Facility Functional Assessment

CRITERIA OVERVIEW

Analysis of functional capabilities for inpatient or ambulatory patient care

• University MOB
  • present use: Pharmacy, Pathology, physician offices, on-call
• University Hospital
  • present use: Inpatient care
• Butterworth Building
  • present use: HR, Recruitment, PPR and offices
• Delgado Building
  • present use: Clinics (Podiatry and Dermatology)
• L&M Rehab Building
  • Physical Therapy, Rehab and offices

Spatial and environmental aspects evaluated

• Physical walkthrough with facilities representatives
• Review of drawings
• Evaluation of each building was performed to determine functional capabilities for either ID or Ambulatory Patient Care

Criteria weighting and scoring example

An overall score of less than 50% is marginal for reuse for patient care:

• Ambulatory care might be achieved with major renovation
• Office support use requires moderate renovation

The following characteristics were evaluated and weighted:

• Physical over new
• Functional Assessment
• Structural Adaptability
• Efficiency
• Quality of Environment
• Support Infrastructure

CONCLUSIONS

	Arch	MEP
University Medical Office Building
Score	79%	72%
Recommendation Renovate to convert to Ambulatory Clinics
University Hospital
D&T Base score	77%	63%
Nursing Unit score	58%
Critical Care Unit score	68%
Recommendations Develop option to renovate for Ambulatory Clinic use Develop option to renovate
Butterworth Building
Score	48%	39%
Recommendation Continue office support with renovation
Delgado Building
Overall Score	44%	44%
Recommendation Continue office support with renovation
L&M Rehab Building
Overall Score	48%	57%
Recommendation Renovate for physician office or office support use

ARCHITECTURAL

University Medical Office Building

Score	A-48%	MEP-39%
Recommendation	Continue office support use with renovation

• 7 Floors plus penthouse
• 75,600 SF
• Floor to floor height:
  • 14’-0” floors 1 and 2
  • 11’-4” floors 3 to 7
• 20’ bays good exam and office module
• Central core with open floor plate
• Fifth floor bridge to hospital

Architectural

• Structural bays good for MOB or other non-hospital uses
• Floor plate good for MOB or other non-hospital uses
• 5th floor bridge to University Hospital
• Building appears to be in good condition
• Type B occupancy
• Elevators remodeled and computerized

Mechanical/Electrical/Plumbing

• New sprinkler system and fire pump
• New fire alarm tied to University Hospital
• Mechanical system connected to central plant
• Full IT network
• AHU coils and fan motors being upgraded
• Ductwork is internally insulated
• Adequate floor to floor height
• Penthouse air handlers
• Energy Inefficient
• Upgrade Pneumatic Control System to DDC
• Public toilet fixture count does not meet code
• Inadequate lighting
• No generator

University Hospital

Score	A-48%	MEP-39%
Nursing Unit Score	A-58%
Critical Care Unit Score	A-68%
Recommendation	Develop option to renovate for Ambulatory Clinic use Develop option to renovate for support services use

• 8 floors plus basement and penthouse
• 364,400 SF
• Floor to floor height:
  • 15’-0” basement
  • 15’-0” first floor
  • 13’-8” floors 3 to 8
• 24’ wide bays patient units (30’ required)
• 42’ wide patient wing (53’ minimum required)
• 72’ wide patient wing core
  • 18’ exterior wall to corridor (22’ required)
• Total beds - 415

Architectural

• Structural bays DO NOT accommodate acuity adaptable or universal patient rooms, would be with significantly fewer beds if possible
• Structural bays could accommodate clinical modules
• Tee shaped nursing units create public access problem
• Building appears to be in relatively good condition
• Type I occupancy

Mechanical/Electrical/Plumbing

• Ventilation system undersized
• 7th and 8th floor HVAC systems have been replaced
• Plumbing and Medical gas systems do not meet current standards
• Electrical system issues
• Air filtration systems do not meet AIA Guidelines (No HEPA)

Architectural

• Basement services subject to flood hazard
• Poor logistics distribution CMS and CSS to surgery and units
• Patient, staff and logistics elevator use combined
• 24 critical care beds = 4% 0f 415 bed total (does not account for Charity Hospital ICU beds)
• Conversion to all private patient rooms yields total of 210 - 220 beds (including maternity and critical care)

Mechanical/Electrical/Plumbing

• Floor by floor air handlers afford flexibility
• Floor to floor heights inadequate for flexibility
• Internally insulated ductwork
• Building has negative pressure
• Emergency electrical systems inadequate
• Main electrical service below grade

Butterworth Building

Score	A-48%	MEP-39%
Recommendation	Continue office support use with renovation

• 5 floors plus penthouse
• 26,300 SF
• 10’-0 +/- Floor to floor height:
• 20’ bay which accommodates office use
• No central core Architectural
• It is a building with enduring aesthetic appeal
• Floor to floor height +/- 10’-0”
• Building is not ADA compliant
• Stair widths and landings do not meet code
• 9” floor tile appears to be vinyl asbestos
• Elevator must be replaced

Mechanical/Electrical/Plumbing

• No central A/C system
• Probably upgrade with fan coil system
• Suitable for offices or clinics with upgrades
• Limited flexibility
• No chilled water available
• Partially sprinklered
• Replace plumbing system
• Replace fire alarm system
• Replace electrical system
• Fire pump required

Delgado Building

Score	A-44%	MEP-44%
Recommendation	Continue office support use with renovation

• 3 floors plus penthouse
• 15,900 SF
• 12’-0 +/- floor to floor height:
• 12’ bay width accommodates office use
• Central core architectural
• Front entry is not ADA compliant (ADA access at back entry)
• Floor to floor height +/- 12’-0”
• Building is not ADA compliant
• Verify that stair widths and landings meet code
• Step up to all toilet rooms
• 6’-0” wide exam room module
• Elevator must be replaced

Mechanical/Electrical/Plumbing

• Has central A/C system
• Electrical and fire alarm upgrade
• Suitable for offices or clinics with upgrades
• HVAC system is old and requires replacement
• 12’ floor to floor height affords adequate office use flexibility
• Sprinkler system not required
• Electrical upgrade required

L&M Rehab Building

Score	A-48%	MEP-57%
Recommendation	Renovate for physician office or office support use

• 3 floors plus penthouse
• 15,900 SF
• 12’-0 +/- floor to floor height:
• 12’ bay width accommodates office use
• Central core architectural
• ADA ramp at front entry
• Toilets not ADA compliant
• Verify that stair widths and landings meet code
• Manual elevators must be replaced (2)

Mechanical/Electrical/Plumbing

• Radiator heating system
• Central A/C with internally insulated duct work
• Suitable for offices or clinics with upgrades
• 12’-8” floor to floor height affords adequate flexibility
• Replace domestic hot water system
• Replace sanitary sewer system
• Upgrade sprinkler system
• Replace HVAC system
• Upgrade electrical system
• Under-sized generator