Magnitude SB 1953 has placed UCSF on Shaky Ground

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Magnitude SB 1953 has placedUCSF on Shaky Ground

• Charlene Bennett, RN
• UCSF School of Nursing-Masters of Science Program

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• Introduction
• How S.B.1953 impacts UCSF Medical Center
  financially

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UCSF Medical Center
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• Understanding KEY Performance Ratings
• Structural Rating
• SPC-1 These are buildings that are considered to
  be at risk of collapse after a large earthquake.
  Must be brought into compliance by 2008 (2013
  with extension)
• SPC-2 These building are safe, but may not be
  functional or repairable after a large
  earthquake. Must be brought into compliance by
  2030.
• SPC-3 These building are currently in compliance.

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Long Hospital Built in 1981, SPC 3
Langley Porter Psychiatric Institute Built in
1942, SPC 1
Moffitt Hospital Built in 1953, SPC 2 (2030)
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Mount Zion Building B Built in mid 1950s, SPC 1
(2013)
Hellman Building Built in 1914, SPC 1
Mount Zion Building A Built in mid 1950s, SPC 2
(2030)
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• UCSF Medical Centers Seismic Plan A
• Mission Bay
• Build 100 bed Cancer Hospital with diagnostic and
  treatment services, plus ambulatory care. This
  will replace existing Cancer Center at Mount
  Zion- Mount Zion will be closed
• Build 180 bed, free standing Childrens Hospital.
  This may include a Womens Hospital. This will
  replace the Childrens Hospital at Parnassus.

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• Plan A
• The Obstacles for The Cancer Center
• Cost of building has increased-cost of project
  would exceed 600,000,000
• The Mount Zion outpatient Cancer Center is 4
  years old and is in debt. This debt will need to
  be paid.
• Building the new Cancer Center will require
  increasing existing debt beyond our ability to
  pay it.

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• Plan A
• The Obstacles for The Childrens Hospital
• Cost will exceed 700,000,000
• Fundraising is behind by 2 years
• Mount Zion retrofit must be the priority since
  Cancer Center must remain at Mount Zion-option to
  move patients to Parnassus not viable due to
  shortage of OR capacity.

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• Causes of Cost Escalation
• Increase in competition from China for steel and
  concrete.
• The inflation rate of construction costs have
  been increasing by 15-20 per year-UCSF unable to
  save fast enough to keep up with inflation.
• These factors have increased the budget for
  the Mission Bay project by 50 since its origin.

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• Plan B
• Retrofit Mount Zion by 2011 to at least SPC 2
  standards to allow it to stay in service past
  2013, with the possible inclusion of the teardown
  of the Hellmann Building
• Build Childrens Hospital at Mission Bay by 2016
• Retrofit Moffitt hospital at Parnassus by 2027

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• Plan B for Childrens Hospital
• Mission Bay
• UCSF Medical Center will borrow 400,000,000.
• UCSF Medical Center will raise 300,000,000
  through a fund drive

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• The Implications of UCSF Medical Centers Current
  Seismic Strategic Proposal on the Cancer Center
• If Mount Zion becomes the permanent base for the
  Cancer Center, many physicians will be
  disappointed because Mission Bay was designed to
  be a world class research center with a state of
  the art imaging facility.
• If Mission Bay becomes the permanent base for the
  Cancer Center, the move will likely involve
  multiple phases over several decades.

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• The Implications of UCSF Medical Centers Current
  Seismic Strategic Proposal on the Childrens
  Hospital
• The delay in building the childrens hospital has
  some pediatric physicians quite upset.
• Without the Cancer Center at Mission Bay it will
  be unsafe to have a womens component to the
  Childrens Hospital because, there needs to be an
  adult ICU at that location-the Cancer Center
  would have provided this provide this.
• The longer UCSF takes to break ground the more
  expensive the project is likely to become.

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• Conclusion
• Aftershocks of the Northridge earthquake are
  being symbolically felt by UCSF Medical Center.
• UCSF Medical Center is struggling to find
  appropriate strategies to prepare itself for the
  seismic deadlines.
• As we have shown adjustments are being made
  constantly to the plans as construction prices
  continue to sky rocket.
• UCSFs latest plan appears to be heading the
  institution in the right direction, one which
  will allow it to continue to pursue its vision of
  providing the best health care service.