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| Proquest LLC |
ACADEMIC MEDICAL CENTER
NBBJ
The Montlake Tower Expansions high-tech, flexible and sustainable structure expands
The eight-story addition-which integrates a NICU, oncology unit, and three shelled floors for future build-out-connects seamlessly to the existing hospital's 12-foot floor height by using innovative strategies for mechanical distribution. Expanding at the modern 15- to 18-foot floor height would have reduced the number of floors and would require ramps to the existing hospital on several floors-a potentially dangerous outcome for both patients and staff. Instead, the design team reduced overhead duct depth and maximized ceiling heights on each level by doubling the number of vertical shafts that support the imaging and operating room suites on the second floor and the patient floors above.
Project category: Addition (completed
Chief administrator:
Firm:
Design team: Architecture, Interior Design, Project Management, Lighting Design, Environmental Graphics (NBBJ); Structural and Civil Engineering (MKA); Landscape Design (
Photography: ©
Total building area (sq. ft.): 293,708
Construction cost/sq. ft.:
Total construction cost (excluding land):
ACUTE CARE HOSPITAL
Emerson Hospital Concord, ma
From the moment one enters a hospital campus to the time one leaves, one should have a feeling of comfort, caring, and trust founded on medical competency. The hospital appearance should be welcoming, calming, efficient, and highly professional: a sense of "being in good hands".
If a patient is connected to the environment, the foundation is laid for a trusting relationship with the physicians, nurses, therapists, and technicians. It is these associations-of the patient to the interior, the building to its community-that creates a healing environment fostering feelings of security, community, belonging, healing, and of trust.
After the completion of a
Protect category: Remodel/Renovation (ongoing)
Chief administrator:
Firm:
Design team:
Total building area (sq. ft): 77,000
Construction cost/sq. ft.:
Total construction cost (excluding land):
ACUTE CARE HOSPITAL
Inova Fairfax Medical Campus:
As it is enacted, the Master Facilities Plan at the Inova Fairfax Medical Campus will alleviate overcrowding, address aging infrastructure, increase focus on patient amenities, and demonstrate a commitment to investing in established centers of excellence along a new entry boulevard. A major part of this plan, the
After careful consideration of multiple approaches to identify which would provide the best value, the hospital determined that it would be most economical to construct a new, 216.000- square-foot patient tower, consisting of 120 medical/surgical beds and 54ICU beds. Completion of the new tower provided capacity to allow for the 250,000-square-foot existing patient tower to be completely renovated in just two phases. The renovated tower will feature 169 private medical/surgical beds and 24 short stay beds in the Critical Care Wing.
The nurses' stations all use systems furniture, rather than traditional built-in millwork. This concept is intended to increase flexibility and establish a more open environment in the nursing units that encourages interaction and communication between patients, physicians, and staff.
During the design effort, the team engaged a leading, published specialist in design for geriatric patients to provide peer review. She helped to ensure, via improved patient visualization and fall control, that the design of the new patient tower and renovated units would emphasize patient safety. The design team selected wall and floor treatments to ensure significant contrast and to avoid implied level changes in the floor.
Both phases of the project-both the new patient tower and the renovation of the existing tower-will be LEED Silver certified. Specific sustainable design elements featured in the new construction phase include a green roof to provide views to nature from the patient rooms, over 40 percent savings in domestic water use, a high performing envelope to reduce air infiltration, over 95 percent of the construction waste diverted from landfills, and a strong emphasis on incorporating regional materials into the project.
Project category: New construction & Remodel/Renovation (completed
Chief administrator:
Firm:
Design Team: Architect (Wilmot Sanz);
Photography: © Michael Dersin Photography
Total bolltfing area (sq. ft.): 216,000 (new); 250,000 (renovation)
Construction cost/sq. ft.: Not available
Total construction cost (sxcloding land): Not available
ACUTE CARE HOSPITAL
Perspectus Architecture
Besides focusing on comfort, lighting, safety and health, the objective was to create inviting gathering spaces on the first and basem*nt floors with clear wayfinding for patients and visitors. A "
Continuous hospital operations were maintained throughout extensive construction phasing with multiple areas under construction simultaneously. The renovations successfully achieved: a fresh image; an improved healing environment; cohesive public spaces; and reorganized zones promoting efficiency, flexibility and collaboration.
Project category: New construction & Remodel/Renovation (completed 2015 est.)
Chief administrator:
Firm: Perspectus Architecture, (216) 752-1800
Design team:
Photography: ©2012
Total building area (sq. ft.): 13,800 (new); 261,200 (renovation)
Construction cost/sq. ft.:
Total construction cost (excluding land):
ACUTE CARE HOSPITAL
PIH Health
RBB Architects Inc Los Angeles CA
This phase is the most complex of three tower additions on the campus, in that it provides for replacement of the
The Tower is located between the boundaries of the conforming
Upon completion of the Tower, the nonconforming Surgery building will be demolished and replaced with an expansive park and four-story connecting Link. The park will serve as an outdoor activity space, and allows for the future addition of a Plaza 2 Tower. The glass enclosed Link is a three-dimensional extension of the circulation spine established in the Master Plan and will allow all levels to be linked horizontally, improving circulation and workflow of staff, patients and visitors.
* Hospital compliance with California SB 1953 for seismic conformance.
* 48 Critical Care beds and 64 Surgery beds added to the hospital capacity.
* New Surgery replaced existing 1950s Surgery.
* Surgery is designed for maximum infection control.
* Surgery is now adjacent to Radiology and located in the lower level for clarity of zoning.
* Critical Care beds are located directly above Surgery with dedicated elevators.
* Hospital zoning is clarified with surgery and radiology on lower level, and public access on the first floor.
*
Project category: Addition (completed
Chief administrator:
Firm:
Design team:
Photography: © RMA Architectural Photographers
Total building aroa (sq. ft.): 235,000
Construction cost/sq. ft.:
Total construction cost (excluding land):
ACUTE CARE HOSPITAL
WellStar Kennestone's
It contains three 24-bed Medical/ Surgical patient floors (acuity adaptable up to IMCU level) and an 18-bed Cardiac Critical Care Unit (CCU) located adjacent to Kennestone's existing open-heart OR suite and CVICU/ARU departments. The facility also contains an 18-bed oncology unit, two Protective Environment rooms and is connected to the
In designing this structure,
Teaming areas for the nurses and physicians follow a decentralized model to keep functions, supplies, and the caregiver near the bedside and eliminate hunting and gathering. Charting alcoves with view windows between each pair of rooms optimize patient visualization. The bridge connector between
Protect category: Addition (completed
Chief administrator:
Design team:
Photography: ©2013 Scott Wang Photography
Total building area (sq. It): 120,814
Constnictloii cest/sq. ft:
Total construction cost («eluding land):
AMBULATORY CARE
This project was made possible through the
Project category: New construction (completed
Chief administrator
Firm:
Photography: ©2013 Liam Frederick Photography
Total building area (sq. ft.): 72,595
Construction cost/sq. ft.:
Total construction cost (excluding land):
AMBULATORY CARE
In 2010 the
It was important to the
The Primary Care department incorporates concepts from
Project category: New construction (completed
CMof administrator:
Firm:
Photography: ©2013 Liam Frederick Photography
Total building area (aq. ft): 104,774
Construction cost/sq. ft:
Total construction cost (oxduding land):
AMBULATORY CARE
Use of materials and forms to create an open welcoming public environment, contrasted by the sheltering, protective clinical spaces within are two important components of the exterior composition. The exterior begins to tell a story of a sophisticated interrelational government committed to the success, health and welfare of their people. This is accomplished through relating the architecture to the strong cultural identity so important to the Chickasaw people.
Inspired by earthen forms, the perimeter walls read as stable massive structures; deep inset windows with large masonry lintels further articulate the protective nature of the structure. The horizontal coursing is emphasized by gradating the color like stratified layers of earth.
The massive structure plays against open and inviting public spaces. Wood plafonds float above each point of public entry. These relatively light layered structures reference the layered textural feel of a naturally formed roof.
In addition to the contrasting massiveness of the clinic space and open and lightness of the public spaces there is a third element referencing the Chickasaw culture through the use of layered materials. This application of materials is a reference to the values of the Chickasaw people and how those values layered correctly create the unique fabric of the Chickasaw people. In addition, it is a reference to the connection/partnership the Chickasaw's have with their natural surroundings. Finally, it is an acknowledgement of how the Chickasaw people of today are connected to their past and how that connection is manifested today in everything they do.
Project category: New construction & Remodel/Renovation (completed
Chief administrator: Dr.
Firm:
Photography: ©2013 Liam Frederick Photography
Total buHdlng area (sq. ft.): 61,216 (new); 14,983 (renovation)
Construction cost/sq. ft.:
Total construction cost (excluding land):
AMBULATORY CARE
This project was an
The existing clinic was undersized at approximately 9,500 square feet. The Program of Requirements generated by the IHS Health Systems Planning software sized the new facility at 50,138 square feet. Additional services included Audiology,
The design integrates natural elements with the physical dwelling, providing an experience that engages the landscape, creating a unique cultural environment. This experience promotes spiritual well-being within the Chickasaw people, while inspiring design references Chickasaw heritage.
The concourse space becomes a community space. The multiple layers of textured finishes reflects the Chickasaw heritage and reverence for nature, providing a familiar atmosphere for staff and patients.
Beyond the atrium, four archetypal "zones" were created that celebrate the Chickasaw seasons, defined and inspired by traditional Chickasaw artwork and cultural symbols. Structure, materials, colors, textures and patterns reflect a design that is symbolic of the Chickasaw's commitment to health and well-being.
Project category: New construction (completed
Chief administrator: Or.
Firm:
Photography: ©2013 Liam Frederick Photography
Total banting area (*q. ft.): 53.388
Construction cost/sq. ft.:
Total construction cost (excluding land):
AMBULATORY CARE
Ellis Medicine wanted to create a more prominent presence in the northern suburbs of the
A large circulation spine bisects the building to delineate functions and suite sizes for service providers, as well as provide clear wayfinding for patients and doctors. The spine curves through the building, designating a large two-story lobby at the main entrance, a hallway for medical suites, and again creating a two-story billboard for the Ellis Medicine logo to face the highway.
The new building announces the presence of important new healthcare services to the community, it also creates an image that is consistent with
Project category: New construction (completed
Chief administrator
Firm:
Design team: Contractor (BBL Medical Facilities); Civil/Landscape (
Photography: ©2013 stockphotography.com; ©2013
Total building area (sq. ft.): 38,315
Construction cost/sq. ft.:
Total construction cost (excluding land):
AMBULATORY CARE
ZGF Architects LLP Seattle wa
When the
Driven by an aggressive 24-month design and construction schedule and modest construction budget of
Project category: New construction (completed
Chief administrator
Firm:
Design team:
Photography: ©
Total building area (sq. ft.): 60.000
Construction cost/sq. ft.:
Total construction cost (excluding land): S13,622,937
AMBULATORY CARE
Facey desired a state-of-theart flagship in the
Project category; New construction (completed
Chief administrator
Firm:
Design team:
Photography; © William Wright Photography
Total building area (sq. ft.): 124,600
Construction cost/sq. ft.: Not available
Total construction cost (excluding land): Not available
AMBULATORY CARE
Geddis Architects
In order to provide much-needed affordable primary care for
The patient care areas are carefully laid out to enhance privacy by limiting views into the Point of Care rooms and clustered to maximize provider efficiency. Care centers are open-plan glass-enclosed areas where providers, social workers and support staff work together promoting collaborative patient care.
The existing buildings' fortresslike façade has been opened up on the ground level to allow for as much daylight penetration as possible. In the entrance lobby patients have three clear choices: a kiosk for self-check-in and direction; a welcome desk for new patients and registration; and a triage area for immediate care. Greeters provide assistance and help patients find their way in this five story multidiscipline facility.
The client wanted the building to have a strong neighborhood identity. The transparency of the storefront reveals a ground floor with vibrant colors; varied floor patterning and dynamic lighting, eradicating the usual stigma of an institution which serves all patients regardless of their ability to pay.
Project category: New construction & Remodel/Renovation (completed
Chief administrator Dr.
Firm:
Design team:
Photography:
Total building area (sq. ft): 37,394
Construction coct/sq. ft: Not available
Total construction cost (excluding land): Not available
AMBULATORY CARE
Meriter Clinics DeForest, wi
Kahler Slater
The Design Team explored a variety of ambulatory care models, including medical home concepts, which influenced design. To reduce footsteps and improve efficiency, clinical care modules with standard room layouts were designed to allow flexing of exam rooms between practices, accommodating peaks in utilization. Shared, rather than private provider offices were created to increase collaboration and support more holistic care. The staff work area for each clinic module is located adjacent these offices. Practices such as orthopedics were located next to imaging services to provide synergistic patient care. Areas with extended hours, such as the rehabilitation gym, were planned near the entrance allowing the rest of the building to be secured after normal business hours. Staff support includes an off-stage break space with outdoor terrace garden access. A separate but similar terrace is also provided for patients and families. A fully implemented electronic medical record is operational and patients are able to use an interactive website to pre-register for appoint- ments and participate in the management of their own care.
To create a new differentiating clinic identity, special care was taken in determining the most beneficial solar orientation, visual access from the highway, and bright, cheery and bold design forms. The interior design takes inspiration from the surrounding landscape, yet highlights the individual identities and landmarks of the two communities through the use of local art. Finishes, fabrics and materials reflect the nature-inspired color palette. Warm exterior materials are brought into the interior, reinforcing the indoor-outdoor connection.
Sustainable design strategies consistent with the LEED Green Building Rating System were incorporated in the project. Noteworthy features include water efficient landscaping, alternative transportation, enhanced commissioning, increased ventilation, low emitting materials and innovation points for green cleaning systems. Both facilities are pending LEEDcertified levels of certification.
The Meriter clinics have achieved patient satisfaction scores above the 96th percentile for overall rating and likeliness to recommend.
Project Category: New construction (completed
Chief administrator: Dr.
Firms:
Design team:
Photography: ©2012
Total buildlng area (sq. ft.): 86,800
Construction cost/sq. ft:
Total construction cost (axcludiog land):
AMBULATORY CARE
WellStar Acworth Health Park Acworth, G A
It was one of the first health parks built in
Comingling of healthcare services and physicians' offices brings a new level of convenience to residents. Screenings and wellness services are done on site, which means a patient does not have to be sick to access the facility.
The
Large windows admit generous amounts of daylight. Natural stone is combined with wood elements to create a warm and inviting environment. Designers also created gather spaces inside and out containing comfortable seating and water features where patients can pause and rest. This facility is expandable and will include a fitness center, community/ education center, childcare, retail shops, and a pharmacy.
Project category: New construction (completed
Chief administrator:
Firm:
Design team:
Photography: ©2013 Scott Wang Photography
Total building area (sq. ft.): 69,500
Construction cost/sq. ft.:
Total construction cost (excluding land):
AMBULATORY SURGERY
Hobbs+Black Architects
Pro|«ct category. New construction & Remodel/Renovation (completed
Chief administrator:
Rrm: Hobbs+Black Architects, (734) 663-4189
Design team:
Photography. Barking Dog Studios
Total building area (sq. ft): 22,446 (new); 23,611 (renovation)
Construction cost/sq. ft:
Total construction cost (excluding land):
Recognizing that not all Orthopedic services require surgery, the facility includes a
AMBULATORY SURGERY
Winchester Hospital Ambulatory Surgery Center winchester, ma
This Ambulatory Surgery Center fosters the patient-centric experience with a focus on the components of accessibility, convenience, and healing. The design integrates the use of cutting edge technology, daylighting, and healing art in the approach to outpatient care. The
The
Project category: New construction (completed
Chief administrator William "Bobby" Robertson, Vice President of Facilities & Real Estate Services, (781)756-2511
Fino:
Deeigii team:
Total building area (sq. ft.): 31.200
Construction cost/sq. It.:
Total construction cost (excluding land):
BEHAVIORAL HEALTH HOSPITAL
Massachusetts
Ellenzweig
This 320-bed continuing care public psychiatric hospital melds state-of-the-art therapeutic programs and environment such that the building itself is an integral part of a patients treatment and recovery. Familiar elements (house, neighborhood, and downtown) are arranged to reflect the range of environments in which people live. The bedrooms, the most basic element, are clustered in houses that share adjacent active and quiet living rooms. These provide the smallest social unit of eight to ten residents in a twenty-six bed inpatient unit.
Project category: New construction (completed
Chief administrator:
Firnis: Ellenzweig, (617) 491-5575; architecture*, (518) 272-4481
Design team: Associated Architect (Ellenzweig); Associated Architect (architecture*); MEP Engineer (Bard,
Photography: ©2012 Ellenzweig
Total building area (sq. ft): 430,000
Construction cost/sq. ft.:
Total construction cost (excluding land):
Neighborhoods are arranged as the patients' domain. The downtown includes activity centers shared by the entire hospital that are located along interior streets and squares, and surrounds the village green-a secure outdoor space for activities and community events. These activity centers include a gymnasium, retail store, café, library, and exercise and movement rooms to name several. The closer one gets to the middle of the downtown, the more activity there is; quieter spaces are located further away from the center (chapel, library, art rooms).
The Hospital's quiet, private side is expressed differently from its active downtown. The village green façade is more uniform in its use of glass, with variation to break down the scale and avoid monolithic repetition and recall the variety and commonalities of façades surrounding a
Each element (house, neighborhood, and downtown) contributes to patient's treatment and recovery. The house provides a key place of privacy within a broader range of graduated social and therapeutic interactions. The size capitalizes on the patients' innate abilities to manage relationships within a smaller community.
The neighborhood provides active programming space directly outside of the houses where patients can access programs. It also creates an intermediary zone between the quiet house and the active downtown, which can be overwhelming if the patient is not ready for such a high degree of external stimulation.
The downtown provides an active space containing resources that are shared by the entire hospital. This provides patients with a sense of living and healing within a broader community while encouraging them to look forward to reconnecting and reintegrating with their communities. families, and friends. The program as a whole encourages patients to take an active role in their treatment.
The facility encompasses the most current thinking about care for individuals with serious mental illness. The building is flexible; it is patient centered and staff enabling; it focuses on the patient's goal of recovery; it does the work of a hospital without feeling like a hospital. This hospital is the most advanced example of the house/neighborhood/downtown model that has characterized new long-term stay psychiatric hospitals over the past twenty years in that it simultaneously has small freestanding sub-cluster residences, a robust neighborhood shared by three adjoining units, and a clear relationship between neighborhood and downtown and beyond that to an enclosed village green and the community.
The building layout affords maximum view of the surroundings. The disturbed area surrounding the new facility was planted with indigenous meadow grasses, shrubs, and trees. Rainwater is being harvested for irrigation of the secure courtyards. The project is built on the footprint of the historic
BEHAVIORAL HEALTH HOSPITAL
The Zucker Hillside Hospital Gien Oaks, NY
Array Architects
The main entrance to the building is through a two-story Lobby situated on a circular drive adjacent to the
The patient units are on the first two floors-with handpicked art and color schemes to appeal to each population. The patient bedrooms line the exterior walls allowing natural light into all of the spaces. The open activity rooms and dining areas incorporate low walls and decorative resin panels to allow visibility throughout the Unit from the nurses' station and allow natural light to flow through the central areas as well. Each of the Units in this building have a similar layout to allow for flexibility of programs should the need arise.
An important feature of the plan separates the three specific types of circulation. The first is the visitor and family circulation which rings the central courtyard and has occasional seating areas for family waiting. The second path of circulation is patient circulation, which allows the patients free movement in and around the activities and dining areas. There is a central core of consult offices and support spaces such as charting, med room, clean and soiled utility etc., which are all connected via the third path of circulation which is a staff circulation corridor running along the spine of the nurses' station connecting the clinical areas and support spaces.
Project category: New construction (completed
Chief administrator.
Design team:
Photography:
Total building area (sq. ft.): 140,000</p>
Construction cost/sq. ft:
Total construction cost (excluding land):
CANCER
Flaget Memorial Hospital Cancer Center Bardstown, ky
architection
The design team worked to integrate the latest evidence-based design principles and sustainable building practices into the design of a clinical space where working to treat cancer and being treated for cancer can be an uplifting experience.
By necessity, cancer centers are comprised of a number of small rooms. However, design techniques have been developed to visually enlarge spaces at Flaget. The waiting area is designed as a curving space that extends beyond most viewpoints. Walls and doors become wood and glass screens with rice paper glazing that allow light to spill from one room to another and extend the sense of space beyond the rooms. The linear accelerator treatment room has backlighted rice paper glazed doors and a colorchanging lighted ceiling that visually expand the space and alleviate the claustrophobic effect of being in a heavy concrete vault.
Protect category; New construction & Remodel/ Renovation (completed
Chief administrator
Firm; architection, (502) 561-1024
Design team:
Photography: ©2013 Joe Humphrey Photography
Total bonding area (sq. ft): 2,800 (new); 4,800 (renovation)
Construction cost/sq. ft:
Total construction cost (excluding land):
CANCER
A member of the
The wood-clad canopy features a strong, stone vertical element. The stone element continues into the lobby, which has a soaring wood ceiling and is a light-filled gathering space. Adjustable lighting makes it possible to create a soothing environment throughout the day. The art program combines mixed media, woven objects, and photography to provide uplifting distractions. A custom-built aviary in the lobby allows visitors to observe and listen to song birds in the calming environment.
Several tenets of evidence-based design are employed. Views to nature and ample natural light are accessible throughout the building. To minimize the intimidation of the linear accelerator vault, wood-look flooring, soothing paint colors and full-height murals of nature are used to warm the space. A back-lit ceiling mural of a scene from a local grist mill provides a pleasant distraction to the patient during treatment.
Circulation is designed to reduce travel distances for patients and staff. A demonstration kitchen, resource library and specialty boutique are accessible from the lobby.
The center, also used for tumor registry and video conferencing, is designed for the addition of a future infusion suite that will further benefit the community in convenience.
Project category: New construction (completed
Chief administrator
Fhm:
Design team:
Photography: ©2012 Kieran Reynolds Photography
Total building area (sq. ft): 11.092
Construction cost/sq. ft.:
Total construction cost (excluding land):
CANCER
This specialized renovation incorporates natural elements emulating a woodland motif interwoven from the exterior surroundings throughout the interior providing a patientcentered tranquil environment that promotes healing. The approximate 9,200-square-foot center consisted of extensive renovation, which posed a feat in being able to successfully convert the space into a harmonious stress relieving ambiance while accommodating a new TrueBeam linear accelerator.
To ease the transition from the central corridor to the patient spaces, the nurses' station is centrally located serving as a nexus and transitioning point. The station is accented with a cove lit circular soffit defining the area, while creating an inherit wayfinding element. Wood finishes on floors and walls, as well as feature art walls bring naturescapes inside reinforcing the peace and serenity of the woodland motif. Acrylics panels with embedded wood mask the subwait and are accented by Asian louvered doors for the changing rooms providing a warm ambiance. The patient's journey to the treatment vault is calming and warm, flanked by artwork and natural elements reinforcing the woodland motif. Inside the vault, the patient's focus is positively diverted from their stress by the warm finishes and bright and nature-themed ceiling mural.
The exterior façade underwent vast improvements while respecting context of the adjacent buildings. Patients are welcomed with a new hardscape that spans the front of the building with outdoor seating and planters providing an area of respite and reflection. Having been greatly enhanced, the entrance now provides easier ingress/egress while establishing the woodland retreat motif.
Project category; Remodel/Renovation (completed
Chief administrator
Firm: AE Design. Inc" (770) 644-9200
Design team:
Photography: ©2013 WSM Photography
Total building araa (sq. ft): 2,972 (new); 6.250 (renovation)
ConstructlOA cost/sq. ft.:
Total construction cost (excluding land):
EwingCole
To improve outpatient services for its patients,
The primary programs are cancer care and diagnostic imaging, including two linear accelerators, chemotherapy infusion, pharmacy, CT and PET/CT. Physician practice groups include radiation oncology, medical oncology, surgical oncology and radiology. Future program growth may be accommodated by fitting out shell space, and by constructing another three stories: the building is engineered for vertical expansion.
The L-shaped building wraps a garden that becomes the focal visual experience for all visitors as they move throughout the building. The garden features a stream, native plantings and glacial boulders unique to the
In deliberate contrast to these sinuous natural forms, the exteriors taut white planes and glassy surfaces indicate a place of sophisticated scientific advancement. The goal was to create a forward-looking yet compassionate facility that communicates the
Pro|ect category: New construction (completed
Chief administrator
Finn: EwingCole, (215) 923-2020
Photography: ©Ron Blunt 2012/www.ronbluntphoto.corn
Total building area (sq. ft.): 65,000
Construction cost/sq. ft.: Not available
Total construction cost (excluding land): Not available
Sibley Memorial Hospital Radiation Oncology Center Washington, dc
This state-of-the-art radiation oncology cancer center, in addition to a medical office building and parking garage, serves as the first completed phase of
The new LEED Silver certified center replaces the existing treatment facility on campus and expands the hospital's cancer care program with four linear accelerator vaults, CT simulation and new doctors' suites. Throughout the new facility, but particularly in high technology areas such as the linear accelerator vaults, we used warm, noninstitutional finishes and colorful light-box panels to make these spaces feel less imposing and more conducive for healing.
The cancer center serves as an enabling project for the new replacement patient bed pavilion and emergency department, currently under construction. Because it will remain operational during construction of the pavilion, there will be no lapse in oncology services at the hospital. Ultimately, the pavilion will further expand the hospital's cancer program with an adjacent medical oncology department and a patient clinic. Together, the new radiation oncology center and the adjacent cancer care program areas in the patient pavilion will offer a comprehensive, multidisciplinary cancer center with improved patient throughput. Care will revolve around the patient, with access to a broad range of services in one location-radiation oncology, medical oncology, nutritionists, complimentary medicine, and social workers.
Protect category. New construction (completed 2012)
Chief administrator
Rrm:
Design team:
Photography. ©
Total building area (sq. ft.): 40.000
Construction cost/sq. ft.: Not available
Total construction cost (excluding land): Not available
Cannon Design Boston, ma, and Tata Consulting Engineers Mumbai, india
Providing quality healthcare, education, and research to the people of
With dignified architecture amidst serene gardens, the Centre has become a new civic landmark at the periphery of the city, where surrounding developments are mostly undistinguished. While housing the most advanced technologies in cancer care today, the Centre offers hope and strength to patients and their families in an environment that uplifts the spirits of those enduring the physiological and psychological stresses of cancer treatment.
The philanthropic mandate of the
Program components are grouped into functional blocks within a series of interconnected gardens with a central courtyard as the primary organizer and focal point of the institution's community-fostering spontaneous interaction among patients, clinicians, researchers, faculty and students. Arriving through the tall arrival gateway that frames it, people are welcomed and oriented to the campus, and enveloped by an architectural composition which is dignified, calming and reassuring-symbolic of a passage towards a journey of healing.
The massing and development of the Centre is contextually and climatically responsive-buildings are oriented to capture prevailing winds; deeply recessed openings reduce glare while bringing in natural light and extending views; courtyards and internal foyers foster interaction; and its refined materiality showcases local craftsmanship and construction practices.
Project category: New construction (completed
Chief administrator: Mr.
Firms: Cannon Design, (617) 742-5440;
Design team:
Photography: Cannon Design; Prajakt Patil Photography; Hu Yihuai
Total building area (sq. ft.): 280,000
Construction cost/sq. ft.:
Total construction cost (excluding land):
This state-of-the-art
The exterior architecture is designed to complement and blend with the campus. The design team sought to create a progressive architectural statement to convey to patients that this
Pro|ect category: New construction (completed
Chief administrator:
Firm: BarberMcMurry architects, (865) 934-1915
Design team:
Photography: Denise Retallack Photography
Total building area (sq. ft.): 105,000
Construction cost/sq. ft.:
Total construction cost (excluding land):
CANCER
UT Southwestern Moncrief Cancer Institute Fort worth, tx
The controlled terra-cotta patterns and configurations on the façade are symbolic of the uniqueness of patient needs. The terra-cotta tiles, which enclose the building, act as an open-air rain screen to prevent excess moisture penetrating the inner cavity.
The extensive 30-foot terra-cotta walls continue from the exterior into the lobby, where patients see the patterning up close. The interior color palette and material selection is subtle enough not to distract patients as they transition through the spaces but to also compliment the exterior of the building. Natural daylight is brought into the lobby by two large rectangular skylights which provide an added sense of depth. All offices around the building perimeter have interior glass wall partitions allowing daylight to permeate throughout the space. The two main corridors, leading east and west from the lobby, access a public and private garden space which provides the opportunity for patients, staff and the community to enjoy the outdoors.
Project category: New construction (completed
Chief administrator:
Design team:
Photography: ©HKS, Inc./
Total building area (sq. ft.): 60,000
Construction cost/sq. ft.:
Total construction cost (excluding land):
HKS, Inc.
The intuitive wayfinding was accomplished through architectural landmarks, floor colors, floor themes and numerous views to the outside for orientation. On the lower floors the corridors have windows on one side to provide views to the outside and orientation for patients. Each patient floor has colors and themes that give it a unique identity as well as gorgeous views at the end of each corridor.
It was important to brand the campus and integrate the logo. To accomplish this, the floor pattern begins a curvy "patient-journey" and incorporates colored circles originally from the main hospital. When the patientjourney pattern intersects a reception desk or nurses' station a red circle is located on the floor. The patients and families are told "When you need help...look for the red circle".
Project category: New construction (completed
Chlof administrator:
Design team: Architecture and Interiors (
Photography;
Total building area (sq. ft.): 750,000
Construction cost/sq. ft.:
Total construction cost (excluding land):
MorrisSwitzer-Envi ron merits for Health Boston, ma
The mission of
The project provides 86 beds, therapy & activity space, staff and support spaces, new
Despite the efficient building footprint, new patient rooms are designed to maximize patient-centered care by providing dedicated space for family members to stay overnight, and are oversized to accommodate the varying equipment needs of this unique patient population. The design team collaborated with the hospital staff in every stage of planning to achieve a lean environment that worked effectively within a limited footprint. This, combined with a major overhaul of mechanical and electrical systems, elevated the entire facility to a model of environmental efficiency and family-centric care.
Project category: New construction & Remodel/ Renovation (completed
Chief administrator
Firm: MorrisSwitzer-Environments for Health, (888)781-8441
Design team: Architecture & Interior Design (MorrisSwitzer-Environments for Health); MEP/ FP Engineering (WSP Flack +
Photography: © J. Mitchel Photography
Total building area (sq. ft.): 59,000 (new); 30,000 (renovation)
Construction cost/sq. ft.:
Total construction cost (excluding land):
Building Information Modeling (BIM) played a significant role in the 33-bed, five-story expansion to the eight-year-old
BIM was utilized extensively during design to expedite the decisionmaking process and enable better communications between the design and construction teams as well as the end users. The project started with buy-in from all players and the adoption of a detailed BIM Implementation Plan. All elements of the design, including equipment and furniture, were modeled and reviewed.
In addition to building the addition adjacent to five different nursing units, the project was built on the roof over the patient-holding area that serves outpatient surgery and the pediatric cath labs. In order to maintain windows in existing patient rooms, a new central atrium was created as the designs focal point. Interior themes in the original design were integrated into the expansion to create a seamless transition.
Bed count was increased to 239, technologies added and the size of the facility was brought to nearly 650,000 square feet. The addition accommodates growth in such programs as pediatric bone marrow transplants, cardiac surgical intensive care and congenital heart disease.
Project category: Addition and Remodel/Renovation (completed
Chief administrator:
Firm:
Declgn team:
Photography: ©2012 Kyle Drier Photography
Total building area (sq. ft): 31,464 (new); 12.207 (renovation)
Construction cost/sq. ft.:
Total construction cost (excluding land): 515,801.245 (new and renovation)
EwingCole
EwingCole was selected to design the new 135,900-square-foot patient tower and pedestrian bridge. The new four-story tower will accommodate two floors, consisting of 50 total Critical Care beds, and one floor of 60 Neonatal Intensive Care beds. A new entrance lobby with admissions, chapel, gift shop, and outpatient clinical space are located on the first floor. Mechanical systems are situated on the penthouse floor. The pedestrian bridge connects the
The new tower is recognized by
Profret category: New construction (completed
Flnii: EwingCole, (215) 923-2020
Total bulMing area (oq. ft): 135,900
Construction cost/sq. ft: Not available
Total construction cost (oxdudlng land): Not available
Seattle Children's
ZGF Architects LLP Seattle wa
The 330,000-square-foot, eightstory
Project category: Addition (completed
Chief administrator
Rim:
Design teem:
Photography: ©
Total building area (tq. ft.): 330,000
Construction cost/sq. ft:
Total construction cost (excluding land):
Ballinger Philadelphia, pa
The new 245,000-square-foot
The buildings eight floors provide a balance of patient rooms, children's play areas and family amenities. On the inpatient floors, spaces are grouped by on-stage and off-stage functions. Dedicated staff and services corridors provide separation from the family and patient areas, softening the clinical aspect of the space. Patient floors are flexibly designed to function as either a medical/surgical floor or a critical care floor, using 1CU space standards and ratios as the basis for unit configurations.
Project category: Project in progress (
Chief administrator:
Firm:
Design team:
* Total building area (sq. ft.): 245,000
Construction cost/sq. ft.:
Total construction cost (excluding land):
Bethesda Hospital
Strict design guidelines prescribed by
Hie permanent building materials are neutrals, to create a timeless appeal throughout the hospital's multiple next stages of expansion. Light-colored stone carries in from the exterior, and pale tile flooring reflects natural light and coordinates with the stone. A light neutral overall interior palette contrasts with the familiar warmth of dark wood-look paneled casework, wall protection, lobby atrium ceiling, and doors. Sculpted wood-veneer panels add textural interest, while directing attention toward public elevators and a luminous glass stairway.
Bethesda Hospital West is the first all-electronic hospital in the
CMof ml ml nf rtro ter
Firm:
Doalgo team:
Photogf ipfcy: ©2012 Ari Burling Photography
Total building araa (tg. ft): 247,795
Coortructlo« cort/tg. ft:
Total construction cost (oxctudlng land):
Thomas, Miller & Partners, PLLC
The three-story bed tower expansion and first floor renovation project on
The facility had no viable options for vertical growth, so the solution was to expand the hospital to the north at what is traditionally seen as the "back side" of the hospital. With a minimal footprint and future vertical expansion capabilities, this new tower sits on the site between the existing hospital and an existing medical office building, creating a second main entrance for the hospital.
Due to its location near the existing powerhouse and loading dock, the design team used architectural elements to screen the tower entry. In addition to orienting the tower entrance away from the loading dock and powerhouse, it was necessary to devise a way to connect the new entry and lobby with the existing main entrance to the facility. To accomplish this while maintaining clear separation between public space and patient space, new public and service elevators were designed as well as a connector to the existing patient floors. This solution provides clear space separations without creating circulation confusion.
The catalyst driving the project was the facility's acute need for additional bed capacity. This was achieved with the design of two adjustable acuity patient floors in the new tower. The decision to design stacked patient rooms with adjustable acuity arose from the facility's varied patient needs and fluctuating census. Each floor is designed as an efficient racetrack with nurses' stations located at each end. Each nurses' station has access to its own support space influenced by Lean design strategies to allow even greater flexibility.
The bed tower addition also allows for needed expansion and upgrades to the
This future growth and flexibility were a focus throughout design. The new tower is structured for three future floors, which allows the facility to add more patient beds without impacting the hospital's footprint. In effect, the project has elevated
Project category: New construction & Remodel/Renovation (completed
Chief administrator:
Rim:
Design team:
Photography: ©2012
Total building aroa (sq. ft): 92,755 (new); 34,027 (renovation)
Construction cost/sq. ft:
Total construction cost (excluding land):
COMMUNITY HOSPITAL
Florida Hospital Wesley Chapel Wesley chapel, fl
HuntonBrady Architects Orlando, fl
Project category: New construction (completed September, 2012)
Chief administrator
Rrm:
Design team:
Photography: © Laurence F. Taylor Architectural Photography
Total bunding area (eg. ft): 200,000
Construction eost/sg. ft.:
Total construction cost (excluding land):
The new
The hospital has 83 beds on the second and third floors, including a state-of-the-art Womens Center. Large windows in all patient rooms offer views to the wetlands and healing gardens. Following evidencebased design practices, rooms incorporate both patient safety and operational efficiency while making a comfortable environment for patients and family participation.
The attached medical office building is a three-story, 99,000-square-foot building affording convenient access to outpatient services provided by both physician and hospital tenants. A prominent occupant is a two-story wellness center which embraces the hospitals focus on health, wellness and prevention.
COMMUNITY HOSPITAL
Fort Madison Community Hospital Fort Madison, ia
HOfty Elving
Pro|wt category: Remodel/Renovation (completed
CMof atfndniatrator
Firm:
Dosign team:
Photography: Dale Photographies
Total boHding area (*q. ft): 12,775
Construction cost/sq. ft:
Total construction coat (excluding land):
With the increasing acuity of patients, FMCH realized their patient rooms needed to be upgraded and converted from double to single patient rooms. The original small bathrooms were not easily accessed by patients. A decision was made to upgrade the inpatient accommodations to meet the needs of patients, families, and staff. This was accomplished on a phased basis, renovating three to four rooms per phase, keeping the facility operating. In addition, the medical/surgical and intensive care nurses' stations were combined to reduce redundant staffing.
Patient rooms were equipped with bedside electronic charting with a custom computer charting desk. All rooms received lifts, as well as a storage cabinet for lift and IV stands. A built-in sleep unit was incorporated to encourage longer family stays. A nursing work area at the entry to the room provides an area for handwashing, gloves, sharps disposal, and concealed hazardous waste receptacle. Each room is stocked with patient supplies, and card access med locks are incorporated into the nursing work area in each room.
Since this is a functioning hospital and the adjoining patient rooms needed to be used during construction, the existing layout was followed. To provide a larger bathroom with shower to accommodate today's more acutely ill patients, it was necessary to take part of the patient rooms to enlarge the bathrooms. Existing bathrooms were totally gutted and new toilets installed with swingdown grab bars on each side. A curbless shower with linear drain reduces wet floors and the possibility of slips and falls.
COMMUNITY HOSPITAL
Zeidler Partnership Architects
Protect category: New construction & Remodel/Renovation (completed
Finn:
Design team:
Photography
Total buRtflng area (sq. ft): 425,000 (new); 25,000 (renovation)
Construction cost/sq. ft:
Total construction cost (excluding land):
With salutogenesis at the foundation of its design, rounded architectural forms and colourful materials set a calming, therapeutic tone. Clinical and inpatient spaces offer views the northern landscape, sunken gardens, and internal courtyards. An open-ended spine reconnects existing buildings to the street and links the hospital to the cancer centre, resulting in a shared main entrance facing
The emergency department demonstrates one of the most dramatic upgrades within departments: a unique negative pressure "hot zone" increases infection control while retaining spatial openness. The design responds to the impossible: unknown future needs. Open-ended circulation and strategic adjacencies provide adaptability. The hospital's design optimizes healing and creates a healthier workplace.
This redevelopment represents a shift towards a salutogenic design. Healthcare facilities are evolving from purely technology driven solutions to encompassing a more humanistic view as a catalyst to promote engagement with the community and city.
COMMUNITY HOSPITAL
Protect category: New construction (completed
Chief administrator
Firms:
Design team: Master Plan. Architectural Design, Interior Design, and Medical Planning (AECOM); Ambulatory Services Planning. Support Buildings and Site Architect (
Photography: ©2013
Total building area (aq. ft): 781.000
Construction cost/sq. ft: Not available
Total construction cost (excluding land): Not available
The growth of
Sited on a tight 15-acre site within a vibrant mixed-use neighborhood, the
Through energy-saving and generating strategies, the campus will save 27 percent more energy than required by
Throughout the campus, the 975-piece art collection showcases local artists. Each piece was handselected or commissioned to enhance health and wellness. To further connect with and promote health in the community, the site has space to host a farmer's market to bring fresh foods to the neighborhood. The new
COMMUNITY HOSPITAL
Project category: New construction (completed
Chief administrator:
Firm:
Design team: Structural Engineering (
Photography. © Casey Dunn Photography
Total building area (sq. ft): 274,000
Construction cost/sq. ft.:
Total construction cost (excluding land):
The main feature that distinguishes this hospital from others is the sectional development and density of the hospital. While not uncommon for urban sites, this 274,000-square-foot facility was built on a less than 8-acre steeply sloping site necessitating a vertical approach with entry connections on four levels. The design team took further advantage of the site constraints by creating sunken gardens on the uphill entry side that brought large amounts of daylight to lower levels, created natural views from multiple floors, and also aided in wayfinding.
Entry points for services are located on the lowest two floors allowing complete separation from the main, emergency and surgery entries. The main entry and surgery entry were also separated on two different levels, both connected to the garage. In the words of hospital CEO
The site for this facility is spectacular and affords patients, staff and visitors exceptional views to the
Native limestone existing in horizontal strata seen throughout Lakeway informed the buildings stone and concrete panel banding. Further reinforcing the horizontality of the environment are sunshades which allow controlled light to flood the spaces.
COMMUNITY HOSPITAL
Markham Stouffville Hospital
B+H Architects
The original
B+H Architects' design allows the hospital to double in size and triple its caseload while simplifying the experience for patients and families and augmenting back-of-house flow and support.
Design solutions were influenced by evidence-based design best practices such as increasing natural light and views to reduce dependency on medication and result in faster healing: for example, using modelling software, the team studied views from each patient bed and treatment bay, and arrived at solutions allowing greater light penetration.
The design also reflects a shift towards increased ambulatory care, and the integration of the facility within its community. The entire site is designed as a wellness centre community, with a common greenspace to serve the hospital, the community centre, and the community at large.
The hospital is being redeveloped to be fully prepared for the future, and has been designed to accommodate additional future expansion without disruption to hospital function and layout.
Präget category: New construction & Remodel/Renovation (
Chtof ateiitelitrator.
Firms: B+H Architects. Architect and Prime Consultant. (416) 596-2299, Perkins+Will,
Doslgn team: Structural Consultant (
Photography: ©
Total buMtftag aroa (sq. ft): 376,730 (new); 129.170 (renovation)
Construction cost/sq. ft:
Total construction cost (Excluding land):
COMMUNITY HOSPITAL
Monroe Clinic Monroe, wi
Kahler Slater
Lean process improvement and evidence-based design principles laid the foundation for creating a safe, efficient and healing environment. Lean workshops gave priority to process improvements that impact space in order to incorporate new concepts early into the design, including redesign of the ambulatory surgery experience and the redesign of the pre-admission testing and registration processes. The resulting design achieved more efficient operations as well as an evolving embedded Lean culture.
A LEED workshop using the Design Team's LEED checklist was held early in the project to identify sustainable goals and to help make design decisions Innovative solutions include UV lights to purify intake air, a non-chemical cooling tower water treatment system, a Radon protection system to aid air quality and reuse of existing furniture. This project achieved LEED Silver status.
Design was deeply influenced by research on the land, history and culture of the greater Monroe community. A faith-based ministry, Swiss heritage with a legacy of cheese making and bucolic rural views served as inspiration. Three-story custom etched patterned windows visually connect the entry to the chapel above, creating an illuminated beacon at night and contributing to
* 7.4 percent increase in Average Daily Census
* 6.2 percent increase in ED volume Finn:
* 11.4 percent increase in revenue per discharge
* 96th percentile impatient satisfaction
* 92nd percentile ambulatory services satisfaction.
Protect category: New construction (completed
Chief administrator
Firm: Kahlet Slater (Mlhaukee), (414) 2724-2000);
Design team:
Photography: ©2012
Total building area (sq. ft.): 226,670
Construction cost/sq. ft.:
Total construction cost (excluding land):
COMMUNITY HOSPITAL
The team did not focus on replacing the previous facility, but rather designed with an eye on the future to create both an economically viable and environmentallyconscious healthcare destination for the community. The overall design was directed by eight key considerations: rightsizing based on sound demographic analysis; creation of operational efficiency through clinical process redesign; developing an environment that compels patient safety; use of evidence-based design (EBD) to create a patient-focused healing environment; clear plans for departmental, facility and campus expansion; creation of a medical village through concepts of New Urbanism; creation of an architecture which complements the town's historic core; and employment of environmentally sustainable design strategies.
To connect with the community's rich history, the interior design emulates traditional forms and materials reminiscent of local architecture, photographs feature area landmarks, and paintings showcase local artists. Design strategies reduce nosocomial infections such as bathroom finishes with minimal grout and smooth, impervious wall panels; vinyl upholstery in patient care areas; seamless resilient flooring; and solid surface countertops with integral sinks.
Utilizing EBD principles, the design creates a patient-safe, patient-focused Healing Environment. A standard unit design creates support functions common to both patient floors, improving staff efficiency and standardized patient rooms support efforts to reduce medical errors. Decentralized documentation stations close to point-of-care reduce inaccuracies in EMRs and encourage direct contact with patients. Garden light wells and rooftop gardens maximize daylight and vistas providing views of nature at the building core while facilitating wayfinding.
A 26,000-square-foot rooftop garden adjacent to rehab therapy allows outdoor access for patients while preserving privacy. The green roof supports improved thermal performance, provides positive patient distractions and also has the distinction of being one of the largest green roofs in the
Projact category: New construction (completed
Chief administrator:
Fbm:
Design team: Robert A. "Skip" Yauger, AlA, LEED AP, Principal/Project Manager;
Photography: © Brian Robbins Photography; Plan: ©
Total building area (sq. ft.): 198,815
Construction cost/sq. ft.:
Total construction cost (excluding land):
COMMUNITY HOSPITAL
Dekker/Perich/Sabatini
With dramatic mountain and high desert views,
Early in the planning process, the project team held a visioning workshop with a wide spectrum of Presbyterian staff to establish new ideas and desired outcomes for where Presbyterian wanted to be in the future. The resulting goals required the operation and design of
With a focus on patient-centered care to guide the design, Presbyterian began a determined effort of fully comprehending, embracing and integrating EBD as well as "best practices" from
A primary objective of the approach was to diligently explore and combine solutions which could provide multiple benefits for patient centered care. One example of combining EBD and process improvement for patient-centered care was the use of decentralized nurses' stations which locate nurses closer to patients, save steps and result in more nurse time with patients and families. Nichestyle, between-room stations used elsewhere were considered. However,
Ultimately,
Project category: New construction (completed
Chief administrator
Firm: Dekker/Perich/Sabatini (D/P/S), (505) 761 -9700
Design team:
Photography: ©
Total bulMIng area (sq. ft): 299,200
Construction cost/sq. ft.:
Total construction cost (excluding land):
COMMUNITY HOSPITAL
Hoefer Wysocki Architecture Leawood, ks
Inside the main entry, the healthcare technology spaces were designed to leave the clinical setting behind and embrace a hospitality feel. The warm, lodgelike interior features two stone fire places and utilizes a blend of wood, stone, and glass to create a hospitality atmosphere, all while enhancing clinical efficiency and patient-centered care.
The design of the 48-bed medical center includes adult and pediatric care, emergency/trauma, labor and delivery, critical care, cardiac cath lab, inpatient and outpatient surgical and procedural areas, inpatient and outpatient therapies.
By creating open, sunlit, public corridors and lobbies with views to healing gardens and courtyards, the wayfinding experience was greatly simplified. The design joins all the major departments and nursing units around one main atrium and features an additional two-story dining atrium that serves as a connector to the existing medical office building while having the look and feel of an indoor winter garden.
Project category: New construction (completed
Chief administrator
Firm: Hoefer Wysocki Architecture, (913) 307-3700
Design team: Architect (Hoefer Wysocki Architecture): MEP Engineer (
Photography: ©2012 Bob Greenspan Photography/Hoefer Wysocki Architecture
Total building area (sq. ft.): 113,256
Construction cost/sq. ft:
Total construction cost (excluding land):
COMMUNITY HOSPITAL
Smyth County Community Hospital Marion, va
Project category: New construction (completed
Chief administrator:
Firm:
Design team:
Photography: ©2012
Total building area (sq. ft): 156,754
Construction cost/sq. ft.:
After 45 years in its existing facility,
The 44-bed hospital was designed and constructed utilizing a designbuild delivery approach. The designbuild team worked with the owner to evaluate early space programming needs to increase efficiencies and reduce the overall footprint. While the design embraced all of the patient-centered and operational functions desired by the owner, the overall cost of the project was low in comparison to today's industry standards. Combined with
The end result is an environment that embraces the community and opens up to outdoor views. Silver-Level LEED certification was achieved. Management at
COMMUNITY HOSPITAL
UPMC
BBH Dosign, PA
Project category: New construction (completed
Chief administrator:
Firm: BBH Design, PA. (919) 460-6700
Design team:
Photography: ©2012
Total building area (sq. ft.): 302.748
Construction cost/sq. ft.: Not available
Total construction cost (excluding land): Not available
UPMC East is a 156-bed community hospital in
UPMC East occupies the southern edge of the site, taking advantage of the natural terrain and slope. A 460-space parking garage is nestled into the hillside allowing the patient tower to capture views of the surrounding landscape. The proper solar orientation of the tower reduces the solar heat gain by seventeen percent while promoting the best views.
To further create a place of healing, the stormwater system is composed of bioswales, rain gardens and respite gardens that reduce the runoff by forty percent. Site circulation is clearly defined between "off-stage" and "on-stage" functions to promote a calming environment. The interior planning also follows the same delineation and places respite gardens adjacent to the circulation.
Through intensive explorations including full-scale mockups, the hospital features a right-sized patient room resulting in a savings of
Energy efficiency measures were employed to realize an energy savings of eighteen percent creating an operational savings of
COMMUNITY HOSPITAL
West Park Hospital Cody, vw
No ordinary rural hospital,
Modernizing and expanding a hospital campus to meet the diversity of a rural/urban patient mix, as well as major seasonal census fluctuations, required a carefully phased plan designed to deal with a variety of challenges.
Despite the challenges of a replacement-in-place strategy, the benefits of remaining in the existing location not only made sense from an adaptive re-use perspective, but would allow the hospital to retain visibility in the heart of the
'I he new front entrance, complementary to the scale and style of neighboring buildings, leads to an efficient core services area that marries existing infrastructure with vastly improved separation of staff, patients and visitors. Enhanced wayfinding directs local patients to a variety of inpatient and outpatient services including a new, state-of-the-art ER, the largest department in the addition. The ER is designed for optimal visual control of exam rooms in a variety of staffing models, allowing for more efficient management during both typical use and peak demand.
The hospital's commitment to
Project category: New construction & Remodel/Renovation (completed
Chlof administrator
Firm:
Design team:
Photography: © Ken West Photography
Total building area (sq. ft): 95,000 (new); 15,000 (renovation)
Constnictkm cost/sq. ft:
Total construction cost (excluding land):
DENTAL CLINIC
Hoefer Wysocki Architecture Leawood, ks
This project is a complete replacement of
The design concept is derived from locating all Dental Treatment Rooms (DTR) on the perimeter for daylight. The DTRs form two, engaging C-shaped pavilion wings. This efficient geometry creates two pavilions joined by public spaces, support functions, and vertical circulation. The shifted wings allow the public areas to line up, minimizing patient travel and maximizing staff efficiency. The massing is so distinctive, its shape is being used as a graphic basis for branding the facility.
The entire building configuration geometry is right-sized around the most efficient operational, circulation, functional and daylighting concept. The four pods of DTRs at each quadrant share a support corridor to the core and Dental Instrument Processing Center. This compact floor plan minimizes all travel distances for staff and patients. Public corridors are separated from staff circulation maximizing operational efficiency.
High-performance glazing utilizes daylight to reduce lighting load and also provide views and natural light to increase indoor environmental quality. Daylight sensors, occupancy sensors and programmable timing controls save energy and reduce life cycle cost. This building design performs 29.7 percent better than ASHRAE 90.1 - 2004 requirements and achieved LEED Gold certification.
Project category: New construction (completed
Firm: Hoefer Wysocki Architecture, (913) 307-3700
Design teem: Architect (Hoefer Wysocki Architecture); MEP Engineer (
Photography: ©2012 Bob Greenspan Photography/Hoefer Wysocki Architecture
Total building area (sq. ft.): 55,617
Construction cost/sq. ft.:
Total construction cost (excluding land):
EMERGENCY DEPARTMENT
Bayhealth Medical Center, Kent Campus Expansion Dover, de
EwingCole
The emergency department, designed to accommodate 60,000 visits per year, includes 43 treatment spaces designed with a universal room concept that can accommodate a variety of uses including exam, trauma, fast track, decontamination, and psychiatric care. It also has a dedicated imaging suite.
There are several points of access, including an ambulance entrance, a walk-in/drop-off entrance and a waiting area seamlessly connected to the main lobby. Those trauma patients flown in by helicopter will be transported directly from the heliport on the roof to the Trauma Section via a dedicated elevator. Walk-in patients' families are able to park in the garage immediately adjacent to the emergency department.
The new oncology center offers radiation oncology on the first floor and medical oncology on the second. Radiation oncology includes three linear accelerators and one CT-HDR unit, exam rooms, clinical and administrative support. Medical oncology provides 24 chemotherapy treatment spaces, with exam rooms, a dedicated pharmacy, lab, administrative and physician offices.
The spaces blend clean white surfaces with pops of cheerful color enhanced by natural images and textures, melding cutting-edge medical technology with a patient-friendly atmosphere.
Protect category: New construction (completed
Chief administrator
Firm: EwingCole, (215) 923-2020
Photography:
Total building area (sq. ft.): 37,500
Construction cost/sq. ft.: Not available
Total construction cost (excluding land): Not available
EMERGENCY DEPARTMENT
Steffian Bradley Architects Boston, ma
Project category: New construction (completed
Clttef administrator:
Rim:
Design team:
Photography. ©
Total building area (sq. ft.): 75.000
Construction cost/sq. ft:
Total construction cost (excluding land):
At
A major objective was to improve the patient experience and provide staff with a calm environment for the most stressful area of clinical care. Within one week of opening, BMC's volumes jumped by 25 percent. Patient approval ratings have risen 50 percent, with patients citing privacy and dignity within the 94 private treatment rooms.
Studies show that nature-based positive distractions can have a significant impact on clinical and behavioral outcomes for adult and pediatric patients, research which influenced the client to include the large art panels in the main public corridoT and all the clinical areas. Indirect lighting was widely used in the deisgn.
As part of the overall campus expansion, the emergency department expansion followed the Green Guide for Health Care. Particular achievements include energy use reduction, low-VOC materials, recycled content, lighting controls, and low maintenance materials.
The ED administrative group tracks patient acuity levels, patient satisfaction, and length of stay. One very important change for patients is that they are met at the door by nursing staff who immediately evaluate their condition and, if need be, bring them directly into one of four assessment exam rooms. A reassessment space is also integrated into the waiting area with 360-degree views. They continually assess patient flow for further streamlining.
EMERGENCY DEPARTMENT
Project category: New construction (completed
Chief administrator:
Rrm:
Design team:
Photography: Artez Architectural Photography
Total building arta (sq. ft.): 66,510
Construction cost/sq. ft:
Total construction cost (excluding land):
The design team was challenged to provide a patient care and caregiver work environment that staff would "want to visit on their days off" In response, small, highly visible, naturefilled courtyards were used within each patient care zone that relieve stress for both patients and caregivers while significantly reducing energy for lighting.
Taking advantage of the growing body of evidence-based design research, the facility is highly functional, flexible, safe, and space efficient while achieving a level of daylighting unparalleled in a large
In addition to abundant daylight, automatic exterior solar shading allowing displacement ventilation, natural ventilation in psychiatric emergency services and staff offices, education and lounge spaces, and a three-phase thermal labyrinth contribute to lower energy demand and high indoor environmental quality.
EMERGENCY DEPARTMENT
Yale-New Haven Hospital New Haven, ct
Salvatore Associates
Pro|«ct category: New construction & Remodel/Renovation (completed
Chief administrator:
Firme:
Design team:
Photography: ©2012
Construction coat/sq. ft.: Not available
Total construction cost (excluding land): Not available
This project was undertaken with an innovative project delivery system. It included an evidence-based design (EBD) process incorporating an interdisciplinary design team (IDT) to develop a total Environment of Care (EOC). This process embraces and integrates modifications in overall functional operation with the physical environment changes simultaneously. This process results in a maximization of the return on investment by optimizing potential outcomes for all who experience this environment.
This process included the following innovative design interventions:
* A "systems thinking" approach
* Graphic programming
* Open clinical core
* Chair-centric care delivery
* Art enhanced wayfinding
* Visual and physical access to nature
» Evidence-based throughput research.
The New Adult Emergency Environment of Care was implemented successfully by addressing all the components that define the EOC at the same time (Concepts, People, Systems, Layout/Operations, Physical Environment, Implementation).
HOSPICE
AG Architecture Wauwatosa, Wl
Project category New construction (completed
Chief administrator
Firm: AG Architecture, (414)431-3131
Design toam: Architecture/Engineering (MEP) (AG Architecture);
Photography. John Bateman Photography;
Total building area (sq. ft.): 29,276
Construction cost/sq. ft.:
Total construction cost (excluding land):
A patient stay in a hospice care center can be an intense experience for both the resident patient and their family. Historically hospice care center environments have been largely modeled after a typical skilled nursing facility with some additional lounge space provided for family use. This forward-thinking provider knew that there had to be a better alternative to meet the needs of the patient and their family as they participate in the ultimate resident-centered care experience.
Having been inspired by trends in the long-term care marketplace.
Carefully sited within a collection of mature live oaks, the new structure is a stark contrast to this provider s previously constructed buildings. The new care center is divided into four distinct zones. An entry pavilion contains administrative areas, counseling rooms, a chapel, and a strong visual connection to a landscaped courtyard. The main care center itself is divided into two distinct nine-bed neighborhoods organized around residential-scaled living rooms for family use, again with a strong outdoor orientation. Finally, a service wing encloses the various back-ofthe-house components.
Special features such as larger resident rooms to accommodate families; private family bathrooms which support dignified extended stays; and a conscious effort to create a residentially scaled household-type environment make this hospice a compelling, carefully crafted and peaceful alternative to the more institutional industry norm.
Muriel and Harold Block Hospice Residence Bronx, ny
Geddis Architects Southport, ct
Located in the
The entrance sequence is marked by a small water feature. But the central focus is the quality of each studio alcove apartment. These apartments (four are corner units with balconies) have individual kitchens and bathrooms, as well as roll-out sofa beds. Welcoming families to stay is a major commitment. Several alternative living spaces for families include a library, a quiet meditation space, a dining room and participatory kitchen. These community spaces are located at strategic points in the plan.
Essential to the plan is a bathing spa with natural light, hydrotherapy and showering area, as well as a massage suite. The area has an illuminated decorative skylight, exterior daylight, as well as a decorative ceiling.
Transforming the existing building's low ceilings, dark colors and long corridors, this serene residence uses color and materials intended to be subtle and comfortable using warm light neutrals, much natural wood, and maximizing daylight.
Prefect category: Remodel/ Renovation (completed
CNef administrator.
Firm:
Design team:
Photography:
Total building area (sq. ft.): 14,500
Construction cost/sq. ft:
Total construction cost (excluding land):
MEDICAL CENTER
A renovation and a new 78,000-square-foot, three-story addition provide comprehensive care and a full array of clinical specialties in a nontraditional yet community-focused ambulatory care facility. The renovation of
The existing building comprised two wings separated by a trapezoidal central lobby. Now a new central public space, a glass circulation core, joins the atrium with the three floors of the new addition, encouraging use of the stair while providing a visual connection to the atrium. The new 3-story building is rotated in relation to the existing building, optimizing orientation both solar and human, thanks to an expansive wedge-shaped lobby that ties the two buildings together, creating a common entrance and a central registration area. The new wing's "
In the era of healthcare reform, this light-filled model facility incorporates design and process improvement to increase access to quality healthcare, while reducing unnecessary time, costs and dependence on inpatient settings.
Protect category: New construction & Remodel/Renovation (completed
Chief administrator
Firm:
Design team:
Photography: ©2012
Total building area (sq. ft.): 84,493 (new and renovation)
Construction eost/sq. ft.:
Total construction cost (excluding land):
CO Architects
The hospital integrates up-to-date technology and flexibility for future advancements. The buildings composition breaks down the functional programs mass into discrete elements to afford daylight, views, and outdoor access. Separated from the two-story D&T wing for resource efficiency, the 11 -story patient tower overlooks the green roof and maintains gardens on each floor, providing areas of respite for staff, patients, and families. The lower floors link the technical complexity of surgical, emergency treatment, and radiology rooms with trees, daylight, and views of nature through courtyards and sky-lit halls and work areas, reducing stress and increasing physiological wellness. The campus, lobbies, terraces, and roof-top "community room" fulfill the hospitals responsibility for making the facility more than a place of illness, but instead a place of wellness and civic, social, and cultural presence.
Evidence-based design (EBD) informs the nursing units and patient rooms, improving the overall quality of care and medical outcomes. EBD strategies include acuity-adaptable patient units, decentralized nurses' stations and supplies, single-occupancy same-handed patient rooms, custom handwashing stations, fall-prevention elements, individual lighting controls, and natural light and views.
The ultimate blurring of technology and nature-the undulating shape of the D&T pavilion's 1.5-acre green roof-not only mimics the landscape, but provides space under the roof to route ductwork and support equipment for the surgery suites. The roof enhances energy efficiency by reducing ground reflectance and solar heat gain in the tower, while native plantings recreate a natural habitat and improve views for the rooms above, reduce need for irrigation water, and contribute to stormwater management.
Project category: New construction (completed
Chief administrator:
Firm:
Design team:
Photography: ©2012 Tom Bonner Photography
Total bonding area (tq. ft.): 739,000
Construction cost/sq. ft.:
Total construction cost (excluding land):
Thomas, Miller & Partners, PLLC Brentwood, tn
Located in rural southeastern
In a time when the design and construction of many healthcare projects are delayed for a variety of reasons, the
Multiple strategies were utilized to expedite the design and construction process including fast-track, préfabrication, and extended working hours. Although there was a small cost premium paid to accelerate the process, savings were achieved in interest and overhead during construction. More significantly, the early completion date allowed the owner to avoid having to extend the leasing arrangement at the former facility. During approximately 75 percent of construction, there was owner and design team representation on-site in addition to an expanded construction management team. The entire team worked closely together to mitigate risk and to tackle any issues that arose during the process, resulting in close coordination and superior quality.
The natural topography of the site allowed support services to be located on the ground floor providing convenient loading dock access to Material Management, Pharmacy, Lab and Dietary Services.
Adjustable acuity patient rooms on the second floor allow the facility to step down the level of care within a room without having to move patients around the hospital. These rooms can flex between intensive and critical care unit functions, creating a "one-stop" center for patient care. This practice is less disruptive to both patients and family and results in a happier, healthier experience.
Project category: New construction (completed
Chief administrator:
Firm:
Design team:
Photography: ©2012
Total building area (tq. ft.): 425,000
Construction cost/sq. ft:
Total construction cost (excluding land):
The
Project category: Project in progress (
Firm:
Design team:
Total building area (sq. It.): 947,805
Construction cost/sq. ft.:
Total construction cost (excluding land):
The new site was previously an industrial site that required more than
Project category: New construction (completed
Chief administrator:
Firms:
Design team:
Photography: ©2013
Total building area (sq. ft.): 536,000 (new); 124,000 (renovation)
Construction cost/sq. ft:
Total construction cost (excluding land):
patient and employee experience and provide for a continuum of care.
The new 240-bed hospital forms the nexus of an integrated 171-acre healthcare campus that includes an attached medical office building, a health and fitness center, a pediatric specialty facility under development by
Intrinsic in its flexible design, the new facility was planned to accommodate emerging 21st-century technologies and advances in both medicine and care including flexible operating rooms to accommodate robotics and other emerging technologies. The all-private, same-handed, canted, patient rooms were designed to reduce falls, minimize risk of infection and enhance privacy, and include wireless internet access, dedicated ventilation and temperature control systems and room service dining. The hospital is proud to report that in its first year of operations, there were no patient falls and the
The new hospital followed
When thinking back,
MEDICAL CENTER
RTKL designed a 700,000-squarefoot new medical campus, inpatient hospital and ambulatory care center for the
The project components include an 90-bed, all-private room patient tower, an outpatient care pavilion, sophisticated diagnostic and treatment facilities, a building for the
Prefect category: New construction (completed
CMof administrator
Firma:
Design team: Joint Venture Partner (JMA Architecture Studio);
Photography: ©
Total budding arta (aq. ft.): 1,045.000
Construction cost/sq. ft:
Total construction cost (excluding land):
MEDICAL OFFICE BUILDING
Cardiovascular Center Chandler, az
Coaction Group
Protect category: Unbuilt/ Conceptual design only (Summer 2014)
Firm:
Design team:
Total building area (sg. ft): 14,400
Construction cost/sg. ft.:
Total construction cost (excluding land):
This project was based on a holistic approach and grounded in evidencebased design practices; the goal was the alignment between the built-environment, the operational protocols and the organization's culture. To this end, design architect
The main design challenge was to address the programming needs of all stakeholders, which included the client, the patient, the caregiver and the community. Planning for a cardiovascular practice involves creating an environment that supports a wide range of human conditions, including people with a considerable level of disabilities. In this context, research targeted the following population groups: the aging, the bariatric, and the caregiver/practitioner. Design solutions addressed these specific demographics by promoting efficiency, safety and staff retention, and were tailored to offer an environment that advocates preventive as well as curative medicine.
A unique characteristic of this project was the creation of an area called "My Heart Pod" to promote the integration of the building within the fabric of the neighborhood. Grounded in evidence-based design and green practices, this innovative community outreach approach proposes the incorporation, improvement and maintenance of an unused 14,400-square-foot public retention area adjacent to the primary site. This space will offer end-users of the practice and surrounding community a place for physical activities and educational programs. It will also offer patients and staff members a place for positive distraction and respite.
MEDICAL OFFICE BUILDING
Children's
Project category: New construction (completed
Chief administrator
Firm:
Design team:
Photography: ©2012
Total building area (sq. ft): 55,500
Construction cost/sq. ft:
Total construction cost (excluding land):
The new facility features specialty clinic services including: cardiology, endocrinology, gastroenterology, neurology, orthopedics, rehabilitation medicine, sports medicine, audiology and speech, and ear, nose and throat care. The building is equipped with 20 exam rooms, two procedure rooms, one audio booth, an ultrasound, and a digital radiation room. Prior to the opening of this facility, these services were located 20 miles away at Children's Mercy's downtown location.
The clinic achieved LEED Certification based on the implementation of several sustainable design principals. Materials selected for use on the exterior were derived from the architectural vernacular of Children's Mercy's existing facilities, allowing the building to be readily identified by the public. Interior materials also follow the standards established by Children's Mercy, being durable and in palettes that are fun and appropriate for children.
The design intent for the facility was to create a place for children to go when they are sick or hurt, that does not resemble a typical clinical setting. Interactive lighting features controlled by a number of child-size push-button consoles, bright finishes and cartoon characters on the walls and floors, clearly denote that this is a space designed for children to utilize and enjoy today; while the sustainable components of the design attest to the care and concern for their well-being in the future.
MEDICAL OFFICE BUILDING
Continuum Health Partners Beth Israel Medical Group New York, ny
Array Architects New York, ny
Project: category: Remodel/Renovation (completed
Chief administrator:
Firm:
Design team:
Photography: ©2013
Total building arta (aq. ft.): 16.500
Construction cost/sq. ft.:
Total construction cost (excluding land):
Continuum's new facility provides a multitude of resources for their patients. The new walk-in, primary care medical practice is located on the 2nd floor, while the 3rd floor serves the specialty practices such as dermatology, radiology, ophthalmology, orthopedics, GI, cardiology and pain management.
Creating a welcoming and sophisticated clinical environment for the patients and staff was a high priority for Beth Israel. Reception desks lit from within welcome visitors to the medical floors. The new curtain wall and windows allow natural light to pour into the waiting areas and exam rooms. An organic shaped form, defines the administrative support area and acts as marker in the plan to guide patients to transaction areas. Highly functional areas such as the nurses' station, touchdown station, and support spaces have a similar level of finishes.
MEDICAL OFFICE BUILDING
Kaiser Permanente Medical Offices - Antelope Valley Lancaster, ca
TAYLOR
This project is designed as a 66 Provider, 136,580-square-foot Specialty Medical Offices located on a Greenfield 44-acre site in the
Currently under construction, the building reaches beyond the design criteria and list of directives to support the
Project category: Project in progress (
Chief administrator
Firm:
Design team:
Total building area (sq. ft.): 136,580
Construction cost/sq. ft.: Not available
Total construction cost (excluding land): Not available
MEDICAL OFFICE BUILDING
c|a ARCHITECTS
When transitioning a standard office building into a medical office building, challenges need to be addressed to achieve the programmatic and code compliance requirements necessary for an exceptional healthcare facility while creating an environment that elevates the patient experience. The challenges for the
Project category: Remodel/Renovation (completed
Chief administrator:
Firm: c|a ARCHITECTS, (562) 595-5666
Design team:
Photography: 2013 Paul Turang Photography
Total building area (sq. ft.): 16.300
Construction cost/sq. ft.:
Total construction cost (excluding land):
MULTIPLE SCLEROSIS
The Multiple Sclerosis Center at Swedish Neuroscience Institute
Callison
"The
Materials were selected for ease of movement, with transitions between materials carefully contrasted and placed to reduce the potential of trips and falls. Handrails offer needed support and the opportunity for respite. Sliding doors and automatic door operators improve accessibility.
The Patient and Family Waiting Area was designed as a centralized, comfortable place for patients and their families to rest between appointments. Features include abundant natural light, fioor-to-ceiling windows, and access to an outdoor terrace. Operable curtains offer various levels of privacy. Patients or family members can adjust the curtains to meet their needs.
One of the more unusual spaces in the MS
Project category: Remodel/Renovation (completed
Chief administrator: Dr.
Firm:
Design team:
Photography: ©2012
Total building area (sq. ft): 14,500
Construction cost/sq. ft.:
Total construction cost (excluding land):
NEUROSCIENCE
Cannon Design Chicago, il
The ever-expanding science of the brain and the treatment of its disorders offered a platform for exploration of imagery and formal manipulations of the project. Utilizing scale and memory, the project builds an architectural language that translates these graphic conventions of neuroscience into built form.
Translating cutting-edge neuroscience research into advanced patient care, the
Bent to resemble electroencephalograms, the north façade is adorned with architectural fins, broadcasting a striking presence to a nearby highway while providing privacy. The west façade presents a sculptural form inspired by the shape of neurons.
Interiors also incorporate geometry, color, and imagery from neuroscience research, including patterns mimicking cellular forms, and blocks of color inspired by the vibrancy of PET and fMRI brain scans. Colortinted windows arranged in a visually engaging pattern at the ground floor, create an inviting pedestrian-level presence.
Clinical floors are equipped with collaborative niches for quick impromptu meetings; larger meeting areas encourage collaboration among researchers and clinicians, and a large auditorium facilitates formal presentations on research findings and their clinical applications.
Physicians and staff have outstanding access to natural light, collaborative spaces, and patients. The high level of patient-to-researcher connectivity supports and encourages professional collaboration and showcases the commitment of the institution to patient care and research.
Protect category: New construction (completed
Chief adrahrtrtrator.
Rmi: Cannon Design, (312) 3329600
Design team:
Photography: ©2012 James Steinkamp Photography
Total building area (sq. ft.): 270.000
Construction cost/sq. ft: Not available
Total construction cost (excluding land): Not available
ORTHOPEDIC AND SPINE
The Christ Hospital
SOM Ohio LLC
Project category: Project in progress (
Chief administrator
Firm:
Design team: Local Associate (Champlin Architecture); MEP/ Fire Protection Engineering Consultant (Fosdick & Hilmer)
Total building area (sq. ft): 386,600 (new); 58,800 (renovation)
Construction cost/sq. ft: Not available
Total construction cost (excluding land): Not available
The OSC is organized as a bed tower above a diagnostic and treatment podium The tower contains 60 beds; a shelled floor will allow for an additional future 30 beds. The podium contains 12 operating rooms, surgery prep and recovery, a pain center, imaging, preadmission testing, rehabilitation, service line administration, satellite food service and central sterile processing-all dedicated to the OSC service line. A three-story public circulation concourse connects the new podium to the existing hospital, while providing a materials movement highway on the lower level. A new public circulation loop was created linking the various existing hospital wings, the new OSC, and the
The patient unit is designed around a structure of light. Patient rooms maximize light and views to promote recovery. The core is dematerialized by narrowing its width, eliminating the central nurses' station and transforming traditionally "solid" elements into open, transparent/translucent areas. This results in better visibility, enhanced caregiving by keeping nurses closer to patients, and increased staff morale by bringing natural light into the center of the unit. Every part of the design promotes a tranquil and therapeutic environment. Warm, sustainable materials, including wood finishes, create a comfortable place for patients, visitors, and staff. The OSC is designed to meet LEED for Healthcare certification.
ORTHOPEDIC AND SPINE
Stamford Hospital Orthopedic and Spine Institute Chelsea Piers,
A Timeless Planetree Design:
In response to the numerous challenges of the existing building, including the rectangular-shaped floor plan, a major corridor was designed to guide patients to the appropriate pod. Three-dimensional materials, multilayered ceiling cove details, varying light levels, and textural patterns were used to create visual interest along this journey in order to provide a supportive, patientcentered environment Wall sconces, backlit acrylic panels, pendant light clouds and millwork pilasters between the main corridor and the perpendicular corridors guide patients through the space to the ante areas and exam rooms.
The main objective of the project was to create a welcoming
Project category: New construction (completed
Chief administrator
Firm:
Design taam: John Marinelli, AIA, Architect/Designer (
Photography:
Total building area (sq. ft.): 15,325
Construction cost/sq. ft.:
Total construction cost (excluding land):
ORTHOPEDIC
The building was inspired by vernacular features of the area. The firm drew inspiration from the dry laid stone walls found throughout
The local geography, specifically the river, inspired the meandering curves that define the main circulation in the lobby. Floor-to-ceiling windows and the warm, yelloworange color palette in the imaging areas draw inspiration from the rising and setting sun over the hills of the surrounding area.
Another major design goal for the owner was to make the facility visible from the highway. Visibility was a challenge with 1,121 feet separating the face of the one-story building from the center of 1-24. Therefore,
ProJact category: New construction (completed
Chief administrator:
Firm:
Design team:
Photography: ©
Total building area (sq. ft.): 41,585
Total construction cost (excludingland): Not available
OUTPATIENT/CHEMICAL DEPENDENCY
The Betty Ford Center - Residential Day Treatment Center
The Betty Ford Center (BFC) is located approximately 90 miles east of
Project category: Project in progress (Phase 1 : est. 2016; Phase 2: TBD)
Chief administrator
Firm:
Design team: Struclural Engineer ing (KPFF Consulting Engineers);
Total building area (sq. ft.): 67.380
Construction cost/sq. ft.:
Total construction cost (excluding land):
OUTPATIENT/WELLNESS
Lawrence Group Austin, tx
The clinic provides pediatric, family practice, dental, OB/GYN, radiology, and internal medicine services to medically underserved members of the community. The facility also includes a pharmacy, areas for nutrition education services, and administrative and support areas.
The six separate medical disciplines are organized around a central two-story medical mall. Each clinic has its own color theme and waiting area, along with full height glass opening onto the central medical mall. Clerestory windows allow daylight into the medical mall and waiting areas while the blue hue of the two-story ceiling, the mutli-color browns of the floor tile, and the bright sun colored walls evoke the blue skies, rich soils, and bright sun of central
Although each of the individual clinics are physically separate from each other for patients, a secure private corridor provides a means for common facilities to be shared between clinics and a way for Physicians and Staff to share resources and consultations between clinics without disturbing patients and families in the waiting areas.
The building was sited to maximize the preservation of existing trees with local stone and native drought tolerant vegetation used as exterior elements. The design-build project received LEED Silver certification in 2012.
Prefect catefry New construction (completed
CMtf adnMstraton
Paaif tanu Ftaymond Chan, Civil (
Pfcatapaiili,. ©2013 Paul Bardagjy Photography
Total budding area (sq. ft): 53,500
Constrectton cost/sq. ft;
Total conalrectlao coat («rtWw
OUTPATIENT/WELLNESS
Kaye Edmonton Clinic
Prefect category: New construction (completed
CMef administrator
Flnm:
Design team: Associate Architect and MEP (Dialog,);
Ptaotograpiiy: ©
Total bonding area (sq. ft): 687,450
Construction cest/sq. ft.;
Total construction cost (excluding land):
RTKL, in partnership with Dialog, designed the
The Clinic building is on the south end of the site, pinched between a major roadway, a light rail system and an existing campus structure. The challenge was to develop a design that was easily recognizable, allowed for pedestrian and vehicular access in an intuitive manner. The design needed to blend with the Academy, while also supporting its own patient environment. It was critical to orient the front of the building to the main drive for recognition, while also having a separate and distinct patient arrival zone that connected internally to a 1200-car garage. The building also integrated into its design the support of nonvehicular traffic patterns such as an above grade pedway that will link
PRIMARY AND SPECIALTY CARE CLINIC
Chief Andrew Isaac Health Center Fairbanks, ak
NBBJ Seattle, wa; Bettiswoith North Fairbanks, ak; Jones and Jones Architects Seattle, wa; and
Chief Andrew Isaac Health Center (CAIHC) is a culturally sophisticated, state-of-the-art "
The building planning and design provides appropriate, effective space for such a partnership and encourages collaborative care at the clinic's edges. There, providers give care at an appropriate level of intensity in exam, procedure and "talking rooms." The nonclinical setting of talking rooms breaks down the doctor-patient hierarchical relationship to ease conversation between partners. Such collaboration shifts the focus from interventional procedures, medication and acute care towards a more healthful lifestyle.
A visit to CAIHC often provides an opportunity to socialize with family and friends: it is one of few large indoor gathering spaces in the Alaskan interior. The main lobby and waiting area serves as a gathering area that encourages social interaction. Its circular shape, designed to resemble a woven basket, emphasizes the Native way of life and connecting people in spirit. Smaller waiting rooms, all with southern exposure and views, allow for more intimate gatherings. The sinuous shape of the building maximizes daylighting, minimizes shadows, and captures as much sunlight as possible-a necessity in a place that sees only 4-5 hours of daily sunlight during winter months. It is also one Project category; New construction (completed
CMof administrator.
Firmo:
Ooafgn foam: Design Architect (NBBJ); Prime Consultant and Project Manager (Bettisworth North); Associate Architect (Jones and
Photography ©
Total MMIng area (sq. ft.): 96,000
Comtractlon cost/sq. ft:
Total eontracthm coot (excluding land):
of few buildings in
To infuse cultural relevance in the overall design, a cultural advisory committee comprised of elders and regional tribal members worked alongside planners and architects. Natural forms and Native culture imbue the facility's interiors with a sense of place and of calm. Clinic walls bear subtle seasonal shades of that indicate different areas for wayfinding, and pathways to specific clinics mimic the winding, braided rivers of the Alaskan Interior. The interiors also showcase a substantial art collection that represents all 42 villages.
Like the winding, intertwining rivers that inspired its design, CAIHC's care model, medical planning and culturally relevant design elements come together to create a truly unique healing environment.
REHABILITATION
This 28-bed inpatient rehabilitation center provides recovery treatment for brain injury, stroke, and other neurological disorders. Along with private rooms and an extensive state-of-the-art rehab gym, the unit features "
Prefect category: New construction (completed
Chief administrator:
Finn: Hord Copian Macht, (410) 837-7311
Design team:
Photography:
Total building area (sq. ft): 27,787
Construction cost/sq. ft:
Total construction cost (excluding land):
REHABILITATION
The Retreat at Buffalo Hill Kaiispeii, mt
AG Architecture Wauwatosa, Wl, and StUCÜO 121
Immanuel Lutheran Communities has served the senior living marketplace in scenic
This 16-resident Rehabilitation Cottage and 2,500 square-foot
The Rehabilitation Cottage includes smaller scale, intimate spaces that offer guests choices-a variety of gathering spaces to promote independence and encourage socialization, Creating connections to the outdoors and integrating unobtrusive support areas were priorities. Each guest room includes a ceilinglift system to facilitate transporting nonambulatory guests.
Project category: New construction (completed
Chief administrator:
Firma: AG Architecture, (414) 431-3131; Studio 121, (615) 469-4121
Dotlgii team: Architecture (AG Architecture); Interior Design (Studio 121);
Photography: Gibeon Photography
Total building area (tq. ft.): 18,120
Construction cost/sq. ft:
Total construction coat (excluding land):
For the
The design takes cues from the surrounding scenery to add warmth and create a unique rehabilitation experience. A variety of small rooms provide guests more privacy during treatments, while the large, more public physical therapy gym creates a fitness center atmosphere. An ADL apartment along with state-of-theart equipment, such as the ceiling lift and harness over the treadmill and parallel bars, and an aquatic therapy pool were also incorporated into the design.
RESEARCH HOSPITAL
Hainan Cancer Research Hospital
Cannon Design
A cutting-edge center of healing and research, the Hospital incorporates a combination of Eastern and Western sensibility in every aspect of its design-from programming, design logic and construction to the user experience. This synergy manifests most notably in a vast central healing garden, shielded from the rapidly developing
An open-air courtyard garden provides patients and families with a natural environment that encourages inward focus. Various Chinese and aromatherapy plants known for their healing qualities, and distinctive vegetation studied for their medicinal applications, complement the surroundings. Elevated walkways provide ease of access between buildings and operational visibility is minimized by restricting vehicular traffic to a perimeter road and placing parking options underground. Garden views from building interiors are maximized.
The first major Chinese hospital to achieve LEED Gold certification, the design employs both proven local building strategies and Western climate expertise for a comprehensive approach to green design and user comfort. Shading devices are kept low-tech, and passive ventilation is achieved by raising the bed tower and much of the hotel, rehabilitation center, and residence hall on pilotis.
In the gardens, a network of streams and ponds collects rainwater-providing evaporative cooling to gardens and certain building sections. Region-specific materials, including native basalt stone at the urban edge and internal façades of locally produced, sustainable woods, establish a warm familiarity while supporting the local economy and reducing environmental impact.
Project category: Project in progress (
Finn: Cannon Design, (716) 774-3252
Design team:
Total building area (sq. ft.): 2,523.700
Construction cost/sq. ft.:
Total construction cost (excluding land):
SURGERY AND REHABILITATION HOSPITAL
WellSpan Surgery and Rehabilitation Hospital York pa
The WellSpan Surgery and
The hospital features 48 rehabilitation beds and 25 orthopedic beds, as well as a large therapy gym shared by both programs. State-ofthe-art rehabilitation equipment includes a driving simulator and a robotic-driven gait training system to help patients regain walking movements after a stroke or traumatic brain or spinal cord injury. Taking advantage of the steep grade of the site, the patient rooms on the upper level of the hospital have easy access to outdoor therapy gardens and rehabilitative spaces. On the first floor, a two-story concourse, warmly illuminated by clerestory lighting, links the main entrance with the visitors' elevators and the dining room. Also on the first floor is a 4-OR orthopedic surgical suite.
Although codes for rehabilitation hospitals do not require private patient rooms, the design features them because of their measurable positive impact on patient outcomes and satisfaction. With large patient rooms with ample space for patient mobility and family accommodations and large accessible toilets with sliding doors, the new facility elevates the standard of care for a rehabilitation hospital with a state-of-the-art environment for healing.
Prüftet category: New construction (completed
Chief administrator
Finn:
Design team:
Photography: ©
Total building area (sq. It): 142,000
Construction cost/sq. ft: Not available
Total construction cost (axchiding land): Not available
SURGERY HOSPITAL
Forest Park Medical Center
Developed by
Each aspect of the facilit`y's design* from the motor court and lobbies, to natural light infiltration and patient room finishes, has been designed to stimulate the senses in a "five-star, hospitality-enriched" environment. The exterior of the hospital celebrates the drama of the art deco period with eclectic and contemporary styling that befits
Patient care floors are designed to support exceptional patient care while reducing demands on staff. To ensure a high level of attention for each patient, the required 30 beds were divided into pods of 10 beds each. A centrally located nurses' station, pyxis area and clean/soiled utility are no more than 40 feet from each patient room. An "onstage/ofTstage" approach to deliveries was desired so that public spaces and corridors remain unencumbered by service functions. All public spaces were pushed to the exterior to track the circumference of the circular entry drive, providing unobstructed views of the dramatic entry fountain.
Communication is key for guests' peace of mind. Touch points throughout the hospital allow family and guests to remain connected to patients and aware of their status during procedures.
Project category. New construction (completed
Chief administrator
Finn:
Design team:
Photography: ©2013
Total building area (sq. ft): 128,000
Construction cost/sq. ft:
Total construction cost (excluding land):
SURGERY HOSPITAL
Forest Park Medical Center
Forest Park Medical Center
Project category: Project in progress (
Chief administrator:
Firm:
Design team:
Total building area (sq. ft.): 150.000
Construction cost/sq. ft.:
Total construction cost (excluding land):
SURGERY HOSPITAL
Ballinger
Prefect category Project in progress (
Chief administrator:
Firm:
Design team:
Total MMIng area (sq. ft.): 465,000
Coostrnctioo cost/sq. ft:
Total construction cost (excluding tend):
Focused on the patient/family experience and integration with the existing Hospital campus, the design of
The building is a catalyst for the Hospital's continued advancement in modem care. This technologically advanced facility pushes the boundaries of medical care, consolidating campus-wide surgical services including PAT, an eight-room procedural suite and the general OR suite. Co-locating all surgical services on one ground floor level provides a more efficient patient drop-off and check-in. The big box platform that is created by the 110,000-square-foot surgery platform accommodates the integration of advanced technologies to serve both the surgeries and the patient tower above. The 150 new patient rooms are equipped with sophisticated smart room technologies that will improve the quality of patient care.
TEACHING HOSPITAL
Specialty Hospital
Francis Cauffman New York, ny
Romanian and Swiss Medical Teams have partnered to create a state-of-the-art specialty hospital in
It possesses both the technological sophistication and programmatic diversity of a teaching hospital, but on a smaller scale-it requires outpatient treatment and laboratory space appropriately sized for teaching. The hospitals plan similarly reflects this focus: all beds relating to a single department are on one floor. This layout helps doctors physically show their students what happens as patients transfer between the different stages of care. It also helps residents track patients and observe their healing process.
Aesthetically, the team wanted a hospital that provided a user experience more in-line with a spa than a traditional medical facility. Patient rooms feel like upscale hotel accommodations, in order create an atmosphere of relaxation and comfort.
The designers incorporated a brick screen façade on the building to respond to the local architecture, but paired it with modem design choices that reflect the hospitals innovative internal planning concepts. The brick façade appears to "float" beside a minimalist glass curtain wall, playing on a narrative in which state-of-the-art medical technologies partner with prestigious domestic resources to create a unique, world-class medical institution.
Profret category: Unbuilt/Conceptual design only
Doatga team:
Total buNdlng area (iq. ft): 275.000
Cauitnietlon cost/sq. ft:
IMal construction cost (axckidbig land):
VASCULAR INSTITUTE/RESEARCH
Cannon Design Buffalo, ny
Project category New construction (completed
Chief administrator: L. Nelson "Nick" Hopkins III, MD. Professor and Chairman of Neurosurgery, (716) 887-5200
Htm: Cannon Design, (716) 774-3252
Design team:
Photography © K C Kraft Photography; © Tim Wilkes Photography; © Bjorg Magnea Architectural & Interior Photography; © Thomas Mayer Photography
Total baMdlng area (sq. ft.): 476,000
Construction cest/sq. ft:
Total constractioa cost (exdudbig land):
The spirit of collaboration was the driving force uniting
The 476,000-square-foot, 10-story vertical campus achieves this by stacking a translational research building over a clinical vascular institute.
Comprised of 62 private patient rooms arranged into four nursing pods, the GVI's "hotel" creates a calmer environment distinct from the treatment areas. The Institute also accommodates 59 exam rooms, five admissions offices, 16 intensive care beds and seven surgeries, as well as patient and family amenities. Entered through a spacious waiting room, a state-of-the-art emergency department accommodates 60,000 patient visits annually.
With 170,000 square feet of dedicated laboratory space, advanced imaging facilities; a bio-repository and a clinical research center, the CTRC s labs are connected to offices by wide bridges across a light-infused atriumenabling "collisions' among researches. Open-planned laboratories place researchers side-by-side, breaking down the "silos" that typically divide researchers from different disciplines.
To create visual interest to the buildings boxy, yet striking modern exterior, curved edges and corners are introduced to soften its appearance. A metal ribbon of the building's "wrapper" is folded inside and out to echo the interior distribution of spaces and to symbolize the fluidity among the collaborative teams. The material character of the superstructure is evidenced in the interiors as an underlying fabric, throughout which threads of individuality emerged.
Specialty colored glass panels, mosaics, paint colors, solid surfacing and furniture-set against the timeless white and gray of the structure-create an identity and brand for each of the spaces. The terrazzo and colormatched resinous flooring systems create durable, seamless movement from space to space, while providing a finish appropriate to specific uses. Lighting fixtures and architectural elements are thoughtfully positioned to provide pattern, form, and function. Glowing color at the face of the nurses' and reception stations assists with wayfinding and sense of arrival. In interior spaces with limited daylight, lighting systems subtly change colors and move slowly over the course of a day, reminding occupants of the passage of time.
WOMEN'
CIBC Breast Assessment Centre, Juravinski Hospital
Zeidler Partnership Architects
Prefect category: Remodel/Renovation (completed Fall 2013)
Chief administrator:
Firm:
Design team:
Total building area (sq. ft.): 9.110 (new); 1,348 (renovation)
Construction cost/sq. ft: Not available
Total construction cost (excluding land): Not available
CIBC Breast Assessment Centre at the
The CIBC Breast Assessment Centre is a landmark symbol of advanced care for breast health. Designed to be the most comprehensive assessment centre in the region for women with a breast abnormality, or for those at a high risk of developing breast cancer, the centre will:
* Bring together a multidisciplinary team of breast health experts
* Provide access to genetic testing
* Provide patients with a complete diagnostic assessment in a single visit, with a final diagnosis and, if needed, a treatment plan in five days
* Minimize the anxiety felt by patients and their families by reducing wait times for appointments and test results
* Serve as an Ontario Breast Screening Program affiliated site.
WOMEN'S HOSPITAL
KFMC Women's Specialist Hospital Riyadh Saudi Arabia
Project category: Unbuilt/Conceptual design only (
Chief administrator: Eng. Ibrahim Saleh Alkhelaifi, Executive Director of Operations
Firm:
Design team:
Photography: ©2012
Total building area (sq. ft.): 157,766
Construction cost/sq. ft.:
Total construction cost (excluding land):
The design team for KFMC women's specialist hospital faced the challenges of designing a facility dedicated to women's-only services in a culture whose views and attitudes towards women are both particular and often misunderstood. The integration, at every turn, of modern global sensibilities into the crucial customs and practices of the Saudi culture created an environment aimed at attracting and catering specifically to the women and families of today's Saudi Arabia.
As this project is part of an overall campus renovation, the design maintained a strong self-identity while remaining sympathetic and cohesive to the imagery, materiality, and brand of the medical campus as a whole.
Maximization of natural light inside the building was a known desire. All patient areas have access to natural light which involved design solutions respective of both privacy concerns and a harsh Saudi environment. Privacy, critical shading, and building identity were all ensured through the employ of screens and fritted glazing. Integrated spaces and elements that foster privacy are abundant throughout, and are a guiding principal in the whole of the design. Nuclear to this pursuit is a two-story lobby atrium that not only emphasizes the "wow factor" as patients and their families enter the building.
This is a high-quality nurturing environment with hospitality flare and comfort, replete with custom finishes and features as well as intuitive wayfinding elements of patterns, lighting and art. A "spalike" environment was sought by incorporating rich finishes and custom features, primarily in public and patient areas.
WOMEN'S/INFANTS'
ZGF Architects LLP
The location of a high-risk maternal fetal program providing fetal surgery and high-risk birthing services at a children's hospital is unique nationallyoffering unparalleled multidisciplinary care and treatment before, during and after high-risk pregnancies. A key driver of the design was to keep mothers and babies together under one roof. Other similar programs elsewhere rely on various departments or disparate locations.
For the
Project category: Addition (completed
Firm:
Design team: Design Architect and Interior Design (
Photography: ©
Total building area (sq. It): 27,000
Construction cost/sq. ft.: Not available
Total construction cost (excluding land): Not available
WOMEN'S/INFANTS'
The Mother Baby Center at
Project category: New construction & Remodel/Renovation (completed
Chief administrator:
Firm:
Design team:
Photography: ©2013 Forms + Surfaces;
Total building ana (aq. ft): 75.000 (new); 21,000 (renovation)
Construction cost/sq. ft:
Total construction cost (sxctadlng land):
The flagship Mother Baby Center allows mothers and babies to stay together with the highest level of coordinated care. This new facility embodies a joint venture of two distinguished providers within one distinctively sculpted building inserted into an existing complex. The challenges of combining two different hospital cultures, while maintaining outstanding patient care, were managed by a complex project team using innovative communication tools. The team worked with numerous patient user groups to extract the ultimate patient experience. Family and provider focus groups provided critical input to create a financially sustainable, yet personalized family experience in a very urban setting. The design palette incorporated super-graphics and local artwork, serving as key focal points to create a healing, celebratory environment with easy-tonavigate wayfinding.
Supergraphic artwork in a vivid flower theme identifies rooms that are grouped by hue to create "neighborhoods." The brand, with its vibrant backlit color images, and sleek sustainable finishes, has been so well received that the client is now expanding this new identity throughout the system.
The Mother Baby Center is dedicated to the most fragile patients, with one of the only five operating rooms in the U.S. designed for fetal surgery. The 96,000-squarefoot, four-story building includes 31
WOMEN'S/INFANTS'
Shawnee Mission Birth Center Meniam, ks</p>
Hoefer Wysocki Architecture Leawood, ks
On the outside, the Birth Center will stand as an icon on the campus, with a towering and undulating glass and stone façade. Inside, the design and finishes of each floor will create a healthcare environment filled with natural light and comfortable finishes, caring for the person as well as the family.
The 26 Labor, Delivery and Recovery suites on the second floor are all designed to comfort the woman, encourage the family's involvement and allow the medical staff to provide unparalleled care when the time comes. Spacious rooms and warm finish accents of wood, glass and tile create an environment more like a hotel than a traditional hospital and conceal the medical equipment until it's needed.
On the third floor, 28 PostPartum rooms continue the same commitment to comfort, involvement and care. Nurses' stations will be located close to the patient rooms to maximize staff attention and efficiency while comfortable furniture makes plenty of room for the family to stay together.
The state-of-the-art Neonatal Intensive Care Unit (NICU) occupies the fourth floor. Each of the 24 NICU rooms will be a private room, except for the rooms designed to accommodate twins, with the same level of attention to detail, comfort and medical technology provided throughout the Women and Infant Center design. These rooms are also designed to allow for a great deal of privacy while also making it easy for the medical staff to observe the patient. The NICU unit also features a
Project category: Addition (completed
Chief administrator:
Firm: Hoefer Wysocki Architecture, (913)307-3700
Design team: Architect (Hoefer Wysocki Architecture); MEP Engineer (
Photography: ©2013 Eric Bowers Photo/Hoefer Wysocki Architecture
Total budding area (sq. It): 108,614
Construction cost/sq. ft.:
Total construction cost (excluding land):
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