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AGENDA ASPEN PLANNING AND ZONING COMMISSION REGULAR MEETING TUESDAY, November 20, 2012 4:30 p.m. Sister Cities room 130 S. Galena Street, Aspen I. ROLL CALL II. COMMENTS A. Commissioners B. Planning Staff C. Public III. MINUTES IV. DECLARATION OF CONFLICT OF INTEREST V. PUBLIC HEARINGS — A. Aspen Valley Hospital, Phases III &IV, Final PUD VI. OTHER BUSINESS VII. BOARD REPORTS VIII. ADJOURN Next Resolution Number: P1 MEMORANDUM TO: Aspen Planning and Zoning Commission FROM: Jennifer Phelan, Deputy Planning Director JW RE: Aspen Valley Hospital—Master Facilities Plan (401 Castle Creek Road)—Final Planned Unit Development, Phases III & IV—Resolution No. , Series 2012— Continued Public Hearin MEETING DATE: November 20, 2012 APPLICANT/OWNER: STAFF RECOMMENDATION: Aspen Valley Hospital, David Ressler, Staff recommends that the Planning and Zoning CEO Commission continue the hearing to December 4th. REPRESENTATIVE: Leslie Lamont, Lamont Planning SUMMARY: Services The Applicant requests of the Planning and Zoning Commission approval of a Growth LOCATION: Management review and a recommendation of Parcel C, Aspen Valley Hospital District approval for a Growth Management review and Subdivision, commonly known as 401 Final PUD. Castle Creek Road CURRENT ZONING&USE Located in the Public (PUB) zone district with a Planned Unit Development (PUD) overlay. PROPOSED LAND USE: The Applicant is requesting Final PUD approval and associated land use approvals for Phases III and IV of the master facilities plan for redevelopment and expansion of the hospital campus. Page 1 of 8 P2 REVIEW PROCESS This memo is for the continued public hearing on the Final PUD application submitted by the hospital.for Phases III and IV. The application has been scheduled for three meetings (with the ability to schedule more if needed). At the October 30th hearing an overview of the project was provided with an opportunity for questions and comments by the Commission and the public. The following schedule is proposed: November 20, 2012: Responses to issues raised by the Commission on October 30th, Previous Conceptual PUD/Phase II conditions that affect Phases III/IV December 4, 2012 Review Criteria analysis, Conditions of the resolution,possible vote LAND USE REQUESTS AND REVIEW PROCEDURES: The Applicant is requesting the following land use approvals from the Planning and Zoning Commission to undertake Phase III and IV of the redevelopment and expansion of the hospital site: • Growth Management Review for Expansion or New Commercial Development with the development of a new medical office space pursuant to Land Use Code Section 26.470.080 (1) (The Planning and Zoning Commission is the final review authority, who may approve, approve with conditions, or deny the proposal). Additionally, the following land use requests will be reviewed and acted upon by the City Council: • Growth Management Review for an Essential Public Facility with the development of the hospital pursuant to Land Use Code Section 26.470.090 (4). (City Council is the final review authority after considering a recommendation from the Planning and Zoning Commission). • Final Planned Unit Development(PUD) for the development of a site specific development plan pursuant to Land Use Code Chapter 26.445 (City Council is the final review authority after considering a recommendation from the Planning and Zoning Commission). Final PUD review before the Planning and Zoning Commission is the third step in a four step review process. Conceptual PUD review for the entire proposal, steps one and two, was granted via Resolution No. 3 (series of 2009) by City Council. Once this application is heard by the Commission, the City Council will conduct a final review of the application and recommendations of the Commission at a public hearing. As noted in the application, the Applicant is proposing redevelopment in four (4) phases to maintain existing operations throughout the redevelopment. So far, Phase I has been constructed (prior to the adoption of a master facilities plan) and Phase II is ongoing. PROJECT SUMMARY : The Applicant, Aspen Valley Hospital District, LLC has requested Final PUD approval for Phases III and IV of the Aspen Valley Hospital Master Facilities Plan to redevelop and expand Page 2 of 8 P3 the existing hospital campus. The focus of the proposal is on Parcel C of the campus, where the hospital, senior center/assisted living (Whitcomb Terrace), ambulance barn, heli-pad and the hospital CEO's residence is located. Parcel C contains approximately 18.5 acres or 805,860 square feet. Parcel A of the campus includes the Schultz building, Mountain Oaks employee housing, and RFTA bus stop. Conceptual PUD approval The hospital received Conceptual PUD approval of the Master Facilities Plan via Resolution No. 3 (Series of 2009) for the property in May of 2009 taking into account a twenty year program life cycle.The project is divided into four phases, so that hospital operations can continue throughout construction. Each phase of development allows the hospital to continue day to day operations. Phase I was completed with the expansion and remodel of the obstetrics ward. Phase 11 The Applicant received approval for Phase II of the master facilities plan in July of 2010 and it is currently under construction. Phase 11 includes a two story addition to the existing hospital, development of the 18 on-site affordable housing units, a three level parking garage, partial construction of the loop service road as well as access improvements to the site, drainage and utility improvements,trail realignment, and RFTA bus stop improvements. As mentioned, the hospital project has been developed in phases in order to accommodate the ongoing operation of the hospital during this redevelopment. Phases III and IV Phase III includes a two story addition and a basement, with thl greatest amount of expansion (approximately 33,000 sq. ft.) on the ground floor, abutting the west side of the existing building. The upper story addition includes medical office space and circulation (approximately 18,000 sq. ft.), a basement of about 19,000 sq. ft., completion of the loop service road, 3 bay ambulance garage, new entry and parking. Interior remodeling of the existing building also occurs. Basement programming — mechanical, laundry services, information systems, morgue, and unfinished shell space. First floor programming—loading dock, operating suite, endocrinology suite, staff and physician support space, imaging suite,breast center, emergency department, lobby and main entry. Second floor programming—medical offices. Phase IV proposes an addition to the ground floor (approximately 6,500 sq. ft.) and basement (approximately 1,800 sq. ft.), as well as a renovation of the existing building. Basement programming—meeting room, auditorium and public toilets. First floor programming — extension of main lobby, four bay registration, cardiology suite, outpatient services, oncology suite, chapel, expanded cafeteria seating. Page 3 of 8 P4 Table 1 summarizes the proposed gross square footages of both phases III and IV and compares them to the conceptual numbers provided in Phase II. A comprehensive table, showing all phases of development, is included as Exhibit E. Table 1: Proposed Gross Square Footage of Phases III and IV Phase III Phase IV Included in Current Difference Included in Current Difference Phase II Application Phase II Application Application Appli cation Basement 10,671 19,385 8,714 3,813 1,854 -1,959 Level One 32,715 33,280 565 6,128 6,721 593 Level Two 4,724 8,152 3,428 0 0 0 MOS 15,000 10,187 -4,813 0 0 0 Ambulanc 0 3,436 3,436 0 0 0 e garage Total 63,110 74,440 11,330 9,941 8,575 -1,366 As the project has progressed from its conceptual approval to design detail, some aspects of the phases have changed or are proposed to be different and will need to be memorialized in the PUD approvals for Phases III anti IV. Following are topics associated with both the conceptual approval and Phase 11 Final PUD approval. CONDITIONS OF RESOLUTION No.3(SERIES OF 2009): Following are conditions of approval within the Conceptual PUD resolution. How the Applicant is incorporating or has incorporated the condition outlined following the condition. Overall Building Size, Uses, Architecture and Site Design. Staff Comment: The overall building size, uses, architecture and site design are similar to those conceptually approved. Overall, a gross increase of 13,757 sq. ft is proposed for the hospital building with over 8,000 sq.ft. of the increase being below grade. The actual square footage of the affordable housing being constructed is less than what was estimated during Phase H. Green Technologies. Staff Comment: The Applicant is intending to seek LEED certification for Phases H of the master plan and is looking at ways to incorporate "green" technologies into later phases. Work is ongoing. Employee Generation and mitigation. Staff Comment: As outlined in previous approvals, existing affordable housing (Beaumont, Mountain Oaks, and CEO residence) provide housing for 57 employees. The eighteen new on- site affordable housing units house 28.5 employees with a mix of studio and one bedroom units. Additional detail on the mitigation requirements will be included in the December 4'h memo. Page 4 of 8 P5 Nordic Trail Location. Staff Comment: The Applicant has worked with the Parks Department, as well as close neighbors to minimize any rerouting of the existing Nordic Trail. The reroute was finalized after the Phase H approvals. Drainage and Snow Storage. Staff Comment: Since Conceptual PUD approval, the Applicant has submitted a snow and drainage retention system that meets city standards and minimizes any conflicts between snow moving vehicles and trail users. A condition requiring an amended drainage report will be included in the draft resolution. RFTA Bus Stop Refinements. Staff Comment: Phase II included improvements to the RFTA bus stop, inclusive of a bus stop that allows for queuing of two busses as well as pedestrian crossing improvements. Work is ongoing. Trail Improvements. Staff Comment: A rerouted trail was approved during Phase II, inclusive of landscaping and crossing locations to minimizing pedestrian/auto conflict on the Castle Creek trail. Castle Creek Road Trail Crossing Improvements. Staff Comment: The Applicant has installed speed tables on either side of the crossing with a slight change in alignment of the crossing. Enhanced lighting and signage will be installed as part of phase H. Highway 82/Roundabout and Cemetery Lane Intersections. Staff Comment: AVH agreed, as part of the Conceptual approval, to financially contribute to improvements to the roundabout and Cemetery Lane intersections if any projects are undertaken by the city. A requirement in the subdivision improvements agreement for Phase II outlines the hospital's obligation to contribute towards a project within a set timeframe. Castle Creek Road Elevation Staff Comment: With additional study and refinement, the Applicant has designed the site so that the raising the elevation of Castle Creek was not necessary. Transportation Demand Management(TDM) program Staff Comment: The Applicant submitted and council approved a Transportation Demand Management plan. Certain improvements are required to be implemented as part of Phase II and will be in place prior to the completion of Phase H. Once Phase II is completed updated traffic counts are required every two years. All TDMprograms are required to be in place until 2020. CONDITIONS OF PHASE II ORDINANCE NO. 12(SERIES OF 2010): Lighting Staff Comment: The city regulates outdoor lighting but not interior lighting; however, as part of the approvals associated with Phase II of the master facility plan, the hospital agreed to install automated blinds on the second story of the building to reduce any lighting impacts. Outdoor lighting is only regulated when the light fixtures are affixed to the exterior of a building or on the Page 5 of 8 P6 grounds of the property. Technically staff views the parking garage as a building and only lighting affixed to the exterior would be regulated. Most of the lighting that is on the hospital site is used for illumination of driveways and maneuvering areas. In general, the review standards for this type of lighting are as follows: 0 The light fixtures shall be fully shielded, meaning that no light is emitted above the horizontal plane. • No portion of the bulb or direct lamp image shall be visible from a distance twice the height of the fixture. • The light level shall not exceed ten foot candles. The lighting plan approved by the Community Development Department provides for fully shielded light fixtures (both outside and within the parking garage) and does not exceed the maximum light level. A field inspection will need to be undertaken with the end of Phase II's construction with regard to visibility of the bulb or direct lamp image. It's clear that there is concern with regard to the lighting that has been installed and work is ongoing to rectify the issue. Staff recommends that further discussion on what is working, what is being proposed to fix the installed lighting and what is proposed for future phases be discussed. Landscaping Staff Comment: For Phase II, a landscape plan was approved that had an additional condition for field locating plantings with Parks Department approval. The intent of field locating plantings is to accommodate issues such as spacing, utilities, easements, and sightlines. Parks recommends continuing field locating plantings in Phases II and IV. Parking Staff Comment: The Conceptual review discussed having 339 parking spaces for the hospital and medical office space in the form of surface parking and the parking garage. What was not included conceptually was parking for Whitcomb Terrace or the affordable housing. Final approval for Phase II further discussed parking as the affordable housing units were developed. Further refinement of the numbers is outlined in Table 2. Table 2: Overall Parking Allocation Parking Structure 219* Phase II New Surface Parking 77 New West Side Employee Parking 5 New main entry Parking 16 Surface at Whitcomb 31 Surface for Affordable housing 2 Tuck under for affordable housing 6 356 Notes: * 10 parking spaces in the parking garage are reserved for the affordable housing units Loop service road/Ambulance garage: Staff Comment: The conceptual PUD approval showed both a loop service road and a porte cochere as part of the original application as shown in Figure 1. With further refinement in the design of the hospital, the applicant is now requesting that the porte cochere be developed as a Page 6 of 8 P7 garage to provide better protection from the elements. During the approval for phase II) the ordinance noted that the loop service road "will only be used for service traffic related to the function of the hospital. " Figure 1: Conceptual site plan M Y a/WfA11lr/ ��� _ mac_ �;-• ; roay.ru.r 1 s T.v2'z7n•�v.[G•'. i1.. - ` MW.9m R-AYG01{Yf�ASR11 YAf16YAL �_ 1• r we' Mt1 n�j��"•' x u�aa'r�`M�� a-+t„e xn. � :•.<: :.�::ra. � .`�_!r°"+1u..C�•''--"-=rx.....-"'-111" - .�, {.. _. - [[ -:/,'.�.' :�'•• ,:.'J ____ � � __ __ _...- �c>zF��nuriscwnKa lN6 �. :t � £. r...-.s.a;;•_ i .I .v�'A°"s��l�cluxer <i�1a"�RUriws 1� 1 1 ��� ��{' � � � €� - �y, � EAar l010NG OOCIt e't j'� �_�-s, 'ss �rroatwx a°Oml>w�i.mn� Iar• p o �,3E���.x,���� s r i� .t 1 _i- nrB.wlrc me C yea rmr ImAme,L Yw mrxr pfrA+rm Wua aauaw m _ - I ` �90r�11E1�`DIt4 ROM-MYl I _ _ J FA Aaa AWA( 4 ruorosn BnArano 1 rywJ W"u yF - Z• 1 ` 1 aAGrq nnB raa I Jti�r A4-MTi1,QrLWAWetwlBO�Y-eoota wsrnc!h4nrAC alv news c ' '.�. �_..-.,. �IBARq aoor EIEIYnvreazs /'rwmsrr(APFB¢G rnmu ss) rr wor xr..s;rn BtT+U1® „ — •.. ° / nBawt°CFroa YasFnsaBYAFAIO - - na ,. a. I rssY' `\,Y+ _�" V iwBAnfNT/n11RA GENT SMOOtY /-.,' _ aAMTARY YAM- �':' '�:•., .:. � t-r FIEBIfMCY AYfOY : Ovt YYtYBIA1WI °.. - - `` •- W t, _• < .e' } R' .,s. •••CEAtaAO AYYOIANCC roAw- `�� ° ABVEN VALLEY MGSFAAL GARCELC9RE IXLtr '� •'°B" r- FBO�17p D j•.'' h05 FJtIaTWG LONGRIPIS: FINAL BURGOUT GIX101T10NR ;�^�'/pµg p��'g�PPEL�.��WAry41 + "' - TGTALSTeARFA BUILDING rOGTFBY? 90,BISI BF. 1rt,16/t 3F, RECOMMENDATION: After review and discussion of the agenda item, staff recommends continuation of the hearing to December 4, 2012. PROPOSED MOTION: "I move to continue the hearing on the AVH Master facilities plan for Phases III and IV to December 4,2012." Page 7 of 8 P8 ATTACHMENTS: EXHIBIT A—Application (provided 10/30/12) EXHIBIT B—Affidavits of Public Notice (provided 10/30/12) EXHIBIT C—Application Addendum dated November 13, 2012 EXHIBIT D—Applicant's Industry Standards slides from 10/30/12 PowerPoint presentation EXHIBIT E—Comparison of Development Phases EXHIBIT F—Roof Plan i Page 8 of 8 Lamont Planning Men, w To: Jennifer Phelan,Assistant Director,Aspen Community Development Department From: Leslie Lamont, Project Planner Date: November 13,2012 Re: Aspen Valley Hospital Phases III/IV-Supplemental Memo for November 20,2012 Planning&Zoning Commission Meeting The purpose of this memo is to provide additional information to the Planning and Zoning Commission for their consideration at the November 20,2012 meeting. Please find attached the following items for review: 1. Three sections of the south end of the Phase III addition. The purpose of these sections is to illustrate how the existing grade will change with the addition. It also illustrates existing grade and the proposed heights at finished grade. 2. A detailed review of the Hospital's public outreach effort to date. Included is a list of issues that have been resolved due in large part to the monthly meetings that the Hospital and construction staff has held with residents in the immediate neighborhood(page 3 part A3). In addition to the attachments, the design/development team will be prepared to review the following issues at the November 20 meeting: 1. The number and size of the roof top mechanicals will be clarified. A map of the roof indicating existing and proposed mechanicals, and their heights, will be reviewed at the meeting. 2. During the October 30 meeting, a chart was displayed indicating current square fo ot ages of clinical space vs. industry standards and the difference between the two. Floor plans of existing clinical space and how the space will change with the construction of Phase III were also displayed. Those items have been provided to Jennifer Phelan for your review. However,the concept of decompression will be reviewed again at the meeting. 3. Lighting is an issue that many neighbors spoke about at the last meeting. The Hospital has begun to implement an aggressive lighting mitigation plan. Some changes were observed by the PZ at a site visit on November 13. Neighbors were invited to view the site with Hospital staff on November 15. In addition to the corrections being made for Phase II, a lighting design expert has been engaged to review the plans for Phases III/IV. 4. Clarify the use of the loop service road. 5. Review current landscaping related to Phase II and the landscaping plan for Phases III/IV. p:970-963-8434 e:lezlamont @gmail.com c:970-948-1357 P10 6. Brief review of the Master Facilities Plan process, the importance of sequencing improvements, the need for improvements and the services provided as identified in the Master Facilities Plan. Attachments: A. Section B. Public Outreach Summary p:970-963-8434 e:lezlamont @gmaii.com c:970-948-1357 2 r. PHASE II c� a CAFE r' PHASE IV A ' AMBULANCE , GARAGE A jr / T'* 131 PHASE III '+ r Q �f ` x PUBLIC E.R. j ENTRANCE 'v / EXISTI G BUS , PARKING a AMBULANCE BAR qMB� LOOP/PASSJNUR " L9lyC�"r �7 OFF DROP '. GOOF 9Ma r' r l j r nog:.y KE,Pa COW J tlNn Uespn ASPEN VALLEY HOSPITAL Phase III / IV Final PUD November,2012 SITE SECTIONS:REFERENCE PLAN SHEET 1 OF 2 0 ,o :v av4p SCALE.1'=20' T V -D N ei' L oPOl scdEEx w.du y.�do Ex x+.� V sPEN VUEEr«osvlu 3 EMFacExcr OEPnPiMENi fNiT d _. ......._ ... ._...... + —E'L_TA xflooeda,3a PlaPasEO dEL,xxa wduJ �Ea of '��� ,3a PPaPfP.LY LINE Baia.] IRIIIIED 1L SECTION A-A' $P E:I4W Exlsr NC nuduuN.F Bndx EoOP dono --xsixc.1— o[<N\ do355� a361'� / .••. l 'I flood fEN,i arvm doala' r BP1, r,2° d EN-a. ov T.lEdNt ! adET.IxN w,fE SECTION B-B' `EI'mT SCNLE.1'=,G io .ze, 1 rfawPalNi .L aoP�,a :r j d�Na <a, ,oi a=P,iNE aEar�a� ' a3, : .T. Naad.af ,TaNEiE 15 iEd «asP T,t fl0.5!lLOON �EIfVC 10Hy PdoPEdiv EINC ea99 3 SECTION GC' ASPEN VALLEY HOSPITAL Phase III / IV Final PUD November,2012 SITE SECTIONS SHEET 2 OF 2 P13 Lamont Planning Services, LLC Men To: City of Aspen Planning&Zoning Commission Jennifer Phelan,Assistant Planning Director Community Development Department From: Leslie Lamont,Aspen Valley Hospital Project Planner Date: November 13,2012 Re: Neighborhood Outreach Summary per Section 26.304.035 The applicant must conduct a minimum level noticing,pursuant to Section 26.304.060.E.3.c, to ensure the public is aware of a pending development review and the City requires development applications to conduct neighborhood outreach beyond the typical public notice per Section 26.304.035 of the Land Use Code(LUC). Aspen Valley Hospital (AVH)has engaged in a diverse range of public outreach efforts to keep neighbors apprised of ongoing construction,provide an outlet for neighbors to comment on and ask questions about construction activities,and to keep neighbors and other groups/organizations in the City and within the Hospital Special District up-to-date on the progress of its long-term Master Facilities Plan(MFP). The MFP is the foundation for the extensive upgrades and improvements to the Hospital campus. The following activities are directly related to the recent construction of Phase II of the MFP and serve as a precursor to preparing for the submittal of the Land Use Application for Final PUD Review of Phases III/N. Previous public outreach related to the conceptual approval of the MFP and Phase II review and approval are included as an attachment. It is important to take into account previous efforts as the conceptual approval that has been granted reflects the Hospital at full build out(Phases I-IV)of the MFP. Also,the Phase II review process often made reference to the last phases of the MFP and the elements and timing of those phases during public outreach either before the standard city public process or during the public process. A. Neighborhood Outreach 1. Monthly Neighborhood Meetings-AVH hired Frank Goldsmith as Construction Community Liaison. Since December 2010,Frank has held monthly neighborhood meetings to provide updates on the MFP. Invitees include: residents of the Castle Creek/Maroon p:970-963-8434 e:lezlamont @gmail.com c:970-948- 1357 P14 Creek Caucus,Twin Ridge, Castle Ridge Apartments, Water Place Housing and Meadowood. Invitations are typically extended via email. Frank communicates with each constituent group based on their preferences. He sends emails directly to listed members of the Castle Creek/Maroon Creek Caucus. For Castle Ridge Apartments,the property managers receive the email and in turn are asked to notify residents of the monthly meetings. The Twin Ridge Homeowners' Association president is informed who in turn informs the rest of the HOA. In addition,per their request three households receive a separate email invitation. For Water Place,the manager is informed and for Meadowood,the secretary of the HOA distributes meeting notification to members plus eight residents that are directly informed, again per their request. Meetings are held the first Monday of every month at 5:00 p.m. at AVH. Frank attends every meeting, in addition to Steve Selby,AVH Assistant Director of Facilities,a Haselden Construction representative,and the project architect. The focus for many months was construction of Phase II but as the land use application for Phases IIUIV was prepared, information related to the application was provided such as the submittal timeline and presumed review timeframe,as well as a presentation of the minor changes that have taken place between conceptual approval and the present,pertaining to Phases IIUIV. Meeting attendees were specifically told when the Land Use Application for Phases IIUIV was submitted to the City(August 2012)and the date of the first P&Z meeting(October 30, 2012). Since the meetings are held in the conference room of the Hospital,the attendees and Hospital team were able to refer to the full-scale model of the Hospital,depicting the project at final build out. In addition,the model has been updated to reference those changes to Phase IIUIV that are reflected in the application. Below is typical meeting invitation language: Hello, 1 just wanted to remind everyone that the monthly neighborhood meetingfor the latest updates on the Aspen Valley Hospital work will be tonight at S pm in the downstairs meeting room of the hospital. Please pass this on to members of your homeowners association or tenants. We hope to see you there. Thank you very much. Frank Goldsmith Construction Community Liaison Aspen Valley Hospital 970.309.8809 p:970-963-8434 e:lezlamont @gmail.com c:970-948-1357 2 P15 2. Meadowood HOA Meetings-Frank attends the monthly HOA board meetings. In doing so,he is able to answer questions and keep the neighbors apprised of construction progress as well as updates on the next phases, including application preparation and submittal. 3. Whitcomb Terrace Assisted Living and Senior Center—every third Wednesday of each month,Frank and Haselden Construction representatives make a presentation at the senior luncheon. The purpose is to provide information on the progress of the project and to respond to questions and concerns. 4. The following items have been resolved as a result of these meetings: • street sweeper dispatched to clean Meadowood and Twin Ridge streets; • the corner of Meadowood Dr and Castle Creek Rd was hydroseeded; • the loop road lights were changed from pole lights to bollards; • motion sensors are being installed in the lights on the upper deck of the garage; • temporary screening was set up in the garage to reduce the glare from the lights; • an alternative plan was developed, in conjunction with John Keleher, for the location of the Nordic Trail near his home; and • the bus drop off location at the Senior Center was changed. B.Community Advisory Committee(CAC)—In 2006,prior to the conceptual review of the MFP,AVH established a Community Advisory Committee of local residents representing various aspects of the Hospital District. There are 10 members of the CAC and many organizations or sectors of the community are in attendance such as seniors,Aspen residents, Snowmass Village residents,mid-valley residents,the Aspen Skiing Company, parents with school aged children,Aspen Chamber Resort Association,the Aspen Institute, among others. The purpose of the CAC is to provide feedback to the Hospital administration,board and design/development team on various aspects of the MFP,such as needs addressed as well as timelines,floor plans,exterior and interior finishes,and public outreach efforts. During the past six years the CAC has met 22 times and continues to provide valuable community feedback to the team. C. AVH Website and Newsletter-AVH has a dedicated section on its website entitled "Hospital Expansion." Renderings,floor plans and other descriptive information are p:970-963-8434 e:lezlamont @gmail.com c:970-948-1357 3 P16 available. In addition, AVH regularly provides project updates in its quarterly newsletter that is sent to residents in the hospital's service area. The newsletters are also available online. D. Cable.TV— AVH produces a local television show series,Medicine in the Mountains, which runs at various times throughout the week. The programs are also accessible online through the GrassrootsTV website. Several shows have been specifically dedicated to describing the MFP in detail. E.Tours—AVH regularly conducts tours of the new construction and explains to visitors the full vision for the MFP as approved during conceptual PUD review. AVH has welcomed press requests,thus enhancing communications with the public. Press tours and interviews have occurred on a regular basis since the onset of construction. Several in-depth radio interviews have been conducted,and press releases, photos,and other interviews have been printed in local publications as follows: • Aspen Daily News—3/9/11 • Aspen Daily News—4/11/11 • Aspen Daily News&Times Daily—4/22/11 • Times Daily—4/29/11 • Aspen Times Weekly-5/8/11 • Aspen Daily News—6/3/11 • Times Daily 6/28/11 • Aspen Daily News—7/7/11 • Aspen Daily News&Times Daily—7/13/11 • Aspen Daily News—7/21/11 • Times Daily— 1015111 • Times Daily—2/27/12 • Times Daily—2/28/12 • Aspen Daily News—8/26/12 • Aspen Daily News— 10/4/12 At a recent health fair,with approximately 300 people in attendance,tours were conducted, and information was provided about the facility at full build out. On November 10,a grand opening/ribbon cutting ceremony celebrating the completion of Phase IIA will be held. The event will be promoted through newspaper and radio ads,press releases,e-mail invitations, and written invitations. Tours will be conducted,and then two additional evenings of open houses for the general public will take place on November 13 and 15. In addition,the hospital conducts many tours on an informal basis. While the focus of these events is Phase IIA,no tour is completed without outlining the next steps of the Hospital's MFP and the fact that the Land Use Application for Phases III/IV has been submitted to begin the review process. p:970-963-8434 e:lezlamont @gmail.com c:970-948-1357 4 P17 F.Presentation Circuit—Dave Ressler,the CEO of Aspen Valley Hospital, has presented the MFP,construction progress, and future plans to the Aspen Rotary,the Aspen Chamber Resort Association,and the Snowmass Village Rotary. In addition,Dave has presented and conducted tours for Hospital volunteers and numerous small groups upon request. Attachment: "Attachment D-Public Outreach Schedule—June 7,2010" p:970-963-8434 e:lezlamont @gmail.com c:970-948-1357 5 P18 Attachment D- PUBLIC OUTREACH SCHEDULE — June 7, 2010 Aspen Valley Hospital Master Facilities Plan Conceptual Application was submitted in February 2008 Final PUD for Phase Il was submitted December 2009 1. AVH Community Advisory Committee formed May 2006 - The committee is comprised of a diverse cross section of the community that has had the opportunity to review and comment on the MFP at various phases of its development; specifically, the committee's role is to provide feedback on the plan and its impacts and benefits to the community. • 17 meetings 2. Meadowood Homeowners Association Board of Directors • April 18, 2007— meeting prior to the submittal of the conceptual application • March 18, 2009—meeting to review potential employee housing sites on the Hospital's campus per Council's directive . • March 17, 2010—meeting to review the Final PUD Phase II submittal 3. Castle Creek/Meadowood Residents • May 15, 2008 - neighborhood presentation at Hospital: emails, public announcements and phone calls were used to solicit neighbors' participation • January 27, 2009- meeting with immediate neighbors to discuss Council's condition of approval to add on-site employee housing • January 20, 2010 — public presentation at Hospital: notice was inserted in local newspapers (via a press release and paid advertising), public service announcements and interviews were aired on local radio stations, neighbors were notified of the meeting via homeowner associations and emails, and the meeting date was posted on community calendars. Please see attached flyer and press release. Neighborhoods that were noticed include: Castle Ridge, Water Place, Twin Ridge, Meadowood HOA, Mountain Oaks, Schultz Building staff and clients, Marolt Housing, and Whitcomb Terrace staff, residents and senior center staff and members. In addition, phone calls were made and emails were sent to Castle Creek residents as an accurate community email was unavailable. Attachment D AVH-Phase II Final PUD Public Outreach Effort Page 1 1 P19 • May 27 and May 28, 2010 - community presentation meetings (3 total): emails, flyers and phone calls were used to solicit neighbors similar to the outreach effort for the January 20, 2010 presentation. 4. Twin Ridge/Castle Ridge/Water Place/Marolt Housing • May 8, 2008-neighborhood presentation at Hospital: emails, public announcements and phone calls were used to solicit neighbors' participation • January 20, 2010-public presentation combined with Meadowood and Castle Creek • May 27 and May 28, 2010 - community presentation meetings (3 total): emails, flyers and phone calls were used to solicit neighbors similar to the outreach effort for the January 20, 2010 presentation. 5. Whitcomb Terrace/Senior Center/Senior Council • June 4, 2008-meeting held on-site • April 27, 2009- meeting held on-site • January 6, 2010 -meeting held on-site • May 27 and May 28, 2010 - community presentation meetings (3 total): emails, public announcements and phone calls were used to solicit neighbors' participation similar to the outreach effort for the January 20, 2010 presentation. 6. Community At-Large Meetings • January 20, 2010 - public presentation at Hospital: notice was inserted in local newspapers (via a press release and paid advertising), public service announcements and interviews were aired on local radio stations, neighbors were notified of the meeting via homeowner associations and emails, and the meeting date was posted on community calendars. Please see attached flyer and press release. • May 27 and May 28, 2010 - community presentation meetings (3 total): emails, public announcements, calendar listings, advertisements, flyers and phone calls were used to solicit neighbors similar to the outreach effort for the January 20, 2010 presentation. 7. Pitkin County Health and Human Services Staff and Clients • May 8, 2008- neighborhood presentation at Hospital: emails, public announcements and phone calls were used to solicit neighbors' participation • January 20, 2010-public presentation combined with Meadowood and Castle Creek Attachment D AVH-Phase II Final PUD Public Outreach Effort Page 2 P20 • May 27 and May 28, 2010 - community presentation meetings (3 total): emails, public announcements and phone calls were used to solicit neighbors' participation similar to the outreach effort for the January 20, 2010 presentation. 8. Pitkin County Board of County Commissioners • February 24, 2009 - meeting . 9. Aspen/Pitkin County Housing Authority Board • February 17, 2010 - meeting • May 19, 2010 - meeting 10. Planning and Zoning Commission • June 17, 2008 -site visit • July 1, 2008- public hearing • July 15, 2008-public hearing • August 5, 2008- public hearing • August 19, 2008 - public hearing and recommendation to Council for conceptual approval • January 19, 2010-site visit • March 2, 2010-public hearing Final PUD Phase II • March 16, 2010-public hearing • April 6, 2010-public hearing 11. City Council • January 9, 2009-site visit • January 12, 2009-first reading • January 26, 2009-public hearing • February 9, 2009-public hearing • April 13, 2009-public hearing • April 27, 2009-public hearing • May 11, 2009-public hearing and conceptual approval Attachment D AVH- Phase 1I Final PUD Public Outreach Effort Page 3 P21 • May 10, 2010—site visit • May 10, 2010—first reading Final PUD Phase 11 • June 7,2010—public hearing and second reading Final PUD Phase II 12. Other • Rotary of Snowmass Presentation—April 21, 2010 • Aspen Chamber Resort Association Presentation—February 23, 2010 • Rotary of Aspen Presentation—February 11, 2010 • Constituent groups within the Hospital have been consulted related to the Master Facilities Plan, conceptual submittal and now Phase ll: physicians, general staff, Cardiac Rehab program participants, Aspen Valley Medical Foundation, etc. • Hospital newsletters are mailed to everyone in the Hospital's Special District and this project has been described in multiple issues. • Hospital Health Fairs—June 4, 2010 at Basalt Clinic and June 5 and 6' 2010 at the Hospital. All presentation boards related to the MFP, Phase II will be on display, and staff will be on-hand to explain the improvements and answer questions. Attachments: Meeting Announcement Flyers and Press Releases Attachment D AVH-Phase II Final PUD Public Outreach Effort Page 4 P22 n., 1 Hospital • � - �' • �r ,�w-�,mss - i '�r Please join u for an update on the Aspen Valley Hospital Masten Facilities Flan. Wednesday, January 20 6:30 — 7:30 pm Aspen Valley Hospital Oden Conference Center Dave Ressler, Aspen Valley Hospital CEO, and Russ 5edrnak, architect, will show building and site plans, architectural renderings, and answer your questions. A Q P S N V A L L E Y H O S P I T A L wwwavhaspen.org 1 970-925.1120 lmazm in CSNN UWWAMJsmk.d Attachment D AVH—Phase II Final PUD Public Outreach Effort Page 5 P23 THE'SOURMEY'REGNS s s Fa<lloes Plan r ,� .. G9mmillito Acott('t' �Il(LS -�} � j! '}'[ FCrft0-*'nCentsn GurtiY Ftffir'u ASTE+#}e+(-"t�O/L 14� Cer�inxrrn 6!'�ra° j�#fit{ �9r a4 August 200 CIteYJprrk�r, 57cl;:Eirdu3l � r [1C rah CCCOrr*Ns Row I(snN tpvog Saptetri.cr�trt�$ a r ��� k Fieart€sttar. J c r '[7i?tHgSm�tt�r+ttcrua�tat G2'inigsz�tl�t7xum�vrm �+t3tldy��� ,� (_otutrticriah ,terrtn txy Gxlndl � �,� � * ' a L17CtI71EA'S15 tifiTtac ID Ph'> 'I,i:i,R' 11'OR}lfi "r `IZF'rwq ASMV � k r F P��rtaoor,�mpst� r;.: ... pow$II Sir.A dpp*al Panning SZcrtrr t`brrMs:icon �rt�F17.lJHt �'<• �w r # t e Pnec @II�ihal � � PtE3EtIt3GGXx a Asper,E +gctouncil 4 j 3 juhr 20 2 www."h"PM0IgjMfP r , r Ce F SP IT A Is Attachment D AVH- Phase II Final PUD Public Outreach Effort Page 6 P24 FOR IMMEDIATE RELEASE From: Ginny Dyche, Community Relations, 544-1296 Subject: Community meeting regarding AVH master plan Date: May 19, 2010 Community Invited to View AVH Master Facilities Plan Community members are invited to attend informational meetings on the Aspen Valley Hospital (AVH) master facilities plan on Thursday, May 27 at 5:30 p.m.; Friday, May 28 at 7:30 a.m.; and Friday, May 28 at 12 noon at AVH.The hospital has been developing the plan for several years and hopes to break ground in the fall. All meetings will take place in the Oden Conference Center at AVH. Today's hospital was completed in 1977,and healthcare delivery has changed significantly since that time. Most notable is the shift from inpatient to outpatient care,the addition of a number of services, and a focus throughout the healthcare industry on privacy. "The hospital is in need of an expansion and renovation to accommodate these changes and to have sufficient space to meet the needs of the services we currently provide,"explained Dave Ressler,AVH CEO. Phase I of the master facilities plan expanded and renovated the hospital's obstetrical unit and was completed in 2008. The Aspen City Council gave conceptual approval of the remaining three phases of the plan in May 2009 after an extensive review. Final approval of Phase II was granted by the Planning and Zoning Commission in April of this year, and now Phase II is before the Aspen City Council for their final review. Phase II includes an expansion and renovation of other inpatient areas (PCU and ICU), physical therapy, and cardiopulmonary rehabilitation.The cafeteria will be relocated to the front of the hospital, and medical office space will be added. "Phase II is a critical component of the four-phase project,"said Ressler. "We address many of the patient privacy and comfort issues that challenge us on a daily basis in our 1970s building."At completion, all inpatient rooms will be single occupancy,two of the hospital's busiest outpatient departments will be expanded, and many of the problems associated with traffic flow and the inappropriate mix of inpatients, outpatients, staff, and visitors will be resolved. The medical office space to be added in Phase II will enable physicians with active hospital practices to move to the hospital campus and better serve their patients. Medical offices will be leased to physicians at fair market prices. Attachment D AVH —Phase II Final PUD Public Outreach Effort Page 7 P25 "This phase of the project is moving from concept to reality,and we really want to encourage members of the community to come out and see what is planned," said Ressler. In the meetings, building and site plans and architectural renderings will be shown, and a question and answer session will be led by Ressler and healthcare architect, Russ Sedmak, of Heery and Associates. A light breakfast, lunch,or dinner will be served at the meetings, so those planning to attend should RSVP to 544-1296. Aspen Valley Hospital hosts meetings on expansion Aspen Times staff t°epos°t: Aspen, CO Colorado ENLARGE An artist's rendering shows the entrance to Aspen Valley Hospital following a planned expansion of the facility.The plans will be the focus of public informational meetings next week. Courtesy Aspen Valley Hospital ASPEN — Aspen Valley Hospital will host three public meetings next week on a planned expansion that would roughly triple the size of the existing facility by the time it's complete. Hospital officials hope to begin construction of phase 2 of the expansion this fall;that part of the project will go before the Aspen City Council on June 7. The expansion is outlined in a master facilities plan that will be the focus of the informational meetings, scheduled Thursday, May 27, at 5:30 p.m.,and Friday, May 28,at 7:30 a.m. and again at noon. All of the sessions will take place in the Oden Conference Center at AVH. Attachment D AVH-Phase 11 Final PUD Public Outreach Effort Page 8 P26 Phase 1 of the facilities plan,the expansion and renovation of the AVH obstetrical unit, was completed in 2008. Final approval of phase 2 won Planning and Zoning Commission approval in April, advancing to City Council review next month. The second phase of the expansion is the largest of the three remaining phases. It includes creating a new wing of patient rooms, plus office space for physicians, providing new space for cardiac rehabilitation and physical therapy, and relocating the cafeteria. Construction of a parking garage and 22 employee units to the north of the existing hospital is also part of phase 2. A new, east-side entrance would access the patient rooms, medical offices and relocated cafeteria, among other areas. The existing one-story building would be expanded both outward and upward,to two stories,with the planned expansion. It would also go from about 70,000 square feet to roughly 210,000 square feet, plus a separate, 80,000-square-foot parking garage, by the time the final phase is complete. In all,the remaining phases are expected to cost in excess of$100 million. No cost estimate for phase 2 specifically is yet available. The present hospital was built in 1977. Health care delivery has changed since then, with a shift from inpatient to outpatient care, additional services and a focus on privacy, noted CEO David Ressler.The Aspen hospital's shared patient rooms are out of date,say hospital officials. With the next phase,the 25-bed hospital will gain the capability for 39 patient rooms — all of them private. In addition,two of the hospital's busiest outpatient departments will be expanded. "Phase 2 is a critical component of the four-phase project,"said Ressler in a hospital press release. "We address many of the patient privacy and comfort issues that challenge us on a daily basis in our 1970s building." The medical office space will allow physicians with active hospital practices to move to the hospital campus;offices will be leased at fair market prices, according to AVH. "This phase of the project is moving from concept to reality,and we really want to encourage members of the community to come out and see what is planned," Ressler said. Building and site plans, and architectural renderings will be shown at the informational meetings,and Ressler and architect Russ Sedmak of Heery and Associates will lead a question-and-answer session. A light meal will be served at the sessions, so those planning to attend should RSVP by calling 544-1296. Attachment D AVH–Phase II Final PUD Public Outreach Effort Page 9 Aspen Valley Hospital Aspen, Colorado Proposed Space Program Department Total Proposed Deficiency /X Area Description NSF NSF Inpatient Areas 11040 16508 5468 Intensive Care 944 2730 1786 Labor and Delivery 2873 8093 5220 Diagnostic&Treatment Areas 9286 17135 7849 Central Sterile 1049 1605 556 Central Supply 2366 3432 1066 Emergency Department 4563 7763 3200 Imaging Department 4804 5252 447 Breast Center(new program) 2085 2085 Cardiopulmonary 800 3744 2944 Physical Therapy 2728 7175 4447 Pharmacy 576 1024 448 Cardiac Rehab 650 4427 3777 Medical Records 1781 1565 216 Medical Information Systems 1326 2168 842 Outpatient Clinics 3081 3081 Oncology Clinic 2405 2405 Cardiology Clinic 798 1117 319 Occupational Health 799 799 Nuclear Medicine 300 889 589 Laboratory 2797 5600 2803 Food Service/Dietary 3208 4761 1553 Physician Sleep 378 544 166 Lobby/Circulation 1920 3616 1696 TOTAL 54,187 107,517 53,329 Inpatient Areas—Patient Care Units—27 beds; Intensive Care Units—4 beds; Labor&Delivery Units—5 LDR beds,4 Post-Partum beds Inpatient&Outpatient Surgery—5 Operating Rooms New Breast Center New Outpatient Clinic design New Oncology Clinic New Occupational Health Clinic "VE©ICATION AVHi Emerge �;_�r -�_ C EMI Department— ~ --j TREATMENTS, Existing SOIL Space _ ST. ' ?'NURSE STATION NURSE IL l� .—TREAT T }� G 1 i ...._I v..+e a-.•`.� ------� TRAUMA 'BEST. a• •.•� It `� Fill + yµ�-, - �t►�Jv IMP ' .A• `t+ #�•/ Y:sir o low ..-rf15�11 �eZS`EE 4 J = � r I ,t jr i I -A ' ICAT -arm C-f XAM C' T' --�- SOIL ST. _ } s. 19 !ON N& TREATM . in a . • Ji' 1 ESY. Cl IT7 ALCOVE -- #718Ci 1718D N i AVH Patient Care Unit — Existing space i i New PCU Rooms at AVHI Contemporary Standard 00 z [?.—.f raA1t�#f��� �a�st�ru �/ t e Ifilffs��fr ureai��sai. . J - - ------- ---- ,,.� �. ,� - - ,► - ------ { N M i �aiie+Fa�� ul i I s I E 2006 Guidelines . for Design and Construction of Health Care Facilities s Thy Facility G(jidelines Institute The American Institute of Architects Academy of Architecture for Health, i 1 With assistance from the U.S. Department of Health and Human Services i f i t r 1 �P1 7 `� 2.1 GENERAL HOSPITALS ) r 3.1.1 Typical Patient Rooms square meters)of clear floor area in single-bed Each patient room shall meet the following standards: rooms,exclusive of toilet rooms,closets,lockers, wardrobes,alcoves,or vestibules. 3.1.1.1 Capacity (2) Dimensions and clearances.The dimensions and In new construction, the maximum number of (1) In new construction the maximum number of arrangement of rooms shall be such that there is a beds per room shall be one unless the functional minimum of 3 feet(91.44 centimeters)between the beds per room shall be one unless the functional Iii, program demonstrates the necessity ofatwo-bed sidesand foot ofthe bed and any wall or any other program demonstrates the necessity of a two-bed arrangement.Approval of a two-bed arrangement fixed obstruction.In multiple-bed rooms,a clear- shall be obtained Iran the licensing authority. ante of 4 feet(1.22 meters)shall be available at the arrangement. Approval of a two-bed arrangement foot of each bed to permit the passage ofequip- (2) Where renovation work is undertaken and the mcnt and beds.(See"bed size"in the glossary.) shall be obtained from the licensing authority present capacity is more than one patient,maxi- mum room capacity shall be no more than the (3) Renovation.Where renovation work is undertak- present capacity,with a maximum of four en,every effort shall be made to meet the above patients. minimum standards.If it is not possible to meet the above minimum standards,the authorities 3.1.1.2 Space requirements.Minor encroachments, having jurisdiction shall be permitted to grant including columns and hand-washing stations,that approval to deviate from this requirement.in do not interfere with functions may be ignored when such cases,patient rooms shall have no less than determining space requirements for patient rooms. 80 square feet(7.43 square meters)of clear floor i area per bed in multiple-beef areas and 100 square *(1)Area.In new construction,patient rooms shall be feet(9.29 square meters)of clear floor area in sin- constructed to meet the needs of the functional gle-bed rooms exclusive of the spaces previously program and have a minimum of 100 square feet noted in this section. (9.29 square meters)of clear floor area per bed in multiple-bed rooms and 120 square feet(11.15 *3.1.1.3 Windows.Lath patient room shall have awin- dow in accordance with Section 2.1-8.2.2.5. WMEMME 3.1.1.4 Patient privacy.In multiple-bed rooms,visual A3.1.1.2(1)In new construction,single patent rooms should privacy from casual observation by other patients and be at least 12 feet(3.66 meters)wide by 13 feet(3.96 meters) visitors shall be provided for each patient.The design deep(or approximately 160 square feet,or 14.86 square meters) for privacy shall not restrict patient access to the exclusive of collet rooms,closets,lockers,wardrobes,alcoves,or entrance,hand-washing station,or toilet. ivestibules.These spaces should accommodate comfortable furni- j lure for family members(one or two)without blocking access of *3.1.1.5 Hand-washing stations.Thescshallbcprovided staff members to patients.Efforts should be made to provide to serve each patient roam. the patentwith some control ofthe room environment (1) A hand-washing station shall be located in'the I A 3.1.1.3 Windows are important forthe psychological well-being toilet room. f of many patients,aswell as for meeting fire safety code require- !j menus.They are also essential forcontinund use oitlte area in (2) Ahand-washing station shall be provided in r the event of mechanical ventilation system failure. the patient room in addition to that in the toilet ktt' A3,11.5 Where renovation work is undertaken,every effort room.This shall be located outside the patient's t` should be made to meet this standard.Where space does not cubicle curtain and�onv_enient to staff entering 1, permitthe installation ofan additional hand-washing stationln and leaving the room. the patent room,orwhere it is technically Infeasible,the authortty havingJudsdlcton may grant approval of alternative forms of hand I (3) A hand sanitation station in patient rooms utiliz- e cleansing. ing waterless clenners M2Lbbe used in renovation 40 2006 Guldelines for Design and construction or licala�Core Facilities 2.1 GENERAL HOSPITALS of existing facilities where existin conditions 3.1.5 Support Areas for Medical/Surgical Nursing Units prohibit an additional hand-washistaticn. *3.1.5.1 Administrative center(s)or nurse station(s). This area shall be provided in accordance with Section 3.1.1.6'roilet rooms.Toilet rooms shall be provided in 2,1-2,3,1, accordance with Section 2.1-2.2.1. 3.1.5.2 Documentation area.This area shall be provided be pr Patient storage locations.Patient storage shall on the unit in accordance with Section 2.1-2.3.2. he provided in accordance with Section 2,]-2.2.2. � *3.1.2 Patient/Family-Centered Care Rooms 3.1.5.3 Nurse or supervisor office *3.1.5.4 Multipurpose room(s).Room(s)shall be 3.1.3 Exa nil nation/Treatment Room(s) provided for patient conferences,reports,education, Omission of such rooms shall be permitted if all patient training sessions,and consultation in accordance with rooms in the nursing unit are single-bed rooms. Section 2.1-2.3.3. 3.1.3.1 Location.Centrally located examination and 3,1.5.5 Hand-washing stations treatment room(s)shall be permitted to serve more than one nursing unit on the same floor. (1) In nursing locations,hand-washing stations shall be conveniently accessible to the nurse station, 3.1.3.2 Space requirements.Such rooms shat]have a min- medication station,and nourishment area. imum floor area of 120 square feet(11.15 square meters), 3,1.3.3 Patient privacy.Provision shall be made to pre- serve patient privacy from observation from outside the exam room through an open door. A3.1.2Patlent/Famfly-Centered Care Rooms A3.1.2 Patient/Family-Centered Care Rooms Where if contemplates Patient/family-centered care 3.1.3.4 Facility requirements.The room shall contain a rooms,the moms should be constructed to meet the needs of the hand-washing station;storage facilities;and a desk, functional program. counter,or shelf space for writing. a.Capacity.Patient/family-centered rooms should besinglo-bed b. Area and dimensions. These rooms should have a minimum of 3.1.4 Support Areas—General roams. 3,1.4.I The size and location of each support area shall 6.Area and dimensions.These rooms should have a minimum of 250 square feet (23.22 square meters) of clear floor area exclu- dependon the numbers and types of beds served. 1 250 square feet(23.22 square meters)of clear floor area errlu-,_ sive of family alcoves, toilet rooms, Closets, lockers, wardrobes, shte of family alcoves toilet rooms,rinsPts InrYPrc wardrnn 3.1.4.2 Location vestlbules,staff charting areas,or staff hand-washing stations. I witha minimum clear dimension of15 feet(4.57meters) Vestibules, staff charting areas, or staff hand-washing stations, (1) the ortareasingushallbcin With a minimum clear dimension of 15 feet (4.57 meters). or readily available to each nursing unit. � c.Additional area.Additional areas should be provided at a mini- mum clear area of 30 square feet(2.79 square meters)per family (2) Each support area may be arranged and located to 1 member(permitted bythe facility). serve more than one nursing unit;however,unless I d.Environment of care.Consideration fora homelike atmosphere, otherwise noted,at least one such support area i furniture arrangements,and orientation to the patient bed and shall be provided on each nursing floor, room windows should reflect the needs of the functional program. 3.1.4.3 Identifiable spaces are required for each of the A3.1.5.1 The station should permit visual observation of all traffic indicated functions,Where the words room or office Into the unit. are used,a separate,enclosed space for the one named A3.1.5.4 Multipurpose rooms are used primarily for staff purposes function is intended;otherwise,the described area may M and generally are not available for family or visitors.A walting 6fl be a specific space in another room or common area. room convenient to the uni[should he provided,, CL i ! w ii 2006 Guidelines in,Design and Construction or Health Care Facilities 41 2.1 GENERAL HOSPITALS (2) if it is convenient to each,one hand-washing 3.1.5.12 Equipment and supply storage station shall be permitted to serve several areas. (1) Clean linen storage.Each nursing unit shall con- Clean linen storage Medication Station 3.1.5.6 Medication station.Provision shall be made for tain a designated area for clean linen storage in distribution of medications in accordance with accordance with Section 2.1-2.3.9.1. Section 2.1-2.3.4. (2) Equipment storage room or alcove.Appropriate 3.1.5.7 Nourishment area.This area shall be provided rooms or alcove(s)shall be provided in accor- G+ inaccordancewithSection2.1-2.3.5. dance with Section 2.1-2.3.9.2. Equipment Storage 3.1.5.8 Ice machine.Each nursing unit shall have (3) Storage space for stretchers and wheelchairs.Space shall equipment to provide ice for treatments and nourish- be provided in accordance with Section 2.1-2.3.9.3. ment.Ice-making equipment shall be provided in accordance with Section 2.1-22.3.6. (4) Emergency equipment storage.Storage shall be provided for emergency equipment in accordance Emergency e q u i p m e n t 3.1.5,9 Patient bathing facilities with Section 2.1-2.3.9.4. (1) Showers and bathtubs "3.1.5.13 Housekeeping room.One housekeeping room shall be provided for each nursing unit or nurs- (a) Where individual bathing facilities are not ing floor in accordance with Section 2.1-2.3.10. provided in patient rooms,there shall be at least one shower and/or bathtub for each 12 Note-This housekeeping room may not be used for beds without such facilities. other departments and nursing units that require sep- arate housekeeping rooms. (b) Each bathtub or shower shall be in an indi- vidual room or enclosure that provides pri- 3.1.6 Support Areas for Staff vary for bathing,drying,and dressing. 3.1.6.1 Staff lounge facilities.Lounge facilities shall be Staff Support Areas provided in accordance with Section 2.1-2.4.1. (2) Toilets.A toilet shall be provided within or direct- ly accessible to each central bathing facility. 3.1.6.2 Staff toilet room(s).Staff toilet rooms shall be provided in accordance with Section 2.1-2.4.2. (3) Special bathing facilities,including space for atten- dant,shall be provided for patients on stretchers, 3.1.6.3 Staff storage facilities.Storage facilities for the Staff storage facilities carts,and wheelchairs at the ratio of one per 100 personal use of staff shall be provided in accordance beds or a fraction thereof.These facilities may be with Section 2.1-2.4.3. on a separate floor if convenient for use. 3.1.7 Support Areas for Patients and Visitors 3.1.5.10 Clean workroom or clean supply room. 3.1.7.1 Visitor lounge.Each nursing unit shall have Clean Workroom Such rooms shall be provided in accordance with access to a lounge for visitors and family. Visitor Lounge Section 2.1-2.3.7. (1) This lounge shall be sized appropriately for the Soiled Workroom 3.1.5.11 Soiled workroom or soiled holding room. number of beds and/or nursing units served per Such rooms shall be provided in accordance with the functional program. Section 2.1-2.3.3. (2) This lounge shall be conveniently located to the nursing unit(s)served. Recycle collection A3.1.5.13AStomgPor bin space should be included for recyclable (3) This lounge shall provide comfortable seating. i matedals:white paper,mixed paper,cans,bottles,and cardboard. 1 42 2006 Gui,10 es 10,Design an<f Conmrv,hon of Heutlh Caro families Y. 2.1 GENERAL HOSPITALS Jp (1) This shall have toilet facilities,drinking fountains, (e) For oxygen and vacuum,see Table 2.1-5. and telephones. (f) Treatment/examination rooms used for pelvic (2) If so determined by the hospital ICRA,the emer- exams shall"]low for the foot of the examina- gency department waiting area shall require special tion table to face away from the door. measures to reduce the risk of airborne infection transmission.These measures may include '(2)Trauma/cardiac rooms for emergency procedures, enhanced general ventilation and air disinfection including emergency surgery similar to inpatient requirements for airborne infection isolation rooms.See the CDC"Guidelines (a) Space requirements 5.1.3.7 Diagnostic, treatment, and service areas for Preventing the Transmission of Mycobacterium tuberculosis in Health Care Facilities" (i) Each room shall have at least 250 square feet (1) Examination and treatment room (23.23 square meters)of clear floor space.s) 5.1.3.7Diaannst;c,treatment,andservicenrcas (ii)Additional space with cubicle Curtains for (1) Examination and treatment room(s) privacy may be provided to accommo- date more than one patient at a time in (a) Space requirements.Each examination room the trauma room. (a) Space requirements. Each examination room shall have a minimum clear floor area of 120 square feet(I 1.15 square meters),exclusive (b) Facility requirements.The room shall con- shall have a minimum clear floor area of 120 of fixed casework. tain cabinets and emergency supply shelves, square feet (11.15 square meters), exclusive x-ray film illuminators,examination lights, (b) Facility requirements.Each examination and counter space for writing. of fixed casework. room shall contain work counter(s),cabi- nets;hand-washing stations:s,tpytly onrane (c) Patient monitoring.Provisions shall be made facilities;examination lights;a desk,counter, for monitoring the patients. or shelf space for writing;and a vision panel adiacent to andlor in the door. (d) Supply storage.Storage shall be provided for (b) Facility requirements. Each examination immediate access to attire used for universal (e) Renovation.Where renovation work is precautions. room shall contain work counter(s); cab- undertaken,every effort shall be made to meet these minimum standards.In such (e) Door width.Doorways leading from the nets; hand-washing stations; supply storage cases,each room shall have a minimum clear ambulance entrance to the cardiac trauma facilities; examination lights; a desk, counter, area of 100 square feet(9.29 square meters), room shall be a minimum of 5 feet(1.52 exclusive of fixed or wall-mounted cabinets meters)wide to simultaneously accommo- or shelf space for writing; and a vision panel and built-in shelves. date stretchers,equipment,and personnel. adjacent to and/or in the door. (d) Treatment cubicles (f) Renovation.In renovation projects,every effort shall be made to have existing cardiac/trauma (i) Where treatment cubicles are in open rooms meet the above minimum standards.If multiple-bed areas,each cubicle shall it is not possible to meet the above square-foot have a minimum of 80 square feet(7.93. standards,the authorities having jurisdiction square meters)of clear floor space and may grant approval to deviate from this shall be separated from adjoining cut i- requirement.In such cases,these rooms shall des by curtains. �� M (ii)Hand-washing stations shall 6e provided �� W for each four treatment cubicles or major A5.1.3.7(2)Access should be convenlentto the ambulance fraction thereof in multiple-bed areas. entrance. o..n...... 71 2.1 GENERAL HOSPITALS sz >f *(2)Renovation.Where renovation work is undertak- provided in the cardiovascular,orthopedic, en,every effort shall be made to meet the above neurosurgical,pump,and storage rooms. minimum standards.If it is not possible to meet the above square-footage standards,each room (5) Renovation.Where renovation work is undcrok- shall have a minimum clear area of 360 square en,every effort sliall be made to meet the above feet(33.45 square meters),exclusive of fixed or minimum standards.If it is not possible to meet wall-mounted cabinets and built-in shelves,with the above square-footage standards,the following ; a minimum of 18 feet(5.49 meters)clear dimen- standards shall be met: 5.3.2.2(operating) Room(s) for cardiovascular,orthopedic,neuro- sion between fixed cabinets and built-in shelves. logical, and other special procedures that require addi- (a)Rooms)for cardiovascular,orthopedic, (a) Orthopedic surgical rooms shall have a mini- mum clear area of 360 square feet(33.45 tional personnel and/or equipment logical,and other special procedures that rem,ire,r1Ai- square meters),with a minimum dimension tional personnel and/or large equipment of 18 feet(5.49 meters). (1) Space requirements.When included,these- (b) Rooms for cardiovascular,neurological,and room(s)shall have,in addition to the ahrwn other special procedures shall have a mini. requirements for general operating rooms,a min- mum clear area of 400 square feet(37.16 uuun)c car area of 600 square feet(55.74 square square meters). ...rooms shall have, in addition to the above meters),will,a minimum of 20 feet(6.10 meters_ requirements for general operating rooms, a min- clear dimension exclusive of fixer)r,r,v�n_m�„„. a 5.3.2.3 Additional requirements for orthopedic surgery cabinets and built-in shelves. imum clear floor area of 600 square feet (55.74 square (1) Equipment storage.Where included,this room meters), with a minimum of 20 feet(6.10 meters) (2) Pump room.Where open-heart surgery is per. shall,in addition to the above requirements,have formed;an additional room in the restricted area enclosed storage space for splints and traction clear dimension exclusive of fixed wall-mounted of the surgical suite,preferably adjoining this equipment.Storage may be outside the operating operating room,shall be designated as a pump room but must be conveniently located. cabinets and built-in shelves. room where extra corporeal pump(s),supplies, and accessories are stored and serviced. (2) Plaster trap.If a sink is used for the disposal of plaster of Paris,a plaster trap shall be provided. (3) Equipment storage rooms.Where complex ortho- pedic and neurosurgical surgery is performed, 5.3.2.4 Room(s)for surgical cystoscopic and other additional rooms shall be in the restricted area of endourologic procedures the surgical suite,preferably adjoining the special- ty operating rooms,which shall be designated as (1) Space requirements j. equipment storage rooms for the large equipment used to support these procedures. (a) This room shall have a minimum clear area of 350 square feet(32.52 square meters) (4) Plumbing and electrical connections.Appropriate exclusive of fixed or wall-mounted cabinets plumbing d electrical connections shall be P g r an and built-in shelves,with a minimum of 15 feet(4.57 meters)clear dimension between fixed cabinets and built-in shelves. A5.3.2.1(2)The functional program may require additional clear (b) In renovation projects,rooms for surgical cys- ) space,plumbing,and mechanical facilities to accommodate toscopy shall be permitted to have a minimum special functions in one or more of theso rooms.When existing clear area of 250 square feet(23.23 square 1 } functioning operating rooms are modified,and it is Impractical meters). to increase the square footage because of wails or structural members,the operating room maycominue In use when (2) X-rayvkwer.X-ray viewing capability to accommodate requested by the hospital. at least four films sirnultaneously shall be provided. 78 200e Gulocil m,s for Design ana Construction of Heani,care Facilities All Phases of Development Phase III Phase IV Proposed in Current Proposed in Conceptual Phase 1 Phase ll Phase II Application Difference Phase ll Application Difference r Sub-basement 0 0 1,489 0 0 0 0 0 0 Basement 24,558 0 10,094 10,671 19,385 8,714 3,813 1,854 -1,959 Level One 63,194 5,721 18,856 32,715 33,280 565 6,128 6,721 593 Level Two 32,927 0 20,977 41724 8,152 3,428 0 0 0 Medical Office Space 17,716 0 12,000 15,000 10,187 -4,813 0 0 0 Ambulance Garage 0 0 0 0 3,436 3,436 0 0 0 Subtotal '138,395 5,721 63,416 63,110 74,440 11,330 9,941 8,575 -1,366 Existing Hospital 75,700 75,700 0 0 0 0 0 0 0 Parking Garage 76,000 0 76,000 0 0 0 0 0 0 Total 290,095 81,421 139,416 63,110 74,440 9,941 8,575 Phase II Approved Additions to Master Facilities Plan Currently Approved Proposed Difference Above and Below Grade Comparison Proposed Affordable Housing 15,500 13,593 -1,907 Level Conceptual Build-out Difference Whitcomb Terrace Sub- Expansion 8,000 0 -8,000 basement 0 1,489 8,264 Below Grade Basement 24,558 31,333 Gross Sq. Ft.Totals Level One 63,194 64,578 Conceptual Approval 290,095 Level Two 32,927 29,129 5,493 Sum of Phase 1 81,421 MOS 17,716 22,187 Sum of Phase I & II 220,837 Above Grade Ambulance 0 3,436 Proposed sum of Phases I, II, & III 295,277 Totals 138,395 152,152 13,757 Proposed sum of Phases I, II, III & IV 303,852 Note: Housing and Whitcomb not included design - Hoary MEamatbnal I- - 820 ift Sveel Mall. Suilo 200, D.—,CO 80202-3219 -- 720.948.0278 Oroied number -- -- 1121900 A S I' li N v A I. 1, E Y v 13 O S T._.A...L seates PHASE 3 AND 4 ADDITION/EXPANSION SFCEAfIt,3NxY 1 t - E We!iIILL, aeas m -- ® 0001 Castle C,ech Road / Aspen.Oo 81611 f !- b ff D,DF96`K V!• l I consutWntWCOnsvec8on nwnagors \,ELaYU,i,tSf .. _ If- �x1 � ��l maut• .. .__- - l t - �l .1 J.r.;.:J.d �.era�a�+,.wHUO ���-S�n1x, II FASI. 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SCALE:t-30'0 rtFIYW HLVnis'n % FEFVatMa:aM4-r--"---'_. / S M. JSRaW""" L LEGEND �l. � WFLOORELEV.=1ar4' }y f 1 -_°J 4/�1�-'/S fccvuausM .�-' J• / ^'"�.£:� f:f" , Er EY.E1 f QhAG=1`E-Y80VEteiA{+Oa 1 r� ��`� �� f !! ab,."°,'.,.rr• +a:o•AC=�c-9=aeovECSlvoe-' aadal ms, ROOF (1 �` T PLAN —V ���-��) ,�h Are, z _ AF-103 dada,nem�r ` ,� drawn by fhxkdd by Jennifer Phelan From: LJ Erspamer[walkabout @sopris.net] ` / rz- Sent: Friday, November 16, 2012 9:19 AM II To: Jennifer Phelan (�,/� Subject: FW: comments on AVH lighting Jennifer, I'm not sure how to handle these comments before our meeting. Perhaps this should be submitted on the record during the meeting. Li From DeFrancia, Jim S[ma i Ito:IDeFrancia @loweenterprises.com] Sent: Friday, November 16, 2012 9:12 AM To: Bert Myrin; Cliff Weiss; Jasmine Tygre; Keith Goode; U Erspamer; Ryan Waltersheid; Stan Gibbs Subject: comments on AVH lighting As I cannot attend Tuesday, some very succinct comments from the site visit: ➢ Favor the bollards for lighting the back roadway, with the partial backing that prevents light from showing off- site ➢ Favor the proposed beige screening for the garage ➢ Suggest a "shade" on lighting in the main entry parking lot, such that light is directed downward and thus reduces off-site visibility JDeF 1