Project Overview Topics and Presenters Quarterly Highlights Terry - - PDF document

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San Francisco General Hospital and Trauma Center Rebuild Joint Conference Committee June 23, 2015

Project OverviewTopics and Presenters

• Quarterly Highlights – Terry Saltz
• Local Business Enterprise
• Construction Budget Status
• Furniture Fixtures Equipment (FF&E)
• Construction Schedule Summary – Ron Alameida
• Status and Adjustments
• Transition Milestones – Lillian Chan
• Next Steps – Terry Saltz

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Quarterly Highlights

Hospital Rebuild

• Exterior

− Site Reinstatement & Landscaping

• Interior

− Mechanical, Electrical, & Plumbing Near Complete − Commissioning & Air Balancing Activity In Progress − Fire Protection Inspections Continuing − Artwork installations completed − Radiology Equipment Installation scheduled − Med Gas Booms installation completed

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OR Nurse Station ICU room

Project Overview

Local Business Enterprise (LBE)

• 1,023 San Franciscans employed to date
• Represents 23.6% field labor hours
• Exceeds 20% threshold
• 151 Local Business Enterprises
• $62.1 million in contracts awarded
• Represents 9% of trade packages
• Exceeds 5% threshold

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0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%

Local Hiring % Local Hiring Minimum LBE % LBE Goal

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Project OverviewConstruction Budget

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Budget Expenditures/ % Expended/ Encumbered Forecast Encumbrances as of 5/31/15 Purchase, Construction & Mobilization $680.5 M $661.7M 98% $680.5 M Project Control $189.7 M $178.6 M 95% $189.7 M Other Program Costs $9.3 M $.165 M 2% $9.3 M Finance Costs $7.9 M $4.1 M 52% $7.9 M Total $887.4 M $844.5 M 96% $ 887.4 M

* Finance Cost include Underwriter's discount, cost of issuance, GO oversight committee fee, Controller's audit fee

Project Overview

Bond Sales

1st Bond Sale 2nd Bond Sale 3rd Bond Sale 4th Bond Sale Total March 2009 March 2010 August 2012 January 2014 % Rate 4.34% 3.34% 2.71% 3.35% Budget $ 131.7 M $ 294.7 M $ 251.1 M $ 209.9 M $ 887.4 M Expended/ Encumbered $ 130.5 M $ 293.7 M $ 241.5 M $178.8 M $ 844.5 M % Expended/ Encumbered 99% 99.7% 97% 86% 96%

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Project Overview

Furniture Fixtures and Equipment

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FF&E : All movable furniture, fixtures, medical and IT equipment that is not permanently affixed to the hospital. Budget Support for the Rebuild FF&E will come from the philanthropy community and the City.

• $170M Target FF&E Budget
• $105M Commitment from the City

Program Status

• $91M Spent to date (53%)
• X-Ray and CT equipment arriving for installation
• Physiological monitoring and Stryker integration equipment being installed.

Information Technology

• Network installation pending IDF and MDF room readiness
• Many systems (RTLS, Wireless, UC, PTP, HUGS, TempTrak) to be installed

during Owner Fit-Up.

• IT workstation and peripheral equipment deployment scheduled

Medical Equip 71% IT 26% Furniture 2%

Project Overview

Construction Schedule Summary

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Schedule Status and Adjustments

Hospital Rebuild Staff and Stock Challenges

• OSPHD Acceptance of Fire Alarm System
• Door Hardware Functional Verification
• Meet Stair Pressurization Requirements
• HVAC Air Balance Report verification
• OSHPD acceptance of “Exceptions”
• IT Room Readiness

Hospital Rebuild Certificate of Occupancy Milestones

• Completion of “Exceptions” includes 5 rooms

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IDF Room Pneumatic tube system 2nd floor mezzanine Fluoroscopy room Hybrid OR 8

Project Overview

Transition Milestones Impact Analysis

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TARGETED KEY DATES

• Staff and Stock

Occupancy/ Turnover mid- July 2015

• OSHPD

Certificate of Occupancy end

• Nov. 2015
• Ribbon Cutting

Dec 2015

• CDPH Licensing

Survey Feb. 2016

• Patient Move

Day/ First Day of Patient Care Spring 2016

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Facility Construction HR Staffing Owner Fit‐Up

Owner Fit‐Up

Reuse Eqmt

• Dept. Relocation

Dept Relocn

Hospital Licensing

DIL Scenario Development Post Move Mgmt & Decommissioning IT Systems Installation and Testing (priority 1)

SFGH Transition Timeline

Survey Readiness Update Policies and Procedures IT Equipment Procurement IT Systems Installation and Testing (priority 2) IT Systems Optimization New Equipment Optimization Hybrid OR8, Fluoroscopy/XRay construction, equipping, testing Follow‐On projects (priority 1) Follow‐On projects (priority 2) Follow‐On Projects

Equipment and Technology

Leave Out Projects

CDPH Survey Remediation

Patient Move & Occupancy

Patient Move Planning Post New Schedules Phase In/ On Board New Hires Recruit Approved New Hires Operational Orientation and Training

Workflow Redesign/ Operations Planning

5S Matls/ Supplies

Orientation & Training

Revalidate Workflows 3P Workflow Design

• Dept. Ops Planning

Mock Move Coordination

Optimization Hybrid MRI construction

Dept Relocation Planning

2016

Owner Fit‐Up (installations, moveable equipment, and supplies) Planning Owner Fit‐Up Schedule Planning

2015

New Equipment Procurement Day in the Life Simulations Post Move Workflow Optimization Implementation Move‐in Equipment Receipt and Staging Equipment Testing and Certification Tweak Workflows Staff and Stock Occupancy Construction Turnover First Day of Patient Care Patient Move Day CDPH Licensing

9 months

OSHPD Certificate of Occupancy

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Project Overview

Next Steps

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• Project Stewardship
• Continue regular high level meetings with Webcor's

President and DPH/ DPW Directors

• Establish firm staff and stock occupancy date
• Establish Patient Move date
• Financial Stewardship
• Determine impact of schedule adjustment:

− Rebuild Budget (Bond) − FFE/ IT and Transition Budgets − Operational Budget