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The Hospital Seismic Mandate: A Balance Between Seismically Safe Buildings and Forced Closures

Delve into the seismic safety mandates for hospital buildings and the challenges they present, impacting closures and structural integrity. Explore case studies and evolving deadlines affecting healthcare sustainability.

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The Hospital Seismic Mandate: A Balance Between Seismically Safe Buildings and Forced Closures

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  1. The Hospital Seismic Mandate: A Balance Between Seismically Safe Buildings and Forced Closures Presented to the Bay Area Earthquake Alliance August 27, 2009 Roger Richter, Senior Vice President California Hospital Association

  2. Alfred E. AlquistHospital Facilities Seismic Safety Act • 1971 Sylmar Earthquake • 50 Hospital deaths • 1973 HFSSA for New and Major Renovations • 1967-1973 Medicare and Medi-Cal Boom • 1983 CSSC “California at Risk” • 19% of GACH Beds Compliant

  3. Alfred E. AlquistHospital Facilities Seismic Safety Act (Con’t) • 1989 Loma Prieta Earthquake • Two hospitals structural damage • Many had non-structural damage • 1994 Northridge Earthquake • $3 Billion in hospital damage • SB 1953 (Chapter 740) 1994 Statutes

  4. SB 1953 Implementation History • Based on SPC and NPC gradations • FEMA 178 only evaluation methodology • Approximately 1,100 hospital buildings at seismic risk

  5. Hospital Building Seismic Classification • SPC-1 • Potential Collapse 2008/2013/2015/2020 • SPC-2 • Life/Safety – Non-Operational 2030 • SPC-3, 4 and 5 • Remain Operational 2030 & Beyond • Also NPC Requirements

  6. SB 1953 Implementation Issues • Many issues arose: • Access Compliance/ADA • Non-structural costly • Some service areas would have to be inefficiently retrofittedin a piecemeal manner • Addressing non-compliant buildings affected compliant • With the late 90’s and early 2000’s building boom contractors and subs lost interest in complex hospital work • Mid-2000’s cost and shortage of materials

  7. Projected Mandate Costs (without financing costs):

  8. SB 1953 Deadlines Unrealistic • 1994 the first year California hospitals had negative O.M. • Force hospitals to close • Extended 2008 to 2013 & 2015 • 2030 by 2020 for financially stressed • HAZUS – approximately 50% of SPC-1s qualify for SPC-2

  9. California Hospitals and the State Economy

  10. Status of the Seismic Mandate Hospital Buildings by SPC Classification SPC-5 361 SPC-1 875 SPC-4 819 SPC-2 288 SPC-3 380 Source: OSHPD June 2, 2009

  11. San Francisco County Map Key SPC-1 Hospital SPC-2 Hospital SPC-3/4/5 Hospital County Boundary SPC Breakdown SPC-1 34 SPC-2 4 SPC-3 6 SPC-4 7 SPC-5 2 H H H

  12. Marin County Map Key SPC-1 Hospital SPC-2 Hospital SPC-3/4/5 Hospital County Boundary SPC Breakdown SPC-1 7 SPC-2 5 SPC-3 2 SPC-4 1 SPC-5 3 H H H

  13. Sonoma County Map Key SPC-1 Hospital SPC-2 Hospital SPC-3/4/5 Hospital County Boundary SPC Breakdown SPC-1 16 SPC-2 2 SPC-3 21 SPC-4 15 SPC-5 7 H H H

  14. Napa County Map Key SPC-1 Hospital SPC-2 Hospital SPC-3/4/5 Hospital County Boundary SPC Breakdown SPC-1 6 SPC-2 0 SPC-3 6 SPC-4 3 SPC-5 6 H H H

  15. Solano County SPC Breakdown SPC-1 3 SPC-2 0 SPC-3 7 SPC-4 8 SPC-5 9 Map Key SPC-1 Hospital SPC-2 Hospital SPC-3/4/5 Hospital County Boundary H H H

  16. Contra Costa County SPC Breakdown SPC-1 14 SPC-2 7 SPC-3 14 SPC-4 18 SPC-5 14 Map Key SPC-1 Hospital SPC-2 Hospital SPC-3/4/5 Hospital County Boundary H • 139 H H H

  17. Alameda County Map Key SPC-1 Hospital SPC-2 Hospital SPC-3/4/5 Hospital County Boundary SPC Breakdown SPC-1 44 SPC-2 20 SPC-3 26 SPC-4 19 SPC-5 17 H H H

  18. San Mateo County Map Key SPC-1 Hospital SPC-2 Hospital SPC-3/4/5 Hospital County Boundary SPC Breakdown SPC-1 24 SPC-2 7 SPC-3 9 SPC-4 3 SPC-5 6 H H H

  19. Santa Clara County Map Key SPC-1 Hospital SPC-2 Hospital SPC-3/4/5 Hospital County Boundary SPC Breakdown SPC-1 41 SPC-2 10 SPC-3 20 SPC-4 19 SPC-5 13 H H H

  20. Nine County Bay Area Totals

  21. Where Does the Seismic Mandate Go From Here? • Extensions • 2013 to 2015 for all hospitals • 2030 to 2020 for all hospitals • Additional annual extensions for extenuating circumstances • Fines for extensions for up to 5 years

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