Lawrence Memorial Hospital Community Meeting Presentation December 12, 2018
Welcome! Sue Sandberg, MBA, RN Chief Executive Officer, Lawrence Memorial Hospital, MelroseWakefield Hospital Executive Vice President, Wellforce Panel Members Ryan Fuller , Lawrence Memorial Hospital Strategy and Business Planning Sarah Modine , Shields Health Care, Vice President Ambulatory Surgery Dr. Steven Sbardella , Lawrence Memorial Hospital Chief Medical Officer Sean Manning , VHB Director of Transportation Planning & Operation Justin Mosca , VHB Project Manager, Site/Civil Engineer 2
Agenda Lawrence Memorial Hospital ○ Advancing Care for the Community ○ A Member of Wellforce ○ Future Services Ambulatory Surgery Center (ASC) ○ Location, Traffic and Parking Next Steps Questions Timing: 6PM – 8PM 3
Best-in-Class Care for Our Community • Advanced care through partnerships, including with Tufts Medical Center • More services in the community • Greater access to care • Leading employer • Member of Wellforce health system 4
Lawrence Memorial Master Plan – Existing & New Services • INKHOUSE SLIDE 5
Ambulatory Surgery Center: Site, Parking and Traffic
Ambulatory Surgery Center Project ● Who is involved? ● Joint venture between Lawrence Memorial Hospital, Shields Health Care, and surgeons ● What happens in an ASC? ● Scheduled, day surgeries like colonoscopies, ear tubes, and knee ligament repair ● Lower cost, high-quality healthcare for patients ● ASC does not mean ambulances ● Outpatient care = future of healthcare ● ASC will be for-profit and will generate tax revenue for the city ● The hospital maintains its not-for-profit status 7
Civil / Traffic Engineer ● VHB is a professional engineering and planning firm based in Watertown, MA (1,300 professionals in 24 offices) ● ASC Project: Site/civil, transportation, site survey, landscape design ● Extensive list of local Hospital clients to whom we have provided transportation and parking studies, including: o Winchester Hospital o North Shore Medical Center o Mass General Hospital o Brigham & Women’s Hospital o And many more 8
For Site Location • Ease of Patient Access • Aesthetically inline (tucked in) with surrounding hospital buildings • Optimal ability to reconfigure parking • Preserves perimeter green space Governors Ave 9
For Site Location • Ease of Patient Access • Aesthetically inline (tucked in) with surrounding hospital buildings • Optimal ability to reconfigure parking • Preserves perimeter green space 10
ASC • One story building • Patient registration, 3 ORs, 2 procedure rooms, recovery suite 11
Proposed Ambulatory Surgery Center Site and Redesigned Front Parking 12
Proposed Ambulatory Surgery Center Site and Redesigned Front Parking 13
Parking and Traffic Study Goals ● Goal of the study is to estimate and quantify the incremental impacts of the Proposed Project on the area roadway network and on-campus parking ● Existing conditions ● Plus newly constructed ASC fully operational ● Plus ASC fully operational + new/expanded LMH services ● Peer review to be conducted by separate firm selected by the City 14
Existing Parking at Lawrence Memorial Hospital Existing Parking • 422 total spots • Front lots – 254 spots -- not adequately designed for today’s needs 15
Site with Proposed Ambulatory Surgery Center Proposed Parking • 361 total spaces provides adequate parking for future needs • New design proposed for front lots 16
Estimated Future LMH Campus Peak Parking 450 422 spaces School Of Nursing ASC Services LMH Services 400 361 spaces 361 spaces 350 328 spaces 329 spaces 279 spaces 300 250 200 150 100 50 0 Existing Condition + Fully operational ASC + ASC & new LMH services 17
Traffic Study 8 Area Intersections 7 Initial: 1.) Lawrence Road at Summit Road 6 2.) Lawrence Road at Terrace Road 5 3.) Lawrence Road at Governors Avenue 4.) Lawrence Road at Ashcroft Road 1 2 3 4 5.) Governors Avenue at Lawrence Memorial Hospital Driveway (South) 6.) Governors Avenue at Lawrence Memorial Hospital Driveway (North) 7.) Governors Avenue at Sherwood Road/Brewster Road 8.) Governors Avenue at South Border Road 18
Traffic Study 8 Area Intersections 7 16 14 15 First Scope Expansion Added: 12 6 9.) Lawrence Road at Winthrop Street 10.) Lawrence Road at Lincoln Road 5 11.)Lawrence Road at Forest Street 10 1 2 3 12.) Governors Avenue at Massachusetts 4 11 Avenue 9 13.) Governors Avenue at High Street 14.) Sherwood Road at Massachusetts Avenue 15.) Ashcroft Road at Massachusetts Avenue 16.) South Border Road at Westwood Road 13 19
Traffic Study 8 Area Intersections 7 16 14 17 15 12 10 Second Scope Expansion Added: 6 17.) Roosevelt Circle 5 10 1 2 3 4 11 9 13 20
Total Project Generated Vehicle Volumes ● The full-build Project, inclusive of ASC and new LMH services, net-new generated trips are approximately 36-41 vehicles/hour during weekday peak periods (approximately 0.7 vehicles per minute) ● As a comparison, the intersection of Governors Ave/Lawrence Rd processes 1,750-1,800 peak periods vehicles 21
Trip Generation AM Peak PM Peak Movement 7:15-8:15 4:45-5:45 In 50 16 ASC Out 15 41 Operational Sub Total 65 57 In (-36) (-4) School of Out (-4) (-36) Nursing Sub Total (-40) (-40) In 11 6 LMH Out 5 13 Reprograming Sub Total 16 19 Total 41 36 22
Trip Generation Comparison Existing LMH Campus AM Peak PM Peak Movement 7:15-8:15 4:45-5:45 In 156 60 Out 38 86 Total 194 146 Plus Fully Operational ASC Net-New Trip Generation AM Peak PM Peak Movement 7:15-8:15 4:45-5:45 In + 11 + 11 Out + 9 + 1 Total Net New + 20 + 12 23
Trip Generation Comparison Existing LMH Campus AM Peak PM Peak Movement 7:15-8:15 4:45-5:45 In 156 60 Out 38 86 Total 194 146 Plus New LMH Services and ASC Generated Net-New Trip Generation AM Peak PM Peak Movement 7:15-8:15 4:45-5:45 In + 25 + 18 Out + 16 + 18 Total Net New + 41 + 36 24
Trip Distribution ● Based on existing LMH patient and staff zip code data ● Estimated percentage of Project trips expected along each route ● 63% I-93 to/from the north ● 19% I-93 to/from the south ● 9% South Border Road ● 4% Winchester Road ● 5% Other Local Roads ● This is where hospital and ASC volume comes to/from 25
Next Steps in traffic and parking • Full reports developed and submitted to city as part of permitting application and review • This will be available to community 26
Summary Next Steps
Next Steps: Ambulatory Surgery Center State • Jan. 9, 2019, Public Health Council votes on DPH staff recommendation City • LMH/Shields will submit project scope and planning level design to City Officials • The public permitting process is anticipated to include review by the Community Development Board, the Board of Appeals and the City Council 28
Next Steps: Emergency Department • Notification to stakeholders on November 7, 2018 • Formally filed with the state on December 7, 2018 • 90 day review process by Department of Public Health • Department of Public Health scheduling a public hearing on January 2, 2019, 6PM Lawrence Memorial Hospital School of Nursing 29
Lawrence Memorial Master Plan – Existing & New Services • INKHOUSE SLIDE Comprehensive community care: • ASC site location tucked-in with existing buildings • Adequate parking for current and future needs 30
How to stay up to date on project? • Email us: community@melrosewakefield.org • Visit us for information and to sign up for email https://www.melrosewakefield.org/visionlmh/ 31
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