Dell Seton Medical Center at the

University of Texas at Austin

Capital Equipment Track

Medical Equipment Planning, Procurement, and Logistics

A Case Study: Dell Seton Medical Center at the

University of Texas at Austin

Presenters:

Alan Bell, Regional Director, Planning, Design and Construction,

Facilities Resource Group (Ascension)

Daniel Kromis, Managing Director & Senior Planner, HSG, Inc.

Architectural renders courtesy of HKS, Inc.

Dell Seton Medical Center at the University of Texas at Austin

OVERVIEW

Dell Seton Medical Center at the University of Texas at Austin

Dell Seton Medical Center at the University of Texas at Austin

Who – The Seton Family of Hospitals, Travis County Central Health, and The University of Texas at Austin

What – New state of the art teaching acute care hospital will be the anchor for the development of the medical school and research campus.

Where – Southern edge of the University of Texas at Austin campus.

Why – Fulfill a commitment to the people of Central Texas, Austin and Travis County by serving the health needs of the community, particularly the most vulnerable populations.

Dell Seton Medical Center at the University of Texas at Austin

Facility Overview195 Licensed Beds

135 Medical/Surgical30 Universal Care30 Intensive Care

Level 1 Trauma Center2 helipads12 Operating Rooms1 Hybrid Operating Room2 Cath Labs

2012 2013 2014 2015 2016 2017

First Patient Day

5/21/2017

Dell $25 Million

Matching Donation

Programming Begins

AssetMove-in2/6/2017

HSG contract

Construction Begins

Certificate of Occupancy

Department of Health

Project Submission for Approval

Dell Seton Medical Center at the University of Texas at Austin

Dell Seton Medical Center at the University of Texas at Austin

Construction $189,000,000

A/E fees $ 12,200,000

Consultants Fees $ 3,500,000

Medical Equipment $ 53,000,000

FF&E $ 6,700,000

Information Systems $ 18,200,000

Art $ 300,000

Regulatory $ 5,900,000

Legal $ 1,000,000

Project Management $ 1,900,000

Other expenses $ 200,000

Capitalized interest $ 12,000,000

Owners Contingency $ 6,200,000

Total $310,100,000

Dell Seton Medical Center at the University of Texas at Austin

• Gold Certificationas approved by the 2009 ed. , LEED for Green Building Design and Construction – Healthcare Facility.

• Participating in the University of Texas administered “Sites Initiatives” accreditation program

• Pursuing a 4 Star Certification from the City of Austin Green Building Program.

• Consultant contract with Center for Maximum Potential Building Systems, Gail Vittori

The Work Curve for equipment

planning, procurement & logistics

management

Dell Seton Medical Center at the University of Texas at Austin

Dell Seton Medical Center at the University of Texas at Austin

PLANNING

PROCUREMENT

LOGISTICS

Dell Seton Medical Center at the University of Texas at Austin

Hurdle

An obstacle in your path between

the start and finish line…

Dell Seton Medical Center at the University of Texas at Austin

PLANNING

Dell Seton Medical Center at the University of Texas at Austin

Contract for Services

Scope of Work

…What are you doing?

Dell Seton Medical Center at the University of Texas at Austin

Contract for Services

Scope Matrix

…What are you expecting of others?

Does the client have a budget established?

Initial projected cost assuming all new assets

Reduce Scope and/or Program

Defer equipment purchases

Repurpose existing assets

Capital vs operational monies

Dell Seton Medical Center at the University of Texas at Austin

1

2

3

4

Is Philanthropy an opportunity

or an expectation?

5

Dell Seton Medical Center at the University of Texas at Austin

$53 million “medical” equipment budget

$88 million Initial Program

$ 3 million Program Adjustments

$13 million Deferred purchases

$21 million Relocating assets & operational purchases

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4

Dell Seton Medical Center at the University of Texas at Austin

Assessing asset relocation opportunities

Biomedical equipment data validation & analysis

Clinical observations

Inventory & tagging

Asset disposition process

Stakeholder interaction and support

Dell Seton Medical Center at the University of Texas at Austin

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“Capitalization of Operational Problems”

Avoid the

Dell Seton Medical Center at the University of Texas at Austin

“COPs”

What are some red

flags that you are

dealing with “COPs”

Dell Seton Medical Center at the University of Texas at Austin

What should you do

when you encounter

the “COPs”

Dell Seton Medical Center at the University of Texas at Austin

Be careful what you say…”

“Anything you say can and will be

used against you”

PROCUREMENT

Dell Seton Medical Center at the University of Texas at Austin

Procurement: Document the Process

Dell Seton Medical Center at the University of Texas at Austin

Dell Seton Medical Center at the University of Texas at Austin

Procurement Hurdles

Off-Contract Requests

Material vs Procurement Lead Times

Purchase Order Request Forms

Expired Quotes

Purchase Order Changes

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5

Dell Seton Medical Center at the University of Texas at Austin

Clinical Reviews

Design Meetings

Project Meetings (OAC)

LEED

PMT (Project Management)

ELT (Exec Leadership)

Enhanced Use (General IT)

Equipment Specific IT

Construction

Project Administration

Dell Seton Medical Center at the University of Texas at Austin

Leadership Changes

C-SUITE

ACUTE CARE

CRITICAL CARE

EMERGENCY

OBSERVATION

RESPIRATORY

STERILE PROCESSING

CATH LAB

EMU

LOGISTICS

Dell Seton Medical Center at the University of Texas at Austin

Dell Seton Medical Center at the University of Texas at Austin

Redelivery

Logistics

Dell Seton Medical Center at the University of Texas at Austin

Dell Seton Medical Center at the University of Texas at Austin

Dell Seton Medical Center at the University of Texas at Austin

CONNECTIVITY

Dell Seton Medical Center at the University of Texas at Austin

“Connecting” Equipment: Time Intensive Areas

Physiological Monitoring

Pharmacy

Laboratory

Radiology

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4

Dell Seton Medical Center at the University of Texas at Austin

Tracking IT Infrastructure…

Dell Seton Medical Center at the University of Texas at Austin

Tracking IT Infrastructure…

Dell Seton Medical Center at the University of Texas at Austin

Tracking IT Connections…

Dell Seton Medical Center at the University of Texas at Austin

Tracking IT Connections…

Dell Seton Medical Center at the University of Texas at Austin

Tracking IT Connections…

Dell Seton Medical Center at the University of Texas at Austin

“We are outside!”