North Little Rock, Arkansas PROJECT DESCRIPTION A four-story lobby atrium provides 2 dramatic sense of place while ging thefaity a to the local specialized inpatient rooms and intake clinics to the south, and a more flexible warehouse of space to the north that is adjusted or manipulated as diagnostic and treatment needs arise and change. Through this organization, the building allows inpatients and outpatients to use the same diagnostic and treatment facilities while separating the two circulation patterns. : cn a healing environmentCommunity Hospital Oregon, Ohio PROJECT DESCRIPTION Design Challenges The design team’s first challenge was not the design of the hospital itself but the creation of a brand identity for the ProMedica Health System as a whole. ProMedica needed a family centered care facility that would cater to today's savvy, choice-conscious patient; help to attract and retain staff despite widespread nursing shortages, minimize non-reimbursable space; and emphasize its community, ‘Another challenge was the site flat, neatly treeless stretch of farmland with few natural features. In addition, its bordered by a freeway overpass, ‘etail and industrial buildings, and a residential neighborhood. The site design conceived a place that would riot only respond to its surroundings but also attrac, inspire, and even ‘improve its community. In addition, the team faced the major challenge of programming an entirely fnew hospital with no existing core of staff to consult. Staff from other ProMedica facilities supplied guidance ‘and advice to help realize the client's strong ideals, Programming/Planning/ Design Process The design guidelines were rigid enough to create a recognizable visual and functional identity for the ‘system, but flexible enough to allow individuality of each facility, The team. worked to discover a unifying Great Lakes architectural style and ‘formulated an ideal that includes brick, rough-textured stone, visible roofs, and bright indoor spaces, Standards for materials and finishes were laid out, but the selection of a color palette was left to each facility. Significant Design Characteristics Al patient destinations are conveniently reached fram the bag With carefully chosen adacenoes ‘outpatient traffic moves forward throughout a patients visit-peoph never need to double back-anst travel time is minimized. The avalailty of mulipe ents int ccross-traffic and cuts down on the time outpatients spend inthe hospital. Because the fait so ‘of many hospitals in the Pome Health System, medical sa frequently mave beeen fails requently Prototyped clinical areas such ‘operating rooms, emergene) treatment rooms, and pate! have been cared tough hospital so that medica Sic practice in more than one without contusion AEM! departments are — ae the main create geht ion, He path ont ina simple aia ichi 1 Ith Children’s Hospital and Hea Center—Convalescent Care Hospiia| + San Diego, California ARCHITECT'S STATEMENT The frst phase ofa five phase ‘masterplan, this unique 89 bed replacement hospital provides @ new three-story skilled nursing facility for ctildrethe only such fcity in the state for the long-term care of severely disabled children, Deinstitutionalizing the environment by creating a residential scale for fong term patients, focusing on the quality ofthe patient rooms, and balancing privacy with opportunities {or varying degrees of communal {teraction are essential goals of the design The three-story building's plan and massing reflect the physical ‘constraints of the constricted site and ‘a drop in elevation of mare than 25 feet. Patent rooms on two floors buat over an underground par {rage and a level of shel space for esearch and surge space fr the campus-ting a sunken, circular ‘garden courtyard, which brings light toll levels and opens to distant views. PROJECT DESCRIPTION Awede, recessed, covered entrance to the lobby serves asthe buildings figurative front pore for ariving westors and asa gathering place for groups of children to board buses offsite educationdl programs. The shared, two-bed patient rooms gE ‘each resident equal direct outdoor access tothe garden o balcony, visible from a floorto-eling window wll. Large builtin cosets and shelving allow storage of clothing end splay of belongings, personalizing children’s individual spaces. Bathrooms are designed tobe fly accesible for gumeys. Centrally located staff and support services ring a cylindrical courtyard thal bnngs daylight tothe core of the ‘uidng and opens to distant views ‘on one side, offering an unobstructed sight ine from the lobby through the Jength ofthe hospital The ‘nsttutional corridors, typically & fet ‘wide, have been eroded and. ‘expanded at interior cculation nodes ‘overlooking the courtyard to create larger alcoves or living rooms where visiting family members can gather wth ther cild Places for special activities, including rooms for dining, water therapy, and ‘a sensorium (equipped for music ‘aromatherapy, and colored lighting) are each treated as geometrically listinet objects attached to the esterior, capped by patina copper roofs, more brightly colored than the ‘otherwise neutral stucco palette of the hospital and its neighboring ‘medical campus structures. The client, architect, and The Center for Health Design, have partnered to conduct a unique research program— coined the Pebble Project (reflecting ‘a desire to create a wider ripple effect ‘within the healthcare community, analogous to a pebble thrown nto a pond)—to document, measure, and compare the relative success of the ‘existing hospital and its precedent: setting new replacement in terms of Clinical outcomes as well as patient, family, and staff satisfaction,Louise Obici Hospital ARCHITECT'S bial Memorial Hospital a 365.00 resist, 40h replacarsd pen, three story publi: concou The extensive use of brick reflects th mipnal hosp’ architectural hd tes the Bulg closeyt Vigra historical archiectarl pects ol the ulding’s artnet incu: water 25 a kinetic and tnd force, a Wighthouse as a beacon and 3 welcome icat ta help navigate the weir; 2 a5 a strong, substantial Image providing a sae haven na potently ty hteming envionment ‘an « wave communicating movement and connectivity between things. Ths imagery helped give the design team aesthetic direction and ‘continuity during the design process + Suffolk, Virginia PROJECT ESCH j ‘esis and bic Jisia The ea pope or Je meri sted th riphasize convenience forthe patient while masta function {or the sta and inpatient. Outpatient enter atthe front of the faity along, the main entrance dive o ust off the connecting afum, Service entrances ate onthe lower level, separated from the pubic traffic both horizontally and vertically Major growth departments such a the emergency department, imaging nd suegery ate located an the periphery to enable them lo grow incrementally a litle dstuption 10 rigoing, services of imerference with the main erty. An attached medical office bulding gives physicians and patents convenient connection to hospital services on every Hoor The bed tower was located separate from, bout adjacent to, the diagnostic and Hreatment services to allow green pace and garden views to surround the inpatient units. The bed tower sell was oriented to take advantage ofthe pastoral views tothe existing n wetlands and the subdued ‘morning light The building Consists o 0 be, designed a universal sig The swan. rooms low A functions to the Continually changing needs tig hospital Seven operating amin 28 unwversal pre-op and po positions allow corwenient efficient processing for beth pe ‘and outpatients The sng wea the Lower level toward the ex enabling the development olan ‘outdoor terrace overlooking he wetlands beyond,CITATION Shriners Hos Research pital a Institute + Boston, Massac ARCHITECT'S STATEMENT Replacing a hospital with a new facility on a constricted urban site presents many challenges. To do so while keeping the existing facility fully ‘operational during construction was even more challenging. Land and relocation costs, and the owner's desire to maintain 3 below:stree link to Massachusetts General Hospital, ‘made the existing site the best choice for the new facility. To demolish and rebuild the children’s burn treatment facility on its existing small site while ‘maintaining uninterrupted patient ‘Care requited that new construction be phased to allow the construction ‘ofthe new facility above the exsting one: PROJECT DESCRIPTION The unique phasing requirements and the surrounding site factors dictated the form of the 200,000-square-foot pulling (in addition to a 70,000- squaré-loot parking garage). Elevators for Phase One had to be at the corner of the site to fit around the existing building, This dictated an L-shaped lobby, which allows entrances from each street. The proximity of the building to the street re-established the relationship that was lost when urban renewal demolished large areas of the West End. A vehicular entrance on the westside allows a covered drop-off forthe lobby The upper levels are curved to minimize the impact on views to the Chatles River from neighboring residential towers and to allow sunlight to reach a Neighboring church nd Burns husetts The five-story Phase One hospital tests on trusses that bridge over the eaisting hospital and ate supported on five 90-foot supet-columns. The foundation system forthe below- grade parking structure was designed to protect nearby historic structures. ‘Materials were selected to blend with. ‘afea structures, including a neighboring church and the nearby Beacon Hill community. Rich detail of brick and granite are included at the street level, where an arcade allows covered pedestrian access to the building The upper-level floors are organized around a skylit atrium, ‘which floods the patient areas with ‘natural light. Color and material patterns create a playful at for the children, ee Poem elements include outpatient eatment facilities, 30,000 square feet . Sel exterior play areas, 2 -atade park facies eae au ©Kaiser Permanente Downey Medical Center + Downey, California yramming/Planning) ign Process ‘aise?’ use of templates relected 2 “strong desire to maximize the Aexbity an funcionaLAC+USC Medical Center Replacement +Los An ARCHITECT'S STATEMENT The largest hospital in construction in the United States today, the Los ‘Angeles County University of Southern California (LAC+USO) Medical Center represents a design ‘opportunity to create 2 completely new laclity addressing every aspect cof patient care while exploring in detal the hospital of the future The hospital is organized as three distinct components: an outpatient building. 3 bed tower fr 600 beds, and a dggnostc and treatment ‘ding that links the other two ‘components and can efficiently and flenbly serve both. This configuration has improved usage of square footage and diagnostic equipment, thus lowering coptal and operation costs ile aso providing greater flexibly over the life ofthe project. ‘The design expression is rigorously ‘contemporary, with metal panel cladding and large glass areas to signal ativa, entry, and circulation, PROJECT DESCRIPTION: The histone LAC+USC Medical Center campus comprises 72 acres, and ‘contains 150 buildings and temporary structures. A replacement project was planned to incorporate functions currently housed in many of these outdated structures, including four separate hospitals and the outpatient lic building. A vision for efficient organization has focused on the three rain functions of the hospital: inpatient services, ambulatory cae, and diagnostic treatment. The diagnos treatment area links the ‘npatent and ambulatory facilities. The ambulatory care dinics, covering more than 200,000 square feet, are designed to accommodate 650,000 patient visits per year This building ‘component is the most visible ‘element in the primary access route to the campus. Iris easily approachable and clearly comprehensible, wit the lobby atrium serving as a landmark Project geles, California ‘The diagnostic and treatment component contains more than 500,000 square feet of usable space The building links the ambulatory care center and inpatient nursing tower to maximize efficient use of costly diagnostic and treatment staff and facilities. Each floor is configured to accommodate both outpatient and inpatient access to services while separating the patient populations to maintain privacy and deinsttutionalize the ambulatory environment.Northwestern Mem Hospital Facility Development + Chicago, Illinois ARCHITECT'S STATEMENT Pens are becoming cress more educte as heaithcare enesumers. With hs mind, Nothwester Memonal Hospeal wanted to create 2 place in wich “Patents First was the guiding desen pilosophy and to acheve this, set the folowing project goat + Transform heathcare dlery by designing a sate-o thea tacty focused on patents needs and prelerences + Implement technological “advancements 0 provide the best care possible ++ Promde a heshng emnronment for patents and thei fades + Improve the efficency of the instiution by consolidating services + Suppot the haspa's mssion of * educating the next generation of ‘healthcare provides. The rew repacerent ity wes designed to deliver the ost onyerient heathare experienc for patents. By consolidating servces prenousl housed throughout 22 ang ambulatory ste, the bung sucess iterates inpatient, ‘tate, and physcan serves in two interconnected, highs tomers totaling 21 lion square feet. PROJECT DESCRIPTION ‘The new facty needed to deliver the bes in science and seice to patients, provide a satstng wotplace fr employees, and present ‘Chicago witha word Fourstor tum incudes garden Tequrng an acoustical consutan tg _SeSibve and humane for al patents, for poet wens ‘design ways to minumize vibration ‘sito, and staf Nursing stations and noise or recovering patentsThe Heart Center— Health, Butter ARCHITECT'S STATEMENT The overs son sateen ces he pease, "ogra the hat ol he communi Ante responses the ‘nme coneat-tvouth curved farm ater sda to ne exng media campus-esabish Pe a es on ouéoo pen pad he coer of the bulking, The ‘feraton of heing and therapeutic elements sucha natal it at and sep and feng shunspeed ati garde ute of the coment othe patient staf, end ios as wel a0 the reser omy. The eet des for he ltr at ab creates a sense oh pesmanence ent st. synonymous withthe quality of care represented ‘by spree netcare wove Grand Rapids, PROJECT DESCRIPTION Tis speiy heart hospital, on @ tight bing te adjacent 0 the aban business din andthe historic dst, 2 ninestory, 308 H2-square-oot addon tothe fxisting campus. AS an innovator in patent cae, Spectrum Heath ‘embraces the concept of therapeutic, healing enwonmens. Ths concept ‘5 cramaialy applied vith 3 healing orden in a theestryatium atthe ‘eter of the balding The brown buick and precast concrete, sed predominant through the years, remain a unig eement The bolder se of ass nthe Contemporary aplication wil achieve ‘lighter, mre open expression while ‘martaing imeless lookin ‘conuneion wth the natura cols ‘at brik and concrete The ttepraon of at contbutes {o the buildings therapeutic ‘muon. The man jbby ‘resembles an at galery more than a hesptalenvance- A cuwved, ive sass lisa prominent Spectrum worth Campus Michigan clement transcending the tee floors through the open lobby, while also providing a dramatic backdrop tothe emer scuipture-the fous of the space Addressing the needs ofthe community, the plaza provides ‘opportunites fr public sculpture and at that wl energize this highly sible comer. This attention to the pedestian continues with the wall/arcade tothe south, again using the theme of the lobby's curved blue slass wali adltion to plantings and specilty paving. Ths results ina pedestnan friendly transition to the agjcent medical buildings across the stret as wel as to the adjoining neighborhood. ‘The Heart Center consolidates a full ‘ange of services and functions, The {ist floor includes the diagnostic Center and a comfortable lobby The chest pain observation center ‘S adjacent tothe fist floor and Conneds the Heart Center tothe Tospas emergency department ‘The second oor sual ee provides su operating roams sped equipped withthe latest carta technology. This lor aso my ‘pre-and post opraing foams ‘three quiet rooms whet andi meet privately with heatare providers. The third floor encompasses the intervenor cs th sac catheterization ibs 28 patient rooms, and two qu men. The fourth floor contams the ci ‘care center, with 30 pre ptt rooms and five uteri ae