Project Description

 

Creating Home and Building Community

Garfield County Memorial Hospital & Long-Term Care

Facility Improvement Project

 

Overview

 

Purpose

 

Garfield County Public Hospital District Number One, the (District) is seeking a vendor to provide Architectural Design and Project Management Services for a facility wide improvement project. 

 

Background

 

Garfield County is deemed “frontier rural”.  It is located in the southeastern-most corner of Washington State.  As expected by its designation, Garfield County is one of the most rural and least populated areas of the state.  The 2000 census reports a total population of 2,492, with 20% over the age of 65.  Growth in the County’s population between 1990 and 2000 totaled only 1%.  While the County has a long and proud history of wheat production and export, prosperity in the last several decades has been elusive.

 

Garfield County Memorial Hospital & Long-term Care (GCHD) began operations in 1948, as an 18-bed acute care hospital.   A 36-bed long-term care unit was added 1976.  Other services operated by GCHD include a primary care clinic, emergency room and outpatient diagnostic services.  GCHD is the only provider of health care services (including primary care) within Garfield County.

 

In January of 2002 the Board of Commissioners of the District, with a planning grant from the DO Office of Community and Rural Health, hired Facilities Planning and Development, a Seattle firm with a solid track record in facilities planning to analyze the current utilization of Hospital District facilities, identify where attention was needed to meet the needs of the community.  The analysis confirmed:

 

Garfield currently has more than sufficient square footage and spaces to meet projected needs and demands.”

 

“However, Garfield is suffering from inefficiencies inherent due to physical plan age and design/layout/configuration.”

 

“Significant opportunities exist to consolidate/reconfigure Hospital and nursing home operations.”


 

Project Description

 

  1. Pomeroy Medical Clinic

 

Pomeroy Medical Clinic was constructed in the early 70’s and designed to accommodate a single practice physician.  The building currently accommodates one physician and two practicing ARNP’s.  The space is no longer suitable for its current use and needs modifications to improve patient care, workflows and records storage.  The clinic is 1,800 SF with three exam rooms and patient volumes of 20-30 per day. 

 

  1. Garfield County Memorial Hospital

 

Garfield County Memorial Hospital currently has more than sufficient square footage and spaces to meet projected needs and demands.  What is clear is that the facility suffers from inefficiencies inherent in the age and design/layout/configuration of its existing physical plant.  The hospital portion of the building was constructed in 1948, and is largely a concrete structure.  The nursing home wing of the hospital was constructed in 1976, and is wood frame construction, making modifications simpler and less costly.  Given the estimated space requirements for GCHD’s operations, there appear to be significant opportunities to consolidate/reconfigure Hospital and nursing home operations within the existing physical plant so as to maximize use of space, improve staff workflow, and achieve some efficiency.

 

  1. Garfield County Long-term Care

 

The physical nursing home is vintage 1970’s, with a nurse’s station central to two nursing units and a common dining/day activity area.  One of the wings is dedicated to dementia “Gentle Care.”  Support areas for the nursing home including business office, dietary, housekeeping, therapy, and other ancillary support are located within – or shard with – the hospital.  The hospital is physically attached and organizationally and functionally integrated with the nursing home.  The vision for the nursing home environment is to alter the physical environment, organizational environment, staffing, and programs to ensure the residents retain control, choice and dignity.

 

 

(See “Facility Planning Grid”)


 

Clinic

Hospital (ER & Acute)

LTC

Purpose

 (why we exist)

“Caring for Generations”

Vision

 (who we want to be)

Garfield County Public Hospital District exists to cultivate the legacy of rural healthcare by providing to highest quality of care to the community of Garfield County.

Mission

(who we are)

We are an extended family of diverse partners who believe in promoting a nurturing environment.

Values

(what is important to us)

Compassionate service, Personal integrity, Resourcefulness, Trustworthiness,

Honest Communication

Criteria

  • Patient Care
  • Operational Efficiencies
  • Financial Stability

Influencers

  • Market Conditions – Population, Financial
  • Physical Plant Age
  • Equipment and Systems
  • Competition – What business are we in?
  • Legislative Environment -  Reimbursement Factors, CMS
  • Regulatory Environment – HIPAA, Compliance issues, Minimum Staffing?
  • Labor Market

Initiatives

WSC – Collaborative for APHS (Adult Preventive Health Services)

Facility Master Plan

Creating Home & Building Community

Major Objectives

The Primary care provider for the people of Garfield County. Focus on “Healthcare Integration” across the continuum, Healthy Community, Prevention and Chronic Disease Management

The preferred source of Clinical Diagnostic Services and Therapies for the people of Garfield County.  Providing efficient, accurate, reliable, timely results, exceptional service and successful outcomes in a pleasant professional setting.

The preferred home for aging individuals in the southeast region.  A cottage home with details that convey a sense of charm, intimacy and rightness while providing exceptional individualized personal care.

 

Clinic

Hospital (ER & Acute)

LTC

Key Services

  • Primary Care
  • Preventive Services
  • Chronic Disease Mgt
  • Education
  • Emergency
  • Minor Acute Care
  • Lab
  • X-ray
  • Cardiac Monitoring
  • Physical Therapy
  • Skilled Nursing
  • Dementia Care
  • Adult Daycare

Structural Changes

  • Handicap bathroom, may require moving wall
  • Remove wall in chart room
  • New entrance
  • Adjoin business office areas
  • ER waiting room
  • Lab Room
  • Decontamination room?
  • Conference room
  • Central Supply Storage
  • Administrative office
  • Renovate basement to accommodate therapy
  • Basement level access 
  • Nursing station
  • Dayroom kitchen

Mechanical Systems

  • Re-plumb bathroom
  • Plumb Exam room
  • Replace HVAC
  • Install elevator

 

Electrical

  • Install adequate electrical in chartroom
  • Possible replacement

 

Communications

  • Relocate server
  • Relocate fax
  • Rewire workstations
  • Replace phone system

·        Patient/Resident Call system

Finishes

  • Paint
  • Resurface bathroom floor
  • Resurface Chart room floor
  • Paint
  • Resurface floors
  • Trim, molding
  • Windows and trim
  • Paint
  • Wall covering
  • Molding
  • Floor Covering?

Furnishings

  • Install workstations
    • Reception
    • Support Staff (3)
    • Providers (2)
  • Install chart rack system
  • Server rack
  • Waiting area furnishings
  • Visiting family seating
  • Office work stations
  • Install chart rack system
  • Server rack
  • Fireplace Hearth
  • Cottage Décor
  • Install workstations

Equipment

 

  • Chemistry analyzer
  • Cardiac monitor
  • Household appliances
  • ADL Charting system

Partners

  • Office Systems Designer
  • Contractor?
  • Staff
  • Architect
  • Interior Designer
  • Construction Review
  • Contractor
  • Staff
  • Architect
  • Interior Designer
  • Construction Review
  • Contractor?
  • Staff

Process

  • Develop project timeline
  • Qualify and select office design firm
  • Physical evaluation of existing facilities
  • Equipment planning, specification and installation coordination
  • Construction cost estimating and project budgeting
  • Coordinate purchasing process
  • Coordinate bidding process (if specified)
  • Review all payment requests and make recommendations for payment
  • Meet regularly at job site to review quality, progress and budgets
  • Review and approve all changes in work
  • Coordinate trouble shooting and problem solving
  • Coordinate resolution of all disputes and claims
  • Qualify and select architect and engineers
  • Qualify and select general contractor
  • Physical Evaluation of existing facilities
  • Medical Engineering Systems
  • Architectural design review
  • Medical equipment planning, specification and installation coordination
  • Construction cost estimating and project budgeting
  •  Manage production of architectural and engineering plans and specifications
  • Coordinate the construction review process
  • Coordinate the bidding process
  • Quantify and monitor Owner borne expenses
  • Develop and monitor construction schedules
  • Coordinate project completion and close out
  • Review all payment requests and make recommendations for payment
  • Meet regularly at the job site with the project architect and general contractor to review quality, progress and budgets
  • Review all contracts and make recommendations
  • Review and approve all changes in work
  • Coordinate trouble shooting and problem solving
  • Coordinate resolution of all disputes and claims