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Posts tagged with "healthcare design":
Construction is set to begin this month for a joint hospital and trauma care center in Baler, Philippines. Designed by Brooklyn-based Carlos Arnaiz Architects (CAZA), the Ospital Pacifica de Juan and Juana Angara will be the firm’s first healthcare design project and the first hybrid hospital and trauma center for the Pacific island nation. The $8 million, 65,817 square-foot medical complex will have a daily patient capacity of 75 and will offer an array of services, including maternity wards, imaging, operating rooms, a chapel, and a café. The proposed facility will also seek to foster the therapeutic presence of Baler’s natural, tropical aesthetic, by incorporating a series of undulating canopies that will also shelter an extensive courtyard, surfaced with tiles and grass, in the center of the hospital. According to a press release, CAZA designed the hospital and trauma center in three parts, with “adaptable modularity and operational growth” in mind, offering an array of different arrangements for patient and examination rooms. The first modular form is the structural skeleton—a prefabricated concrete structure that’s bolted into place and organizes the facility at an infrastructural level, weaving gas, plumbing, and ventilation ducts through its beams and columns. The second modular aspect is the facility’s doors, walls, and windows, which are made of lighter materials, that fasten into the concrete. Insulating packets inserted where the wall structures meet the concrete create a seal that permits higher levels of hygiene, for example, in an operating room where sterility is a matter of life and death. The perimeter of the building will be produced onsite—a series of awnings and gardens built locally, with rather inexpensive materials and where labor is also affordable. “Normally trauma centers in urban areas are big and separate from hospitals,” principal architect Carlos Arnaiz said. “The idea of doing a small scale trauma center for rural communities and small towns was really unusual,” and given that there was no “precedent or case study, we had to really hybridize techniques and knowledge from different sectors.” Research for the project spanned over the course of half of a year, during which time the firm consulted with different trauma center specialists on both the planning and operations side in the United States, as well as a host of contacts in the Philippines who would provide culturally specific insights. “In the Philippines, we talked to a number of people in the government, people in the [Department] of Health with familiarity about health and trauma centers, and people at the university level,” Arnaiz said. The University of the Philippines School of Health Sciences has a campus located adjacent to where the hospital is set to be built. Anraiz said he's excited to be the first boutique firm to design a health and trauma center and take a different approach, saying that healthcare in the design and architecture world has “been monopolized by large corporate firms that have a lot of experience doing this.” “Given the fact that it’s being done in a community where costs will be a major factor, we’re not focused on high-end finishing, or focused on the 1%. We’re focused on communities where healthcare doesn’t exist,” Arnaiz said. Arnaiz also said the chapel is an important part of the design, allowing "space to retreat from the intensity of a hospital and to commune in silence." While the non-denominational meditation space is removed from the central facilities, it's the first thing one sees upon entry. The chapel is clad in the stone used for the landscape walls, while custom-designed screen bricks were used to wrap the apse and admit light in an ethereal manner. "The intent here is to fuse the ground with the sky and connect people with the dual belief that our souls come and go to both places upon death," Arnaiz said. CAZA has set March 2018 as an anticipated date for medical center’s completion.
Brought to you with support fromThe Children’s Hospital of San Antonio is wrapping up an ambitious four-year $135-million renovation project to transform an existing downtown hospital campus into a fully dedicated, freestanding children’s hospital. The facility remained open throughout an intensive construction process involving interior demolition, relocating care units, exterior shell upgrades, and energy efficiency upgrades. A recladding concept, which extends the interior rebranding to the facade, is the most visible component of the project. The color palette is derived from a local artist’s mural on the existing structure became the basis for a rebranding strategy that seeks to improve visitor’s experience of the campus by benefitting the healing process and improving wayfinding. Colors are distributed onto the facade through a series of custom unitized channel glass assemblies that were the result of a close collaboration between Overland Partners, Bendheim Wall Systems, and Sharp Glass. The existing structure consists of five-foot concrete wings that extend out from the building envelope. With restrictive load limits and limited space for installation and maintenance, the design needed to be lightweight and convenient to assemble. Also, the team required a solution that could be manufactured in a range of custom colors, visible at long distances day and night. The project team developed a unitized modular strategy to consolidate three channel glass shapes into an extruded framework. Bendheim modified one of its existing systems to allow the glazer to preassemble the units in its shop so that the glass was bonded to both a head and sill extrusion. To ensure individual glass pieces did not make contact, the channels were set with a quarter-inch gap filled with a silicone backer rod and sealed with a translucent silicone. These units were harnessed together with a removable frame system developed by Bendheim in close collaboration with the architect and the glass installer. This allowed the units to be brought from the shop to the hospital, then strapped and hoisted into place by a three-person crew on each floor who would swing the unit into place. Units were lifted up into a pre-mounted head receptor and loaded onto an “elevator platform” that could be adjusted vertically to accommodate tolerance and deflection in the existing construction. This detail allows for movement over time without putting the glass units at risk. The adjustable, unitized system allowed the glazer to install, on average, an entire floor per day. Kris Feldmann, lead architect at Overland Partners, said that the value engineering presented a design management challenge to the project: “We saw the channel glass feature as something that was just as critical to the rebranding of the hospital and the work they were doing on the interior. One of the challenges of any project like this is that it is a very easy thing to remove as project budgets evolve. Having the owner’s confidence—because we had worked closely with the contractor, sub-contractor, and Bendheim—was really critical to keeping it on the project." The quarter-inch channel glass includes a ceramic frit that produces a unique translucent finish, allowing for sunlight penetration and providing a soft glow to patient rooms. At night, integrated programmable LED lights provide accent lighting for the facade. Several full-size panels were produced in a mock up to allow the team to confirm desired lighting details prior to construction. The units appear to be the same height from the exterior, but field-verified dimensions confirmed each floor height varied by several inches. This required every unit to be individually measured and coded by Bendheim to confirm a custom fit, and accurate color as specified by the architect. Beyond this colorful additive layer, most of the existing facade remained in place. The exterior shell includes replacement insulated glazing units and an interlocking metal panel exterior wall finish. Replacement windows consist of interior glazed window units to avoid having to re-scaffold the entire building as floors became open for construction. While the exterior is substantially complete, some components of the project remain under construction, including exterior gardens that feature culinary, play, and prayer programming.
In the 1970s I was a project architect for the New York–based architectural firm Hardy Holzman Pfeiffer Associates, (HHPA) and worked on a medical clinic for the Cummins Engine Company called the Columbus Occupational Health Association (COHA). It won a national AIA Honor Award in 1976 and served its client for over 40 years. Now the building is for sale. In the 1960s, in a small town in Indiana, a seed of design excellence was planted. As a patron of modern architecture, J. Irwin Miller had a goal to make Columbus, “the very best community of its size in the country.” “We would like to see it become the city in which the smartest, the ablest, the best young families anywhere would like to live,” he said. The result was a small Midwestern city filled with buildings designed by a who’s who of American architecture including, Eliel Saarinen, Eero Saarinen, I.M. Pei, Kevin Roche, Richard Meier, Harry Weese, César Pelli, Gunnar Birkerts, Robert Venturi, Robert Stern, and many others. Columbus Occupational Health Association In 1969, HHPA was selected for an outpatient medical clinic to serve Cummins Engine Company and several other industrial firms in the Columbus area. At that time medical clinics and hospitals were intimidating environments, typically a collection of enclosed rooms off of long sterile corridors—places most people were not enthusiastic about visiting. Cummins wanted something new and innovative and commissioned a study by the Kaiser Foundation, which recommended a cooperative health center. The study suggested that the new building might serve as a national model, so Cummins encouraged the architects to contemplate what environments would be appropriate for healthcare delivery in the future. HHPA sought to create an atmosphere of openness, hope, and healing. It analyzed the program and developed spaces organized around open, sloped walkways bathed in natural light from skylights above. Ultimately COHA offered a new paradigm for outpatient healthcare delivery that welcomed patients and staff in a fresh, expressive environment. Instead of hiding technology behind walls and ceilings, the structure and mechanical systems were exposed and celebrated in bright colors. Visitors experienced the whole building giving them an awareness of place. The building, completed in 1973, was selected in 1976 for a national AIA Honor Award. The jury commented: “Careful organization of the ordinary mechanical and structural elements brings interest and excitement to this small health center… a well-organized plan exposes routine medical functions to both patient and technician which relieves the tedium of clinical work and the anxiety of patients.” I visited the building in 2012, and met with several staff members. They were enthusiastic about working there and told me that patients and staff found that most of the original design was still serving their needs. Now the building is for sale. COHA has moved to new quarters, the Columbus Occupational Health Association has evolved, and in mid-June it relocated to downtown Columbus and is now called the Cummins LiveWell Center. An Uncertain Future What does the future hold for the COHA building and why should we care? Besides people’s affection and pleasant memories, why should COHA be saved and why is it important in architectural history? At the time it broke new ground in many ways. It celebrated the functions and technology that made the building work. More importantly, it showed all of us that going to the doctor doesn’t have to be a scary thing. By opening up the inside, bringing in natural light, and allowing patients to see inside technical spaces like the laboratory, COHA taught us that being healthy and caring for our well-being can be an uplifting experience. There’s a famous quote from Winston Churchill, “First we shape our buildings, thereafter, they shape us.” HHPA shaped COHA to be a simple black glass box on the outside with a bold sloped skylight and a dynamic inside, that treated visitors to a potpourri of shapes, colors and spaces. The philosophy of challenging the status quo and reinventing how healthcare is delivered helped make COHA unique. It has influenced how architects design medical buildings and how medical providers interact with their patients. Unfortunately there are no preservation laws in the city of Columbus, Indiana. COHA could be sold and demolished. Or it could be saved and adapted to a new use. Columbus has a strong sense of community and respects its legacy of design excellence. It has created Landmark Columbus, whose mission is, “To care for and celebrate the world-renowned design heritage of the Columbus, Indiana, area.” Richard McCoy, executive director of Landmark Columbus, told me that, “while there is no law to prevent demolition, the community has a voice and it has influence.” The legacy of Miller is now in the hands of Cummins, Inc. Katie Zarich, manager of external communications for Cummins, said: “COHA served Cummins well for several decades… Architecture remains important to Cummins. We are looking for a buyer that will maintain the architectural integrity of the facility.” It is possible to extend the useful life of buildings. It takes energy, vision and commitment. Let’s hope COHA finds itself the recipient of respect from its new owner.
While technology heals the body in increasingly marvelous ways, healthcare interiors are taking a more holistic route, becoming more hospitality than hospital-like in their design and furnishings. Trace Hip Chair Wieland A flat seat pitch at a height of 21 ½ inches, coupled with a shallow, 16-inch seat depth, eases sit-to-stand motions. For patients who must keep their legs extended, a coordinating ottoman provides support. Offered in 22-inch and 30-inch seat widths, with metal or wood frames. A complete suite of complementary waiting chairs and occasional tables is available. Healthboard Clarus The writing surface of this signage system is bacteria-resistant and non-staining; sensitive patient information will never ghost on the ¼-inch PPG Starphire Tempered Safety Writing glass. Ava Patient Recliner Nemschoff Ava’s lean form is designed to operate easily even in smaller patient rooms, without compromising on comfort or the interior size of the seat. The wingback model provides a feeling of security, while a reverse recline and independent footrest controls increase comfort. Improved kinematics provide a back pivot location that more closely mimics the body’s movement. Caregivers appreciate features like pivoting arms, dual-sided controls, and oversized twin-wheel casters. Designed by David Ritch and Mark Saffell of 5d Studio. Soltíce Metal Collection KI With its elevated seat heights and easy-to-grasp extended arm caps, this collection, which includes lounge seating, multiple seating (including guest and bariatric chairs), and patient seating, is focused on ease of ingress and egress. Designed by Paul James. Solis Patient Seating Krug The seat and back of this chair have compound curvatures that support a healthy sitting posture, while facilitating easy ingress and egress. The ergonomically-designed back has a slight flexing action, which can be beneficial for patients who are seated for long periods of time. Solis features dual density foam that is soft on the outside for comfort, and dense on the inside for durability. Anti-microbial finishes are standard on wood and urethane arms and wood side rails. Soothe Patient Recliner HON Levers for back-tilt controls are under the armrest, making operation easier for both patient and caregiver. The chair back and footrest are designed to allow users to select from an infinite number of configurations.
With the rise of evidence-based design, comfortable spaces are eclipsing clinical environments in healthcare facilities. These new products satisfy both the aesthetic and performance demands of the medical community. Regard Nurture by Steelcase This system of waiting-area furniture is designed to adapt to a wide variety of spaces, and has features—flexible power locations, integrated tables, privacy booths—that allow people to connect or retreat. True Wood Rite Door Assa Abloy/Adams Rite Dual levers inset on either side of the door activate the top latching mechanism, allowing each leaf to function on its own, doing away with additional parts such as floor strikes, center latches, flush bolts, astragals, and coordinators. Dart Designtex This woven upholstery has a finish that provides high-level stain resistance and limited bleach cleanability. The patterned textile is offered in nine colorways. Flop Sofa, Palisade Collection Nemschoff For round-the-clock use, this sofa converts to a sleeper simply by adjusting the back cushion; there is no finger-pinching, heavy mechanism to maneuver. Lighting and power ports options. Designed by Jess Sorel. ICU 300 Dorma With single, bi-parting, or telescopic operation, these manual sliding doors allow for continuous observation of patients while providing quick and easy access in emergency situations. Programma 400 ALU pba This full collection of grab bars, shower seats, and other bathroom accessories is fabricated of anodized aluminum with nylon elements. Collective Time Shaw In tiles and broadloom, this carpeting collection takes design cues from circadian rhythms, translating data into color and texture patterns. Lifetime commercial warranty; Cradle-to-Cradle Silver certified. VitalSign 2/90 Sign Systems This signage system relies on a magnetic tool—instead of human hands—to change medical alerts and icons, reducing the transmission of infectious disease in healthcare facilities. ProLine Drain Quick Drain USA Fabricated of 304 stainless steel and measuring 1.5 inches wide, this linear drain features an integrated flange, easing the installation of barrier-free showers. A sloped interior trench eliminates standing water in the drain. Color Select USAI Lighting The first architectural LED downlighting fixture to offer independent control of both color temperature and intensity, this technology effectively mimics natural daylight and satisfies the needs of healthcare workers and patients alike. Plus System Pressalit Horizontal and vertical wall tracks and brackets allow bathroom fixtures to be repositioned as needed, with ease and precision. Fabricated of strong, lightweight aluminum and polystyrene, lifts are offered with a choice of manual, pneumatic, and electric power. Corning Med-X Glass McGrory Glass The high barium and lead content of this glass is designed to shield against 80-300kV X-rays while providing an optically neutral appearance. With plates measuring up to 54 inches by 108 inches, it maximizes views for medical technicians.
Medical clinic in the Dallas suburbs features a contemporary facade of perforated metal panels.When Legacy ER commissioned 5G Studio to design an emergency care facility in Allen, Texas, the architects seized the opportunity to define an emerging building type. One of a growing number of freestanding emergency care centers (FECCs) popping up across the United States, the Legacy ER in Allen combines an emergency room and urgent care clinic under one roof. The Allen facility is the second collaboration between the care provider and 5G Studio, who also designed Legacy ER's FECC in Frisco. "Based on the Frisco project they saw it as a strength to their brand to design an outstanding facility," said partner Yen Ong. "Architectural identity is one of their brand hallmarks." Inspired both by traditional domestic architecture and the image of a physician's robe, Legacy ER - Allen's sculptural zinc facade punctures the monotony of its suburban surroundings. In Allen, "like in any suburban context, you have McMansions and little to excite you," said Ong. "We took the opportunity to reflect on the identity of the organization, and to try to create an episodic architectural intervention into that suburb." The architects looked at the site's context and saw a lot of single-family homes with pitched roofs. "We said, 'Let's start there,'" recalled Ong. "We began to take the idea of the sloped roof, but reflect it in a modern and a new way." They experimented with the form, and hit upon the idea of building a robe—like the physician's white coat—to enclose the program. The robe lifts at strategic points to create entrances and a mezzanine-level conference room. As at the Frisco facility, the designers chose zinc for Legacy ER - Allen's envelope. "In Frisco, we convinced Legacy ER that zinc is a good reflection on their brand," said Ong. "It's sustainable, very durable, and malleable. It had all the qualities we want and allows a lot of aesthetic freedom." Zinc holds up well under Texas's regular hailstorms. "What we found in the first building is that even if the hail scratches or dents it, it's surprising how resilient it is—it doesn't look like a damaged car body," said Ong. Ong also notes that zinc, despite its cool grey color, conveys an impression of warmth, an important consideration for a facility that serves people in crisis. In Frisco, 5G Studio found that the brightness of the interior lights at night rendered the exterior as dark and closed. To avoid a similar problem at the Allen clinic, they perforated the cladding and installed an efficient lighting system behind it. "The zinc panels essentially become light fixtures, emitting diffuse light on the exterior," said Ong. Gradients in the perforations insure a uniform distribution of light across the plane, to prevent glare. During the day, the perforations allow daylight to filter in through overhangs on the west and east sides of the building, where high-performance glazing (fritted or placed high for privacy) provides additional protection against solar gain. Both the cladding itself and the roofing challenge the notion that advanced forms necessitate advanced construction techniques. "The zinc itself employed a very typical assembly; the roofing is standard metal roofing," said Ong. "We purposefully selected the very common method of standing seam metal roofing, but express it in a different way. We felt like the achievement on the exterior is not, 'Here's a sculptural form with an advanced cladding system.' It's to reinvent a standard assembly system." In contrast to Legacy ER - Allen's dynamic facade, the building's interior features blurred edges and soft natural light. The dissimilarity is meant to embody the two sides of the physician's nature. "We know that the physician owners are very competent, but, more importantly, they are human, and they are very good people. We wanted to reflect that duality in the facility," said Ong. "To achieve that we employed two different architectural languages: on the exterior, the building has very sharp geometry, which is reflective of the physician's professionalism and their ability. On the interior, there are gentle curves, and the daylight is diffuse. It's very gentle on the inside." Legacy ER took a risk in selecting a cutting-edge design for a medical clinic located in the Dallas suburbs, said Ong. "As much confidence as our client had coming into the relationship with 5G Studio, we didn't know how far we could push this next project. Frisco was nowhere close to this," he said. But the gamble paid off, and the result is a building that, beyond boosting Legacy ER's brand, sets a new standard for healthcare design. "We felt like this piece will challenge the perception that healthcare architecture is a subset of practice so burdened with technical requirements that it's nothing more than healthcare architecture," said Ong. "We hope to contribute to the notion that healthcare architecture is just architecture."
Trade shows are no longer simply product exhibitions: Education and networking sessions have become essential components to a show’s success. Coverings has expanded this formula to include installation vignette’s that, built over the course of four days during the show, demonstrate the versatility and variety of applications for ceramic tile. The Installation Design Showcase has paired four local, Atlanta-based design firms with four installation teams that have achieved the National Tile Contractors Association (NTCA) Five Star Recognition, and have been certified by the Ceramic Tile Education Foundation. Now in its fifth year, the teams will produce a bar/lounge; a hotel lobby; an in-patient room in a women’s birthing center; and a master bathroom, all designed to demonstrate the design possibilities of tile and stone. “These rooms are not all settings in which you would necessarily expect to see tile,” said Bart Bettiga, executive director, NTCA. “Above all, the Showcase highlights just how important the ongoing designer/installer partnership is to a successful project. Bringing the field to life in this way is another example of what makes Coverings a unique and valuable experience.” Bar/Lounge Michael Nieswander and Margaret Nysewander, ASD Inc. In the Bar/Lounge installation (above), designer Nysewander has called a bar of red tiles from Ceramics of Italy manufacturers “a conceptual art piece.” Highlighting the installation strengths of Rimrock Design, the bar’s design calls for varying cuts in the tile to produce unique textures across the surface. The lounge walls are clad in large-format, gray tiles with MAPEI installation products. Hotel Lobby Foreman Rogers and Allison Isaacs, tvsdesign For designers accustomed to working on large hotel lobbies such as the Hilton McLean Tysons Corner Hotel and the Gaylord Nashville, their challenge was to recreate spacious grandeur on a smaller scale. Using Plane, a 5- by 10-foot engineered porcelain ceramic wall panel from StonePeak Ceramics, the team recreates the luxury of Calacatta Borghini marble with a more thin, lightweight, and monolithic material at a fraction of the cost. A team of installers from C.C. Owen Tile Company, Inc. worked with the latest in large format tiles. Glass and mirror tile from Traditions in Tile are secured with TEC installation materials. In-patient Room in a Women’s Birthing Center Mary Porter and Craig Anderchak, VeenendaalCave Healthcare Italian wall tile that mimics a lightly colored fabric invokes serenity and relaxation, along with a warm, wood-look porcelain tile for the floor. “The porcelain tile from Italy will work well with the walls,” said Mary Porter. The David Allen Company set the porcelain with Strata Mat, a new coupling membrane from LATICRETE that creates a barrier between the tile and concrete for crack isolation protection essential to healthcare facilities. Master Bathroom Mark Williams, Mark Williams Design Associates Timely invocation of a 1920s Gatsby aesthetic coincides with Baz Luhrmann’s film release to define a masculine master bath with Art Deco undertones. Products from the Noble Company, TOTO, and Crossville are combined to create neutral walls, blue glass tile accents, and a herringbone-patterned floor. "We used color where we want you to look," Williams said. Collins Tile and Stone set Crossville’s ultra thin Laminam wall tile with MAPEI installation materials.
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Articulated copper clads gateway building to new College of Nursing in PhoenixCopper has certain attributes that make it an appealing facade option in arid climates. The first is that it doesn’t turn green. “Here in the desert, it weathers like a penny in your pocket,” said Mark Kranz, the SmithGroup Phoenix design principal in charge of the recently completed Arizona State University College of Nursing and Health Innovation Phase II project. Clad in an articulated and partially perforated copper skin, the 84,000-square-foot, five-story facility complements a collection of existing and new buildings that form the college’s new Phoenix campus. This month, the project won a 2011 North American Copper in Architecture Award, earning points not only for the identity it imparts to the campus, but also for a unique panel design that delivers environmental performance at a low cost. The architects chose copper in part because it has a deep-rooted history in Arizona, which has led the nation in copper production for the last century. But the project, which achieved LEED Gold, also benefits from the material’s recyclability to earn points, and on its low price at the time of specification to meet the school’s budgetary needs. The cost of the copper facade was 3 percent, or $853,000, of the $27 million project. SmithGroup worked with design-build contractor DPR Construction Inc. and Chandler, Arizona-based facade subcontractor Kovach Inc. to develop a series of panel profiles that would form the building skin’s randomly repeating pattern. Though the team initially began with 18 panel variations, those were winnowed down to six custom profiles and three widths to keep costs lower and facilitate easier erection on site. The project includes 15,000 square feet of UNACLAD architectural grade sheet copper, which arrived at Kovach’s 45,000-square-foot fabrication facility in large coils. Because the 80,000-pound copper facade includes shaded outdoor student spaces in its program, some of the panels are designed to have perforations. Copper for these portions was sent to Diamond Perforated Metals with digital plans on how and where holes should be made, then returned to the Kovach facility. To achieve the facade’s creases and reveals, copper sheets were cut into the proper widths, then customized on a computerized press break, a modern and more precise version of older hand-operated press breaks. The finished panels were tested for wind loads at Kovach’s in-house testing facility before installation.