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.
Posts tagged with "Hospitals":
A proposed development in the middle of Staten Island could put the borough at the forefront of healthcare design. Borough President James Oddo, NYC Health + Hospitals President and CEO Dr. Ram Raju, and NYCEDC President Maria Torres-Springer were at the Old Sea View Hospital campus to reveal plans for Sea View Healthy Community, a mixed-use development that focuses on chronic disease treatment and prevention. The first of its kind in New York City, and the first publicly funded mixed-use health development in the country, Sea View Healthy Community will be constructed on the grounds of largely abandoned Old Sea View Hospital. The development will feature housing for seniors and people with disabilities, and existing medical tenants will enjoy upgraded facilities, plus a new "wellness center" designed for physical and occupational therapy. Patients, residents, and visitors will be able to dine at farm-to-table restaurants or purchase groceries from on-site stores that specialize in healthful and local food. Bike paths and hiking trails will link up with the adjacent Staten Island Greenbelt. “Sea View Healthy Community is not just the first health-focused, mixed-use campus in the city, it will be the first publicly planned and supported healthy community in the country,” said Torres-Springer. “And what better place to build it than the Sea View campus, which pioneered a holistic approach to healthcare for previous generations of New Yorkers. This extraordinary project will improve the quality of life for thousands of Staten Islanders, and keep New York City as a national leader in pioneering approaches to public health." The hospital, which opened in 1913 to help tuberculosis patients heal in a bucolic setting, sits across the street from the Landmark Colony, a former city-run poor farm that is being converted into senior living complex by Staten Island–based vengoechea + boyland architects. Today, both sites are part of the New York City Farm Colony-Seaview Hospital Historic District. The city will make capital funds available for infrastructure improvements on the 90-acre campus. Any development at the hospital must first garner Landmarks Preservation Commission (LPC) approval, but the commission is not opposed to new construction: In March of this year, the LPC okayed plans for a two-story building for the nonprofit Meals on Wheels on-site. Later this year, NYCEDC is set to release a formal Request for Expressions of Interest (RFEI) to solicit development proposals that align with the master plan.
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.
The community is called Serena del Mar, which means Serenity of the Ocean in Spanish. In addition to the hospital, called Centro Hospitalario Serena del Mar, the project will include oceanfront residences, a hotel resort village, a business and commercial district, a golf resort, and an “equestrian village.” Twelve kilometers from the Old City historic district of Cartagena, the planned community is expected to absorb much of the area’s expansion and help the region compete for national and international tourists. Serena del Mar will be organized around a major canal, similar in scale to the Grand Canal in Venice. The centerpiece is a 400-bed hospital, the first designed by Safdie. The main boulevard is modeled after Commonwealth Avenue in Boston, although cars mostly will be banned to the perimeter of the property. The developer is Novus Civitas, headed by one of the wealthiest families in South America. Safdie’s firm, Safdie Architects, is the architect for the hospital and master planner for the ‘Gran Canal’ civic and institutional district within the larger community, according to principal in charge Sean Scensor. EDSA of Florida is the master planner for the rest of Serena del Mar and landscape architect for the hospital and surrounding area, Scensor said. Robert Trent Jones II is the golf course designer. Other architects that have worked on the hospital include Tsoi/Kobus & Associates of Cambridge, Mass., and a local firm in Colombia, Condiseño Arquitectos. Design and planning experts from Johns Hopkins Medicine International in Baltimore consulted with the development team on the design of the hospital, which will be operated by the Fundación Santa Fe de Bogotá. Construction began last year on the hospital’s first phase. When complete, the building will have a series of fingers extending toward a lagoon, with outdoor “healing gardens’ in between. The rest of Serena del Mar will follow in phases, and the canal is the “big move” that organizes it, Scensor said. In a promotional video for the community, Safdie, 77, indicated that he drew inspiration from the natural setting and the area’s rich architectural traditions. He said he tried to “capture the experience of the Old City of Cartagena” in the context of modern development. “Somehow I feel that my role is to create an architecture that belongs,” he said. “An architecture that belongs is one which makes those who live there, who are part of the place, feel like this is ours."
It has been 30 years since Montreal has built a new hospital. CannonDesign in association with Montreal based NEUF Architect(e)s, and l’Université de Montreal aim to amend that situation with a new three tower hospital complex. Since its founding in 1995, Centre Hospitalier de Montreal (CHUM) has hoped to consolidate the three hospitals that make up its network: Hotel Dieu, Hopital St. Luc and Hopital Notre-Dame. Overcoming political wrangling and changes of governments, it would be ten years before the two square block site in the heart of the city was settled on and approved. Adjacent to the current Hopital St. Luc, CHUM when complete will be one of the largest academic medical centers in North America. With an estimated cost of over $2 million, the hospital will be the largest public/private partnership building project in North America. With a goal of engaging the surrounding community, the complex includes large public gathering spaces, more intimate spaces of contemplation, and monumental art pieces, all in a landscape between three towers. At the heart the project will sit the curvaceous 500-seat auditorium building. The perforated metal clad auditorium forefronts the hospitals role as a center of education and research. CHUM will be the anchor of the Quartier de la Santé — Montreal’s new health district. Its location between two of Montreal’s more dynamic neighborhoods (Vieux Montreal and the Latin Quarter) will also provide active link in area that currently divides the city. The first construction phase, which will include all of the 772 single-patient rooms, as well as the diagnostic and treatment rooms, is set to be completed in fall 2016. The second and final phase should be complete in 2020. Phase Two will include an auditorium and administrative office building.
Designers and doctors know instinctively what science now confirms: design that connects people to light, air, and green space reduces stress and facilitates the healing process. Putting research into action, the Children's Hospital of Philadelphia's tapped New York's Pelli Clarke Pelli Architects to design the Buerger Center for Advanced Pediatric Care at the hospital's main campus in West Philadelphia. Houston-based FKP Architects is the architect of record. The 700,000 square foot outpatient facility is comprised of a rectangular, 12 story main wing, and a connected six story wing of Jetsons-esque stacked floors whose bottoms are painted bright red, yellow, green, and blue. A 14,000 square foot roof garden on the top gives patients access to fresh air and a space to play, while a 2.6 acre ground floor plaza is partially planted with medicinals for complementary therapeutic use. In a statement, founding principal Cesar Pelli noted that "depicting the playfulness of children helps reinforce the idea of a positive medical experience." Inside, playful curvature guides eyes to the outside through banks of glass windows, while ramps and welcoming wayfinding signage guide patients and their families through the facilities. The Buerger Center features spaces unique to children's hospitals, including a mock MRI machine that helps health care workers prepare children for the sometimes claustrophobia-inducing procedures. The facility will serve approximately 200,000 young people annually. Specialties are grouped by level. Levels two through five opened this year, while levels six and seven will open in 2017.
Healthcare in the Indianapolis area is getting a check-up, as a new masterplan seeks to streamline operations at one of South Central Indiana's biggest medical institutions. St. Louis–based HOK is leading the design team, which will take on three big jobs: merging Indiana University Health Methodist and IU Health University hospitals’ adult services into one academic medical campus in downtown Indianapolis; building a new regional academic health campus in Bloomington, Ind.; and bringing women’s services near Riley Hospital for Children closer to IU Health in Indianapolis. The project includes an expansion of IU Health's campus north of Indianapolis' central business district, and improving its connections to Riley Hospital for Children about 1.5 miles to the southwest. Several urban planning overhauls are underway in Indianapolis, including a contentious expansion of public transit.
High performance and cultural relevance meet in concrete, metal, and steel mesh envelope.For the stakeholders involved in building the new Rev. Avery C. Alexander Academic Research Hospital (also known as University Medical Center, or UMC) in downtown New Orleans, the project was about much more than replacing facilities damaged during Hurricane Katrina. "The grander story is the effort to rebuild New Orleans," recalled NBBJ principal Jose Sama. "There was a lot of emotional attachment to the original hospital, Charity Hospital, and also—rightly so—the pride the community has for the character of the city. Everyone wanted to make sure the project was going to be something that was of New Orleans." In a joint venture with Blitch Knevel Architects, NBBJ rose to the challenge with a design that subtly reflects the city's cultural heritage. The building envelope, a combination of precast concrete, metal panels, high performance glazing, and stainless steel mesh, contributed significantly to both the project's aesthetic aspirations and its performance goals. The overarching concept for UMC, explained Sama, was to "create a performance in place." For the architects, "performance" holds a double meaning. "Performance is embedded in [New Orleans] culture, but this is a more high-level sense of performance," said Sama. "Place," in turn, draws on the city's climate and character. "We looked at various clues in the urban environment and how those could affect the design," said Sama, recalling visits to the hospital's Canal Street neighborhood and the French Quarter. Then, of course, there are the environmental threats made all too clear by the Katrina experience. "We completed [the design] with the understanding that we had to create an envelope that could withstand hurricane-force winds and missile impact," said Sama. "That was an important piece of selecting the glass and the curtain wall system." In fact, most of the damage sustained by Charity Hospital was the result of flooding rather than high winds. As a result, the architects faced a mandate to elevate all critical hospital functions above 22 feet. "We envisioned this as a floating hospital," said Sama. "The notion was that the more public zones, the softer spaces like dining, registration, and the lobbies, would occur at the ground level. Then you move up to an elevated plane of critical services. That way they could function regardless of flooding." The building envelope reflects this programmatic move: The first floor of the central campus structure—the diagnostic and treatment center—is wrapped in a transparent curtain wall with a strong emphasis on the horizontal while the upper, critical floors feature a precast concrete facade. The two other project components, the medical office building and the inpatient towers, offer variations on the theme. The former is clad in an insulated metal panel system, the latter in precast concrete, glass, and stainless steel mesh. A number of subtle gestures connect the hospital exterior to New Orleans' history and culture. One thing Sama noticed on his site visits was that "the notion of the garden is important, and the notion of getting outdoors." With that in mind, the architects created a central entry pavilion "designed such that you have a very pronounced sense of entry created by a porch, or a projecting eave—it almost has the effect of a trellis," said Sama. They also created informal gardens wherever possible. The signature garden, nestled between the towers and the diagnostic center, is water-based, and imagines the seating areas as lily pads floating on a pond. "The idea that here in the middle of New Orleans you find a water-intensive garden was really critical," said Sama. The patient towers, too, embody a strong connection to the outdoors via balconies for patients and staff. Metal scrims in Cambridge Architectural's Mid-Balance architectural mesh simultaneously provide aesthetic interest and fall protection. "We studied what we could do with the scrim," said Sama. "We think we picked just the right scale. It's appropriate for someone sitting on the balcony, but also for someone walking by." The mesh panels produce a "soft veil effect," he observed. "In the morning light, it glistens. The intent was to create a memory of Mardi Gras beads, in terms of color and glistening. People will pick up on that different times of day." Cambridge Architectural contributed to several other elements of the project. Mesh fins in the Scale pattern are attached with a custom cable tensioning system to the upper levels of the patient towers, to provide solar shading. On the parking garage portion, designed by Blitz Knevel Architects, 86 panels of Scale mesh again add both visual impact and fall protection without compromising ventilation. On the south elevation of the garage leading to the UMC helipad, a custom-built shade mesh fin system cuts solar gain and glare. Many of the references embedded in the new UMC hospital—the way in which the towers' orientations recall traditional New Orleans shotgun houses, or the connection between the stainless steel mesh and Mardi Gras beads—are so understated as to operate on almost a subliminal level. But like the city itself, the building comes alive at night, finally, and literally, revealing its true colors. "The building from the outside is very neutral," explained Sama. But thanks to accent colors on the inpatient tower stairs, revealed through translucent glass, plus accent lighting on the bulkheads above, after dark the towers shine, he explained. "The whole point was that at night they would glow with color from within."
Northwestern University breaks ground on biomedical research tower to succeed Bertrand Goldberg's Prentice Women's Hospital
Northwestern University broke ground today on the latest addition to their downtown medical campus: a glassy, high-rise complex for biomedical research that architects Perkins + Will have previously described as “a high-tech loft.” The Louis A. Simpson and Kimberly K. Querrey Biomedical Research Center replaces Bertrand Goldberg's old Prentice Women's Hospital, which was demolished last year after a contentious preservation fight ended with the Commission on Chicago Landmarks voting unanimously to deny the building protection. Part of Northwestern's Feinberg School of Medicine, the new 600,000 square foot, 12-story research center will include nine laboratory floors, and could eventually reach 1.2 million square feet with the addition of a 40-story tower in future phases of construction.
Cook County Board President Toni Preckwinkle briefly took the lectern at the Chicago Architecture Foundation (CAF) Tuesday night to welcome presentations on the future of an infamous white elephant structure on the city's near West Side: the old Cook County Hospital building. “We believe that this building has inherent value,” Preckwinkle said, “and that a thoughtful process like this can help unlock that value.” CAF asked the public through social media what they wanted to see on the site, which stands vacant in the Illinois Medical District along the Eisenhower Expressway. Apartments, affordable housing, and preservation of the 1914 structure scored highly among the 355 respondents of their informal survey. Although the building won recognition on the National Register of Historic Places in 2006, its southern wings were demolished in 2008. Its ornate beaux-arts facade remains along the 1800 block of West Harrison Street, retaining a physical link to its storied place in medical history as the country's first blood bank and a haven for the city's booming immigrant population. CAF's Lynn Osmond called the redevelopment of Cook County Hospital “a win-win opportunity” for the public and potential developers. The team convened by CAF fleshed out two scenarios, which they said could be fully funded by a private developer. “Adaptive reuse will put 526 more people back to work than a new construction option,” Osmond said. Their plan called for first floor retail and either office or mixed-income residential development in the floors above. The office option totaled 243,000 square feet of office space at about $20 per square foot rent, leaving 31,000 square feet of retail on the first floor. The residential option called for 302 units, (25 percent of which would be reserved for affordable housing) and also kept retail on the first floor. Another plan by the Chicago Central Area Committee reached out beyond the walls of the hospital itself, proposing a campus-scale redevelopment of the immediate area with new transit hubs, programmed park space and the construction of office and hotel towers nearby. You can view each team's presentation and read more about the hospital's redevelopment here. The County says it intends to issue RFPs for redevelopment of the area in “fall 2014.”
In the early 20th Century, the sprawling, 29-building Public Health Service hospital on the south shore of Ellis Island was the biggest federal hospital in the country—and possibly its most state-of-the-art. The comprehensive medical institution treated over one million newly-arrived immigrants ill with diseases like tuberculosis, measles, trachoma, and scarlet fever. Designed as a series of pavilions, the hospital has long, window-lined corridors that brought in fresh air and maximized natural light. To keep dirt and dust from piling up up in these narrow halls, concrete floors were raked in the middle and lined with drains on either edge. And to stop contaminates from drifting from room to room, no door directly faces another. In the 60 years since it closed, the former vanguard of modern medicine has been abandoned, looted, and turned into a decaying, inaccessible, ruin. But that that changes next week when the National Park Service opens up the hospital for public tours. Before that happens, AN got a sneakpeak of the fascinating, and unnervingly stunning, relic. The Public Health Service campus has not necessarily been restored, but rather preserved in a state of “arrested decay," according to Jessica Cameron-Bush who recently guided media outlets through the space. Inside the raw building, concrete is chipped, windowpanes are cracked, wood is splintered, and weeds have gained ground. But the hospital is structurally sound says the National Park Service and the non-profit Save Ellis Island which raised funds to reopen the structure. Together, these groups have also commissioned an art installation called "Unframed - Ellis Island" to coincide with the public tours, and serve as a reminder of what the space once was. Throughout the hospital, artist JR has stuck life-size recreations of historic photographs that depict the doctors, patients, and families who walked the halls long before any of us showed up. Hard hat tours of the hospital start on October 1st and will be limited to 10 people per group. Currently, there will be tours four days a week, but the schedule could expand next year. Proceeds from tour sales will go toward the complex's continued restoration. Tours will be organized through Statue Cruises.
The architect of Omaha’s new rehabilitation hospital says his own paralysis has given him “greater empathy,” which has informed his designs for the healthcare industry. Local firm DLR Group and Texas-based engineering firm Page are working with Michael Graves, who lost the use of his legs in 2003 as the result of an infection, on the $93 million Madonna Rehabilitation Hospital in west Omaha. Expected to be complete in 2016, the facility will use technology to afford sedentary patients greater control over the TV, thermostat, nurse call system, and other things in their room. Omaha’s World-Herald describes how Graves, 79, drew from personal experience while designing the 250,000-square-foot hospital:
Giving patients some control over their environment is important, said Graves and Patrick Burke, a principal in Graves' firm. Graves recalled one instance early in his rehab when he was being transferred from his bed to a chair using a motorized sling. “I was getting into the chair that day and I was up in the air, in a sitting position over my chair but not in it yet. The nurse's aide's friend came in and said, 'It's time for our break.' So they left me there dangling in the air and they went on a break. That's as low as it gets.”The average stay at Madonna is more than 30 days, but residents tend to be more mobile than many hospital patients. That creates a need for active social spaces, Graves said, but also a pitfall: many architects want hospitals to resemble hotels. “Well, I don’t,” he told the Omaha World-Herald's Bob Glissmann. “I don't think it needs a big atrium and I don't think the rooms have to look like a hotel room. These are hospital rooms, and you want to have good care. What makes the difference is the empathy.”