HomeMy WebLinkAboutOIH_BldgCmte_ProgressReport1PROGRESS Presentation to Board of Selectmen
March 15, 2017
THE PURPOSE OF THIS PRESENTATION IS TO PROVIDE AN
UNDERSTANDING OF THE ANALYSIS COMPLETED TO DATE
Our Island Home
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Goals and Objectives
•The goal of our Building Committee is [in two phases]:
1.To review the work done to date and to provide additional analysis where
necessary to support the community in making a informed decision about
the long-term plan for providing quality elderly care.
2.To further assist the Town and its consultants in designing and procuring
the construction of a new Our Island Home facility.
3.To prepare site analyses and evaluation exploring pros and cons and
general project costs of each option.
•Phase II:
1.Develop designs.
2.Develop details for all aspects of the project.
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Phase 1 – Target Date March 2017
1.Review / understanding previous work over previous 10-12 years
2.Review / understanding small house model
•Cost
•Flexibility
•Quality of care
•Number of beds
3.General capital potential costs of each option
•Understand staffing needs and concerns
4.Identify alternate options and develop evaluation process
5.Presentation of findings
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Small House Model
1.Resident directed concepts of care
2.Improvement in the 7 domains quality of life
•Privacy, Dignity, Meaningful Activity, Strength of Relationship, Autonomy, Food
Enjoyment, Individuality
3.Improved quality of care
4.Increased direct care time
5.Increased staff and family satisfaction
6.Provide rooms open to social commons space, elimination of corridors
7.Abundant natural light
8.Operational flexibility
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Bed Count Determination
•40 beds total –
(initial recommendation to BOS) including:
•30 Skilled nursing beds
•10 Level IV beds
•45 total existing licensed beds
•Continued evaluation of maintaining
a 45 bed facility
•Current state moratorium
on additional beds
•Operational efficiency of 10 resident home vs. larger home sizes
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Reimbursement Trends
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SLOSH (Sea, Land, Overland Surges in Hurricanes)
•Planning level modeling tool
•Approximate levels of storm surge associated with
Category I-IV hurricanes
•“MEW” – Maximum Envelope of Water scenarios
•Category of storm
•Direction of storm travel
•Speed of storm
•“MOM” Maximum of Maximum storm conditions – worst case
scenario, including tides and other storm factors
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Our Island Home Site
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SLOSH Model: Our Island Home Site “MOM”
Existing Finish
Floor Elevation:
13.5
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SLOSH Model: Miacomet Road Site “MOM”
Elevation: +/- 30.0
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Landmark House Option
Development Options
Miacomet Road Option
Phased Construction Option
Other Sites Considered
•4 Fairgrounds Road
•Wannacomet Water
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Landmark House Option
1.Archeological and geotechnical investigation
2.Review of existing facility, including structural
architectural / historic analysis
3.Determination of code mandated
improvements
4.Development of resident relocation plan
5.Planning and design of 2-story facility
6.Permits and reviews including HDC,
Conservation, and Planning Commissions,
DPH, and DON
7.Review legal issues with Counsel on current
lease agreements
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Phased Construction Option
1.Archaeological and geotechnical
investigation
2.Development of resident and staff
downsizing plan
3.Planning and design of 2-story facility
(to be constructed in two phases)
4.Local permits and reviews including
HDC, Conservation, and Planning
Commissions, DPH and DON
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Miacomet Road Option
1.Archeological and geotechnical
investigation
2.Resolution of previous and
proposed Natural Heritage
Habitat Protection encumbrances
3.Secure zoning change
4.Formal acquisition of adjacent
parcel
5.Local / State approvals
6.Develop area improvement plan
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Implementation Timeline
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Escalation Impacts
•Construction Cost:
•40 bed, single story facility, 34,600SF $ 22,000,000 *
•Escalation @ 4.0% / year = $ 880,000 / year or $75,000 per month
•Escalation @ 7.0% / year = $ 1,540,000 / year or $125,000 per month
* based on Miacomet Road option. Escalation costs of Our Island Home
options will be higher due to increased construction costs.
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Project Costs
•Landmark House Option
•Escalation costs [18 months @ 100,000/month] $ 1,800,000
•Relocation of Landmark House, including code upgrades and foundation $ 4,000,000
•Temporary housing – [26 residents for 12 months at $3,000/month] $ 936,000
•Utility improvements to both facilities [allowance] $ 1,500,000
•Total $ 8,236,000
• Phased Construction Option
•Escalation costs [35 Months] $ 3,500,000
•Resident population and staff downsizing $ Unknown
•Phased / extended construction period [20 months] $ 1,000,000
•Construction operations / staging premium [15%] $ 3,300,000
•Utility improvements to new facility [allowance] $ 1,250,000
•Total $ 9,050,000
•Miacomet Road Site Option
•Howard Parcel Purchase $ 2,500,000
•Natural Heritage Habitat Protection $ 250,000
•Neighborhood Mitigation plan, incl. roadway and other area improvements $ Unknown
•Total $ 2,750,000
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Phase 2 – Target Date November 2017
1.Develop high level designs for each option as needed
2.Identify costs (operational and capital), operational efficiencies and risks
associated with the preferred option
3.Provide decommissioning plan / recommendations for the existing facility
(as applicable)
4.Community outreach / public discussion of town-wide elder care services /
alliances with other organizations
5.Presentation of findings
6.Develop strategy to assure all necessary short term improvements are made
to existing facility to support compliance and highest quality of care
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Phase I March 2017 Conclusion
•Construct a new small house facility at the Miacomet Road site
1.Most straightforward and efficient solution
2.Least complexity; avoids requisite move plans
3.Shortest time line to occupancy
4.Least costly solution
5.Affords 45 bed expansion potential
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Next Steps / Tasks to be Completed
1.Obtain clear direction from Town Meeting and associated bond votes
2.Complete the acquisition of the necessary property
3.Complete the archaeological study
4.Provide a strategy for the MEPA habitat area requirements
5.Review with Town administration and Our Island Home staff needs and
requirements within the proposed facility
6.Develop a strategy to assure the correct operating model and the maximum bed
count, incorporating flexibility for the future
7.Finalize building footprint and design
8.Work to develop building specifications and procurement strategies
9.Allow adequate time throughout the process for public input
10.Be prepared by June 2017 to present long-term strategies to the community and
preparation of development of final strategies to construct targeting late 2017 /
early 2018
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National Trends in Healthcare Spending