Title
a. Receive annual update on the status of compliance with the Structural Performance Category ratings of the buildings on the Natividad Medical Center campus, and on the services provided in each building, as required by Assembly Bill (AB) 1882 (Chapter 584), Statutes of 2022 until compliance with the seismic safety standards outlined in the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 is achieved.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Receive annual update on the status of compliance with the Structural Performance Category ratings of the buildings on the Natividad Medical Center campus, and on the services provided in each building, as required by Assembly Bill (AB) 1882 (Chapter 584), Statutes of 2022 until compliance with the seismic safety standards outlined in the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 is achieved.
SUMMARY AND DISCUSSION
The Alfred E. Alquist Hospital Facilities Seismic Safety Act (HFSSA) of 1983 established a program of seismic safety building standards. The act requires an owner of a general acute care inpatient hospital, no later than January 1, 2030, to either demolish, replace, or change to nonacute care use all hospital buildings not in substantial compliance with the regulations and standards developed pursuant to the act, or seismically retrofit all acute care inpatient hospital buildings so that they are in substantial compliance with those regulations and standards.
AB 1882 seeks to raise awareness of a general acute care hospital’s compliance with the seismic safety regulations or standards outlined in the Alfred E Alquist (HFSSA) through public notices, hospital campus postings, Department of Health Care Access and Information (HCAI) website, and annual status updates until compliance is achieved. This bill also requires an annual status update report on the Structural Performance Category ratings and Nonstructural Performance Category ratings of the buildings and the services provided in each hospital building on the hospital campus until compliance is achieved. All general acute care hospital buildings are assigned a Structural Performance Category (SPC), which measures the probable seismic performance of building structural systems. Building structural systems include beams, columns, shear walls, slabs, and foundations. Hospitals must achieve an SPC 3 or greater to meet the SPC requirements. Each building is also assigned a Nonstructural Performance Category (NPC) based on the degree of anchorage and bracing of selected nonstructural elements and systems. NPC compliance includes architectural, mechanical, electrical, and hospital equipment, associated conduits, ductwork, piping, and machinery. Hospitals must achieve an NPC 5 to meet the NPC requirements. The bill also requires notifying patients and the public that the hospital is not in compliance with seismic safety regulations and standards if the building is not at an SPC 3 or greater and an NPC 5.
NMC has eight acute care buildings that must comply with SPC and NPC requirements. Seven of the eight buildings meet the SPC requirements, but none of the buildings currently meet the NPC requirements. NMC has been working diligently with the architectural service firm Hamelton Green and Abrams (HGA) and their engineering consultants to develop plans and construction documents to bring the buildings to meet compliance or remove non-compliant buildings from the HCAI’s jurisdiction prior to the 2030 deadline. The Services Report was submitted to HCAI on December 11, 2023, and the Hospital Signage Reporting was submitted on December 19, 2023. Updates regarding this information will be provided by staff at least annually; a report regarding the Structural Performance Category and Nonstructural Performance Category of each building affected by this legislation and the services provided is detailed in the attachment.
OTHER AGENCY INVOLVEMENT:
This report has been supported by the Finance Committee and NMC’s Board of Trustees on January 12, 2024
FINANCING:
The design fee in the amount of $200,000 was approved in the Fiscal Year 2022/2023 Adopted Budget. The cost of construction will be funded in future years’ fiscal budgets. There is no impact to the general fund.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
By complying with the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 Natividad Medical Center will be able to continue to provide health and quality of life for Monterey County residents and their families.
X Economic Development
X Administration
X Health & Human Services
X Infrastructure
X Public Safety
Prepared by: Brian Griffin, Project Manager. (831) 783-2605
Approved by: Dr. Charles R. Harris, Chief Executive Officer, (831) 783.2551
Attachments: Attachment A - Structural Performance Category and Services report
Attachment B - Facility Map - Public Notices