Dell Seton Medical Center at the University of Texas at Austin
Capital Equipment Track
Medical Equipment Planning, Procurement, and Logistics
A Case Study: Dell Seton Medical Center at the
University of Texas at Austin
Presenters:
Alan Bell, Regional Director, Planning, Design and Construction,
Facilities Resource Group (Ascension)
Daniel Kromis, Managing Director & Senior Planner, HSG, Inc.
Architectural renders courtesy of HKS, Inc.
Dell Seton Medical Center at the University of Texas at Austin
Who – The Seton Family of Hospitals, Travis County Central Health, and The University of Texas at Austin
What – New state of the art teaching acute care hospital will be the anchor for the development of the medical school and research campus.
Where – Southern edge of the University of Texas at Austin campus.
Why – Fulfill a commitment to the people of Central Texas, Austin and Travis County by serving the health needs of the community, particularly the most vulnerable populations.
Dell Seton Medical Center at the University of Texas at Austin
Facility Overview195 Licensed Beds
135 Medical/Surgical30 Universal Care30 Intensive Care
Level 1 Trauma Center2 helipads12 Operating Rooms1 Hybrid Operating Room2 Cath Labs
2012 2013 2014 2015 2016 2017
First Patient Day
5/21/2017
Dell $25 Million
Matching Donation
Programming Begins
AssetMove-in2/6/2017
HSG contract
Construction Begins
Certificate of Occupancy
Department of Health
Project Submission for Approval
Dell Seton Medical Center at the University of Texas at Austin
Dell Seton Medical Center at the University of Texas at Austin
Construction $189,000,000
A/E fees $ 12,200,000
Consultants Fees $ 3,500,000
Medical Equipment $ 53,000,000
FF&E $ 6,700,000
Information Systems $ 18,200,000
Art $ 300,000
Regulatory $ 5,900,000
Legal $ 1,000,000
Project Management $ 1,900,000
Other expenses $ 200,000
Capitalized interest $ 12,000,000
Owners Contingency $ 6,200,000
Total $310,100,000
Dell Seton Medical Center at the University of Texas at Austin
• Gold Certificationas approved by the 2009 ed. , LEED for Green Building Design and Construction – Healthcare Facility.
• Participating in the University of Texas administered “Sites Initiatives” accreditation program
• Pursuing a 4 Star Certification from the City of Austin Green Building Program.
• Consultant contract with Center for Maximum Potential Building Systems, Gail Vittori
The Work Curve for equipment
planning, procurement & logistics
management
Dell Seton Medical Center at the University of Texas at Austin
Dell Seton Medical Center at the University of Texas at Austin
Hurdle
An obstacle in your path between
the start and finish line…
Dell Seton Medical Center at the University of Texas at Austin
Contract for Services
Scope of Work
…What are you doing?
Dell Seton Medical Center at the University of Texas at Austin
Contract for Services
Scope Matrix
…What are you expecting of others?
Does the client have a budget established?
Initial projected cost assuming all new assets
Reduce Scope and/or Program
Defer equipment purchases
Repurpose existing assets
Capital vs operational monies
Dell Seton Medical Center at the University of Texas at Austin
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Is Philanthropy an opportunity
or an expectation?
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Dell Seton Medical Center at the University of Texas at Austin
$53 million “medical” equipment budget
$88 million Initial Program
$ 3 million Program Adjustments
$13 million Deferred purchases
$21 million Relocating assets & operational purchases
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Assessing asset relocation opportunities
Biomedical equipment data validation & analysis
Clinical observations
Inventory & tagging
Asset disposition process
Stakeholder interaction and support
Dell Seton Medical Center at the University of Texas at Austin
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“Capitalization of Operational Problems”
Avoid the
Dell Seton Medical Center at the University of Texas at Austin
“COPs”
What are some red
flags that you are
dealing with “COPs”
Dell Seton Medical Center at the University of Texas at Austin
What should you do
when you encounter
the “COPs”
Dell Seton Medical Center at the University of Texas at Austin
Be careful what you say…”
“Anything you say can and will be
used against you”
Dell Seton Medical Center at the University of Texas at Austin
Procurement Hurdles
Off-Contract Requests
Material vs Procurement Lead Times
Purchase Order Request Forms
Expired Quotes
Purchase Order Changes
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Dell Seton Medical Center at the University of Texas at Austin
Clinical Reviews
Design Meetings
Project Meetings (OAC)
LEED
PMT (Project Management)
ELT (Exec Leadership)
Enhanced Use (General IT)
Equipment Specific IT
Construction
Project Administration
Dell Seton Medical Center at the University of Texas at Austin
Leadership Changes
C-SUITE
ACUTE CARE
CRITICAL CARE
EMERGENCY
OBSERVATION
RESPIRATORY
STERILE PROCESSING
CATH LAB
EMU
Dell Seton Medical Center at the University of Texas at Austin
“Connecting” Equipment: Time Intensive Areas
Physiological Monitoring
Pharmacy
Laboratory
Radiology
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