Is there a community need for a surgery and oncology pavilion?
The population age 65+ in NewYork-Presbyterian/Lawrence Hospital's primary service area is 18.8% (2009) and is growing to 20.1% in 2014. This is higher than the national average of 12.7%.
The incidence of cancer in people 65+ rises to 22 per 1,000 versus 2.2 per 1,000 in people under 64 years of age. The aging of the population in our area indicates a true community need. Radiation therapy is appropriate for 60% of all cancer cases, which is currently not an available service at NewYork-Presbyterian/Lawrence.
The New York State Department of Health agreed that there is a community need and issued Lawrence the necessary Certificate of Need for construction.
Why build a cancer center at NewYork-Presbyterian/Lawrence Hospital when quality cancer care is available in the city?
The cancer treatments (surgery, radiation oncology, and medical oncology) at NewYork-Presbyterian/Lawrence Hospital will follow national guidelines established by National Cancer Institute centers across the country. Therefore, patients receiving care at NewYork-Presbyterian/Lawrence will be receiving comparable treatments as those found at the prestigious centers in the city. In the unlikely event, that a patient has a very rare tumor, he/she will be appropriately referred to a sub-specialist who is particularly skilled in this area. However, 90-95% of all cancer cases are appropriately treated in the community setting, and the equipment at Lawrence will be new, state-of-the art technology and similar to the equipment at Memorial Sloan Kettering and other NYC National Cancer Institute centers.
Many patients may also opt to have initial treatment in the city but want to have radiation or chemotherapy treatments close to home in a caring environment. Radiation and chemotherapy are multi-session treatments which can be administered at Lawrence using the same protocols as other cancer centers.
What services will the cancer center provide?
NewYork-Presbyterian/Lawrence Hospital's cancer program’s vision is to develop a state-of-the-art comprehensive, integrated cancer center housing radiation oncology, medical oncology and infusion therapy, with a full complement of supportive care services in a convenient on-campus location. The cancer center will be contiguous with surgery and linked with the hospital for easy access to imaging, pathology, a patient resource center and other ancillary services for cancer patients and their families.
Within the center, the Comprehensive Breast Care Center will be led by a multi-disciplinary team. Dr. Anthony Provenzano, Chief of Oncology at NewYork-Presbyterian/Lawrence is a key leader of this team.
Were alternative sites considered? Why was this site chosen?
The Hospital considered various site options in counsel with its engineers and architects, both on-campus and off of campus, as well as, within the Village limits and the neighboring towns. Of all the sites under consideration, the current site selected at the north-east corner of the property met the project critical objectives:
- Connect as many of the fragmented and dispersed clinical services in a single location as possible, including chemotherapy infusion, radiation therapy, surgical services, supportive care and diagnostic testing.
- Provide the essential services in a convenient, patient and physician friendly environment, in a state-of-the-art facility.
- Develop the project in an efficient and cost effective manner. The other site locations were unable to achieve an adequate level of clinical integration in a financially feasible manner.
- Construct new modern operating rooms that are contiguous to the current surgical suite space for seamless access to the existing Recovery Room and Anesthesia departments.
How will this affect parking and traffic conditions?
Since all of the services, except Radiation Therapy, currently exist on the campus today, the new center is expected to generate only 22 to 25 new daily patients and 7 new employees.
Patients will utilize valet services and the estimated impact during peak demand times is 10 spaces. Employees will be required to park off-site. Last year, the hospital commissioned a third party consultant to review the status of its short-term and long-term parking needs. The study indicates that during peak hours the average occupancy is at 83.0% capacity. Much of the improved parking situation at the campus is directly related to the off-site parking employee lots procured within the last three years. Assuming an average 1% annual increase in traffic the study estimates future peak parking demand at:
2014 – 5 years out at 621 spaces, surplus of 62 spaces
2019 – 10 years out at 676 spaces, surplus of 7 spaces
During construction, parking will be provided for workers offsite and the general contractor will run a shuttle.
Over the last three years significant progress has been achieved to alleviate the parking demand on the campus, including:
- Leased off-site parking for 230 employees at the old Smith Cairns
- Re-located all out-patient rehab services to a new location in Eastchester moving 20 employees and an average of 100 patient visits daily
- Established off-site stations for blood draws and testing.
- Implemented valet parking for all patients and visitors
- All employees are required to use the Palmer Avenue gate, alleviating congestion on Pondfield Road West entrance.
How many stories high will the center go?
Radiation therapy will be in the basement level, the first floor will house medical oncology and chemo-infusion along with other supportive care services for cancer patients and the second floor will contain six new modern operating rooms. The building will only elevate two floors above street level and will include a roof-top garden for the enjoyment of patients, visitors and neighbors.
All building mechanicals on the roof will be totally enclosed with sound deadening materials and will not be visible from the street.
Where will the entrance to the center be?
The cancer center entrance will be at the hospital’s main entrance just across from the current valet parking stand. There will not be a separate vehicle entrance from the street.
Will the cancer center be safe?
Yes, the linear accelerators used for radiation treatment will be buried in the basement level and enclosed in 6 feet of concrete and lead. The radiation therapy equipment will be certified and continually monitored by a physicist to ensure proper compliance and safety.
What is the timeline for construction?
Approval is expected to take about six to eight months from the initial application in December 2010. Construction for the building is expected to start about January 2012 and to be completed about June 2013, for a total 17 month construction period.
Excavation will take about two months. From March to July 2012 the steel and concrete structure will be erected. The exterior building “skin” will go up in July 2012. After the exterior is completely enclosed, expected in October 2012, there should be minimal construction noise and disruption. The interior build-out should take about 8 months and be completed in May 2013. Landscaping by a landscape architect will be completed in May and June 2013.
What will be done about noise and other inconvenience during construction?
The developer will utilize a drilled/poured concrete piling system, rather than the typical “pounded” systems, in order to minimize noise. The site will be fenced in accordance with village requirements and screened from sight view as required, public safety is paramount. The construction trailer will be located at the rear of Palmer Hall away from the site.
Some temporary road and sidewalk closures will be required for safety and access. The developer is working on a detailed plan for presentation to the hospital and village for approvals. Minimizing the impact to our neighbors, patients, physicians and visitors is a priority.
Why is the Cancer Center important to NewYork-Presbyterian/Lawrence Hospital's future?
The hospital has a strong 100 year history of evolving to meet the changing medical needs of the community. It has regularly invested in clinicians, technology, and facilities to improve patient care and to remain a financially sound and viable organization. The Cancer Center and the related new operating rooms are an important part of the hospital’s current strategic plan which aims to ensure that NewYork-Presbyterian/Lawrence Hospital continues to provide important medical services to the “greater” Bronxville community for the next 100 years.
How much will the center cost and how will it be funded?
The construction project will cost approximately $29 million and $5 million is equipment. Funding will be through a combination of borrowing, centennial year fund-raising, hospital equity and additional fund-raising.
Who can I contact for more information?
Please contact Timothy Hughes, Vice President of Business Development for more information at 914.787.6050. You may also e-mail questions or comments to email@example.com.