Randall Lamb Association

INsight: Updating Our Hospitals, Retrofitting

October 24, 2011

Updating Our Hospitals: Retrofitting for the Future

Since 1994, hospitals have been hiring architectural and engineering firms to study and develop projects to deal with the new seismic requirements of Senate Bill 1953 (SB 1953), enforced by the Office of Statewide Health Planning and Development (OSHPD). Based on their Structural Performance Category (SPC) and Non-Structural Performance Category, hospitals have closely examined how their facilities will be utilized in the future.
SB 1953 only requires seismic strengthening of the building and anchorage of the nonstructural components of a hospital, with the goal of providing a safer environment for patients in the event of an earthquake. Hospitals also realized that there are additional upgrades to consider for patient safety. The costs of meeting SB 1953 standards are already staggering and upgrading outdated patient services, or creating greater efficiencies in unreliable mechanical, electrical and plumbing (MEP) system infrastructure greatly increases those costs. Nonetheless, hospitals understood that retrofitting their facilities required that they cast a much wider net.
Since the onset of SB 1953, Randall Lamb has assisted hospitals in studying and engineering new projects to address the MEP impact of the mandated requirements. In conjunction with those projects, Randall Lamb has reviewed the MEP equipment for age, condition, capacity, efficiency, remaining useful life and disruption impacts; and developed recommendations and costs to support current and future growth requirements. MEP equipment that has reached its end of useful life can fail at any time, and the loss of equipment through a catastrophic event can be costly and disruptive to hospital operations, impacting patient care.

 

CASE STUDIES:

Kaiser San Diego Medical Center Zion, Infrastructure Surveys, San Diego, CA

Randall Lamb was commissioned to evaluate and identify the mechanical and electrical infrastructure upgrade projects that would be required for the 597,000 sq ft hospital and central plant through the year 2020. The scope of services addressed the condition, age, location, disruption impacts and recommended upgrades and probable costs for the MEP systems that are currently being implemented.


Scripps Health, Air Handler Units Evaluation and Repair, San Diego, CA

Randall Lamb evaluated thirty (30) existing air handling units; twenty-four (24) units in the hospital and six (6 ) units in the Anderson Outpatient Pavilion at Scripps Green Hospital. The project determined each unit’s existing condition, remaining useful life, component replacement options and overall unit replacement. Subsequently, Randall Lamb recently provided prime mechanical and electrical engineering services to repair six of the hospital’s air handlers to extend their life by 3-5 years until they could be replaced. The exact scope of work varies for each unit, but includes repair/replacement of the following: Moisture eliminators/pre-filters, control dampers, condensate drain pan, chilled water and heating coils, supply and return fans, air handler cabinet, air filters, test and balance, and temporary HVAC system.


Kaiser San Diego Medical Center Zion, 4th Floor NICU Department Study/Remodel & Postpartum Department Remodel, San Diego, CA

Randall Lamb is also providing MEP design to support the build-out of the NICU and Postpartum Departments on the 4th floor of the Hospital. The scope incorporated recommendations from a prior study completed by Randall Lamb, and includes new HVAC, plumbing, lighting, power, fire protection, nurse call/code system, and low voltage signal plans. The Design Team is working diligently and collaboratively to produce an excellent outcome without disrupting these important and special units in the hospital.

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