HomeMy WebLinkAbout03232015 City Council Work Session Notes - Providence & CHC WORK SESSION NOTES Sc( (A)/ Pro 61-MCe i
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SEWARD CITY COUNCIL
Special Work Session
Monday, March 23, 2015
Discussion Item
Topic: Space Planning for Seward Community Health Center and Providence
Seward Medical Center
Presented By: Patrick Linton, Executive Director, SCHC
Joseph Fong, Administrator, PSMCC
Summary of the Discussion Topic:
The purpose of this work session of the City of Seward City Council is to follow-up on the
discussion from the January 19,2015 work session. We believe that a longer-term, cost effective
project at the current site has been successfully identified that meets the priority space needs of
both healthcare organizations. In this session Seward Community Health Center(SCHC) and
Providence Seward Medical Center(PSMC)will present information in response to questions
and recommendations from the City Council. This includes:
• Site plans that address operational and space needs for both entities using the existing site
• Construction cost estimates and possible phasing
• Information regarding HRSA grant opportunities
• Suggested timeline for decision and action
Discussion:
A. Site and Facility Plans
The City Council suggested the exploration of utilizing the existing site to address operational
and space needs for both SCHC and PSMC. The site and facility plans to be presented at the
work session are a result of work between Architects Alaska and staff from both entities. To
recap,the primary issues and their solutions for both entities addressed in the proposed design
are:
SCHC
• Space is expanded from 3,900 sq. ft. to 7,000 sq. ft.
• All SCHC functions, clinical and administrative, are met in a contiguous configuration
• Exam rooms increased from 6 to 8 plus at least one private consult room added
• Separate SCHC entrance, waiting and registration area
• Integration of behavioral health is accomplished
• Ability to accommodate specialty outreach clinics greatly improved (e.g. OB, Ortho)
• Easy access to ER, Radiology and Laboratory services retained
Page 1 of 3
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PSMC
• CT equipment is relocated inside the facility
• Single occupancy inpatient rooms for greater privacy, infection control and capacity
• Rehab therapy space located close to patient care area
• Optimize flows: minimize patient flow through public areas and public flow through
patient care areas
• Additional office and storage space
• Procedural Room for future services
SCHC and PSMC believe these plans address existing needs, allow for growth and should meet
future needs for the next 10-15years.
B. Cost Estimates and Phasing
Information will be presented during the work session including proposed phasing which takes
into consideration cash flow, timeline for HRSA grant application and potential Certificate of
Need considerations for PSMC specific construction.
C. Summary of HRSA 2015 Health Infrastructure Investment Program (HIIP) Capital
Grant
• Total Program Funding- $150 million
• Award Ceiling-$1 million
• Estimated Number of Awards— 150 to 175
• Estimated Number of Applicants—600 to 750
• Estimated Award Ratio—20%to 30%
• Application Due Dates:
o Phase I in Grants.gov—April 21, 2015 (basic information)
o Phase II in EHB—May 21,2015 (detailed plans, budgets, etc.)
• Project Period (start to completion)—September 1, 2015 to August 31, 2018
• Matching Required?—No
• Scoring Criteria:
o Need (25%)
o Response (20%)
o Collaboration (10%)
o Impact(10%)
o Resources/Capabilities (20%)
o Support Requested (15%)
ederal Interest in Real Property will apply
• Will need a resolution or other form of commitment letter from the City of Seward to
submit by April 21, 2015. This document would need to state the commitment of the
City to provide the additional funding needed to complete the project, subject to the
grant application being approved.
Page 2 of 3
/
D. Next Steps
The key decision at this point is to determine whether or not to submit an application for the
HRSA grant. Several of these items will need to occur in parallel prior to the May 21, 2015
deadline.
• SCHC Board of Directors meeting on March 26, 2015 to decide if a recommendation will
be made to the City Council to apply for the capital grant
• If a request is made, City Council will need to determine whether or not to pursue the
federal grant. A commitment via a passed resolution will need to be made prior to April
21,2015
• SCHC and PSMC will work with Architects Alaska to further refine and arrive at
certified cost estimates
• SCHC and City Administration to submit initial grant application documents by April 21,
2015
• PSMC and City Administration will submit a Request for Determination to the State of
Alaska to determine Certificate of Need implications by April 21 in order to have a
determination by May 21, 2015
• City Council will need to commit to funding this project,though the funding itself is not
required to be secured prior to May 21, 2015
• Phase II of HRSA grant application due May 21, 2015
• Awards announced in September 2015
If the decision is to not pursue the HRSA grant, if a Certificate of Need is necessary, or the grant
application is denied, we will continue to pursue alternatives to address facility needs in meeting
the healthcare needs of the community.
E. Closing Comments:
We greatly appreciate the opportunity to continue to work on this project and present our work.
Additional information and work will need to be gathered before a formal request for action is
made to the City and City Council for action. We appreciate the opportunity to receive your
constructive questions, input and creative ideas and hope that Council members would encourage
us to continue as we believe these efforts are in the interest of providing the best service and
stewardship to Seward for many years to come.
Page 3 of 3
FREE STANDING SEWARD COMMUNITY HEALTH CENTER
PRELIMINARY CONSTRUCTION COST AND PROJECT COST ESTIMATE
23-Mar-15
Construction Est. Project Cost Est
SCHC Subtotals Subtotals
A. NEW FACILITY-VACANT SITE SF $/SF
Core and ShelL( Program+ Mech) 5,600 @ $ 300 $1,680,000 $1,680,000
Interior Tenant Imp.(Program) 5,000 @ $ 185 $925,000 $925,000
Site Work $350,000 (*) $350,000
Total Construction Estimate $591 $2,955,000 $2,955,000
* Cost of site development may vary significantly depending on site condtions
Land Purchase $500,000
Design/Construction Admin Fee 12% $354,600
Project Management 5% $147,750
Administration 5% $147,750
FF&E $0
Contingency 15% $615,765
Project Cost Estimate $4,720,865 $4,720,865
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