LPCH Hospital Expansion & Renovation VISION SESSION #1 September 20-22, 2006

1. LPCH Hospital Expansion & RenovationVISION SESSION#1September 20-22, 2006

2. Today’s Agenda • Introduction to Vision & Program Phase • Overview of LPCH Addition & Renovation (Phase 2) • Process & Schedule • Parameters of Project • Goals for the Vision Sessions • Today’s Goals

3. LPCH Master Facility Plan Objectives • Meet Strategic Program Goals:Increase inpatient bed, operating room, & outpatient capacity for growth in Centers of Excellence • “Right-size” for 300+ Bed Hospital: Diagnostic, support, & administrative space • Incorporate Family-Centered Care Philosophy: Private rooms; enhance sleep space and amenities • Operational Efficiency: Unit size; incorporation of technology to support clinical care • Promote Wayfinding/Service Delivery-Integrated facility • Adequate Parking/Site Support for 300+ Beds • Future Flexibility

4. LPCH Hospital Expansion & Renovation • 250,000-375,000 sf New Inpatient (approx. 104 new beds) • 25,000 – 50,000 sf New Outpatient • Macro Program and Master Plan Completed (determines overall size and site use) • Detailed Program Commencing (determines specific adjacencies, and department & room sizes) • Vision Process - Our Practice in 10 years? 15 Years? • Entitlements Process

5. 2 SUMC 2009-2010 Relocate 1101 Tenants & Demolish Building 1 Construct New 700 Car Parking Structure 2 3 Demolish PS-3 Relocate 703 Welch Tenants & Demolish Building 1 Renovate Hoover for 1101 Welch Doctors 2

6. SUMC 2010-2020 SHC Replacement – 1,100,000 sf + Underground Parking 1 2 Connection to HMP Central Plant Connection/Upgrade 3 + 4 Connection to SoM LPCH Expansion – 425,000 s.f. 1 New LPCH Parking for 300 Cars 2

7. SUMC 2010-2020 SHC Replacement – 1,100,000 sf + Underground Parking 1 Connection to HMP 2 Replacement of SoM Buildings – 490,000 sf 4 + 6 Future SoM Project LPCH Expansion – 425,000 s.f. 1 New LPCH Parking for 300 Cars 2

9. More Space for Patients, Visitors, Staff Legacy Salmon Creek and Doernbecher Children’s Hospital

10. Organization Executive Committee LPCH Board of Directors Steering Committee • FUTURES • Service Line Mtgs. • Direction & Parameters • Multiple Scenarios • Advancing Technologies • Principles of Care • Disease Management • Reliability & Safety Vision / Futures Phase 2 Mgmt. Project Resources User Groups Inpatient Departments User Groups Outpatient Departments Service Lines & Broad Focus Groups Clinical Transformation • PROGRAMMING • Specific Dept. Mtgs • Determine Sizes & • Requirements Infrastructure

11. Organization FUTURES PROGRAMMING

12. Design Schedule

13. Vision Process • How do we • design a building • that we will occupy • in 8 years? • Planning for the future …

14. Vision Process • How Do We Want to Practice in 10 years? 15 years? 20 years? • Multiple Scenarios for Practice • External Resources – Experts/Futurists • Meetings – Service Lines, Broad Focus Groups • Set Basic Direction & Parameters for Detailed Programming

15. Programming • Document used by Architect Design Team • - Department (adjacencies, operations, function, size) • - Rooms (function, size, special requirements) • Meetings with Each Department • Vision Complement to Each Meeting • Work Within Established Parameters

16. Getting Started • Vision Meetings – Sept-Nov ‘06 • Detailed Programming – Oct ‘06-Feb ’07 • Design Starts in Jan ‘07 • Lots Going On! • - Clinical Transformation • - Opening Phase 1 Departments/Services • - Vision / Programming • - Design

17. Parameters • 375,000 sf inpatient • 50,000 sf outpatient • Work within confines of Macro-Program • Phase 1 integrated with Phase 2 • Project is an addition to existing hospital

18. Goals for Visioning • Identify Reasonable Scenarios (multiple) • Define Guiding Principles for Programming & Design Teams • Input from Key Leaders • Multi-disciplinary discussion facilitates scenarios for flexibility … anticipating Design Process

19. Vision Round #1 Agenda • Introductions • Key Aspects of Service Lines/Clinical Lines that impact the future in terms of physical space or operational flow • Likely Scenarios for Flexibility • Practice • Technology • Patient Care • Family-Centered Care • Quality & Safety

20. Vision Round #2 Agenda • Benchmarks • Likely Future Scenarios • Cross-Pollination for Flexibility • What Needs to Be in Hospital? • Vision Round #3 Agenda • Determination of Guiding Principles • Key Features/Operating Goals To Be Incorporated in Programming

21. Vision Round #1 Agenda • Introductions • Key Aspects of Service Lines/Clinical Lines that impact the future in terms of physical space or operational flow • Likely Scenarios for Flexibility • Practice • Technology • Patient Care • Family-Centered Care • Quality & Safety

22. LPCH Hospital Expansion & Renovation

23. Overall Schedule • Programming • Schematic Design - Concepts • Design Development - Refinement • Construction Documents – for the Contractor • OSHPD – for the Permit • Construction – when it gets real • Occupancy – equipment & furniture is moved in and tested Sep ’06-Feb ’07 Jan ’06-Jun ’07 Jul ’07-Dec ’07 Jan ’08-Dec ’08 Jan ’09-Dec ’09 Dec ’09–Dec ’13 2013-2015 (renovation work follows new building)