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Legacy Emanuel expansion includes new home for cardiac surgery, Oregon Burn Center.

COURTESY: CORKY MILLER - June 6 groundbreaking ceremony at Legacy Emanuel Medical Centers expansion project included (from left) Charles Wilhoite, Legacy Health board member; Senior Vice President of Operations Dr. John Newcomb; President Dr. George Brown; Portland City Commissioner Nick Fish; Legacy Emanuel President Dr. Lori Morgan; Dr. John McQueston, president of the Legacy Emanuel medical staff; Michael Lewellen, vice president of corporate communications and public engagement for the Portland Trail Blazers; and Multnomah County Commissioner  Sharon Meieran.

Legacy Emanuel Medical Center recently launched a $210 million expansion project that, when completed in 2021, will include a four-story, 260,000-square-foot building and 80,000 square feet of remodeled existing space on the west end of the campus. The health system initiated the expansion because of growth constraints on the campus, including physical and functional space limitations for current and new clinical programs.

Seismic upgrades play a key role in the new building, which will house state-of-the-art technologies and new equipment, operating rooms and procedural suites for cardiac services and other inpatient and outpatient surgeries. The expansion will include parking for 100 cars in the North Kerby Street lot, adjacent to the hospital and operating rooms.

The building also will be the new home for the Oregon Burn Center, the only facility of its kind between Seattle and Sacramento. Legacy has consolidated all open heart surgery at Emanuel in addition to adding advanced and interventional cardiology services and a new multi-person hyperbaric oxygen therapy chamber. Emanuel West, as it's been dubbed, is the first major expansion on the campus since Randall Children's Hospital opened in 2012.

Ali Sadri, Legacy Health's director of planning, design and construction, said the seismic upgrade is designed to a higher level than is mandated by building codes in order to sustain critical operations, protect patients and staff, and accommodate the advanced technology used in integrated operating rooms.

"Technology is at the forefront of this project," he said. "Electronic magnification in the area of surgery is becoming more advanced, and we want to minimize any vibration so a surgeon who is looking at an organ which is magnified at 100 times can see a clean and very clear picture of what they are dealing with."

COURTESY: CORKY MILLER - Legacy Emanuel Medical Centers rendering of the hospital expansion.

Sadri noted that there isn't much construction activity to see since the June 6 groundbreaking ceremony because of the extensive relocation work that must be done in advance of the new construction. Existing utilities must be rerouted, an old fuel tank is being

extracted, emergency generators are being relocated and new power systems are being built to support the building.

"There is a series of precursor projects — about 42 of them — that we have to do to make sure the site is ready to be built," he said, adding he expects mass excavation of the site to begin in November and the project will be completed in multiple phases to minimize disruption.

"We are making sure that all of those pieces fall into place at the right time as the different portions of the project are available," he said. "It's a very interesting domino effect as they start falling into place."

COURTESY: CORKY MILLER - Renderings show updates that include 80,000 remodeled square feet and a four-floor, 260,000 building.

Along with a cardiovascular intensive care unit, the new building will offer larger operating room suites with standardized equipment, seven cardiovascular catheterization lab suites, an electronic perioperative tracking system, new MRIs to accommodate anesthetized patients and a larger central sterile processing unit.

COURTESY: CORKY MILLER - Renderings show updates that include 80,000 remodeled square feet and a four-floor, 260,000 building.

In addition, it will provide completely separate patient flow for ambulatory surgical patients, better flow for pediatric surgical patients and more spacious family waiting areas. Once the existing Oregon Burn Center is demolished, Legacy Emanuel will have more space for its Pediatric Ambulatory Center.

"Despite the financial challenges facing the health care industry, Legacy remains committed to capital projects like Emanuel West that position the organization to meet future patient needs and expectations," Dr. Lori Morgan, Legacy Emanuel president, said in a statement.

COURTESY: CORKY MILLER - Legacy nurses approve of the remodel.

Improvement projects are in the planning stages at two other Legacy facilities as well. A new building at Legacy Meridian Park will provide replacement medical and surgical patient rooms, allowing all medical patients to be on the same floor and increasing patient room size to current health care standards. The project also will include new medical office space and expanded surface parking on the campus.

The health system is investing at least $57 million in its Legacy Silverton Medical Center to implement Epic's health-care software, new and upgraded facilities, service line growth and provider recruitment.

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