WPAFB Hospital Renovation Gateway III. Matt White Walsh/Butt JV Jeremy Cobb - USACE. US Army Corps of Engineers BUILDING STRONG

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1 WPAFB Hospital Renovation Gateway III Matt White Walsh/Butt JV Jeremy Cobb - USACE US Army Corps of Engineers

2 Overview Scope Phasing Issues/Challenges Questions Topics 2

3 Medical Center Overview The current 786k sf Medical Center was built in 1956 with an addition in Serves approximately 58,000 beneficiaries. Active Duty, Dependents, Retirees Parts of the facility have been upgraded within the last five years to bring outpatient clinical areas and inpatient ward infrastructure up to modern clinical standards. The majority of the Medical Center still required modernization. 3

4 Project Overview Renovation of the Wright Patterson Medical Center, (building 830). The project also includes infrastructure upgrades to the Central Utility Plant, re-roofing and upgrades, and a small landscape/green space dining area. Scope Renovate SF: 258,890 SF of 786,000 SF Electrical Distribution System Replacement AHU Replacement/Upgrades

5 Organizations WPAFB 88 th Medical Group WPAFB 88 th Civil Engineer Directorate Air Force Civil Engineer Center HQ Air Force/Surgeon General Defense Health Agency (DHA) US Army Corps of Engineers, Louisville District Walsh/Butt Joint Venture (Contractor) HKS Inc. (Designer of Record) 5

6 Contract Overview Swing Space-Design Build (Separate Contract) Start: 17 Jun 11 Completion: 28 Nov 11 Primary Construction-Design/Bid/Build Start: 25 Oct 11 Completion: 09 Dec 14 Contract Duration: 1,141 days $90,000,000 +/- 6

7 Construction Safety Review Over 400,000 Man Hours Over 2,000 equipment-hours to date Over 900 New Employee Orientations Zero lost-time accidents Two Full-Time On-Site Safety Professionals Safety Applies to Tradesmen but also Patients, Staff, Visitors Every Action has the potential to Impact the Mission 7

8 Major Renovation Areas Surgery ICU Central Sterile Kitchen Education and Training Resource Management Mental Health Gastro Residency On Call Sleep Lab Medical Command Education and Train. Call Center Radiology/Mammo Orthopedics Perinatal ENT/Audio Opt./Opth. General Surgery Laser Eye

9 Minor Renovation Areas Medical Clinics (3 Clinics) Dental Women s Health Chapel Urology Housekeeping Nutritional Medicine

10 Project Footprint/Phasing Jan 2012 Jun 2013 Dec 2014 Progress: 3rd Floor 4th Floor 5th Floor Basement 1st Floor 2nd Floor

11 Completed Project Footprint

12 Challenges Infection Control Outages Surgery Phase I and II Central Sterile Temp Trailer Food Service Trailers Medical Equipment

13 Infection Control Risk Assessment Type of Work Temporary Partitions Sealing of Existing Establish Negative Air Pressures in Renovation Spaces Maintenance/Monitor/Report

14 Planned/Scheduled Outages Over 300 Outages to date Domestic Water, Heating Hot-water, Power-Normal, Lighting, Emergency, Critical, AHU, Medical Gases Aged Utilities-Non-Working Valves, Breakers, Equipment Coordination with Facilities and Users and scheduled way in advance

15 Surgery Located on the second floor Major Renovation Two Phases with Shutdowns in Between 5 ORs Now-4 More at the end Temporary Utilities to Serve Operations Phasing critical 9 ORs + 1 Hybrid OR (Imaging/Procedure)

16 Surgery Phasing 2A

17 Surgery Phasing 2B

18 Surgery Phasing 2C

19 Before and After Surgery

20 Before and After Surgery OR

21 Central Sterile Located in the Basement Requires a temporary shutdown and out sourcing of the Central Sterile services. Renovation includes a restructure of the flow of operations within the current foot print of the space and replacement of the washers and ultrasonic cleaner. 21

22 Central Sterile Swing Space Requested of Users to retain Inventory, Staff, and control of services. New Technology, unit, one of kind. Fully Functional CSS Maintenance and Service Challenges

23 Temporary Trailer Site FOOD SERVICE CENTRAL STERILE

24 Food Service Located in basement Renovated in place and will be extensive. Goal of this renovation - right size food preparation kitchen along with improving the customer flow and upgrade current equipment and infrastructure deficiencies. Utilize Kitchen Trailers to Retain Food Service on Site and Renovate in 1 Phase instead of 8 24

25 Medical Equipment Not Typically Purchased By Construction Contractors Months of Meetings to confirm equipment purchases Users want/need latest technology Coordination of Equipment, Options, Accessories-Joint Supply Schedule Re-use

26 Issues Existing/Differing Site Conditions Water Valves Fire rated shafts and chases Electrical Equipment HVAC Balancing, Digital Controls, Air Handlers, Ductwork Project Funding - Changes 26

27 QUESTIONS? 27

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