Hospital Design for Future Flexibility

Posted by Kwang Lee on Dec 30, 2015 at 12:28 PM

While at my previous firm, one of our clients acquired an industrial building next to their hospital with the intention of converting it to a 300-bed inpatient hospital. The building had a large loading dock on the ground floor, as well as three parking floors and 10 industrial floors above. Soon after the purchase, it became apparent that renovating the building into a hospital wouldn’t be easy. The elevator core was in an awkward location and the parking ramp occupied a large portion of the ground floor. Simply put, it required many more-extensive modifications than the client was able to finance. Soon after this realization, the client announced its decision to demolish the building and construct a new, flexible hospital.

In another project, the client asked the firm to study the possibility of converting an inpatient hospital for other uses, such as labs, college classrooms, a senior living facility and offices. The facility was about 40 years old but well maintained. Our study revealed that, due to its robust mechanical and structural system with regularly spaced columns, and its concentrated core with an open floor plan, the facility had the potential for reuse for as many different functions as the new owner wanted.

Many clients see their buildings as a long-term capital investment and frequently regard them as "100-year" buildings. However, since nobody can predict what patient care will look like 20 years from now, let alone 100, “100-year” buildings are inevitably renovated many times for a variety of uses. Healthcare policy changes, such as the Affordable Care Act, and technology advancements directly and indirectly influence healthcare facilities and the healthcare market overall.

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Topics: healthcare design, hospital design, future flexibility

Hospitals taking a leadership role in wastewater

Posted by Kent Doss on Apr 14, 2014 at 4:41 AM

Featured in Healthcare Global, October 2, 2013.

We know trace amounts of runoff from hospitals and long-term care facilities reaches potable water. Drinking water in 24 major metropolitan areas has tested positive for minute amounts of pharmaceuticals, for example.

The danger to taking a wait-and-see approach to these efforts lies in slow moving regulators and lawmakers delaying action until some perceived crisis or shift in public opinion causes them to overcompensate with drastic and unreasonable reform down the road.

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Topics: sustainable, architecture, healthcare design, Kent Doss, healthcare global, continuous improvement, waste water, advisory services, hospital design

Setting a New Trend: Live Audience Polling at ENR's NYC Pulse Conference

Posted by Jeffrey Drucker on Apr 10, 2014 at 8:31 AM

On February 26, 2014, I moderated a panel of experts for the McGraw Hill/Engineering News Record's " The Pulse 5 - The Future of Healthcare" in NYC. The conference explored issues currently shaping national and regional healthcare construction markets. The panel focused on

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Topics: BIM, architecture, polling, healthcare design, IPD, Array, ENR Pulse 5, architects, Jeffrey Drucker, continuous improvement, hospital design, array architects

pro•gram•ming noun \-miŋ\

Posted by Noah Tolson on Apr 03, 2014 at 7:33 AM

The thorough and systematic evaluation of the interrelated values, goals, facts and needs of a client’s organization, facility users and the surrounding community. A well-conceived program leads to high-quality design.

Array’s goal: To see to it that our clients receive buildings that are constructed as they were designed, within the allotted budget, at the expected date and operate efficiently and effectively for years after completion.

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Topics: planning, future state mapping, architecture, visioning, healthcare design, ACA, mock-ups, building information modeling, programming software, continuous improvement, advisory services, hospital design, Noah Tolson, array architects

Creating a Culture of Continuous Improvement

Posted by Jonathan Bykowski on Mar 07, 2014 at 4:38 AM

I recently had an opportunity, for the second time, to attend the Society for Health Systems Process Improvement Conference. I was again inspired and awed by the significant impact that industrial engineers are having on improving the quality of healthcare across our country and globally.

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Topics: architecture, Adrian Hagerty, kaizen, Darryl Greene, lean, society for health systems, healthcare design, ACA, process improvement, Jonathan Bykowski, Karen Martin, continuous improvement, hospital design

How to Navigate the Changing Healthcare Real Estate Market

Posted by Noah Tolson on Mar 04, 2014 at 3:57 AM

Featured in Healthcare Global, October 2014

While the rollout of the Affordable Care Act (ACA) has garnered a lot of attention, there are significant trends associated with its implementation that are impacting healthcare real estate.

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Topics: developer, planning, real estate, medical office building, architecture, healthcare design, ACA, Affordable care act, architects, continuous improvement, healthcare, hospital design, Noah Tolson

The Emphasis on Women’s Health in Today’s World

Posted by Lisa Lipschutz on Feb 18, 2014 at 5:26 AM

Women’s health matters and the facilities that support the delivery of women’s services impact the care and results. I have a passion for women’s health having worked on the majority of Array’s women’s projects over the course of my 30-year career.I have both personally and professionally witnessed the evolution from the traditional, multi-room delivery process to single room, family centered care. I have also enthusiastically seen the application of these family-centered values to all aspects of inpatient care. And, consistent with population trends, I recognize the benefit of a women-centered approach to non-obstetrical women’s services. Women have unique needs and with new policies governing family planning and reproductive health, our health systems have been paying close attention and anticipating the potential increase in access to care.

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Topics: Lisa Lipschutz, children, healthcare design, women, women & children, continuous improvement, healthcare, advisory services, hospital design, Healing Environment

When a Chair Becomes a Toilet: Why the People Are More Important Than the Mock-up

Posted by Jonathan Bykowski on Feb 10, 2014 at 3:26 AM

Published by Healthcare Construction + Operations, January 15, 2014

Mock-ups can provide an undeniable value to teams designing new health care spaces.Repetitive project elements are excellent candidates for careful testing before significant time and money is spent on construction. Conventional design approaches have long held that mock-ups should be a staple of the process to test new ideas and confirm that users’ goals are achieved. Measure twice, cut once.

Projects sometimes spend considerable money and time developing mock-ups during the design phase. There are several approaches to mock-ups, but the bigger-is-better approach seems to be leading the charts. Massive macro mock-up trends focusing on full-scale departments requiring a warehouse and truckloads of cardboard are gaining popularity. But do they add value?

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Topics: planning, architecture, design, healthcare design, mock-ups, Jonathan Bykowski, continuous improvement, advisory services, hospital design

Immovable objects vs. unstoppable forces: NYC and NY State Requirements for Fire Suppression Systems in Elevator Machine Rooms

Posted by Guest Contributor on Jan 30, 2014 at 7:54 AM

By: Thomas Hudak, RA and Rick Meilan, PE, LEED AP

Hospitals are not only complex buildings, but the building codes and requirements that guide their design can become so complex that they sometimes contradict themselves.

An example of this recently occurred on one of our projects in New York City where city and state building codes had opposing requirements for the fire suppression system within elevator machine rooms and may have ended up setting a precedent between jurisdictions. The project was the renovation of the former North General Hospital in Harlem into the Henry J. Carter Specialty Hospital & Nursing Facility, a 201-bed Long Term Acute Care Hospital / 164-bed Skilled Nursing Facility, owned by NYC HHC.

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Topics: Fire Suppression, architecture, Safety, healthcare design, continuous improvement, hospital design

Top 10 Considerations When Renovating Patient Towers

Posted by Adrian Hagerty on Jan 17, 2014 at 11:02 AM

Published in Medical Construction & Design, January 2014

The many benefits of caring for patients within a private room have been proven for decades.

Often, the benefits may be clear, but the perceived cost of providing more private patient rooms has prevented the wholesale adoption of this basic principle. Building new bed towers has been an option for systems that could afford to build new facilities. However, many hospital systems do not have that luxury or are landlocked and cannot expand.

In addition, the uncertainty of the Affordable Care Act reimbursement landscape has certainly contributed to stalling the trend toward 100 percent private rooms.

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Topics: planning, architecture, lean, healthcare design, renovation, patient environment, continuous improvement, healthcare, hospital design