More about the Major Institution Master Plan

The Major Institution Master Plan (MIMP) process allows Seattle institutions to work with City of Seattle departments and the community to understand and plan for growth. UW Medicine leadership seeks to continue its partnership with the City of Seattle and the immediate neighborhoods to define a 20-year plan that can prove mutually beneficial as it grows the UWMC – Northwest campus.

The City of Seattle requires all major medical and educational institutions to define a “major institution master plan (MIMP)” for their respective campuses and facilities. It documents existing facilities and infrastructure, identifies potential development areas, and establishes design standards that will guide future development.

MIMPs can address new or anticipated regulation changes that impact what a campus may look like and how it may operate. MIMPs bring together many different areas of importance including workforce changes, customer needs and services, technological innovation, sustainability and green energy, architecture and design, engineering, and transportation management.

A photo of a worker installing a new purple directional sign on the UWMC – Northwest Campus. The sign says Medical Arts Building left, McMurray Medical Building (left), and Geropsychiatric Center (right).

A worker installs a new directional sign on the UWMC – Northwest campus.

Goals of the MIMP

  • Accommodate Future Growth. Accommodate future clinical care growth requirements while maintaining a positive campus experience for patients, visitors, staff, and the community.
  • Align Vision with Strategic Plan. Align the UWMC – Northwest campus vision with the larger UW Medicine Strategic Plan.
  • Phased Growth for Future Needs. Replace aging facilities, phase necessary campus expansion, and consider the energy efficiency and utility needs for future development.
  • Flexibility to Adapt with Changing Needs. Create flexibility to support the dynamic, ever-changing healthcare market that allows project sequencing based on need and funding strategies.
  • Community Engagement. Through clear and transparent communication, ensure the community understands the project vision.

Community Voices Shape the MIMP

Before submitting a formal MIMP, we will conduct community outreach to understand and incorporate community priorities into the proposal. We will be in the community presenting information, asking for your feedback, and hosting both virtual and in-person events.

The Development Advisory Committee (DAC) plays a key role. The community is represented by a formally appointed advisory committee that participates in both creating the MIMP and monitoring implementation. Advisory committee meetings are open to the public and provide an opportunity for public comment. You can learn more about the UWMC – Northwest DAC and meetings in 2023 on the City’s website.

Key Issues Addressed in the MIMP

Service Area Population Growth and Aging

The UWMC – Northwest service area spans King and Snohomish Counties, which are home to approximately 3.2 million residents. This area is experiencing rapid population growth and is projected to increase by 28% over the next 20 years, exceeding 4 million people. The demand for healthcare is growing with our region’s projected population increase and the need for chronic disease management. In addition, UWMC – Northwest will need to expand primary, preventative and select specialty care to continue to serve the growing community. Within the next seven years alone, the UWMC – Northwest service region anticipates 22% growth in the 65+ age group.

Programmatic Needs

Inpatient hospital care within the service area of UWMC – Northwest is estimated to double over the next 20 years. From 2023 to 2043, inpatient volumes are anticipated to grow by 103% through a mix of organic (53%) and strategic (50%) growth. Outpatient clinical care is estimated to grow by 45% at the same time, from almost 6 million to 8 million patient visits annually. UWMC – Northwest needs significant space to help meet this demand – both in the hospital and in the outpatient medical office buildings.

As part of the University’s academic medical center, UWMC – Northwest also needs support spaces to accommodate faculty and residents beyond a community hospital setting. For example, current best practices include break-out rooms for collaboration and discussion near patient care areas so providers can teach while maintaining patient privacy.

Projected inpatient growth

UWMC – Northwest Inpatient Discharges

20-Year Projection

Graph showing projected inpatient growth over 20 years (between 2021 and 2041). Inpatient discharges in 2021 were 9,000. In 2031, it is expected to be 12,000. In 2041, it’s expected to be 18,000.

Projected outpatient growth

Hospital Outpatient Department Volume

20-Year Market Projection

Graph showing projected outpatient growth. This is demonstrated with hospital outpatient department volume over a 20-year period (2021 through 2041). In 2021, UWMC-NW saw 6 million outpatients. In 2031, its projected to be 7 million outpatients. And in 2041, it’s expected to be 8 million outpatients.

Older Campus Facilities

Many of the facilities at UWMC – Northwest are more than 50 years old and require significant investment through renovation or replacement to meet modern healthcare practices. The UWMC – Northwest campus needs to grow and modernize the care environment to increase capacity and support teaching needs at this location.

Aging infrastructure should be replaced to meet current codes, best practices and improve energy efficiency. Solutions may include developing a central utility plant (or multiple smaller structures) to improve campus operations and comply with the University’s sustainable practices. We will also address seismic resiliency with new developments to ensure the hospital can maintain patient care and operations after a significant seismic event.

Existing Campus Buildings

Overview map of the UWMC – Northwest campus buildings. D-Wing and Fred Hutchinson buildings are less than 10 years old. McMurray Medical Office Building and the Parking Garage are between 11 and 20 years old. A-Wing and E-Wing Additional are between 31 and 40 years old. The Medical Arts Building, MOB, Daycare Center, A-, C- and E-wings are greater than 40 years old.

Click image to enlarge.

Key

Building Age (Calculated as of 2022)

 < 10 years

  11–20 years

  21–30 years (not applicable)

  31–40 years

  > 40 years (original construction)

Buildings

1 E-Wing (1969)

2 E-Wing Addition (1989)

3 C-Wing (1960)

4 B-Wing (1960)

5 A-Wing (1983)

6 Behavorial Health Teaching Facility (BHTF, 2023)

7 Medical Office Building (1982)

8 Medical Arts Building (1974)

9 Fred Hutchinson Proton Therapy (2023) Landlease

10 McMurray Medical Office Building (2005) Landlease

11 Parking Garage (2005)

12 Daycare Center (1978)

 

Development Density and Functional Efficiencies

One-story buildings dominate the older, northern half of the campus, spreading out healthcare functions and increasing walking distances between care areas. Modern medical centers are designed to closely locate all diagnosis and treatment areas so staff proximity and patient care areas are quickly accessed, either on the same floor or on adjoining levels. All UWMC – Northwest hospital areas will need to grow to respond to the projected population growth and corresponding increase in healthcare demands.

UWMC – Northwest campus buildings by program

Graphic showing campus buildings

Click image to enlarge.

Key

Primary Service

 Hospital

  Clinic / Support

  Parking Garage

Buildings

1 E-Wing

2 E-Wing Addition

3 C-Wing

4 B-Wing

5 A-Wing

6 Behavorial Health Teaching Facility (BHTF)

7 Medical Office Building

8 Medical Arts Building

9 Fred Hutchinson Proton Therapy

10 McMurray Medical Office Building

11 Parking Garage

12 Daycare Center