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HomeMy WebLinkAboutRES 080 Draft 01 1994-1996COUNTY OF HAWAII STATE OF r~AWAl1 RESOLUTION WHEREAS, the current Kona Community Hospital facilities are totally inadequate to service the needs of the growing community of West Hawaii; and WHEREAS, due to the overcrowding and lack of space, the health and well being of both the patients and the staff of the hospital may be jeopardized; and WHEREAS, the Administration of the hospital has submitted a Capital Improvement Project Budget to Senator Andrew Levin and Representative Virginia Isbell, along with the implementation plans and justifications for the requested improvements (see attached). NOW, THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE COUNTY OF HAWAII that the Eighteenth Legislature of the State of Hawaii consider funding the Capital Improvement Projects for the Kona Community Hospital as outlined in the aforementioned budget request. BE IT FURTHER RESOLVED that the Clerk of the County of Hawaii transmit copies of this Resolution to Governor Benjamin Cayetano, Senate President Norman Mizuguchi, House Speaker Joseph Souki, and all the Hawaii Island Legislators. Dated at Hilo, Hawaii, this 19th COUNTY COUNCIL County of Hawaii Hilo. Hawaii I hereby certify that the foregoing RESOLUTION was by the vote indicated to the right hereof adopted ~. the COUNCIL of the County of Hawaii on April 19 , 1995 , ATTEST: ~-OL ~ C RMAN~ PRESIDING OFFICER day of April , 1995. INTRODUCED BY: C Me e County of Hawaii A](E8 HOH9 A89 8S ivararr }{ HONSf-AHRADl90N X t~ILDH X D8 LIMl~ X DWfa700 X 030RZ0 X HATS HAY X avr~rw X Reference RESOLUTION NO. 02-c4-95 1O:45RM 8083224488 1 808 9693291 # 2 B~hdT BY: K JNG H~JSP I TGL Kona Community hospital Vse o£ $9 Million CIP BUDGET REpVEST - $9 Million ecial Services auilding $1,707,080 a) Completion of Sp 1,391,000 b) Laboratory 668,725 c) Central supply 1,077,825 d) Obstetrics and Nureary Renovation 3,000,000 e) Complete Psychiatric Vnit aas.370 f) Diagnostic Radiology Partial Renovation Subtotal 8,093,000 Contingency x00,000 Deign <53,000 oon sa Inspection . ,DOTAL $8,000,000 Special Services Building at $700/aq. ft. ppproxsmately ie,00o eq. ft.ia neadod. second floor only w111 be in thfeorpe~eri~~ the Bret !oval will be lest unfiniched pending funding _ phaae• Thelparptoedecreaeeec ettolncoitatructioniantA ~®pital rated ut of the hoop' fired for direct patient care functions. construction building fie requ Thin building will house the following services! 1, 8ueinees offics+ The Sueinaccaaentolobby butrspace iadetill xpanded into the adj inadequate at 730 aq• ft. at present to 1200 sq. !t. There is need for additionraSe~~e~ol6 Ofagesftfilea and a computer - none at p Crowding in the office has decreased productivity and concentration is decreased due to the sheer number of people in the room• With the expansion, Central Supply will expand into part of this apace here. 7. Data Proceeaing will be located iri this building. 3. Administration Of£iee: 3EfiT B'Y:KONR HOSPITGL 02-24-95 10:45AM 8083224488 CIP BTJDdET REQUEST Page 2 Present apace occupied is ale sq. ft. with expansion to 1300 :q. it• Expansion is essential because of crowding. There is no storage space !or files, nor working space and two secretaries are crowded into space for one person. The Medical Director has no office but erueks between using the Administrator's Office when she Sa at a meeting or elcewherea and the Physicians' Dictation Room when no physicians are dictating- Offices for: Administration, Assistant Administrator, Medical Director, Business Manager, three secretarial/ clerical staff, Conlerenc• Aoom. There axe no conference/meeting spaces within the Administration suitn at preaeat. a. Nursing Administration The department is presently occupying two patient rooms (a beds) that should convert to patient Gaze beds. g. Personnel Office, Building for one person, three employees are equeesed into this shared space of 158 aq. ft. Expansion will provide aSO aq. !t o! space. There ie no privacy when people need to have personnel queationa answered or when counseling by the Personnel Management Specialist has to be done. Theze is limited apace for locking up confidential files. The pharmacy Departmoat will extend into this space. 6. Offices for Quality Assurance coordinator, Infection Control Coordinator, and Utilization Review Coordinator These individuals need to have oilicea beeauae of confidentiality matters. Preaatient careying spaces that need to be returned !or p 7, =nAervice ciacsrooms and Inservice Coordinator's Office organization and consolidation of this department needs to be done. A classroom for carrying out training needs to be available as training for mandatory programs such as Infection Control, Hazardous Waste Management, Pire and Life safety must be implemented. supplies sad equipment era lost because they are scattered throughout the facility. 1 808 9693291 # 3 SENT BY:KONG HOSPITGI_ 02-24-95 10: 45t'+M 8083224488H 1 808 9693291 # 4 CIP BUDGfiT RBQVEST Dage 3 Employees do not want Chair cafeteria turned into the training room ae it infringes upon their activities while on breaks when classes are conducted there. The request !or additional funding in the next biennium is to Complete the CIP project. Phase iI A - Projected use for requested funds. Complete shelled out Spacial Services building to house the following departments: Maintenance Department Housekeeping Laundry General Storage Hospital Supplies This department is totally inadequate for the seopa of its functions. This is a full service laboratory and autopeles and histological work is performed here. The room for phlebotomy (blood drawing) does not provide for patient privacy as it is too small to even install a door. Other functions are eo cramped because of inadequate apace that there is concern about the infection control environment and stress on atafl. The histolology axsd autopsy areas are co-mingled which has caused the accrediting body conaterriatioa due to quality and aesthetic concerns. The laboratory will move into the area vacated by present Business Office. This department is critically undersized and is presently using storage in other departments. Supply deliveries are sometimes held in the corridors which violates fire code and is a hazard to eta!!, patients and visitors. Because of inadequate storage space, there is on hand only a six week supply of medical supplies and Iy Pluida which creates a potential lethal situation in the event of a disaster. The processing of contaminated or used medical supplies and equipment violates infection control standards as both dirty and clean articles are proceesefl in the same area with a partition between. The department needs to be divided to allow for: receiving/decontamination, washing/sterilizing and terminal sterilizing. Currently, a washing/sterilizer area ie missing from the Department. SEfJT BS :KONG HOSPITGL 02-24-98 10:4^GM 8083224488 1 808 9693291 k S CIP BiJDp$T REQVSS. Page 4 Sxpensiw pieces of medical equipment are presently stored in the hallways, poaiag a eatery hazard and potential risk to patients in the event they are tampered with, and not being properly secured from loss, There are no facilities for employees to change from street olothea to aczub suite or to maintain one way traffic from sterile and contaminated arena. inability to do gee sterilization of medical supplies and equipment because there is no apace to install a gee sterilizer. It ie now flown to Kauai veterans Memorial xoapital for gas sterilization. This condition moat be corrected to prevent risk of infections to paeiente dos to oroae contamination. &xpanaion will be into rho port cochere area and present lobby. At the present Lime, there are only two labor and delivery ^uites which is totally inadequate for four full time obstetricians on staff and 576 delivnriee per year. The present cesarean section surgical suite will ba made smaller to create an additional labor and delivery suite and the autoolaw and storage area will be also made into another labor and delivery suite for two additional rooms. The nursery presently has only one door which is against fire regulations. The entire area will be reconfigured to meat present day •tandarda with another exit wide enough to allow a portable x-ray machine and other equipment to be moved into the unit and to meet fire regal^tiona. Flow within the unit will be reconfigured to allow Par cohort grouping of newborns, isolation, examination and performance of procedures and treatment (ie, circumcisions, exchange transfusion, etc.) Security measures must be installed for risk management purposes to reduce the likelihood of abductions and unauthorized entry into this area. The hospital has not been able to adequately meet the perceived needs of the community for mental healeh care. Aa a condition o! settismant in a discrimination suit filed against Kona Hospital by the Mental xealth Aaaociation and John Dos in 198a, a locked (closed) psychiatric unit was to be provided in order to treat psychiatric patients in their own community. The configurations of the present hospital cannot provide for locked unit Co meet present day requirements for a closed payahiaeric unit without encumbering the entire one aide of a wing and sacrificing 16 beds urgently needed for acute and long term Care patients. This is due Co raquiremerita that certain common areas cannot be co-mirigled~ ie, clean and soiled treatment rooms, storage, both room and shower, dining, SENT BY:VONA HOSPITAL 02-24-95 10: 48AM 8083224488 1 80H 9693291 # 5 CIP BUDGET REQUEyi Dage 5 activities, nurses stations, paychlatric social worker~a office and visiting ereae must be separate Prom the Long Term Cara Unit. The hospital cannot sacrifice any more rooms ae we are operating at over 1o0g occupancy over 1/3 of the time, at 95-iDO~k occulancy over 1/3 of the time and do not have adequate number of acute Medical/9urgical beds to mast the present Hoods. When there are no bade, patients are generally flown off island by either commercial or air ambulance to hospitals in Honoiulu at great expense to the patient. Hilo Medical Center is generally unable to accept Kona~s patients because they too are at capacity and have patients waiting in their emergency room to be admitted. Phase ii will grovide !or construction of a free-standing six-bed unit but funds are needed to complete this 20-bed unit which will coat approximately3 miliion dollars. Hopefully this facility will provide for an adolnscent unit of approximately a beds as the present Hilo Medical Csntar peychlatrie unit design does not allow for adding of any more bade to Chair unit. RadiolOAy teens m n ~enov Deng The number of groceduree had escalated markedly from 8,35o in 1977 to 13,567 in 1994, There is waiting time for scheduling of procedure because of lack of space to house equipment needed for these procedures. separate examining rooms are nsedad for a dedicated cheat x-ray unit, thereby !teeing up two rooms for fluoroscopic examinations. Needed oleo are an ultrasound room, nuclear medicine suite, MRZ suits, radiologist x-ray film interpretation reading room and office for the radiology department. The radiology department will expand into the present Laboratory Department apace. Magnetic Resonance Imaging - MRI. Aa the MRI unit located at Hilo Medical Center is Z-i/2 hours away from Kona, it ie essential that this service be provided. Space is nsedad to locate this service. A community land drive has already aearted towards purchase of this equipment.