Northwest Hospital Childbirth Center Pre-submittal Meeting April 25, 2018

Agenda Introductions Northwest Hospital / UWMC Northwest Hospital CBC Project Goals Northwest Hospital CBC Scope Integrated Design Build Business Equity Northwest Hospital CBC Draft Schedule

Northwest Hospital / UWMC Integration Northwest Hospital (NWH) is a full-service community hospital offering inpatient, outpatient and emergency services. NWH affiliated with UW Medicine in 2009 but has continued to operate as a 501(c)(3) under its own hospital license. The University of Washington Regents recently approved UW Medicine’s proposal to combine University of Washington Medical Center (UWMC) and NWH into one hospital with two campuses by January, 2020. Northwest Hospital will dissolve as a hospital (e.g., no longer maintain a hospital tax ID number). UWMC will have two campuses, UWMC University Campus and UWMC Northwest Campus. Both campuses will be operated under UWMC’s Provider Agreement, tax ID and hospital license. Both campuses will be fully integrated clinically, administratively and financially.

Northwest Hospital CBC Project Goals Update facility to industry standards to be able to better compete in the market Support UW Medicine’s Women’s and Children’s service line strategic growth plan including UWMC NICU Expand capacity and provide space to accommodate 2500 births/year Minimize downtime and impacts to existing CBC operations Create a CBC Family Waiting Room and discernable entrance from the outside Contain internal circulation within the CBC and isolate it from general hospital pedestrian corridors Provide new C-Section Suite and OB Emergency triage/sub-department

Northwest Hospital CBC Project Scope Summary Renovate approximately 23,000 SF of existing space in three adjoining wings Build approximately 3,000 SF of new space for a C-Section Suite and a dedicated waiting area for the CBC Project will be phased to allow continuous operations in the CBC Mix of rooms will support continuum of labor, delivery, recovery and postpartum care more efficiently within the parameters of the expanded footprint Provide improved, modern amenities in individual rooms and: Efficient staff and program support spaces 4-bay OB Emergency sub-department Replace mechanical and electrical systems Target volume of 2,500 births per year (an increase of 1,300)

Northwest Hospital Campus Map

NWH CBC Existing C-Wing Plan

NWH CBC Draft Proposal

Integrated Design Build Belief that Together Everyone Achieves More University desires an active role in project definition, design and construction decisions Positively impact cost, schedule, building performance and quality, and maximize value by incorporating value added incentive items to the base program Increase predictability and manage expectations

MacLeamy Curve Patrick MacLeamy 2004

Project Governance Governance Structure, Timely Decision, Project Advancement Responsible Party – High level administrator responsible for ensuring that overall institutional objectives are met. Project Executive Committee – All major project decisions, recommendations, and trade-offs within the established parameters of the project (site, budget, schedule, financing). Project Management Team (PMT) – Day-to-day project management decisions, such as change order reviews, and minor design changes, will be made by the Project Management Team, consisting of project managers from the University, the architecture firms, and the construction management company. Senior Management Team (SMT) – A separate team consisting of principals from the architecture and construction company and the project director will meet quarterly to ensure that the team is working and communicating effectively and is being supported appropriately. Project Working Teams – These subgroups lead the development of various parts of the design. These teams make recommendations to the PMT and the Project Executive Committee.

Design Build Contract Initial Contract – Project Definition Phase Compensation: agreed stipulated sum Target Program Base Target Cost Value Added Incentive Items Task Matrix Milestones Incentive Distribution

Design Build Contract Amendment #1 – Design/Preconstruction Phase Compensation: chargeable costs, NTE an agreed amount, and provisionally earned incentive. Implementation Documents Final Target Cost Updated: Value Added Incentive Items Task Matrix Milestones Incentive Distribution Spreadsheet

Design Build Contract Amendment #2 – Construction Phase Compensation: chargeable costs, NTE Final Cost, and possible earned incentive. Construction of the building

Business Equity Business Equity = Participation by Business Equity Enterprise design and construction firms commensurate with their availability to do the work. The UW Approach: “Inclusive” Inclusion Capture Utilization at all tiers Project-specific, collaborative aspirational goal-setting UW-Approved Inclusion Plan a condition of award Monitoring and reporting on progress of Inclusion Plan Expectations Shared Values Commitments to success Collaborative effort

Draft Project Schedule

Please direct all questions to Ross Pouley rpouley@uw.edu Office: (206) 221-4232 Cell: (206) 658-7883