Bjc Health System

CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION PAYMENT PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - 4901 FOREST PARK AVE ST. LOUIS, MO 63108 PROJECT DIRECTOR: CHRISTOPHER DEAN PHONE: 314-575-1691 EMAIL: CHRISTOPHER.DEAN@BJC.ORG TOTAL REQUEST: $7,311,677 BJC HEALTHCARE'S CAMPUS RENEWAL PROJECT IS A LONG-TERM PROJECT TO TRANSFORM THE MEDICAL CAMPUS THROUGH NEW CONSTRUCTION AND RENOVATIONS. THE CAMPUS IS VAST AND INCLUDES BARNES-JEWISH HOSPITAL, ST. LOUIS CHILDREN’S HOSPITAL AND WASHINGTON UNIVERSITY SCHOOL OF MEDICINE. CONSTRUCTION IS UNDERWAY FOR A NEW INPATIENT BED TOWER FOR BARNES-JEWISH HOSPITAL AT 4989 BARNES HOSPITAL PLAZA. BARNES-JEWISH HOSPITAL, A MEMBER HOSPITAL OF BJC HEALTHCARE (OUR PARENT ORGANIZATION), WILL BE THE PERFORMANCE SITE FOR THIS CAMPUS-RENEWAL CONSTRUCTION PROJECT. PLANNED FOR THE TOWER ARE 224 PRIVATE INPATIENT ROOMS (32 ROOMS ON SEVEN FLOORS) AND 56 PRIVATE INTENSIVE CARE UNIT (ICU) ROOMS (28 ROOMS ON TWO FLOORS) TO SERVE THE HOSPITAL'S HEART & VASCULAR PATIENT POPULATION. SURGICAL PREP AND RECOVERY, IMAGING AND A DIETARY PROGRAM ALSO ARE DESIGNED INTO THE NEW BUILDING. BJC WAS IN THE MIDST OF DESIGN ON THE NEW INPATIENT TOWER WHEN THE COVID-19 PANDEMIC HIT THE ST. LOUIS REGION IN MARCH 2020. AFTER A PAUSE ON DESIGN, THE PROJECT DESIGN RESUMED WITH A NEW MINDSET AND VALUABLE LESSONS LEARNED FROM ADAPTING CURRENT FACILITIES TO CARE FOR PATIENTS DURING A PANDEMIC. TO PRODUCE THE MOST FLEXIBLE DESIGN FOR THE FUTURE, A PANDEMIC PLANNING PROCESS WAS INITIATED TO EVALUATE THE PANDEMIC RESPONSE AND IDENTIFY POTENTIAL DESIGN CHANGES TO INCORPORATE INTO THE NEW TOWER. THROUGH AN ONLINE SURVEY AND VIRTUAL LESSONS LEARNED SESSIONS, FEEDBACK WAS COLLECTED FROM CLINICIANS, MANAGERS, FACILITIES STAFF, INFECTION PREVENTION AND ENVIRONMENTAL SERVICES (EVS/HOUSEKEEPING) STAFF ACROSS BJC'S MULTIPLE HOSPITALS AND HEALTH CARE FACILITIES. THIS PROCESS PROVED VALUABLE IN DETERMINING PRIORITIES FOR THE NEW TOWER. WHILE MANY ISSUES WERE RAISED, THE NEED FOR ADDITIONAL ICU CAPACITY AND PATIENT ROOM NEGATIVE PRESSURE CAPABILITIES RESOUNDED. BJC IS PROPOSING, THROUGH THIS HRSA CDS GRANT REQUEST, SEVERAL ADDITIONS TO THE ORIGINAL PROJECT SCOPE TO ACHIEVE A MORE FLEXIBLE INPATIENT UNIT DESIGN THAT WILL ENABLE THE ORGANIZATION TO EFFECTIVELY USE THIS NEW INPATIENT TOWER TO ACCOMMODATE FUTURE PANDEMICS AND EPIDEMICS. CHANGES TO THE DESIGN OF THE MECHANICAL SYSTEMS WILL PROVIDE NEGATIVE PRESSURE CAPABILITIES AS WELL AS TO MAKE ALL ACUTE CARE ROOMS MEET CODE MINIMUM ICU CAPABILITY. THIS WILL ACHIEVE TWO KEY GOALS IN MAKING THE BUILDING PANDEMIC READY, AS THE NEED WAS DEMONSTRATED WITH COVID-19: 1. ISOLATE POTENTIALLY INFECTIOUS PATIENTS 2. ACCOMMODATE A SUDDEN SURGE IN HIGHER ACUITY PATIENTS WHEREAS THE TOTAL BJC CAMPUS RENEWAL PROJECT INCLUDES 2 ICU FLOORS AND 7 ACUTE CARE FLOORS, THIS HRSA CONSTRUCTION REQUEST ONLY INCLUDES PROJECTS FOR 1 ICU FLOOR AND 5 ACUTE CARE FLOORS. THE FOLLOWING HRSA REQUESTED PROJECT ADDITIONS TO THE INITIAL BJC CAMPUS RENEWAL PROJECT WILL ENABLE US TO ACHIEVE THE ABOVE-STATED GOALS: - HALF HEIGHT WINDOWS IN THE PATIENT ROOM DOORS WITH INTEGRAL BLINDS TO EACH ACUTE CARE ROOM - NURSE CHARTING STATION OUTSIDE EACH ACUTE CARE ROOM - ADD ACCESS PORT / SLEEVE IN CORRIDOR WALL OF ALL PATIENT ROOMS ON ICU FLOOR - INCREASE QUANTITY OF AIRBORNE INFECTIOUS ISOLATION (AII) ROOMS (ADD 1 ADDITIONAL ROOM ON EACH OF THE ACUTE CARE FLOORS) - REAL TIME LOCATION SYSTEMS (RTLS) HAND HYGIENE TRACKING INTEGRATION AT PATIENT ROOM SINK AND HAND SANITIZER - HAND WASH SINK TO THE BED UNIT ENTRY / WAITING AREA ON 5 ACUTE CARE FLOORS AND 1 ELEVATOR LOBBY - PRESSURE INDICATORS AT PATIENT ROOMS FOR VISUAL VERIFICATION OF ROOM PRESSURE - TELEMONITORING INFRASTRUCTURE, INCLUDING EPIC NEURON SYSTEM TO ACUTE CARE ROOMS - E-ICU INFRASTRUCTURE TO ACUTE CARE ROOMS - MEDICAL GASES AND EMERGENCY POWER TO ACUTE CARE ROOMS TO MEET FGI 2018 CODE MINIMUMS FOR ICUS - INCREASE SIZE OF MEDICAL GAS RISERS AND EQUIPMENT - FANS AND CONTROLS TO ALL PATIENT ROOM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION

BARNES-JEWISH HOSPITAL GOLDFARB SCHOOL OF NURSING AT BARNES-JEWISH COLLEGE CARES EDUCATIONAL RELIEF FUNDING - INSTITUTIONAL

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - ADDRESS: ONE CHILDREN'S PLACE, ST. LOUIS, MO 63110-1002 PROJECT DIRECTOR: JOSHUA HERNANDEZ PROJECT DIRECTOR PHONE: (314) 265-3055 PROJECT DIRECTOR E-MAIL: JOSHUA.HERNANDEZ@BJC.ORG APPLICANT WEBSITE: WWW.STLOUISCHILDRENS.ORG/CONDITIONS-TREATMENTS/TRANSPORT-SERVICES GRANT PROGRAM FUNDS REQUESTED: $1,861,535.21 ACTIVITIES INCLUDE: CRITICAL CARE TRANSPORT, EMS FIELD RESPONSE AND COMMUNITY TRAINING/EDUCATION SERVICES FOR PEDIATRIC, MATERNAL-FETAL AND NEWBORN PATIENTS RESIDING IN MISSOURI COMMUNITIES AND SIX STATES (I.E. ARKANSAS, ILLINOIS, INDIANA, IOWA, KENTUCKY, AND TENNESSEE) WITHIN A 250-MILE GROUND SERVICE AREA. FUNDING WILL BE USED TO PURCHASE THREE MOBILE INTENSIVE CARE UNITS (MICUS), ONE EMS FIELD RESPONSE VEHICLE, ONE EMS TRAUMA COMMUNITY OUTREACH/EDUCATION VEHICLE, AND SUPPLEMENTAL EQUIPMENT TO MAKE THE EMS VEHICLES FIELD READY. THESE VEHICLES WILL SUPPORT OUR HIGHLY SPECIALIZED PEDIATRIC, MATERNAL-FETAL, NEWBORN SERVICES AND THE ONLY CERTIFIED LEVEL 1 PEDIATRIC TRAUMA CENTER IN THE REGION. PROPOSAL FOR PURCHASE TOTALS $1,861,535.21 (3 MICUS:$1,762,056 (PER UNIT COST:$587,352); EMS FIELD RESPONSE VEHICLE:$45,835; EMS TRAUMA COMMUNITY OUTREACH/EDUCATION VEHICLE COST:$45,835; AND SUPPLEMENTAL ADD-ON EQUIPMENT FOR EMS FIELD RESPONSE AND TRAUMA COMMUNITY OUTREACH/EDUCATION VEHICLES:$7,809.21). EACH AMBULANCE/VEHICLE WILL BE CUSTOMIZED TO THE SPECIFICATIONS NEEDED TO SERVE OUR CRITICAL CARE PATIENTS (I.E. 2,600+ CRITICAL CARE PATIENTS ANNUALLY) AND NAVIGATE THE COMPLEX TERRAIN OF THE UNDERDEVELOPED RURAL POPULATIONS IN OUR SERVICE AREA. ADDITIONALLY, THESE UNITS WILL INCLUDE ALL ESSENTIAL EQUIPMENT TO ENSURE FULL OPERATIONAL READINESS UPON DELIVERY (E.G. POWERLOAD SYSTEM, ZOLL X-SERIES CARDIAC MONITOR, DRIVER/CREW COMMUNICATION SYSTEM). DELIVERY OF UNITS IS PROJECTED TO BE COMPLETED IN 2024. UPON DELIVERY OF THE UNITS, THREE UNITS OF THE CURRENT FLEET WILL BE RETIRED. THESE THREE UNITS HAVE BEEN SELECTED BASED ON KEY PERFORMANCE INDICA TORS(I.E. OLDEST MANUFACTURED YEAR, CURRENT MILEAGE, COST OF REPAIRS, CONSUMPTION OF FUEL, OUT OF SERVICE/SERVICEABILITY RATE AND REPORTED PATIENT SAFETY EVENTS).

HOSPITAL-TO-HOUSING: BEHAVIORAL HEALTH SERVICES AND COMPREHENSIVE CASE MANAGEMENT FOR PEOPLE EXPERIENCING HOMELESSNESS - ADDRESS: 4901 FOREST PARK BLVD, ST. LOUIS, MO 63108-1402 PROJECT DIRECTOR: CALENCIA MITCHELL PROJECT DIRECTOR PHONE: 314-503-0063 PROJECT DIRECTOR E-MAIL: CALENCIA.MITCHELL@BJC.ORG APPLICANT WEBSITE: HTTPS://WWW.BJC.ORG/COMMUNITY-HEALTH-IMPROVEMENT GRANT PROGRAM FUNDS REQUESTED: $797,885.00 HOSPITAL-TO-HOUSING (H2H) IS A PROGRAM THAT PROVIDES UNHOUSED ADULTS WITH BEHAVIORAL HEALTH AND/OR SUBSTANCE USE DISORDERS WITH COMPREHENSIVE CASE MANAGEMENT SERVICES ADDRESSING CRITICAL SOCIAL DETERMINANTS OF HEALTH (SDOH), INCLUDING HOUSING. THE POPULATION TO BE SERVED INCLUDES VULNERABLE PATIENTS IDENTIFIED AS BEING HOMELESS OR HOUSING INSECURE (E.G. LACKING A CURRENT NIGHTTIME PERMANENT RESIDENCE) WITH HIGH HOSPITAL EMERGENCY DEPARTMENT USAGE WHILE ALSO SUFFERING SUBSTANCE USE AND/OR MENTAL HEALTH DISORDERS. SUCH INDIVIDUALS OFTEN ARE BOTH THE MOST COMPLEX TO SUPPORT AS WELL AS THE MOST IMPACTFUL TO ASSIST. THE POPULATION SERVED ARE UNHOUSED, AGED 18 OR OLDER, AND FROM ST. LOUIS CITY OR ST. LOUIS COUNTY. ELIGIBLE PATIENTS ARE IDENTIFIED BASED ON ESTABLISHED DIAGNOSES OF BEHAVIORAL HEALTH AND/OR SUBSTANCE USE DISORDERS WHO ALSO MANIFEST UNUSUALLY HIGH EMERGENCY DEPARTMENT UTILIZATION. UPON SUBSEQUENT PRESENTATION TO THE EMERGENCY DEPARTMENT, SUCH PATIENTS ARE OFFERED OPPORTUNITY TO ENROLL INTO THE PROGRAM. THOSE WHO ENROLL ARE PROVIDED SUPPORTIVE HOUSING AND ASSISTED WITH COMPREHENSIVE CASE MANAGEMENT SERVICES PROVIDED THROUGH ST. PATRICK CENTER AND BEHAVIORAL HEALTH NETWORK OF GREATER ST. LOUIS. FROM A MULTITUDE OF SOCIAL, CLINICAL, FINANCIAL AND POPULATION HEALTH PERSPECTIVES, EVIDENCE INCREASINGLY DEMONSTRATES A CONNECTION BETWEEN POSITIVE OUTCOMES AND SERVICES FOCUSED ON SDOH – DEFINED BY THE CDC AS THE INTERACTIVE CONDITIONS WHERE PEOPLE LIVE, LEARN, WORK AND PLAY. RELIANCE ON CRISIS SYSTEMS IN HEALTHCARE BY PEOPLE WHO ARE HOMELESS AND SUFFER FROM SUBSTANCE USE AND BEHAVIORAL HEALTH DISORDERS IS A CHALLENGE THAT IS RIPE FOR THE INNOVATIVE INTERVENTION THAT H2H PROVIDES. WITHOUT STABLE HOUSING AND COMPREHENSIVE CASE MANAGEMENT, INDIVIDUALS ARE MORE LIKELY TO LACK ROUTINE HEALTHCARE, RESULTING IN FREQUENT VISITS TO EMERGENCY DEPARTMENTS, OFTEN WITH HOSPITALIZATION, RESULTING IN SPORADIC, POORLY COORDINATED CARE THAT CAN PRODUCE POOR HEALTH OUTCOMES AT A HIGH PUBLIC COST. EVIDENCE SHOWS THAT PROGRAMS SUCH AS H2H CAN DECREASE HOMELESSNESS, INCREASE HOUSING STABILITY, IMPROVE CLINICAL OUTCOMES, AND INCREASE QUALITY OF LIFE FOR PEOPLE EXPERIENCING HOMELESSNESS. THE HOSPITAL-TO-HOUSING PROGRAM WILL AIM TO SERVE UP TO 50 PROGRAM PARTICIPANTS EACH YEAR. THIS $797,885.00 REQUEST WILL FUND DIRECT SERVICES FOR PARTICIPANTS, AS WELL AS STAFF FROM THE COMMUNITY AND HOSPITAL, WHO WILL COORDINATE TO IDENTIFY AND SERVE PARTICIPANTS. THIS PROGRAM IS POSITIONED TO INCREASE ACCESS TO CARE AS WELL AS COORDINATION OF EFFECTIVE TREATMENTS AND COMMUNITY SUPPORT SERVICES. PROGRAM GOALS AIM TO IMPROVE MENTAL HEALTH OUTCOMES, PROVIDE ACCESS TO MEDICATION-ASSISTED-TREATMENT FOR SUBSTANCE USE DISORDERS, INCREASE HOUSING STABILITY, ENHANCE COORDINATION OF SUPPORT SERVICES IN THE TARGET POPULATION, AND REDUCE UNNECESSARY UTILIZATION OF THE HOSPITAL EMERGENCY DEPARTMENT. AN IMPORTANT OBJECTIVE OF THIS PROGRAM WORK IS ALSO TO ACT AS ADVOCATE AND LIAISON FOR PROGRAM PARTICIPANTS IN A VARIETY OF AREAS IN THE COMMUNITY.

NURSE ANESTHETIST TRAINEESHIPS

HEALTH CARE AND OTHER FACILITIES

NURSE FACULTY LOAN PROGRAM