Medford Ambulatory Surgery Center: Update May 28, 2019 New - PowerPoint PPT Presentation

Medford Ambulatory Surgery Center: Update May 28, 2019

New Proposed Location: Partial Renovation and Partial New Build • Improved façade • Improved entrance and patient drop-off • Improved handicapped parking access 2

Site Layout

Project Location 4

Site Layout 5

Traffic and Parking

Traffic and Parking: reflecting new location • Study revised to reflect the new building location – Building program and services remain constant for patient and employee volume assumptions • “Up to 17,500 SF” for purpose of trip generation and parking – New site actually: ± 15,500 SF • Continued repurposed space within Hospital • Findings: – Anticipated traffic generation/trip distribution • Project will result in minor increase in vehicle trips on roadways – Improvement to onsite parking capacity • Increase of +4 spaces over existing condition • +65 spaces over previous building location • Proceeding with removal of onsite student parking 7

Traffic: Total Project-Generated Vehicle Volumes • The full-build Project net-new generated trips are approximately 35-40 vehicles/hour during weekday peak periods – As a comparison, the intersection of Governors Ave/Lawrence Rd processes 1,750-1,800 veh/hr during peak periods 8

Trip Generation – ASC Build Only (2020) Existing LMH Campus (includes Courtyard Nursing Care Center) AM Peak PM Peak Movement 7:15-8:15 4:45-5:45 In 156 60 Out 38 86 Total 194 146 Estimated 2020 Condition 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 9

Trip Generation – ASC + LMH Programming (2023) Existing LMH Campus (includes Courtyard Nursing Care Center) AM Peak PM Peak Movement 7:15-8:15 4:45-5:45 In 156 60 Out 38 86 Total 194 146 Estimated 2023 Condition 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 10

Parking Supply and Demand – Peak Utilization • Adequate parking at peak periods, even at height of future activity • Peer review of parking study by independent third-party 450 426 Spaces 426 Spaces 422 Spaces 400 97 space 94 space surplus surplus 147 space 350 329 328 surplus spaces spaces 17 needed needed 300 279 spaces 80 17 needed 137 Extra Spaces 250 School of Nursing 80 200 ASC Services LMH Services 150 232 100 191 182 50 0 2018 Existing Condition 2020 Future Condition 2023 Future Condition 11

Future Parking Anticipated Designated Areas 12

Parking policy • Employees & students will have sticker-parking and cars will be registered with LMH Security • Employees are to park in designated areas on campus to ensure convenient parking access for patients and visitors – Failure to comply with this policy will result in a warning ticket being issued, plus a letter to the offender’s Department Manager and corrective action through Human Resources • Student parking will be off-site at 100 Hospital Road, Malden, MA – Contracted shuttle services will be provided for students – The proposed shuttle schedule will be developed collaboratively with the School of Nursing’s president and align with curriculum needs • Three morning runs 6:15am, 6:45am and 7:15am • Five afternoon runs 1:45pm, 2:15pm, 2:45pm, 3:15pm and 3:45pm – Schedules will be adjusted accordingly for inclement weather, exams, etc – Ridership will be reviewed daily by Security and School of Nursing staff – Students will ticketed, assessed fines, and pulled out of class if not following policy 13

Parking policy • Parking on neighborhood streets is strictly prohibited • Any parking related issues can be called into LMH front desk and ask to speak to security supervisor – 24/7 security presence at LMH • Security is monitoring parking lots day and night 14

Commitment to Quality • Matthew Brown, MD – Chair, Department of Surgery – General Surgery, Robotic Surgery • Matthew Havercamp, MD – Chair, Department of Anesthesiology – ASC New England Baptist Hospital • Brian Clark, MD – Gastroenterologist/Surgeon – Yale ASC 15

Appendix

Load dock and truck delivery Concern New Location Benefit: • Utilizes existing hospital loading dock Loading dock, • Reinforcement of delivery policy, including new signage, to utilize loading truck delivery dock and not front door 17

Site location detail and benefits Concern New Location Benefit: • Construction will be within existing footprint of hospital • Remains one-story • Location Construction will include new, state-of-the-art ORs and services • Remains a partnership with Shields Healthcare & local surgeons • No impact on current or future services to hospital building • No need for additional generator Generator and • Will utilize existing generator and utilities mechanicals • Smaller rooftop AHU unit for new-build OR’s • Utilizes existing hospital loading dock Loading dock, • Reinforcement of delivery policy, including new signage, to utilize loading truck delivery dock and not front door • Utilizes existing hospital dumpsters • Dumpster No medical waste is disposed of in dumpsters • location, trash ASC will follow all regulations for disposal • No food waste is generated from ASC 18

Site location detail and benefits Concern New Location Benefit: • New lighting (patient drop-off, handicapped parking) will be modern, efficient and low Lighting • Proposed lighting design, which is not complete, will be shared with neighbors • New site location does not impact existing perimeter campus greenspace • Greenspace Will include new plantings around drop-off and new handicapped parking spaces • Will close-off fencing to this area if consensus by neighbors Neighborhood • There is 24/7 security at the campus Pathway • Regular patrolling of parking lots by security 19

Site location detail and benefits Concern New Location Benefit: • No loss of parking • Enhanced patient drop-off, with canopy • Enhanced handicapped parking access • Parking Parking report will be included with special permit submission, still in progress • Parking study to be peer reviewed by independent third-party agency • LMH to create stickered parking policy for students and staff • Parking policy Student parking to include financial penalties and class removal • Traffic report will be included with special permit submission • Traffic study to be peer reviewed by third-party agency • Traffic & ASC will commit to purchase of radar speed signs in coordination with the Safety Police Department in neighborhood 20