Project Grant CE146465

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - 4901 FOREST PARK AVE ST. LOUIS, MO 63108 PROJECT DIRECTOR: CHRISTOPHER DEAN PHONE: 314-575-1691 EMAIL: CHRISTOPHER.DEAN@BJC.ORG TOTAL REQUEST: $7,311,677 BJC HEALTHCARE'S CAMPUS RENEWAL PROJECT IS A LONG-TERM PROJECT TO TRANSFORM THE MEDICAL CAMPUS THROUGH NEW CONSTRUCTION AND RENOVATIONS. THE CAMPUS IS VAST AND INCLUDES BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN'S HOSPITAL AND WASHINGTON UNIVERSITY SCHOOL OF MEDICINE. CONSTRUCTION IS UNDERWAY FOR A NEW INPATIENT BED TOWER FOR BARNES-JEWISH HOSPITAL AT 4989 BARNES HOSPITAL PLAZA. BARNES-JEWISH HOSPITAL, A MEMBER HOSPITAL OF BJC HEALTHCARE (OUR PARENT ORGANIZATION), WILL BE THE PERFORMANCE SITE FOR THIS CAMPUS-RENEWAL CONSTRUCTION PROJECT. PLANNED FOR THE TOWER ARE 224 PRIVATE INPATIENT ROOMS (32 ROOMS ON SEVEN FLOORS) AND 56 PRIVATE INTENSIVE CARE UNIT (ICU) ROOMS (28 ROOMS ON TWO FLOORS) TO SERVE THE HOSPITAL'S HEART & VASCULAR PATIENT POPULATION. SURGICAL PREP AND RECOVERY, IMAGING AND A DIETARY PROGRAM ALSO ARE DESIGNED INTO THE NEW BUILDING. BJC WAS IN THE MIDST OF DESIGN ON THE NEW INPATIENT TOWER WHEN THE COVID-19 PANDEMIC HIT THE ST. LOUIS REGION IN MARCH 2020. AFTER A PAUSE ON DESIGN, THE PROJECT DESIGN RESUMED WITH A NEW MINDSET AND VALUABLE LESSONS LEARNED FROM ADAPTING CURRENT FACILITIES TO CARE FOR PATIENTS DURING A PANDEMIC. TO PRODUCE THE MOST FLEXIBLE DESIGN FOR THE FUTURE, A PANDEMIC PLANNING PROCESS WAS INITIATED TO EVALUATE THE PANDEMIC RESPONSE AND IDENTIFY POTENTIAL DESIGN CHANGES TO INCORPORATE INTO THE NEW TOWER. THROUGH AN ONLINE SURVEY AND VIRTUAL LESSONS LEARNED SESSIONS, FEEDBACK WAS COLLECTED FROM CLINICIANS, MANAGERS, FACILITIES STAFF, INFECTION PREVENTION AND ENVIRONMENTAL SERVICES (EVS/HOUSEKEEPING) STAFF ACROSS BJC'S MULTIPLE HOSPITALS AND HEALTH CARE FACILITIES. THIS PROCESS PROVED VALUABLE IN DETERMINING PRIORITIES FOR THE NEW TOWER. WHILE MANY ISSUES WERE RAISED, THE NEED FOR ADDITIONAL ICU CAPACITY AND PATIENT ROOM NEGATIVE PRESSURE CAPABILITIES RESOUNDED. BJC IS PROPOSING, THROUGH THIS HRSA CDS GRANT REQUEST, SEVERAL ADDITIONS TO THE ORIGINAL PROJECT SCOPE TO ACHIEVE A MORE FLEXIBLE INPATIENT UNIT DESIGN THAT WILL ENABLE THE ORGANIZATION TO EFFECTIVELY USE THIS NEW INPATIENT TOWER TO ACCOMMODATE FUTURE PANDEMICS AND EPIDEMICS. CHANGES TO THE DESIGN OF THE MECHANICAL SYSTEMS WILL PROVIDE NEGATIVE PRESSURE CAPABILITIES AS WELL AS TO MAKE ALL ACUTE CARE ROOMS MEET CODE MINIMUM ICU CAPABILITY. THIS WILL ACHIEVE TWO KEY GOALS IN MAKING THE BUILDING PANDEMIC READY, AS THE NEED WAS DEMONSTRATED WITH COVID-19: 1. ISOLATE POTENTIALLY INFECTIOUS PATIENTS 2. ACCOMMODATE A SUDDEN SURGE IN HIGHER ACUITY PATIENTS WHEREAS THE TOTAL BJC CAMPUS RENEWAL PROJECT INCLUDES 2 ICU FLOORS AND 7 ACUTE CARE FLOORS, THIS HRSA CONSTRUCTION REQUEST ONLY INCLUDES PROJECTS FOR 1 ICU FLOOR AND 5 ACUTE CARE FLOORS. THE FOLLOWING HRSA REQUESTED PROJECT ADDITIONS TO THE INITIAL BJC CAMPUS RENEWAL PROJECT WILL ENABLE US TO ACHIEVE THE ABOVE-STATED GOALS: - HALF HEIGHT WINDOWS IN THE PATIENT ROOM DOORS WITH INTEGRAL BLINDS TO EACH ACUTE CARE ROOM - NURSE CHARTING STATION OUTSIDE EACH ACUTE CARE ROOM - ADD ACCESS PORT / SLEEVE IN CORRIDOR WALL OF ALL PATIENT ROOMS ON ICU FLOOR - INCREASE QUANTITY OF AIRBORNE INFECTIOUS ISOLATION (AII) ROOMS (ADD 1 ADDITIONAL ROOM ON EACH OF THE ACUTE CARE FLOORS) - REAL TIME LOCATION SYSTEMS (RTLS) HAND HYGIENE TRACKING INTEGRATION AT PATIENT ROOM SINK AND HAND SANITIZER - HAND WASH SINK TO THE BED UNIT ENTRY / WAITING AREA ON 5 ACUTE CARE FLOORS AND 1 ELEVATOR LOBBY - PRESSURE INDICATORS AT PATIENT ROOMS FOR VISUAL VERIFICATION OF ROOM PRESSURE - TELEMONITORING INFRASTRUCTURE, INCLUDING EPIC NEURON SYSTEM TO ACUTE CARE ROOMS - E-ICU INFRASTRUCTURE TO ACUTE CARE ROOMS - MEDICAL GASES AND EMERGENCY POWER TO ACUTE CARE ROOMS TO MEET FGI 2018 CODE MINIMUMS FOR ICUS - INCREASE SIZE OF MEDICAL GAS RISERS AND EQUIPMENT - FANS AND CONTROLS TO ALL PATIENT ROOM