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Facilities Agenda

Committee Members

Agenda for the Facilities Committee of the Dallas County Hospital District is scheduled for Wednesday, July 17, 2019 at 9:30 AM located at 5200 Harry Hines Blvd Dallas, TX 75235 WISH Boardroom. The Facilities Committee reserves the right to exercise discretion and may convene in Executive Session as permitted by Texas Government Code §§551.071 (consultation with attorney), 551.072 (deliberations regarding real estate), 551.074 (personnel matters), 551.076 (deliberations regarding security devices or security audits), 551.078 and/or 551.0785 (deliberations by medical committee or by governmental body that administers a public insurance, health or retirement plan regarding individuals’ medical or psychiatric records), 551.085 (deliberation by governing board of certain providers of health care services), 551.087 (deliberation regarding economic development negotiations), 551.088 (deliberation regarding test item); Texas Government Code §418.183 (deliberation of information under §§418.175 – 418.182 for purposes of disaster management or disaster planning); Texas Health & Safety Code §161.032 (medical committee or medical peer review committee records, information or reports; and/or medical committee or medical peer review committee proceedings under Tex. Health & Safety Code Chapter 161 and/or Tex. Occ. Code Chapters 151 and 160); and/or as otherwise authorized by law on any item listed below. The Facilities Committee may consider any of the agenda items in open or executive session and may continue the meeting as necessary to accomplish the business at the time and place designated by the Chair to reconvene. Page Time PRESENTER(S)

I. Declare a Quorum Present/Call to Order/Mission Statement Dedicated to the health and well-being of individuals and communities entrusted to our care

Chair

II. Consent Agenda

A. Approve Facilities Committee Charter

3 5 mins.

III. Reports Requiring Deliberation(s) or Approval(s) A. Old Campus Move Plan B. Outpatient Clinic/Breast Center Project Update C. Parking Update D. NPH Retro-Commissioning

E. Other Projects F. Facilities MWBE Report

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11 16 27

32 35

10 mins. 15 mins. 10 mins. 10 mins.

5 mins. 10 mins.

John Raish Mark Stewart John Raish Michael Wood, Miranda Skaaning John Raish Guy Toliver, John Raish

IV. Executive Session Tex. Gov’t Code §§551.072

A. Old Parkland Hospital Sale Update B. Community Oriented Primary Care Clinics C. State of Irving Clinic Building D. Sale of Lot Adjacent to Irving Clinic

15 mins. 5 mins. 5 mins. 5 mins.

Fred Cerise John Raish John Raish John Raish

Don O’Bannon, Esq. - Chair Natalie Jenkins Sorrell Robert Martinez, JD

Board of Managers Wednesday, July 17, 2019 of 2 Page Time PRESENTER(S)

V. Action Items

A. The Board may take action on any other agenda item(s) above

5 mins. Chair

VI. Closing Remarks

VII. Adjourn

2019 Facilities Charter

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Board Facilities Committee Charter Page 1

PARKLAND HEALTH & HOSPITAL SYSTEM 2019 Board Facilities Committee Charter

The Board of Managers (the “Board”) of the Parkland Health & Hospital System (“Parkland” or the “System”) has authorized the formation of a Facilities Committee (the “Committee”) and approved the following charter to set forth the purposes, structure, authority, and duties and responsibilities of the Committee and the members thereof.

Purpose

The Committee is a standing committee of the Board. The Committee will exercise general oversight of institutional proposals with an actual or expected costs exceeding $200,000, involving building projects and re la ted equipment (collectively, “Building Projects”), including the development and construction of new buildings for Parkland. The Committee may review and recommend changes relating to contracting and purchasing involving building projects and related equipment procurement, and monitor the progress relative to the implementation of such changes. The Committee will inform the Board of developments, trends, and opportunities that may influence institutional building and related equipment proposals that pose major policy issues for the System in terms of mission, strategic direction, or financial requirements. The Committee will also be responsible for providing general oversight for Parkland’s facilities related activities, including its facilities operations, maintenance, grounds, real estate holdings, and leasehold interests. The Committee Chair, along with the Board Chair, will also participate with the Board’s Land Use Advisory Committee (“LUAC”) and will keep the Board timely informed of the status and progress of the LUAC’s activities and recommendations. The Committee will also receive and review reports prepared by Management and will take such action as is required.

Membership, Meetings, Minutes and Committee Action The Committee will be chaired by a member of the Board and will consist of at least two other Board members. The executive liaisons to the Committee will be the Chief Executive Officer, the Chief Governance Officer, the Chief Operating Officer, and the Chief Financial Officer, all of whom will assist the Committee and the Committee Chair in discharging their responsibilities.

The Committee will follow the Board ’s operating guidelines for membership, meetings, minutes and committee actions established by the Board and as amended by the Board from time to time. The Committee will meet four times per year unless the Committee determines otherwise. A majority of the Committee will constitute a quorum for the purposes of conducting business.

Responsibilities

Within the specific parameters adopted by the Board from time to time, the Committee will review change orders on the construction of new building projects for Parkland of $100,000 or

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Board Facilities Committee Charter Page 2

more and make recommendations to the Board regarding their adoption. In fulfilling its charge, the Committee’s responsibilities will include the following:

• Overseeing Building Projects and all real estate and leasehold transactions requiring

Board and Commissioners Court approval (collectively, “Real Property Transactions”); • Reviewing reports prepared, and recommendations developed, by Management

regarding Building Projects and Real Property Transactions and making recommendations as appropriate to Management and the Board;

• Reviewing expenditures for Building Projects and making recommendations as appropriate to Management and the Board;

• Reviewing Minority and Women Business Enterprise (MWBE) participation in construction and design projects;

• Reviewing the proposed capital and construction budgets for Building Projects and any related recommendations by Management or external advisors;

• Reviewing audits and evaluations of Building Pro jec t s and Real Property Transactions;

• Reviewing, on an ongoing basis, the design and construction plans for, and progress of, new building projects;

• Reviewing, on an ongoing basis, the development and implementation of the move and transition plans for new building projects;

• Reviewing change orders for Building Projects and making recommendations to the Board regarding their adoption;

• Overseeing Parkland’s facilities related activities, including its facilities operations, maintenance, grounds, real estate holdings, and leasehold interests; and,

• Ensuring that the Board is timely informed of the status and progress of Building Projects and Parkland’s facilities operations, maintenance, grounds, real estate holdings, and leasehold interests.

_____________________________________________________ __________________ Facilities Committee Chair Date _____________________________________________________ __________________ Dallas County Hospital District Chair Date

Previously Approved July 2014 April 2016 January 2017 June 2018

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Parkland Health & Hospital System Board of Managers Facility Committee Update July 2019

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Facilities MWBE Report

Parking

Move Plan

Retro-Commissioning (NPH)

OPH Sale Update

OPC2 / Breast Center

Other Projects

Agenda

COPC Updates

Irving COPC

Exec

utiv

e Se

ssio

n

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Parking

Move Plan


OPH Sale Update


Other Projects

Move Plan

COPC Updates

Irving COPC 8

Old Campus Move Plan

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Old Campus Move Plan

Service From To Timeframe Engineering Old Parkland (B) Logistics (2) 2020-2021 EPO Elmbrook Dr. New Clinic (4) Spring 2021 Geriatrics Amelia Court Family Place Fall / Winter 2019 HIV Clinic Amelia Court New Clinic (3) Spring 2021 HOMES Amelia Court TBD 2021 (TBD) Occupational Health Support B WISH (3) Fall / Winter 2019 OTM / Clinical Education

Support B OPH (tbd)… New Clinic (5)

Fall 2019 … Spring 2021

Outpatient Clinics Old Parkland New Clinic (1-3) Spring 2021 Patient Financial Services

Old Parkland (1) Tower Garage (1) Fall / Winter 2019

Population Health Old Parkland (1) New Clinic (5) Spring 2021 Quality Support B Church Fall 2019 Sleep Lab Old Parkland (8) Mockingbird Tower Winter 2019 10


Parking

Move Plan


OPH Sale Update


Other Projects


COPC Updates

Irving COPC 11

OPC2 Update

Master Budget Summary

Pre-Construction Services

• $480,946 (Bid) • Bidding • Sub Contractor Engagement • Activities • Bid Tabulation • GMP Formation

Bid Package 1

• $23,212,226 (Bid) • Site Utilities • Utility

Connections & Extension in CUP

• Mass Excavation • Drilled Piers

(Foundation)

Bid Package 2

• $66,983,418 (Bid) • 6 Level Core &

Shell 526,000 sf • 6 Level Structure • Elevators & Exit

Stairs • Exterior Envelope • Roof

Bid Package 3

• $36,259,307 (Bid) • Interior Finish Out

of Levels 1, 2 & 3

Bid Package 4

• $35,064,103 (Anticipated)

• Interior Finish Out of Levels 4 & 5

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OPC2 Update

100% of the Piers Installed & Demobilization of Pier Equipment Started 80% of the Stub Columns Poured 800 Linear Feet of Perimeter Walls Installed Both Tower Cranes Installed Tables for Structural Form Work Prepared & Staged Water Main Install at Maple & Parkland Blvd Started P-Tube & Fiber Duct-bank Started at RJA

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OPC2 Update

100% of the Piers Installed & Demobilization of Pier Equipment Started 80% of the Stub Columns Poured 800 Linear Feet of Perimeter Walls Installed Both Tower Cranes Installed Tables for Structural Form Work Prepared & Staged Water Main Install at Maple & Parkland Blvd Started P-Tube & Fiber Duct-bank Started at RJA

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OPC2 Update

Site Utility Work on Parkland Blvd & Maple Impacting Vehicular Flow Encourage Staff that parks in South Trinity Lot: Use Bengal to access Trinity Lot Use Exits on Medical District Drive Access to South Trinity Impacted. 1 of 3 Entrances Closed 2 of 3 to Remain Open 4 HC Parking Stalls Added to each Bus Stop 1 Bus Stop to Remain Operational

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Parking

Move Plan


OPH Sale Update


Other Projects

Parking

COPC Updates

Irving COPC 16

Parking

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Fall 2018

• 3 Parking Garages

• 6 Surface lots

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Spring 2019

• Addition of Tex Oak Parking Lot

• Creation of “OK Paper Warehouse” Parking

• Loss of West side of the Trinity North lot

• Lease of 30 retail spaces

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Fall 2019

• Addition of “Church” Parking lot

• Demolition of Butler Park building

• Loss of East side of the Trinity North lot

• Lease of Surface Parking to CMC

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Spring 2020

• Addition of Butler Park lot

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Fall 2020

• No new activity

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Spring 2021

• Opening of OPC2 Clinic Garage

• Demolition of OK Paper Warehouse

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Fall 2021

• No new activity

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Spring 2022

• No new activity

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Fall 2022

• Opening of NPH Employee Parking Garage

• Loss of OPH ED garage

• Loss of OPH Motor Street garage

• Loss of Amelia Ct. Surface Parking

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Parking

Move Plan


OPH Sale Update


Other Projects


COPC Updates

Irving COPC 27

NPH Retro-Commissioning

• Retro-commissioning is a process that seeks to improve how building equipment and systems are operating and functioning together

• Scope – Terminal set points adjusted to reduce simultaneous heating and cooling – Unoccupied mode – Terminal unit programming adjusted to provide 8 flow set points – Dynamic resets added to associated AHU systems

• 2017 Started research on Retro-Commissioning • 2018 Finalized project (scope / execution) • 2019 Final phase of project

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Benefits

• Improve patient and staff experience – Outside air flow and resulting over pressurization adjusted to increase

energy savings and safety – Alarm points created to help staff be more proactive in addressing issues – Fault Detection - Discovering a failure in hardware or software. Fault

detection methods, such as built-in tests, typically log the time that the error occurred and either trigger alarms for manual intervention or initiate automatic recovery.

• Operational – Reduction of hot and cold calls – Optimization of HVAC equipment – Pro-active awareness of equipment failures – Real-time monitoring of energy use that allows staff to proactively adjust

equipment for optimal performance

• Financial – Estimated reduction of $1 million annually once project is fully executed – Initial monthly savings realized already exceed $70k

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Electricity Savings

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LEED Gold Certification

• Ron J. Anderson, MD Clinic

• Certification received June 2019

• 5th LEED Gold building

• 31% water use reduction

• 18% energy use reduction

• 25% building materials made from recycled content

• Improved air quality: little to no VOCs in adhesives, sealants, paints, flooring, composite wood and furniture

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Parking

Move Plan


OPH Sale Update


Other Projects

Other Projects

COPC Updates

Irving COPC 32

Other Major Projects

• 17th Floor PSYCH inpatient expansion • Tower Garage elevator air conditioning • JFK Park • Logistics Tunnel concrete repair • 14th Floor Observation beds for ED • Stemmons & Chase Renovations (TI improvements)

• Lobby glass replacement (complete) • Logistics elevator replacement (complete) • Administrative conference room (complete)

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John F. Kennedy Park For Hope and Healing

Funded by Foundation

Design Team to Revise Documents to Meet $2.7 M Budget Issue RFP for CMaR Anticipated Summer 2019 Start Construction Anticipated Fall 2019

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Parking

Move Plan


OPH Sale Update


Other Projects


COPC Updates

Irving COPC 35

Facilities MWBE Update

Goal % Total Contract Amount

MWBE Commitment

MWBE % *

Goods & Services

25% $18,521,733 $8,389,771 45.3%

Construction Contracts

30% $143,971,389 $50,527,331 35.1%

* For all active Planning Design Construction (PDC) projects

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