b. ucsf/mount zion - ucsf - campus planning

CHAPTER 5: PLANS FOR EXISTING SITES

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B. UCSF/MOUNT ZION

BACKGROUND

The UCSF/Mount Zion Medical Center is one of the teaching hospitals that comprise the UCSF Medical Center, along with Moffitt/Long Hospitals at Parnassus Heights. UCSF/Mount Zion, located in San Francisco's Western Addition neighborhood, includes the main block bounded by Divisadero, Sutter, Scott and Post Streets, as well as several parcels in the adjoining block (see Figure 8). UCSF/Mount Zion contains 375 licensed beds.

THE IMMEDIATE SURROUNDINGS

The UCSF/Mount Zion facility is located in a mixed-use neighborhood which contains apartment buildings and single-family homes together with commercial, retail and medical office uses. It is adjacent to or within walking distance of two neighborhood commercial districts—the Divisadero Street area to the west, and Geary Boulevard to the southwest. The Kaiser Permanente Medical Center has an extensive medical campus immediately to the southwest across Geary Boulevard. The presence of both UCSF/Mount Zion and Kaiser Permanente has attracted related development in the form of medical office buildings, commercial parking garages, stores and restaurants. Hamilton Recreation Center and Kimbell Playground are located southeast of the UCSF/Mount Zion site.

UCSF/Mount Zion

The UCSF/Mount Zion Medical Center is one of the teaching hospitals that comprise the UCSF Medical Center.

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Figure 8 UCSF/Mount Zion: Site Map


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The UCSF/Mount Zion site is distant from freeways and main highways, but is linked to those corridors via nearby major arterials. These include Divisadero Street (a north-south cross-town thoroughfare); Geary Boulevard (a major boulevard connecting to U.S. 101 via Gough Street), the Pine/Bush Streets corridor and Masonic Avenue.

PHYSICAL LAYOUT OF THE SITE

UCSF/Mount Zion currently occupies approximately 520,600 gsf in owned and leased space on eight blocks (see Figure 8 and Table 14). Of the total floor area, The Regents own nearly 418,000 gsf of space in ten buildings on approximately 5.5 acres. Much of the space is located on the main hospital block between Post and Sutter Streets. Given the compact nature of the site, existing development is moderately dense, with buildings up to eight stories tall. The mix of space types occupied by UCSF is shown in Table 15.

PLANNING HISTORY

The UCSF/Mount Zion Medical Center was originally founded as Mount Zion Hospital in 1887; it was moved to its current location in 1912. The history of the relationship between UCSF and Mount Zion dated back several decades, and joint educational and research programs have long been conducted. In 1984, UCSF and Mount Zion agreed to develop joint community service programs and additional educational programs. At that time, the home-care programs of the two institutions were merged, and the Center for Aging Services Research (later Center on Aging) was established.

In 1988 the Faculty Committee on the Future of UCSF recommended that UCSF acquire an additional hospital in order to provide increased clinical capacity. This was deemed necessary to reinforce UCSF's role as one of the leading academic medical centers in the United States, as the increased capacity would permit additional recruitment of qualified faculty physicians for teaching, research and patient care.

Also, in 1988, the leadership of Mount Zion Hospital expressed an active interest in working with UCSF to sustain their mission. There was concern that their services could not be maintained without greater institutional support. Consequently, Mount Zion urged UCSF to consider a formal relationship between the two medical centers. Following an analysis of clinical program needs and alternatives and possible integration with Mount Zion, The Regents directed UCSF to prepare a UCSF/Mount Zion integration proposal and an environmental analysis of the proposal. In March 1990, The Regents certified the Final Environmental Impact Report, approved the Integration Agreement and the short-range and long-range development programs for UCSF/Mount Zion, and amended the 1982 LRDP to incorporate these changes.

In 1984, UCSF and Mount Zion agreed to develop joint community service programs and additional educational programs.

In 1990, The Regents approved the integration of UCSF and Mount Zion, approved short-range and long-range development programs for the site, and amended the 1982 LRDP to incorporate these changes.

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TABLE 14: UCSF/MOUNT ZION FACILITIES, DECEMBER 1994 (GSF)

Building

Owned Space

Leased Space

Building A 118,800 Building B 106,400 Building C 65,950 Building D 9,600 Building E 13,500 Building G 5,300 Building J 53,500 Building N 7,450 Building P 20,800 Building R 16,600 1545 Divisadero Street 16,500 1635 Divisadero Street 8,500 1712 Divisadero Street 2,100 2186 Geary Boulevard 2,300 2215 Post Street 1,100 2233 Post Street 1,200 2245 Post Street 6,000 2299 Post Street 2,900 1515 Scott Street 1,800 1710 Scott Street 8,600 2300 Sutter Street 3,100 2380 Sutter Street 10,300 2400 Sutter Street

_________

7,900 _________

TOTAL UCSF/MOUNT ZION 417,900 72,300 Source: UCSF Space Inventory Building Report, Permanent 1994 Space File, December 1994,

and Building List by Building Number, December 1994. Subsequent to the 1990 integration, further studies resulted in proposed changes to the original short-range plan for UCSF/Mount Zion. A Subsequent Environmental Impact Report (SEIR) was prepared to identify significant impacts not analyzed in the previous 1990 EIR which could result from specific changes in the revised development program at UCSF/Mount Zion, including reasonably foreseeable building projects (some of these building project components, including the acquisition of property on which to accommodate them, are addressed below.) The resulting SEIR was certified by The Regents in November, 1992. The SEIR also served as the environmental analysis for the further amendment to the 1982 LRDP, which was proposed to reflect the revised UCSF/Mount Zion program. The SEIR, as did the 1990 EIR, served as both a

In 1992, The Regents updated the UCSF/Mount Zion Development Plan and further amended the 1982 LRDP.


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TABLE 15: UCSF/MOUNT ZION EXISTING SPACE PROFILE, DECEMBER 1994 (GSF)

Type of Space

Owned

Leased

Total

Percent of Total

Instruction 30,100 0 30,100 6% Research 15,000 0 15,000 3% Clinical 286,000 61,400 347,400 71% Support: Academic Support 3,800 0 3,800 1% Academic/Campus Admin. 16,100 8,900 25,000 5% Campus Community 23,000 100 23,100 5% Logistics 43,800 1,900 45,700 9% Subtotal Support 86,700 10,900 97,600 20%

Housing 0 0 0 0% Vacant/Alteration Space

0 0 0 0%

TOTAL /a/ 417,800 72,300 490,100 100% /a/ Excluding parking. Source: UCSF Space Inventory Building Report, Permanent 1994 Space File, December 1994, and Building List by Building

Number, December 1994.

Program EIR for the overall Mount Zion program revisions and as a Project EIR for certain capital projects, specifically the Research Building and related site acquisitions, changes for the Outpatient Cancer Center, and the acquisition of new Medical Office Buildings.

CAMPUS PROGRAMS

As part of the UCSF Medical Center, UCSF/Mount Zion serves as both a community hospital and an academic medical center, where faculty physicians conduct teaching and research as well as provide patient care, and medical students and residents participate in clinical training. Since the integration of Mount Zion and UCSF in 1990, various programs have been consolidated, such as the obstetrics and neonatology (intensive care nursery) and psychiatry programs, and more may be added under joint planning with the UCSF Medical Center at Parnassus Heights. New programs have been established in general surgery, head and neck surgery, melanoma treatment, pediatric rehabilitation, gynecology and others. Major initiatives are being mounted to build a Comprehensive Cancer Center with the development of an interim cancer center for both cancer treatment and research. As of 1992, there were a total of about 1,550 staff at UCSF/Mount Zion, including 1,280 hospital staff, 80 students, residents and fellows, and 190 medical staff.

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DETERMINANTS OF THE 1996 LRDP

The UCSF/Mount Zion component of the 1996 LRDP is guided by the following determinants: 1) the LRDP’s Goals and Objectives; 2) the approved short-range and long-range development programs for UCSF/Mount Zion, as set forth in the 1990 and 1992 amendments to the 1982 LRDP; and 3) essential facilities needs and ongoing maintenance.

GOALS AND OBJECTIVES

Academic Program Planning Primary academic program goals for UCSF/Mount Zion call for UCSF to:

• Recruit and retain highly qualified faculty physicians for teaching, research and patient care;

• Use the most advanced techniques available for diagnosis and treatment of

patients; and • Provide clinical experiences necessary to offer the highest quality training

to medical students and residents. In an effort to achieve these goals, UCSF is mounting plans for a new Comprehensive Cancer Center, to be headquartered at UCSF/Mount Zion. This Cancer Center will integrate basic research, clinical research protocols for diagnosis and treatment, clinical cancer care, epidemiological studies and cancer prevention research, and community outreach and cancer control programs. Multi-specialty teams for major solid tumor cancers, such as melanoma, lung, breast and gynecological cancers, have been co-located to provide coordinated patient care and enhance academic collaboration on newly developing treatment modalities.

Physical Planning Primary physical planning objectives for UCSF/Mount Zion, in accordance with the 1990 and 1992 amendments to the 1982 LRDP, are:

• Continue renovation and remodeling of existing facilities to conform to fire and life-safety codes and renew existing structures, where feasible and cost effective.

• Design and construct buildings which are responsive to building scale and

character in the surrounding areas. • Provide access to faculty, staff and students to a high quality information

technology service by means of a distributed voice, data and video telecommunications network.

• Reduce potential adverse environmental impacts associated with

construction projects at UCSF/Mount Zion through the use of appropriate mitigation measures.


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• Short-range program: make the capital investments necessary to initiate new patient care programs and to develop outpatient medical office and research space for faculty physicians who practice at UCSF/Mount Zion.

• Long-range program: modernize and expand the main hospital facilities at

UCSF/Mount Zion. • Develop off-street parking, as feasible, to meet the needs of both the short-

range plan and the long-range plan. • Continue to strengthen UCSF's position as a leading health sciences center.

UCSF/MOUNT ZION FACILITIES NEEDS AND PLANS

PROGRAM SPACE IMPROVEMENTS

Responding to program initiatives in cancer clinical care and research, as well as obsolescence in existing aging buildings, UCSF/Mount Zion has embarked on a major building program, described in the 1990 and 1992 Amendments to the 1982 LRDP. The building program consists of two phases: the short-range program through 1996 and the long-range program from 1997 through 2010. Most of the program space described in 1990 and 1992 Amendments to the 1982 LRDP consists of Medical Center space, which is described below on page 127.

The major component of non-Medical Center program space planned at UCSF/Mount Zion consists of a Research Building, currently under construction immediately to the east of the J Building (see Figure 9). Upon completion, the Research Building will provide about 109,000 gsf of new biomedical research space on four floors with a basement animal care facility. Much of the research space will be devoted to interdisciplinary programs in clinical oncology, with the remaining space devoted to other molecular biological research programs.

LRDP PROPOSAL: Complete a new Research Building for interdisciplinary programs in clinical oncology and molecular biology in accordance with the 1990 and 1992 Amendments to the 1982 LRDP.

INFRASTRUCTURE IMPROVEMENTS

Existing infrastructure systems at UCSF/Mount Zion are inadequate to meet current and projected demand loads. The capacity of existing power generation facilities at the site must be expanded to support additional development approved and planned at UCSF/Mount Zion.

The original UCSF/Mount Zion development program anticipated both a permanent central utility plant and sterile processing distribution facility in a two

Space Plan Goals: Space For Growth, Consolidation & Decompression; Adequacy Of Space

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Figure 9 UCSF/Mount Zion: Illustrative Site Plan


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level underground facility to be constructed along with the replacement of the main hospital building. Subsequently, the Medical Center chose to postpone the hospital replacement project for an indefinite period of time. Studies also showed major problems and considerable expense with placing a permanent utilities plant underground without knowing precisely the configuration of the rebuilt hospital above ground. To solve these problems, the Medical Center will build a single-story Interim Utility Plant to serve the new Outpatient Cancer Center and other buildings on the main block. A new permanent central utility plant will be constructed on or off the main block. Alternatively, individual new buildings at UCSF/Mount Zion could be designed to provide for their own power needs.

LRDP PROPOSALS:

Central Utility Plant Construct an Interim Utility Plant to serve the new Outpatient Cancer Center and other buildings on the main block, until a permanent Central Utility Plant is built with the hospital replacement buildings, in accordance with the 1990 and 1992 Amendments to the 1982 LRDP.

Other Infrastructure Upgrades Improve the heating, ventilation, chilling and electrical systems, and complete other infrastructure upgrades to comply with applicable codes and to support approved development at UCSF/Mount Zion.

PARKING AND CIRCULATION

Parking On-site parking for UCSF/Mount Zion faculty and staff is limited to a total of 148 parking spaces, located in garages or lots (see Figure 10 and Table 16). Public pay parking in the vicinity of the site includes the San Francisco Medical Center garage on Sutter Street west of Divisadero Street, and a garage at 2000 Post Street. The remaining off-street public parking exists in various surface parking lots in the area.

As development of the site occurs, parking demand will increase. An additional 645 off-street spaces are projected to be needed by the year 2010 if UCSF were to attain the level of patient activity projected in the 1992 Amendment to the 1982 LRDP. Any growth in demand is expected to be met by a new parking garage to be developed at a site to be determined, as described in the 1992 Amendment. In addition, additional parking will be located in the Medical Office Building at 1701 Divisadero Street, and UCSF will lease more spaces in the San Francisco Medical Center Garage, as shown in Table 16.

LRDP PROPOSAL: Provide additional parking at UCSF/Mount Zion in the Medical Office Building at 1701 Divisadero Street, lease more parking spaces at the San Francisco Medical Center garage, and study the development of a new parking garage in the UCSF/Mount Zion vicinity.

Infrastructure/Utilities Goal: Utility Network

Transportation, Circulation & Parking Goal: Parking

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Figure 10 UCSF/Mount Zion: Circulation and Parking Plan


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TABLE 16: UCSF/MOUNT ZION PARKING FACILITIES

Parking Area Number of Spaces /a/

Existing

Projected at LRDP Buildout

/a/ Owned Spaces

D Building Lot 10 0

G Building Lot 9 0

Scott Street Lot 32 /b/ 32

Leased Spaces

1545 Divisadero Street (Medical Offices Parking Lot)

26 26

1635 Divisadero Street (SF Medical Center Garage)

61 198

1608 Scott Street (Doctors' Parking Lot)

61 61

1701 Divisadero Street (Medical Office Building)

0 157

New Parking Garage /c/ 0 20-684

TOTAL 199 494-1,158 /a/ Projected number of parking spaces controlled by UCSF after completion of the short and

long-range programs /b/ Temporarily used as Research Building construction staging area. /c/ Development of a new parking garage at a location to be determined as described in the 1992

Amendment to the 1982 LRDP. Transit UCSF/Mount Zion is well-served by buses. Local MUNI service to the site includes nine different bus lines. UCSF also provides shuttle bus service which connects UCSF/Mount Zion to Parnassus Heights, Laurel Heights and other campus sites as part of its alternative transit program. Employee car and van pooling are encouraged.

Vehicular and Pedestrian Circulation Currently, vehicular access to the UCSF/Mount Zion site is gained via the main arterials nearby, including Geary Boulevard and Divisadero, Bush and Pine Streets. The main entrance to the hospital off of Divisadero Street and the emergency room access off of Sutter Street provide passenger drop-off areas and access to the main hospital buildings. Pedestrian activity is dispersed between the various buildings at UCSF/Mount Zion, with most pedestrian activity focused on the main hospital entrance on

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Divisadero Street. Material delivery access to the main block is provided by a service driveway from Scott Street or from Sutter Street. A loading dock area will serve the Pavilion Building and new Research Building, north of the main block, with access from Bush Street.

AMENITIES AND SERVICES

The UCSF/Mount Zion site lacks many features and amenities which would enhance the enjoyment of the UCSF community. For example, very little usable open space exists at the site, with the exception of a courtyard within the Pavilion Building complex and a paved courtyard planned for the new Research Building. Other amenities and services, such as fitness and recreation facilities, multipurpose space, food services, child care, art/cultural activities, space for employee organizations and community health and education are in short supply, or non-existent on-site, although they may be found nearby. The Millberry Union Advisory Council is in the process of developing a Recreation and Fitness Master Plan to evaluate campus needs for recreation and fitness facilities. A basement cafeteria and first floor gift shop in the main hospital serve UCSF employees, patients and visitors. Numerous food establishments along Divisadero Street serve employees and visitors. The private California Tennis Club is located on the block immediately to the northeast of the main block.

LRDP PROPOSAL: Study the feasibility of joint use of the proposed child care facility at the nearby Laurel Heights site.

MEDICAL CENTER

The short-range building program at UCSF/Mount Zion consists predominately of Medical Center space, and contains several major projects which address program needs, including a new Outpatient Cancer Center and medical office buildings (see Figure 9). One medical office building, at 2330 Post Street, has recently been completed, and a second medical office building at 1701 Divisadero Street is currently under construction. If necessary, UCSF may investigate the potential to acquire further medical office space in existing commercial buildings in the vicinity of UCSF/Mount Zion. The short-range building program also included a Research Building, described earlier on page 122.

The Outpatient Cancer Center will be a new five-story, 89,000 gsf building erected on the southeast corner of Sutter and Divisadero Streets, on the former site of the H Building, which has been demolished.

The long-range building program through 2010 calls for the construction of a new hospital and administrative building on the eastern half of the main block, if necessary, in two phases (200,000 gsf and 250,000 gsf, respectively). The new hospital and administrative building, if constructed, would replace Buildings E, G and C. The C Building is an unreinforced masonry building built in 1910 which was damaged during the 1989 Loma Prieta earthquake. This building has undergone seismic reinforcement and code upgrades to address immediate life-

Amenities And Services Goal: Access To Amenities And Services


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safety needs for its occupants and to satisfy interim space needs. However, such improvements do not provide a permanent solution to the seismic problems of the building. The E and G Buildings are considered obsolete due to their age, condition and unsuitability for retrofitting to meet contemporary standards.

LRDP PROPOSALS:

Medical Office Buildings Provide additional medical office space for UCSF/Mount Zion faculty and community practitioners in two new medical office buildings at 2330 Post Street and 1701 Divisadero Street, in accordance with the 1990 and 1992 Amendments to the 1982 LRDP. If necessary, investigate the potential to acquire further medical office space in existing commercial buildings in the vicinity of UCSF/Mount Zion.

Outpatient Cancer Center Building Construct a new Outpatient Cancer Center in accordance with the 1990 and 1992 Amendments to the 1982 LRDP.

C Building (Hellman Building) If UCSF requires additional inpatient capacity in the early 21st century, demolish the C Building (Hellman Building) to allow construction of new hospital facilities on the main block in accordance with the 1990 and 1992 Amendments to the 1982 LRDP.

E and G Buildings If UCSF requires additional inpatient capacity in the early 21st century, demolish the E and G Buildings, which are considered obsolete due to their age, condition and unsuitability for retrofitting to meet contemporary standards, to allow construction of new hospital facilities on the main block in accordance with the 1990 and 1992 Amendments to the 1982 LRDP.

New Hospital Building If UCSF requires additional inpatient capacity in the early 21st century, construct a new hospital building in two phases on the main block, in accordance with the 1990 and 1992 Amendments to the 1982 LRDP.

Resultant Space Profile Implementation of the approved projects described above and included in the 1990 and 1992 Amendments to the 1982 LRDP would result in the space profile shown in Table 17.

Space Plan Goals: Space For Growth, Consolidation & Decompression; Adequacy Of Space

b. ucsf/mount zion - ucsf - campus planning

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