F–6 STANDING COMMITTEES Finance and Asset Management Committee

F–6/207-19 7/11/19

Behavioral Health Teaching Hospital: Stage 1 Approval RECOMMENDED ACTION It is the recommendation of the administration and the Finance and Asset Management Committee that the Board of Regents:

1. Delegate authority to select a Design/Builder to the President or the President’s designee; and

2. Approve a pre-construction budget of $33,250,000, funded by the State of Washington.

BACKGROUND In May of 2019, the Washington State Legislature appropriated $33,250,000 for the predesign, design and siting of a behavior health teaching hospital. The facility must provide a minimum of fifty long-term civil commitment beds, fifty geriatric/voluntary psychiatric beds, and fifty licensed medical/surgery beds, with the capacity to treat patients with psychiatric diagnoses and/or substance use disorders. The project must also include construction of a 24/7 tele-health consultation program within the facility. Anticipated funding next biennium from the State of Washington is $191,250,000 for a total project budget of $224,500,000. FUTURE ACTIONS Site approval is expected in February 2020. Stage 2 approval, entailing approval of the full project budget, is planned for July 2021. Attachments 1. Behavioral Health Teaching Hospital Project Summary 2. Behavioral Health Teaching Hospital Project Background 3. Northwest Hospital Master Plan

Delegated Authority to select Design/Builder

Approve Pre-construction Budget

Proposed Predesign, Design/Precon, Enabling Budget Proposed Funding

Construction Cost $ 179,326,784 80% WA State Predesign/Design $ 33,250,000 15%

Consultant Services $ 18,388,742 8% WA State anticipated Construction $ 191,250,000 85%

Equipment $ 16,404,845 7%

Other Costs $ 4,009,079 2% $Project Management $ 6,370,551 3% $Total Project Cost $ 224,500,001 100% Estimated Total Funds $ 224,500,000 100%

UW Medicine Phase 1, Seattle, WA, completed 2012, 293,000 GSF/$210,500,000 $1,073 Project cost/GSF

UC Davis, Surgery and Emergency Services Pavilion, 2013, 529,682 GSF/$480,844,813 $1,243 Project cost/GSF

UC San Diego Telemedicine and PRIME-Health Education Facility, 2009, 98,915GSF/$63,659,000 $961 Project cost/GSF

(Benchmarks to be refined during the predesign) (Escalated to July 2022, mindpoint of construciton)

Current Targets Current TargetsNet Assignable SF 126,000 Construction Cost/GSF $854Gross SF 210,000 Project Cost / GSF $1,069

Efficiency (NASF/GSF) 60% Operating Costs/GSF $23.45

(Metrics to be refined during the predesign)

Attachment 1

Schedule

Regent Actions

Approve Site

Objectives

1. Innovative and integrate care to help patients with long term behavioral health recovery.

2. Alternative to existing long-term (90/180-day) civil commitment beds at Western State.

3. Training site for the next generation of health and behavioral health care providers for WA State.

4. Support the first of its kind 24/7, 365 day/year tele-health psyciatric consultation program.

5. Complete a behavioral healthcare continuum by providing long term care beds, a teaching focus on modern behavioral health techniques, and tele-health psychiatric

services across the state.

Description

Metrics & Indicators

Benchmarks

Approve Full Project Budget

The facility must provide a minimum of fifty long-term civil commitment beds, fifty geriatric/voluntary psychiatric beds, and fifty licensed medical/surgery beds, with the

capacity to treat patients with psychiatric diagnoses and/or substance use disorders. The project must also include construction of a 24/7 tele-health consultation

program within the facility. Additional scope includes: 1) procedural area for electroconvulsive therapy, and neuromodulation to support patients' commitment to

community-based living and health care; 2) capacity to conduct comprehensive workforce training and development for behavioral health and general health care

providers. Program needs to support the building include kitchen facilities, 60 medical/surgical beds, increased utility service capacity, parking and visitor amenities.

Financials

Behavioral Health Teaching Hospital Project Summary

Stage 1 A Actions:

February 2020

Stage 2 Actions:

July 2021

2020

Qtr 4 Qtr 1 Qtr 2 Qtr 3

2021

Qtr 4 Qtr 1 Qtr 2 Qtr 3

2022

Qtr 4 Qtr 1 Qtr 2 Qtr 3

Planning/Predesign

Stage 1 ApprovalDelegated authority

to contract DB

Move In

2019

Qtr 2 Qtr 3

Project Definition & Design/Preconstruction

Construction

Qtr 4 Qtr 1

2023

Stage 2 Project budget and BHTH construction contract amendment

Qtr 2 Qtr 3 Qtr 4

DB Team

Stage 1 A Site Approval

Enabling project(s)

ATTACHMENT 1F-6.1/207-19 7/11/19

Page 1 of 1

In May of 2019, the Washington State Legislature identified the need for services for individuals with behavioral health needs, and that there is a shortage of behavioral health workers in Washington. The legislature recognized the University of Washington School of Medicine Department of Psychiatry and Behavioral Sciences as a nationally competitive program with the expertise to establish innovative clinical inpatient and outpatient care for individuals with behavioral health needs and train the next generation of behavioral health providers. To support this partnership, the legislature appropriated $33,250,000 for the predesign, siting and design costs for a behavioral health teaching hospital. To expedite this project, the legislature funded the full design funding, and intends to appropriate $191,250,000 in the 2021-23 biennium for construction. The facility must provide a minimum of fifty long-term civil commitment beds, fifty geriatric/voluntary psychiatric beds, and fifty licensed medical/surgery beds, with the capacity to treat patients with psychiatric diagnoses and/or substance use disorders. The project must also include a 24/7 telehealth consultation program within the facility. Additional scope includes: 1) procedural area for electroconvulsive therapy, and neuromodulation to support patients' commitment to community-based living and health care; 2) capacity to conduct comprehensive workforce training and development for behavioral health and general health care providers. Program needs to support the building include kitchen facilities, 60 medical/surgical beds, increased utility service capacity, parking and visitor amenities.

Behaviorial Health Teaching Hospital

Project Background

ATTACHMENT 2F-6.2/207-19 7/11/19

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Northwest Hospital Master Plan

New Campus Total =

~1,500,000+ sq. ft.

No

trth

11

5th

Str

eet

ATTACHMENT 3F-6.3/207-19 7/11/19

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