Commonwealth of Massachusetts Lemuel Shattuck Hospital 2021 Relocation

Commonwealth of Massachusetts Lemuel Shattuck Hospital 2021 Relocation Project Overview Continuing Shattuck’s Commitment to Providing High Quality Health Care to the State’s Most Diverse, Underserved Patients Draft for Discussion Purposes Only

Introduction • The Commonwealth is planning to move the medical and psychiatric services of the Lemuel Shattuck Hospital (LSH) from its campus in Jamaica Plain to the Newton Pavilion, currently owned by Boston Medical Center, in the South End. The move is planned for 2021. • The hospital’s mission is to deliver compassionate medical and psychiatric care to patients requiring multi-disciplinary treatment and support which promotes their health, well-being, rehabilitation and recovery. The hospital strives to continuously improve the quality of life for its patients through the delivery of collaborative treatment and patient-focused care. • Located in Jamaica Plain, the 13 -acre campus is operated by the Massachusetts Department of Public Health (DPH) in conjunction with the Department of Mental Health (DMH) and the Department of Correction (DOC). • LSH offers outpatient services (e. g. primary care, orthopedics, radiology, diagnostics, etc. ) and 260 inpatient beds which includes: • 117 inpatient medical/surgical beds (operated by DPH) • 28 medical/surgical beds dedicated to DOC patients in a locked unit (operated by DOC and DPH) • 115 inpatient psychiatric beds (operated by DMH) Draft for Discussion Purposes Only Updated: 9/25/2020 2

Commitment to the Community • Shattuck Hospital has a longstanding commitment to the economically, racially and culturally diverse patients and communities that it serves. • The hospital’s mission is multi-faceted. It includes: • Increasing access to high-quality care for under-served patient populations • Addressing the unmet medical and psychiatric needs of patients • Treating all patients and clients fairly without regard to socioeconomic status • Providing individualized care plans in an environment that promotes the safety and respect of patients • Fostering community and professional partnerships to support the needs of both the public and the private health care systems Draft for Discussion Purposes Only Updated: 9/25/2020 3

Renovation vs. Relocation • Built in 1954, LSH requires extensive renovations to maintain its mission of providing high-quality health care to the state’s most complex and vulnerable patients. • Relocating the hospital services to the Newton Pavilion is the most cost-effective solution for the Commonwealth compared to renovation or new construction, and could save the Commonwealth between $200 and $300 million. Option Projected Cost Acquisition and Relocation to Newton Pavilion ~$200 M Renovate LSH in Jamaica Plain ~$400 M New Construction ~$500 M Draft for Discussion Purposes Only Updated: 9/25/2020 4

Newton Pavilion Opportunity • The Newton Pavilion is located on East Newton Street, between Harrison Avenue and Albany Street in the South End, and currently operates as a Boston Medical Center medical facility. • Built in 1986, the building consists of 325, 000 sq/ft. on eight floors. • In 2018, BMC will be vacating the building as part of the hospital’s consolidation. • The Newton Pavilion meets LSH’s inpatient and outpatient service needs with minimal renovations required. • The Newton Pavilion site provides an opportunity for potential collaboration with BMC, DMH’s Solomon Carter Fuller Mental Health Center, and neighboring academic institutions, as well as the opportunity for continued collaboration with Tufts. • Most importantly, the renovation will not cause any disruption to LSH’s patients currently receiving care at its Jamaica Plain campus. Draft for Discussion Purposes Only Updated: 9/25/2020 5

What Services Will Be Relocated? • • Services relocating from the Shattuck Jamaica Plain campus to Newton Pavilion include: • 260 inpatient beds (medical/surgical beds and psychiatric) • Outpatient and ancillary services such as primary care, orthopedics, radiology, and diagnostics Provider services not relocating from the Shattuck Jamaica Plain campus to Newton Pavilion include: • Residential treatment programs • Outpatient psychiatric services • Pine Street shelter • Methadone clinic Draft for Discussion Purposes Only Updated: 9/25/2020 6

Transportation and Access • The Commonwealth is committed to identifying transit strategies for employees and patients that promote the use of public transportation. • Over the next three years, the state will continue to explore opportunities with local institutions and businesses to identify transportation demand management strategies and other best practices to assist in mitigating traffic in the area. Draft for Discussion Purposes Only Updated: 9/25/2020 7

Shattuck Campus Planning Process • Commonwealth will engage consultant to facilitate a 12 -month planning process for the future use of the 13 -acre Shattuck Campus in Jamaica Plain. • Process to include evaluation of population needs, stakeholder input, and financial modeling. • Strong coordination with internal low-threshold housing project team and the City of Boston. • The land is required to serve a public health purpose per statute. • Considerations for future use: • • Continuum of public and behavioral health services; including retention of the existing provider services (that are not planned to relocate) Service Building Hospital Building Personnel Building Public-private partnership Draft for Discussion Purposes Only Updated: 9/25/2020 8

Relocation Timeline 12 month process Begin Shattuck JP Campus Planning Process Begin Public Outreach Complete Design & Initiate Construction Oct 2018 April 2018 Begin Building Design Phase & CM Procurement 2020 2019 June 2018 Feb 2018 Building Commissioned Close on Newton Pavilion 2021 Complete Construction LSH Moves to Newton Pavilion Ongoing project updates are available at www. mass. gov/DPH/Shattuck. Relocation Draft for Discussion Purposes Only Updated: 9/25/2020 9