The Story of Prop BB (Updated)
PPH authored quite a story when it drafted Resolution No. 08.04.04 (01), calling for an Election to Authorize the Issuance of Bonds, now known as Proposition BB. The Resolution can be found at:
http://www.pph.org/documents/
Board%20and%20Administration/
bod%20resolution%20080404.pdf
On page 2 of the Resolution is a story, quoted below:
The finding that it be more expensive to retrofit and upgrade the existing Palomar Medical Center than it would be to build a new medical center is interesing. According to a newspaper report in 2003:
"Palomar Pomerado board members decided in 2001 to spend more to completely redesign their hospitals instead of spending $56 million to simply install braces and supports to meet the 2008 standards. The $329 million project is essentially two jobs: In November, board members approved spending a maximum of $266 million to build a new patient-treatment tower ---- to replace the current tower that will be demolished ---- at the 319-bed Palomar Medical Center; and up to an additional $63 million to build a new patient tower, medical office building and increase the number of beds at the 119-bed Pomerado Hospital."
http://www.nctimes.com/articles/
2003/03/20/export6141.txt
According to PPH math, $56 million is "significantly more expensive" than $531 million (now up to $690 million).
Further, according to Proposition BB, PPH relied on reports prepared by outside experts. On September 28, an application was made to PPH to inspect and copy the following:
1. Compliance plan submitted to OSHPD for the Palomar Medical Center (PMC).
2. Request for Extension to Seismic Safety Deadlines submitted to OSHPD for PMC.
3. Seismic evaluation of the McLeod Tower at PMC.
4. Reports, documents, spreadsheets, calculations, analysis, and/or information used to determine a Structural Performance Category (SPC), for the McLeod Tower at PMC.
5. Reports, documents, spreadsheets, calculations, analysis, and/or information used to determine estimated cost of upgrading the McLeod Tower at PMC to a level above an SPC-1.
A copy of the application is available at the following link:
http://civics.robroy.cc/PPH-Request09-28-05.pdf
The reponse to the above request was a report prepared by an outside experts (structural engineers): "SB1953 Seismic Evaluation of Palomar Medical Center (Phase Report 1A), dated October 25, 1999"
http://civics.robroy.cc/PMC-SeismicEval10-25-99partial.pdf (2 MB)
http://civics.robroy.cc/PMC-SeismicEval10-25-99cont.pdf (10 MB)
The cost estimates for the seismic improvements to Palomar Medical Center were amazingly low. The structural engineers recommended that PPH "allocate a budget allowance totalling at least $6,670,000 for the direct construction costs of SB 1953 seismic retrofit measures" for Palomar Medical Center!
According to PPH math, $6.67 million is "significantly more expensive" than $531 million (now up to $690 million).
The expected growth to 1.3 million residents is a interesting aspect of the Prop BB story. According to the PPH Facilities Master Plan (page 1-7), the PPH district currently serves a population of about 452,738 people, and by 2020, it will serve about 592,825 people, a population increase of about 30%. 1,300,000 minus 592,825 equals 707,175 people. Where are these 707,175 future people? And why is PPH building a hospital of the future for them?
PMC's service as North County San Diego's only Trauma Center is another interesting aspect of the Prop BB story. San Diego County's Division of Emergency Medical Services (EMS) designed and oversees the Trauma System in San Diego County. See:
http://www2.sdcounty.ca.gov/hhsa/
ServiceDetails.asp?ServiceID=527
A map of the Trauma System catchment areas is located at:
http://www2.sdcounty.ca.gov/hhsa/
documents/EMS-CatchmentMap.pdf
Note that traumatic injury cases in the cities of Oceanside, Carlsbad, Encinitas, Solana Beach and Del Mar (all North County cities), pertain to the catchment area of Scripps Memorial Hospital in La Jolla. Further, traumatic injury cases in major segments of Rancho Penasquitos and Carmel Mountain Ranch, and in a small corner of Poway, pertain to the catchment area of Sharp Memorial Hospital in Kearny Mesa.
Finally, is PMC 50 years old? The buildings are not! See:
http://members.cox.net/4robroy/escondido/PMC-Blog.GIF
http://members.cox.net/4robroy/escondido/PMC-BlogD.pdf
The entire south half of PMC is less than 20 years old! The infamous McLeod Tower is about 36 years old. The lowly Adams wing is about 46 years old. The PPH Facilities Master Plan confirms that the buildings at PMC are not 50 years old! See:
http://civics.robroy.cc/
PPHMasterFacilityPlan07-2004p300.pdf (5.2 MB)
The lower resolution version (1.9 MB) is still available at:
http://members.cox.net/4robroy/escondido/
PPHMasterFacilityPlan07-2004p150PDF.pdf
Prop BB, an interesting story.
http://www.pph.org/documents/
Board%20and%20Administration/
bod%20resolution%20080404.pdf
On page 2 of the Resolution is a story, quoted below:
FINDINGS
Palomar Pomerado Health (the "District") of North County San Diego provides accessible health care services, including trauma, emergency, and acute care services.
Over the next twenty years, North County San Diego communities are expected to grow to approximately 1.3 million residents, including a steadily increasing senior population.
Palomar Medical Center serves as the only Trauma Center in North County San Diego.
Palomar Medical Center is 50 years old. Over 70% of the hospital beds at Palomar Medical Center are located in buildings that do not meet state earthquake safety standards. Based on an evaluation of reports prepared by outside experts, the Board of Directors (the "Board") of the District has determined that it would be significantly more expensive to retrofit and upgrade the existing Palomar Medical Center than it would be to build a new medical center.
The finding that it be more expensive to retrofit and upgrade the existing Palomar Medical Center than it would be to build a new medical center is interesing. According to a newspaper report in 2003:
"Palomar Pomerado board members decided in 2001 to spend more to completely redesign their hospitals instead of spending $56 million to simply install braces and supports to meet the 2008 standards. The $329 million project is essentially two jobs: In November, board members approved spending a maximum of $266 million to build a new patient-treatment tower ---- to replace the current tower that will be demolished ---- at the 319-bed Palomar Medical Center; and up to an additional $63 million to build a new patient tower, medical office building and increase the number of beds at the 119-bed Pomerado Hospital."
http://www.nctimes.com/articles/
2003/03/20/export6141.txt
According to PPH math, $56 million is "significantly more expensive" than $531 million (now up to $690 million).
Further, according to Proposition BB, PPH relied on reports prepared by outside experts. On September 28, an application was made to PPH to inspect and copy the following:
1. Compliance plan submitted to OSHPD for the Palomar Medical Center (PMC).
2. Request for Extension to Seismic Safety Deadlines submitted to OSHPD for PMC.
3. Seismic evaluation of the McLeod Tower at PMC.
4. Reports, documents, spreadsheets, calculations, analysis, and/or information used to determine a Structural Performance Category (SPC), for the McLeod Tower at PMC.
5. Reports, documents, spreadsheets, calculations, analysis, and/or information used to determine estimated cost of upgrading the McLeod Tower at PMC to a level above an SPC-1.
A copy of the application is available at the following link:
http://civics.robroy.cc/PPH-Request09-28-05.pdf
The reponse to the above request was a report prepared by an outside experts (structural engineers): "SB1953 Seismic Evaluation of Palomar Medical Center (Phase Report 1A), dated October 25, 1999"
http://civics.robroy.cc/PMC-SeismicEval10-25-99partial.pdf (2 MB)
http://civics.robroy.cc/PMC-SeismicEval10-25-99cont.pdf (10 MB)
The cost estimates for the seismic improvements to Palomar Medical Center were amazingly low. The structural engineers recommended that PPH "allocate a budget allowance totalling at least $6,670,000 for the direct construction costs of SB 1953 seismic retrofit measures" for Palomar Medical Center!
According to PPH math, $6.67 million is "significantly more expensive" than $531 million (now up to $690 million).
The expected growth to 1.3 million residents is a interesting aspect of the Prop BB story. According to the PPH Facilities Master Plan (page 1-7), the PPH district currently serves a population of about 452,738 people, and by 2020, it will serve about 592,825 people, a population increase of about 30%. 1,300,000 minus 592,825 equals 707,175 people. Where are these 707,175 future people? And why is PPH building a hospital of the future for them?
PMC's service as North County San Diego's only Trauma Center is another interesting aspect of the Prop BB story. San Diego County's Division of Emergency Medical Services (EMS) designed and oversees the Trauma System in San Diego County. See:
http://www2.sdcounty.ca.gov/hhsa/
ServiceDetails.asp?ServiceID=527
A map of the Trauma System catchment areas is located at:
http://www2.sdcounty.ca.gov/hhsa/
documents/EMS-CatchmentMap.pdf
Note that traumatic injury cases in the cities of Oceanside, Carlsbad, Encinitas, Solana Beach and Del Mar (all North County cities), pertain to the catchment area of Scripps Memorial Hospital in La Jolla. Further, traumatic injury cases in major segments of Rancho Penasquitos and Carmel Mountain Ranch, and in a small corner of Poway, pertain to the catchment area of Sharp Memorial Hospital in Kearny Mesa.
Finally, is PMC 50 years old? The buildings are not! See:
http://members.cox.net/4robroy/escondido/PMC-Blog.GIF
http://members.cox.net/4robroy/escondido/PMC-BlogD.pdf
The entire south half of PMC is less than 20 years old! The infamous McLeod Tower is about 36 years old. The lowly Adams wing is about 46 years old. The PPH Facilities Master Plan confirms that the buildings at PMC are not 50 years old! See:
http://civics.robroy.cc/
PPHMasterFacilityPlan07-2004p300.pdf (5.2 MB)
The lower resolution version (1.9 MB) is still available at:
http://members.cox.net/4robroy/escondido/
PPHMasterFacilityPlan07-2004p150PDF.pdf
Prop BB, an interesting story.
posted by Robroy at 8:47 AM
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