Medford Ambulatory Surgery Center: Update...May 28, 2019  · 8 • The full-build Project net -new generated trips are approximately 35-40 vehicles/hour during weekday peak periods

Medford Ambulatory Surgery Center: Update

May 28, 2019

New Proposed Location: Partial Renovation and Partial New Build

2

• Improved façade • Improved entrance and patient drop-off • Improved handicapped parking access

Site Layout

4

Project Location

5

Site Layout

Traffic and Parking

7

• Study revised to reflect the new building location – Building program and services remain constant for patient and employee

volume assumptions • “Up to 17,500 SF” for purpose of trip generation and parking

– New site actually: ± 15,500 SF

• Continued repurposed space within Hospital

• Findings: – Anticipated traffic generation/trip distribution

• Project will result in minor increase in vehicle trips on roadways – Improvement to onsite parking capacity

• Increase of +4 spaces over existing condition • +65 spaces over previous building location • Proceeding with removal of onsite student parking

Traffic and Parking: reflecting new location

8

• The full-build Project net-new generated trips are approximately 35-40 vehicles/hour during weekday peak periods – As a comparison, the intersection of Governors Ave/Lawrence Rd

processes 1,750-1,800 veh/hr during peak periods

Traffic: Total Project-Generated Vehicle Volumes

9

Trip Generation – ASC Build Only (2020)

Movement AM Peak 7:15-8:15

PM Peak 4:45-5:45

In 156 60

Out 38 86

Total 194 146

Existing LMH Campus (includes Courtyard Nursing Care Center)

Estimated 2020 Condition Net-New Trip Generation

Movement AM Peak 7:15-8:15

PM Peak 4:45-5:45

In + 11 + 11

Out + 9 + 1

Total Net New + 20 + 12

10

Trip Generation – ASC + LMH Programming (2023)

Movement AM Peak 7:15-8:15

PM Peak 4:45-5:45

In 156 60

Out 38 86

Total 194 146

Existing LMH Campus (includes Courtyard Nursing Care Center)

Estimated 2023 Condition Net-New Trip Generation

Movement AM Peak 7:15-8:15

PM Peak 4:45-5:45

In + 25 + 18

Out + 16 + 18

Total Net New + 41 + 36

Parking Supply and Demand – Peak Utilization

11

• Adequate parking at peak periods, even at height of future activity • Peer review of parking study by independent third-party

191 182 232

80

80 137 17

17

94 space surplus 147 space

surplus

97 space surplus

0

50

100

150

200

250

300

350

400

450

2018 Existing Condition 2020 Future Condition 2023 Future Condition

Extra Spaces

School of Nursing

ASC Services

LMH Services

422 Spaces 426 Spaces 426 Spaces

328 spaces needed

279 spaces needed

329 spaces needed

12

Future Parking Anticipated Designated Areas

13

• Employees & students will have sticker-parking and cars will be registered with LMH Security

• Employees are to park in designated areas on campus to ensure convenient parking access for patients and visitors – Failure to comply with this policy will result in a warning ticket being issued,

plus a letter to the offender’s Department Manager and corrective action through Human Resources

• Student parking will be off-site at 100 Hospital Road, Malden, MA – Contracted shuttle services will be provided for students – The proposed shuttle schedule will be developed collaboratively with the

School of Nursing’s president and align with curriculum needs • Three morning runs 6:15am, 6:45am and 7:15am • Five afternoon runs 1:45pm, 2:15pm, 2:45pm, 3:15pm and 3:45pm

– Schedules will be adjusted accordingly for inclement weather, exams, etc – Ridership will be reviewed daily by Security and School of Nursing staff – Students will ticketed, assessed fines, and pulled out of class if not following

policy

Parking policy

14

• Parking on neighborhood streets is strictly prohibited

• Any parking related issues can be called into LMH front desk and ask to speak to security supervisor – 24/7 security presence at LMH

• Security is monitoring parking lots day and night

Parking policy

• Matthew Brown, MD – Chair, Department of Surgery – General Surgery, Robotic

Surgery • Matthew Havercamp, MD

– Chair, Department of Anesthesiology

– ASC New England Baptist Hospital

• Brian Clark, MD – Gastroenterologist/Surgeon – Yale ASC

15

Commitment to Quality

Appendix

Load dock and truck delivery

17

Concern New Location Benefit:

Loading dock, truck delivery

• Utilizes existing hospital loading dock • Reinforcement of delivery policy, including new signage, to utilize loading

dock and not front door

Site location detail and benefits

18

Concern New Location Benefit:

Location

• Construction will be within existing footprint of hospital • Remains one-story • Construction will include new, state-of-the-art ORs and services • Remains a partnership with Shields Healthcare & local surgeons • No impact on current or future services to hospital building

Generator and mechanicals

• No need for additional generator • Will utilize existing generator and utilities • Smaller rooftop AHU unit for new-build OR’s

Loading dock, truck delivery

• Utilizes existing hospital loading dock • Reinforcement of delivery policy, including new signage, to utilize loading

dock and not front door

Dumpster location, trash

• Utilizes existing hospital dumpsters • No medical waste is disposed of in dumpsters • ASC will follow all regulations for disposal • No food waste is generated from ASC

Site location detail and benefits

19

Concern New Location Benefit:

Lighting

• New lighting (patient drop-off, handicapped parking) will be modern, efficient and low

• Proposed lighting design, which is not complete, will be shared with neighbors

Greenspace • New site location does not impact existing perimeter campus greenspace • Will include new plantings around drop-off and new handicapped parking

spaces

Neighborhood Pathway

• Will close-off fencing to this area if consensus by neighbors • There is 24/7 security at the campus • Regular patrolling of parking lots by security

Site location detail and benefits

20

Concern New Location Benefit:

Parking

• No loss of parking • Enhanced patient drop-off, with canopy • Enhanced handicapped parking access • Parking report will be included with special permit submission, still in

progress • Parking study to be peer reviewed by independent third-party agency

Parking policy • LMH to create stickered parking policy for students and staff • Student parking to include financial penalties and class removal

Traffic & Safety

• Traffic report will be included with special permit submission • Traffic study to be peer reviewed by third-party agency • ASC will commit to purchase of radar speed signs in coordination with the

Police Department in neighborhood