7. Chris Raftery: Projects and Successes Chris Raftery: Projects and Successes Millennium Tower, Seattle Fujitsu Semiconductor Plant, Gresham, OR IDX Tower, Seattle Fred Hutchinson Cancer Research Center Cedars-Sinai Los Angeles Ste Michelle Winery, Woodinville, WA Bellevue Technology Tower, Bellevue Wells Fargo Center, Seattle
8. Chris Raftery: Projects and Successes Millennium Tower, Seattle Paul Allen’s EMP, Seattle Fred Hutchinson Cancer Research Center Four Seasons Hotel & Condominiums Seattle Wells Fargo Center, Seattle Bellevue City Hall, Bellevue 2 nd & Seneca Building, Seattle 1111 Third Ave Bldg Intros
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13. 13 Intros Dave Chambers: Projects and Successes St. Joseph Medical Center, Tacoma, WA Sutter Medical Center, Sacramento, CA Fairview Hospital, Cleveland Clinic Health System White Memorial Medical Center, East Los Angeles, CA
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22. A Revolution in Architecture Digital Design & Mfgr’g CATIA made these projects possible for Frank Gehry; nothing like them had ever been built before. Bilbao, Spain EMP: Seattle, Washington Dusseldorf, Germany
23. Paul Allen’s Experience Music Project First, Design and Engineer Design & Model Engineer Envision
27. A System of Integrated Building Elements The Facility
28. For Example, in Your Neighborhood … The Facility
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31. OR imaging clinic ER admitting Click and follow the green dot (a patient) as s/he interacts with administrators (yellow) and clinicians (blue). Patient Flow for Pre-Admission Testing in a Superior Conventional Facility room type capacity operating rooms 2 diagnostic modalities 4 exam/observ (incl. emergency/OR/clinic) 15 beds 24 total area (sf) 59,276 services metrics admission 1step lab/ECG/PFT/x-ray 12 steps consult 2 steps total steps 15 steps patient movement 680 feet total patient time 200 mins
32. OR Clinic/ER/Dx 30 BED Acuity Adaptable Unit – single bed rms(shown) Or 42 BED Inpatient Unit Incl. 6 single bed rms and 12 three bed rms Half the size Patient Flow for Pre-Admission Testing in a CareCyte Facility room type capacity operating rooms 3 diagnostic modalities (not including portable modalities) 2 exam/observ (incl. emergency/OR/clinic) 15 beds 30 total area (sf) 28,750 services metrics admission 1step lab/ECG/PFT/x-ray 3 steps consult 2 steps total steps 6 steps patient movement 170 feet total patient time 80 mins 3 ORs & 6 more beds Much more efficient: 75% less patient travel; 60% less time! Click and follow the green dot (a patient) as s/he interacts with administrators (yellow) and clinicians (blue).
33. Dave Chambers’ Prototype Hospital Initiative - Resetting Expectations for Traditional Hospital Construction Efficiency & Costs Based on the outcomes of this effort, Sutter Health is now building five facilities implementing the same principles. Goal – Metric Current Baseline Prototype Hospital Team Expectations Staffing Efficiency - Total FTEs 442 253.2 - Adjusted Patient Discharges (APDs) 7135 8742.3 - FTEs per APD (CMI modified) 0.054 0.029 Area (Efficiency of Program) - Area (BGSF) 114.660 100.611 - Area per Bed 1,911 1,677 - Area per APD 16.07 10.44 Construction Cost - Construction Cost per SF $650.00 $370.00 - Construction Cost per Bed $1.242M $0.62M Other Measures - Time to Build (Design, Permitting, Construction) 72 months plus Less than 48 months - Energy Use Measures include Electrical and Natural Gas 25% decrease 46% fewer FTEs required 35% less space required 44-50% less const. cost
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