10-year Cost Put At $110 Million

A $110,000,000 construction program during the next decade at the University Hospital complex "to meet the immediate health care needs" of the institution is recommended in a long-range planning report made public today. Among the most immediate construction projects recommended in the report is a 155bed Psychiatric Hospital with an estimated project cost of about $8,000,000. The hospital is a priority construction request to the state in the 1968-69 capital outlay budget. Another recommendation is for an addition to University Hospital containing at least 500 beds, with provisions for expansion to 1,000 beds. In addition to basic bed facilities, it would contain laboratory, radiology, operating room and intensive care facilities. The request for funds has top priority in the 1968-69 U-M capital outlay budget, but the $25,000,000 project cost estimale exceeds any project financed to date by the Legislature so some federal support may be required for some part of the project, according to the report. Dr. A. C. Kerlikowske, hospital director, says the 68-page report to help guide the planning of services and facilities through the year 2000 is the first of three documents designed to lay the groundwork "for increased and more effective planning efforts on behalf of the immediate and long-range needs of University Hospital." "This is a grave cocern that the hospital has reached a period of crisis in its ability to meet current and future obligations. Patiënt care facilities have remained static and cannot accommodate the educational commitments of the Medical School and School of Nursing effectively," he said. U-M Vice President Arthur Ross called the report a "significant achievement. It is extremely important for the medical profession to re-examine its programs in light of the new and ehanging demands society is placing upon the health services," he added. One of the city's largest employers, University Hospital's clinical personnel base has nearly doubled in the past three years from 1,465 to its present size of 2,846 people, according to the report. Titled "1968 Planning StHtbs] Report," the new publication contains fundamental information on the goals of the hospital, present and prospective growth, program needs and the technique of the planning process whereby the needs and goals can be achieved. The Planning Systems Group of Ann Arbor prepared the report under the direction of Minor Vandermade, associate director of University Hospital. The 1,000-bed University Hospital, described as the profesional focal point of the U-M Medical Center, furnishes a quarter-million "patiënt days" of care annually to persons referred to the hospital by doctors in all parts of Michigan. There are an additional quarter-million visits to the hosoital's outpatient facilities. Annual operating expenses ol the hospital amount to more than $35,000,000. They are mei by inccme from patients, but additional funds for buildings renovations and clinical research come from the government, foundations and private sources. Existing facilities are valued at $36,501,917, while additional structures planned in some detail or already under construction total $92,588,563. The report notes that "though the Medical Center has experienced phenomenal growth in the past 28 years, the number of available beds in University Hospital has actually decreased in this same time period. "In upgrading the hospital s facilities since 1940, the University has lost 217 beds, f rom 1,354 to. 1,037 and the present standards for patiënt care space are still less than adequate." The report also points out the obsolescence of the hospital's physical plant. "The main hospital's 18-bed ward system is not acceptable" and four-bed units should be considered maximum with single rooms most desirable, it says. "Hygiëne facilities are below existing standards," while "stc-rage for equipment and suppües is inadequate," and "classroom teaching spaces are not adequate for existing demiinds." Also, "air conditioning, including temperature and humidity control and air filtration is inadequate," according to the report. All avaüable visitor parkingj reas are now being used.; while "projects scheduled for ompletion between now and 975 will genérate a populatk ncrease of almost 8.000 peoplc ror staff and outpatients alón11 total of 2,705 parking spaces will be required. If in the forrr f surface lots, this would equire 40 acres, an are; equivalent to the original U-M campus." Increase in the population and the shortage of physicians are main reasons for the need for expansion of University Hospital, as a teaching hospital for training doctors and a patiënt care facility for the state. The adult psychiatric hospital proposed in the report would' contain a 30-bed closed ward, a 50-bed special unit for partial day and night treatment, and a 75-bed "open door" intensive treatment area, in addition to diagnostic areas, food service! Facihties and other necessaryl iacilities for care of patients. In addition to the general hospital addition and the proposed psychiatrie hospital, the long range planning also calis for an addition to the present] outpatient building, and the! construction of a food, office and housing unit, as well as extensive renovation of older units.