2020 Amendment to the Comprehensive Master Plan NIH Bethesda Campus January 13, 2020 Need for Projects

2020 Amendment to the Comprehensive Master Plan NIH Bethesda Campus January 13, 2020 Need for Projects:

Surgery, Radiology, Laboratory Medicine Addition (SRLM): The Clinical Center (CC) at the NIH leads the global effort in discovering tomorrow’s cures and training today’s investigators. It is essential that the CC has state-of-the-art patient care, treatment and diagnostic facilities that support this effort. The proposed project is focused on developing a facility that supports both NIH and new congressional medical research initiatives to improve the nation’s health and strengthen NIH’s biomedical research capacity in close proximity to the Clinical Research Center.

The Ambulatory Care Research Facility (ACRF) opened in 1982 and houses the departments of Perioperative Medicine, Interventional Radiology, Radiology & Imaging Sciences and Laboratory Medicine. These departments involve some of the most advanced and technology dependent cutting- edge programs supporting NIH’s Translational Research initiatives.

Since the ACRF opened, over 38 years ago, biomedical research and its supporting clinical programs have rapidly evolved, influencing the criteria for space and infrastructure systems. The rapid evolution of equipment (changing every 3-5 years) has also had a direct impact on both space requirements and the utility systems that support them. The existing facility has not kept pace with modern surgical, imaging, and clinical laboratory facility requirements. Hospital surgical suites are typically replaced every 20 years to keep up with the latest technological advancements in operating room equipment and techniques.

The most recent “Building Condition Index” conducted by the NIH has the ACRF in the POOR category. Some of the major deficiencies include the following:

1. Functional space inadequacies/inefficiencies;

2. Inefficient routes of circulation;

3. Numerous limitations restricting the flexibility/adaptability to address growth and change;

4. Deficient and unreliable Infrastructure systems (major areas of concern include normal and emergency power, communication systems, heating, cooling, and ventilation) and

5. Structural problems (light steel structure) result in unacceptable vibration levels in some areas of the building.

Spatial deficiencies severely impact the Operating rooms, Radiology suite, and Clinical Laboratory. Patients and staff lack sufficient support space as they undergo care and conduct treatment protocols. The distribution systems for electrical, ductwork and piping are degrading and require replacement, but this cannot be done while the space is occupied. The building’s floor-to-floor heights are deficient, by today’s utility requirements, and cannot contain the necessary utility distribution systems. A lack of utility capacity and control results in work environments that suffer from poor temperature and humidity control. These environmental factors can also negatively impact the patient samples that are being processed and tested. These deficiencies threaten to restrict the Clinical Center’s ability to maintain its pre-eminence in conducting the phases of Clinical trials essential to Translational Research and new initiatives.

To further the NIH healthcare mission the NIH Clinical Center (NIH CC) has been tasked by the Advisory Committee to the Director, Long-Term Intramural Research Program Planning Working Group Report, December 12, 2014, with expanding its role as a center for development of precision medicine to diagnose and treat both rare diseases and common diseases that have been studied at the NIH for many years. In particular, NIH will pursue the goal of comprehensive phenotyping and genotyping to complement ongoing intramural and extramural genetic studies and thereby enable the development of more effective treatments.

From 2008 to 2016, the NIH performed extensive analysis and studied numerous options (upwards of 11) for providing new space for the major hospital functions (Surgery, Radiology, and Laboratory Medicine). The NIH, along with specialized space planning consultants, initially considered re-location of existing operations to spaces that are currently vacant, followed by renovation of the existing facilities in place (in a round-robin renovation strategy). This option was rejected for the following reasons:

• The currently available vacant spaces are not sufficient to support current operations;

• Re-location to other spaces, even temporarily, would diminish the ability to serve patients even more than the current situation, and would exacerbate the inefficient routes of circulation;

• Renovation of the ACRF would not resolve deficient issues related to the floor-to-ceiling height for the necessary utility systems, or the vibration associated with the light steel structure.

Therefore, several options for an addition to the building were studied. The locations for the addition were all to the west of the CRC, for adjacency to the existing hospital areas (receiving, admissions, patient rooms, intensive care unit (ICU)). The final option was approved by the NIH leadership as being the most viable to maintain existing operations, while providing appropriate facilities to support the NIH mission.

Utility Vault and Patient Parking garage (UVPPG):

The new Utility Vault and Parking Garage, also referred to as MLP-15, and associated tasks are necessary to: ensure the reliability and long-term sustainability of the electrical power feeds to the 4.5M square foot hospital and biomedical research complex; to mitigate the security risk, personal safety risk, and liability risk associated with the existing underground parking garage and; to enable the new Surgery, Radiology and Lab Medicine Building addition (SRLM Bldg).

1) The Utility Vault will provide space for the future relocation of the primary switching station and the emergency generators feeding the entire clinical center complex (currently located in Buildings 59 and 59A, respectively). The equipment in B59/B59A is aging and will soon need replacement. During the replacement, the existing equipment must remain available to power the complex, and therefore the new equipment must be located in an alternate location, to minimize the switchover (down) time. The new vault will provide this alternate location. Additionally, the new vault will be a hardened concrete structure, designed for blast resistance, which will significantly mitigate the threat risk to this critical lifeline to the complex. 2) Currently, patient/visitor/staff parking is partially accommodated via an underground parking garage. This garage is below the ACRF tower and below surgery, radiology, and laboratory areas of the complex. Vehicles entering the garage are screened for explosives; however, the threat for terrorism still exists. Also, the existing garage has serious structural deficiencies, due to degradation of the concrete and corrosion of underlying (exposed) rebar, despite on-going maintenance. Repairs to the garage are expensive, due to patient occupancy on floors above. The concrete degradation and rebar corrosion resulted from years of salt and chemicals brought into the garage by the vehicle traffic. This condition poses a safety threat to users of the facility, and a liability threat to the government, due to the potential for falling pieces of concrete.

3) The new Utility Vault and Patient Parking Garage and associated tasks will enable the construction of the SRLM Building including: a) Electrical ductbanks to the vault from Building 63 (Pepco Substation) for future power service to SRLM; b) A portion of the parking area will be initially reserved for the SRLM Bldg construction project for contractor/PM offices and for material staging. Due to the limited space availability for staging for the major construction project, providing a closely located staging area will facilitate the project execution and thereby reduce the project bids/cost; c) Relocation of the Clinical Data Center generator, ICU generator, CO2 storage tank, and electrical duct banks that all currently fall within the footprint of the new SRLM building. Performing this work in advance will serve to provide a ‘clean’ site for the SRLM Building contractor. This will result in lower bids (due to removing the unknown/risk of the underground duct bank) and a shorter overall construction schedule (less chance of delays due to unforeseen conditions and CC power outage scheduling). Master Plan Impacts:

This amendment will conform to the Planning Principles described in the 2013 NIH Bethesda Campus Comprehensive Master Plan.

Street Setbacks:

Exhibit 6.2.A Major Building Setbacks is revised in this amendment to show the proposed projects.

The planned SLRM building façade is setback 18’ (minimum) from the road at the building corners, with deeper green areas providing an increased buffer zone, due to the stepped building footprint design.

The planned UVPPG project façade is 15 ft. from Center Dr., which was the maximum that could be provided for the required building layout without removing the exterior privacy wall that is part of the historic convent (Building 64). A five-foot planting zone along the building, five-foot sidewalk, and a five- foot street tree buffer along the drive are utilized to separate the drive lane from the mass of the building, and to make the pedestrian experience more inviting. The west side of Convent Drive between Center Drive and South Drive does not have an existing sidewalk, so this planned accessible sidewalk is a needed improvement.

NIH integrated a plaza along the pedestrian access to the Convent Grounds, to create an outdoor space on top of buried fuel storage vault in lieu of placing tanks at grade that would need to be protected from security threats.

Building Height Limit: Exhibit 6.2.B Major Building Height is revised in this amendment to show the proposed projects. The planned projects will remain below the building height limit as shown in the 2013 NIH Bethesda Comprehensive Master Plan. These projects do not exceed the height limits set in the 2013 Master Plan.

The design for the UVPPG indicates the top elevation as 439’-0” at the top of parapet (above elevator overrun.) The bulk of the garage has a parapet height of 425’-6”. Grade in this area is between 346’ and 365’. Therefore, the UVPPG is approximately 80 feet tall, but that 20 ft is built into the slope on the high side.

NIH was unable to maximize the grade change and reduce the parking garage height further due to the existing utility services tunnels and electrical duct banks below the proposed garage. However, we did take advantage of approximately 10 ft. of grade change above the infrastructure to reduce the apparent building height on the west side. This also serves to reduce the slope of the access ramps into the garage from both South Drive and Center Drive.

The SRLM is 460’-0” to top of main roof parapet, and 478’-0” to top of the penthouse. Grade for this building varies from 346’ to 335’. The building at around 130 ft. to main roof, and about 150 ft. to penthouse roof.

Landscape Concept:

Exhibit 5.2.FF. Landscape Concept and Exhibit 6.4.C. Campus Planting Patterns are revised in this amendment to show the proposed projects. Both projects will include street trees and ornamental planting.

Circulation:

Exhibit 5.3.G Pedestrian circulation and Exhibit 5.3.H Bicycle Circulation are revised to show the footprint of the proposed buildings. In reviewing the 2013 Master Plan NIH noted an inaccuracy.

The amendment shows the removal of the southwest portion of the entrance road to the CRC that parallels Center Drive. This will allow a larger contiguous floor plate for the surgery unit which is imperative to efficiency and patient care. Additionally, NIH has found the existing double road configuration to be confusing to motorists despite signage. It is a long crossing distance for pedestrians. This new configuration will simplify the intersection and shorten a long crossing distance for pedestrians.

Parking:

On 9/30/15, NCPC stated in its letter to NIH that it anticipated a favorable recommendation for the Commission to approve the Bethesda Master Plan, based upon the NIH’s cap of 9,000 employee parking spaces.

NCPC approved the 2013 Bethesda Campus Master Plan with the NIH NCPC agreement that NIH would stay within the 9,045-employee parking space cap documented in the 2013 Comprehensive Master Plan Errata. NIH continues to respect this bilateral agreement. NIH will not exceed the 9,045 employee space cap. After this parking garage is completed and legacy spaces are decommissioned, our employee parking space count will be the same or less than 8,994 which is the number of employee parking spaces documented in the 2013 Master Plan and well beneath the Master Plan cap.

A current census of Bethesda campus employees is 20,725 employees. NIH does not include the Summer Student Employees in the number of employees because the census snapshot was traditionally taken June first and the Summer Students are not issued parking permits. There were approximately 800 Summer Student employees in 2019. Currently the NIH Bethesda campus parking count is 10,183 total spaces (152 less spaces than the 2011 count documented in the Master Plan). The number of employee parking spaces is 8,666.

The current deficit of spaces is primarily due to the construction of the Industrial Water Storage System (IWSS) and the Thermal Energy Storage System (TESS) tanks which removed 464 spaces in Lot 41 and 59 spaces in lot 34A. We added 249 spaces in lot 42 which is a new lot that was part of the tank construction and the future site of MLP 12. The rest of the loss and gain of spaces in specific lots are small and likely due to restriping and reconfiguration of parking lots.

It should be noted that employee parking spaces on the campus are frequently impacted due to construction efforts. Storage trailers, Construction office trailers, dumpsters and constructions sites (particularly for utilities) frequently remove employee parking spaces from the inventory or displace government vehicles into employee lots.

UVPPG (MLP-15) siting:

The ACRF Parking garage is deteriorating and poses a safety and security risk

NIH has attempted to repair the existing parking garage numerous times. There are multiple challenges:

• The vibrations induced by jackhammers and heavy equipment create impact to sensitive patient care functions during the day (such as brain surgery, eye surgery and other sensitive procedures) and patient sleeping at night

• Despite having conducted repairs in the past, the vehicles continue to track ice-melt and other corrosion-inducing chemicals into the parking garage. When those find their way through cracks and contact rebar, spalling occurs.

Additionally, the ACRF Parking garage is a security risk. The garage location, below critical functions of the hospital, poses a security threat. Underbuilding parking makes blast hardening of the structure very difficult and costly. This is for two reasons; a rather large blast charge can be carried/hidden by a vehicle; and the vehicles can be parked really close to the structure (i.e. no standoff). While visitor vehicles are screened at the NIH Gateway Center when they enter campus, employee vehicles are not screened at the employee gates.

One way to reduce this security risk is by inspecting all vehicles for IEDs prior to entering the underbuilding parking structure thereby reducing the size/severity from an IED. This is what NIH is currently do on campus which comes with drawbacks via added cost for the guards that perform the inspections, cost of equipment (IED detection devices), and resistance to the traffic flow causing backups, especially during peak vehicle traffic periods. The long queues associated with the vehicle inspections create impacts to the adjacent campus roads, creating enduring safety issues. Although 100% of vehicles are inspected, there still remains the risk that a determined driver with explosives in a vehicle could bypass the security inspection procedure and detonate explosives in the parking garage. These security issues associated with the location of ACRF Parking Garage underneath the Clinical Center cannot be resolved through renovation.

NIH needs patient, visitor, handicap, and resident parking near the Clinical Research Center for patients, visitors are staff that work overnight shifts and late hours to support the research (campus shuttle and metro are not running). Patients are received in the north side of the CRC so a visitor parking garage close to the north side of Building 10. Relocating visitor and patient parking to the south (lot 10H) is not a possible long-term solution since the 10H parking lot is going to be converted to a pedestrian plaza per the Master Plan as is the parking to the east of Building 10.

As a result of the above requirements, a new Utility Vault and Patient Parking Garage (UVPPG) structure is planned for the NIH campus, to be located parallel to Convent Drive, on the west side of the road, at the location of an existing visitor and valet surface parking lot.

NIH will not deactivate all the spaces in the ACRF until an equal number are replaced. This parking garage will deactivate a portion of the ACRF parking. When funded and built, the parking garages in the Master Plan will deactivate the remainder of the ACRF parking garage spaces.

The intramural research community is strongly interested in repurposing the vacated underground parking garage into one or more of the following:

• A consolidated freezer farm for biospecimens

• Imaging space that would leverage the stable, vibration resistant below grade space for high fidelity imaging equipment.

• Storage of scientific and administrative supplies that would enable current above grade space to be used for optimal purposes.

The Office of Research Facilities, Division of Facilities Planning is studying the feasibility of those uses.

It should be noted that once the Patient Parking Garage is constructed, it will temporarily be used to house contractor and project management staff overseeing the construction of the Surgery, Radiology, and Laboratory Medicine project.

The project will also include several ‘enabling' tasks for the SRLM program, including relocation of the Clinical Data Center generator, ICU generator, CO2 storage tank, and electrical duct banks that all currently fall within the footprint of the new SRLM building. The project also includes a new electrical duct bank for electrical feeders from Building 63 to the Utility Vault.

The new UVPPG project (MLP 15) will add approximately 700 parking space to the NIH parking inventory. These spaces will be not increasing the number of employee parking spaces over the number of spaces on campus in 2013. Future Parking Efficiency Measures:

NIH operates a robust TDM Program as described in the Comprehensive Master Plan and associated Transportation Management Plan. The NIH Employee Transportation Services Office coordinates on and off campus shuttle services, trans-share benefits, ride share, carpools and vanpools, and cyclist subsidies.

NIH supports efforts of the federal, state, and local government to implement mass transit projects and affordable housing projects that will allow employees to use public transportation to access NIH campus and lease facilities and continue to reduce the number of SOV on the road. NIH expects these projects to reduce the NIH employee parking demand and allow us to reduce the number of parking spaces on the Bethesda Campus. Description of Projects:

Surgery, Radiology, Laboratory Medicine Addition (SRLM):

This project will construct a new addition and repurpose two floors of the West laboratory wing of the Clinical Research Center (CRC). The project will include the Clinical Center’s (CC) Surgical (Dept. of Perioperative Medicine and Interventional Radiology – DPM/IR), Radiology (Radiology and Imaging Sciences – RADIS) and the Laboratory Medicine (Dept. of Laboratory Medicine - DLM) departments now located in the ACRF’s Wings S&T, and the National Cancer Institute’s research labs located on floors 1W and 3W of the CRC West laboratory wing.

The total project will consist of 630,000 gross square footage (GSF), including new construction of 527,000 GSF and 103,000 GSF of renovation. The new wing will be an 8 story above grade structure (with interstitial floors), plus one floor below grade and a mechanical penthouse. A below-grade Cardiovascular Intervention Program (CIP) suite is also planned. The addition is located on the West end of the CRC-West Laboratory Wing. Once the new addition is completed, two floors of the West Lab wing (1W and 2W) will be renovated after the existing NCI Research Labs are moved to the new addition.

The addition will be positioned between the CRC and roads Convent Dr. and Center Dr. Each floor of the addition will align with those of the existing CRC. Floors 1, 3, 5 and 7 would be occupied by useable program space, while infrastructure (mechanical) space would occupy the majority of the interstitial floors B2, 2, 4, 6, 8 and penthouse. A portion of the campus’s West utility tunnel will need to be relocated. The construction and building aesthetics will match the current design of the CRC. Major utilities that now feed the CRC will support the expansion.

The useable program areas are located on Level B2 to Level 8. The B2 level will include DPM sterile supply and reprocessing, the CIP Suite (Cath Lab), and mechanical/electrical space. The First floor would consist of new construction and renovation to the CRC 1W wing for the Clinical Center’s RADIS Department. The Third floor will consist of new construction and renovation to the CRC’s W3 wing for the Clinical Center’s DPM/IR Department. The Fifth floor will consist of new construction for DLM and the existing adjacent 5W CRC labs would remain as is. The Seventh floor will consist of new construction, to be occupied by the NCI labs which vacated from the CRC’s 1W and 3W levels. Floors 2, 4, 6 and 8 will be interstitial levels containing mechanical equipment and limited office or conference space. Above the 8th floor will be a mechanical penthouse. Two towers will be positioned to the east and south of the new addition to house the mechanical equipment, to be configured to greatly reduce flooding potential to floors below. The schematic design of the SLRM establishes a vertical and horizontal massing to reduce the apparent size of the building. This is a large structure, but by articulating the bars of the building separately and using overhangs and canopies at key pedestrian areas, the design provides a more human scale around the base, despite having no “front door.” Project Exhibit 6.2.C illustrates that these projects do not exceed the height limits set in the 2013 Master Plan.

The proposed garage will be connected to the SLRM with a pedestrian tunnel to increase pedestrian safety. The sidewalks incorporate the same 5 ft. tree buffer between the road and sidewalk. In addition, the plazas, playgrounds, etc. are elevated from the roadway and protected by a site wall to accommodate the site grade change. Where emergency and service vehicles are required to cross pedestrian walkways at the NE corner/ service area entrance, the drive is controlled by removable bollards and fencing. Where vehicles are required to cross pedestrian walkways at the SW corner/ Old Ambulance Drive, the drive is blocked by automatic gate arm.

Utility Vault and Patient Parking Garage (MLP-15):

This project is a new Utility Vault (31,000 GSF) and Multi-Level Patient Parking Garage (6 levels, 250,000 GSF) to serve the NIH Clinical Center. The project will also include several ‘enabling’ tasks for the proposed Surgery, Radiology and Lab Medicine Building (SRLM Bldg), to be built as an addition to the Clinical Research Center (CRC). The enabling tasks include relocation of the Clinical Data Center generator, ICU generator, CO2 storage tank, and electrical duct banks that all currently fall within the footprint of the new SRLM building. The project also includes a new electrical duct bank for electrical feeders from Building 63 to the Utility Vault.

The utility vault will be positioned to the south of the garage. The vault will provide housing space for the (future) electrical switching station and emergency generator station to eventually replace the aging electrical equipment currently serving the hospital and biomedical research complex, ACRF and Building 10 (via Buildings 59 and 59A). The utility vault will also house the new electrical distribution equipment and a 200 KW emergency generator to serve the parking garage, as well as a fire pump to serve both structures. A partially underground fuel vault. Located to the west of the utility vault, will house the future generator fuel tanks.

The vault area will have an 18-20’ floor-to-ceiling height. The utility vault will be designed to meet progressive collapse requirements and also hardened for blast resistance, per current Federal force protection guidelines.

An electrical feeder will be installed, via a new underground duct bank, from existing Switching Station (Building 59) to the utility vault in the new structure. This feeder will provide normal power to the garage. Spare capacity will be built into the duct bank for future feeders for Building 59 replacement.

A below-grade tunnel connects the garage to the existing parking garage/ new SRLM addition at the B2 level. The intent is to have users of the garage enter Building 10 through the tunnel. In addition, NIH will install lighted pedestrian crosswalks for all surface crossings of roadways in the vicinity of the projects.

The drive entrances and exits will be as far from the intersections at Convent and South / Center Drives as possible to alleviate additional congestion at the existing crossings. On the south side, pedestrian traffic is diverted from the corner to the existing sidewalk west on South Dr., to reduce crossings at the intersection with Convent Drive. A Traffic Study has been performed to coordinate car queuing at the garage exits and to verify that the design is not creating traffic “pinch-points”. The design will regrade sidewalk pathways to create accessible routes around the garage.

Project Exhibits

SRLM Project Site

Existing Valet Parking Lot (10E)

UVPPG(MLP 15) Project Site

Potential

Construction Vehicle Access Routes (Center and South)

NIH Campus Map and Project Location

Google Earth Image of the NW Quadrant of the NIH Bethesda Campus

UVPPG (MLP 15) Schematic Site Plan

Conceptual Rendering – UVPPG (MLP 15) North-East View (Elevator Lobby on Convent Drive)

Conceptual Rendering – UVPPG (MLP 15) North-West View (from Convent Grounds & Family Lodge)

Schematic Site Plan – SRLM

Conceptual Rendering – SRLM North-West View from Center Drive (Old Georgetown Road) Entrance

0 200 400 800 It EB 0 SO 100 200 m Building Height Limit Line Buildable Area ---- Property Line

Exhibit 6.2.B.Recommended Maximum Building Heights

ROCKVILLE PIKE between WILSON DRIVE ! and CENTER DRIVE Origin of Bulkling t1e,gh151ot><

I 250' I No 8Utld Buff« Zone

250' I. Honzontaf Distance Edge Condition #1

WEST CEDAR LANE and ! OLD GEORGETOWN ROAD ! I 4

Ckiginof 100' 100' 100' 100' 8u.Jdl 100' • .-lQ!!'.. • 100' I Height Slope. 950' Honz.ori1a1 O!Stanee Edge Condition #2

EDGEWOOD, GLENWOOD, ! BATTERY LANE Origin of Neighborhoods j Ht,gl,1Slop, /lkJild,ng I I .., ______250' j;SO'. : No Build Bvffer Z0f1e 1,050' I• Ho«lOntllo..taJ>CO Edge Condition #3

Note: Building height is measured from average grade around perimeter of building base.

Maximum Building Height Buildable (Height) Area

Actual Ground Level Adjacent Neighborhood/ Road (not to scale)

Exhibit 6.2.C. Building Height Envelope Sections for Critical Areas with SLRM and UVPPG

NIH Bethesda Campus 2020 Master Plan Amendment for UVPPG and SRLM

Exhibit 5.1.D. Planning Principles – Access and Circulation

01-10-2020 | page 1 NIH Bethesda Campus 2020 Master Plan Amendment for UVPPG and SRLM

Exhibit 5.2.FF. Landscape Concept

01-10-2020 | page 2 NIH Bethesda Campus 2020 Master Plan Amendment for UVPPG and SRLM

Exhibit 5.3.D. Proposed Parking Distribution

01-10-2020 | page 3 NIH Bethesda Campus 2020 Master Plan Amendment for UVPPG and SRLM

Exhibit 5.3.G. Pedestrian Circulation

01-10-2020 | page 4 NIH Bethesda Campus 2020 Master Plan Amendment for UVPPG and SRLM

Exhibit 5.3.H. Bicycle Circulation

01-10-2020 | page 5 NIH Bethesda Campus 2020 Master Plan Amendment for UVPPG and SRLM

Exhibit 6.2.A. Major Buildings Setbacks

01-10-2020 | page 6 NIH Bethesda Campus 2020 Master Plan Amendment for UVPPG and SRLM

Exhibit 6.2.B. Recommended Maximum Building Heights

01-10-2020 | page 7 NIH Bethesda Campus 2020 Master Plan Amendment for UVPPG and SRLM

Exhibit 6.4.C. Campus Planting Patterns

01-10-2020 | page 8