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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 .

532 SM 1.824 SM FOOD SERVICE ENTRANCE 3. 1.507 SM LOADING DOCK Ground Floor .246 SM PHARMACY MORGUE CYCLO. GARDEN INPATIENT OASIS VIP INFUSION FAMILY CHILDREN’S ENTRANCE HEALTH PAVILION DINING ENTRANCE VIP IT 802 SM 470 SM 812 SM ENTRANCE EMERGENCY WALK-IN PROSTHETICS ENTRANCE 322 SM 2.304 SM ENTRANCE MORGUE TRON 207 SM 510 SM SERVICE CORRIDOR UNEXCAVATED CLINICAL LOGISTICS LOGISTICS HOUSEKEEPING ENGINEERING UNEXCAVATED 476 SM 1.655 SM 1.074 SM SHELL OFFICES IMAGING RADIATION IMAGING ONCOLOGY EMERGENCY OFFICES CENTRAL 3.207 SM STERILE 3.727 SM 6.143 SM IP DINING VIP PRAYER 940 SM LOBBY ADMITTING FOOD STAFF 352 SM RETAIL SERVICE DINING IMAGING 507 SM 1.935 SM AMBULANCE 1.

Ground Floor : Design •Separate core competency entrances to enhance wayfinding •Public retail accommodates shopping for gifts. includes both indoor and outdoor spaces . food and convenience items •Gender specific prayer rooms •Public zones are focused on the garden and natural light •Inviting garden spaces for relaxation •Children’s play space for visiting guests.

Dining Area From Above •Views to nature •Separate seating spaces for men. & partitions •Focus on natural lighting throughout the space . women. glass. and families •Transition from interior to exterior finishes creates continuity •Continued use of cultural patterns throughout the building on floors.

AUDITORIUM MATERNAL ADULT /FETAL INFUSIO N 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 .116 SM CLINIC DESH PHYSIO NEURO MOTC MEDICIN PHARM GENETIC PEDS CARDIO ADULT PEDS 1.200 SM N MENTAL OPEN TO BELOW PEDS IN-VITRO HEALTH SOCIAL INFUSIO ONC PHARM 670 SM 434 SM WORK DIETARY PHLEB.017 SM ADULT CONFERENCE SHELL INFUSIO CENTER 1.539 SM 985 SM 614 SM1177 SM OP 689 SM 944 SM 1.612 SM 2. 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.

Patient Education. Main Floor Main Floor : Design •Amenities on floor include Coffee Bars. 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 . & Retail •Moving sidewalks at skyway for ease of traffic •Separate waiting spaces for men.

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 .640 SM PERITONEAL CLINICAL LAB ICU OFFICES (12) OFFICES OPERATIONS OFFICES FINANCE 483 SM OFFICES 575 SM 3.435 SM HUMAN ICU 1.586 SM 722 SM 1.684 SM ADMINISTRATION 1. OPEN TO BELOW DIALYSIS CEO/ 1.261 SM TO 5.583 SM 1.236 SM RESOURCES (12) CLINIC DESH SURGERY DENTAL UROLOGY CLINICAL LAB OPEN 520 SM 2.

TLT TLT STAFF BASE EXAM STAFF COLLABORATION EXAM 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 . STANDARDIZED WORK ZONE INTER-DEPARTMENT STAFF CORRIDOR STANDARDIZED WORK ZONE PAT. SPACE COR. PAT.

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 .

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 OR’s . 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.

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 .

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 . 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.

Approach View .

Arrival Zone .

Main Entrance Drop Off .

View from the Oasis .

Children’s Pavilion .

Structured Parking .

Main Entrance Gatehouse .

Masjid .

Community Center .

Executive Villa .

Female Tower .

Female Tower .

Consultants Tower .

Consultants Tower .

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 . 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.

Capital Cost. 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 . Sustainable Solutions Structural •Foundations-Piling versus Raft and Pad •Structural Framing-Post tension vs.Value Engineering Approach Technical Merit. Life Cycle Cost.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 .

2013 Bid Opening 15th June. 2013 ‫إنجاز مرحلة تصميم المشروع‬ ‫وطرح المناقصة‬ Tendering 17th March. 2013 ‫فتح المظاريف‬ Contract Award 31th July. 2013 ‫ترسيه عقد النشاءات‬ (Work start – 31st Sept. 2017 ‫إكتمال إنجاز النشاءات‬ . 2013) Construction Completion 30th July.Key Project ‫مدينة الملك خالد الطبية‬ Milestones ‫معلومات عن المشروع‬ ‫الزمنية للمشروع‬ ‫الدهداف‬ KEY PROJECT STAGES TARGETED DATES ‫مراحل المشروع الرئيسية‬ ‫التواريخ المستهدفه للجنجاز‬ Site Enabling Package – 20th Dec. 2012 Awarding (Work start – 20 January 2013) ‫ترسيه – تهيئة موقع المشروع‬ Project Design Completion 2nd March..

800. Hospice.000.000 130.301. Eastern Province.000.643.000 2.133.2 142. MAIN HOSPITAL ZONE 3.600.600.200.065.602 1. King Khalid Medical City. Offices.000.201 Excludes Primary Substation Service Tunnel.000. Villas.865.301.000. 2.5 Allowance for Road Improvements (Outside the Site) TOTAL 1.000 6. 2. Male Tower and Female Tower and Community Centre TOTAL COST ESTIMATE +/.000 1.000 630.000 100.219. 500 Bed Tower & Residential).000 38 3 Parking 224.000.784.200.671 Conference Centre. Mosque & Entrance Buildings Mosque 4.3 130.000 100.000 300.800.000 Skybridge link to main Hospital Building 2400 parking 3.000 2.10% 3. Surface.671 1.000 1.000.784.000.000 TOTAL REMAINING CONSTRUCTION BUDGET 3.000 201.1 Main Hospital including 4th Tower 2. Central Utilities Plant (CUP) building Car Parking. Family 4.602 1.000 2.681 92. Consultant Towers.000 300.000.000 .2 434. Housing Zone (Including Basement Car Parking & Utilities Allowance) - Base Bid includes 150 Consultant Appartment.600.865.000 2.163.000.103.000 1.000 448. Multi Storey (Including Shading) and Level P1 thru to P6 excluded. Community Centre.000.000.783.853.000.565.200.000 1.547. Remaining Scope: Hospice. KSA High Level Order of Magnitude .000.2 Allowance for IT and Data Centre 300.1 154. Base Bid includes 2.10% REMAINING ELEMENT BASE BID OPTIONAL BID Comment FUTURE BID Original Funding Budget 4.000 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 1500Single Female Units 150 Family appartments Housing.086.000. SITE WORK AND INFRA STRUCTURES Site Clearance and Preparation.487. Internal Roads.000 2 Housing 637.376.000.000. BELOW LINE COST 1.1 Professional Fees (consultants) 233. 2 Floors of Office & 3.000 200.720 Landscaping.800 1. Sport Amenties Primary Utilities (Excl.000 1.000 310.3 Allowance for Medical Equipment 400.272 1.4 Allowance for FF&E (say 5%) 170.000 Additional Budget Required 85.Summary Of Plemenary Cost Estimate Saudi Riyal +/.000 Remaining Scope: Fitout of 4th Tower Warehouse.1 620.462.000 1. Research & Education.

KKMC – Minister of Health November 8. 2012 Thank you .