News on the Renovation of MUSC Rutledge Tower

On target...So far!

Space shapes up for new residents of 9th and 10th floors, but occupancy will have to wait for spring.

We learned a lot when the occupants moved into floors 11 and 12. It is difficult, time consuming and expensive to get employees through the construction areas—not to mention their furniture, mail, phones, guests, supplies, computers and power. And adjusting manpower to accommodate all those things n the project schedule.

We also figured out that it would be much more difficult if we added patients to the mix, like we'd need to do if the clinics moved into floors nine and 10 right away. The big problem is elevators. Four of the building's eight elevators are undergoing electrical re-fitting, and the new one is still under construction. That leaves two working elevators for construction needs and one for employees of the 11th and 12th floors. There's simply no way to transport patients to the clinics.

That's why occupation has to wait—probably until late spring. Even so, it seems like a good time to introduce the “Package 2A” clinics (floors nine and 10).

Ninth Floor, Neuroscience Clinics

The ninth floor includes the neurology and neurosurgery clinics, physical medicine & rehabilitation (PM&R), pain management and EMG (electromyography). By organizing these services together a lot of good things happen:

• Convenience—Stroke patients can come in for a progress evaluation, then head down the hall for their PM&R appointments. If a treatment plan includes physical therapy or occupational therapy, this facility is nearby—it's on the second floor, on the Ashley Avenue side of the building.
• Consults—If a neurosurgeon or neurologist needs a pain management consult, the clinic is only a few steps away. This also makes interdisciplinary collaboration easier because clinics addressing related medical conditions can be scheduled concurrently.
• Cross-Coverage—Staff members in these clinics are familiar with each other, and they often deal with patients who have overlapping medical conditions. Having them grouped makes cross-coverage simpler, and it makes things less confusing for patients who need to go from one service to another.

Tenth Floor, Maxillofacial/Dermatology Services

This floor is also full of clinics that often find themselves working together:

• Maxillofacial Prosthodontics—Clinic director Betsy Davis, DMD, MS, and her staff custom-design and produce prostheses needed in facial reconstructive surgeries. In addition they handle patients needing dental implants. Her rapidly growing clinic is one of only a handful in the country with such comprehensive capabilities.
• Facial, Plastic & Reconstructive Surgery— This clinic works with ENT surgery, oncology, maxillofacial prosthodontics, dermatology, dermatology/oncology and other services to handle a wide range of facial reconstructive procedures. These complex cases may require a team approach that includes clinicians from other 10th floor clinics.
• Dermatology & Dermatology/Oncology Clinics—Dermatology faculty and clinical staff provide the latest in diagnostic techniques and therapy for patients with diseases of the hair, skin and nails. Offered in this outpatient setting are many specialized services including phototherapy, photochemotherapy, Mohs micrographic surgery, cosmetic dermatologic surgery, laser surgery and immunodermatology.

Key

The MUSC Rutledge Tower project is divided into “packages” that include work to spaces that have similar uses and renovation needs.

Who’s going where, when?

Package 1: Floors 11 & 12

Progress - Jan 15

• Completed, and tenants have moved in. No further reports needed.

Comments

• Replacement motor for elevator #2 shipped 12/30/97

Package 2A: Floors 9 & 10

Progress - Jan 15

• 9th Floor - substantially complete 10th Floor - substantially complete

Next Step

• 9th Floor - final punch list complete 10th Floor - final punch list under way

Package 2B: Floors 2-8

Progress - Jan 15

• 8th Floor - pre-punch under way 7th Floor - VCT flooring under way 6th Floor - rigid grid and fixtures nearly complete 5th Floor - medical gas/air in progress 4th Floor - second coat painting nears com-pletion 3rd Floor - sheetrock being primed 2nd Floor - sheetrock finishing in progress

Next Step

• 8th Floor - complete final punch list
• 7th Floor - final coating of paint and install carpeting
• 6th Floor - casework installation
• 5th Floor - acoustical grid installation
• 4th Floor - NFPA 99 med gas/air upfit
• 3rd Floor - second coat painting
• 2nd Floor - prime coat on sheetrock

Comments

• 8th Floor - going well
• 7th Floor - casework manpower problems delaying installation
• 6th through 2nd - DHEC code issues require medical gas/ air system conformance with NFPA 99. This delays ceiling grid and related work on entire package. However, does not appear to delay project completion.

Package 3C--Rutledge Ave Garage and Connector

Progress - Jan 15

• Design under way

Next Step

• Pricing and construction scheduling

Comments

• This package has been separated from 3B for clarity and pricing

Package 3B--Ashley Ave Connector

Progress--Jan 15

• Structural steel being erected

Next Step

• Ashley Avenue bridge scheduled for installation on January 17, weather permitting. Joists, decking and suspended slab installation is next

Comments

• Weather has made foundation work very difficult.

Package 3A--North Entrance

Progress--Jan 15

• Built-out framing and sheathing installed Interior wall framing in progress Overhead ducts complete Roofing complete

Next Step

• Stair stringers and pans installation In-wall rough-ins under way

Comments

• Interior work has exceeded schedule expectations. Weather may be a problem with exterior finish system. Tower color selection critical.

MUSC Rutledge Tower

12th Floor: Package 1--Center for Health Care Research

11th Floor: Package 1--Department of Biometry and Epidemiology

10th Floor: Package 2A--Maxillofacial Prosthodontics Clinic Dermatology Clinic Dermatology/Oncology Clinic Facial, Plastic & Reconstructive Surgery Clinic

9th Floor: Package 2A--PM&R/Neurology Clinics Neurosurgery Clinic Pain Management Clinic EMG

8th Floor: Package 2B--UDC Diabetes/Endocrine Clinic

7th Floor: Package 2A--Surgery Clinic Plastic Surgery Clinic Infectious Disease Clinic

6th Floor: Package 2B--Transplant Clinic; Hypertension Clinic; Cholesterol Clinic; Nephrology Clinic; Home Dialysis

5th Floor: Package 2B--Pulmonary Clinic; PFT; Rheumatology Clinic; Urology Clinic

4th Floor: Package 2B--Pediatric Specialty Clinics

3rd Floor: Package 2B--Pediatric Specialty Clinics; Package 4A--Pediatric Specialty; Package 4B--Offices

2nd Floor: Package 2B--ENT/Speech/Hearing; Cardiac Diagnostic; Vascular Lab; Vascular/Cardiology Clinic; Package 4A--DDC Diabetes Offices; Package 4A--UDC Offices Other Offices; Package 4A--PT/OT

1st Floor: Package 4A--Ambulatory Surgery; Laboratory; Radiology; Pharmacy; Mammography; Package 4A-- Adult & Pediatric Orthopaedics; Building Support Services

• 11 & 12 (tower) Completed
• 9 & 10 (tower) Jan 1998
• 2 thru 8 (tower) Jan - April 1998
• North Entrance April 1998
• Ashley Connector April 1998
• Rut. Ave. Garage & Connector June 1998
• Parts of 1 - 3 in all “buildings” May 1998
• 3 & 4 in 1926/1942 “buildings” Summer 1998