Thursday, 8 November 2012 10:30-11:30 AM

Introduction and Welcome

David Barwell (2 minutes)

Master Plan, Healthcare and Non Medical

Highlights
Gregory Chang and Jason Fournier (18 minutes)

Questions and Discussion

All (35 minutes)

King Khalid Medical City- Healing Oasis - a

Family Experience
Rick Lincicome (4 minutes)

Closing Comments Presentation

David Barwell (1 minute)
 KSA King Khalid King Faisal
Prince King
Mohammed Abdullah
Medical Medical City Medical City
Medical City Medical City
KSA MEDICAL CITIES -SPACE COMPARISONS
Cities





Space INPATIENT UNITS
Program 1.0 Acute Care Inpatient Beds Number 1,084 1,014 660 1,000
2.0 VIP and Royal Suites Number 21 28 28 N/A
Compariso 3.0 Medical Intensive Care Unit and HDU Number 375 318 318 N/A
ns 4.0 Hospice Number 20
TOTAL Inpatient BEDS 1,500 1,360 1,006 1,000
Total Inpatient Departmental GFA (M ) 2
159,442 142,751 106,961 N/A
DIAGNOSTIC AND TREATMENT
Radiology Department - Medical Imaging Radiographic Rooms, fluoroscopy Rooms, CT
5.0 Scan Rooms, MRI Rooms, Ultra Sound Rooms, Gamma Camera, Cardiac Gamma Camera, 71 54 54 N/A
PET CT, SPECT CT, Stress Room and BMD
Sub Total Imaging Department GFA (M2) 8,995 8,278 8,278
Out-patient services - Interventional and Day Procedures Operating Rooms, Cath Labs,
6.0 Angio, Endoscopy, Flouro, Minor Procedure, Bronchospy, Motility, Lithotripsy, Excimer 63 48 48 N/A
Laser Rooms
6.1 Patient Prep, Recovery and Day Surgery 222 172 172 N/A
Sub Total Interventional Dept GFA (M2) 17,342 15,312 15,312
7.0 Clinical Laboratories 7,535 5,951 5,951
8.0 Pharmacy (in-pt and out-pt) 2,542 1,525 1,525
9.0 Cyclotron 494 502 502
10.0 Clinics (General) 374 224 224
Sub Total OP Clinics Dept GFA (M2) 27,617 14,773 14,773
11.0 Materials Management 6,929 4,907 4,907
12.0 Central Sterile Supply 2,200 1,811 1,811
Sub Total Main Hospital GFA (M ) 2
233,096 195,810 160,020 329,346
13.0 Kitchen 5,382 3,283 3,283 23,914
14.0 Laundry Service 3,076 750 750 in line 13.0
15.0 Clinical Faculty Offices 8,935 8,747 8,774 12,154
16.0 Education & Research 11,562 2,053 2,053 42,434
17.0 Warehouse Gross Area (M2) 15,000 7,500 7,500 19,184
TOTAL HOSPITAL AREA (M ) 2
277,000 218,143 182,380 427,032

18.0 Masjid (in-pt and staff) 2,258 2,043 2,043 2,230
19.0 Community Center - patient affairs including social services 15,072 483 483 17,474
20.0 Housing Total Number of Units 5,000 1,000 - 2,000 1,000 - 2,000 2,095
Housing Total Areas 637,000 TBD TBD 196,976
21.0 Parking Spaces 5,400
Parking Total Area 176,737 101,218

2
KKMC Minister of Health
November 8, 2012 To build a cost effective, SMART academic medical center t
incorporates evidence-based design and provides a
healing environment for patients, families and staff
 Abu Hadaryah
Highway

Towers Housing

Executive Villas

Community Center

Hospice

Hospital
Research/Office
Mosque

Hospital Parking
Worskhop

Central Utility Plant

STP/Primary
Substation

Site Development
 Abu Hadaryah
Highway
Completion of
Support Facilities
Towers Housing
Future
Hospital

Executive Villas Community

Hospital

Community Center R+D/Education

Hospice

Hospital
Research/Office
Mosque

Hospital Parking
Worskhop

Central Utility Plant

STP/Primary
Substation

Site Development
Aerial View from the North
Aerial View from the South
Hospital Site Plan
 GARDEN
INPATIENT OASIS VIP INFUSION
FAMILY CHILDRENS
ENTRANCE HEALTH PAVILION DINING ENTRANCE VIP IT
802 SM 470 SM 812 SM ENTRANCE
EMERGENCY
WALK-IN PROSTHETICS
ENTRANCE 322 SM 2,143 SM
IP DINING VIP
PRAYER 940 SM LOBBY
ADMITTING
FOOD STAFF 352 SM
RETAIL SERVICE DINING
IMAGING 507 SM 1,074 SM SHELL
OFFICES

IMAGING RADIATION
IMAGING ONCOLOGY
EMERGENCY OFFICES CENTRAL
3,532 SM 1,727 SM 6,207 SM STERILE 3,935 SM
AMBULANCE 1,824 SM FOOD SERVICE
ENTRANCE 3,246 SM

PHARMACY
MORGUE CYCLO- 1,304 SM
ENTRANCE MORGUE TRON
207 SM 510 SM
SERVICE CORRIDOR UNEXCAVATED
CLINICAL LOGISTICS LOGISTICS HOUSEKEEPING
ENGINEERING
UNEXCAVATED 476 SM 1,655 SM 1,507 SM
LOADING DOCK

Ground Floor
Ground Floor : Design
Separate core competency entrances to enhance wayfinding Public retail accommodates shopping for gifts, food and convenience items
Gender specific prayer rooms Public zones are focused on the garden and natural light
Inviting garden spaces for relaxation Childrens play space for visiting guests, includes both indoor and outdoor spaces
 Dining Area From Above
Views to nature Separate seating spaces for men, women, and families
Transition from interior to exterior finishes creates continuity Continued use of cultural patterns throughout the building on floors, glass, & partitions
Focus on natural lighting throughout the space
 AUDITORIUM

MATERNAL ADULT
/FETAL INFUSIO
N
1,612 SM 2,017 SM

ADULT CONFERENCE
SHELL INFUSIO CENTER
1,200 SM N
MENTAL OPEN TO BELOW PEDS
IN-VITRO HEALTH SOCIAL INFUSIO ONC
PHARM
670 SM 434 SM WORK DIETARY PHLEB.
608N SM
394 SM THERAPY GYN ONC
PALLIATIVE 306 SM OFFICE 257 SM CARDIAC
252 SM
SHELL CARE 468 SM REHAB GYM
219 SM 447 SM
365 SM
1,539 SM 985 SM 614 SM1177 SM OP 689 SM 944 SM 1,116 SM
CLINIC DESH PHYSIO NEURO MOTC MEDICIN PHARM GENETIC PEDS CARDIO ADULT PEDS
1,025 SM 543 SM E 343 SM 527SSM ONC ONC

DESH/ NEURO/ GENERAL CARDIO

REHAB MOTC HOSPITAL ENTRANCE ONCOLOGY
ENTRANCE ENTRANCE ENTRANCE ENTRANCE

Main Floor
 Main Floor
Main Floor : Design
Amenities on floor include Coffee Bars, Patient Education, & Retail Moving sidewalks at skyway for ease of traffic
Separate waiting spaces for men, women and families with furniture and screens Culture and pattern throughout the design of the space in a contemporary color scheme
Intuitive way finding by core competency color and coordinating graphics throughout building Parking is located in close proximity to the building entries
 OPEN
TO
BELOW

DIALYSIS CEO/
1,684 SM ADMINISTRATION
1,640 SM
PERITONEAL CLINICAL LAB
ICU OFFICES
(12)

OFFICES OPERATIONS
OFFICES FINANCE 483 SM
OFFICES 575 SM
3,435 SM HUMAN
ICU 1,236 SM RESOURCES
(12)

CLINIC DESH SURGERY DENTAL UROLOGY CLINICAL LAB

OPEN
520 SM 2,583 SM 1,586 SM 722 SM 1,261 SM TO 5,769 SM
BELOW

OPEN
TO
OPEN OPEN OPEN OPEN BELOW
TO TO TO TO
BELOW BELOW BELOW BELOW

CONNECTION CONNECTION
TO PARKING TO PARKING
GARAGE GARAGE

First Floor
 STANDARDIZED WORK ZONE

INTER-DEPARTMENT STAFF CORRIDOR

STANDARDIZED WORK ZONE

PAT. PAT.
TLT TLT STAFF BASE

EXAM STAFF COLLABORATION EXAM

COR. SPACE COR. Plan
EXAM/ EXAM/
CONSULT CONSULT

Staff Spaces that

encourage collaboration
3D View

First Floor : Design

Consistent placement and repetition creates familiarity and reduces anxiety of visiting patients Appropriate surfaces & durable materials address infection control issues
Features at flooring and ceiling create destinations Modularity of furniture meets changing staff & patient needs
Enhanced wayfinding at reception and patient entrances
 CCU DAY
(12) PROCED

CLASSROOMS
ICU
(12) DAY PROCED VIP HEALTH
CCU DAY RECOVERYCLINIC SCIENCE
WAITING PROCED 81 SM LIB
(12)
2,989 SM PREP
CATH DESH DAY PHASE II SURGERY MEDICAL
ICU RECOVERY SURGERY RECOVERY PHASE II PREP
(12) RECOVERY 106 SM TRAINING
871 SM

ICU
(5) PACU PACU
STAFF INTERVENTIONAL FUTURE ORs DESH ANES ORs ORs ORs FUTURE STAFF
SUPPORT
IMAGING ORs ORs OFFICES ORs SUPPORT
249 SM

INTERVENTIONAL (ORs and LABS)14,549 SM

Second Floor
 OR OR

OR OR
CLEAN
CORE

OR OR

EQUIP
OR

OR Block Typical OR 3D View

Second Floor : Design

Waiting areas located near exterior for views to nature to enhance visitor comfort Nurse Stations highlighted with floor patterns, way finding graphics & accent paints
Variety of seating amenities for short and long term waiting times Clear definition between staff circulation and family & patient traffic flow
State of the art ORs
 36 BED
36 BED UNIT
UNIT

36 BED
UNIT
OFFICE/
RESEARCH
SHELL

36 BED
UNIT

VISITOR STAFF BASE

ELEVATORS CONFERENCE ROOMS
SERVICE STAFF/ OFFICE
ELEVATORS CRITICAL PATIENT
CARE ELEVATORS
ELEV
STAFF LOUNGES & LOCKERS
ON CALL ROOMS
OFFICES

CONNECTION TO ADJACENT
STAFF COLLABORATION TOWERS
SPACES

Typical Patient Floor

 12 BED
UNIT

12 BED
UNIT

ICU Room Medical

12 BED
UNIT
Acute Room

Typical Patient Floor : Design

Welcoming reception directly off of public elevator lobbies
Floor pattern supports overall hospital theme
Patient lifts aid in safety for staff and patients
Reception and nurse station destinations reinforced with floor pattering, color & ceiling elements Use of multiple wood tones provides a calming environment
Centrally located nurse stations with modular furniture provide flexibility for future practice improvements Patient rooms include family support space
Approach View
Arrival Zone
Main Entrance Drop Off
View from the Oasis
Childrens Pavilion
Structured Parking
Main Entrance Gatehouse
Masjid
Community Center
Executive Villa
Female Tower
Female Tower
Consultants Tower
Consultants Tower
 Specialized Third Party Consulting Services
for KKMC Project
10) Vertical & Horizontal Transportation
1) Joint Commission International (JCI) Safe
& Elevators
Design Consulting Review

2) Value Engineering Review 11) Kitchen Design

3) Mechanical Electrical and Plumbing (MEP)

12) Laundry Design
Design Review
4) Review, Evaluation and Validation of the
13) Traffic Flow
current Schematic Design (SD) components

5) Acoustics 14) IT Consultant

6) Medical Equipment 15) Way Finding

7) Lighting 16) Landscaping Design

8) Waste Management 17) Sustainability Design

9) Materials Management 18) Lightning Protection

Value Engineering Approach
Technical Merit, Capital Cost, Life Cycle Cost, Sustainable Solutions

Structural
Foundations-Piling versus Raft and Pad
Structural Framing-Post tension vs. Post tension beams/precast Slabs+ Steel and variant
between Building types
Sky bridge Structural options

Mechanical Electrical Plumbing

Hospital Air Conditioning VAV versus chilled beam & fan coil units
Hospital Cooling and rejection
Residential Cooling-Variable Refrigerant Versus Central
Residential water heater distribution ,Central versus local
Residential Fan coils versus conventional air handler
External lighting-Solar versus Conventional

Architecture and Planning

Building orientation relative to energy loads
Pre-cast vs stone exterior materials
High performance exterior materials
Reduced glazing to minimize solar heat gain
Reduced overall maintenance costs
Key Project
Milestones

KEY PROJECT STAGES TARGETED DATES

Site Enabling Package 20th Dec., 2012
Awarding (Work start 20 January 2013)

Project Design Completion 2nd March, 2013


Tendering 17th March, 2013
Bid Opening 15th June, 2013

Contract Award 31th July, 2013
(Work start 31st Sept. 2013)

Construction Completion 30th July, 2017

 King Khalid Medical City, Eastern Province, KSA
High Level Order of Magnitude - Summary Of Plemenary Cost Estimate Saudi Riyal +/- 10%

REMAINING
ELEMENT BASE BID OPTIONAL BID Comment
FUTURE BID
Original Funding Budget 4,565,000,000

1. BELOW LINE COST

1.1 Professional Fees (consultants) 233,000,000
1.2 Allowance for IT and Data Centre 300,000,000 100,000,000
1.3 Allowance for Medical Equipment 400,000,000 300,000,000 300,000,000
1.4 Allowance for FF&E (say 5%) 170,000,000 130,000,000 200,000,000
1.5 Allowance for Road Improvements (Outside the Site)

TOTAL 1,103,000,000 630,000,000

TOTAL REMAINING CONSTRUCTION BUDGET 3,462,000,000

2. SITE WORK AND INFRA STRUCTURES

Site Clearance and Preparation, Internal Roads,
2.1 154,487,720
Landscaping, Sport Amenties
Primary Utilities (Excl. 500 Bed Tower & Residential),
2.2 434,853,201 Excludes Primary Substation
Service Tunnel, Central Utilities Plant (CUP) building
Car Parking; Surface, Multi Storey (Including Shading) and Level P1 thru to P6 excluded, Base Bid includes
2.3 130,000,000 100,800,000 201,600,000
Skybridge link to main Hospital Building 2400 parking
3. MAIN HOSPITAL ZONE
3.1 Main Hospital including 4th Tower 2,065,800,000 310,200,000 Remaining Scope: Fitout of 4th Tower
Warehouse, Hospice, Offices, Research & Education, Remaining Scope: Hospice, 2 Floors of Office &
3.2 142,643,681 92,301,671
Conference Centre, Mosque & Entrance Buildings Mosque
4. Housing Zone (Including Basement Car Parking & Utilities
Allowance) -
Base Bid includes 150 Consultant Appartment,
Community Centre, Villas, Consultant Towers, Family
4.1 620,000,000 1,163,600,000 1500Single Female Units 150 Family appartments
Housing, Male Tower and Female Tower
and Community Centre

TOTAL COST ESTIMATE +/- 10% 3,547,784,602 1,133,301,671 1,865,200,000

Additional Budget Required 85,784,602 1,219,086,272 1,865,200,000

Base bid and For Remaining
For Base Bid
optional work

# ITEM TOTAL AREA COST PER M2 SR TOTAL COST SR COMMENTS

1 HOSPITAL AREA 396,000 6,000 2,376,000,000
2 Housing 637,000 2,800 1,783,600,000
38
3 Parking 224,000 2,000 448,000,000
KKMC Minister of Health
November 8, 2012

Thank you