Title
It is recommended that the Capital Improvement Committee receive a report on Natividad Medical Center’s key capital projects from January 1, 2023, through June 30, 2023.
Report
RECOMMENDATION:
It is recommended that the Capital Improvement Committee receive a report on Natividad Medical Center’s key capital projects from January 1, 2023, through June 30, 2023.
SUMMARY/DISCUSSION:
Natividad Medical Center (NMC) manages, operates, and maintains facilities and roads within the NMC campus. The Facilities and Construction Department staff administer capital projects focused on strategically upgrading the hospital by reconfiguring and remodeling the campus to accommodate healthcare services better.
Active Projects
Nurse Call:
The original Fisher Berkley nurse call system put into service in 1998 is a traditional system with a centralized annunciator panel with audible alarms and visual displays at the nurse stations. Additionally, the call system had a light that illuminates to alert staff of a fire or medical emergency. All systems were original and didn’t have an interface with computers or other communication devices such as pagers and phones. The current Fisher Berkley Nurse Call system is at the end of life; discontinued replacement parts.
NMC was issued a building permit from the Office of Statewide Health Planning and Development (OSHPD) on April 30, 2021. NMC initiated and assigned the project to a JOC contractor and received a price proposal. On June 16, 2021, Ausonio Inc. started working on the infrastructure and installing the nurse call system. On August 6, 2021, NMC went live in the first set of patient rooms. The project has completed the installation of the nurse call system and trained the staff on proper use and the project has a remaining balance of $143,943 as of June 2023.
Pharmacy Remodel:
The Pharmacy Department develops intravenous (IV) medications introduced directly into the bloodstream, bypassing the anti-infective defenses of the stomach and skin. Contaminated compounding IV medications can result in patient harm due to infections. To prevent contamination, trained staff must develop medications using proper facility procedures to avoid contamination. The IV compounding facility in the Pharmacy Department needs to meet new regulations set by the California State Board of Pharmacy for IV compounding. This project has updated the facility to meet new laws and regulations by providing a new compounding room with a new non-hazardous anteroom and a hazardous medication storage room. The Board of Supervisors approved the Pharmacy project in the total amount of $1,905,411. OSHPD approved this project on June 11, 2019, and NMC initiated the project as a JOC project to Staples Construction. NMC started construction on September 21, 2020. Construction has completed this initial scope of building and is pending acceptance from the Board of Pharmacy and the California Department of Public Health (CDPH). The remaining balance for the Pharmacy Remodel project is $455,828 as of June 2023.
Parking Lots and Roadwork:
Throughout the campus of NMC, the roadways need improvement, from resurfacing and restriping the parking lots and the main road and adding additional parking lots. The Board approved the Parking Lots and Roadwork project of Supervisors on March 1, 2016. The portion of the project to mitigate the distressing stairs and roadway in parking lot “K” started in September 2021 and was completed on January 21, 2022. The remaining balance for the Parking Lots and Roadwork project is $184,428 as of June 2023.
Building 800 Demolition:
Building 800 was used as a central plant and laundry facility for the old Monterey County Hospital, which has since decommissioned. The building has not been used for decades and is unsuitable for any use due to its age and condition. The project includes reusing the land by building a new single-story pre-engineered metal building of approximately 15,400 square feet (SF) for multi-purpose use. The Board approved the project of Supervisors on June 22, 2021, in the amount of $6,800,000. The project is currently on hold while developing the facility master plan. Currently, there have not been any capital expenditures.
OTHER AGENCY INVOLVEMENT:
This report will be scheduled to be presented to the Capital Improvement Committee and Budget Committee.
FINANCING:
Capital projects are funded from NMC’s approved capital funding. Where capital projects exceed $100,000, funds are transferred from NMC Enterprise Fund 451 to NMC Capital Strategic Fund 404 to ensure funding is available for approved projects. Funds are transferred from the Capital Strategic Fund to the NMC Enterprise Fund as expenditures are paid to vendors.
Prepared by: Brian Griffin, Project Manager (831) 783-2605
Approved by: Andrea Rosenberg, Assistant Administrator, (831) 783-2562
Attachments: Exhibit A - Capital Projects Matrix