San Francisco General Hospital Medical Center

SPACE PROGRAM SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER
MAY 31, 2007

City and County of San Francisco
Department of Public Health
Fong & Chan Architects
SPACE PROGRAM SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER
Table of Contents
Section 1
Executive Summary
Introduction
Overview
Development Process
Space Program Objectives and Assumptions
Findings
Recommendations
Program Summary
Section 2
Site Review
Introduction
Site Review
Stacking
Floor Plans
Section 3
Space Program Tables

Introduction
Program Summary
Inpatient
Medical/Surgical
ICU/Step-Down
Obstetrics
Pediatrics
NICU
Diagnostic and Treatment
Perioperative
Diagnostic Imaging
Ancillary Services
Emergency
Support
Administration and Public
Auxiliary Support
Plant Services
Program Allocation by Floor
SFGHMC | Space Program May 2007
Section 4
Statement of Probable Construction Cost

(Issued under separate cover)
Section 5
Acknowledgments
Steering Committee
Inpatient
ICU/Step-down
Women & Children
Diagnostic
Emergency
Perioperative
Ancillary Support
DPH Program Management/Administration
DPW Project Management
Forell/Elsesser Engineers, inc.
Gayner Engineers
TBD Consultants
Herrero Contractors
Section 6
Appendices
Appendix A Space Program Work Plan
Appendix B Bed Projections
Appendix C Meeting Minutes
Section 1
Executive Summary
Introduction
This space program report provides the basis for the
development of the design and eventual construction of the
new acute care hospital building at San Francisco General
Hospital Medical Center (SFGHMC).
The report includes a comprehensive written space program
and a preliminary site review.
Overview
In 1994, California Senate Bill (SB) 1953 was passed as an
amendment to and furtherance of the Alfred E. Alquist Hospital
Seismic Safety Act (Alquist Act) enacted in 1973. The intent of
the original act was to ensure that acute care hospitals remain
functional shortly after a major earthquake. The Alquist Act
requires all general acute care hospital buildings to meet
explicit seismic safety standards by either retrofitting existing
buildings or electing the option, provided by SB 1801 (Speier)
adopted in 2000, to rebuild a new hospital building by 2013.
Fig. 1-1
Aerial View of SFGHMC
In 2000, SFDPH commissioned a seismic evaluation study

which concluded that the Main Hospital building at SFGHMC
has significant seismic deficiencies and that it may not be
capable of providing health care services to the public after a
major seismic event.1 The SFGHMC Main Building was
categorized as a Structural Performance Category 1 (SPC-1).
Buildings categorized as a SPC-1 pose a significant risk of
partial or total collapse and a danger to the public.
In 2001 the San Francisco Health Commission adopted
resolution 1-01 supporting the construction of a new general
acute care hospital by 2013.
In May 2005, Mayor Gavin Newsom and Public Health Director
Mitch Katz established a Blue Ribbon Committee to study San
Francisco General Hospitals future location. In October 2005
the Blue Ribbon Committee issued a report to Mayor Newsom
recommending rebuilding the new hospital on the existing
Potrero Campus instead of at the new UCSF Mission Bay
Campus as had been suggested.2 The Blue Ribbon Committee
found that the Mission Bay Campus was not feasible from a
cost, long-term financing or site acquisition perspective. In
1-1
Section 1 Executive Summary
addition, the Committee found that coordinating care between

the Mission Bay Campus and the Potrero Campus would create
operational challenges not readily overcome.
In the final Blue Ribbon report issued to Mayor Gavin Newson,
two locations within the Potrero Campus were acknowledged as
potential viable sites to build the new acute care hospital. One
option was to locate the new acute care hospital to the north
and abutting the existing hospital, the other option was to
locate the new acute care hospital west of the existing hospital
on the west lawn in between two existing masonry buildings,
the site of a former hospital building demolished in 1972.
Proposed site for west option
Proposed site for north option*
Proposed site for south parking lot
* North option requires the demolition of
Bldg 100 and M-wing
The Blue Ribbon Committee recognized that the option to build

to the north would require the demolition of Building 100 and
M-wing which currently houses the majority of the ambulatory
services and the clinical lab. The option to build to the west
would have significantly less overall impact on the existing
acute care hospital and would not likely require the demolition
of existing structures.
Even though the Blue Ribbon Committee did not consider where
on Potrero Campus the new acute care hospital should be built,
it suggested that the west option should be further examined
as a potential alternative to the more disruptive North option. 3
Of note, prior to the establishment of the Blue Ribbon
committee the option to build the new acute care hospital on
the existing south parking lot adjacent to the existing hospital
was reviewed. This option was rejected by the members of the
Community Advisory Committee due to the sites proximity to
the nearby residential neighborhood, specifically highlighted
were both noise and bulk concerns. In addition, the ongoing
operations of the existing emergency and psychiatric emergency
services would be severely impacted by the construction due to
their direct adjacency to the site. Relocation of these services
was considered not to be a workable or practical option.
Fig. 1-2
Aerial View of SFGHMC showing the

various building site options
In Spring 2006 the San Francisco Department of Public Health

(DPH) commissioned a site feasibility study to determine if a
new hospital building could be constructed on the west lawn.
The site feasibility study prepared by Anshen + Allen and issued
on September 25, 2006 concluded that a compliant 428,003
sq. ft. hospital building could be constructed on the west lawn
without demolishing any buildings. The study also stressed that
the assumed program could be accommodated within the
existing zoning height limits but the bulk limits may be
exceeded.
1-2
In November 2006, Fong & Chan Architects started the

programming effort to determine the space requirements for
the new acute care hospital and to validate the feasibility of the
west lawn site. The contents of these items are described in
detail in this report.
Development Process
The essential data used to develop the space program was
collected through the implementation of a work plan. This work
plan involved a series of workshops and meetings with hospital
staff and Fong & Chan Architects under the guidance of the
Steering Committee.
Hospital staff participated in seven distinct user groups:
Inpatient, Women & Children, Diagnostic, ICU/Step-down,
Emergency, Perioperative and Ancillary Support representing a
broad cross section of healthcare expertise at SFGHMC.
Refer to Appendix A for a copy of the Work Plan.
Space Program Objectives and Assumptions

In the course of the planning process the Hospital
Administration and the Steering Committee identified the
following space programming objectives and assumptions:
OBJECTIVES
To develop and submit a space program for a new acute

care Hospital to fit within the West Lawn of San Francisco
General Hospital Medical Center (SFGHMC)
To maximize the number of patient rooms and exam rooms

within the building envelope
To increase the number of ICU/CCU patient rooms to reflect

current demand and to meet future projections
To look for cost saving opportunities throughout the

development of the space program, including balancing the
allocation of space between existing and new Hospitals to
the extent that is practical in accomplishing established
goals
1-3
To maximize facility flexibility by programming multifunctional spaces and flexible step-down nursing units
To update and submit a Statement of Probable Construction

Cost reflecting the findings and conclusions reached in the
space program
Potrero Avenue
ASSUMPTIONS
The building site will be located directly west of the existing

main hospital building, over the West Lawn between
Building 20 and Building 30
Demolition of existing buildings will not be required
The San Francisco Planning Code limits the overall mass of

a building. If required, these bulk limitations can be
exceeded by applying for a conditional use permit
The San Francisco Planning Code also limits the overall

height of a building, however the height of the new acute
care building should not exceed these limits
Allocation of space in the new Hospital will be limited to

those functions that are required to be in a new acute care
hospital and to those functions that are required to meet
operational adjacency requirements
The following major departments (not an complete list) will

not be part of the new hospital program, but will stay in the
existing hospital building:
Fig. 1-3
Site Plan showing building site
Acute Psych
SNF
Clinical Labs (except for the blood bank and specific
functions that by code are required to be in a compliant
acute care facility)
Cafeteria
Kitchen
Rehab
Nuclear Medicine
Departmental gross square footages (DGSF) will be derived

from the examination and analysis of SFGH census data;
regulatory requirements; best practices in Health Care
design; and suggestions from user groups, administrative
personnel and industry leaders
1-4
Space Program will be developed with the assumption that the

new acute care hospital will begin providing services to the
public in the year 2015.
Findings
This report describes a space program for a 284 bed new acute
care hospital to be located in the west lawn of SFGHMC with an
assumed building massing of 8 stories (including basements)
and an area of 420,260 square feet. The principal findings of
the space program study are as follow:
A code compliant acute care hospital can be built on the

west lawn without demolishing any existing buildings
The assumed building massing as described in this report

can be accommodated within the established zoning height
limits however the portion of the building massing above 65
feet in elevation will likely exceed the bulk limits. A
conditional use permit may be required
The new acute care hospital should be linked to the existing

hospital building by means of a 2nd floor bridge connection
and a basement tunnel connection to improve the
movement of supplies and personnel
The total number of acute care beds can be expanded from

230 to 284 without significantly increasing the total building
gross square footage. The assignable square footage of
each patient room was thoroughly discussed with each
respective user group and the final agreed upon area was
deemed appropriate for a public teaching hospital
Fig. 1-4
Aerial view looking south of building site
1-5
Recommendations
In the course of the space programming effort the various User
Group Committees and the Steering Committee identified
project goals and objectives to be considered in the design
phase of this project. These committees envisioned the
creation of a modern healthcare facility that embodied the
Hospitals Mission to deliver humanistic, cost-effective, and
culturally competent health services to the residents of the City
and County of San Francisco. The following recommendations
should be used as a foundation for the development of the
design of the new acute care Hospital:
Design a state-of-the-art acute care hospital with safe,

secure, efficient and user-friendly patient and work
environments to promote access to services, quality of care,
patient safety, customer satisfaction, staff morale, resource
management, effective partnership, and academic
excellence
Design flexible and efficient spaces able to handle

technological advances and allow for program changes
Incorporate emerging green building technologies and

sustainable design principles
Consider the architectural context of the existing campus in

the development of the new acute care hospital
Create spaces that support collegial professional

interchange and discussion and promotes educational
interaction
Perform cost management studies such as earn-value

analysis, life-cycle costs analysis and value engineering
throughout the planning and design process to improve the
performance of the new acute care hospital without
exceeding the budget
Degenkolb Engineers/ Structus Inc., SB1953 Seismic Evaluation Report,

December 2000
2 Blue Ribbon Committee on San Francisco General Hospitals Future
Location, October, 2005
3 Blue Ribbon Committee on San Francisco General Hospitals Future
Location, October, 2005
1
1-6
PROGRAM SUMMARY
Beds/Rm
DGSF
Remarks
Inpatient
Acute Medical
Medical/Surgical
Medical/Surgical - Forensic Unit
ICU/CCU
Step-Down
Obstetrics
Pediatrics
NICU
Subtotal
144
8
40
46
22
12
12
284
72,466
6,744
31,086
27,287
21,427
9,194
7,830
176,032
Perioperative
Surgery
Gastroenterology
Patient Intake and Recovery
15
5
57
23,369
4,158
17,914
Diagnostic Imaging
Cardiology
Radiology
6
8
4,606
15,425
Ancillary Services
Sterile Processing
Pharmacy
Clinical Laboratory
Pulmonary Function
Biomed
Morgue and Autopsy
Subtotal
91
6,774
6,139
2,344
2,071
1,019
1,920
85,738
60
36,668
4 units - each 36 beds

20 beds flex up & 26 beds flex down
13 postpartum + 9 LDRP beds
Diagnostic & Treatment

14 OR & 2 IR
Inpatient only
Blood bank + Urinalysis
Emergency
Emergency
Clinical Care
54 exam + 6 trauma rooms
1-7
PROGRAM SUMMARY
Beds/Rm
DGSF

Entry Area
Admitting
Administration
5,755
2,801
621
Auxiliary Support
Material Management
Messenger/Mailroom
Environmental Services
Information Technology
PBX
Dietary
Subtotal
8,250
2,544
1,294
2,731
719
828
25,544
18%
9%
323,982
58,317
34,407
416,706
Remarks
Support
DGSF Total
Circulation/ Exterior Wall
Plant Services
BGSF Total
Most Dietary Services to remain in Bldg. 5
1-8
Section 2
Site Review
Introduction
San Francisco General Hospital Medical Center is located in the
southeast quadrant of San Francisco, at the junction between
the Mission and Potrero Hill Districts.
101
1
Financial
District
SFGHMC
101
280
Fig. 2-1
Map of San Francisco
Potrero
Hill
Mission
District
SFGHMC
101
208
Fig. 2-2
Enlarged map of San Francisco
2-1
Section 2 Site Review
EXISTING CAMPUS DESCRIPTION

The hospital campus occupies an area of approximately 24
acres bordered on the west by Potrero Avenue, on the south by
23rd street, and on the east and north by U.S. Highway 101
and Vermont Street. The existing buildings were constructed
throughout the last century.
Dept. of Public Health (Built after 1987)
Dept. of Public Health (Built before 1987)
Dept. of Parking and Traffic
A
Building 90
Service Building
Building 1
Avon Center (Building 4)
Volunteer Center
Building 3
Building 10/20
Building 5 (Main Hospital Building)
Building 100
Building 30/40
Building 9 Trailer
Building 9
Parking Structure
01
y1
wa
Building 80
21st Street
gh
Hi
S.
U.
Behavioral Health Rehabilitation
22nd Street
G
22nd Street
J
L
23rd Street
23rd Street
Vermont Street
San Bruno Avenue
Utah Street
Potrero Avenue
Fig. 2-3
Existing campus
On its north-south axis the campus is approximately 1700 feet

long, and from the east to west about 750 feet wide. Moving
east from Potrero Avenue, the terrain slopes upward by
approximately 20 feet over street level, while the portion of the
site occupied by the main hospital building is relatively level.
Approaching the northeast, the campus continues to slope
upwards, gaining another 25 feet in elevation as it reaches the
freeway.
2-2
Site Review
BUILDING SITE
The West Lawn building site was established by SFGHMC prior
to this space program study. The buildable area on this building
site is approximately 72,100 square feet, defined on the west
by Potrero Avenue, on the north by Building 20, on the south by
Building 30 and on the east by Building 5. The buildable area
was determined using planning and building code best
practices.
21st Street
S.
U.
Hi
y1
wa
gh
01
22nd Street
Fig. 2-4
22nd Street
Aerial photo of SFGHMC campus map
West Drive
23rd Street
23rd Street
Vermont Street
San Bruno Avenue
Utah Street
Buildable area
Potrero Avenue
Fig. 2-5
SFGHMC campus map
2-3
SETBACKS
The following assumptions were made in determining the
extents of the buildable area:
Along the west the buildable area is defined by a plane created
by the alignment of Buildings 20 and 30.
Along the north/south/east the buildable area is defined by an
assumed property line located 20-feet from existing adjacent
structures to eliminate the need to fire rate the exterior walls
and windows of these existing structures.
Building 20
20'
20'
Building 5
20'
Building 30
Fig. 2-6
Site plan indicating location of assumed

property line
Buildable area
Assumed property line
Alignment plane
2-4
Similarly the distance between the assumed property lines and

the new acute care hospital is greater than 20-feet, eliminating
the need to fire rate exterior walls and windows of the new
acute care hospital, except at the first floor along the east side
where the exterior wall is aligned with the assumed property
line.
The first floor east exterior wall will be of 4-hour fire resistive
construction and openings within that wall assembly will not be
allowed.
Building 20
20'
20'
20'
Building 5
20'
20'
Building 30
Fig. 2-6
Site plan indicating location of assumed

property line
Assumed property line
Alignment plane
The below grade basement floors are not limited by setback

requirements and extend to within 21-feet of Building 20, 20feet of Building 5 and 34-feet of Building 30. These distances
were determined by balancing the need to maximize the
program area and the need to protect these existing structures
during construction.
2-5
Fig. 2-7
Aerial photo highlighting the 40

separation between the new acute care
hospital and adjacent buildings 20 & 30
Along the first floor the east exterior wall is aligned with the
assumed property line, on the floors above the east exterior
wall shifts 20-feet west to avoid opening protection
requirements due to proximity to assumed property line.
Assumed Property Line Plane
Fig. 2-8
Perspective sketch showing the property

line plane between the new acute care
hospital & the existing hospital
2-6
ASSUMED BUILDING MASSING

The assumed building massing derived from the 2006 Site
Feasibility Study was developed to determine the constraints on
the space program resulting from site, planning and code
limitations. The assumed building envelope was exercised with
the space program in an iterative process to validate the
feasibility of the space program assumptions.
The assumed building massing descends one floor and rises

7 floors below and above grade respectively along Potrero
Avenue. Along West Drive, which is at a higher elevation the
building descends 2 floors and rises 6 floors below and
above grade respectively
The designation of first floor was assigned to the floor that is

level with grade along West Drive to match the floor
designation of the existing hospital building. The footprint of
the first floor is 53,092 square feet which represents
approximately 78% of the buildable area
To reduce the bulk of the building massing the footprint of

all floors above the first floor has been further reduced
Fig. 2-9
View of SFGHMC looking northeast
2-7
SITE CIRCULATION
The suggested circulation on the SFGHMC campus is shown on
the plan below. In general, ambulance and service vehicle
access is from 22nd Street. Public vehicle access is from 23rd
Street. Pedestrian access is from Potrero Avenue, 22nd Street
and 23rd Street.
21st Street
S.
U.
gh
Hi
01
y1
wa
Fig. 2-10
View of SFGHMC looking northeast
22nd Street
22nd Street
23rd Street
Fig. 2-11
Suggested site circulation

Vermont Street
San Bruno Avenue
Auto for public
Utah Street
Service
Potrero Avenue
Ambulance
Pedestrians
Bus stop
2-8
ZONING CONSIDERATION
The SFGHMC campus is zoned as 105 E, this zoning
designation reveals building height and bulk limits. The
height limit for the new acute care hospital is 105 feet
with the following exemptions:
Mechanical equipment and appurtenances necessary

to the operation of the building itself, together with
visual screening, limited to the top 16 feet of any such
features.
Elevator, stair, and mechanical penthouses, fire

towers, and skylights, limited to the top 16 feet of
such features. Further exemptions for elevator
penthouses may be granted if necessary to meet
state or federal laws or regulation.
Unroofed recreation
including tennis and
swimming pools with
and play equipment
feet.
Property line
Grade line
Building height limit
Elevator/mechanical
penthouse height limit
Helipad
New hospital massing
Existing hospital building
Mechanical penthouse
Fig. 2-12
Section showing height of new acute care

hospital massing and existing hospital
building
facilities with open fencing,

basketball courts at roof level,
a maximum height of four feet
with a maximum height of 10
The suggested new acute care hospital massing is within

the prescribed height limit.
NEW HOSPITAL
103'
105'
16'
159'
PLANT SERVICES
PLANT SERVICES
12,000
BGSF
BGSF
CLINIC/PSYCH/SNF
73,272
CLINIC
79,362
CLINIC
78,070
CLINIC
77,597
MED/SURG
43,428
MED/SURG
43,428
ICU/STEP-DOWN
45,588
STEP-DOWN/ MED/SURG FORENSIC UNIT/PHARMACY
45,588
CLINIC
84,432
OBSTETRICS/PEDIATRICS/NICU
47,096
CLINIC LAB/CAFETERIA/SUPPORT
87,804
RADIOLOGY
91,934
NUCLEAR MED/MAT'L MGMT/SUPPORT
82,407
ADMITTING/EMERGENCY
51'
EXISTING HOSPITAL (Building 5)
56' PERIOPERATIVE/CLINICAL LABORATORY

CARDIOLOGY/RADIOLOGY/AUXILIARY SUPPORT/PLANT SERVICES
69'
53,092
59,547
69'
84'
69,303
2-8
The E Bulk district designation limits the bulk of the new

acute care hospital above 65 feet in elevation to a
maximum plan dimension of 110 feet in length and a
maximum diagonal dimension of 140 feet in length.
Achievement of a distinctly better design, in both a

public and a private sense, than would be possible
with strict adherence to the bulk limits, avoiding an
unnecessary prescription of building form while
carrying out the intent of the bulk limits and the
principles and policies of the Master Plan.
Development of a building or structure with

widespread public service benefits and significance to
the community at large, where compelling functional
requirements of the specific building or structure
make necessary such a deviation.
Property line
Grade line
Helipad
Building massing above 65
Building massing below 65
Fig. 2-13
Section showing bulk of new acute care

hospital massing and existing hospital
building
PLANT SERVICES
65'
Floor plate above 65
The suggested new acute care hospital massing exceeds

the prescribed bulk limit, however a variance could be
granted based on the exemptions listed above.
NEW HOSPITAL
7 15'-0"
6 15'-0"
5 15'-0"
4 15'-0"
3 15'-0"
2 15'-0"
1 15'-0"
B116'-0"
B216'-0"
Buildable area within bulk limit
Fig. 2-14
Floor plan showing E district bulk limits
PLANT SERVICES
12,000
BGSF
BGSF
CLINIC/PSYCH/SNF
73,272
CLINIC
79,362
CLINIC
78,070
CLINIC
77,597
MED/SURG
43,428
MED/SURG
43,428
ICU/STEP-DOWN
45,588
45,588
CLINIC
84,432
47,096
87,804
ADMITTING/EMERGENCY
53,092
RADIOLOGY
91,934
PERIOPERATIVE/CLINICAL LABORATORY
59,547
82,407
69,303
Max 110'
Ma
x1
40
'
Exemptions from the prescribed bulk requirements may be

granted via a variance application under the following
conditions:
8
13'-0" 7
13'-0" 6
13'-0" 5
13'-0" 4
13'-0" 3
15'-0" 2
15'-0" 1
16'-0" B1
13'-0"
2-9
MEDICAL HELIPAD
SFGHMC is proposing to construct and operate a medical
helipad on the roof of the existing hospital building in
order to provide timely access to and from their Trauma
Center.
500'
500'
250'
Because the helipad's proximity to trauma is critical, the

City will be studying, as part of the SFGHMC Environmental
Impact Report (EIR) effort, whether or not the helipad
should be relocated to the new acute care hospital or
whether it's adequate to just link the two buildings. If a
decision is made to move the helipad to the new acute
care hospital, the original helipad location would be
decommissioned. There will only be one operational
helipad at the SFGHMC Potrero Campus.
Helipad transitional
surfaces
Helipad
New hospital massing
Fig. 2-15
Section showing suggested helipad location
If the helipad is to be relocated to the roof the new acute

care hospital this report suggests locating it along the east
side of the building closer to the center of the campus.
Assuming a north-south approach/departure path it
appears that neither the transitional surface nor the
approach/departure surface will be punctured by nearby
structures.
NEW HOSPITAL
PLANT SERVICES
'
00
40
2:1 transitional surface

8:1 approach/departure surface
Helipad
Fig. 2-16
Illustration showing approach/departure surfaces

and transitional surfaces
250'
500'
PLANT SERVICES
12,000
BGSF
BGSF
CLINIC/PSYCH/SNF
73,272
CLINIC
79,362
CLINIC
78,070
CLINIC
77,597
MED/SURG
43,428
MED/SURG
43,428
ICU/STEP-DOWN
45,588
45,588
CLINIC
84,432
47,096
87,804
ADMITTING/EMERGENCY
53,092
RADIOLOGY
91,934
PERIOPERATIVE/CLINICAL LABORATORY
59,547
82,407
69,303
2-10
Stacking
Fig. 2-17
Stacking diagram
2-12
Basement 2 Floor Plan

Basement 2 is located one story below grade along Potrero
Avenue and has a footprint of approximately 69,300 square
feet. This floor does not have direct access to grade. The floor
plan below suggests one possible arrangement of the spaces
programmed on basement 2:
Radiology (8 Imaging Rooms Total)

Cardiology
Material Management
Morgue and Autopsy
Messenger/Mailroom
Plant Services
Sterile Processing
Dietary
Pulmonary Function Lab
20'
10'
40'
30'
2-13
Basement 1 Floor Plan

Basement 1 is located one story below grade along West Drive
and has a footprint of approximately 59,500 square feet. This
floor has a Potrero Avenue grade level entrance, a tunnel
connection to existing hospital and a small loading dock. The
floor plan below suggests one possible arrangement of the
spaces programmed on basement 1:
Surgery (14 OR Total)

PACU (35 Beds Total)
Gastroenterology Unit (5 Rooms Total)
Pre-OP Unit (22 Beds Total)
Administrative/Staff Areas
Entry Area
Bronchoscopy
Clinical Laboratory
Loading Dock
20'
10'
40'
30'
2-14
First Floor Plan

First floor is located one story above grade along Potrero Avenue
and has a footprint of approximately 53,100 square feet. This
floor has separate entrances for public, ambulance and loading
to the grade. The floor plan below suggests one possible
arrangement of the spaces programmed on the first floor:
ER - Shared Support Areas

ER - Exam Unit (54 Rooms Total)
ER - Trauma Unit (6 Rooms Total)
Entry Area
Admitting
20'
10'
40'
30'
2-15
Second Floor Plan

Second floor has a footprint of approximately 47,100 square
feet. This floor has a bridge connection to existing hospital
building 5. The floor plan below suggests one possible
arrangement of the spaces programmed on the second floor:
Obstetrics Unit (22 Beds Total)

Pediatrics Unit (12 Beds Total)
Administration
Public Areas
NICU Unit (12 Bassinets Total)
20'
10'
40'
30'
2-16
Third Floor Plan

Third floor has a footprint of approximately 45,600 square feet.
The floor plan below suggests one possible arrangement of the
spaces programmed on the third floor:
ICU Step-Down (26 Beds Total)

ICU Step-Down (10 Beds Total)
Inpatient Pharmacy
Med/Surg - Forensic Unit (8 Beds)
20'
10'
40'
30'
2-17
Fourth Floor Plan

Fourth floor has a footprint of approximately 45,600 square
feet. The floor plan below suggests one possible arrangement of
the spaces programmed on the fourth floor:
ICU/CCU Unit ( 30 Beds Total)

Trauma ICU Unit (10 Beds Total)
Biomed
Public Areas
Step-Down Unit (10 Beds Total)
PBX
20'
10'
40'
30'
2-18
Fifth and Sixth Floor Plans

Fifth and sixth floors each have a footprint of approximately
43,500 square feet. The floor plan below suggests one possible
arrangement of the spaces programmed on the fifth and sixth
floor:
Med/Surg Unit (36 Beds Total)

Med/Surg Unit (36 Beds Total)
Courtyard
Public Areas
20'
10'
40'
30'
2-19
Penthouse Floor Plan

Excluding the Helipad the Penthouse floor has a footprint of
approximately 12,000 square feet. The floor plan below
suggests one possible arrangement of the spaces programmed
on the penthouse floor:
Helipad
Plant Services
Elevator Hoistway
Sixth Floor Roof
Courtyard
20'
10'
40'
30'
2-20
Section 3
Space Program Tables

Introduction
The following space program tables detail the program
requirements for a new acute care hospital at SFGHMC. Each
program space is listed in the table along with the type and
number of rooms and the assignable square footage (ASF)
required. The following definitions are used in these program
tables:
ASF represents the net assignable area measured from inside
of walls and partitions.
Department gross square footage (DGSF) is the sum of the
total department ASF plus the estimated area for
departmental infrastructure, such as interior partitions and
intra-department circulation which are estimated based on a
percentage of the total ASF.
Building gross square footage (BGSF) is the sum of the total
DGSF and estimated building services and building
infrastructure, such as exterior walls and inter-department
circulation which are estimated based on percentages of the
total DGSF
3-1
Section 3 Space Program
PROGRAM SUMMARY
Beds/Rm
DGSF
Remarks
Inpatient
Acute Medical
Medical/Surgical
ICU/CCU
Step-Down
Obstetrics
Pediatrics
NICU
Subtotal
144
8
40
46
22
12
12
284
72,466
6,744
31,086
27,287
21,427
9,194
7,830
176,032
Perioperative
Surgery
Gastroenterology
15
5
57
23,369
4,158
17,914
Diagnostic Imaging
Cardiology
Radiology
6
8
4,606
15,425
Ancillary Services
Sterile Processing
Pharmacy
Clinical Laboratory
Pulmonary Function
Biomed
Morgue and Autopsy
Subtotal
91
6,774
6,139
2,344
2,071
1,019
1,920
85,738
60
36,668

20 beds flex up & 26 beds flex down
13 postpartum + 9 LDRP beds
Diagnostic & Treatment

14 OR & 2 IR
Inpatient only
Blood bank + Urinalysis
Emergency
Emergency
Clinical Care
54 exam + 6 trauma rooms
3-2
PROGRAM SUMMARY
Beds/Rm
DGSF

Entry Area
Admitting
Administration
5,755
2,801
621
Auxiliary Support
Material Management
Messenger/Mailroom
PBX
Dietary
Subtotal
8,250
2,544
1,294
2,731
719
828
25,544
18%
9%
323,982
58,317
34,407
416,706
Remarks
Support
DGSF Total
Plant Services
BGSF Total
Most Dietary Services to remain in Bldg. 5
3-3
SERVICE
Beds/Rm
ASF
Remarks
Inpatient - Summary
Acute Medical
Medical/Surgical
Medical/Surgical Unit
Support Areas
Public Areas
144
144
42,280
500
2,080
1,880
46,740
72,466
8
8
3,000
1,350
4,350
6,744
ICU/CCU
ICU/CCU Unit
ICU/CCU Unit
ICU/CCU Unit
Trauma ICU Unit
Shared Support Areas
Administrative/ Staff Area
Public Areas
ASF Total
DGSF
10
10
10
10
40
3,290
3,290
3,290
3,990
2,480
2,510
1,200
20,050
31,086
Step-Down
Step-Down Unit - Flex Up
Step-Down Unit - Flex Down
Support Areas
Administrative/ Staff Areas
Public Areas
ASF Total
DGSF
20
10
26
46
6,760
3,370
6,540
2,000
1,300
1,000
17,600
27,287
ASF Total
DGSF
ASF Total
DGSF
3-4
SERVICE
Beds/Rm
ASF
Remarks
Inpatient - Summary
Acute Medical
Obstetrics
Triage
Post-Partum
LDRP
C-Section
Support Areas
Administrative/Staff Area
Public Areas
ASF Total
DGSF
3
13
9
2
22
650
3,150
3,270
1,420
2,240
2,210
880
13,820
21,427
Pediatrics
Pediatrics Unit
Public Areas
ASF Total
DGSF
12
12
4,440
1,030
460
5,930
9,194
NICU
NICU unit
Public Areas
ASF Total
DGSF
12
12
3,670
1,260
120
5,050
7,830
DGSF Total
176,032
3-5
SERVICE
No. of Units ASF/ Unit
ASF
Remarks
Inpatient
Acute Medical
Medical/Surgical
19
180
3,420
Toilet
17
30
510
Toilet - ADA
50
100
280
1,120
Toilet
30
60
Toilet - ADA
50
100
180
1,620
Toilet
50
350
w/ shower
Toilet - ADA
70
140
w/ shower
Anteroom
100
500
Nursing Station
300
300
Auxiliary Nursing Station
150
300
Physician Workroom/Charting
200
200
Medication
120
240
Clean Supply
100
100
Clean Utility
100
100
Nourishment
100
100
Linen
30
60
Equipment/Storage
200
400
Soiled Utility
100
100
Soiled Linen
60
60
Patient Shower - ADA
50
100
Custodian Closet
40
40
Office - Unit Manager
100
100
Office - Head Nurse
100
100
Office - Clinical Nurse Specialist
100
100
Toilet - ADA
50
50
Conference Room
200
200
10,570
250
Patient Room
Patient Room - Double Occupancy
Patient Room - Isolation
3 negative pressure rooms
Wall between two rooms to have an

opening to allow for multiple patient
observation
Support
Automated dispensing units
10,570
Medical/Surgical Unit ASF

Medical/Surgical Unit Total ASF
Exterior window if possible
42,280
Support Areas
Procedure Room
Support Areas ASF
500
1 per Floor
500
3-6
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Medical/Surgical
Office - Social Worker
200
400
Office - Chief Medical Resident
100
100
Medicine Resident Room
250
250
Dayroom
250
250
Staff Lounge
200
400
1 per floor
Women's Locker
120
240
40 Lockers (full height)
Toilet - ADA
50
100
120
240
50
100
Men's Locker
Toilet - ADA
Team based
Common room
2,080
Administrative/Staff Areas ASF
Public Areas
Waiting
200
400
1 per floor
Multipurpose Room
200
400
Consultation
120
360
w/ divider-can serve as waiting room/rounds

and as Emergency Response Center
Women's Toilet
180
360
Multi accommodation - 3 fixtures
Men's Toilet
180
360
1,880
Public Areas ASF
46,740
Total Department ASF

Intra-Department Circulation
36%
16,826
Partition & Structures
14%
8,899
Medical/Surgical DGSF
72,466
3-7
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Medical/Surgical - Forensic (Jail)
Patient Room
Toilet
Patient Room
Toilet - ADA
180
900
30
150
180
180
50
50
180
360
Toilet - ADA
70
140
Anteroom
100
100
Nursing Station
200
200
Medication
120
120
150
150
Consultation
120
120
Equipment/ Storage
120
120
Linen
30
30
Clean Utility/Supply
120
120
Nourishment
50
50
Soiled Utility
80
80
Soiled Linen
40
40
50
50
Custodian Closet
40
w/ shower
Support
Medical/Surgical - Forensic Unit ASF
40
3,000
3-8
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Medical/Surgical - Forensic (Jail)
Office - Head Nurse
100
100
100
100
Office - Sheriff
100
100
Interview Room
80
160
Visiting
60
120
Command Center
150
150
Conference Room
150
150
Toilet - ADA
60
60
Staff Lounge
150
150
Women's Locker
80
80
Toilet - ADA
50
50
80
80
50
Men's Locker
Toilet - ADA
50
1,350
4,350
36%
1,566
14%
828
Medical/Surgical - Forensic (Jail) DGSF
6,744
3-9
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Step-Down
8
210
1,680
Toilet
30
90
Toilet - ADA
50
50
210
420
Toilet - ADA
70
140
Anteroom
80
80
Patient Room
w/ shower
Support
Nursing Station/Charting
300
300
Viewing Alcove
30
30
Medication
120
120
120
120
Linen
30
30
Nourishment
50
50
Equipment/Storage
200
200
80
Soiled Utility
Step-Down Unit - Flex Up ASF
80
3,390

Patient Room
12
180
2,160
12
30
360
280
1,120
Toilet
30
60
Toilet - ADA
50
100
180
1,080
Toilet
50
200
w/ shower
Toilet - ADA
70
140
w/ shower
Anteroom
80
240
Toilet
Patient Room - Double Occupancy
Sliding glass doors between two

rooms for multiple patient observation
Support
300
300
Auxiliary Nursing Station
150
150
Viewing Alcove
30
30
Medication
120
120
120
120
Linen
30
30
Nourishment
50
50
Equipment/Storage
200
200
Soiled Utility
Step-Down Unit - Flex Down ASF
80
80
6,540
3-10
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Step-Down
Support Areas
150
300
Medical Equipment
200
200
Mobile Imaging
150
150
Biomed
150
150
Respiratory Therapy
150
300
Pharmacy
150
150
Physical Therapy
150
150
Storage
200
400
Soiled Linen
60
60
50
100
Custodian Closet
40
40
w/ 2 PACS stations in each room
2,000
Support Areas ASF

Office - Unit Manager
100
100
Office - Head Nurse
100
100
100
100
150
150
Toilet - ADA
50
50
Conference Room
150
150
Staff Lounge
200
200
Locker
Team based
w/ 1 PACS station
250
250
Women's Toilet
70
70
w/ Shower
Men's Toilet
70
70
w/ Shower
Changing Room
30
60
1,300
Administrative/ Staff Areas ASF
Public Areas
Waiting
200
400
Consultation
120
240
Women's Toilet
180
180
Men's Toilet
180
180
1,000
Public Areas ASF
14,230

36%
5,123
14%
2,709
Step-Down DGSF
22,062
3-11
SERVICE
ASF
Remarks
Inpatient
Acute Medical
ICU/CCU/Step-Down
ICU/CCU Unit
9
210
1,890
30
150
210
210
Hopper Room
30
30
Anteroom
80
80
300
300
Viewing Alcove
30
30
Medication
120
120
120
120
Linen
30
30
Nourishment
50
50
Equipment/Storage
200
200
Soiled Utility
80
80
3,290
9,870
280
2,520
Patient Room
Hopper Room
1 Negative Pressure Room
Support
3,290
ICU/CCU Unit ASF

ICU/CCU Unit Total ASF
Trauma ICU Unit

Patient Room
30
150
280
280
Hopper Room
30
30
Anteroom
80
80
300
300
Viewing Alcove
30
30
Medication
120
120
120
120
Linen
30
30
Nourishment
50
50
Equipment/Storage
200
200
Soiled Utility
80
80
Hopper Room
1 Negative Pressure Room
Support
Trauma ICU ASF
3,990
3-12
SERVICE
ASF
Remarks
Inpatient
Acute Medical
ICU/CCU/Step-Down
8
210
1,680
Toilet
30
90
Toilet - ADA
50
50
210
420
Toilet
50
50
w/ shower
Toilet - ADA
70
70
w/ shower
Anteroom
80
80
300
300
Viewing Alcove
30
30
Medication
120
120
120
120
Linen
30
30
Nourishment
50
50
Equipment/Storage
200
200
Soiled Utility
80
80
Patient Room
Support
3,370
Step-Down Unit - Flex Up ASF

Mobile Imaging
150
300
Biomed
150
150
Respiratory Therapy
150
300
Satellite Pharmacy
300
300
Medical Equipment
150
150
Provider Workroom/Charting
150
450
Quiet Room
80
160
Storage
200
400
Soiled Linen
60
120
50
50
Custodian Closet
50
100
Shared Support Areas ASF
w/ 2 PACS stations in each room
One cart per ICU unit
2,480
3-13
SERVICE
ASF
Remarks
Inpatient
Acute Medical
ICU/CCU/Step-Down
Office - Director
100
100
Office - Head Nurse
100
300
150
150
Toilet - ADA
50
50
On-Call Sleep Room
80
640
Shared
Toilet - ADA
70
280
w/ shower
Conference Room
150
300
w/ 1 PACS station in each room
Staff Lounge
300
300
Locker
250
250
Women's Toilet
70
70
w/ Shower
Men's Toilet
70
70
w/ Shower
Changing Room
30
60
2,510
Public Areas
Waiting
200
600
Consultation
120
240
Women's Toilet
180
180
Men's Toilet
180
180
1,200
Public Areas ASF
23,420

36%
8,431
14%
4,459
ICU/CCU/Step-Down DGSF
36,310
3-14
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Obstetrics
Triage
3
180
540
Toilet
30
60
Toilet - ADA
50
Patient Room
During high census use Postpartum

rooms
50
650
Triage ASF
Post-Partum
Patient Room
Toilet
Patient Room
180
1,620
50
450
180
360
70
140
180
360
Toilet - ADA
70
140
Anteroom
80
Toilet - ADA
w/ shower
w/ shower
w/ shower
80
3,150
Post-Partum ASF
LDRP
Patient Room
Toilet
Patient Room
290
2,030
60
420
290
290
80
80
290
290
Toilet - ADA
80
80
Anteroom
80
80
Toilet - ADA
w/ tub
w/ tub
w/ tub
3,270
LDRP ASF
C-Section
Operating Room
400
800
Resuscitation Room
200
200
Sterile Supply
100
100
Clean Supply/Utility
120
120
Sub-Sterile
120
120
Soiled Utility
80
80
C-Section ASF
Included in NICU
1,420
3-15
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Obstetrics
Support Areas
Nursing Station
300
300
Well Baby
400
400
Medication
120
120
200
200
Anesthesia/Respiratory
120
120
Equipment/ Storage
300
600
Linen
30
60
120
120
Soiled Utility
80
80
Soiled Linen
90
90
Pantry
100
100
Custodian Closet
50
50
Five bassinets (80 SF per bassinet)
2,240
Support Areas ASF
4
80
320
Toilet
40
40
Toilet - ADA
70
70
100
100
Office - Lactation Specialist
100
100
Office - Nurse Manager
100
100
Conference Room
300
300
Toilet - ADA
50
50
Staff Lounge
400
400
Shared w/ Pediatrics and NICU
Locker
250
250
250 total staff
Women's Toilet
180
180
Men's Toilet
180
180
Changing Room
30
120
On-Call Sleep Room
w/ shower
w/ divider
2,210
3-16
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Obstetrics
Public Areas
Waiting
400
400
Consultation
120
120
Women's Toilet
180
180
Men's Toilet
180
180
880
Public Areas ASF
13,820

36%
4,975
14%
2,631
Obstetrics DGSF
21,427
3-17
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Pediatrics
Pediatrics Unit
8
180
1,440
Toilet
30
180
Toilet - ADA
50
100
180
360
30
60
Patient Room
Patient Room
Toilet
180
360
Toilet - ADA
70
140
Anteroom
100
100
Nursing Station
300
300
Medication
120
120
Pantry
80
80
200
200
Treatment Room
120
120
Play Room
150
150
Equipment/Storage
300
300
100
100
Soiled Utility
80
80
Linen
30
30
Soiled Linen
60
60
Patient Tub/Shower - ADA
60
120
40
Sliding glass doors between two

rooms for multiple patient observation
w/ shower
Support
Custodian Closet
Pediatrics Unit ASF
40
4,440
On-Call Sleep Room
80
160
70
70
100
100
100
100
150
150
Team based
Conference Room
400
400
w/ divider
Toilet - ADA
50
50
Staff Lounge
Toilet - ADA
Locker w/ Toilets
Administrative/Staff Area ASF
w/ shower
Shared w/ Obstetrics and NICU
1,030
3-18
SERVICE
ASF
Remarks
Inpatient
Acute Medical
Pediatrics
Public Areas
Waiting
Consultation
120
120
Parent Lounge
200
200
70
140
Toilet - ADA
Public Areas ASF
w/ shower
460
5,930
36%
2,135
14%
1,129
Pediatrics DGSF
9,194
3-19
SERVICE
ASF
Remarks
Inpatient
Acute Medical
NICU
NICU unit
Patient Room - Level II
150
1,050
Patient Room - Level III
170
680
Patient Room - Level III Isolation
190
190
100
100
Anteroom
w/ bathing sink and counter
Support
Nursing Station
200
200
200
200
Respiratory Therapy
100
100
Treatment Room
100
100
Medication
120
120
Scrub
60
60
Linen
30
30
Soiled Linen
60
60
Breast Feeding
100
100
Equipment/Storage
400
400
120
120
Soiled Utility
120
120
40
40
Custodian Closet
NICU Unit ASF
w/ sink
3,670
On-Call Sleep Room
100
200
70
70
Family Sleep Room
100
100
Toilet - ADA
70
70
400
400
Toilet - ADA
Mother Boarding Room
70
70
Toilet - ADA
100
100
100
100
Office - Neonatologist
100
100
Conference Room
Toilet - ADA
50
Staff Lounge
Locker w/ Toilets
Administrative/Staff Area ASF
w/ shower
w/ shower
4 beds with visual separation & sink
w/ shower
Shared w/ Pediatrics
50
-
Shared w/ Obstetrics and Pediatrics
1,260
3-20
SERVICE
ASF
Remarks
Inpatient
Acute Medical
NICU
Public Areas
Waiting
Consultation
120
Toilet
Public Areas ASF
120
5,050
36%
1,818
14%
962
NICU DGSF
120
7,830
3-21
SERVICE
Beds/Rm
ASF
Remarks
Diagnostic and Treatment - Summary

Perioperative
Surgery
Surgery Unit
Interventional Radiology Unit
ASF Total
DGSF
14
1
15
9,130
2,670
3,000
320
15,120
23,369
Gastroenterology
Gastroenterology Unit
ASF Total
DGSF
5
5
2,440
250
2,690
4,158

Pre-OP Unit
PACU
Public Areas
ASF Total
DGSF
22
35
57
2,820
4,220
200
3,230
1,120
11,590
17,914
Cardiology
Cath/EP Lab Unit
Echo Lab Unit
Support Areas
ASF Total
DGSF
1
5
6
730
930
970
350
2,980
4,606
Radiology
X-ray Unit
CT Scan Unit
MRI Unit
Angiography Unit
Ultrasound Unit
Support Areas
ASF Total
DGSF
3
2
1
2
1
9
900
1,180
850
1,310
400
3,680
1,660
9,980
15,425
Diagnostic Imaging
Can accommodate 3 cubicles
3-22
SERVICE
Beds/Rm
ASF
Remarks
Diagnostic and Treatment - Summary

Ancillary Services
Sterile Processing
Decontamination Area
Assembly/Sterilization
ASF Total
DGSF
1,270
2,360
850
4,480
6,774
Pharmacy
Storage Areas
Manufacturing Areas
Dispensary
ASF Total
DGSF
640
1,230
970
1,220
4,060
6,139
Clinical Laboratory
DGSF
1,550
2,344

DGSF
4
4
1,340
2,071
Biomed
DGSF
700
1,019
Morgue and Autopsy

Morgue
Autopsy
ASF Total
DGSF
600
400
270
1,270
1,920
DGSF Total
85,738
3-23
SERVICE
ASF
Remarks

Perioperative
Surgery
Surgery Unit
Operating Room - Large
540
2,160
Operating Room - Medium
500
3,000
Operating Room - Small
420
1,680
Clean Core
1,000
2,000
Scrub
30
40
One OR to be fluro capable
Support
Custodian Closet
Surgery Unit ASF
210
80
9,130

1
550
550
60
60
700
700
60
60
Control
200
400
PACS Viewing
200
200
Workroom
200
200
100
100
IR Operating Room
Computer Storage
IR Operating Room
Computer Storage
w/ CT scan capability
Support
Sterile Supply
Scrub
30
30
Equipment/Tube Storage
250
250
Electrical Room
120
120
2,670
Interventional Radiology Unit ASF

1
350
350
150
150
Anesthesia Induction
220
220
Surgery Control Station
150
150
Satellite Pharmacy
300
300
Graft Freezer
60
60
Frozen Section Lab
100
100
Control/Video Equipment
100
100
Biomed
200
200
Equipment/Storage
250
1,000
Housekeeping Supplies
80
80
Decontamination
200
200
90
90
Anesthesia Workroom
Storage
Soiled Linen
Scheduling
w/ tray-veyor
3,000
3-24
SERVICE
ASF
Remarks

Perioperative
Surgery
Office - Surgery Manager
100
100
Office - Anesthesia
100
100
60
Toilet - ADA
120
320
15,120
38%
5,746
12%
2,504
Surgery DGSF
23,369
3-25
SERVICE
ASF
Remarks

Perioperative
Gastroenterology
1
350
350
Control Room
80
80
Toilet - ADA
50
50
Endoscopy Room
250
1,000
ERCP Room
Support
pH Monitoring Room
150
150
Linen
30
30
120
120
Scope Closet
30
120
Scope Clean Room
80
80
Equipment/ Storage
200
200
Computer Room
80
80
Soiled Utility
80
80
Soiled Linen
60
60
40
Custodian Closet
Gastroenterology Unit ASF
40
2,440
Conference Room
Toilet - ADA
200
50
200
50
250
2,690
38%
1,022
12%
445
Gastroenterology DGSF
4,158
3-26
SERVICE
ASF
Remarks

Perioperative
Pre-OP Unit
22
80
1,760
Nursing Station
120
240
100
100
Equipment/Storage
200
200
Linen
30
60
120
120
Soiled Utility
80
80
Soiled Linen
60
60
Patient Toilet - ADA
50
100
Patient Toilet
30
60
40
40
Holding Cubicle
Support
Custodian Closet
Pre-OP Unit ASF
2,820
PACU
Recovery Cubicle
34
80
2,720
Recovery Patient Room - Isolation
140
140
70
70
Nursing Station
120
240
120
120
Equipment/Storage
200
200
Nourishment
80
80
Medication
120
120
Linen
30
60
120
120
Soiled Utility
80
80
Soiled Linen
60
60
50
100
70
70
40
40
Toilet - Accessible
w/ shower
Support
Custodian Closet
PACU ASF
w/ shower
4,220

Stretcher/Wheelchair
100
200
200
3-27
SERVICE
ASF
Remarks

Perioperative
Office - PACU Manager
100
100
Office - Medical Director
100
100
Office - Nursing Director
100
100
Office - IS Clinical Staff
100
100
Office - CNS/Educator
140
140
Toilet - ADA
50
100
On-Call Sleep Room
80
320
Toilet
30
30
Shared
Toilet - ADA
50
50
Shared
80
80
Surgery
Toilet - ADA
50
50
Conference Room
200
400
Staff Lounge - Anesthesia
300
300
Staff Lounge
300
300
Women's Locker
On-Call Sleep Room
Shared
Anesthesia (3 residents, 1 faculty)
300
300
75 Lockers (full height/purse)
Toilet
210
210
Multi accommodation - 3 fixtures w/ shower
Men's Locker
300
300
75 Lockers (full height/purse)
Toilet
210
210
40
40
Custodian Closet
3,230
Public Areas
Reception
120
120
Waiting
200
400
Consultation
120
240
Women's Toilet
180
180
180
180
Men's Toilet
Public Areas ASF
1,120
11,590
38%
4,404
12%
1,919
Patient Intake and Recovery DGSF
17,914
3-28
SERVICE
ASF
Remarks

Diagnostic Imaging
Cardiology
Cath/EP Lab Unit
Cath/EP Lab Room
500
500
Includes POCT
Control Room
150
150
w/ PACS station
80
80
Equipment
Cath/EP Lab Unit ASF
730
Echo Lab Unit

Echo Bays
150
600
Stress Echo Room
250
250
80
Equipment
Cath Lab Unit ASF
w/ treadmill and crash cart
80
930
Support Areas
Imaging Reading/Workroom
300
300
Equipment/Computer Storage
200
200
Stat Lab
100
100
100
100
Linen
30
90
Soiled
80
80
Soiled Linen
60
60
Contrast Media Storage
40
40
PACS Workroom
Support Areas ASF
Shared w/ Radiology
970
Office - Cardiology Manager
100
100
Office - Chief Sonographer
100
100
Office - Tech
100
100
Toilet - ADA
50
50
Conference Room
Locker
Shared w/ Radiology
Shared w/ Radiology
350
2,980
38%
1,132
12%
493
Cardiology DGSF
4,606
3-29
SERVICE
ASF
Remarks

Diagnostic Imaging
Radiology
X-ray Unit
X-ray Room
Control Room
Fluoroscopy Room
Control Room
Toilet
X-ray Unit ASF
250
500
50
50
250
250
50
50
50
50
ADA accessible
900
CT Scan Unit
CT Scan Room
450
450
CT/Angio Scan Room
550
550
180
180
Control Room
CT Scan Unit ASF
1,180
MRI Unit
MRI Room
Control Room
Equipment
MRI Unit ASF
520
520
180
180
150
150
850
Angiography Unit
Angiography Room
500
1,000
Control Room
150
150
80
Equipment
Angiography Unit ASF
160
1,310
Ultrasound Unit
Ultrasound Room
Toilet - ADA
Ultrasound Unit ASF
350
50
350
Three cubicles
50
400
3-30
SERVICE
ASF
Remarks

Diagnostic Imaging
Radiology
Support Areas
Reading Room
150
Holding/Recovery
1,360
150
Reception
60
60
Waiting
150
150
Changing
40
80
Workroom
500
500
Imaging Control Station
150
150
PACS Workroom
300
300
Linen
30
90
100
100
Soiled
80
80
Soiled Linen
60
60
400
400
Contrast Media Storage
60
60
Patient toilet
50
100
Custodian Closet
Support Areas ASF
40
40
1,360
17 Gurneys
Scheduling
ADA accessible
3,680
Office - Imaging Director
Office - Radiology Manager
1
1
100
100
100
100
Office - Tech
100
200
Conference Room
350
350
Toilet - ADA
50
50
Staff Lounge
200
200
Women's Locker
150
150
50 day use Lockers (full height)
Toilet
180
180
Men's Locker
150
150
50 day use Lockers (full height)
180
180
Toilet
1,660
9,980
38%
3,792
12%
1,653
Radiology DGSF
w/ divider
15,425
3-31
SERVICE
ASF
Remarks

Ancillary Services
Sterile Processing
Workroom
800
800
200
200
Cart Wash
120
120
Toilet - ADA
70
70
Supply Closet
50
50
30
30
Soiled Cart Staging area
Custodian Closet
Decontamination Area ASF
w/ shower
1,270
Pass Through Sterilizers
150
150
Sterile Supply
400
400
Terminal Sterilizer
180
180
Sterile Storage/Cart Assembly
800
800
Cart Storage
200
200
Wrap and Pack Area
600
600
Custodian Closet
30
30
2,360
Assembly/Sterilization ASF
Office - Manager
100
100
Office - Supervisor
100
100
Conference Room
150
150
Staff Lounge
200
200
Women's Locker
100
100
Toilet - ADA
50
50
100
100
50
50
Men's Locker
Toilet - ADA

850
4,480
35%
1,568
12%
726
Sterile Processing DGSF
Back to back w/ Staff Lounge
6,774
3-32
SERVICE
ASF
Remarks

Ancillary Services
Pharmacy
Storage Areas
Active Storage
400
400
Refrigerated Storage
30
90
Narcotics Vault
150
150
640
Storage Areas ASF
Manufacturing Areas
Bulk Compounding
400
400
2 auto compounders
I.V. Prep Room (Chemo)
300
300
Positive air pressure
Anteroom/Storage
300
300
Walk-in Refrigerator
80
80
Packaging and Labeling
150
150
1,230
Manufacturing Areas ASF
Dispensary
Pick-Up
120
120
Discharge
150
150
Compounding
300
300
Reviewing and Recording
320
320
Cart Staging
80
80
8 Workstations
970
Dispensary ASF
Office - Director
100
100
Office
100
100
Open Office
320
320
Conference Room
200
200
Staff Lounge
200
200
Women's Locker
100
100
Toilet - ADA
50
50
100
100
50
Men's Locker
Toilet - ADA

50
1,220
4,060
35%
1,421
12%
658
Pharmacy DGSF
4 Workstations
6,139
3-33
SERVICE
ASF
Remarks

Ancillary Services
Clinical Laboratory
Clinical Laboratory
Blood Bank
1,200
1,200
Urinalysis Lab
150
150
Office - Senior Supervisor
100
100
Office - Supervisor
100
100
1,550
Clinical Laboratory ASF
Code min. 180 SF
1,550
35%
543
12%
251
Clinical Laboratory DGSF
6" Pneumatic Tube
2,344
3-34
SERVICE
ASF
Remarks

Ancillary Services
Pulmonary Function
Procedure Room
Equipment
80
80
200
200
80
Special Procedure Room

Equipment
200
600
80
960
Pulmonary Function Lab ASF
Bronchoscopy
Procedure Room
250
250
Equipment
80
80
Toilet - ADA
50
50
Negative pressure
380
Bronchoscopy ASF

Shared w/ Cardiology & GI
Linen
Soiled
Soiled Linen
Support Areas ASF
Toilet
Conference Room
Locker
1,340
38%
509
12%
222
Pulmonary Function DGSF
2,071
3-35
SERVICE
ASF
Remarks

Ancillary Services
Biomed
Biomed
Workshop
400
400
Storage
200
200
Office - Manager
100
100
700
Biomed ASF
700
30%
210
12%
109
Biomed DGSF
1,019
3-36
SERVICE
ASF
Remarks

Ancillary Services
Morgue and Autopsy
Morgue
Viewing Room
200
200
Mortuary Refrigerator
400
400
200
Vestibule
16'x25' can accommodate 6 gurneys
200
600
Morgue ASF
Autopsy
Autopsy
Tissue Storage
Autopsy ASF
300
300
100
100
400
Office - Supervisor
100
100
Locker
80
80
Changing Room
40
40
Toilet - ADA
50
50
270
1,270
35%
445
12%
206
Morgue and Autopsy DGSF
1,920
3-37
SERVICE
Beds/Rm
ASF
Remarks
Emergency - Summary
Emergency
Clinical Care
Exam Unit
54
10,780
Trauma Unit
3,510
Support Areas
4,305
2,780
Public Areas
ASF Total
DGSF
60
Exam rooms are equipped w/

additional med gas consoles and
are sized to accommodate two
gurneys to handle mass casualty
events
1,600
22,975
36,668
3-38
SERVICE
ASF
Remarks
Emergency
Emergency
Clinical Care
Exam Unit
Exam Room
46
140
6,440
Exam Room - Behavioral Health
140
560
w/ sound isolation control
Exam Room - RTC
180
180
Adjacent to consultation room
Toilet - ADA
70
70
140
420
Toilet
30
60
Toilet - ADA
50
50
Nursing Station
200
800
Provider Charting
150
600
Medication
120
480
Clean Utility/Supply/Equipment
170
680
Soiled Utility
80
320
Soiled Linen
60
120
Exam Room - Isolation
w/ shower
Support
10,780
Exam Unit ASF
Trauma Unit
6
350
2,100
120
360
Nursing Station
200
200
Provider Charting
250
250
Medication
120
120
Clean Utility/Supply/Equipment
200
200
Soiled Utility
80
80
Soiled Linen
60
60
Consultation/Quiet Room
100
100
40
40
Resuscitation Room
Equipment Storage
w/ X-ray capability
Support
Custodian Closet
Trauma Unit ASF
3,510
3-39
SERVICE
ASF
Remarks
Emergency
Emergency
Clinical Care
Support Areas
1
350
350
120
240
POCT
100
100
CT Scan Room
450
900
Control Room
150
150
Workroom
100
100
250
500
Control Room
100
100
Satellite Pharmacy
400
400
Equipment/Storage
300
600
Provider Workroom
200
200
Toilet - ADA
50
150
Toilet
35
175
Shower/Decontamination
260
260
40
40
40
Central Triage
Triage Room
X-ray Room
Storage
Custodian Closet
Including reception
ADA accessible w/ washer & dryer
40
4,305
Support Areas ASF
Office - Nursing Director
100
100
100
200
Office - CNS
150
150
Shared
150
150
Shared
Admitting/Registration
500
500
6 Workstations
Interview
80
80
Radio Room
80
80
Conference Room
200
400
Toilet - ADA
50
100
Staff Lounge
300
300
Women's Locker
w/ divider to accommodate 20 staff
150
150
Toilet
210
210
Men's Locker
150
150
Toilet
210
210
40
Custodian Closet
Administrative/ Staff Areas ASF
40
2,780
3-40
SERVICE
ASF
Remarks
Emergency
Emergency
Clinical Care
Public Areas
Waiting
400
800
Waiting - Pediatrics
200
200
Consultation/Quiet Room
120
240
Women's Toilet
180
180
180
180
Men's Toilet
Public Areas ASF
1,600
22,975
40%
9,190
14%
4,503
Clinical Care DGSF
36,668
3-41
SERVICE
Beds/Rm
ASF
Remarks
Support Services - Summary

Entry Area
Main Lobby
Lobby
ASF Total
DGSF
3,360
1,000
4,360
5,755
Admitting
DGSF
2,030
2,801
Administration
DGSF
450
621
Material Management
DGSF
6,250
8,250
Messenger/Mailroom
DGSF
1,770
2,544
DGSF
900
1,294
DGSF
1,900
2,731
PBX
DGSF
500
719
Dietary
DGSF
600
828
Auxiliary Support
DGSF Total
25,544
3-42
SERVICE
ASF
Remarks
Support Services
Entry Area
Main Lobby
Waiting
3,000
3,000
Women's Toilet
180
180
Men's Toilet
180
180
Main Lobby ASF
3,360
To be located in First Floor
Lobby
Waiting
1,000
Lobby ASF
1,000
1,000
To be located in Ground Floor
4,360
20%
872
10%
523
Entry Area DGSF
5,755

Admitting
Interview/ Admitting Room
12
80
960
Reception
250
250
Registration
200
200
Cashiers
300
300
Vault
40
40
Supply
200
200
Toilet
80
80
Custodian Closet
40
40
2,030
2,030
20%
406
15%
365
Admitting DGSF
2,801
3-43
SERVICE
ASF
Remarks
Support Services
Administration
Administrative Offices
Office
200
200
Director of Nursing
Open Office
200
200
Including Reception
Toilet
50
Administrative Offices ASF
50
450
20%
90
15%
81
Administration DGSF
ADA accessible
450
621
3-44
SERVICE
ASF
Remarks
Support Services
Auxiliary Support
Material Management
Material Management
Storage
6,000
6,000
Medical Gas Storage
100
200
Toilet - ADA
50
50
6,250
Material Management ASF
6,250
20%
1,250
10%
750
Material Management DGSF
Code Min. 20 SF per Licensed Bed
8,250
3-45
SERVICE
ASF
Remarks
Support Services
Auxiliary Support
Messenger/Mailroom
Messenger
Office - Supervisor
100
100
Open Office
600
600
Toilet - ADA
50
100
Changing
40
40
Specimen Storage
80
80
Mailroom
200
200
Clothes Storage
300
300
One Workstation
Gurneys/Wheelchair Storage
350
350
10 Gurneys and 10 Wheelchairs
Two Refrigerators
1,770
Messenger ASF
1,770
25%
443
15%
332
Messenger DGSF
12 Workstations w/ 12 Lockers (half height)
2,544
3-46
SERVICE
ASF
Remarks
Support Services
Auxiliary Support
Office - Supervisor
100
100
Supply
400
400
Equipment
200
200
Linen
200
200
900
Environmental Services ASF
900
25%
225
15%
169
Environmental Services DGSF
1,294
3-47
SERVICE
ASF
Remarks
Support Services
Auxiliary Support
1
800
800
Lab/Test
800
800
Operator
300
Computer Server Room
300
1,900
Information Technology ASF
1,900
25%
475
15%
356
2,731
Information Technology DGSF
Auxiliary Support
PBX
PBX
1
300
350
Office - Supervisor
100
100
Toilet - ADA
50
50
PBX Room
500
PBX ASF
500
25%
125
15%
94
PBX DGSF
719
3-48
SERVICE
ASF
Remarks
Support Services
Auxiliary Support
Dietary
Dietary
Storage
Refrigerator
Freezer
Dietary ASF
500
500
50
50
50
50
Code Min. 2 Cu FT per Licensed Bed
600
600
20%
120
15%
108
Dietary DGSF
Code Min. 400 sf + 1 sf per Licensed Bed

over 200
828
3-49

BASEMENT -2
Department
BASEMENT -1
Beds/Rm
ASF
Diagnostic Imaging
Cardiology
Cath/EP Lab Unit
Echo Lab Unit
Support Areas
ASF Total
DGSF
Radiology
X-ray Unit
CT Scan Unit
MRI Unit
Angiography Unit
Ultrasound Unit
Support Areas
ASF Total
DGSF
Sterile Processing
ASF Total
DGSF
Morgue and Autopsy
Morgue
Autopsy
ASF Total
DGSF
FIRST FLOOR
Beds/Rm
ASF
Perioperative
1
5
-
730
930
970
350
2,980
4,606
3
1
1
2
1
-
900
1,180
850
1,310
400
3,680
1,660
9,980
15,425
Ancillary Services
DGSF
Department
960
1,484
1,270
2,360
850
4,480
6,774
Surgery
Surgery Unit
ASF Total
DGSF
Gastroenterology
ASF Total
DGSF
Pre-OP Unit
PACU
Public Areas
ASF Total
DGSF
Department
SECOND FLOOR
Beds/Rm
ASF
Emergency
14
1
-
9,130
2,670
3,000
320
15,120
23,369
5
-
2,440
250
2,690
4,158
22
35
-
2,820
4,220
200
3,230
1,120
11,590
17,914
Clinical Care
Exam Unit
Trauma Unit
Support Areas
Public Areas
ASF Total
DGSF
Admitting
DGSF
Plant Services
54
6
-
10,780
3,510
4,305
2,780
1,600
22,975
36,668
3,360
3,360
4,435
2,030
2,801
(For Reference Only)
Plant Services
DGSF
562
Ancillary Services
Bronchoscopy
DGSF
Clinical Laboratory
DGSF
THIRD FLOOR
Beds/Rm
ASF
Acute Medical

Entry Area
Main Lobby
ASF Total
DGSF
Department
Obstetrics
Triage
Post-Partum
LDRP
C-Section
Support Areas
Public Areas
ASF Total
DGSF
Pediatrics
Pediatrics Unit
Public Areas
ASF Total
DGSF
NICU
NICU unit
Public Areas
ASF Total
DGSF
600
400
270
1,270
1,920
Entry Area
DGSF
Plant Services
Beds
ASF
Acute Medical
3
13
9
2
-
12
-
12
-
650
3,150
3,270
1,420
2,240
2,210
880
13,820
21,427
4,440
1,030
460
5,930
9,194
3,670
1,260
120
5,050
7,830
Step-Down
Support Areas
Public Areas
ASF Total
DGSF
ASF Total
DGSF
10
26
-
3,390
6,540
2,000
1,300
1,000
14,230
22,062
8
-
3,000
1,350
4,350
6,744
640
1,230
970
1,220
4,060
6,139
1,900
2,731
Ancillary Services
Pharmacy
Storage Areas
Manufacturing Areas
Dispensary
ASF Total
DGSF
Auxiliary Support
380
587

Administration
Administrative Offices
ASF Total
DGSF
1,550
2,344
DGSF
-
450
450
621

-
Department
Plant Services
1,000
1,320
Plant Services
Plant Services
DGSF
562
Plant Services
DGSF
562
Plant Services
DGSF
562
Auxiliary Support
Material Management
DGSF
6,250
8,250
Messenger/Mailroom
DGSF
1,770
2,544
DGSF
900
1,294
Dietary
DGSF
600
828
Plant Services
Plant Services
Mechanical
Electrical
Miscellaneous
ASF Total
DGSF
DGSF Total
Interdepartmental & Vertical
BGSF Total (For this floor only)
BGSF Available (For this floor only)
BGSF Available/ Total Delta
BGSF Delta %
7,000
2,800
1,100
610
11,510
15,193
58,318
18%
10,497
68,815
DGSF Total
69,303
488
1%

BGSF Delta %
50,253
18%
9,046
59,299
DGSF Total
59,749
450
1%

BGSF Delta %
44,467
18%
8,004
52,471
DGSF Total
53,092
621
1%

BGSF Delta %
39,633
18%
7,134
46,767
DGSF Total
47,096
329
1%

BGSF Delta %
38,238
18%
6,883
45,121
45,588
467
1%
3-50

FOURTH FLOOR
Department
FIFTH FLOOR
Beds
ASF
10
10
10
10
10
-
3,290
3,290
3,290
3,990
3,370
2,480
2,510
1,200
23,420
36,310
Medical/Surgical
Support Areas
Public Areas
ASF Total
DGSF
Plant Services
PENTHOUSE
SIXTH FLOOR
Beds
ASF
Acute Medical
Acute Medical
ICU/CCU/Step-Down
ICU/CCU Unit
ICU/CCU Unit
ICU/CCU Unit
Trauma ICU Unit
Public Areas
ASF Total
DGSF
Department
Department
Beds
ASF
Acute Medical
36
36
-
10,570
10,570
250
1,040
940
23,370
36,233
Plant Services
DGSF
562
Medical/Surgical
Support Areas
Public Areas
ASF Total
DGSF
Plant Services
Department
Rooms
ASF
Plant Services
36
36
-
10,570
10,570
250
1,040
940
23,370
36,233
Plant Services
Mechanical
Electrical
Miscellaneous
ASF Total
DGSF
BUILDING 25
Services
Beds
ASF
Inpatient
284
113,540
7,000
300
300
7,600
10,032
10,032
1,806
11,838
DGSF Total
Plant Services
BGSF Total
12,000
162
1%
BGSF Available
BGSF Delta %
76,096
Support Services
18,760
208,396
323,982
ASF Total
DGSF
Plant Services
DGSF
562
Auxiliary Support
Biomed
DGSF
700
1,019
PBX
DGSF
500
719
Plant Services
Plant Services
DGSF
DGSF Total
BGSF Delta %
562
38,610
18%
6,950
45,560
DGSF Total
45,588
28
0%

BGSF Delta %
36,795
18%
6,623
43,418
DGSF Total
43,922
504
1%

BGSF Delta %
36,795
18%
6,623
43,418
DGSF Total
43,922
504
1%

BGSF Delta %
18%
18%
9%
323,982
58,317
34,407
416,706
420,260
3,554
1%
3-51
Section 4
Statement of Probable Construction Cost

A statement of probable construction cost based on this space
program will be issued under separate cover.
4-1
Section 5
Acknowledgments
The following people participated in the development of the
San Francisco General Hospital Medical Center space program
report and provided their labor, time and expertise toward the
preparation of the final document:
Steering Committee
Gene Marie O'Connell, MSN
Roland Pickens
Sue Currin, RN, MS, CNS
Delvecchio Finley, MPP, FACHE
Andre Campbell, MD
Jeff Critchfield, MD
John Luce, MD
Sue Carlisle, MD
Kathy Jung, MPH
Carlos Villalva, RA
Ron Alameida, RA
Mark Primeau
Sharon Kotabe, PharmD
Inpatient
Yuhum Digdigan, RN, MS
Ana Sampera, RN, MS
Michael Daly, RN
Lettie Miller, RN
Leslie Dubbin, RN
Sharon Wicher, RN, MS
Piera Wong, RN, MS, CNS
Bill Schecter, MD
Jeff Critchfield, MD
Talmadge King, MD
Kevin Grumbach, MD
Todd May, MD
Elena Fuentes-Afflick, MD
Richard Price, MD
Morris Schambelan, MD
Pat Skala
5-1
Section 5 Acknowledgments
ICU/Step-down
Terry Dentoni, RN
Vivian Curd, RN
Genevieve Farr, RN
Paul Koo, RN, MS, CNS
Leslie Dubbin, RN
Lettie Miller, RN
Sue Carlisle, MD
Jim Marks, MD
John Luce, MD
Shirley Stiver, MD
Sheryl Calson, RN, MS, CNS
Nora Goldschlager, MD
Andre Campbell, MD
Courtney Broaddus, MD
Lisa Chen, MD
Julin Tang, MD
Rochelle Dicker , MD
Cheryl Jay, MD
Sandra Peterson
Women & Children

Nela Ponferrada, RN
Fe Hortinela, RN
Louise Dimattio, RN
Elizabeth Romero, RN
Ocean Berg, RN, MS, CNS
Phil Darney, MD
Lee Learman, MD
Tina Raine, MD
Eleanor Drey, MD
Chris Stewart, MD
Susan Sniderman, MD
Teresa Villela, MD
Ronald Dieckmann, MD
Shannon Thyne, MD
Kathryn Roberts
5-2
Diagnostic
Terry Dentoni, RN
Patricia Coggan, RN, MS, CNS
Maggie Rykowski, RN
Terry Lynch, MD
Mark Wilson, MD
Geoff Manley, MD
Claude Hemphill, MD
Ebie Fiebig, MD
Walt Finkbeiner, MD
Hal Yee, MD
Jim Genevro
John Applegarth
Emergency
Bob Sypher, RN
Pat Carr, RN
John Fazio, RN, MS, CNS
Kathryn Fowler, RN
Alan Gelb, MD
Chris Barton, MD
Jeff Tabas, MD
Mark Leary, MD
Eric Isaacs, MD
Mitchell Cohen, MD
Jan Allison, RN
Perioperative
Terry Dentoni, RN
Lawrence Nichols, RN
Jane Cino, RN
Patricia Coggan, RN, MS, CNS
Renee Navarro, MD
Bob Mackersie, MD
Sue Carlisle, MD
Rochelle Dicker, MD
Ted Miclau, MD
Jim Marks, MD
John Inadomi, MD
Courtney Broaddus, MD
Winona Mindolovich
5-3
Ancillary Support
Sharon Kotabe, PharmD
Paul Cho
Shirley Lee, PharmD
Julie Russell
Fred Hom, PharmD
Eberhard Fiebig, MD
Cora Nunez-Talens
Lawrence Nichols, RN
James Moore
Bob Eggleston
Delvecchio Finley, MPP, FACHE
Johnson Gong
Marijane Pierson
DPH Program Management/Administration

Gene Marie O'Connell, MSN
Kathy Jung, MPH
Mark Primeau
Carlos Villalva, RA
John Hurley
Anson Moon
DPW Project Management

Ron Alameida, RA

Chiu Lin Tse-Chan, FAIA, CSI, LEED AP
David Fong, AIA, SARA, LEED AP
Paolo Diaz
Nuno Lopes, AIA
Samina Choudhry
Connie Ma, LEED AP
Jacopo Montalenti
Forell/Elsesser Engineers, inc. (Structural Engineers)

Simin Naaseh, SE
James B. Guthrie, SE
5-4
Gayner Engineers (Mechanical/Electrical Engineers)

David Pang, PE, CIPE, MCIBSE
TBD Consultants (Cost Estimator)

Gordon Bevridge
Herrero Contractors (Cost Estimator)

Craig Braccia
5-5
Section 6
Appendices
The following documents were prepared during the
development of the San Francisco General Hospital Medical
Center space program report and supplement the content of
this report.
Appendix A
Space Program Work Plan
Appendix B
Bed Projections
Appendix C
Meeting Minutes
6-1
Appendix A
SPACE PROGRAM WORK PLAN

Organizational Chart
STEERING COMMITTEE COMPOSITION
Fig. Exhibit A-1
View of SFGHMC
Executive Hospital Administrator

Chief Nursing Officer
Executive DPH Admin. Representative
SFGH Associate Hospital Administrators
Chief Medical Officer
Chief of Service (current and elect)
SFGH/UCSF Dean
Campus Executive Architect
DPW Project Manager
USER GROUP COMMITTEE COMPOSITION
Chief Nursing Officer

SFGH Associate Hospital Administrators
Department Managers
Inpatient
Ambulatory
Emergency
Facilities
Support Services
Physician Representatives
Activity I: Engagement Initiation (2 Weeks):
Receive authorization to proceed with work
Identify San Francisco General Hospital Medical Center

(SFGHMC) Objectives and Assumptions
Tour SFGHMC and project site
Compile project data: Institutional Master Plan, site survey,

plot plans (topographic and site utilities), legal site
descriptions, soil reports, EIR documentation, City of San
Francisco planning regulations, City of San Francisco
Master Plan (if applicable), SFGHMC space standards, etc
SFGHMC to provide patient population projections
Develop and present preliminary project schedule

Appendix A-1
Assemble Steering Committee, appoint AChair@ and identify

User Groups for the services to be programmed
Activity II: Develop Draft Space Program (12 Weeks):
Document planning assumptions and space requirements,

including scope of services to be included in the building,
operating systems, functional relationships, organizational
structure and staffing, hours of operation, major
equipment,
major
intraand
inter-departmental
relationships, and anticipated facility or operational
changes
Translate planning assumption and space requirements

into the following service categories:
Forward Draft document to user representatives prior to

meeting
Meet with Steering Committee
Review planning assumptions and space requirements
Workshop #1 with User Groups:
Inpatient
Emergency
Support
Plant Services
Meet with User Groups

Review patient population projections,
assumptions and space requirements
Review site and building constraints
Review work progress in Activity I
Identify and document outstanding issues
planning
Appendix A-2
Activity III:
Weeks)
Preliminary Draft Space Program (7
Document Draft Space Program based on Workshop #1

input.
Develop site plan and floor plan block diagrams
Workshop #2 with Steering Committee and User Groups:
Meet with Steering Committee and User Groups

Review Draft Space Program
Review site plan and floor plan block diagrams
Review work progress in Activity II
Resolve and document outstanding issues
Activity IV: Refine Draft Space Program (6 Weeks)
Refine Draft Space Program based on Workshop #2 input
Develop general room layouts
Workshop #3 with User Groups:
Meet with User Groups

Review refine Draft Space Program
Review general room layouts
Review work progress in Activity III
Activity V: Review and Refinement of Draft Space

Program
(6 Weeks)
Refine Draft Space Program based on Workshop #3 input

and submit for review
Steering Committee and User Groups to review and

comment on Draft Report
Activity VI: Final Space Program (5 Weeks)
Make minor revisions and complete final Space Program
Appendix A-3
Appendix B
Bed Projections
Introduction
The number of beds included in this space program have been
derived from the examination and analysis of several
variables: census trends at SFGHMC, current and expected
demands on services, the range of services provided at
SFGHMC, rates of occupancy, and services provided by other
area hospitals now and in the future. There is no prescribed
formulary for establishing bed projections.
Daily Census and Average Daily Census (ADC)

Daily Census for this report includes all acute medical patient
days. The daily census is a snap shot in time taken at
midnight each day. Midnight census is the community
standard for counting patient days.
Excluded from the data provided for this report are normal
newborn nursery days, acute psychiatric patient days, and
skilled nursing patient days. Normal newborns are not
considered acute patients and nursery bassinets are never
included in bed counts.
Acute psychiatric and skilled nursing days are excluded
because these patient care areas will not be relocated into the
new hospital building.
Average Daily Census (ADC) is the average number of patients
in the hospital on a single day. An ADC for the past four years
was calculated for each bed type. The ADC can then be used
as one variable to project future bed needs by multiplying each
bed category by a chosen occupancy rate.
There is no fixed prescribed community standard for
occupancy rates. Each hospital must assess the needs of its
own patient population along with their particular service
capabilities to determine an appropriate rate.
The Society of Critical Care Medicine in their Guidelines for
Intensive Care Unit Design state that The development team
should assess the expected demands on the proposed ICU
based on an evaluation of its sources of patients, admission
and discharge criteria, expected rate of occupancy, and
services provided by other area hospitals. The ability to
provide specific levels of care must be determined by
analyzing physician resources, staff resources (nursing,
Appendix B-1
respiratory therapy, etc.) and the availability of support

services (laboratory, radiology, pharmacy, etc.) This guidance
is equally applicable to acute care beds.
According to the National Center for Health Statistics the
average occupancy rate for Community Hospitals from 1998
thru 2001 was 64%. SFGHMCs occupancy rate has frequently
gone to nearly 100% of its capacity. You cannot operate
efficiently at that occupancy level. Time is required for the
discharge of patients and the cleaning
of beds by
housekeeping services. Operating at levels that exceed 80%
means patients will often have to wait for beds.
Based on the factors described above and known demands for
services, SFGHMC has applied an occupancy factor of 80% for
all acute patient bed categories and a factor of 70% for
intensive care (adult and neonatal) and step-down beds.
Generally a lower rate is applied when utilization of a particular
service is more unpredictable (in the case of intensive care
and step-down which is closely associated with ICU use).
In terms of services provided by other area hospitals, SFGHMC
is the only designated trauma center (Level 1) serving San
Francisco and northern San Mateo County, SFGHMC is
required to maintain bed capacity for trauma patients. Nontrauma facilities do not have this same level of responsibility.
SFGHMC and St. Lukes Hospital are the only two hospitals
that serve the southern quadrant of the City. There is some
concern that in the near term, St. Lukes will not continue to
provide acute care services.
Other variables that artificially lower the census data and that
skews the actual demand for services include:
Census is limited by the number of available, staffed beds.
Census does not always reflect the patients that have been
admitted but are being held in the emergency department
or PACU awaiting a bed to become available. Patients are
required to be in a bed at midnight to be counted in the
midnight census.
Appendix B-2
Summary
The bed projections provided in Table have been derived from
an examination of all the above variables. Bed flexibility is
built into the program by the number of planned step-down
beds. Step-down beds can either go from intensive care to
step-down; or step-down to acute care levels of care.
Appendix B-3
ADC
Daily Census
Projected Bed Needs
CY 02-03
CY 03-04
CY 04-05
CY 05-06
4 Year Total
Over 4 Years
Occupancy rate
Based on
Census Data*
Based on
Actual Needs**
Medical/Surgical
47,469
45,083
49,001
47,687
189,240
129.5
80%
162
144
Medical/Surgical - Forensic
1,939
1,425
1,066
1,031
5,461
3.7
80%
ICU
8,000
7,915
8,167
8,647
32,729
22.4
70%
32
40
Step-Down
6,844
7,679
8,805
12,037
35,365
24.2
70%
35
46
Obstetrics
4,197
4,076
4,119
3,952
16,344
11.2
80%
14
22
Pediatrics
1,069
1,082
991
1,093
4,235
2.9
80%
12
NICU
2,864
2,729
2,707
3,421
11,721
8.0
70%
11
12
Total
72,382
69,989
74,856
77,868
295,095
202.3
262
284
Average Daily Census (ADC)
198.3
191.8
204.5
213.3
202.3
SERVICE
Notes:
Census is limited by the number of beds available. Lack of available beds artificially reduces the census and does not reflect actual demand.
Census numbers do not always reflect the patients that have been admitted but are being held in the emergency department or PACU awaiting a bed to become available. Patients need to be in a bed at midnight to be counted in the midnight census which is the community standard for
establishing daily census numbers.
SFGHMC's occupancy rate has frequently gone to nearly 100% of its capacity. Hospitals cannot operate efficiently at that occupancy rate.
SFGHMC operates beds beyond their budgeted capacity in order to care for as many patients as possible.
SFGHMC is the only trauma center in San Francisco. As a designated trauma center SFGHMC is required to maintain bed availability in ICU for trauma patients.
Appendix B-4
Appendix C
Meeting Minutes
The following meeting minutes will serve as the approved
record of matters discussed and conclusions reached during
the space programming effort for the new acute care hospital
at San Francisco General Hospital Medical Center.
Appendix C-1
MINUTES OF MEDICAL/ SURGICAL MEETING NO. 1

PROJECT:
San Francisco General Hospital

1001 Potrero Avenue
San Francisco, CA 94110
MEETING
LOCATION:
San Francisco General Hospital, Room 2A6
MEETING
DATE:
December 1, 2006
2:00 pm : 4:00 pm
ISSUE DATE:
December 4, 2006
ATTENDEES:
Kathy Jung (KJ)

Sue Currin (SC)
Yuhum Digdigan (YD)
Ana Sampera (AS)
Michael Daly (MD)
Lettie Miller (LM)
Leslie Dubbin (LD)
Sharon Wicher (SW)
Piera Wong (PW)
Jeff Critchfield (JC)
Todd May (TM)
Elena Fuentes-Affl. (EF)
Richard Price (RP)
Pat Skala (PS)
Mark Jacobson (MJ)
Chiu
Lin
Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
Samina Choudhry (SC)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau
San Francisco General Hospital (SFGH),

Facilities/ Support Services
SFGH -Nursing Admin
SFGH -Nursing Admin
SFGH -Nursing Admin.
SFGH -Oncology
SFGH -Medicine
SFGH -Family & Comm. Med.
SFGH -Pediatrics
SFGH -Neurology
SFGH -Information System
SFGH
Fong & Chan Architects (FCA)
FCA
FCA
FCA
FCA
SFGH, Executive Administrator

Department of Public Health (DPH)
FCA
FONG & CHAN ARCHITECTS
ARCHITECTURE PLANNING INTERIOR DESIGN

1361 BUSH STREET, SAN FRANCISCO, CALIFORNIA 94109 TEL: (415) 931-8600 FAX: 9415) 931-4601 E-MAIL fca@fca-arch.com
This meeting was held to initiate the programming effort with the Medical/ Surgical User Group.
The following is a record of the items discussed.
FCA presented and discussed the following attached documents:
1. Agenda of Meeting
2. Space Programming Objectives and Assumptions, dated December 1, 2006
3. Project Schedule dated November 20, 2006
4. SFGHMC Rebuild Program Subcommittee Focus Groups,
5. Average Daily Census FY 00-01 FY 04-05
6. Preliminary Summary Space Program, dated December 1, 2006
7. Med/Surg User Group Questionnaire, dated December 1, 2006
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
PROGRAM ISSUES
A.
1.01
Nuno Lopes (NL) of FCA noted that the primary goal of this
effort was to develop a Detailed Space Program for the new
Acute Care Hospital. The new Acute Care Hospital is to be
built on the West Lawn of the Campus and will not require the
demolition of any of the existing buildings currently on the
Campus. NL noted that there were several major constraints
and drivers that would direct the development of the Space
Program.
1. Operations The User Groups and the Leadership
committee need to provide input to help develop a
space program that will adequately meet the
operational needs of SFGHMC for the foreseeable
future.
2. Costs NL noted that a Site Feasibility Study was
recently completed which validated the feasibility of
the West Lawn site and set some parameters and costs
for the project. FCA has been instructed to assume a
preliminary construction cost budget of 622 million
dollars for a new building with approximately 230Page 2 of 7
Due Date
Item
Description
Action
267 beds. Kathy Jung (KJ) of SFGHMC noted that

this maximum target includes construction costs only
and is what has been determined to be politically
feasible as a bond measure. This figure does not
include the estimated 160 million dollars required for
equipment and furnishings or for any renovation work
of the existing hospital building.
3. Site Limitations- NL noted that the Site Feasibility
Study established parameters for the maximum size of
the new building. Code and Planning requirements
have determined the maximum area for each floor and
the maximum number of floors for the new facility.
All new required program elements need to be
accommodated within this envelope.
1.02
FCA reviewed some current trends in Med/Surg Nursing Unit

Design per the request of the user group. FCA noted that
some of the major trends that may impact the program of the
Nursing Units include the following:
1. Increased use of technology for patient /asset tracking
and allowing decentralizing of nurses away from a
Central Nurse Station towards auxiliary nurse stations
and in-room charting stations.
2. Greater patient privacy. Rooms provided with more
amenities such as multimedia options to increase
patient comfort.
3. Development of Patient rooms with the same
configuration and orientation. This helps reduce staff
error by standardizing the room layouts.
4. Greater use of mobile equipment to allow exams,
therapies and imaging to take place in patient rooms
rather than transporting patients around the hospital.
1.03
FCA noted that the preliminary space program assumptions

for Med/Surg beds were for a total of 120 beds divided into
2 nursing units per floor with 32 & 28 beds per unit. This
assumption was developed in conjunction with SFGH and is
based on a combination of the census figures and previous
utilization studies commissioned by SFGH.
DEPARTMENTAL ISSUES
B.
1.04
Nuno Lopes (NL) of FCA asked whether the Nursing Units

are specialized or generalized units. The user group noted that
there was a distinction between the medical nursing units and
Page 3 of 7
Due Date
Item
Description
Action
the surgical nursing units that should be maintained.

Otherwise there should be no planned specialization of
Nursing Units for maximum flexibility.
1.05
Elena Fuentes-Affl. (EF) of SFGH noted that the Pediatric

Nursing Unit should be located in a separate unit adjacent to
Obstetrics and noted that separation of the general adult
patient population from the Pediatrics and Obstetrics units as
an important planning consideration.
EF also noted that patient rooms in the Pediatrics Nursing Unit
should be designed to be large enough to accommodate
sleeping facilities for a family member.
1.06
Nuno Lopes (NL) of FCA noted that the Forensic Inpatient

Unit was located with the new Hospital Building but that the
Forensic Psych unit was to remain within the existing
Hospital. The user group noted that while it was desirable to
keep the two units together for operational efficiency, it was
preferable to separate the units in order to increase the overall
number of licensed beds in the new Hospital building.
1.07
Mark Jacobsen (MJ) of SFGH expressed his concern that no

patient beds were currently allocated for the General Clinical
Research Center (GCRC) and noted the importance of the
GCRC within the facility.
Kathy Jung (KJ) of SFGH acknowledged that the GCRC
had not yet been addressed as part of the Space Program and
that it needed to be discussed and evaluated by SFGH in a
separate meeting.
NURSING UNIT ISSUES
C.
1.08
Nuno Lopes (NL) of FCA noted that the current assumptions

were for 2 nursing units per floor with 32-28 beds per unit.
The user group confirmed that this was generally acceptable
and that the workability of the 36 bed unit would depend on
the layout of the unit for workflow efficiency.
The user group generally agreed that either a centralized or
decentralized nursing unit concept would be feasible but that
actual plan layouts would need to be reviewed.
The user group noted that the past patient census is not a good
indication of the actual patient beds required by the Hospital
since occupancy is usually over 100% and there is significant
diversion of patients that takes place. Whatever the maximum
number of beds feasible given the other constraints of space
and cost would be preferred by the User Group. After further
discussion, it was agreed that a maximum of four units of 36
beds for a total of 144 licensed beds would be preferable.
FCA to exercise this option for feasibility within the building
Page 4 of 7
Due Date
Item
Description
Action
envelope
1.09
The user group noted the importance of sufficient storage

space required for printers and other equipment that needs to
be easily accessible. The current storage space in the existing
nursing units have not been sufficient.
NL stated that the storing mobile equipment in alcoves along
the corridor could be provided in the design of the unit.
Currently FCA has allocated 400 square feet per unit for
storage not including the possible additional alcove spaces.
1.10
The user group emphasized the importance of having one (1)

conference and one (1) consultation room within each unit.
The user group would also prefer to have at least one (1) sleep
room within the unit in addition to the on call facilities that
will stay in the existing building.
NL noted that any additions to support and service areas may
reduce the number of patient beds as there is a limited amount
of floor area per nursing unit. The user group agreed that
patient beds are the priority and that the work of the group
would be to find the optimal balance between maximizing bed
capacity and staff / support areas.
1.11
The user group confirmed that a separate medicine room

might not be required as a Pyxis/Omnicell automated system
will probably be provided.
PATIENT ROOM ISSUES
D.
1.12
Nuno Lopes (NL) of FCA confirmed that in the current

programming all patient rooms are single occupancy patient
rooms and asked whether shared patient rooms should be
considered to increase the number of licensed beds.
The user group confirmed that all patient rooms should be
designed as single patient rooms with the exception of two (2)
patient rooms per unit which should be designed for the
possibility of two beds in each room with a sliding door within
the shared wall that can open up the rooms into one large
room. This will allow the rooms to be used for monitoring
purposes and as a mini-ward and will provide the nursing staff
with flexibility for patient care.
NL asked the user groups whether the rooms be reduced in
size to maximize the number of beds in the unit. The user
group noted that patient rooms should be designed for medical
reasons and not to squeeze in the maximum capacity.
Although the number of patient beds is a prime consideration,
Page 5 of 7
Due Date
Item
Description
Action
Due Date
the size, comfort and quality of patient rooms should not be

compromised just to maximize capacity.
1.13

programming three (3) patient rooms per nursing unit are
ADA accessible units as required by code.
The user group agreed to 3 accessible patient rooms per unit
was acceptable. Paolo Diaz (PD) of FCA noted that these
rooms would also be appropriate for bariatric patients.
SFGH to review their current and projected needs for
bariatric rooms and will provide data to FCA at the next
meeting.
1.14

programming one (1) patient room per nursing unit is an
isolation room as required by code.
The user group noted that because of the prevalence of TB and
other communicable diseases within the patient population
there is a need for 30-35% of the rooms to be negative
pressure isolation rooms.
FCA clarified that the current isolation rooms within the
hospital were not code compliant isolation rooms which
require an anteroom but rather just negative pressure rooms.
1.15
The user group agreed that two isolation rooms with a shared
anteroom per unit would be acceptable and the remainder of
the required isolation rooms could be negative pressure rooms
without anterooms. The isolation rooms should be equally
distributed among all the nursing units.
programming each patient room has a private toilet.
The user group agreed that all patient rooms should have
private toilets. Shared bathrooms are not considered to be an
option due to infection issues. A shower for each bathroom is
not required apart from the Obstetrics unit. Shared showers on
each unit (2 showers per unit) are sufficient.
FONG & CHAN ARCHITECTS will rely on these minutes as the approved record of matters discussed
and conclusions reached. Should there be a different understanding of the issues described in the meeting
notes, a written notice should be sent to Fong & Chan Architects within five working days of receipt of
these minutes.
Prepared by Nuno Lopes of Fong & Chan Architects
F:\Proj338\Doc\Minutes\Medical-Surgical\Minutes_06.12.01_Medical - Surgical.doc
Page 6 of 7
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
December 1, 2006
2:00 pm : 4:00 pm
ISSUE DATE:
December 4, 2006
ATTENDEES:
Kathy Jung (KJ)

Sue Currin (SC)
Yuhum Digdigan (YD)
Ana Sampera (AS)
Michael Daly (MD)
Lettie Miller (LM)
Leslie Dubbin (LD)
Sharon Wicher (SW)
Piera Wong (PW)
Todd May (TM)
Elena Fuentes-Affl. (EF)
Richard Price (RP)
Pat Skala (PS)
Mark Jacobson (MJ)
Chiu
Lin
Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH -Nursing Admin
SFGH -Nursing Admin
SFGH -Oncology
SFGH -Medicine
SFGH -Family & Comm. Med.
SFGH -Pediatrics
SFGH -Neurology
SFGH -Information System
SFGH
FCA
FCA
FCA
FCA

FCA

ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
PROGRAM ISSUES
A.
1.01
Program.
future.
Due Date
Item
Description
Action
Due Date
the size, comfort and quality of patient rooms should not be

compromised just to maximize capacity.
1.13

programming three (3) patient rooms per nursing unit are
ADA accessible units as required by code.
The user group agreed to 3 accessible patient rooms per unit
was acceptable. Paolo Diaz (PD) of FCA noted that these
rooms would also be appropriate for bariatric patients.
SFGH to review their current and projected needs for
bariatric rooms and will provide data to FCA at the next
meeting.
1.14

programming one (1) patient room per nursing unit is an
isolation room as required by code.
The user group noted that because of the prevalence of TB and
other communicable diseases within the patient population
there is a need for 30-35% of the rooms to be negative
pressure isolation rooms.
FCA clarified that the current isolation rooms within the
hospital were not code compliant isolation rooms which
require an anteroom but rather just negative pressure rooms.
1.15
The user group agreed that two isolation rooms with a shared
anteroom per unit would be acceptable and the remainder of
the required isolation rooms could be negative pressure rooms
without anterooms. The isolation rooms should be equally
distributed among all the nursing units.
programming each patient room has a private toilet.
The user group agreed that all patient rooms should have
private toilets. Shared bathrooms are not considered to be an
option due to infection issues. A shower for each bathroom is
not required apart from the Obstetrics unit. Shared showers on
each unit (2 showers per unit) are sufficient.
these minutes.
Page 6 of 7
Item
Description
Action

1.02
FCA reviewed some current trends in Med/Surg Nursing Unit

Design per the request of the user group. FCA noted that
patient comfort.
1.03
FCA noted that the preliminary space program assumptions

for Med/Surg beds were for a total of 120 beds divided into
2 nursing units per floor with 32 & 28 beds per unit. This
assumption was developed in conjunction with SFGH and is
based on a combination of the census figures and previous
utilization studies commissioned by SFGH.
DEPARTMENTAL ISSUES
B.
1.04
Nuno Lopes (NL) of FCA asked whether the Nursing Units

are specialized or generalized units. The user group noted that
there was a distinction between the medical nursing units and
Page 3 of 7
Due Date
Item
Description
Action
the surgical nursing units that should be maintained.

Otherwise there should be no planned specialization of
Nursing Units for maximum flexibility.
1.05
Elena Fuentes-Affl. (EF) of SFGH noted that the Pediatric

Nursing Unit should be located in a separate unit adjacent to
Obstetrics and noted that separation of the general adult
patient population from the Pediatrics and Obstetrics units as
an important planning consideration.
EF also noted that patient rooms in the Pediatrics Nursing Unit
should be designed to be large enough to accommodate
sleeping facilities for a family member.
1.06
Nuno Lopes (NL) of FCA noted that the Forensic Inpatient

Unit was located with the new Hospital Building but that the
Forensic Psych unit was to remain within the existing
Hospital. The user group noted that while it was desirable to
keep the two units together for operational efficiency, it was
preferable to separate the units in order to increase the overall
number of licensed beds in the new Hospital building.
1.07
Mark Jacobsen (MJ) of SFGH expressed his concern that no

patient beds were currently allocated for the General Clinical
Research Center (GCRC) and noted the importance of the
GCRC within the facility.
Kathy Jung (KJ) of SFGH acknowledged that the GCRC
had not yet been addressed as part of the Space Program and
that it needed to be discussed and evaluated by SFGH in a
separate meeting.
NURSING UNIT ISSUES
C.
1.08
Nuno Lopes (NL) of FCA noted that the current assumptions

were for 2 nursing units per floor with 32-28 beds per unit.
The user group confirmed that this was generally acceptable
and that the workability of the 36 bed unit would depend on
the layout of the unit for workflow efficiency.
The user group generally agreed that either a centralized or
decentralized nursing unit concept would be feasible but that
actual plan layouts would need to be reviewed.
The user group noted that the past patient census is not a good
indication of the actual patient beds required by the Hospital
since occupancy is usually over 100% and there is significant
diversion of patients that takes place. Whatever the maximum
number of beds feasible given the other constraints of space
and cost would be preferred by the User Group. After further
discussion, it was agreed that a maximum of four units of 36
beds for a total of 144 licensed beds would be preferable.
FCA to exercise this option for feasibility within the building
Page 4 of 7
Due Date
Item
Description
Action
envelope
1.09
The user group noted the importance of sufficient storage

space required for printers and other equipment that needs to
be easily accessible. The current storage space in the existing
nursing units have not been sufficient.
NL stated that the storing mobile equipment in alcoves along
the corridor could be provided in the design of the unit.
Currently FCA has allocated 400 square feet per unit for
storage not including the possible additional alcove spaces.
1.10
The user group emphasized the importance of having one (1)

conference and one (1) consultation room within each unit.
The user group would also prefer to have at least one (1) sleep
room within the unit in addition to the on call facilities that
will stay in the existing building.
NL noted that any additions to support and service areas may
reduce the number of patient beds as there is a limited amount
of floor area per nursing unit. The user group agreed that
patient beds are the priority and that the work of the group
would be to find the optimal balance between maximizing bed
capacity and staff / support areas.
1.11
The user group confirmed that a separate medicine room

might not be required as a Pyxis/Omnicell automated system
will probably be provided.
PATIENT ROOM ISSUES
D.
1.12

programming all patient rooms are single occupancy patient
rooms and asked whether shared patient rooms should be
considered to increase the number of licensed beds.
The user group confirmed that all patient rooms should be
designed as single patient rooms with the exception of two (2)
patient rooms per unit which should be designed for the
possibility of two beds in each room with a sliding door within
the shared wall that can open up the rooms into one large
room. This will allow the rooms to be used for monitoring
purposes and as a mini-ward and will provide the nursing staff
with flexibility for patient care.
NL asked the user groups whether the rooms be reduced in
size to maximize the number of beds in the unit. The user
group noted that patient rooms should be designed for medical
reasons and not to squeeze in the maximum capacity.
Although the number of patient beds is a prime consideration,
Page 5 of 7
Due Date
MINUTES OF OBSTETRIC/ PEDIATRIC MEETING NO. 1
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
December 5, 2006
2:00 pm : 4:00 pm
ISSUE DATE:
January 5, 2007
ATTENDEES:
Kathy Jung (KJ)

Ocean Berg (OB)
Jon Barash (JB)
Holly Cost (HC)
Ronald Dieckmann (RD)
Alma Martinez (AM)
Nela Ponferrada (NP)
Tina Raine-Bennett
(TRB)
Kathryn Roberts (KR)
Elisabeth Romero (ER)
Susan Sniderman (SS)
William Taeusch (WT)
Juan Vargas (JV)
Chiu
Lin
Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA

FCA

This meeting was held to initiate the programming effort with the Women & Children User Group.
7. Women & Children Program Questionnaire, dated December 5, 2006
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
PROGRAM ISSUES
A.
1.01
Program.
future.
dollars for a new building with approximately 230267 beds. Kathy Jung (KJ) of SFGHMC noted that
Page 2 of 5
Due Date
Item
Description
Action

1.02
FCA reviewed some current trends in OB/GYN Nursing Unit

Design per the request of the User Group. FCA noted that
patient comfort.
1.03
KJ confirmed that the time limit for a new hospital is 2013. An

extension for the planning of the new hospital has been
approved; an additional extension while the hospital is in
construction will be necessary.
1.04
The User Group raised the question if the planning of the

OB/GYN and PED departments is considering a move to
Mission Bay.
KJ noted that the decision to move OB/GYN and PED
departments to Mission Bay is outside the mandate of this
programming effort. For now the programming effort will
assume the OB/GYN and PED departments will remain in the
Potrero Campus.
B.
DEPARTMENTAL ISSUES
Page 3 of 5
Due Date
Item
Description
Action
1.05
The User Group requested the programming effort to address

pediatric patient needs in the Emergency and ICU
departments.
1.06
The User Group agreed that a total of three Triage rooms are
necessary. The Triage rooms should be the same size as the
Postpartum rooms. The User Group also commented that if
necessary during high census the postpartum rooms could also
be used for triage.
1.07
The User Group agreed that the current and future philosophy
is to follow the LDRP model- the mother and child stay in one
room during labor, delivery, recovery and postpartum
(LDRP). The average duration for a patient in a LDRP room is
2 days, in case of a C-Section patient the average duration
increases to 4 days.
The User Group confirmed there are currently:
7 LDRP
12 Postpartum
The User Group requested:
9 LDRP rooms
13 Postpartum rooms, which includes 9 single rooms, 2
ADA rooms, 2 isolation (ADA).
1 well baby nursery with 5 well baby bassinets
1 Procedure / Treatment room
1.08
The User Group noted that providing a movable partition

between 2 single patient rooms to allow for observation of two
patients by a single nurse was acceptable.
1.10
All LDRP rooms should have a toilet with a birthing tub.

All Postpartum rooms should have a toilet with a shower.
1.11
The User Group requested four on-call sleep rooms to

accommodate Obstetrics.
They emphasized that the on-call sleep rooms should be on
the same floor as the Obstetrics unit, preferably within the
unit.
The User Group agreed that 2 on-call sleep rooms for
Pediatrics could be located in the existing hospital
preferably on the same floor with a bridge connection.
1.12
The User Group requested 2 C-Section rooms sized similarly

to an operating room with a resuscitation room in between.
This is similar to the current layout, which has proven to work
well.
1.13
The User Group stated their preference to locate

approximately 12 GYN Med/ Surg beds in the same floor as
Page 4 of 5
Due Date
Item
Description
Action
Due Date
Obstetrics. FCA noted that due to space constraints this

would likely not be possible. FCA also noted that staffing
issues would have to be addressed if a partial Med/ Surg unit
was to be programmed on a separate floor.
STAFF ISSUES
C.
1.14
The User Group requested the following revisions from the

original program:
Delete office for social worker.
Increase size of the staff lounge from 300 sf to 400 sf.
Provide only one 400 sf waiting room for Obstetrics,
Pediatrics and NICU.
1.15
The User Group requested lockers for a total of 125 staff (75
female and 50 male)
these minutes.
Page 5 of 5
ICU / STEP-DOWN NO. 1
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
December 8, 2006
2:00 pm : 4:00 pm
ISSUE DATE:
January 11, 2007
ATTENDEES:
Kathy Jung (KJ)

Courtney Broaddus (CB)
Andre Campbell (AC)
Vivian Curd (VC)
Terry Dentoni (TD)
Leslie Dubbin (LD)
Genevieve Farr (GF)
Nora Goldschlager (NG)
Cheryl Jay (CJ)
Paul Koo (PK)
John Luce (JL)
Jim Marks (JM)
Lettie Miller (LM)
Sandy Peterson (SP)
Shirley Stiver (SS)
Julin Tang (JT)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA

FCA

7. ICU / Stepdown User Group Questionnaire, dated December 8, 2006
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
1.01
General
Acute Care Hospital to be designated as Building 25. The
new Acute Care Hospital is to be constructed on the West
Lawn of the Campus and will not require the demolition of
any of the existing buildings currently on the Campus. NL
noted that there were several major constraints and drivers that
would direct the development of the Space Program.
future.
Due Date
Item
Description
Action

of the existing hospital building (Building No. 5).
1.02
Building Connections
NL noted the current assumption is that Building 25 and the
old Hospital Building (Building No. 5) will be connected on
three levels; at basement level through a tunnel, at street level
and with a bridge connection at Level 2.
KJ confirmed that connections between all levels will not be
possible since it would be too costly.
1.03
Helipad
Currently the proposed location for a new helipad is the C
wing of Building 5. The feasibility of relocating the helipad
to the top of Building 25 will be studied as part of the Building
Design.
1.04
Building 5 Envelope Limitations

John Luce (JL) and Andre Campbell (AC) of SFGH explained
that the space available in the established envelope is limited
and cannot be increased. They both emphasized the important
goal is to achieve the maximum efficiency within the
established envelope.
JL noted that the assumptions made for the new hospital are
based on previously proposed space programming figures that
were not considering any building envelope limitations.
Now that the decision regarding the site to be on the existing
campus between buildings 20 and 30 is made, the current
space programming is more precise and represents a realistic
possible scenario.
FCA noted that there will be a net overall increase in program
areas because Building 5 will be retained for outpatient, clinic
and support functions. There may be limitations in the size of
inpatient, diagnostic and treatment functions because of the
limitations of the new building envelope, but the overall
available space will be increased.
Page 3 of 6
Due Date
Item
Description
Action
B.
DEPARTMENTAL ISSUES
1.05
Space Adjacencies
The user group noted the following spaces are desirable to be
adjacent to the ICU unit::
Post Anesthesia Care Unit (PACU)
Operating Rooms (OR)
Cath Lab
Given the building limitations, it was agreed that it will not be
possible to locate all related departments on the same floor.
Dedicated elevators assigned to connect these spaces was
considered an acceptable solution to address adjacency
requirements.
The user group agreed that the final layout will depend on the
optimal allocation within the building envelope.
1.06
Location of Operating Rooms

The user group expressed concern that the Operating Rooms
were located in the basement and did not have any natural
daylight. FCA explained that the Patient rooms are required
by code and practice to have access to natural daylight and
that they are given priority in their location above grade.
Other departments, such as Emergency are required to be
located at grade level. This limitations lead to the location of
the Peri-Operative Services and Imaging Department in the
basement levels. The user group generally agreed with this
approach and understood the rationale.
1.07
On-Call Sleep Rooms

The user group expressed concern about the initial proposal to
locate all the on-call sleep and conference rooms in Building
No. 5.
FCA noted that this was done to maximize the amount of
space for patient bedrooms and support services but agreed
that a minimum number of sleep and conference rooms per
unit are required for the operational efficiency of the
ICU/CCU in the new building.
1.08
Quantity of Isolation Rooms

The user group expressed concern that one (1) isolation room
per unit would not be sufficient to meet operational needs.
FCA clarified that an isolation room built to the current code
has an anteroom and specific requirements and is not
comparable to what is currently designated as isolation rooms
in the existing hospital, which generally only have negative
pressure systems.
It was agreed that one (1) isolation room per unit would be
provided and one (1) negative-pressure room.
Page 4 of 6
Due Date
Item
Description
1.09
Support & Staff Area

The user group requested the following support and staff areas
to be included in the ICU department:
1.10
Action
3 Nurse manager offices

1 ICU director office
2 Workrooms
2 Consultation rooms. (100 square feet (sf) each)
Staff lounge (does not need to be located within the
unit, can be located in Building No. 5.)
Staff lockers (50 male / 50 female)
Patient Rooms
The user group confirmed that the 2005/06 census has been
extremely high. More beds for the ICU and Step-down are
currently needed. These numbers are also expected to increase
in the future. The increase in patient number is dependent on
the development of the citys health care policies and are
unpredictable.
The user group agreed that the programming should provide
the maximum flexibility possible regarding the current and
future use of the units.
The number of ICU/Step-down was discussed.
The user group agreed to the following ICU/Step-down bed
breakdown:
40 licensed ICU beds in 4 units.
10 licensed ICU beds in one unit that will also

function as a Step-Down Unit.
One 32-36 bed Med/Surg Unit that will also function

as a Step-Down Unit.
Subsequent to this meeting, the Emergency Department user

group noted that it was desirable that one ICU unit be
designated as a Trauma ICU unit.
1.11
Patient Room Toilets

The user group confirmed that the ICU Patient rooms do not
need separate toilets.
Step-down rooms need separate or shared toilet facilities.
Page 5 of 6
Due Date
these minutes.
Page 6 of 6
MINUTES OF DIAGNOSTIC MEETING NO. 1
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
December 12, 2006

2:00 pm : 4:00 pm
ISSUE DATE:
January 15, 2007
ATTENDEES:
Kathy Jung (KJ)

Patricia Coggan (PG)
Doug Eckman (DE)
Genevieve Farr (GF)
Walt Finkbeiner (WF)
Jim Genevro (JG)
Claude Hemphill (CH)
Richard
Hollingsworth
(RH)
Gene OConnell (GOC)
Roland Pickens (RP)
Hal Yee (HY)
Chiu
Lin
Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA
FCA

This meeting was held to initiate the programming effort with the Diagnostic User Group. The
following is a record of the items discussed.
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
1.01
General
Paolo Diaz (PD) of FCA noted that the primary goal of this
Campus. PD noted that there were several major constraints
Program.
future.
2. Costs PD noted that a Site Feasibility Study was
Page 2 of 6
Due Date
Item
Description
Action

of the existing Hospital Building.
3. Site Limitations- PD noted that the Site Feasibility
B.
DEPARTMENTAL ISSUES
1.02
Radiology & Endoscopy Rooms

The user group noted that the use of diagnostic imaging in the
future is anticipated to increase with a focus on a wider use of
CT scanning and MRI scanning facilities.
It was noted that there is a need to increase the current number
of Endoscopy procedure rooms.
The user group agreed to the following numbers of rooms:
2 X-Ray Rooms
1 Fluoroscopy Room
1 Interventional Radiology Room (adjacent to ORs)
3 CT Scans (1 CT Scan for Emergency, 2 CT Scans for
Diagnostic Imaging)
2 MRI
2 Angiography Rooms
2 Ultrasound
1.03
Location - Inpatient Imaging

The user group agreed to locate the Inpatient Imaging in the
basement of the new hospital with dedicated elevators
connecting the department to the surgery and emergency.
1.04
Outpatient/Inpatient Split Radiology & Endoscopy (GI)

Paolo Diaz (PD) of FCA asked whether the Endoscopy
Procedure Rooms should be separated between outpatient
radiology located in the existing Hospital Building (Building
No. 5) and inpatient radiology located in the new hospital
building (Building No. 25).
The user group raised concerns that splitting the Endoscopy
procedures between Outpatient and Inpatient would result in
additional staff required in 2 different locations.
The user group agreed that each nursing unit floors should
have either a procedure room or a larger patient room where
Endoscopies could be performed. Outpatient Endoscopies
would remain in the existing Hospital Building. This solution
would increase the availability of Endoscopy procedure rooms
Page 3 of 6
Due Date
Item
Description
Action
and would reduce the amount of intra-hospital transportation

for the patient. The comfort of the patient is an important
concern.
The user group agreed that the GI department and the
Outpatient Imaging should be maintained in the existing
Hospital Building. (Building No. 5). It was understood that
there will be additional operational costs in separating
Outpatient and Inpatient Imaging.
1.05
Adjacencies
The user group noted that ideally the ICU/CCU should be
located closer to the Diagnostic Imaging department but that it
was acceptable to have a dedicated elevator provide access
between the departments.
The user group agreed that the IR rooms should be located
adjacent to the Operating Rooms as a swing room to be
accessible for both Diagnostic Imaging and Perioperative
departments.
Subsequent to this meeting, Dr. Andre Campbell also noted
that a wall mounted Fluoroscopy unit be provided in one of
the OR rooms for use during Trauma Surgery.
1.06
Cardiology
The user group noted that an Angiography Room is not
required within the Cath Lab. 2 Angiography Rooms in the
Inpatient Radiology department will be sufficient.
The user group agreed that one (1) Cath lab in the new
hospital building will be sufficient and that all other
Diagnostic Cardiology functions can be kept in the existing
Hospital Building (Building No.5).
The user group recommended four (4) Echo/EKG rooms and
two (2) Stress Testing Rooms.
1.07
Mammography
The user group confirmed there is no need for Mammography
in the new building. These services are provided in the Avon
Breast Center.
1.08
Nuclear Med.
The user group confirmed that the Nuclear Med. Department
should remain in the existing Hospital Building (Building
No. 5).
1.09
Further Departments located in Old Hospital

FCA confirmed that the following departments remain in the
existing Hospital Building:
Page 4 of 6
Due Date
Item
Description
1.10
Action
Cardio Echo
Rehab
Dialysis
Respiratory
Bronchoscopy
Main storage
Psych
SNF
Pathology- Morgue
The user group recommended that the Pathology department
should be relocated from Building No. 3 into the existing
Hospital Building. This will move it adjacent to the clinical
labs.
FCA confirmed that there is a frozen section room within the
OR area. The user group noted that this was acceptable.
The user group requested one centralized morgue for the
SFGHMC to be located with the new Hospital Building.
Size of the morgue facility to be determined.
The user group recommended that an autopsy area be provided
next to the morgue that can also be used for tissue transplant.
The user group agreed that pathology offices and faculty
rooms do not need to be next to the morgue and autopsy
facilities in the new Hospital Building. They can be located in
a separate location.
1.11
Clinical Lab
The user group agreed that the main clinical labs and blood
bank could stay in the existing hospital building if each unit is
supplied with the necessary equipment and rooms to perform
point of care testing. Satellite labs in each department/unit
need to be connected to the clinical labs in the existing
Hospital Building through a new 6 inch pneumatic tube
system that can accommodate IV bags.
The user group confirmed that point of care testing can also be
used in the ICU/CCU and Emergency.
FCA confirmed that a Building Code requires a minimum
amount of Clinical Lab space to be located within the new
Hospital Building as part of the critical facilities. FCA to
provide the exact requirements.
Subsequent to this meeting, FCA clarified that the following
Clinical Lab functions need to be available within the new
Hospital Building to meet minimum code requirements.
420A.17 Clinical Laboratory Service Space.
Page 5 of 6
Due Date
Item
Description
Action
Due Date
420A.17.1 General requirements. All hospitals shall provide

space and equipment to perform urinalysis, complete blood
counts, hemoglobin blood typing and cross matching. If laboratory facilities for bacteriological, serological, pathological and
additional hematological procedures are not available in the community, then space, equipment and supplies for such procedures
shall be provided.
420A.17.2 Size. The minimum clinical laboratory area shall be
180 square feet (16.7 m2).
420A.17.3 Blood storage. Blood storage facilities shall be provided.
1.12
Storage Space
The user group is concerned about sufficient and appropriate
storage space for diagnostic equipment and addressed the
importance for it to be accessible at all times.
FCA confirmed that the storage in the basement is for general
storage purposes and that there will be additional storage
space allocated for each department. A detailed breakdown of
the programming will be presented in the next meeting.
1.13
Mobile Imaging Equipment

The user group noted that it was desirable to provide
provisions for Mobile Imaging equipment on each nursing
unit.
these minutes.
Page 6 of 6
MINUTES OF PERI-OPERATIVE MEETING NO. 1
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
December 15, 2006

2:00 pm : 4:00 pm
ISSUE DATE:
January 17, 2007
ATTENDEES:
Kathy Jung (KJ)

Andre Campbell (AC)
Jane Cino (JC)
Sue Currin (SC)
Terry Dentoni (TD)
Renee Navarro (RN)
Lawrence Nichols (LN)
Winona
Mindolovich
(WM)
Gene OConnell (GOC)
Chiu
Lin
Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA
This meeting was held to initiate the programming effort with the Peri-Operative User Group. The
FCA

2. Space Programming Objectives and Assumptions, dated November, 2006
7. Peri-Operative User Group Questionnaire, dated December 15, 2006
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
1.01
General
Program.
future.
Page 2 of 5
Due Date
Item
Description
Action

1.02
A.
1.03
NL encouraged all attendees to hold separate internal space

program discussions and forward any comments and/or
questions to KJ prior to the next Peri-Operative User Group
meeting . NL also noted that the high census of 05/06 will
be taken into account with the space program once those
figures are made available.
DEPARTMENTAL ISSUES
Outpatient/Inpatient Split Peri-Operative
The feasibility of locating Inpatient Peri-Operative services in
the new hospital building and Outpatient Peri-Operative
services in the existing hospital building was discussed.
Paolo Diaz (PD) of FCA described the following 2 possible
programming scenarios to be studied.
1. Entire Peri-Operative Department to be located in
the new hospital building Sixteen (16) OR/IR
rooms with adjacent sterile processing facility.
2. Inpatient Peri-Operative Services to be located in
the new hospital building - Outpatient PeriOperative Services to remain in the existing
hospital building Ten (10) OR/IR rooms with
adjacent satellite sterile processing facility in the new
hospital building. The main sterile processing and
Outpatient Surgery services to use existing spaces.
The user group preferred the option of having the entire PeriOperative Department in the new hospital building. The
consensus was that splitting the Outpatient and Inpatient PeriOperative services was not desirable as this would have
significant impact on operational costs.
1.04
Sterile Processing & Distribution

Dr. Andre Campbell (AC) of SFGH noted that ideally the
Sterile Processing & Distribution (SPD) should be located
adjacent to the OR to keep crucial transportation time of
Page 3 of 5
Due Date
Item
Description
Action
required surgery items during surgery to a minimum.

1.05
Quantity & Size of Operating Rooms (OR)

Nuno Lopes (NL) of FCA noted that currently there are ten
(10) ORs in the existing hospital building. The OR room size
varies between 380sf- 550sf.
The user group confirmed that the number of ORs definitely
needed to be increased.
The user group discussed whether it is better to pursue an
increased number of medium/small (450-480sf) sized OR
rooms rather than working with a smaller number of large OR
rooms (550-650sf).
Dr. Andre Campbell (AC) of SFGH questioned the need for
very large OR rooms and noted that the small OR rooms (450480sf) are sufficient for the majority of operations if operation
equipment is installed within the OR; if mobile equipment is
shared between OR s, bigger OR rooms are better. He also
noted that it would be better if all OR rooms are the same size.
The user group concluded that the program should include:
Sixteen (16) OR rooms in total, including 2 IR room for
Surgery. All OR rooms to be around 520sf in size.
If it is not possible to accommodate the large sized OR rooms
within the given floor plan, the room size and number should
be reduced to only:
Ten (10) large OR rooms (520sf)
Four (4) smaller OR rooms (minimum 400sf)
Two (2) IR rooms (520-600 sf) including Fluoroscopy
equipment for Surgery
The user group confirmed that orthopedic surgery rooms need
to be the larger OR Rooms and require a laminar flow
mechanical system.
Subsequent to this meeting, Dr. Andre Campbell also noted
that a wall mounted Fluoroscopy unit be provided in one of
the large OR rooms for use during Trauma Surgery.
1.06
Inpatient Bed Ratio

Gene OConnell (GOC) of SFGH inquired about data
showing the relation between the amount of surgeries
performed to the amount of inpatient beds required and
questioned if there were sufficient inpatient beds to
accommodate the amount of surgeries performed in the OR.
FCA noted that the number of ICU beds has been increased
from 40 to 50 licensed ICU/CCU beds and that an additional
Page 4 of 5
Due Date
Item
Description
Action
Due Date
10 Step-down beds are considered as flex up ICU/CCU

beds, which gives a total of 60 ICU/CCU beds.
1.08
Lockers
The user group requested for locker space for a total of One
Hundred and Fifty (150) staff members. Surgery and
Anesthesia can share the locker rooms.
Female- male ratio is 50-50.
The user group agreed that the small personal lockers for
individuals and shared full-height day-use lockers be
provided.
1.09
On-Call Sleep Rooms

The Anesthesia users requested 4 separate sleep rooms, 2
rooms with separate toilets and 2 rooms sharing a toilet.
The Surgery user group noted to confirm detailed
requirements in the next meeting. FCA to provide one (1)
sleep room for Surgery until the requirements can be
confirmed.
1.10
Miscellaneous
The user group noted the following items:
Viewing rooms are not required
Provide Anesthesia Workroom with 350sf and 100sf
storage
Provide One (1) Isolation room in the PACU Recovery
Area
Pantry area needs more space
One (1) shower is sufficient in the PACU Recovery Area
There should be 1 OR Staff lounge and 1 Anesthesia
lounge. The anesthesia lounge could be used as a
conference room as well.
these minutes.
Page 5 of 5
MINUTES OF EMERGENCY MEETING NO. 1
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
December 18, 2006

2:00 pm : 4:00 pm
ISSUE DATE:
January 22, 2007
ATTENDEES:
Kathy Jung (KJ)

April Clock (AC)
Mitchell Cohen (MC)
Rochelle Dicker (RD)
John Fazio (JF)
Kathryn Fowler (KF)
Angela Hackenschmidt
(AH)
Michelle Lin (ML)
Gene OConnell (GOC)
Kristan
Staudenmayer
(KS)
Bob Sypher (BS)
Chiu
Lin
Tse-Chan
(CLTC)
David Fong (DF)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
This meeting was held to initiate the programming effort with the Emergency User Group. The
FCA


ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
1.01
General
Program.
future.
Page 2 of 6
Due Date
Item
Description
Action

B.
1.02
DEPARTMENTAL ISSUES
Emergency Rooms
The user group commented that the current number of 25
exam rooms is inadequate.
The user group requested 40 exam beds to be programmed in
the new hospital with the following breakdown
27 private exam rooms
3 private isolation exam rooms
One open space exam area capable of holding 10 beds.
The user group also inquired whether additional space in the
corridor would be available to accommodate additional
gurneys in case of a catastrophic event. KJ noted that gurneys
in hallways should be avoided.
David Fong (DF) of FCA noted that each of the 27 private
exam rooms, currently programmed at 120 sf, are capable of
holding two beds in case of a rapid patient surge. DF however
cautioned that this approach is not ideal and would likely not
be acceptable as a means to address normal daily patient
fluctuations.
1.03
Trauma Rooms
The user group requested 6 trauma rooms and noted that when
considering work flow an open floor plan layout for the
trauma rooms is preferred.
NL noted that from an acoustical, turnover and infectious
control standpoint an open floor plan layout for the trauma
rooms may not be desirable. These issues could be partially
mitigated if an opening in the partition separating the trauma
rooms is provided. The User Group agreed to this approach.
The user group also requested 3 equipment storage rooms.
1.04
Imaging
Contrary to the existing condition, the user group confirmed
Page 3 of 6
Due Date
Item
Description
Action
that a dedicated x-ray room for each trauma room is not

required.
Instead the user group requested a separate imaging suite
consisting of 2 CT scan rooms and 2 X-ray rooms, located
within the Emergency department preferably adjacent to the
trauma suite.
Subsequent to this meeting, the Steering Committee
questioned this approach and requested this issue be
reconfirmed in the next Emergency user group meeting.
1.05
Department Adjacencies
The user group expressed some concern regarding the
distance between the Radiology and Emergency departments
and noted that ideally Emergency, Surgery and Radiology
departments should all be collocated on the same floor.
NL noted that given the site constraints collocating all three
departments in the same floor is not possible, however each
department is currently programmed to be located directly
above or below each other, vertically linked with dedicated
service only elevators. NL explained that currently
Radiology is located in the Basement Floor, Surgery is
located in the Ground Floor and Emergency is located in the
First Floor.
Kathy Jung (KJ) also pointed out that the Emergency
department will be equipped with two X-ray rooms and two
CT scan rooms to handle any urgent imaging needs.
Given the limited size of each floor area, the user group
confirmed that the proposed concept would be operationally
feasible.
1.06
Storage
The user group expressed concern that an 8-6 corridor would
not provide adequate storage space for equipment.
NL noted that currently two 300 sf storage rooms have been
programmed and that during the building design phase the
user group could request alcoves within the corridor to provide
for additional storage areas. The user group conquered with
this approach.
1.07
Medication Room
The user group requested larger medication rooms to facilitate
4 automated medication machines. The user group noted that a
decision needs to be made whether all 4 machines should be
located centrally in 1 room or in 4 separate rooms distributed
within the department depending on the floor plan layout.
Page 4 of 6
Due Date
Item
Description
Action
1.08
Meeting and Consultation Area

NL noted that 2 conference rooms of 200 sf each and 2
consultation rooms of 120 sf each for staff meetings and
patient consultations have been programmed. The user
group conquered with the proposed space allocation.
1.09
Stat. Lab
The user group requested a small 100 SF Stat. Lab to be
located in the Emergency department.
1.10
Centralized Monitoring Area

The user group noted that a centralized monitoring area is
not desirable, since that would require additional dedicated
nursing staff. Nursing stations should be sized to
accommodate all necessary monitoring equipment.
1.11
Custodian Closets
The user group requested 1 custodian closet inside the
Trauma suite and two additional custodian closets to service
the remaining Emergency department.
1.12
Linen
The user group mentioned that in the existing Emergency
department the accumulation of soiled linen has become an
issue and requested a dedicated 800 sf soiled linen room.
1.13
Manager/Director Offices
The user group requested separate offices for the manager
and director positions.
1.14
Security Staff Area

The user group pointed out that a dedicated security room
adjacent to the emergency lobby area is not desirable. The
user group preferred to allocate space for a workstation
inside the Emergency Entry lobby to increase the visibility
of security personnel.
1.15
EMS Dispatch
The user group confirmed that the EMS Dispatch can be
reduced to 80 sf.
1.16
On-Call Sleep Rooms

The user group agreed that the residents do not require a
sleep room in the Emergency department.
1.17
Viewing Room
The user group confirmed that a separate viewing room for
family members to view a deceased patient before taken to
the morgue is not required.
Page 5 of 6
Due Date
Item
Description
Action
1.18
Lockers
The user group requested a mix of medium and large sized
lockers to be shared with a total of 160 staff members.
Due Date
these minutes.
F:\Proj338\Doc\Minutes\Emergency\Minutes_06.12.18_001 Emergency.doc
Page 6 of 6
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
January 5, 2007
2:00 pm : 4:00 pm
ISSUE DATE:
February 5, 2007
ATTENDEES:
Kathy Jung (KJ)

Ronald Alameida
Iran Blanco
Sue Currin
Elena- Fuentes-Afflick
Kevin Grumbach
Fred Hom
Sharon Kwong
Todd May
Katie Murphy
Ana Sampera
Morris Schambelan
Chris Stewart
Bill Taeusch
Sharon Wicher
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

Bureau of Architecture, Project Manager
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA

FCA

This meeting was held to review the programming effort with the Medical/ Surgical User Group.
2. Preliminary Detail Space Program, dated January 5, 2007
3. Preliminary Summary Space Program, dated January 5, 2007
4. New Hospital Space Program, dated January 5, 2007
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
2.01
Building Bulk & Clearances

Nuno Lopes (NL) of FCA introduced the bulk of the new
building and noted that the distance at the first and second
floor levels to the existing hospital building is 25 and to the
adjacent brick buildings 20 and 30 is 40. The floors above the
second floor have additional setbacks to address planning and
exterior wall fire rating concerns. The distance at the basement
1 and 2 to the existing hospital building is 14 and to the
adjacent brick buildings 20 and 30 is 12.
NL emphasized that the bulk study is only an exercise to
examine the maximum mass possible within the designated
site. It does not represent any design features. The final layout,
building and faade design are to be determined at a later
stage.
B.
DEPARTMENTAL ISSUES
2.02
Forensic Unit
The user group requested if it was possible to configure the
Forensic unit to allow it to be used as a regular Med/Surg unit
during low census of forensic patients.
Currently the existing forensic unit cannot accept non-forensic
patients and is required to shut down if the number of patients
is lower than 3. The average census for forensic beds was 2.3
last year, 3.4 this year.
NL commented that a Forensic Unit has unique security
Page 2 of 4
Due Date
Item
Description
Action
requirements and may not be possible to convert to a regular

Med/Surg unit.
NL and PD noted that a meeting with the forensic group will
determine the requirements and possibilities for a flexible
Forensic MedSurg unit.
2.03
New and Existing Bed Capacity

NL introduced the revised space program and confirmed that a
total of 4 Med/Surg units each with 36 beds have been
programmed for the 5th and 6th floors.
The following distribution of patient rooms was proposed and
agreed by the user group.
19 Patient Rooms - Single Occupancy
4 Patient Rooms - Double Occupancy
9 Patient Isolation Rooms
The user group expressed concerns that the total number of
patient beds currently being proposed is too low.
The user group estimated that currently 186-196 beds are
being used.
The user group requested if an additional Med/Surg unit could
be added in the currently allocated shell space on the 3rd floor.
NL noted that FCA would analyze the available space on the
third floor and confirm whether an additional Med/Surg unit
could be accommodated.
2.04
Pharmacy - Medication Room

The user group explained that the medication room needs to
accommodate 9 nurses per Med/Surg unit.
Currently one 80sf medication room per Med/Surg unit has
been programmed.
The user group requested FCA to program two 120sf
medication rooms per Med/Surg unit.
2.05
Lockers
The user group expressed concerns that the number of
lockers might not be sufficient.
KJ confirmed a shared day-use policy for the lockers has been
agreed for the new hospital.
2.06
Conference Rooms - Teaching Rooms - Rounds

The user group mentioned the importance of providing
sufficient space for conference/consultation rooms,
predominantly to be used for:
Patient rounds and teaching
Seminars / lectures
Page 3 of 4
Due Date
Item
Description
Action
Due Date
The user group agreed that seminars/lectures could take

place in existing conferences rooms in Building 5, but all
patient rounds and teaching should be conducted in
conference/consultation rooms located on the same floor as
the Med/Surg unit.
2.07
Isolation
The user group requested 30% to 35% of all patient rooms
to be isolation rooms.
NL confirmed that the current available space only allows
for 25% of all patient rooms to be true isolation rooms, but
additional negative pressure rooms, which are similar to
isolation rooms minus the anteroom, would be programmed
to make up the difference.
2.08
Computer Terminals in Corridors

The user group requested that sufficient space be provided
within the corridors for computer terminals, so that they are
easily accessible and evenly distributed.
CLTC noted that details such as computer terminal locations
in the corridor layout are going to be addressed at a later
design stage. The floor layout currently shown is only
representing one of many layouts possible to demonstrate
that the planned space program fits into the designated
square footage of the building envelope.
2.09
Social Worker Offices

The user group confirmed that one 200sf office per floor
would be required to accommodate 2-4 social workers.
2.10
Summary
NL summarized the following points at the end of the
meeting:
Any feedback regarding the space program spreadsheet
should be forwarded to FCA to be addressed in further
planning.
There is no more available space for additional program on
the 5th and 6th floors. Any additional program on these
floors will have to replace space that has already been
allocated.
these minutes.
Page 4 of 4

PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
January 9, 2006
1:45 pm : 4:00 pm
ISSUE DATE:
February 8, 2007
ATTENDEES:
Kathy Jung (KJ)

Beg Ocean
Sue Carlisle
Phil Darney
Louise Dimattio
Fe Hortinela
Colin Partridge
Nela Ponferrada
Tina Raine-Bennett
Kathryn Roberts
Chris Stewart
Cathryn Thurow
Cam Tran
Teresa Villela
Juan Vargas
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA

FCA

This meeting was held to initiate the programming effort with the Obstetric/Pediatric User Group.
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
BUILDING ISSUES
2.01
Relocation to Mission Bay

The user group raised the question whether the
Obstetric/Pediatric (Ob/Peds) department is going to be
relocated to Mission Bay.
KJ noted that the program effort should continue with the
assumption that Ob/Peds is going to remain in the Potrero
campus.
2.02
Building Bulk & Clearances

building and noted that in order to address planning and
exterior wall fire rating concerns specific distances to the
existing buildings need to be kept on all levels.
The distance at the first and second floor levels between the
existing and new hospital building is 25. The distance
between the new hospital building and the adjacent brick
buildings 20 and 30 is 40.
The floors above the second floor have additional setbacks to
address planning concerns and to eliminate the need to have
fire rated walls and windows along the east facade.
The distance at the basement 1 and 2 to the existing hospital
building is 14 and to the adjacent brick buildings 20 and 30 is
12.
Page 2 of 6
Due Date
Item
Description
Action

building and faade design are to be determined in the
subsequent design phases.
B.
PROGRAM ISSUES
2.03
OB/PEDS Location
NL noted that the Ob/Peds department is currently
programmed to be located on the 2nd Floor of the new hospital
building.
The user group raised concerns with collocating the OB/Peds
department on the same floor as the bridge connection to the
existing building, since this may result in higher than usual
human traffic which could pose a security concern given the
patient population of the department.
FCA discussed several options ranging from either relocating
the Ob/Peds department or the bridge connection to the 3rd
floor or to layout the floor plan in a way that provides a direct
and dedicated connection from the elevators to the bridge
connection without passing through the OB/Peds department.
It was agreed that a final decision will be made after
examining and reconsidering the floor plans and program.
2.04
Quantity & Size of Rooms

The user group agreed to the following number of patient
rooms in Obstetrics, Pediatrics and NICU:
Obstetrics
3 Triage Rooms @ 180 sf

13 Post Partum Rooms @ 180 sf
9 LDPR Rooms @ 250 sf
Pediatrics
12 Patient Rooms @ 180 sf

NICU
1 Level II Patient Room @ 720 sf (6 bassinets)

1 Level III Patient Room @ 900 sf (6 bassinets)
The user group noted that the layout of the patient rooms in
Pediatrics should accommodate a sleeping area for family
members.
The user group commented that unlike the current Pediatric
Department the new Pediatrics Department should be family
friendly in terms of its program and layout.
Page 3 of 6
Due Date
Item
Description
Action
2.05
Triage Rooms
The user group questioned if the current number of triage
rooms being programmed is sufficient.
FCA noted that currently 3 triage rooms have been
programmed. FCA added that during high census post partum
rooms and LDRP rooms can serve as additional triage rooms.
The user group agreed to the above arrangement. KJ also
added that how the rooms are going to be utilized is an
internal discussion dealing with operational issues to be
addressed at a later point.
2.06
C-Section / Resuscitation
The user group noted that the C-Section and Resuscitation
rooms are not adequately sized.
FCA proposed to increase the size of the C-Section room to
400 sf and the Resuscitation room to 200sf.
FCA to review the impacts the additional space will have on
the program.
2.07
Patient Toilets
Obstetric
NL confirmed that toilets in LDPR rooms are equipped with

bath tubs.
Pediatric
The user group requested Pediatrics patient rooms to be sized

similarly to Med/Surg patient rooms in order to provide for
future flexibility and be equipped with showers.
FCA confirmed that Pediatrics patient rooms, including the
toilets are sized similarly to Med/Surge patient rooms. FCA
however noted that like Med/Surg patient rooms, Pediatric
patient rooms are not equipped with showers, instead several
patient shower rooms are provided throughout the unit.
The user group agreed to this concept and requested 2 shared
patient showers to be programmed in the Pediatric
Department.
2.08
ICU and Emergency services for Pediatric patients

The user group noted that provisions for pediatric patients in
the ICU and Emergency Departments need to be provided.
The user group noted that in the Pediatric Department certain
high acuity pediatric patients require direct visual monitoring.
To increase nurse efficiency FCA proposed to provide a
sliding door between 2 Pediatric patient rooms to allow for
Page 4 of 6
Due Date
Item
Description
Action
the visual monitoring of two patients by a single nurse. The

user group agreed to this approach.
2.09
Isolation
FCA noted that currently 25% of the Med/Surg patient rooms
are isolation rooms and inquired if the Ob/Peds departments
would want the same isolation room ratio.
The user group confirmed the following isolation room
distribution:
Obstetrics
2 Post Partum Isolation patient rooms

1 LDPR isolation room
Pediatrics
2 Isolation patient room

2.10
Anesthesia Workroom
The user group requested one 120 sf Anesthesia/Respiratory
workroom and one adjacent 300 sf storage room.
the program.
2.11
Equipment Storage
Pediatrics
The user group noted that more space is required for

equipment storage room in Pediatrics, since this is a major
shortcoming in the current department. The user group
requested the Equipment storage to increase to 300 sf.
the program.
NICU
The user group requested the NICU storage room to be

increased to 400 sf and requested a separate 100 sf storage
room for Respiratory Therapy.
the program.
2.12
Lockers
KJ noted that a policy needs to be established by the hospital
and should be applied to all departments.
The user group would be agreeable to a concept of providing
small personalized lockers for personal belongings and shared
day-use lockers for coats and larger items.
Page 5 of 6
Due Date
Item
Description
Action
Due Date
The user group also suggested that if necessary additional

lockers could be provided in the existing hospital.
The user group pointed out that the majority of nursing staff
are female and agreed to the idea of having unisex locker
rooms with separate adjacent changing rooms.
2.13
Social Worker Office

The user group confirmed that only one 150 sf social worker
office be provided in the Pediatric department to service
OB/Peds Departments.
2.14
On-Call Rooms
The user group revised the number of on-call rooms as
follows:
2 On-call rooms for Peds

3 On-call rooms for OB
1 On-call room for Medical Nurse
1 On-call room for Family Attending
1 On-call room for Anesthesiologist

the program.
these minutes.
F:\Proj338\Doc\Minutes\Obstetrics - Pediatrics - Nursery\MIN.02_ObGynPed.doc
Page 6 of 6
`.
MINUTES OF ANCILLARY-CLINICAL LAB MEETING NO. 1
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
San Francisco General Hospital, Cafeteria Conference Room 3
MEETING
DATE:
January 10, 2007

3:00 pm : 4:00 pm
ISSUE DATE:
May 25, 2007
ATTENDEES:
Kathy Jung (KJ)

Eberhard Fiebig (EF)
Chiu
Lin
Tse-Chan
(CLTC)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH, Clinical Labs
FCA
FCA
FCA

This meeting was held to initiate the programming effort with the Ancillary-Clinical Lab User Group.
FCA

ITEMS DISCUSSED:
Item
Description
Action
Due Date
NEW BUSINESS:
B.
DEPARTMENTAL ISSUES
1.01
Clinical Lab Location

The user group confirmed that the Clinical Lab Department
will remain in the existing hospital building with the exception
of the Blood Bank and any other space required by code to be
located in a compliant acute care hospital .
1.02
Space Program
FCA proposed the following spaces to be included in the
space program:
Blood Bank 1200 sf

Urinalysis Lab 150 sf
Office Senior Supervisor 100 sf
Office Supervisor 100 sf
The user group agreed to the proposed space program

revisions and added that the Blood Bank should be located in
close proximity to the Resuscitation rooms and the Operating
Rooms to facilitate the immediate delivery of blood supplies.
The user group also requested the Blood Bank to have direct
access to a shipping and receiving area to facilitate the
distribution of blood products.
1.03
Point of Care Testing (POCT)

The user group requested a 80 sf POCT room with a sink,
bench space, storage for supplies and a location for a specimen
refrigerator in the Emergency Department.
1.04
Pneumatic Tube System

The user group requested a 6 pneumatic tube system be
provided with a direct connection to the Emergency
Department.
these minutes.
F:\Proj338\Doc\Minutes\Ancillary - Auxiliary\MIN.01_Ancillary-Clinical Lab.doc
Page 2 of 2
`.
MINUTES OF ANCILLARY- PHARMACY MEETING NO. 1
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
San Francisco General Hospital, Cafeteria Conference Room 3
MEETING
DATE:
January 10, 2007

2:00 pm : 3:00 pm
ISSUE DATE:
May 25, 2007
ATTENDEES:
Kathy Jung (KJ)

Sharon Kotabe (SK)
Paul Cho (PC)
Shirley Lee (SL)
Julie Russel (JR)
Fred Hom (FH)
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH, Pharmacy
SFGH, Materials Management/Purchasing
SFGH, Pharmacy
SFGH, Pharmacy
SFGH, Pharmacy
FCA
FCA
FCA
FCA

This meeting was held to initiate the programming effort with the Ancillary-Pharmacy User Group.
FCA


ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
B.
DEPARTMENTAL ISSUES
1.01
Pharmacy Location
The user group confirmed that the Pharmacy Department will
remain in the existing hospital building with the exception of
the Inpatient Pharmacy and any other space required by code
to be located in a compliant acute care hospital.
The user group confirmed that the Inpatient Pharmacy does
not require to be adjacent to any specific department.
1.02
Satellite Pharmacy
The user group requested a Satellite Pharmacy in the
following departments:
Emergency Department (400 sf)
Operating Rooms (300 sf)
ICU (300 sf)
1.04
Shipment and Receiving Area

The user group requested that a shipment and receiving area
be provided in the new hospital building, principally to
accommodate smaller pharmaceutical deliveries.
KJ agreed that a shipment and receiving area will be required
as using the main public entrance for deliveries would not be
acceptable.
NL acknowledged that a shipment and receiving area would
be advantageous and would identify possible locations in the
new hospital building.
1.05
Receiving Logistics
The user group agreed to receive and unpack most pharmacy
deliveries in the existing hospital building and use the tunnel
and elevator connections for distribution of goods to supply
the inpatient and satellite pharmacies.
Page 2 of 4
Due Date
Item
Description
1.06
Pharmacy Equipment
Action
Robotic Processing
Chiu Lin Tse-Chan (CLTC) of FCA recommended to consider
robotic processing equipment for the new inpatient pharmacy
because it saves space and reduces human errors. It has
become the current trend in pharmacy design.
PD also noted that storage capacity can be improved by using
vertical storage systems.
Compounders
The user group requested the inpatient pharmacy area to be
able to accommodate 2 compounders.
Automated Dispensing
The user group confirmed that the automated pharmacy
dispensing system (Sure-Med) cannot be located in the nurse
stations because licensing requires dispensers to be located in
a lockable room.
Subsequent to the meeting during a pharmacy walk- through
(1/23/07) FH and SK requested the impatient pharmacy to be
able to accommodate 2 automated carrousel dispensing
machines.
1.08
Dispensary
The user group requested the Reviewing and Recording room
to accommodate 6-8 workstations (40 sf each).
Each workstation should consist of a countertop work surface
large enough to accommodate a computer, a fax and a
scanner.
1.09
Medication Room
The user group requested one medication room per nursing
unit and 2 medication rooms for each 36-bed Med/Surg
Nursing Unit (120 sf each).
1.10
Narcotics Vault
The user group requested the area assign to Narcotics Vault to
increase to 150 sf.
1.11
Staff Lounge
The user group requested a staff lounge in the inpatient
pharmacy.
NL confirmed that currently a 200 sf staff lounge has been
programmed. The user group agreed to the proposed staff
lounge size.
Page 3 of 4
Due Date
Item
Description
Action
1.12
Lockers
The user group confirmed that lockers for inpatient pharmacy
staff can remain in the existing hospital.
Due Date
these minutes.
Page 4 of 4
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
January 12, 2007

2:00 pm : 4:00 pm
ISSUE DATE:
February 12, 2007
ATTENDEES:
Kathy Jung (KJ)

Andre Campbell
Sue Carlisle
Lisa Chen
Sue Currin
Terry Dentoni
Leslie Dubbin
Genevieve Farr
Cheryl Jay
Paul Koo
John Luce
Sandy Peterson
Shirley Stiver
Ron Alameida
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA

FCA

This meeting was held to initiate the programming effort with the ICU / Step-down User Group. The
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
BUILDING ISSUES
2.01
Building Bulk - Clearances & Height

The floors above the second floor have additional setbacks
to address planning concerns and to eliminate the need to
have fire rated walls and windows along the east facade.
building is 14 and to the adjacent brick buildings 20 and 30
is 12.
site. It does not represent any design features. The final
layout, building and faade design are to be determined in
the subsequent design phases.
B.
PROGRAMM ISSUES
2.02
Number of ICU and Step-Down Beds

NL reviewed the total number and distribution of ICU and
Page 2 of 4
Due Date
Item
Description
Action
Step/down beds based on the previous meeting:

Fourth Floor:
3 ICU units (10 beds each)

1 Trauma ICU unit (10 beds)
1 Step-down unit flex up (10 beds)
Fifth Floor:
1 Step-down unit flex down (36 beds)

The user group noted that the presented number of ICU and
Step-down beds will not be sufficient to meet the future
needs of the hospital.
After discussing several different options the user group
agreed to the following number and distribution of ICU and
Step-down beds:
Third Floor:

1 Step-down unit flex down (26 beds)
Fourth Floor:
3 ICU units (10 beds each)

1 Trauma ICU unit (10 beds)
Fifth Floor:
Med/Surg units only

The user group acknowledged that the hospital needs to
examine whether financial resources would be available to
operate 86 ICU and Step/ down beds.
2.03
Procedure Rooms
Paulo Diaz (PD) of FCA asked if a procedure room is
required in the ICU floor.
The user group confirmed that a dedicated procedure room
is not required because procedures can be performed in the
proposed 270 sf Trauma patient rooms.
The user group however requested one Trauma patient room
to be equipped with wall led protection to accommodate
fluoroscopic procedures.
2.04
Showers
The user group confirmed that showers are not required in
the ICU patient rooms.
2.05
Waiting Room
Given the potential for rival gang members to be in the ICU
Page 3 of 4
Due Date
Item
Description
Action
Due Date
and Step-down floors at the same time, the user group

requested two separate waiting rooms to be programmed in
each floor.
The user group also suggested to provide glass windows in
the waiting rooms to provide for greater transparency and
improve security.
these minutes.
F:\Proj338\Doc\Minutes\ICU - Step-Down\MIN.02_ICU-Step-Down.doc
Page 4 of 4
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
January 16, 2007

2:00 pm : 4:00 pm
ISSUE DATE:
February 15, 2007
ATTENDEES:
Kathy Jung (KJ)

Sue Carlisle
Mary Clancy
Pierre-Alaine Cohen
Terry Dentoni
Doug Eckman
Genevieve Farr
Eberhard Fiebig
Walt Finkbeiner
Rafael Ibarra
Roland Pickens
Hal Yee
Ronald Alameida
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
DPW
FCA
FCA
FCA
FCA
FCA


ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
BUILDING ISSUES
2.01

12.
Page 2 of 5
Due Date
Item
Description
Action
2.02
NL confirmed the program currently assumes the following
three connections between the existing and new Hospital
buildings:
Tunnel connection at the basement level
Street connection at the 1st floor
Bridge connection at the 2nd floor
B.
PROGRAM ISSUES
2.03
Gastroenterology
NL noted that currently the programming assumption is for the
Gastroenterology department to remain in the existing
Hospital building. NL explained that endoscopic procedures in
the new Hospital could be performed in patient rooms on the
ICU/ Step-down floors and in procedure rooms in the
Med/Surg floors. Additional storage space for equipment has
also been programmed in the ICU/ Step-down and Med./Surg
floors.
The user group agreed with this approach, however stated that
the Gastroenterology department in the existing Hospital
would also require to be modernized and expanded.
KJ emphasized that funds from the upcoming bond measure
could only be used for work related to the new Hospital.
Funds to modernize and/or expand departments in the existing
Hospital would have to come from a different source. KJ
reiterated that the programming effort should not assume
funding to modernize and/or expand departments in the
existing Hospital will be available.
The user group commented that a lack of guaranteed funding
warrants a reassessment of the current approach.
Subsequent to the meeting the Perioperative user group
confirmed that while the Gastroenterology department could
remain in the existing Hospital an Endoscopy Suite with the
following spaces should be included in the new Hospital
Program:
2.04
4 Endoscopy Procedure Rooms

1 ECRP Room
1 Monitoring Room
Required Ancillary Space
10 patient intake and recovery beds
Percentage of Inpatient procedures in the GI Unit

CLTC noted that if the percentage of inpatient procedures in
the GI unit is less than 20%, then these services could remain
in the existing Hospital. The user group agreed to verify this
Page 3 of 5
Due Date
Item
Description
Action
information.
Subsequent to the meeting the Mr. Hal Yee confirmed in an
email that the percentage of inpatient procedures performed
in the GI unit is predicated to be less than 20%.
2.05
Emergency Evacuation
The user group expressed some concerns with the proposed 4th
& 3rd floor locations of the ICU/ Step-down units. The user
group commented that in the event patients require to be
evacuated following a major catastrophe and elevators are
decommissioned, hospital staff would have to physically
transport these patients down several flights of stairs. The user
group predicted that this scenario would result in a high
number of a patient casualties.
Subsequent to the meeting, this issue was raised with the
Steering Committee and the consensus was that from an
operational standpoint it was important to locate the
Emergency Department at grade level and given the limited
footprint of the building it would not be possible to collocate
two large departments on the same floor. The Steering
committee also noted that an emergency evacuation
procedure plan would have to be developed since
transporting patients in the ICU and Step-down floors and
perhaps certain Med/Surg patients down several flights of
stairs would not be a viable option.
2.06
Size of Imaging Rooms

NL reviewed the following imaging room sizes with the user
group.
Radiology X-ray Rooms

CT Scan Rooms
MRI Room
IR
with 2 adjacent storage rooms each
Angiography Room
Ultrasound Room
Cath Lab Room
Cath Lab Control Room
250 sf
450 sf
520 sf
600 sf
60 sf
500 sf
150 sf
500 sf
150 sf
The user group took no exceptions.

2.07
Cardiology
The user group requested a point of care testing area within
the Cardiology department. The point of care testing area
should include a workbench with a sink and some storage
space.
Page 4 of 5
Due Date
these minutes.
F:\Proj338\Doc\Minutes\Diagnostic\MIN.02_Diagnostic.doc
Page 5 of 5
MINUTES OF STEERING MEETING NO. 1

PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
January 18, 2007

12:00 pm : 2:00 pm
ISSUE DATE:
February 28, 2007
ATTENDEES:
Kathy Jung (KJ)

Ronald Alameida
Andre Campbell
Sue Carlisle
Jeff Critchfield
Sue Currin
Gene OConnell
Delvecchio Finley
Sharon Kotabe
John Hurley
John Luce
Roland Pickens
Mark Primeau
Carlos Villalva
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA

This meeting was held to present, discuss and validate the space programming process for the new
FCA

hospital building at San Francisco General Hospital Medical Campus. The following is the list of
items to be discussed.
2. Hospital Comparison Chart, dated January 18, 2007
ITEMS DISCUSSED:
Item
Description
NEW
BUSINESS:
A.
BUILDING ISSUES
1.01
Actio
n
Clearances to Existing Buildings

Nuno Lopes (NL) of FCA introduced the bulk of the
new building and noted that in order to address planning
and exterior wall fire rating concerns specific distances
to the existing buildings need to be kept on all levels.
The distance at the first and second floor levels between
the existing and new hospital building is 25. The
distance between the new hospital building and the
adjacent brick buildings 20 and 30 is 40.
The floors above the second floor have additional
setbacks to address planning concerns and to eliminate
the need to have fire rated walls and windows along the
east facade.
The distance at the basement 1 and 2 to the existing
hospital building is 14 and to the adjacent brick
examine the maximum mass possible within the
designated site. It does not represent any design features.
The final layout, building and faade design are to be
determined in subsequent design phases.
1.02
Bulk
Dr. Andre Campbell (AC) questioned the need to reduce
available floor area on the upper levels.
Page 2 of 6
Due
Date
Item
Description
Actio
n
FCA responded that the San Francisco Planning

Department would likely not approve a building where
the maximum floor area is maintained on every floor,
such building would be considered bulky. FCA assumed
a 15% reduction of the maximum floor area on the upper
floors to address this concern, however this is still well
short of the prescribed Planning Department bulk
requirements, which would require an 80% reduction.
The user group agreed to the proposed floor area
reduction in the upper floors.
1.03
Building Cost
KJ explained that the $622 Million probable
construction cost estimate in the Site Feasibility study is
for a 230 bed 385,000 sf hospital building, however the
consensus was that additional beds would be required.
NL noted that after meeting with all the user groups the
total number of beds has increased to 284 beds and the
new hospital square footage has increase to 405,000 sf.
NL noted that even though the total number of beds has
increased by 23% the overall square footage of the
building has only increased by 5%. This is due in part
with our initial assumption to reduce the spacing of each
column bay from 29x 29 to 26x 29, to note each
column bay can accommodate 2 patient rooms. This
adjustment resulted in the addition of an entire row of
column bays without increasing the size of the building.
CLTC also explained that using code concepts such as
horizontal exits and suites the net to gross ratio could be
further reduced, resulting in a more compact and
efficient building.
CLTC concluded that since the overall square footage of
the building has only increased by 5%, and since healthy
cost contingencies were assumed in the probable
construction cost estimate, the overall project cost
should not substantially increase.
1.04
Bridge Connection
NL noted that in the space program the following floors
in the existing and new hospital buildings are assumed
to be connected:
Basement Floor - Tunnel connection
1st floor - Street level connection
2nd floor - Bridge connection
KJ noted that the Ob/Peds/NICU departments have
Page 3 of 6
Due
Date
Item
Description
Actio
n
expressed concerns with the proposed second floor

bridge connection.
They are concerned that the
additional pedestrian traffic induced by the bridge
connection will make Ob/ NICU less secure.
The user group suggested examining the possibility of
relocating Ob/Peds/NICU departments to another floor
or relocating the bridge to another floor. FCA to
investigate.
Subsequent to this meeting the Women & Children
user group agreed that the preferred solution was to
keep both the Ob/Peds/NICU departments and the
bridge connection on the second floor provided a
layout with a dedicated pathway from the elevator core
to the bridge connection and a single point of entry
into these departments could be devised.
1.05
Loading Dock
The lack of a loading dock in the new hospital building
was discussed. The user group agreed that due to site
constraints an appropriately sized loading dock for the
new hospital would not be possible.
The user group concluded that the existing loading dock
could be used to facilitate the movement of materials for
both existing and new hospital buildings.
FCA noted that the Auxiliary user group requested at a
minimum a small loading dock be provided to facilitate
the movement of blood into the Blood Bank and
cadavers from the Morgue. The user group requested
FCA to review site conditions and to propose locations
where a small loading dock could be incorporated into
the building design.
DEPARTMENTAL ISSUES
B.
1.06
Distribution of Patient Beds

FCA presented the following patient bed distribution:
6th Floor 5th Floor 4th Floor -
2 x 36 bed unit - Med/Surg

2 x 36 bed unit - Med/Surg
3 x 10 bed unit - ICU
1 x 10 bed unit - Trauma ICU
1 x 10 bed unit - Step-Down-Flex Up
rd
3 Floor - 1 x 10 bed unit - Step-Down-Flex Up
1 x 26 bed unit - Step-Down-Flex Down
8 bed unit - Med/Surg Forensic
2nd Floor 22 bed unit -Obstetric (excl. 3 Triage
Rooms)
12 bed unit - Pediatric
Page 4 of 6
Due
Date
Item
Description
Actio
n
12 bed unit - NICU
Total of
284 beds
The user group agreed with the proposed quantity and

distribution of patient beds.
1.07
Morgue
NL noted that due to several unresolved operational
concerns the final location of the Morgue has not yet
been determined. Currently the Morgue has been
programmed in Basement 1 in close proximity to the
tunnel connection.
The user group agreed to review this issue internally and
provide FCA with direction in the next user group
meeting.
1.08
Resuscitation Rooms
NL noted that contrary to the existing condition, the
Emergency user group had confirmed that a dedicated xray room for each Resuscitation room was not required.
The user group questioned this approach and requested
this issue be reconfirmed in the next Emergency user
group meeting.
Subsequent to this meeting the Emergency user group
requested X-ray capability in each Resuscitation room
and two X-ray rooms inside the Emergency
Department.
1.09
Patient Rooms
NL noted that in the space program all patient rooms are
assumed to be single handed rooms. FCA explained that
this layout concept has proven to minimize nursing
errors.
NL also noted that in the space program 25% of all
patient rooms are assumed to be true isolation rooms
with an anteroom.
1.10
Linen
NL explained that the Auxiliary user group requested
alcoves for clean linen and dedicated rooms for soil
linen.
1.11
Dietary
Page 5 of 6
Due
Date
Item
Description
Actio
n
Due
Date
NL explained that in the space program dietary services

are assumed to remain in the existing hospital building,
however a dietary storage room has been programmed in
the new hospital to meet minimum code requirements.
these minutes.
F:\Proj338\Doc\Minutes\Steering\MIN.01_Steering.doc
Page 6 of 6
MINUTES OF PERI-OPERATIVE MEETING NO. 2
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
January 19, 2007

2:00 pm : 4:00 pm
ISSUE DATE:
January 20, 2007
ATTENDEES:
Kathy Jung (KJ)

Terry Dentoni
Jim Marks
John Inadomi
Ronald Alameida
Chiu
Lin
Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Mark Primeau

SFGH
SFGH
SFGH
DPW
FCA
FCA
FCA
FCA
FCA

ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
BUILDING ISSUES
2.01

12.
2.02
NL confirmed the program currently assumes the following
three connections between the existing and new Hospital
buildings:
Tunnel connection at the basement level
Street connection at the 1st floor
Bridge connection at the 2nd floor
B.
PROGRAM ISSUES
2.03
Gastroenterology
NL noted that currently the programming assumption is for the
Gastroenterology department to remain in the existing
Hospital building. NL explained that endoscopic procedures in
the new Hospital could be performed in patient rooms on the
ICU/ Step-down floors and in procedure rooms in the
Page 2 of 4
Due Date
Item
Description
Action
Med/Surg floors. Additional storage space for equipment has

also been programmed in the ICU/ Step-down and Med./Surg
floors.
The user group suggested that the proposed approach may
reduce patient care efficiency and increase operational costs.
The user group also stated that in a prior Diagnostic user
group meeting it was noted that funding to make the necessary
improvements in the existing building to modernize and
expand the GI department may not be available.
Based on the above discussion the user group determined that
while the Gastroenterology department could remain in the
existing Hospital an Endoscopy Suite with the following
spaces should be included in the new Hospital Program:
2.04
4 Endoscopy Procedure Rooms

1 ECRP Room
1 Monitoring Room
Required Ancillary Space
10 patient intake and recovery beds

NL stated the following number of patient holding and
recovery beds currently programmed:
Holding - 24 beds
Recovery - 32 beds (including 1 isolation)
The user group determined that the proposed number of beds
is generous. However the user group highlighted that 10 beds
had been requested to accommodate the Endoscopy suite. In
view of that the user group decided that only 5 additional beds
should be added to the proposed total number of patient
holding and recovery beds.
The number of patient holding and recovery beds were revised
as follows:
Holding - 26 beds
Recovery - 35 beds (including 1 isolation)
2.05
Soiled & Clean Linen/Equipment

The user group noted that space needs to be programmed to
accommodate 2 carts for clean linen supply within each unit.
The user group requested to provide separate rooms for soiled
linen and soiled equipment.
NL noted that detailed information for soiled/clean linen pick
up and delivery areas will be discussed during the next
Material Management user group meeting.
Page 3 of 4
Due Date
Item
Description
2.06
On-Call Sleep Rooms

The user group confirmed the following arrangements for oncall sleep rooms to be within immediate adjacency to the OR:
For Anesthesia:
3 rooms for residents
1 room for faculty
For Surgery:
2.07
Action
Due Date
1 room (final requirements to be

confirmed by the Surgery user group
at next meeting)
Lounge
The user group requested a separate lounge for the anesthesia
staff.
FCA programmed a total of 2 staff lounges, each 300 sf.
2.08
Trauma Waiting Room

Given the potential for rival gang members to be in the
Trauma floor at the same time, the user group requested two
separate waiting rooms to be programmed for security reasons.
The user group also suggested to provide glass windows in the
waiting rooms to provide for greater transparency and
improved security.
2.09
Morgue
NL noted that due to several unresolved operational concerns
the final location of the Morgue has not yet been determined.
Currently the Morgue has been located on the ground floor in
close proximity to the tunnel connection.
these minutes.
F:\Proj338\Doc\Minutes\Perioperative\MIN.02_Perioperative.doc
Page 4 of 4
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
January 23, 2007

2:00 pm : 4:00 pm
ISSUE DATE:
February 23, 2007
ATTENDEES:
Kathy Jung (KJ)

Pat Carr (PC)
Kathryn Fowler KF)
Alan Gelb (AG)
Eric Isaacs (EI)
Bob Sypher (BS)
April Clock (AC)
Ron Alameida (RA)
Chiu
Lin
Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
DPW
FCA
FCA
FCA
FCA
FCA

ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
BUILDING ISSUES
2.01

12.
B.
PROGRAM ISSUES
2.02
Program Assumptions
NL clarified that initial program assumption have been
derived from SFGHMC current and past census figures,
previous SFGHMC commissioned studies and comparative
data from other hospitals.
The user group explained that this past year the Emergency
Page 2 of 4
Due Date
Item
Description
Action
Department has experienced higher than usual census and

believed this trend will continue in subsequent years. The User
group also noted that a needs assessment study would be
helpful in determining the size of the Emergency Department
in relation to other Hospital services.
PD noted that needs assessment studies are typically
performed during the Design Development phase where
program and building information is more reliable and can
take up to 6-9 months to complete. Currently a needs
assessment study is not being considered during the
programming phase.
The user group agreed to clarify the goals, requirements and
operational issues for the Emergency department in an internal
meeting and provide FCA with updated information at the
next user group meeting.
C.
DEPARTMENTAL ISSUES
2.03
Exam Rooms
NL presented the following distribution of exam rooms:
27 Exam Rooms
3 Isolation Exam Room
1 Semi Private Room with 10 beds
The user group agreed with the following exam room
distribution however theyve request that one of the exam
rooms be designated as a SART exam room. The SART Exam
room should be sized to accommodate all required equipment
and have a dedicated toilet with a shower.
2.04
Urgent Care
KJ confirmed that Urgent Care is remaining in the existing
hospital.
2.05
X-ray Rooms
The user group requested X-ray capability in each
Resuscitation room and two X-ray rooms inside the
Emergency Department.
2.06
Meeting Rooms
NL confirmed the following number of meeting rooms:
3 Consultation/ Quiet Rooms
2 Conference Rooms
The user group requested a space capable of accommodating
20 staff members for patient rounds. NL proposed to locate the
two conference rooms next to each other separated by a
movable partition that can be opened to provide 400 sf of
Page 3 of 4
Due Date
Item
Description
Action
Due Date
space. The user group agreed to this proposal.

2.07
Resuscitation Rooms
The user group requested the Resuscitation rooms to be
located near the ambulance entrance and service elevators.
2.08
CT Scan Rooms
The user group requested the CT Scan rooms to be located
adjacent to the Resuscitation rooms with access from the
corridors as well as from a Resuscitation room.
2.09
Pediatric Emergency
The user group discussed the need for a dedicated Pediatric
Emergency area with a separate waiting area. A final
conclusion was not made.
2.10
Toilets
The user group requested additional toilets in the Emergency
Department. The user group agreed to the following
distribution:
6 private patient toilets (incl. 2 ADA)
2 private ADA staff toilets
2 multi-accommodation public toilets (3 fixtures each)
NL noted that in addition staff toilets have been programmed
in the staff locker area.
2.11
Social Worker Office

The user group requested one social worker office to be shared
by two social workers.
FCA added one 150 sf social worker office.
2.12
Security
The user group confirmed that security does not need a
dedicated enclosed space inside the Emergency department. A
visible workstation near the emergency entrance is preferred.
these minutes.
F:\Proj338\Doc\Minutes\Emergency\MIN.02_ Emergency.doc
Page 4 of 4
MINUTES OF AUXILLARY-SUPPORT MEETING NO. 1

PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
San Francisco General Hospital, Cafeteria Conference Room 3A, Surgery
MEETING
DATE:
January 26, 2007

300 pm : 400 pm
ISSUE DATE:
May 25, 2007
ATTENDEES:
Kathy Jung (KJ)

James Moore
Bob Eggleston
Delvecchio Finley
Johnson Gong
Marijane Pierson
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH Messenger/Mailroom/Laundry
SFGH Food Services
SFGH - Support Services
SFGH - Environmental Services
SFGH - Material Management
FCA
FCA
FCA

This meeting was held to initiate the programming effort with the Ancillary-Sterile Processing User
Group. The following is a record of the items discussed.
FCA


ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
B.
DEPARTMENTAL ISSUES
2.01
Messenger/Mail Services
The user group noted that Messenger services should be
located in the new acute care hospital building since most of
their work is related to inpatients services. They also added
that since Mail services is staffed by the same personnel as
Messenger services Mail services should also be located in the
new acute care hospital.
FCA revised the space program to include the following
spaces:
Supervisor Office
@ 100 sf
Open Space Office
@ 600 sf
(12 workstations and 12 half height lockers)
Womens Toilet
@ 50 sf
Mens Toilet
@ 50 sf
Changing room
@ 40 sf
Specimen Storage
@ 80 sf
(incl. 2 commercial grade refrigerators)
Storage Area
@ 350 sf
(10 gurneys and 10 wheelchairs)
Clothes Storage
@ 300 sf
Mailroom
@ 200 sf
2.02
Material Management
The Receiving and Administrative areas were discussed. The
user group noted that since the main loading dock will remain
in the existing hospital the Receiving and Administrative areas
should also remain in the existing hospital.
The user group did request to increase the material
management Storage area in the new acute care hospital from
5000 sf to 6000 sf .
2.03
Dietary
NL explained that dry and refrigerated storage space for
emergency supplies is required by code to be included in the
new acute care hospital.
The user group acknowledged this code requirement however
confirmed that the supervisors office included in the Dietary
storage area is not required.
Page 2 of 4
Due Date
Item
Description
Action
2.05
Custodian Closets
The user group commented that based on the programmed
area in general two 40 sf custodian closets on each floor would
be required.
The user group agreed to the following custodian closet
arrangement for each department:
Med/Surg
4 closets @ 40 sf. (2 per floor)

Med/Surg - Forensic
1 closet @ 40 sf.
ICU
2 closets @ 50 sf (to accommodate a total of 5 carts, one

per ICU unit)
OB/GYN
1 closet @ 50 sf
Peds
1 closet @ 40 sf.
NICU
1 closet @ 40 sf.
Surgery
3 closet @ 40 sf.
Gastroenterology
1 closet @ 40 sf.
Pre-Op
1 closet @ 40 sf.
PACU
1 closet @ 40 sf.
Emergency
3 closets @ 40 sf.
2.06
Linen
The user group noted that in general one 30 sf alcove for a
clean linen cart and one 60 sf room for two soiled linen carts is
required for each inpatient unit.
The user group also commented that the Emergency
Department needs three soiled linen rooms.
Page 3 of 4
Due Date
these minutes.
F:\Proj338\Doc\Minutes\Ancillary - Auxiliary\MIN.01_Auxillary Support.doc
Page 4 of 4
MINUTES OF ANCILLARY- STERILE PROCESSING MEETING NO. 1

PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
San Francisco General Hospital, Cafeteria Conference Room 3A, Surgery
MEETING
DATE:
January 26, 2007

2:00 pm : 3:00 pm
ISSUE DATE:
May 25 2007
ATTENDEES:
Kathy Jung (KJ)

Cora Nunez-Talens
Lawrence Nichols
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
FCA
FCA
FCA

This meeting was held to initiate the programming effort with the Ancillary-Sterile Processing User
Group. The following is a record of the items discussed.
ITEMS DISCUSSED:
FCA

Item
Description
Action
NEW BUSINESS:
B.
DEPARTMENTAL ISSUES
2.01
Sterile Processing
FCA proposed to locate the entire Sterile Processing (SP)
in the new acute care hospital. SP would sterilize all
equipment for both existing and new hospitals and
distribute sterile equipment directly to the ORs.
The user group concurred with the proposed arrangement,
noting that the current breakdown of SP services to the
various departments is as follows:
5% Clinics (existing hospital)
5% ER (new acute care hospital)
70% OR (new acute care hospital)
20% Labor & Delivery (new acute care hospital)
The user group also noted that operating and maintaining
two separate SPs would be inefficient and costly.
2.02
Central Processing and Distribution

FCA suggested keeping most of Central Processing and
Distribution (CPD) in the existing hospital and only
included approximately 5,000 sf of storage in the new
acute care hospital. CPD would be responsible for the
distribution of supplies and sterile equipment for both
existing and new hospital with the exception of sterile
equipment to the ORs, which would be managed by SP.
The user group agreed to the proposed arrangement,
however suggested increasing the Material Management
storage in the new acute care hospital from 5,000 sf to
6,000 sf.
2.03
Dumbwaiter
FCA proposed locating SP directly below the ORs and to
receive and distribute clean and soiled equipment by way of
dumbwaiters.
The user group agreed to this arrangement however
requested that in addition to providing separate clean and
soiled dumbwaiters a third dumbwaiter should be provided
as backup.
2.04
Decontamination room
The user group requested a Decontamination room to be
included in the OR suite off the peripheral corridor (patient
corridor). The soiled dumbwaiter should be located in the
Decontamination room.
Page 2 of 3
Due Date
Item
Description
Action
2.05
Soiled Cart Staging Area

The user group noted that the soiled staging area should be
large enough to accommodate a total of 18 carts. Assuming
each cart is approximately 48x30 the Soiled Cart Staging
Area should be increased to 200 sf.
2.06
The user group requested a toilet with shower to be included
inside the Decontamination Area.
2.07
Sterile Supply
The user group requested to increase Sterile Supply from
250 sf to 400 sf.
2.08
Offices
FCA included in the space program three offices. An office
for a supervisor to be located in the Assembly/Sterilization
Area and two additional offices in the Administration and
Staff Areas.
Due Date
The user group requested to locate the office for the

supervisor in the Administrative and Staff Areas and to only
provide one additional office for a manager.
FCA to revise the space program to include two offices one
for a manager and one for a supervisor in the Administrative
and Staff Areas.
these minutes.
F:\Proj338\Doc\Minutes\Ancillary - Support\MIN.02_Ancillary-Sterile Proc..doc
Page 3 of 3
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
February 6, 2007
2:00 pm : 4:00 pm
ISSUE DATE:
February xxx, 2007
ATTENDEES:
Kathy Jung (KJ)

Ronald Alameida
Todd May
Susan Sniderman
Sue Carlisle
Morris Schambelan
Edgar Pierluissi
Yuhum Digdigan
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH - Family Medicine
SFGH - Pediatrics
SFGH - Deans Office
SFGH
SFGH
SFGH - Nursing Admin
FCA
FCA
FCA
FCA

This meeting was held to review the programming effort with the Medical/ Surgical User Group.
FCA

2. Preliminary Detail Space Program, dated February 6, 2007

3. Preliminary Summary Space Program, dated February 6, 2007
4. New Hospital Space Program, dated February 6, 2007
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
3.01
Patient Room Size Validation

FCA presented several images of a three dimensional
computer model and floor plans of a possible Med/Surg
patient room to confirm that the proposed 180 Assignable
Square Footage (ASF) was adequate.
The user group commented that the size of the exterior
window should be maximized but agree that the proposed 180
ASF for the Med/Surg patient room was adequate.
3.02
Same-Hand Room Designs for Private Patient Rooms

The user group agreed that same-hand room designs for all
private Med/Surg patient rooms should be assumed in the
space program report.
CLTC noted same-hand room designs will increasing material
and installation costs since unlike mirror-reverse patient room
designs the plumbing chase and oxygen and gas drops cannot
be shared.
The user group noted that if conclusive evidence supports the
argument that same-hand room designs are safer than mirror
room designs the additional costs are justified.
3.03
Charting Work Areas

The user group discussed the benefits of charting inside
patient rooms vs. in the corridor.
The user group agreed that creating a charting work area
inside each patient room was beneficial in fostering better
communications between patient and nurse/physician.
However the user group agree that charting inside the room is
not always beneficial and requested that in each unit three
charting work areas be programmed in the corridor.
Page 2 of 4
Due Date
Item
Description
Action
3.04
Nursing Station
Instead of programming a centralized nursing station, the user
group suggested to split the nursing station into nursing pods
to improve workflow.
FCA noted that a primary nursing station is required by code,
but stated that currently two additional auxiliary nursing
station have been programmed. The user group agreed to this
arrangement.
3.05
Nursing Lounge
The size of the nursing lounge was discussed. The user
group requested one 200 sf staff lounge per floor to serve
two Med/Surg units.
3.06
Meeting Rooms
The user group noted that during morning rounds, 7 teams
approximately 6-8 members each would require a private
space to meet on each floor.
FCA noted that currently 12 meeting rooms in total on 2
floors have been programmed.
The user group acknowledged that the number of meeting
rooms currently programmed is an improvement to the
current existing condition and requested that these meeting
rooms not be eliminated.
3.07
Forensic Beds
NL confirmed that Forensic Med/Surg patients are required
to be treated in a compliant acute care hospital.
The user group discussed whether it would be more efficient
to treat forensic patients in the Med/Surg units rather than
creating a dedicated Forensic Med/Surg unit.
KJ noted that this concept would require security guards to
monitor each forensic patient outside their room, which
during high census would significantly increased the total
number of security guards required. KJ commented that this
concept needs to be discussed with the sheriffs department.
3.08
Public Toilets in Waiting Rooms

The user group noted that the existing lockable single
accommodation public toilets in waiting rooms have
encouraged drug and other inappropriate use and requested
multi-accommodation public toilets be provided in all
waiting rooms.
Page 3 of 4
Due Date
these minutes.
F:\Proj338\Doc\Minutes\Medical-Surgical\MIN.03_MedSurg.doc
Page 4 of 4

PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
February 9, 2007
2:00 pm : 4:00 pm
ISSUE DATE:
May 25, 2007
ATTENDEES:
Kathy Jung (KJ)

Cathy Duran
Alma Martinez
Colin Partridge
Susan Sniderman
Elisabeth Romero
Ronald Alameida
Eleanor Drey
Abner Korn
Cathryn Thurow
Fe Hortinela
Louise Dimattio
Bill Tausch
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA

FCA


ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
3.01

FCA presented several images of three dimensional computer
models and floor plans of possible LDRP and Postpartum
patient rooms to confirm that the proposed Assignable Square
Footages (ASF) were adequate. The following room sizes
were depicted in the images presented.
LDRP patient room 290sf
Postpartum patient room 180sf
The user group agreed to the proposed patient room sizes.

3.02
NICU Bassinets
The user group noted that in 2006 the average daily census for
NICU was between 7-11. They also commented that in 2006 a
total of ten days the daily census for NICU was between 1517.
Based on this information the user group requested to increase
the NICU area to accommodate 5 additional bassinets, with
the following distribution:
10 Level II bassinets
6 Level III bassinets
1 Level III isolation bassinet
Medication Room
A Medication room was requested and added to the NICU.

The user group noted that a sink with counter will be required
for the Mother boarding room. FCA acknowledged the
Page 2 of 4
Due Date
Item
Description
Action
requirements in the program.

Showers
Showers for the NICU were requested and added to the on-call
sleep rooms, family sleep room and the mother boarding
room.
3.02
The user group requested to increase
Workroom/Charting in the NICU to 200 sf.
the
Provider
3.02
Medication Room
The user group requested to add a 120 sf Medication room in
the NICU.
3.02

The user group requested a counter with sink to be included in
the Mother Boarding room.
3.02
Toilet Room Showers

The user group requested the following Toilet rooms to be
equipped with showers:
At least one On-call room Toilet per department

Toilet in Family Sleep room
Toilet in Mother Boarding room
3.03
Alcove for Resuscitation Equipment in LDRP

The user group requested an alcove to accommodate
resuscitation equipment within the LDPR patient rooms.
3.04
Adjacency Requirement between LDRP and C-Section

The user group requested LDPR rooms to be located in close
proximity to C-Section operating rooms to insure immediate
patient transfer during emergencies.
3.04
Lactation Room
The user group noted that the Lactation room currently
programmed is not required and can be eliminated.
3.06
Conference Rooms
The user group noted that the proposed 200 sf conference
rooms for Pediatrics and NICU are too small to
accommodate large gatherings.
FCA suggested combining both the Pediatrics and NICU
Conference rooms into one large 400 sf Conference room
separated by a movable room divider. This arrangement can
accommodate large gatherings and preserve the same
number of meeting spaces.
The user group agreed to the above arrangement and
Page 3 of 4
Due Date
Item
Description
Action
Due Date
suggested to also include a movable room divider in the

Obstetric Conference room.
3.07
Lockers
The user group requested to combine separate male and
female Locker rooms into one unisex Locker room with
multiple toilet and changing facilities as indicated below:
1 Unisex Locker room 250 sf
2 multi-accommodation separate male and female Toilet
rooms 180 sf
4 Changing rooms 30 sf
these minutes.
F:\Proj338\Doc\Minutes\Obstetrics - Pediatrics\MIN.03_ObPeds.doc
Page 4 of 4
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
February 13, 2007

2:00 pm : 4:00 pm
ISSUE DATE:
February xx, 2007
ATTENDEES:
Kathy Jung (KJ)

Andre Campbell
Cheryl Jay
Sheryl Calrson
Genevieve Farr
Terry Dentoni
Vivian Curd
Charlotte Bobek
Shirley Stiver
Ron Alameida
Nuno Lopes (NL)
Paolo Diaz (PD)
David Fong (DF)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA

This meeting was held to initiate the programming effort with the ICU / Step-down User Group. The
FCA


ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
3.01

FCA presented several images of three dimensional
computer models and floor plans of possible ICU/CCU and
Step-down patient rooms to confirm that the proposed
programmed Assignable Square Footages (ASF) were
adequate. The following room sizes were depicted in the
images presented.
ICU/CCU trauma patient room 280sf

ICU/CCU patient room 210sf
Step-down patient room (flex up) 210sf
Step-down patient room (flex down) 180sf
The user group agreed to the proposed patient room sizes.

3.02
Nourishment/Clean Supply
The user group requested separate Nourishment and Clean
Supply rooms.
FCA proposed programming 50 sf for a Nourishment room
and 120 sf for a Clean Supply room. The user group agreed
to the proposed space allocation.
3.03
On-Call Sleep Rooms

The user group requested 4 private On-call sleep rooms to be
located in the same floor as the ICU units.
3.04
Physical Therapy
The user group confirmed the proposed 150 sf Physical
Therapy room is not required in the ICU floor, instead the
user group requested FCA to program a Medical
Equipment room of equal size.
3.05
PACS Viewing Stations

The user group requested that all patient care units be
Page 2 of 3
Due Date
Item
Description
Action
Due Date
provided with PACS viewing stations.

The user group requested 2 PACS viewing stations in each
Provider Workroom/Charting, 1 PACS viewing station in
each Conference room and 1 PACS viewing station inside
each ICU/CCU and Step-down unit.
FCA confirmed that a total of 20 PACS viewing stations
have been added.
3.06
Public Toilets in Waiting Rooms

Based on user group comments made in previous meetings
FCA suggested changing all lockable single
accommodation public toilets in Waiting Rooms to multiaccommodation public toilets to discourage drug and other
inappropriate use.
The user group agreed to the proposed suggestion.
3.07
Lockers
The user group requested to combine separate male and
female Locker rooms into one unisex Locker room with
multiple toilet and changing facilities as indicated below:
1 Unisex Locker room 250 sf
2 single accommodation Toilet rooms w/ shower 70 sf
2 Changing rooms 30 sf
these minutes.
F:\Proj338\Doc\Minutes\ICU - Step-Down\MIN.03_ICU-Step-Down.doc
Page 3 of 3

PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
February 16, 2007

2:00 pm : 4:00 pm
ISSUE DATE:
May 25, 2007
ATTENDEES:
Kathy Jung (KJ)

Nora Goldschlager
Dough Eckman
Richard Hollingsworth
Hal Yee
Eberhard Fiebig
Jeff Critchfield
Terry Lynch
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA

FCA


ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
DEPARTMENTAL ISSUES
3.01
Cardiology
NL noted that currently only the Cath Lab is located in the
new hospital building. The user group emphasized that with
the exception of EKG and Dialysis the Cardiology Department
should be located in the new hospital building since 50% of
the services provided are inpatient services.
The user group requested the additional following spaces to be
included in the space program:
4 Echo bays
1 Stress Test
3.02
Pulmonary Function
The user group requested the following Pulmonary Function
rooms to be included in the space program:
Special Procedures
Bronchoscopy
3.03
@ 150 sf each
@ 250 sf
600 sf
220 sf
230 sf
Holding/Recovery
The user group requested to increase the number of bays in the
Holding/Recovery room to accommodate a total of 17
gurneys, with the following distribution:
Radiology
Cardiology
15 gurneys
2 gurneys
3.04
FCA noted that a large Equipment/Computer Storage room for
Cardiology and Radiology has been programmed and inquired
if multiple smaller rooms are more practical. The user group
confirmed that one large Equipment/Computer Storage room
for each department is preferred.
3.05
Linen
Page 2 of 3
Due Date
Item
Description
Action
Due Date
The user group requested Cardiology and Radiology to have

dedicated alcoves capable of accommodating 3 linen carts
each.
3.06
Contrast Media Room

The user group requested Cardiology and Radiology to have
separate Contrast Media Rooms. FCA made the following
revisions to the space program:
Radiology 1 Contrast Media Room 60 sf
Cardiology 1 Contrast Media Room 40 sf
3.07
Resuscitation Rooms X-Ray

The user group reiterated that x-ray equipment in the
Resuscitation rooms should be hard wired. They explained
that mobile x-ray equipment requires frequent charging of
batteries and is not suitable for use in Emergency situations.
3.08
Elevators
The user group noted that the service elevators should be
equipped with double acting doors.
these minutes.
Page 3 of 3
MINUTES OF PERIOPERATIVE MEETING NO. 3

PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
February 20, 2007

2:00 pm : 4:00 pm
ISSUE DATE:
May 25, 2007
ATTENDEES:
Kathy Jung (KJ)

Bill Chun
Ted Miclau
Sue Carlisle
Jens Krombach
Jane Cino
Terry Dentoni
Andre Campbell
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA

FCA


ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
DEPARTMENTAL ISSUES
3.01
Operating Rooms (ORs)

The number and square footage of OR was discussed. FCA
noted that currently the following is currently programmed:
10 OR (large) @ 520 sf
4 OR (small) @ 420 sf
2 IR
The user group agreed to make the following revisions to the
space program:
3.02
4 OR (large) @ 540 sf
6 OR (medium) @ 500 sf
4 OR (small) @ 420 sf
2 IR
Clean Core
FCA stated that the existing ORs were designed around a
clean core room and bounded by a peripheral corridor. FCA
proposed to program the new OR suite using a similar
approach, however given the total number of OR rooms
currently programmed two surgical suites rather than one large
surgical suite maybe more practical.
The user group agreed to the proposed surgical suite
arrangement.
3.03
IR Room
FCA noted that 550 sf has been programmed for each IR room
and 60 sf for associated computer/equipment storage,
matching the size of the existing IR room.
The user group noted that the existing IR room did not provide
enough space at the end of the patient table for the
anesthesiologist and the required anesthesia equipment.
FCA confirmed that the current IR room proportions were not
Page 2 of 4
Due Date
Item
Description
Action
ideal, however recently FCA has successfully designed 550 sf

IR rooms using more efficient proportions.
The user group agreed to keep the square footage of the IR
rooms at 550 sf but stated that they will re-examine the size of
the IR room once a room layout and IR equipment is known.
3.04
Anesthesia Induction Room

The addition of an Anesthesia Induction room was discussed.
The user group commented that certain anesthesia induction
procedures could last up to 2-hours before a patient is ready
for surgery. Administering these procedures in the ORs would
be inefficient. The user group also mentioned that certain
anesthesia induction procedures should not be administered in
a Pre-Op Unit cubicle, citing privacy, noise and safety
concerns.
FCA suggested adding one 220 sf Anesthesia Induction room
to the space program to accommodate longer procedures and
those requiring special equipment. The user group agreed to
this proposal.
3.05
Toilets in Pre-Op Unit

FCA stated that 2 ADA toilets are currently programmed in
the Pre-Op unit. The user group pointed out that since the GI
department has been recently added to the space program
additional toilets should be added to accommodate GI patients
in the Pre-Op unit.
FCA revised the space program to include two additional
toilets in the Pre-Op unit.
3.06
Lockers
The size of both womens and mens Locker rooms were
discussed. The user group noted that the current locker room
setup is not adequate. FCA confirmed that the existing mens
locker room was divided into two rooms measuring
approximately 260 sf and 130sf and the womens locker room
was approximately 320 sf.
FCA noted that the lockers in the rooms were poorly layout
creating an inefficient and uncomfortable space. FCA
reintegrated that a well layout 300 sf locker room could easily
accommodate a combination of 75 full height and purse
lockers and still offer a comfortable space for changing.
Certain members of the user group were still concern with the
proposed locker room size, however they agreed to defer their
opinion until theyve had the opportunity to review a detail
locker room layout.
Page 3 of 4
Due Date
Item
Description
Action
3.07
OR with Fluoroscopy Capability

The user group requested 1 large OR to have fluoroscopy
capability.
Due Date
FCA to add note in space program to address this request.

3.08
Office
The user group requested to replace the Material Management
office with a IS Clinical Staff office.
FCA to revise the space program as requested.
3.09
Scope Clean Room

The user group requested to add a 80 sf scope clean room.
FCA to revise the space program as requested.
3.10
Square Footage Revisions

The user group agreed to revise the square footage of the
following spaces:
Clean Core
Equipment/Tube Storage
Biomed
Housekeeping Supplies
ECRP
Endo
Holding
(from 26 to 22 cubicles)
from 1400 sf
from 300 sf
from 250 sf
from 120 sf
from 400 sf
from 280 sf
from 2080 sf
to 1000 sf
to 250 sf
to 200 sf
to 100 sf
to 350 sf
to 250 sf
to 1760 sf
these minutes.
F:\Proj338\Doc\Minutes\Perioperative\MIN.03_Perioperative.doc
Page 4 of 4

PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
February 23, 2007

2:00 pm : 4:00 pm
ISSUE DATE:
May 25, 2007
ATTENDEES:
Kathy Jung (KJ)

Alan Gelb
Eric Isaacs
Bob Sypher
Angela Hackenschmidt
April Clock
Linda Garcia
Ron Alameida
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA

FCA


ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
DEPARTMENTAL ISSUES
3.01
Exam Rooms
Number of exam rooms
The number of exam rooms was discussed. The user group

stated that the proposed 40 exam rooms would not be
sufficient. The user group argued that not enough inpatient
beds were being programmed to accommodate the total
volume of patients requiring admissions, resulting in an
average length of stay similar to what is currently being
observed in the existing ED. Given those parameters the user
group presented the following statistics:
The average ED census in January and February 2007, at
midnight was 50 patients.

During that period on two occasions the midnight census
was over 60 patients.

The average length of stay was 4-6 hours
Waiting time for a transfer to Step-down was 12 hours
Waiting time for a transfer to a Med/Surg bed was 10 hours
In addition the user group commented that the number of ED

visits will increase by the time the new hospital is built due
primarily to San Franciscos growing aging population and the
likely closure of St. Lukes ED.
FCA proposed to increase the number of exam rooms to 54,
the user group agreed. They noted however that they wanted
to continue to evaluate all known data and would reconfirm
the final number of exam rooms.
Subsequent to the meeting Dr. Alan Gelb distributed an
email requesting at least 60 private exam rooms.
Size of exam rooms
The size of exam rooms was discussed. FCA noted that 140 sf
exam rooms are currently programmed. The user group noted
that preferably the dimensions for exam rooms in a teaching
Page 2 of 4
Due Date
Item
Description
Action
hospital should be 11-6 x 14 (161 sf). The increased area

would better accommodate the multiple staff and students
common in teaching hospitals.
Further the user group
highlighted that the trend is to let friends and family members
stay with the patients in the exam rooms.
FCA explained that the First Floor where the ED is currently
programmed can not accommodate both an increase in the
number and square footage of exam rooms.
The user group recognized these limitations and
acknowledged that their priority was to increase the number of
exam rooms.
Subsequent to the meeting Dr. Alan Gelb distributed an
email clarifying that ED exam rooms should be 160 square
feet.
Behavioral Health
The user group requested 4 exam rooms with sound control

for chemically restraint patients to be included in the program.
Rape Treatment Center Room (RTC)
The user group requested 1 exam room with shower for RTC
patients to be included in the program. The RTC room should
be located in close proximity to a Consultation room.
Summary
During the meeting the following exam room revisions to the

space program were agreed to:
3.02
46 Exam Rooms
4 Exam Rooms Behavioral Health
1 Exam Room RTC
3 Exam Rooms Isolation
@ 140 sf
@ 140 sf
@ 180 sf
@ 140 sf
Exam Room Pods

The user group suggested dividing the total number of exam
rooms into 4 pods each servicing around 13 exam rooms with
separate Nursing Station, Provider Charting, Clean
Utility/Supply, Soiled Utility, Soiled Linen and Medication
rooms.
The user also noted that in addition to the above support
spaces the Resuscitation rooms also require a Consultation
room and a dedicated Custodial closet.
3.03
Resuscitation Rooms
Open Space Layout
The user group confirmed that an open space layout for the
resuscitation rooms is not desirable citing infection control,
Page 3 of 4
Due Date
Item
Description
Action
Due Date
patient privacy and noise concerns.

Preferred Layout
The user group noted that a layout incorporating an anteroom

that leads to the resuscitation room is preferred to a layout
where a separate equipment storage room is provided at the
rear of the resuscitation room.
The anteroom would provide the necessary space for storage
and preparation of equipment, allowing staff to get prepared
before entering the resuscitation room and reducing inefficient
circulation.
FCA noted that the layout of the resuscitation rooms will be
discussed during the design phase but enough area has been
programmed for either an Equipment Storage room or a
Vestibule/Equipment room.
Location
The user group requested the resuscitation rooms to be in

close proximity to the service elevators as well as the
emergency entrance.
3.04
Pediatric Waiting Room

The user group requested a separate waiting room for Pediatric
patients and family members.
The user group agreed to the following distribution of waiting
rooms in the ED:
2 Waiting Rooms
1 Waiting Rooms Pediatrics
@ 400 sf each
@ 200 sf
these minutes.
F:\Proj338\Doc\Minutes\Emergency\MIN.03_ Emergency.doc
Page 4 of 4
MINUTES OF STEERING COMMITTEE MEETING NO. 3

PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
MEETING
DATE:
March 5, 2007
9:00 am : 11:00 am
ISSUE DATE:
April 25, 2007
ATTENDEES:
Kathy Jung (KJ)

Ronald Alameida
Andre Campbell
Sue Carlisle
Sue Currin
Gene OConnell (GOC)
Delvecchio Finley
Sharon Kotabe
John Hurley
John Luce
Roland Pickens
Mark Primeau
Carlos Villalva
Chiu Lin Tse-Chan
(CLTC)
David Fong (DF)
Paolo Diaz (PD)
Nuno Lopes (NL)
Connie Ma (CM)
DISTRIBUTION:

SF Bureau of Architecture
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
SFGH
FCA
FCA
FCA
FCA
FCA
All Attendees
FCA

This meeting was held to review the overall programming effort with the Steering Committee. The
2. Preliminary Summary Space Program, dated March 2, 2007
3. New Hospital Space Program, dated March 2, 2007
ITEMS DISCUSSED:
Item
Description
Action
NEW BUSINESS:
A.
PROGRAM ISSUES
2.01
Nuno Lopes (NL) of FCA noted that after meeting with all
user groups the overall program has increased 20% compared
to the initially proposed program. This will cause an increase
in cost. A revised cost estimate is being prepared to determine
whether the overall building construction budget is acceptable
or if program areas need to be reduced to meet the budget.
NL noted that the construction budget would not increase
linearly with the increase of the program areas.
B.
DEPARTMENTAL ISSUES
Overview of Current Space Program
NL presented the currently proposed space program for each
floor of the new hospital building as follows. Items in bold
italics are areas that were added since the previous Steering
Committee meeting:
Basement 2
Cardiology
Radiology
Sterile Processing
Morgue and Autopsy
Material Management
Messenger/Mailroom
Basement 1
Surgery
Gastroenterology
Entry Area
Page 2 of 6
Due Date
Item
Description
Action
First Floor
Entry Area
Clinical Care Emergency
Admitting
Second Floor
Obstetrics
Pediatrics
NICU
Third Floor
Step-Down
Medical / Surgical Forensic Unit
Pharmacy
Fourth Floor
ICU/CCU/Step-Down
Administration
Dietary
Biomed
Fifth Floor
Medical / Surgical / Step-Down

Sixth Floor
Medical / Surgical
2.02
Additions and Changes to the Space Program

NL noted that the input from meetings with all user groups
have resulted in the following additions and changes been
made since the previous steering committee meeting:
Cardiology
FCA noted that the Cath/EP Lab, Echo Lab and Pulmonary
Function have been included in the basement 2 level of the
new hospital.
The steering committee agreed to the proposed arrangement
however noted that if cuts need to be made the Pulmonary
Function could remain in the existing building.
Morgue and Autopsy
FCA noted that the morgue and autopsy in the basement 2

level of the new hospital has moved to the north side of the
new hospital building. This location would allow for a small
delivery and pick up area requested by the user groups to
service the morgue as well as the blood bank and pharmacy.
Page 3 of 6
Due Date
Item
Description
Action
FCA suggested examining the possibility of providing a

dedicated elevator to directly connect the morgue with the
loading area.
The steering committee agreed with the proposed arrangement
and welcomed the option of a delivery and pick up area
dedicated to the new hospital.
Messenger / Mailroom
FCA noted that the messenger and mailroom departments

have been included in the basement 2 level of the new
hospital.
The steering committee agreed to the above arrangement.
Gastroenterology
FCA noted that the Gastroenterology (GI) department has

been included in the new hospital.
It was noted that Bronchoscopy should be located adjacent to
the GI department.
Emergency
FCA and the steering committee discussed the Emergency

user groups request to increase the total number of exam
rooms from 40 to 60, each room preferably to be sized at 160
sf in order to accommodate family members and teaching
staff.
FCA suggested the following 3 options:
Increase the number of exam rooms from 40 to 56 @ 140 sf
each. Area dedicated to admitting would remain in the First
Floor level as programmed.
each. Area dedicated to admitting would remain in the First
Floor level as programmed.
each. Area dedicated to admitting would move elsewhere in
the building.
The steering committee discussed different admitting
procedures options such as splitting the department onto
different floors however they concluded that relocating
admitting from the First Floor either partially or completely is
not desirable.
The steering committee decided to increase from 40 to 56
exam rooms @ 140 sf each and to keep the space dedicated to
Page 4 of 6
Due Date
Item
Description
Action
admitting on the First Floor as programmed.

NICU
FCA noted that the Women & Children user group has
requested the number of NICU bassinets to increase from 12
to 17.
Gene OConnell (GOC) of SFGH noted that currently the
NICU is budgeted for only 8 bassinets.
2.03
Med/Surg Forensic
The steering committee and FCA discussed whether the
Med/Surg Forensic beds could be used as regular Med/Surg
beds instead of having to close down the Med/Surg Forensic
unit during times of low census.
FCA noted that converting a Forensic Med/Surg unit to a
regular Med/Surg unit is not recommended, and advised
against it.
The steering committee noted that forensic beds could be
integrated into the Med/Surg unit if dedicated security guards
are assigned to each forensic patient room. This option
however needs to be discussed with the sheriff department.
GOC noted that a meeting with the sheriff department needs to
be established during the design phase to discuss the issues for
this area.
2.04
Med/Surg Conference Rooms

JC asked if sufficient space has been provided in the
Med/Surg unit to accommodate meeting rounds.
FCA noted that the following number of meeting rooms per
floor are currently programmed:
2 Consultation Rooms
2 Conference Rooms
2 Physician Workrooms
Jeff Critchfield (JC) of SFGH noted that given the proposed
Med/Surg floor configuration there will be 8 medicine teams
with 7 members each meeting in the mornings from 10am12am and noted that additional space to accommodate this
arrangement would be needed.
FCA noted that currently 2 waiting rooms are programmed per
floor, and suggested to convert one of the waiting rooms into a
multi purpose room with dividers to be used as meeting rooms
in the morning and as waiting room later in the day.
Page 5 of 6
Due Date
Item
Description
Action
Due Date
This would provide the following distribution per floor:
2 Conference Room
2 Consultation Rooms
2 Physician Workrooms
1 Multi-purpose Room (can be divided into 2 meeting
rooms during morning hours)

Subsequent to this meeting NL, KJ and JC agreed to reduce
the total number of consultation rooms on the 5th and 6th
floors from 4 consultation rooms to 3 (120 sf each), to
reduce the physician workroom/charting from 300 sf to 200
sf and to reduce the waiting room from 250 sf to 200 sf.
These reductions afforded the following rooms to be added:
1 Office Chief Medical Resident
1 Medical Resident Room
1 Dayroom
@ 120 sf
@ 250 sf
@ 250 sf
these minutes.
F:\Proj338\Doc\Minutes\Steering\MIN.02_Steering.doc
Page 6 of 6

RADIOLOGY
PROJECT:

1001 Potrero Avenue
MEETING
LOCATION:
San Francisco General Hospital, Radiology Library
MEETING
DATE:
March 8, 2007
9:00 am : 10:30 am
ISSUE DATE:
May 25, 2007
ATTENDEES:
Kathy Jung (KJ)

Mark Wilson
Roland Pickens
Richard Hollingsworth
Chiu Lin Tse-Chan
(CLTC)
Nuno Lopes (NL)
DISTRIBUTION:
All Attendees
Gene OConnell
Mark Primeau

SFGH
SFGH
SFGH
FCA
FCA

2. Preliminary Detail Space Program, dated March 7, 2007
3. Preliminary Summary Space Program, dated March 7, 2007
4. New Hospital Space Program, dated March 7, 2007
FCA

ITEMS DISCUSSED:
Item
Description
Action
Due Date
NEW BUSINESS:
A.
DEPARTMENTAL ISSUES
4.01
Interventional Radiology (IR)

NL noted that 2 IR rooms have been currently programmed in
the Surgery Department. The IR room in the existing hospital
building will remain and be used for outpatient services.
The user group requested the imaging equipment in one of the
IR rooms to have integrated CT scanning capability. FCA
increased one of the IR rooms to 700 sf to accommodate
integrated CT scanning capability.
4.02
Ultrasound
In lieu of two ultrasound rooms the user group requested one
large room with 3 separate bays and one dedicated toilet.
FCA revised the space program to include one 350 sf
ultrasound room with one 50 sf toilet.
4.03
Reading Rooms
The number of Reading rooms was discussed. FCA confirmed
that separate Reading rooms for Cardiology (300 sf) and
Radiology (150 sf) have been programmed. In addition FCA
confirmed that a shared 300 sf PACS room was also included
in the space program.
The user group expressed some concern that not enough space
was being provided for image reading. FCA suggested
increasing the shared Conference room from 200 sf to 350 sf
and adding a movable partition allowing the room to be
divided in half. This flexible Conference room could be used
as additional image reading or meeting room depending on the
user needs. The user group agreed to the proposed approach.
these minutes.
Page 2 of 2

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SPACE PROGRAM SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER

MAY 31, 2007

SPACE PROGRAM SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER

Space Program Tables

SFGHMC | Space Program May 2007

Statement of Probable Construction Cost

SFGHMC | Space Program May 2007

Aerial View of SFGHMC

In 2000, SFDPH commissioned a seismic evaluation study

SFGHMC | Space Program May 2007

Section 1 Executive Summary

addition, the Committee found that coordinating care between

The Blue Ribbon Committee recognized that the option to build

Aerial View of SFGHMC showing the

In Spring 2006 the San Francisco Department of Public Health

SFGHMC | Space Program May 2007

Section 1 Executive Summary

In November 2006, Fong & Chan Architects started the

Space Program Objectives and Assumptions

SFGHMC | Space Program May 2007

To develop and submit a space program for a new acute

To maximize the number of patient rooms and exam rooms

To increase the number of ICU/CCU patient rooms to reflect

To look for cost saving opportunities throughout the

Section 1 Executive Summary

To update and submit a Statement of Probable Construction

The building site will be located directly west of the existing

Demolition of existing buildings will not be required

The San Francisco Planning Code limits the overall mass of

The San Francisco Planning Code also limits the overall

Allocation of space in the new Hospital will be limited to

The following major departments (not an complete list) will

Site Plan showing building site

SFGHMC | Space Program May 2007

Departmental gross square footages (DGSF) will be derived

Section 1 Executive Summary

Space Program will be developed with the assumption that the

A code compliant acute care hospital can be built on the

The assumed building massing as described in this report

The new acute care hospital should be linked to the existing

The total number of acute care beds can be expanded from

Aerial view looking south of building site

SFGHMC | Space Program May 2007

Section 1 Executive Summary

Design a state-of-the-art acute care hospital with safe,

Design flexible and efficient spaces able to handle

Incorporate emerging green building technologies and

Consider the architectural context of the existing campus in

Create spaces that support collegial professional

Perform cost management studies such as earn-value

Degenkolb Engineers/ Structus Inc., SB1953 Seismic Evaluation Report,

SFGHMC | Space Program May 2007

Section 1 Executive Summary

4 units - each 36 beds

Diagnostic & Treatment

54 exam + 6 trauma rooms

Section 1 Executive Summary

Administration and Public

Most Dietary Services to remain in Bldg. 5

Map of San Francisco

Enlarged map of San Francisco

SFGHMC | Space Program May 2007

Section 2 Site Review

EXISTING CAMPUS DESCRIPTION