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Welcome & Opening Remarks

Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

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Page 1: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Welcome & Opening Remarks

Page 2: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Facility Master Plan Recommendations

Page 3: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Major Recommendations

New Facilities for Centers of Excellence

Improved Women’s & Children’s

Facilities

Expansion of Centers of Excellence

• Rehab

• Transplant

• Intensive Care

• Private-Room NICU

• Maternity Upgrades

• Enhanced ER

• Signature Lobby

• Pediatric ER at JNMC & JSCH

• Additional beds at JSCH

• Expansion of Ryder Trauma

• Children’s Ambulatory Center

Page 4: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Evolution of Jackson Memorial Campus Existing Campus

HIGHLAND

PARKING

GARAGE

HIGHLAND

PAVILION

RYDER

TRAUMA

CENTER

ELLIOT

BUILDING

MENTAL HEALTH

HOSPITAL

CENTER PARK

PLAZA

EAST WEST

WING

EAST TOWER

(HOLTZ)

REHABILITATION

HOSPITAL

INSTITUTE

& ANNEX

NW 12TH AVE.

NW 10TH AVE

NORTH

WING

DIAGNOSTICS &

TREATMENT

CENTER (DTC)

NORTH

PARKING

GARAGE

ACC

EAST

Page 5: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Evolution of Jackson Memorial Campus New Construction

HIGHLAND

PARKING

GARAGE

HIGHLAND

PAVILION

RYDER

TRAUMA

CENTER

MENTAL HEALTH

HOSPITAL

CENTER PARK

PLAZA

EAST

B

E

NEW REHAB

HOSPITAL

A

WEST

WING

NEW ICU

TOWER

INSTITUTE

& ANNEX

B ED EXPANSION

AND RENOVATION A

NEW REHABILITATION

HOSPITAL C

NEW MIAMI TRANSPLANT

INSTITUTE D

NEW ICU

TOWER

NW 12TH AVE.

NW 10TH AVE

C

D

NEW MIAMI

TRANSPLANT INSTITUTE

ED EXPANSION

AND RENOVATION

DIAGNOSTICS &

TREATMENT

CENTER (DTC)

NORTH PARKING

GARAGE

EXPANSION

NEW

PARKING

REHAB HOSPITAL

PLAZA EAST TOWER

(HOLTZ)

HOLTZ

ENTRANCE

E BEHAVIORAL HEALTH HOSPITAL

VERTICAL EXPANSION

Page 6: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Evolution of Jackson Memorial Campus Modernization Projects

HIGHLAND

PARKING

GARAGE

HIGHLAND

PAVILION

RYDER

TRAUMA

CENTER

MENTAL HEALTH

HOSPITAL

CENTER

NEW REHAB

HOSPITAL

WEST

WING

REHAB HOSPITAL

PLAZA

NEW ICU

TOWER

NW 12TH AVE.

NW 10TH AVE

DIAGNOSTICS &

TREATMENT

CENTER (DTC)

NORTH

PARKING

GARAGE

NEW MIAMI

TRANSPLANT INSTITUTE

NEW ED

ENTRANCE

INSTITUTE

& ANNEX

NEW

PARKING

G NICU/LDR

MODERNIZATION F

INTERVENTIONAL

PLATFORM IMPROVEMENTS H1

WEST WING

MODERNIZATION H2

EAST TOWER

MODERNIZATION

F

H1

G

H2 H3

H6

H4

H3 HIGHLAND PROFESSIONAL

BUILDING RENOVATION

H4 CENTRAL WING

RENOVATION H5 SOUTH WING

RENOVATION

PARK

PLAZA

EAST EAST TOWER

(HOLTZ)

HOLTZ

ENTRANCE

H6 HIGHLAND PAVILION

BUILDING RENOVATION

Page 7: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Evolution of Jackson North Campus Construction & Renovation

PARKING

GARAGE

VITAS MEDICAL

OFFICE BUILDING

EMERGENCY

DEPARTMENT

OB/NICU

JACKSON NORTH

OFFICE BUILDING

JACKSON NORTH

MEDICAL CENTER

K1 NEW SURGERY

EXPANSION

K1

K2 EXISTING SURGERY

RENOVATION K3

PREP/PHASE II

RECOVERY K4

EMERGENCY DEPT.

MODERNIZATION

K2

K5 L&D, PEDIATRIC & NICU

MODERNIZATION

K6 PATIENT UNIT (2ND)

MODERNIZATION K7

PATIENT UNITS (3RD – 7TH)

MODERNIZATION

K3

K4

K5

K6

K7

Page 8: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Evolution of Jackson South Campus Development Plan

L1 NEW PEDS ED/TRAUMA

ADDITION

L1

L2 BEHAVIORAL HEALTH

RAD LAB ENTRANCE RENOVATION L3

2ND ICU UNIT

BUILD OUT L4

SOUTH WING A

UNIT MODERNIZATION

L4

L5 LABOR AND DELIVERY

MODERNIZATION

L6 4TH FLOOR PATIENT UNIT

BUILD OUT

L2

L3 L6

L5

HOSPITAL

EXPANSION

ORIGINAL

HOSPITAL

MEDICAL

OFFICE BUILDING FUTURE

PARKING GARAGE

FUTURE MEDICAL

OFFICE BUILDING

PEDS ED/TRAUMA

EXPANSION

Page 9: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Plan Overview

200+ Projects $1.4 Billion

10 Years 3 Campuses

& Offsite

Jackson Health System Capital Plan

Page 10: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Bottom Line:

Great mix of projects of all sizes at multiple locations throughout

Miami-Dade County

Page 11: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Facilities-Design & Construction

Page 12: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Standardization of JHS Construction Specifications

• Based on CSI Master Format 2014

• Division 00 - Procurement and Contracting Requirements

• Division 01 – General Requirements

Page 13: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

• Specifications finalized in November

• Will be in use next calendar year

• Will encompass items presented today

Standardization of JHS Construction Specifications

Page 14: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Procurement Management Strategic Sourcing Division

Page 15: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Division Leadership Team

Rosa Costanzo

Vice President Strategic Sourcing and Supply Chain & Chief Procurement Officer

Michelle Romano Procurement Director

Goods & Services

Kenneth Robertson Procurement Director Construction Services

Tessie Wilson Interim Director of

Supply Chain

Page 16: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

JHS Procurement Statistics

FY 2014:

– Leveraged and negotiated contractual savings totaling just short of $57 million

– Issued more than 95,000 purchase orders

– Completed 923 contracts with an average cycle time of 15 days

Page 17: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Procurement Team Members

Procurement Construction Dept. (Construction & A/E)

•Kenneth Robertson, Director

•John Ellis III, Senior Procurement Contracting Officer

•Theo Carrasco, Senior Procurement Contracting Officer

•Sandra Rico, Procurement Contracting Officer

•Steven Williams, Procurement Contracting Officer

•Kevin Guhl, Senior Procurement Specialist

•Cecelia Wilson, Senior Procurement Specialist

Page 18: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

How To Do Business With JHS

Vendor Registration Process

• Registration Application

• http://www.jacksonhealth.org/vendors-business-registration.asp

*Required within 30 days from receipt of award recommendation

• REPTRAX Vendor Credentialing

• On-site kiosks

• www.Reptrax.com

Page 19: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

How To Do Business With JHS

Supplier Portal

• An online procurement system which allows vendors to:

• Receive notification of upcoming procurement opportunities

• View solicitation documents

• Submit responses to solicitations

• To access Supplier Portal:

• Visit www.jacksonhealth.org

• Select Vendors and Businesses

• Click on link for Supplier Portal

Page 20: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Methods of Source Selection Construction Services:

1. Design-Bid-Build

2. Construction Manager/Construction Manager-at-Risk

3. Design-Build

4. Job Order Contracts

5. Miscellaneous Construction Contract

6. Small Purchases

Architectural and Engineering Services:

1. Request for Qualifications (price not considered)

2. Equitable Distribution Pool/Small Purchases

Page 21: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Responsiveness

versus

Responsibility

Page 22: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Responsiveness

• “Responsiveness” is determined based on an offeror’s contents at bid/proposal opening.

• To be considered “responsive”, a bid/proposal must conform in all material respects with the solicitation’s submittal requirements. Minor defects may be cured.

Page 23: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Responsibility

• “Responsibility” is determined based on whether an offeror is fully capable of meeting all of the requirements of the solicitation and contract.

• Must possess the full capability, including financial and technical, to perform the contract. Must be able to document the ability to provide good faith performance.

Page 24: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Award to the LRR Bidder

• Confirm both responsiveness and responsibility of the lowest bidder.

• Award in a manner consistent with the solicitation.

Page 25: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Responsive Construction Bids

Common responsiveness issues:

1. Bid submitted timely? Late bids will not be considered.

2. 5 percent Bid Bond/Security included?

-Cashier’s check, certified check or bid bond

3. Submitted evidence of CSBE goal compliance?

-Completed Form SBD 400

-One form for each CSBE sub used to meet goal

-Deemed compliant by Small Business Development?

Page 26: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Responsive Construction Bids

Common responsiveness issues (cont.):

4. Does bidder meet the ITB’s minimum qualification requirements?

- Reference ITB Instructional Section (IS) 5.00

-Required licensure, experience, project references

5. Was there a mandatory pre-bid meeting? Did the bidder attend?

- Most JHS pre-bid meetings are voluntary

6. Did bidder take any exceptions to the contract’s terms and conditions?

Page 27: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Bid Submittal Requirements

Bid submittal checklist – Form IS 10.00

5 percent bid security

Cover Page – Form A-1 (Firm information)

Bid Form – IS 9.00

(pricing; add/deduct alternates; Schedule of Values division

totals; key personnel; signature)

Contractor’s Qualifications Statement – Form A-17

Vendor Experience Form – Attachment B (one per reference)

Copy of required licenses and/or certificates of competency

Risk Assessment Plan – Attachment R

Value Added Submittals – Attachment V

Page 28: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Bid Submittal Requirements

Acknowledgement of Addendums – Form A-3

Acknowledgement of Specifications/Drawings – Attachment F

Schedule of Intent Form SBD 400 – Attachment A (one per CSBE)

MDC Domestic Violence Leave Affidavit – Form A-9

Community Small Business Enterprise Status – Form A-14

Responsible Wage Affidavit – Form A-16

Copy of current IRS Form W-9

Copy of current Certificate of Insurance meeting JHS/PHT requirements as identified in General Terms and Conditions, Section 43 – GL $1 million/claim, $3 million/aggregate; Auto $500K; Additional insured for GL

Page 29: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Bid Submittal Requirements

Disability Nondiscrimination Affidavit – Form A-4*

Local Business Preference – Form A-5*

Fair Subcontracting Policies – Form A-6*

Florida Statutes on Public Entity Crimes – Form A-7*

Current in obligations to Miami-Dade County – Form A-8*

MDC Business Entity Ownership Disclosure – Form A-10*

Affidavit of Continued Compliance – Form A-11*** (if applicable)

If over $1 million – Contractor Due Diligence Affidavit, Attachment H

Triple check that all documents are completed legibly, signed and notarized, as required.

Page 30: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Bid Submittal Requirements

Notice:

Each individual solicitation may have unique requirements, depending on the project.

Thoroughly review the solicitation documents.

If you have any questions before submitting a bid, please submit Requests for Information (RFIs) in writing to the contracting officer identified in the solicitation.

Page 31: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Contract Requirements

User Access Program:

-2 percent deduction applied to all invoices

-Participation is mandatory

-Used to defray the cost of JHS operations

Inspector General Review:

-0.25 percent deduction applied to all invoices

-Used to pay for random audits performed by the OIG

Page 32: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

How To Do Business With JHS

Take Home Documents:

• Vendor Registration Application

• Supplier Portal Flyer

• Procurement Management Staff Contact List

• Frequently Asked Questions

• Current Solicitations

Page 33: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Security & Parking

Page 34: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Contractor Identification • All contractor or sub-contractor employees working at any

Jackson facility must wear a JHS issued identification badge (permanent or temporary) while on site.

• Badge is the property of JHS and must be worn in visible location above waist line at all times while on JHS premises.

• All contractor permanent badges expire on January 14th of each year or earlier, depending on the length of the contract.

• Expired badges must be returned to Public Safety/Photo ID Services.

• JHS Procurement or Public Safety may request and confiscate a contractor’s badge for any act(s) of non-compliance with the Vendor/Contractor/Visitor Access & Activity Policy.

Page 35: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

How & When to Contact JHS Security

Assistance via the Security Command Center is available 24/7.

Contact the Command Center by dialing 305-585-6111 (internal ext. 85-6111), particularly if any of the following events occurs while on JHS property:

• Injury

• Vehicle accident

• Witness suspicious activity

• Victim of a crime

JHS Security will dispatch an officer to your location to render assistance and request police, fire, medical response as needed.

Page 36: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Safeguarding Tools and Equipment

• Do not leave tools or any moveable equipment unattended at any time.

• Secure tools, equipment and supplies in designated areas only.

• JHS Security personnel are not responsible for safeguarding any tools, equipment or vehicles.

Page 37: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Contractor Access • Contractor and subcontractor employee(s) access is

limited to areas related to the work being performed. Access to restricted or secured areas is coordinated through project manager and Public Safety.

• JHS keys will not be provided to contractors.

• Contractor personnel are not permitted to meet professional staff in any patient care unit, including inpatient units, nursing stations, physician lounges and outpatient clinics (patient areas).

• Contractor personnel must have a scheduled appointment to visit JHS Administrative and Executive Offices.

Page 38: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Contractor Parking Jackson Memorial Hospital – Main Campus • Logistics Lot – Parking in this location must be approved

by the project manager and Public Safety and is subject to availability. A hang-tag will be issued to contractor, it must be displayed while vehicle is parked in this area and will only be valid for length of the contract.

• Garages - Monthly parking account may be purchased. Approval by project manager and Public Safety is required and will be valid for length of contract. Contractor will incur cost for monthly parking.

• Garages – Daily parking may be purchased. Contractor will incur cost for daily parking.

Page 39: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Contractor Parking Jackson Memorial Hospital – Main Campus Lot 5/Blue Parking Lot - Contractors are not permitted to

park in this lot at any time. • Due to limited space availability, contractors are strongly

encouraged to create a car/van pool process for their employees and transport workers to the site.

JNMC, JSCH and Satellite Facilities • Parking locations at these sites will be determined by the

project manager and Public Safety.

Page 40: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Contractor Parking

Contractor vehicles parked in fire lanes; blocking disabled and pedestrian access; in designated “no-parking” zones; in any other unauthorized areas or occupying more than one parking space, may be subject to immobilization and/or towing. Any cost to release the vehicle will be at the contractor’s expense.

Page 41: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Environmental Health & Safety and Emergency Management

Page 42: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Appropriate Use of Elevators

Freight elevators vs. regular patient transport elevators

• Understand the differences and why not to use the patient transport elevators

• Obtain list or locations of appropriate elevators to use in each relevant building

Page 43: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Appropriate Use of Elevators

Reporting Damage:

• Report damages to the project managers and to Engineering Services – JMH: 305-585-6710

• Report your accidental spills by calling Environmental Services/Housekeeping – JMH: 305-585-7270

Page 44: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Hot Works Projects & Permit

• Review Engineering Services Policy # 730

• Activity resulting in sparks, fire, molten slag, or hot material that could cause fire or explosion

• Includes welding, soldering, cutting, thawing pipes, brazing, grinding, torch applications, etc.

Page 45: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Hot Works Projects & Permit

• Each Hot Works Permit is only good for the specified project and dates on the permit

• Communicate with project manager when a permit needs to be completed, prior to starting the project

• OSHA, NFPA, AHCA, and TJC compliance

Page 46: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

MSDS / SDS

• Material Safety Data Sheets (MSDS) and/or Safety Data Sheets (SDS) must be obtained for each individual hazardous product used on JHS premises.

• A copy of the MSDS/SDS must be submitted to the JHS Environmental Health & Safety Department prior to starting the project –

to be kept on file.

Page 47: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

MSDS / SDS

• Each hazardous product container must be labeled accordingly with exact contents

• Contractor must have all materials necessary to clean up a hazardous spill

• Contractor must be trained on the procedures required for cleaning up spills of product volumes present on site

Page 48: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Required Contractor Specific OSHA Safety Training

• Controlling Hazardous Energy (Lockout/ Tagout)

• Ladder safety

• Confined space entry

• Smoke/Fire penetrations

• Hazardous spills clean-up

• Fall protection

• Personal Protective Equipment (PPE)

Page 49: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Reporting Emergencies at JHS

• Report fires, strong noxious odors/fumes,

uncontrollable hazardous materials spills, and

other emergencies to the Emergency Page

Operators

• Jackson Memorial Hospital: 305-585-6123

• Jackson North Medical Center: 305-651-1100

• Jackson South Community Hospital:

305-256-7777

Page 50: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Fire & Life Safety

Page 51: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Life Safety in Health Care During Periods of Construction

• Overview

• Before Construction/Renovation

• During Construction/Renovation

Page 52: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Life Safety in Health Care During Periods of Construction

• Life safety and life safety related findings dominate The Joint Commission (TJC) top deficiencies every year

• TJC and AHCA Life Safety Survey extends into areas of construction

• All renovation projects must be assessed for the need to implement Interim Life Safety Measures (ILSM)

Page 53: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Life Safety in Health Care During Periods of Construction

• The goal is to upgrade facilities while continuing to provide a desired level of protection against fire and the products of combustion during periods of renovation

• From a Life Safety perspective, after

renovation, the goal is to provide appropriate building features and components to meet Life Safety Code

Page 54: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Before Renovation Begins

• Assess the project for Interim Life Safety Measures (ILSM)

• ILSM assessment determines if Life Safety Code deficiencies exist and how they will be mitigated during periods of construction (LS.01.02.01 EPs 1-14)

• Specific mitigating activities are implemented based on the Life Safety Code deficiency that exists

• ILSM assessment and mitigating activities must be documented

• Review NFPA 241 Safeguarding Construction, Alteration, and Demolition Operations (2004 Edition)

Page 55: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

ILSM Required Mitigating Activities

• Ensure egress-inspect daily

• Provide additional firefighting equipment, training

• Prohibit smoking

• Control combustible loading

• Increase hazard surveillance (inspection)

• Ensure operational life safety systems or substitute temporary systems (fire watch)

• Ensure temporary construction barriers meet specifications

• Train GC and Subs on fire response procedures

Page 56: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

During Renovation • ILSM mitigation activities must be implemented

when necessary

• ILSM may be based on initial assessment or real time findings requiring ILSM to be re-assessed

• Maintaining appropriate fire and smoke rated construction partitions

• Functional existing or temporary Fire Alarm and Detection System

• Functional existing or temporary Fire Suppression System

Page 57: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

During Renovation

• Housekeeping (Combustible Loading)

• Maintain Means of Egress for:

– Building Occupants

– General Contractor and Subs

• Protect all Fire and Smoke Barrier Penetrations

– Vertical and Horizontal Penetrations (core drill, cabling sleeves, etc.)

• Fire Extinguishers must be maintained per NFPA 10 whether they are contractor provided or existing

• JHS facilities and grounds are smoke free

Page 58: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Infection Control Risk Assessment (ICRA)

Page 59: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Objectives

• Explain the purpose of the Infection Control Risk Assessment (ICRA).

• Identify patient risks of infection related to construction in healthcare settings.

• Understand the importance of an ICRA.

Page 60: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Objectives

Prevent and Control invasive fungal infections among our “highest risk patients” who have:

– Solid organ transplantation

– Bone marrow transplantation

– Severe Immunosuppressed

OR:

– Are newborn patients

– Surgical patients

Page 61: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Infection Control Risk Assessment

• Determine the risk of patient exposure to construction debris and dust.

• Identifies classification levels of the work to be done.

• Explore potential impact to areas – above, below and adjacent to work area.

• Results of the ICRA determine the safest methods to be used during construction activities.

Page 62: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Why???

• Construction debris and dust can be life-threatening to a patient with an compromised immune system.

• To prevent fungal, mold and opportunistic infections.

• Protect employees, patients and visitors.

• Required by Agency for Health Care Administration, (AHCA), The Joint Commission (TJC), and other regulatory agencies.

Page 63: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Importance of This Activity

• Infection with these fungi are very serious and oftentimes fatal.

• High fungal spore counts in air is the most likely source for subsequent infection.

– Spore containment strategies during construction and remodeling throughout the healthcare environment is critical for infection prevention and control!!

Page 64: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Containment

Portable Zipper Door

Portable Self Contained with

Filtration System

Tacky Mat Construction Film

Personal Protective Equipment

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Preconstruction Risk Assessment PreConstruction Risk Assessment

SECTION 1 - Infection Control Risk Assessment

Matrix of Precautions for Construction & Renovation

Step One: Using the following table, identify the Type of Construction Project Activity (Type A-D)

□ TYPE A

Inspection and Non-Invasive Activities.

Includes, but is not limited to:

removal of ceiling tiles for visual inspection only, e.g., limited to 1 tile per 50 square

feet

painting (but not sanding)

wallcovering, electrical trim work, minor plumbing, and activities which do not

generate dust or require cutting of walls or access to ceilings other than for visual

inspection.

□ TYPE B

Small scale, short duration activities which create minimal dust

Includes, but is not limited to:

installation of telephone, communication, and computer cabling (or similar cabling

installation activities)

access to chase spaces

cutting of walls or ceiling where dust migration can be controlled.

□ TYPE C

Work that generates a moderate to high level of dust or requires demolition or

removal of any fixed building components or assemblies

Includes, but is not limited to:

sanding of walls for painting or wall covering

removal of floorcoverings, ceiling tiles and casework

new wall construction

minor duct work or electrical work above ceilings

major cabling activities

any activity which cannot be completed within a single workshift.

□ TYPE D

Major demolition and construction projects

Includes, but is not limited to:

activities which require consecutive work shifts

requires heavy demolition or removal of a complete cabling system

new construction.

Step 1:

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ICRA Permit

Infection Control Construction Permit

Permit No:

Location of Construction: Project Start Date:

Project Coordinator: Estimated Duration:

Contractor Performing Work Permit Expiration Date:

Supervisor: Telephone:

YES NO CONSTRUCTION ACTIVITY YES NO INFECTION CONTROL RISK GROUP

TYPE A: Inspection, non-invasive activity GROUP 1: Low Risk

TYPE B: Small scale, short duration,

moderate to high levels

GROUP 2: Medium Risk

TYPE C: Activity generates moderate to high levels of

dust, requires greater 1 work shift for completion

GROUP 3: Medium/High Risk

TYPE D: Major duration and construction activities Requiring consecutive work shifts

GROUP 4: Highest Risk

CLASS I 1. Execute work by methods to minimize raising dust from

construction operations. 2. Immediately replace any ceiling tile displaced for visual

inspection.

3. Minor Demolition for Remodeling

CLASS II 1. Provides active means to prevent air-borne dust from

dispersing into atmosphere 2. Water mist work surfaces to control dust while cutting.

3. Seal unused doors with duct tape.

4. Block off and seal air vents. 5. Wipe surfaces with cleaner/disinfectant.

6. Contain construction waste before transport in tightly covered containers.

7. Wet mop and/or vacuum with HEPA filtered vacuum before leaving work area.

8. Place dust mat at entrance and exit of work area.

9. Isolate HVAC system in areas where work is being performed; restore when work completed.

CLASS III

1. Obtain infection control permit before construction begins. 2. Isolate HVAC system in area where work is being done to

prevent contamination of the duct system.

3. Complete all critical barriers or implement control cube method before construction begins.

6. Vacuum work with HEPA filtered vacuums. 7. Wet mop with cleaner/disinfectant

8. Remove barrier materials carefully to minimize spreading of dirt and debris

associated with construction. 9. Contain construction waste before transport in

Date 4. Maintain negative air pressure within work site utilizing

HEPA equipped air filtration units. 5. Do not remove barriers from work area until complete

project is checked by Infection Prevention & Control and

thoroughly cleaned by Environmental Services.

tightly covered containers.

10. Cover transport receptacles or carts. Tape covering. 11. Upon completion, restore HVAC system where work was performed. Initial

CLASS IV

1. Obtain infection control permit before construction begins. 2. Isolate HVAC system in area where work is being done to

prevent contamination of duct system.

3. Complete all critical barriers or implement control cube method before construction begins.

4. Maintain negative air pressure within work site utilizing

HEPA equipped air filtration units. 5. Seal holes, pipes, conduits, and punctures appropriately.

6. Construct anteroom and require all personnel to pass

through this room so they can be vacuumed using a HEPA vacuum cleaner before leaving work site or they can wear

cloth or paper coveralls that are removed each time they

leave the work site.

7. All personnel entering work site are required to wear shoe

covers.

8. Do not remove barriers from work area until completed project is checked

by Infection Prevention & Control and thoroughly cleaned by

Environmental. Services.

9. Vacuum work area with HEPA filtered vacuums. 10. Wet mop with disinfectant.

11. Remove barrier materials carefully to minimize spreading of dirt and debris

associated with construction. 12. Contain construction waste before transport in tightly covered containers.

13. Cover transport receptacles or carts. Tape covering.

14. Upon completion, restore HVAC system where work was performed.

Date

Initial

Additional Requirements:

___________

Date Initials ___________ Exceptions/Additions to this permit Date Initials are

noted by attached memoranda

Permit Request By: Permit Authorized By:

Date: Date:

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Daily ICRA Checklist INFECTION CONTROL RISK SSESSMENT

Project Name: JMH Project No.:

Location: JMH File No.:

BEFORE YES NO N/A ICP PM COMMENTS

Construction workers educated in IC practices Preconstruction Meeting

Construction barriers are in place Double air curtain at entrance

Dust control measures evaluated HEPA vacuum, seal back door

Negative airflow and/or filtration systems are in place Negative air machine with HEPA

Air quality control measurements done if necessary.

Circulation and traffic patterns established

Signs posted to identify construction area

Patient care items and equipment removed

Exhaust fans functioning

Plan for debris removal

Dry storage of building materials

Plan for water filtration

DURING Date

Barriers are intact

Dust accumulation is minimal

Negative airflow and filtration is functioning properly

Walk-off mats in place

Traffic patterns maintained

Signs posted

No patient care items or equipment in construction area

Exhaust fans functioning

Debris removal according to plan

AFTER Date

Water system flushed

Vacuum area with HEPA filtered vacuums

Wet mop with disinfectant

Check for mold and mildew and thoroughly clean to remove

HVAC filters cleaned/replaced

Verify appropriate ventilation parameters required for the

area(s)

Remove barriers

Transport debris in covered containers

Terminally clean construction areas

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Infection Control Questions

• Call us:

– Jackson Memorial Hospital:

305-585-6820

– Jackson South Community Hospital:

305-251-2500 ext. 765303

– Jackson North Medical Center:

305-654-5215

• Fax number: 305-585-0201

• 24 hour beeper: 305-996-0459, for urgent

matters after hours/weekends.

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Facilities Engineering

Jaime Cruz Director, Plant Maintenance and Operations

Department of Engineering

Page 70: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Contractor Safety

• We strive to prevent all incidents that may lead to injuries or illness.

• Safety performance is a responsibility of line management and every contractor.

• We design safety into the work place.

• Individual behavior is the most important

factor in preventing incidents.

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Contractor Safety

• We expect and require every contractor to work safely.

• Working safely is good business.

• Safety is an integral part of our culture and total quality processes.

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Contractor Safety

• Our safety process must react to all incidents, not just accidents.

• We continually improve our safety process by auditing the process and correcting the root cause of deficiencies.

• We promote safety, both on and off the job.

• We prepare for emergencies.

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Permits

Certain types of work cannot be started until approval is given in the form of a signed permit. A written, properly authorized permit may be required before you begin any activities. Facilities can assist contractor personnel in obtaining and completing permit requirement.

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Current Permit Types

• Core Drill Permit

• Confined Space Permit

• Hot Work Permit

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Future Permit Types

• Above Ceiling Permit

• Wall/Ceiling/Floor Permit

• Others as needed

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Finance

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Contractor Request for Payments

Mandatory Forms

General contractors shall submit their pay applications using two

industry standard American Institute of Architects (AIA) forms.

These forms include specific information including the total dollar

amount of work completed, retainage, total of payments to date, a

summary of change orders, and the current payment requested.

• G702 Application and Certificate for Payment

• G703 Continuation Sheet

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Required on Forms

Activity #

• Five-digit number assigned to each project by Jackson

Purchase Order (PO) #

• Number provided by Procurement to each contract

Vendor Number

• Unique five-digit number assigned to each vendor by Jackson

G703 (schedule of values)

• Breakdown should correspond to line# in PO

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G702 Application and Certificate for Payment

APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF PAGES

TO OWNER: PROJECT: APPLICATION NO: 0 Distribution to:

OWNER

ARCHITECT

PERIOD TO: CONTRACTOR

FROM CONTRACTOR: VIA ARCHITECT:

PO NUMBER#:

VENDOR#: PROJECT NOS:

ACTIVITY#:

CONTRACT FOR: CONTRACT DATE:

CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,

Application is made for payment, as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been

Continuation Sheet, AIA Document G703, is attached. completed in accordance with the Contract Documents, that all amounts have been paid by

the Contractor for Work for which previous Certificates for Payment were issued and

payments received from the Owner, and that current payment shown herein is now due.

1. ORIGINAL CONTRACT SUM $

2. Net change by Change Orders $ 0.00 CONTRACTOR:

3. CONTRACT SUM TO DATE (Line 1 ± 2) $$ 0.00

4. TOTAL COMPLETED & STORED TO $ 0.00

DATE (Column G on G703) By: Date:

5. RETAINAGE:

a. % of Completed Work $ $0.00 State of: County of:

(Column D + E on G703) Subscribed and sworn to before me this day of

b. % of Stored Material $Included in above Notary Public:

(Column F on G703) My Commission expires: Total Retainage (Lines 5a + 5b or

Total in Column I of G703) $ 0.00 ARCHITECT'S CERTIFICATE FOR PAYMENT6. TOTAL EARNED LESS RETAINAGE $ 0.00 In accordance with the Contract Documents, based on on-site observations and the data

(Line 4 Less Line 5 Total) comprising the application, the Architect certifies to the Owner that to the best of the

7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge, information and belief the Work has progressed as indicated, PAYMENT (Line 6 from prior Certificate) $ the quality of the Work is in accordance with the Contract Documents, and the Contractor

8. CURRENT PAYMENT DUE $ 0.00 is entitled to payment of the AMOUNT CERTIFIED.

9. BALANCE TO FINISH, INCLUDING RETAINAGE $ 0.00

(Line 3 less Line 6) AMOUNT CERTIFIED . . . . . . . . . . . $

CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied. Initial all figures on this

Total changes approved Application and onthe Continuation Sheet that are changed to conform with the amount certified.)

in previous months by Owner ARCHITECT:

Total approved this Month By: Date:

TOTALS $0.00 $0.00 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the

Contractor named herein. Issuance, payment and acceptance of payment are without

NET CHANGES by Change Order prejudice to any rights of the Owner or Contractor under this Contract.

AIA DOCUMENT G702 · APPLICATION AND CERTIFICATION FOR PAYMENT · 1992 EDITION · AIA · ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006- 5292

Users may obtain validation of this document by requesting a completed AIA Document D401 - Certification of Document's Authenticity from the Licensee.

$0.00

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G703 Continuation Sheet

CONTINUATION SHEET AIA DOCUMENT G703 PAGE OF PAGES

AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO:

Contractor's signed certification is attached. APPLICATION DATE:

In tabulations below, amounts are stated to the nearest dollar. PERIOD TO:

Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO:

A B C D E F G H I J

ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE

NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G ÷ C) TO FINISH (IF VARIABLE

APPLICATION STORED AND STORED (C - G) RATE)

(D + E) (NOT IN TO DATE

D OR E) (D+E+F)

1 General Conditions

2 Finishes

3 Mechanical

4 Electrical

5 Special Construction

GRAND TOTALS $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00

Users may obtain validation of this document by requesting of the license a completed AIA Document D401 - Certification of Document's Authenticity

Breakdown has to match the line items in the Purchase Order

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Purchase Order Sample

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How It Works

• Payment for work performed, materials

and subs must be requested monthly

• Pay application for previous month is due by the 10th of the current month

(example: work from 9-1-14 to 9-30-14 must be invoiced no later than 10-10-14)

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How It Works

• Two weeks for review by architect and JHS management

• Accounts Payable will process pay applications from the 1st to the 15th of each month

Page 84: Welcome & Opening Remarks · Welcome & Opening Remarks . Facility Master Plan Recommendations . Major Recommendations New Facilities for Centers of Excellence Improved Women’s &

Architect/Engineer Request for Payments

Architect and engineer invoices must include specific information as follows:

• Total contract amount

• Previous billings

• Percent completed

• Total billed-to-date

• Current amount due

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Required on Forms Activity #

Five-digit number assigned to each project by Jackson

Purchase Order (PO) #

Number provided by Procurement to each contract

Vendor Number

Unique five-digit number assigned to each vendor by Jackson

Standard Invoice Format

Breakdown should correspond to line #’s in PO

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A/E Services Invoice Format

INVOICE NO.

DATE

51015000

4101234

VENDOR# 12345

TO

PO

Line#Description Contract Amount Prior Billed % Complete Total Billed Current Billed

1 Schematic Design -

2 Design Development -

3 Construction Documents -

4 Contract Administration 50% -

5 Contract Administration 100% -

Reimbursable Expenses -

TOTAL FEE

TOTAL -$

[Your Company Slogan] INVOICE

Make all checks payable to [Your Company Name]

THANK YOU FOR YOUR BUSINESS!

[Street Address]

[Phone] [Fax]

[Your Company Name]

A/E Standard Invoice

JACKSON HEALTH SYSTEM

[City, ST ZIP Code]

[Phone]

[100]

October 30, 2014

[Street Address]

ACTIVITY#

PO#[e-mail]

[City, ST ZIP Code]

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Thank you for your interest in doing business with Jackson