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REQUIRED OF THE FRED HUTCHINSON
CANCER RESEARCH CENTER (FHCRC)

General Comments

The construction guidelines of the National Cancer Institute are to be
followed in the development of the FHCRC facilities. Although NCI does
not have the responsibility for review and approval of the construction
plans, NCI representatives are willing to assist in their deve lopment
and review. It is suggested that arrangements for NCL assistance be
coordinated by the HEW X, Federal Engineering Construction Authority
representatives, since that agency has the responsibility for review and
approval of the plans. .

In order to complete the RMPS review and award process before July 1;
1972, it is extremely important that the following requirements be met
as indicated. - |

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. To be submitted no late’ than June 1, 1972, to RMPS and FECA.

I. Program Document

Specifics: The program document will include a floor by floor
layout %r schematic of the facility indicating what types of
activities would be conducted on each floor, a description of the
building and the type of equipment to be included therein.

Direct submission of a cop: of the document to FECA will expedite
the review process.

II. Documentation of Technical and Administrative Requirements
. To be subwitted no later than June 1, 1972, to RMPS.

Specifics: Relevant requirements must be met including all
necessary licenses, clearances, permits and approvals when required.

. A. Local and state building codes
B. Hospital licensure requirements
C. Laboratory licensure requirements
D. State certificate of need
E. A-95 clearance ~
F. City or regional planning requirements
G. Zoning requirements
H. State standards for maintenance and operation
I. Environmental clearances (air and water quality, etc.)
J. Model Cities sign off
K. Standards for participation in Medicare and Medicaid
Pe te

Page 2 ~ REQUIRED OF FHCRC

Tit.

L. Plan for animal care in accordance with PHS Publication 1024,
Guide for Laboratory Animal Facilities and Care

M. Plan for the protection of human subjects involved in.
research

N. Evidence of title to the site

0. Valid lease agreement including appropriate provisions.
regarding the proposed service tunnel and other connecting
structures

P. Evidence of nonprofit status of applicant and of Swedish
Hospital ;

Q. Compliance with HEW Civil Rights Regulation (HEW Form 441)

R. Requirements for accreditation by the Joint Commission

Determination of Fiscal Agent

-, fo be submitted no later than June 1, 1972, to RMPS. |
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Specifics: Since the grant will be made directly to the FHCRC, it
must be determined if the FHCRC will be adequately staffed and
organized to serve as its own fiscal agent. If not, some other
established organization would have to act as the fiscal agent as
the University of Washington does for the Washington/Alaska Regional

Medical Program.

Response to National Advisory Council, RMPS Conditions for Award

A. All relevant Federal, state and local requirements concerning
the expenditure of Federal funds for the construction of the

proposed type of facility including all needed licenses,
clearances, permits, and approvals.

Specifies: (Covered in Item II above.)

B. The University of Washington and Swedish Hospital formalize
their relationships with the Center through written agreements.

- To be submitted by May 1, 1972, to RMPS.

Specifics: University of Washington--Early in February, the affili-

ation agreement between the University of Washington and the FHCRC
was in draft form, and was awaiting acceptance by the University
Board of Directors. —

Specifics: Swedish Hospital Medical Center--In a letter of

January 31, 1972, to Dr. Hutchinson, Dr. Allan W. Lobb, Medical
Director, Swedish Hospital Medical Center, states that ... "We
clearly understand that our facilities will be required by the
th

Page 3 - REQUIRED OF FHCRC

vi.

research center. Further, the, "... Center is in a position and
has the facilities at the present time to make available such
services as will be required to service up to 50 beds in the new
research building." The letter also states "The Board of
Trustees and the medical staff reaffirm their encouragement in
the development of the Fred Hutchinson Cancer Research Center and
will cooperate to the best of their ability."

The intent of the NAC condition was that the Board of Trustees
of the Swedish Hospital Medical Center give official sanction
and approval of the FHCRC and provide an affiliation agreement,
which would include what services and staff would be provided by
the Swedish Hospital Medical Center and what would be provided
by the FHCRC.

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¢. SATISFACTION OF ALL CONDITIONS CONTAINED IN COUNCIL'S STATEMENT

OF NOVEMBER 10, 1971. |

Specifics: Excepting those conditions covered elsewhere in this
outline, it appears that #11 conditions contained in the Council's

November vtatement have been, or will be, satisfied prior to an
award.

The Provis. on of Space to Accommodate 20 Beds, which: would be
Isolated from the Swedish Hospital Medical Center, be Reconsidered
with further Justificution for Review and Approval by the NAC

. To be submitted Sy May 1, 1»o72, to RMPS.

Specifics: (RMPS will clarify this condition in a separate letter
no later than March 31, 1972. FHCRC would have one month in which
to respond. This information will be reviewed by the NAC/RMPS in

early June.)

Plans for Raising the Amount Required to Meet the 10% Cost Sharing
Requirement

. To be submitted by June 1, 1972, to RMPS.

Specifics: This information is needed as an assurance that local
funds will be available as needed.

Prepared by:
Western Operations Branch, Regional
Medical Programs Service, 3-3-72