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Takoma Park Campus Master Plan
September 5, 2013
Takoma Park Campus Master Plan
Site Development Planning
Critical Planning Issues
� Available site building area does not support retaining existing low-rise buildings
Current site restricted areas, including stream buffer setback and Pond agreement
development restrictions, limits site future development potential
To provide available site building area for medical office and structured parking facilities,
future site development will require higher-density building footprints
� Limited building floor to floor heights
10’-9” and 11’-0” floor to floor heights do not support high-acuity services, limiting future
repositioning for contemporary acute care healthcare services
� Aging facilities limit asset value of existing facilities
1950 era building is over 60 years old with substantial deferred maintenance and building
upgrade issues, providing diminished asset value going forward
1970 era building is approaching 50 years old with substantial deferred maintenance and
building upgrade issues, providing diminished asset value going forward
Takoma Park Campus Master Plan
Site Development Planning
Site Plan – Site Restrictions
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
1950
Building
1990
South
1990
North1970 / 1980
1980
West
1980
East
N
Stream
Buffer
Restricted
Development
Area
MOB
Property
CUP
Takoma Park Campus Master Plan
Site Development Planning
Site Plan – Building Age
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
N
CUP
1950
Building
1990
South
1990
North1970 / 1980
1980
West
1980
East
1950 1970-80 1990
1990 1970-80 1990
Bed Capacity
1950 79 Beds
1970 132 Beds
1990 40 Beds
Total 251 Beds
Takoma Park Campus Master Plan
Site Development Planning
Site Plan – Building Height
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
N
CUP
8-Story
2-Story 4-Story8-Story
4-Story
3-Story
1950 1970-80 1990
1990 1970-80 1990
Bed Capacity
1950 79 Beds
1970 132 Beds
1990 40 Beds
Total 251 Beds
Takoma Park Campus Master Plan
Site Development Planning
Development Approach
� Campus Planning Concept
Long-range institutional campus regeneration requires an “empty chair” site planning
approach to facilitate development of replacement facilities while maintaining operations
1990 development on-campus constructed relatively low-rise additions to the main hospital
building on both the north and south sides, restricting the ability to economically replace aging
assets going forward without disruption to services or loss of services for a period of time
� Maximize Future Campus Development Potential
To maximize utilization of the limited existing available site area, future site development will
require higher-density building footprints
Low-density building areas less than 7-stories include:
• 1980 East & West 4-story additions
• 1990 South 2-story addition
• 1990 North 4-story addition
These building areas are considered to provide limited asset value going forward
Takoma Park Campus Master Plan
Site Development Planning
Development Approach
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
NPhased redevelopment plan providing contemporary healthcare facilities
CUP
1990
South
1990
North1970 / 1980
Stream
Buffer
MOB
Property
Restricted
Development
Area
Takoma Park Campus Master Plan
Site Development Planning
Site Plan – Step 1
MOB
CUP
MOB
Parking
Structure
N
1950
Building
1990
South
1990
North1970 / 1980
1980
West
1980
East
Phase 1
05 Cardiac Acute Care Unit
04 OB Couplet Care Unit
03 OB Labor & Delivery
OB Perinatal Diagnostics
02 Sleep Center
Laboratory
Pharmacy
Respiratory Therapy
01 Lobby & Public Services
Heart Center (EKG/Echo)
Medical Same Day Unit
Cardiac Cath
CV Admin. & Research
CUP (Elect. & IT)
LL1 CUP (Boiler & Chillers)
Parking (100 Spaces)
LL2 Parking (100 Spaces)
Phase
1CUP
Conference Center & Lisner Building demolition required
Phase 1
Interim
Parking
Bed Capacity
Phase 1 72 Beds
1950 0 Beds
1970 132 Beds
1990 40 Beds
Total 244 Beds
Takoma Park Campus Master Plan
Site Development Planning
Site Plan – Step 2
MOB
CUP
Parking
Structure
Phase
1CUP
N1950 Building & 1990 South Wing building demolition required
1970 / 1980
1980
West
1980
East
Phase 2
05 General Acute Care Unit
04 Critical Care Unit
03 OB Couplet Care Unit
02 Surgical Suite
SDS & PACU
GI Endoscopy
01 Lobby & Public Services
Central Admitting / PAT)
Radiology
LL1 Emergency Services
LL2 Dietary Services
Support Services
Phase
2
Bed Capacity
Phase 1 72 Beds
Phase 2 78 Beds
1970 102 Beds
1990 0 Beds
Total 252 Beds
Phase 2
Parking
StructurePhase 2
1990 Bldg. Renovations
Parking Structure
1990
North
MOB
Takoma Park Campus Master Plan
Site Development Planning
Site Plan – Step 3
MOB
Parking
Structure
Phase
1
Phase
2CUP
NPhase 3 development to occur in 2 steps to maintain surgical capacity
1970 / 1980
1980
East
Phase 3
05 General Acute Care Unit
04 General Acute Care Unit
03 Behavioral Health Unit
02 Surgical Suite
01 Radiology
LL1 Support Services
LL2 Support ServicesPhase
3A & 3B
Bed Capacity
Phase 1 72 Beds
Phase 2 78 Beds
Phase 3 88 Beds
1970 0 Beds
1990 0 Beds
Total 238 Beds
Phase 2
Parking
Structure
1990
North
MOB
Takoma Park Campus Master Plan
Site Development Planning
Site Plan – Step 4
MOB
Parking
Structure
Phase
1
Phase
2CUP
N
Phase
3A & 3B
Bed Capacity
Phase 1 72 Beds
Phase 2 78 Beds
Phase 3 88 Beds
Phase 4 14 Beds
1990 0 Beds
Total 252 Beds
Phase 2
Parking
Structure
1990
North
MOBPhase 4
Phase 4
05 Administrative Services
04 Administrative Services
03 Behavioral Health Unit
02 Administrative Services
01 Ancillary Services
LL1 Outpatient Services
Takoma Park Campus Master Plan
Site Development Planning
Level LL 31234
LL 1
LL 2
1
2
3
4
5
597,000 GSF: 252 Beds @ 2,100 GSF / Bed
Patient Care 14’-0” Floor to Floor4
3 Patient Care 14’-0” Floor to Floor
2 Surgery 16’-0” Floor to Floor
1 Radiology / Cardiology 16’-0” Floor to Floor
LL 1 Emergency 16’-0” Floor to Floor
LL 2 Support Services 14’-0” Floor to Floor
5 Patient Care 14’-0” Floor to Floor
Takoma Park Campus Master Plan
Phase 1 Detail
Compelling Priorities
� 1950 Building Construction
10’-9” floor to floor heights do not support
high-acuity services such as OB L&D, Clinical
Laboratory, Nuclear Medicine and Inpatient
Services
Site is critical to providing OB Post-Partum
patient care adjacent to Phase 1 L&D Suite
� Critical Adjacencies
Priorities include locating emergency
services in close proximity to cardiac cath,
and locating radiology, surgery & critical care
in close proximity to the ED
� Empty Chair
Site is planned to accommodate remaining
services located in 1980 West Building
Level LL 3Project Scope
� Interim Development
Parking relocation to Adventist University
leased open site area
� New Construction
211,000 gross building area
143,000 hospital building area
68,000 structured parking area
� Services
Inpatient Services
• 72 beds
• OB Labor & Delivery & Special Care Nursery
Ancillary Clinical Services
• Pathology Clinical Laboratory
• Pharmacy
• Respiratory Therapy
Takoma Park Campus Master Plan
Phase 1 Detail
Critical Phasing Issues
� Education Building
Federally Qualified Health Center (FQHC)
future location unresolved
� Lisner Building
Services located in this building location
unresolved
� Unresolved Hospital Departments
Acute Rehabilitation Hospital
Utilization Review & Quality Management
Risk Management
Coffee Shop
Education Private Dining Room
Environmental Services Linen Distribution
Level LL 3
Takoma Park Campus Master Plan
Phase 1 Detail
Site Plan
MOB
CUP
MOB
Parking
Structure
N
1950
Building
1990
South
1990
North1970 / 1980
1980
West
1980
East
Phase 1
05 Cardiac Acute Care Unit
04 OB Couplet Care Unit
03 OB Labor & Delivery
OB Perinatal Diagnostics
02 Sleep Center
Laboratory
Pharmacy
Respiratory Therapy
01 Lobby & Public Services
Heart Center (EKG/Echo)
Medical Same Day Unit
Cardiac Cath
CV Admin. & Research
CUP (Elect. & IT)
LL1 CUP (Boiler & Chillers)
Parking (100 Spaces)
LL2 Parking (100 Spaces)
Phase
1CUP
Conference Center & Lisner Building demolition required
Phase 1
Interim
Parking
Bed Capacity
Phase 1 72 Beds
1950 0 Beds
1970 132 Beds
1990 40 Beds
Total 244 Beds
Takoma Park Campus Master Plan
Phase 1 Detail
Level LL 2
MOB
CUP
MOB
Parking
Structure
ESMorgue
DietaryGen
Stores
Plant Op
N
CUP
Parking
100 Spaces
Vacant
Vacant
Location for QM unresolved
Service
Takoma Park Campus Master Plan
Phase 1 Detail
Level LL 1
MOB
CUP
MOB
Parking
Structure
Rad Onc.
Rad
RadED
CSS
N
CUP
Parking
100 Spaces
Vacant
Vacant
Vacant
Walk
InEMS
Takoma Park Campus Master Plan
Phase 1 Detail
Level 01
MOB
CUP
MOB
Parking
Structure
PACU
Surgery
SSDS
ICU
PAT
N
CUP
MSDS
Cath
CV
Vacant
Vacant
Location for medical records & executive administration unresolved
Main
Entry
Main
Entry
Takoma Park Campus Master Plan
Phase 1 Detail
Level 02
MOB
CUP
MOB
Parking
Structure
IMUBehavioral
Health
BH OP
SW
N
CUP
Outpatient
Services
Ancillary
Services Vacant
Takoma Park Campus Master Plan
Phase 1 Detail
Level 03
MOB
CUP
MOB
Parking
Structure
Gen Acute
N
CUP Vacant
3100 vacated OB unit interim general acute care unit
OB
L&D
Perinatal
Diagnostics
SCN
Takoma Park Campus Master Plan
Phase 1 Detail
Level 04
MOB
CUP
MOB
Parking
Structure
Gen Acute
ICU
N
CUPOB
Acute
Care
Vacant
Takoma Park Campus Master Plan
Phase 1 Detail
Level 05
MOB
CUP
MOB
Parking
Structure
Gen Acute
ICU
N
CUP Vacant
5200 Acute Rehabilitation Unit location unresolved
General
Acute
Care
Takoma Park Campus Master Plan
Phase 1 Detail
Level 06
MOB
CUP
MOB
Parking
Structure
N
CUP Vacant
Takoma Park Campus Master Plan
Phase 2 Detail
Compelling Priorities
� 1950 Building Construction
11’-0” floor to floor heights do not support
high-acuity services such as OB L&D, Clinical
Laboratory, Nuclear Medicine and Inpatient
Services
Site is critical to providing OB Post-Partum
patient care adjacent to Phase 1 L&D Suite
� Critical Adjacencies
Priorities include locating emergency
services in close proximity to cardiac cath,
and locating radiology, surgery & critical care
in close proximity to the ED
� Empty Chair
Site is planned to accommodate remaining
services located in 1980 West Building
Level LL 3Project Scope
� Building Demolition
1950 Building 98,200 gross area
1990 South Building 24,160 gross area
� New Construction
186,400 gross building area
� Services
Inpatient Services
• 78 beds
Ancillary Clinical Services
• Emergency Services
• Radiology suite
• Surgical Suite
Support services
• Dietary Services
• Central Sterile Supply (CSS)
Takoma Park Campus Master Plan
Phase 2 Detail
Site Plan
MOB
CUP
Parking
Structure
Phase
1CUP
N1950 Building & 1990 South Wing building demolition required
1970 / 1980
1980
West
1980
East
Phase 2
05 General Acute Care Unit
04 Critical Care Unit
03 OB Couplet Care Unit
02 Surgical Suite
SDS & PACU
GI Endoscopy
01 Lobby & Public Services
Central Admitting / PAT)
Radiology
LL1 Emergency Services
LL2 Dietary Services
Support Services
Phase
2
Bed Capacity
Phase 1 72 Beds
Phase 2 78 Beds
1970 102 Beds
1990 0 Beds
Total 252 Beds
Phase 2
Parking
StructurePhase 2
1990 Bldg. Renovations
Parking Structure
1990
North
MOB
Takoma Park Campus Master Plan
Phase 2 Detail
Level LL 2
MOB
CUP
Parking
Structure
ESMorgue
Cafe
Gen
Stores
Plant Op
N
CUP
Parking
100 SpacesVacant
SupportKitchen
Service
Service
Phase 2
Parking
Structure
100 Spaces
Takoma Park Campus Master Plan
Phase 2 Detail
Level LL 1
MOB
CUP
Parking
Structure
Rad Onc.
Rad
Emergency
N
CUP
Parking
100 Spaces
Vacant
Walk
InEMS
Phase 2
Parking
Structure
100 Spaces
MD
Office
Lease
Space
Takoma Park Campus Master Plan
Phase 2 Detail
Level 01
MOB
CUP
Parking
Structure
Radiology
SSDS
PAT
N
CUP
MSDS
Cath
CVVacant
VacantMain
Entry
MD
Office
Lease
Space
Phase 2
Parking
Structure
100 Spaces
Takoma Park Campus Master Plan
Phase 2 Detail
Level 02
MOB
CUP
Parking
Structure
Behavioral
Health
SSDS
SW
N
CUP
Outpatient
Services
Ancillary
ServicesVacant
PACU
Endo
Surgery
Location for BH partial hospitalization & outpatient services unresolved
MD
Office
Lease
Space
Phase 2
Parking
Structure
100 Spaces
Takoma Park Campus Master Plan
Phase 2 Detail
Level 03
MOB
CUP
Parking
Structure
Gen Acute
N
CUPOB
L&D
Perinatal
Diagnostics
SCN
OB
Couplet
Care
Phase 2
Parking
Structure
Takoma Park Campus Master Plan
Phase 2 Detail
Level 04
MOB
CUP
Parking
Structure
Gen Acute
ICU
N
CUPGeneral
Acute
Care
Critical
Care
Phase 2
Parking
Structure
Takoma Park Campus Master Plan
Phase 2 Detail
Level 05
MOB
CUP
Parking
Structure
Gen Acute
ICU
N
CUPGeneral
Acute
Care
General
Acute
Care
Phase 2
Parking
Structure
Takoma Park Campus Master Plan
Phase 3 Detail
Compelling Priorities
� 1980 West Building Construction
11’-0” floor to floor heights do not support
high-acuity services such as radiology and
surgical services
Site is critical to providing total area
required for radiology and surgical services
partially located in Phase 2 development
� Empty Chair
West site is planned to accommodate
remaining services located in 1970-80
Central & East Buildings and 1990 North
Building
Level LL 3Project Scope
� Building Demolition
1980 West – 64,650 gross area
� New Construction
117,500 gross building area
� Hospital Services
Inpatient Services
• 88 beds
Ancillary Clinical Services
• Radiology suite
• Surgical Suite
Support services
• Environmental Services
• Materials Management
• Plant Operations
� 1990 North Building MOB
72,630 gross building area renovations
Takoma Park Campus Master Plan
Phase 3 Detail
Site Plan
MOB
Parking
Structure
Phase
1
Phase
2CUP
NPhase 3 development to occur in 2 steps to maintain surgical capacity
1970 / 1980
1980
East
Phase 3
05 General Acute Care Unit
04 General Acute Care Unit
03 Behavioral Health Unit
02 Surgical Suite
01 Radiology
LL1 Support Services
LL2 Support ServicesPhase
3A & 3B
Bed Capacity
Phase 1 72 Beds
Phase 2 78 Beds
Phase 3 88 Beds
1970 0 Beds
1990 0 Beds
Total 238 Beds
Parking
Structure
1990
North
MOB
Takoma Park Campus Master Plan
Phase 3 Detail
Level LL 2
MOB
Parking
Structure
Cafe
N
CUP
Parking
100 Spaces
Support
StoresKitchen
ES
Gen
Stores
Plant Op
Service
Vacant
Service
Parking
Structure
Takoma Park Campus Master Plan
Phase 3 Detail
Level LL 1
MOB
Parking
Structure
Emergency
N
CUP
Parking
100 SpacesMedical
Office
Vacant
Support
Stores
Walk
InEMS
MOB
Entry
Parking
Structure
Takoma Park Campus Master Plan
Phase 3 Detail
Level 01
MOB
Parking
Structure
Radiology
PAT
N
CUP
MSDS
Cath
CV
Vacant
Main
Entry
Medical
Office
Parking
Structure
Takoma Park Campus Master Plan
Phase 3 Detail
Level 02
MOB
Parking
Structure
SSDS
SW
N
CUP
Outpatient
Services
Ancillary
ServicesPACU
Endo
Surgical
Suite
Vacant
Medical
Office
Parking
Structure
Takoma Park Campus Master Plan
Phase 3 Detail
Level 03
MOB
Parking
Structure
N
CUP
Vacant
OB
Couplet
Care
Behavioral
HealthOB
L&D
Perinatal
Diagnostics
SCN
Parking
Structure
Takoma Park Campus Master Plan
Phase 3 Detail
Level 04
MOB
Parking
Structure
N
CUP
Vacant
Critical
Care
General
Acute
Care
General
Acute
Care
Parking
Structure
Takoma Park Campus Master Plan
Phase 3 Detail
Level 05
MOB
Parking
Structure
N
CUP
Vacant
General
Acute
Care
General
Acute
Care
General
Acute
Care
Parking
Structure
Takoma Park Campus Master Plan
Phase 4 Detail
Compelling Priorities
� 1970-80 Central & East Construction
11’-0” floor to floor heights do not support
high-acuity services such as Radiation
Oncology, Surgical Same Day Services, MRI
Suites and Inpatient Services
Site is critical to providing total area
required for behavioral health services
partially located in Phase 3 development
� Floor Level Alignment
If 1970-80 Central & East Buildings remain,
their floor levels will not align with Phase 1-
3 new facility development, impacting way-
finding
Level LL 3Project Scope
� Building Demolition
1970-80 Central – 107,485 gross area
1970-80 East 35,480 gross area
� New Hospital Construction
82,200 gross building area
Hospital Services
• Inpatient Services
14 Behavioral Health Beds
Behavioral Health Partial Hospitalization
Behavioral Health Outpatient & Administration
• Administrative & Outpatient Services
Takoma Park Campus Master Plan
Phase 4 Detail
Site Plan
MOB
Parking
Structure
Phase
1
Phase
2CUP
N
Phase
3A & 3B
Bed Capacity
Phase 1 72 Beds
Phase 2 78 Beds
Phase 3 88 Beds
Phase 4 14 Beds
1990 0 Beds
Total 252 Beds
Phase 2
Parking
Structure
1990
North
MOBPhase 4
Phase 4
05 Administrative Services
04 Administrative Services
03 Behavioral Health Unit
02 Administrative Services
01 Ancillary Services
LL1 Outpatient Services
Takoma Park Campus Master Plan
Phase 4 Detail
Level LL 2
MOB Cafe
N
CUPPhase 1
Parking
Structure
2 levels
200 Spaces
Kitchen Support
Stores
Support
Stores
Phase 2
Parking Structure
6 Levels
600 Spaces
Service
Elev. -34’-0”
Existing
Parking Structure
2 Levels
150 Spaces
ES
Gen
Stores
Plant Op
Service
Takoma Park Campus Master Plan
Phase 4 Detail
Level LL 1
MOB
Emergency
N
CUPPhase 1
Parking
Structure
Support
Stores
Outpatient
Walk
InEMS
MOB
Entry
Elev. -20’-0”
Parking
Structure
Phase 2
Parking
Structure
Medical
Office
Takoma Park Campus Master Plan
Phase 4 Detail
Level 01
MOB
Radiology & other
Diagnostic Services
PAT
N
CUP
MSDS
Cath
CVOutpatient
Main
Entry
Elev. -4’-0”
Parking
Structure
Phase 2
Parking
Structure
Medical
Office
OP
Entry
Takoma Park Campus Master Plan
Phase 4 Detail
Level 02
MOBSSDS
N
CUP
Outpatient
Services
Ancillary
ServicesPACU
Endo
Outpatient
Surgical
Suite
Elev. +12’-0”
Parking
Structure
Phase 2
Parking
Structure
Medical
Office
Takoma Park Campus Master Plan
Phase 4 Detail
Level 03
MOB
N
CUPOB
Couplet
Care
Behavioral
HealthOB
L&D
Perinatal
Diagnostics
SCN
Behavioral
Health
Elev. +28’-0”
Parking
Structure
Phase 2
Parking
Structure
Takoma Park Campus Master Plan
Phase 4 Detail
Level 04
MOB
N
CUP Critical
Care
General
Acute
Care
General
Acute
Care
Elev. +42’-0”
Parking
Structure
Phase 2
Parking
Structure
Takoma Park Campus Master Plan
Phase 4 Detail
Level 05
MOB
N
CUPGeneral
Acute
Care
General
Acute
Care
General
Acute
Care
Elev. +56’-0”
Parking
Structure
Phase 2
Parking
Structure
Takoma Park Campus Master Plan
Existing Facility
Level LL 3
Takoma Park Campus Master Plan
Existing Facility
Level LL 3
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
Mech.
Elect.
N
Takoma Park Campus Master Plan
Existing Facility
Level LL 2
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
BuildingElect.
IS ES
ESMorgue
DietaryGen
Stores
Plant Op
QM
N
Service
Takoma Park Campus Master Plan
Existing Facility
Level LL 1
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
CathCath
Rad Onc.
Rad
Rad
MSDS
ED
Lab
Lab
CSS
N
CUP
Walk
InEMS
Takoma Park Campus Master Plan
Existing Facility
Level 01
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building Pharmacy
PACURT
Exec
Admin.
Surgery
SSDS
ICU
PAT
N
CUP
Main
Entry
Takoma Park Campus Master Plan
Existing Facility
Level 02
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
IMUBehavioral
Health
Gen AcuteBH OP
SW
N
CUP
Takoma Park Campus Master Plan
Existing Facility
Level 03
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
Gen Acute
OB Post Partum
SCN
L&D
N
CUP
Takoma Park Campus Master Plan
Existing Facility
Level 04
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
Gen Acute
Gen Acute
ICU
N
CUP
Takoma Park Campus Master Plan
Existing Facility
Level 05
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
Acute Rehab
Gen Acute
ICU
N
CUP
Takoma Park Campus Master Plan
Existing Facility
Level 06
Conference
Center
MOB
CUP
MOB
Parking
Structure
Lisner
Building
CV NM
Sleep
UR
N
CUP