2008 Page 1

31 Study Charge Create a master plan for the Perioperative Enterprise based on projected growth by 2015, aimed to accommodate anticipated growth in the surgical specialties improve utilization of operating rooms and patient holding resources progress toward an appropriate infrastructure to support advances in technology consider the condition of existing resources, and their contribution toward a flexible operative platform for the future Page 2

32 Perioperative Enterprise Vision Facility implications We will have the safest perioperative environment in the world. Standardized operating rooms and patient holding areas Equip rooms with tools to reduce congestions and avoid accidents Provide proximate locations of materials and equipment We will have the highest quality of perioperative outcomes. Right size operating rooms and support spaces Provide best possible information access and visibility Infrastructure to promote collaboration and real time communication We will demonstrate our Core Values. Care amenities, positive distraction, healing environment Integrity team spaces, adequate work space Discovery simulation center, communication Page 3

33 Broad Assumptions 1. Development of satellite surgery centers will not significantly 3ffect operations at the Main campus % average utilization of operating rooms can be achieved by 2015, through improved room scheduling, improved communication and shortened room turn time. 3. The majority of major multi team cases will occur in Alkek. 4. Minor procedures will be performed in a Procedure Center. 5. Space requirements will reflect industry benchmarks. Page 4

34 Definitions 23 hour Observation The patient stays up to 23 hours post procedure in the Alkek PACU, Post Transition Care Unit (P3) or the Mays PACU. Extended Stay The patient stays over 23 hours in the Post Transition Care Unit for the following reasons: Close observation is requested by the surgeon No inpatient bed on the surgeon's service is available No inpatient bed is available Page 5

35 Definitions Operating Room Turn around Time OR turnaround time used to calculate room utilization includes: Room set up time Patient in/patient out time Room clean up time Page 6

36 Physical Context Alkek Hospital 31 ORs Future North Site Option Mays Clinic 6 ORs Page 7

37 Table of Contents Demand by Year 2015 Existing Resources Operational Strategies & Physical Scenarios Functional Assessment Patient Flow Surgery Decision Pre Procedure Procedure Post Procedure Support Areas Clinical Support Material Support Staff Support Family Support Space Requirements (T.B.D. upon strategic direction) Page 8

38 Demand for 2015 Volumes Procedure Rooms PACU Beds Post Recovery Beds Page 9

39 2015 Projected Volume Projection Factors 22,000 based on assumptions for Specialty growth and change established in 2001 by Specialty Grid updated per 2007 actual volumes 22,000 cases per year by 2015 INPATIENT OUTPATIENT TOTAL CASES CASES CASES FY07 ACTUAL Inpatient 1,366 Same Day Admits 6,806 TOTAL 8,172 7,418 15,590 IP/OP Distribution 52% 48% 2015 PROJECTED Inpatient 1,896 Same Day Admits 9,595 TOTAL 11,491 10,494 21,985 IP/OP Distribution 52% 48% 41% Volume Increase Page 10

40 2015 Projected Volume Procedures +41% growth from % growth per year Fiscal Years Page 11

41 OR Demand over Time Procedures % growth from % growth per year Fiscal Years Total OR Demand IP OR Demand Multi-team OR Demand OP OR Demand Page 12

42 Operating Room Demand 2015 Demand Assumptions 250 scheduled day per year 10 hours scheduled per day 68% current national average for OR utilization M. D. Anderson experience similar Goal of 75% for improved utilization of capital resources 50 ORs at 75% utilization Disease Site 68% Utilization Rate 75% Utilization Rate Inpt Multi Outpt Total Inpt Multi Outpt Total BRAIN & SPINE BREAST ENDOCRINE GI GI - ENDOCRINE GI - GE GU GYN HEART & LUNG HEAD & NECK H&N - DENTAL H&N - OPTHALMOLOGY HEMA - BMT HEMA - LEUKEMIA HEMA - LYMPHOMA/MY INT MED - GEN ONC MOHS OTHER PAIN PEDIATRICS PLASTICS PREVENTION RADIATION ONC SARCOMA SARC - ORTHO SKIN - DERMATOLOGY SKIN - MELANOMA THORACIC THOR - ORTHO TOTAL Source: FY99-07 Grid Estimates and FY08-15 Projections provided by UTMDACC March 18, 2008, Tab labeled "Total # Surgeries" Page 13

43 Perioperative Bed Demand 2015 Planning Factor Range INPATIENT Factor applied for 2015 Procedure Rooms GENERAL PERIOPERATIVE BED NEED Pre-op Holding Spaces PACU Holding Spaces Stage 2 Recovery Spaces per OR 1.5 per OR per OR General OR Multi-case OR Total Current Capacity OUTPATIENT Factor applied for OR Minor Proc Room Total Current Capacity (Alkek) 6 (IR area) 18 (PACU/Stage /23 Hr Hold) Page 14

44 Existing Resources Main Alkek Characteristics ACB Mays Characteristics Procedure Room Considerations Technology Considerations Patient Holding Considerations Support Area Considerations Page 15

45 POE Resources Alkek Resources 31 operating rooms 27 general ORs 4 special/dedicated ORs 3 procedure rooms (on G 3 / separate floor) 34 PACU recovery spaces (1.1 per OR) 8 Stage 2 recovery spaces (0.25 per OR) 89,862 dgsf (excludes G 3 area) (2,899 per OR) The admin and staff support areas are On separate floor from Main Surgical Suite more appropriately sized than the actual procedure area On separate floor or in separate building (at a distance from Main Surgical Suite) THE PATIENT WORK FLOW Page 16

46 Alkek Hospital Level 5 Assignment: Head/Neck & Plastics Neuro, Ortho, Pain Surg. & Onc. Lapro. & Endo Gyn, Urology, Thoracic Total Number of ORs 27 General + 4 Dedicated/Special = 31 rooms Fixed Imaging System 8 Sterile Work Core IORT Sterile Work Core davinci Robot Brain Suite 18 Sterile Work Core Cysto PACU Control Service Elevators Pharmacy Surgical Pathology Frozen Section Prep Op Public Elevators North Total Floor Area (Less Elevators): 55,895 dgsf (excludes Surgical Pathology) Page 3,118 gsf 17