The Evolution of a Public Academic Medical Center Replacement Project - Louis Saksen, Parkland...
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Transcript of The Evolution of a Public Academic Medical Center Replacement Project - Louis Saksen, Parkland...
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Commissioner Cantrell| February 1, 2013
Louis Saksen, AIA, Louis Saksen, AIA, FHFI ,Senior FHFI ,Senior Vice PresidentVice PresidentNew Parkland ConstructionNew Parkland Construction
iliili1954 Facility1954 Facility
Typ i ca l Nurs ing Un i t F loo rTyp i ca l Nurs ing Un i t F loo r
CURRENT CORRIDOR
Master Facility PlanMajor Components of each Scenario
Scenario A B C
Medical/Surgical/Trauma (M/S/T) 546 b li b d +36 St t i546 baseline beds +36 Strategic Investment beds New Build New Build New Build
Women’s and Infants Specialty Hospital (WISH) (280 beds) New Build Existing PMH Zale Liphsy
Teaching and Non-TeachingTeaching and Non Teaching Clinics, Administrative space Existing PMH Existing PMH Existing PMH
Community Oriented Primary Care 3 Additional 3 Additional 3 Additional
Community Specialty Clinic 1 Additional 1 Additional 1 Additional
2007 Blue Ribbon Panel2007 Blue Ribbon Panel
Master ProjectMaster Project Budget Summary July 10, 2009Budget Summary July 10, 2009
Gross Square Feet, Acute Care Hospital: 1,678,520 SF
Gross Square Feet, Administration Building: 269,000 SF
G S F t Cli i 387 000 SFGross Square Feet, Clinic: 387,000 SF
Gross Square Feet, Central Energy Plant: 71,000 SF
Total Gross Square Feet, Project: 2,405,520 SF
SummarySummary BudgetBudget
Land Acquisition $10,000,000
Acute Care Hospital $907,761,690
$Administrative Office Building $41,918,000
Demo PSSA & Occupational Health $4,345,000
Demo Lofland Warehouse $462,000
Site & Infrastructure Improvements $95,455,000
Teaching & Non-Teaching Clinics $87,297,000
Central Utility Plant $81,308,000
New Structured Parking (2,035 Spaces) $34,000,000
Demo Lofland Garage $985 000Demo Lofland Garage $985,000
Replace 500 Lingo Lot Spaces $1,096,000
Amelia Court Parking $4,000,000
Maple Avenue Parking $3,000,000
Bond Issue Scope November 2008Bond Issue Scope November 2008
Total Estimated Cost: $1,271,627,690
BARA E ti t f S t b 23 2009BARA Estimate of September 23, 2009
$1 684 785 471$1,684,785,471
Over Budget : $413,157,781
Mitigations 1
Size – 1,678,520 SF had risen to 2,351,251 SF
Changed the column spacing from 32 feet on center to 30 feet thereby reducing 300,000SF
Result by May 2010 63,470,199 budget deficitResult by May 2010 63,470,199 budget deficit
Mitigation 2
Set Budget Goals:
Goal Actual
S $50/SF $49/SFStructure $50/SF $49/SF
Interiors $45/SF $44/SF
MEP $120/SF $101/SFMEP $120/SF $101/SF
Total $300/SF $297/SF
January 2011 GMP
$905,390,262
$2,371,482 Under budget
New Board of Managers
Six of Seven replaced
February 2011February 2011
September 2011
CMS Sanctions Parkland
December 2011
C‐Suite replaced
• Subsequently 2 interim CEO’s
• 1 interim CMO, 1 interim COO, 2 interim CFO’s,
• 1 CNO currently vacant
June 2012
No original Board Members remain
Total Program FundingTotal Program FundingTotal Program Funding Total Program Funding June 21, 2012June 21, 2012
June 21 2012June 21, 2012
Budget at
• $130,082,541 deficit
Total Program Funding Total Program Funding February 22, 2013February 22, 2013y ,y ,
May 2013 May 2013 i ii iCommissioners CourtCommissioners Court
Total Program FundingTotal Program Funding
Total Program Funding, Cont.Total Program Funding, Cont.
Total Program Square FootTotal Program Square Foot
April 2014 April 2014 i ii iCommissioners CourtCommissioners Court
Total Program FundingTotal Program Funding
Over/(Under)
(610,756)
(198,956)(1,745,724)
(1,816,784)
(5,943,407)
Total:(10,315,627)
Total Program Not Yet ApprovedTotal Program Not Yet Approved
July 2014 July 2014 i ii iCommissioners CourtCommissioners Court
Total Program FundingTotal Program Funding
July 2014
Total Program Not Yet ApprovedTotal Program Not Yet Approved
July 2014
Cost and ScheduleCost and Schedule
Safety and DiversitySafety and Diversity
QualityQuality
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Commissioner Cantrell| February 1, 2013