The Johns Hopkins Medical Campus
Campus Master Plan Overview
Johns Hopkins is the exemplary academic medical institution it is, because of our people, and in spite of our facilities. The vision for the future of the Campus is to provide facilities that make it possible for these people to do their best work.
The Current Campus
From an initial complement in 1889 of 220 beds and one operating room in facilities totaling approximately 131,700 square feet, JHH is licensed for 921 acute care beds with 53 operating rooms, housed in 1,419,818 NSF of space today. The medical staff, once fewer than 50 physicians, now numbers over 1,500. And yet, in JHH’s 114th year of existence, despite the tremendous advances in medicine and growth, much patient care is still rendered in pre-WWII buildings or in buildings that, although built in later years, are outstripped by modern technology. The age of the Hospital’s physical plant is 50% above Moody's average for Aa hospitals. These buildings are no longer sufficient for JHH to meet the needs of its patients, physicians, staff, and community.
Further, the current campus is unable to accommodate critical adjacencies of patient rooms, critical care units, non-invasive radiology, and interventional services, thereby resulting in the inefficient transport of patients for delivery of care. In addition, the planning for any possible cataclysmic biological infection or disaster has only further revealed the shortcomings of the aging facilities.
In research, Hopkins generates 62% more dollars per square foot of space than other academic medical centers; a sign not of efficiency but of overcrowding, especially as we seek new directors. Today's facilities cramp our ability to recruit tomorrow's faculties. Steps have been taken to address this issue with the planned Cancer Research Building II and expansion to the Basic Sciences Programs.
In education, students have to crowd around the table to try to see a dissection, rather than utilizing audiovisual aids common to medical education in this era.
A significant reality for Hopkins is finances. Due to regulatory rate controls, the Hospital - which has the greatest renewal needs - cannot generate the necessary funds internally, as other AMCs located outside the state do. Therefore, the plan proposes building programs designed to meet the needs of 21st Century clinical care, research, and education, as economically as possible.
JHH has been able to maintain its world-class reputation despite the challenges associated with its physical plant. However, the demands to improve patient safety, efficiency, and care delivery have exceeded the Hospital’s physical and capital resources.
Recognizing the current state of its facilities, and anticipating the future of health care delivery, JHH is at a critical point in its history. It must now embark on a campus redevelopment plan and program that will define the future of this world-renowned institution for years to come. The necessary capital improvements for the JHH campus over the next 10 years are clear:
- new facilities are needed for pediatric and adult acute, critical, and surgical care;
- capital expenditures are required for state-of-the-art technologies and information systems to care for patients in the new facilities;
- an expansion of campus utilities and power plant facilities is necessary to support the new buildings;
- rehabilitation of infrastructure and systems supporting existing buildings is required to allow the productive use of these buildings in the future;
- and capital expenditures are necessary to repair and maintain the four historic buildings which are the centerpiece of the Hospital campus.
The Medical Campus Master Plan calls for the construction of a New Clinical Building and a new entry court for the Hospital along the north frontage of Orleans Street, between Broadway and Wolfe streets. The New Clinical Building will interconnect with the recently constructed Weinberg Building to form a new state of the art health-care facility, replacing greatly outdated facilities aggregated at the northern end of the campus. The New Clinical Building will house two distinct building programs in a single structure:
- The 530,000 GSF CMH will include 205 inpatient beds (80 med/surg, 20 Oncology, 20 Psychiatry, 45 NICU, and 40 PICU). Also included in the CMH program are: a pediatric emergency room, which is the State of Maryland’s only Phase III pediatric trauma center; a full complement of radiology equipment; 10 operating rooms for children; outpatient services for oncology, psychiatry, and the Pediatric Clinical Research Unit; outpatient services for medical and surgical specialty clinics; 3 OB operating rooms; 8 LDR’s; 35 ante/post-partum beds; and associated support space.
- The 860,000 GSF CCT will include 320 beds (seven 32-bed acute care units and four 24-bed critical care units), 20 operating rooms, 24 interventional labs, 16 endoscopy/bronchoscopy rooms, a full complement of radiology equipment including MRIs and PET/CTs, an adult emergency department, and associated support space.
Upon completion of the new clinical facilities, many buildings located on Monument Street's south side can be vacated and demolished. All but one are over 70 years old, and difficult to retrofit, and their demolition will save operating costs.
