portfolio of design _ architecture + health by Amy Zimmerman

a portfolio of design architecture + health

Main Street Promenade Site Analysis

Assisted Living Facility Greenville

Trauma Center Port au Prince

C-Link Port City Sense Charrette

Urban Analysis Charleston

Masterplanning MUSC Charleston

Women and Childrenâ&#x20AC;&#x2122;s Hospital | MUSC

Graduate Research

Professional Work

Photography

DOWNTOWN GREENVILLE SITE ANALYSIS

GREENVILLE TISSUE SAMPLE SITE ANALYSIS

DOWNTOWN GREENVILLE SITE CONTEXT

PARK PROMENADE assisted living facility | greenville, south carolina architecture + health graduate studies | 2010

Living Tower [occupational]

Mathers Center [functional]

Fitness Office

Fitness Center

Open to Below

Kitchen UP

Terrace

Restaurant

Retail Parking Below

Rehab

Open to Below

Atrium

Offices Reception

Retail

Grocery

Offices

Social Unit

Open to Below

Atrium

Retail DN

Social Unit

Reception

Offices

Parking Below

Library

fitness center rehabilitation clinic administration reception retail restaurant grocery cafe parking

Dining

Clinic

Open to Below

Service Service UP

Kitchen UP

L2 dining library

Cafe

living units social units atrium terraces cafe

Staff Storage UP

Terrace Cafe DN

Open to Below

MAIN STREET assisted living facility Terrace

Terrace

Open to Below

Atrium Atrium Roof Garden Open to Below

Open to Below

Arboretum Skybridge

Gallery

Arboretum

Social Unit

roof terrace arboretum activity room gallery skybridge living units social units atrium terraces roof gardens

Staff Storage UP

Terrace

Roof Garden

living units social units atrium terraces arboretum

Staff Storage

Terrace

[482 Sq Ft Units] front porch one bedroom one bath kitchen living room back Porch

S1 _ Independent Couple

S2 _ Independent Mobility-Issue User

PRIVATE PORCH

BEDROOM BATHROOM COMMON AREAS

PUBLIC PORCH

S3 _ Dependent Mobility User

and Independent Spouse

MODULATION integrated healthy living architecture + health graduate studies | 2010

A conceptual form driven by the connection between Rhett and Main Streets via a public greenscape promenade. acts as a catalyst to activate Greenvil es’ underdeveloped western main street. the promenade penetrates through the downtown site and imposes a delicate balance amongst the two structures. restorative atmosphere achieved for residents and public alike to promote healthy living. featured in the site is a five-story atrium in the living tower and a two-story arboretum,treated as an iconic glowing tower that anchors the Mathers Center and provides for a sense of wayfinding.

harmony and connectivity informal separation from unwanted distraction but integrates within the cultural fabric of d o w n t o w n skybridge as residents’ public “living room” as it affords multiple v i e w s

form

courtyard

function

subtraction

PARKING

AMBULANCE ACCESS PATIENT DROPOFF

AMBULANCE DROPOFF

clinic

diagnostics

clinic diagnostics

diagnostics

residence

circulation

CLINIC ENTRANCE

trauma

FIRE EXIT

PUBLIC ACCESS

DIAGNOSTICS TRAUMA ENTRANCE

trauma

residence

departmental blocks

greenscapes public entry

east elevation

RESIDENT ENTRANCE

staff entry

service entry

fire exit

CULTURAL EXTENSION trauma center | port au prince haiti architecture + health graduate studies | 2011 PORTauPRINCE HAITI 18째40'N 72째20' W

areas with most observed damage site Rue Jean-Jacques Dessalines

initiatives

energy conservation social engagement learning connection to nature sensory variability wayfinding

west elevation

sustainable

INITIATIVE

COURTYARD PERSPECTIVE Innovida fiber composite panels (fcps) 100% Ceramica 100% Ceramic 100% céramique

Il processo di atomizzazione ad alte temperature, a cui le tegole sono sottoposte, conferisce all’impasto una maggiore resistenza fisica, dando origine ad un composto di altissima qualità tecnica. Grazie al loro materiale durevole le tegole hanno una maggiore resistenza agli agenti atmosferici ed agli urti, in più assorbono una minore quantità di acqua e di calore. Tegolasolare si monta come una normale tegola, garantendo una copertura molto stabile.

living quarters schemes

The high-temperature spray-drying production process gives to the ceramic mix greater physical strength, creating a compound of extremely high technical quality. Thanks to their durable material, the tiles have better resistance to weather and knocks, and also a reduced water and heat absorption. The Tegolasolare tile can be installed just like an ordinary roof tile, ensuring a very stable roof.

scheme 1 _ dormitory

scheme 2 _ quad

bamboo flooring Le procédé de pulvérisation à haute température, auquel les tuiles sont soumises, apporte à la pâte une plus grande résistance physique qui conduit à une solution de haute qualité technique. Les tuiles, étant composées d’un matériau durable, donnent preuve d’une excellente résistance aux agents atmosphériques et aux chocs, et en plus elles absorbent une moindre quantité d’eau et de chaleur. Tuilesol se monte comme une tuile traditionelle et garantit l’étanchéité et une parfaite stabilité de la toiture.

rubber tire flooring and planters

118

ceramic solar roofing

MODULES

scheme 3 _ executive

ORGANIC INTUITION trauma center | port au prince haiti architecture + health graduate studies | 2011

TRAUMA RESUS. 150 s.f.

TRAUMA RESUS. 200 s.f.

EXAM 80 s.f.

SUPPLY WHEEL. 40 s.f. 80 s.f.

INTAKE 80 s.f.

TRAUMA RESUS. 250 s.f.

TREATMENT 140 s.f.

EXAM 100 s.f.

ORTHOPEDIC 180 s.f.

DECON. 100 s.f.

MECHANICAL 60 s.f.

MECHANICAL 20 s.f.

HOUSE KEEPING 60 s.f.

EXAM 80 s.f. WORKSPACE 180 s.f.

EXAM 80 s.f.

FLEXIBLE 60 s.f.

SOILED 60 s.f.

HOLDING 120 s.f.

EXAM 80 s.f.

LINEN 40 s.f.

MEDS. 120 s.f.

EMER. 20 s.f.

LAB 150 s.f.

WORKSPACE 180 s.f.

COMMUNIC. 40 s.f.

TRIAGE 80 s.f.

EXAM 80 s.f.

TOILET 60 s.f.

WORKSPACE 180 s.f.

EXAM 80 s.f.

TRIAGE 100 s.f.

EQUIP. 120 s.f.

TREATMENT 120 s.f. SOILED 40 s.f.

LINEN 40 s.f.

SUPPLY 40 s.f.

SUPPLY 20 s.f.

EXAM 80 s.f.

TREATMENT 120 s.f.

EXAM 80 s.f.

WORKSPACE 200 s.f.

TRIAGE 100 s.f.

OBSERV. 80 s.f.

PRIVATE OBSERV. 100 s.f.

MEN 60 s.f. GRIEF 120 s.f.

CONSULT 100 s.f.

TREATMENT 120 s.f.

MEN 60 s.f. EXAM 80 s.f.

SUPPLY 40 s.f.

WOMEN 60 s.f.

EXAM 80 s.f.

INTAKE 66 s.f.

RECEPTION SECURITY 40 s.f. 120 s.f.

WAITING AREA 120 s.f.

CONFERENCE 180 s.f.

OFFICE. 120 s.f.

WOMEN 60 s.f.

RADIO. 300 s.f.

EQUIP. 120 s.f.

GREEN ROOF

OFFICE. 120 s.f.

WOMEN LOCKERS 160 s.f.

PHONE 10 s.f.

FAMILY TOILET 120 s.f.

READ. 60 s.f.

WOMEN TOILET 170 s.f.

L3 SUITE 650 s.f.

OFFICE. 120 s.f.

living quarters

OFFICE. 120 s.f.

LOUNGE. 140 s.f.

COVERED AREA 140 s.f.

DINING 400 s.f.

SOILED 60 s.f.

WAITING AREA 120 s.f.

MAILBOXES

SUITE 650 s.f.

EXAM 100 s.f.

EXAM 120 s.f. LOUNGE 140 s.f.

OFFICE 120 s.f.

TREATMENT 140 s.f.

EXAM 120 s.f.

MEN 60 s.f.

SUITE 650 s.f.

STAFF TOILET 60 s.f.

LAB 120 s.f.

STAFF TOILET 60 s.f.

WOMEN 60 s.f.

SUITE 650 s.f.

JANITOR 50 s.f.

FAM. TOILET 80 s.f. IT 50 s.f.

BATH

SUPPLY 120 s.f.

20 s.f.

CONFERENCE 140 s.f.

SUITE 650 s.f.

LINEN 60 s.f.

WORKSPACE 200 s.f.

SUITE 650 s.f.

PH. SUPPLY 60 s.f.

PHARMACY 120 s.f.

TOILET 60 s.f.

LAUNDRY 120 s.f.

INTAKE 50s.f.

RECEPTION 160 s.f.

SUITE 650 s.f.

MEN 120 s.f.

WOMEN 140 s.f.

EDUCATION & COMMUNITY RM 180 s.f.

RECEPTION 120 s.f.

SUITE 650 s.f.

TOILET

DAYROOM 1200 s.f.

SUITE 650 s.f.

KITCHEN 800 s.f.

SUITE 650 s.f.

CHANGE 30 s.f.

LINEN 30 s.f.

trauma unit imaging children’s’ unit

GREEN ROOF 600 s.f.

TOILET

GOWN WAITING 45 s.f.

RADIO. 300 s.f.

MEN LOCKERS 160 s.f.

living quarters recovery staff resources

SUITE 650 s.f.

MEN TOILET 170 s.f.

READ 40 s.f.

INTAKE 66 s.f.

EXAM 120 s.f.

CHARTING 140 s.f.

EXAM 120 s.f.

WEIGHT 120 s.f.

EXAM 120 s.f.

OFFICE 120 s.f.

EXAM 120 s.f.

TREATMENT 140 s.f.

C LINK connecting Charleston by sea

city districts

bus routes

greenspaces_landmarks

composite

CITYdesignSENSE charrette architecture + health graduate studies | 2011 collaboration with judith crews and alex ge

Established 1670 Population 120,083 Charleston Land Size Land Area 43.2 Sq Mi Water Area 8.4 Sq Mi (about 15%) Elevation 118 feet above sea level

75%

YEARLY VEHICLE MILES TRAVELED IN THE CHARLESTON AREA WILL RISE BY ABOUT 75% BETWEEN 1990 AND 2015

Downtown Charleston is plagued with issues of heavy congestion and inefficient mobility. The quaint narrow streets that lend the city its charm are unaccommodating for a heavy vehicular influx. Residents have asked for a better system of public transportation to alleviate the current traffic problems.

A new,intercoastal C-Link ferry seeks to reduce congestion by introducing alternative forms of transportation to connect with the existing infrastructure. A coastal ferry service links key ports around the Charleston peninsula with ports at James Island,Folly Beach,Mount Pleasant,and West Ashley. A short tramline passes through the heart of downtown and connects two of these multi-modal points. The C-Link relieves the heavy flow of traffic over the bridges and to the beaches,and it provides easy access to diverse destinations in the city. This system respects the character of the city and enhances the water features that give Charleston a sense of place. Mass transit becomes a more pleasurable experience and avoids the stigmas often associated with public buses. Further benefits include a disaster preparation model that improves evacuation for natural disasters. The C-Link lessens the carbon footprint by operating zero-emissions electric water ferries and electric trams. The C-Link Ferry prepares the city for the next fifty years and beyond by adjusting for the growing population trend with greater efficiency, mobility,& sustainability in Charlestonâ&#x20AC;&#x2122;s network of transportation .

modes of transportation

3.6%

11.7% 73.5% bus

carpool

automobile

Zoning Districts 1 Level 2-3 Levels 4-6 Levels 7-8 Levels 9-12 Levels

MUSC and Crosstown Typological Series

building in the

Primary Roads / Medical Blocks / Building Heights Vehicular Traffic Study

Vehicular Traffic Study

Inpatient

Outpatient_Visitors

Employee

Service

city

Vehicular Traffic Study ED

Ve-

Inpatient

hic-

Outpatient_Visitors

ular

Employee

Traffic

Service

Study ED

Inpatient Employee Service

MUSC and Crosstown Navigational Series

One Way Roads /

MUSC and Crosstown Navigational Series

One Way Roads /

MUSC and Crosstown Navigational Series

One Way Roads /

MUSC and Crosstown Navigational Series

One Way Roads /

URBAN ANALYSIS urban fabric of musc | charleston, south carolina architecture + health graduate studies | 2011 collaboration with andrew pardue and ryan ramsey

A look at the formal,structural,functional,typological,chronological,and perceptual elements of the fabric of Charleston through a mapping comparison of the more abstract graphic analysis with what we feel by experiencing the city. The study involved a more engaged and in-depth look at an urban landscape,â&#x20AC;&#x201C; one that can only be achieved by experiencing it firsthand. It wil not only be concerned with analyzing the physical patterns of the city but how the physical fabric of the city â&#x20AC;&#x201C; the artifact - is informed by the living city, and in the inverse, how these physical fabric patterns impact life in the city.

MUSC Building Use

Vehicular Traffic Study

Academic

Library

Inpatient

Administration

Outpatient_Visitors

Wellness

Employee

Public

Service

Research Hospital Engineering & Facilities Parking Structure

MUSC and Crosstown Typological Series

Primary Roads / Medical Blocks / Ground Cover / Tree Cover / Building Use

MUSC and Crosstown Typological Series

Primary Roads / Medical Blocks / Ground Cover / Tree Cover / Research / Hospital / Academic

MUSC and Crosstown Typological Series

Primary Roads / MUSC / Gateways / Crosswalks / Vehicular Density / Pedestrian Nodes / Pedestrian Density / Ground Cover / Trees / Elevated Bridges

MUSC and Crosstown Typological Series

Primary Roads / Crosswalks / Pedestrian Nodes / Tree Cover / Ground Cover / Gat

ESTABLISH A PLAN FOR FUTURE GROWTH

Phasing for future growth is accommodated through five distinct phases. The First two phases create new structures to relieve outdated and decrepit buildings. The subsequent stages implement greenways for connecting and bridging the campus within itselt as well as to the larger urban context. All together,these phases add inpatient as well as outpatient clinical spaces supported by academic research and civic spaces. Many of these structures wil also integrate parking and various uses such as dining,retail and various commercial programs.

CULTIVATING SYNERGY masterplanning musc| charleston, south carolina architecture + health graduate studies | 2011 collaboration with mason couvil ion, greg swinton, judith crews

research civic academic

CREATE A ‘POSTCARD’ IMAGE Provide high-volume public parks with large sculptural additions and water features.

medical 2

EMPHASIZE AND ENRICH THE PEDESTRIAN EXPERIENCE Utilize large trees for shading and

PROMOTE INTEGRATION WITHIN THE MEDICAL CAMPUS Create shared spaces between

ESTABLISH A RELATIONSHIP WITH CONTEXT Physical bridging.

DEFINE ZONES OF PASSIVE AND ACTIVE FUNCTIONS

masterplanning

Network of pedestrian paths.

GUIDELINES

ENSURE CAMPUS ACCESSIBLE BY VARIOUS TRANSIT MODES

ACADEMIC

Integrated parking structures.

ESTABLISH PATTERN FOR FUTURE GROWTH il

reta

CIVIC

Separate modes of circulation.

re t

RESEARCH

EMPLOY HEALTHY AND SUSTAINABLE DESIGN Integrate green spaces.

il reta

INTEGRATE WAYFINDING INTO SPACE AND FORM

CLINICAL

Define phases and zones for growth.

Building Heights

Proposed Height Overlay

Functional Zones

Establish a Pattern for Future Growth Phasing for future growth is accommodated through 5 distinct phases. buildings. The subsequent stages implement greenways for connecting and bridging the campus within itself as well as to the larger urban context. All together, these phases add inpatient as well as outpatient clinical spaces supported by academic research and civic spaces. Many of these structures will also integrate parking and various uses such as dining, retail and various commercial programs.

building a

Phase 1

Phase 2

Phase 3

city

CAMPUS BRIDGING masterplanning musc| charleston, south carolina architecture + health graduate studies | 2011 collaboration with mason couvil ion, greg swinton, judith crews

pedestrian-oriented

GREENWAY

The medical center campus is a reflection of the mission implied by the MUSC hospital and health system to support and optimize health and healing. As a healthy and sustainable environment, the MUSC campus plan provides therapeutic building and civic spaces and landscape features for patients, families, staff and citizens of the community at large. The plan reflects conceptually and physically as a hospital without walls,where community activities,events and spaces exist on the campus and health services are dispersed into the community. It is a place that makes the medical center district a better and a more desirable place to receive care, live within and next to, learn, work and play.

Phase 1

Phase 4

Pedestrian Circulation

Vehicular/Service Circulation

Visual Sightlines

building as

massing site adjacency

creating voids daylighting

view corridors hierarchy of heights

connectivity future expansion

city

WOMEN & CHILDRENâ&#x20AC;&#x2122;S HOSPITAL medical university of south carolina | charleston architecture + health graduate studies | 2011

parking accessibility

pedestrian circulation

embedded security_visibility y_visibili ACADEMIC A CADEMIC C ADEMIC

view corridors

Urban Design Directives vehicular accessibility

masterplanning

GUIDELINES

community connection

DESIGN PRINCIPLES

fundamental

ZONE 3

ZONE 4

ZONE 1

ZONE 2

1 2 3 4 5

patient and staff centered care cmmunity living spaces public and private amenties family zones functional flow and efficiencies clear definition between public and private entrances ease of access and clarity (check-in/out) key functional relationships quality wayfinding daylighting decision nodes children access to views color and texture separation of public/private traffic diagnostics circulation spine concept separate elevators minimize o‘ n/off stage’ implications women flexibility and expandability soft spaces incremental expansion opportunities [departmental] programming

ZONE 5

GREEN ROOF ZONE 6

N [life] safety

[departmental] circulation children

[stimulating] greenscapes

Establish a Pattern for Future Growth

diagnostics women

[departmental] PROGRAMMING

Phasing for future growth is accommodated through 5 distinct phases. buildings. The subsequent stages implement greenways for connecting [departmental] CIRCULATION and bridging the campus within itself as well as to the larger urban context. All together, these phases add inpatient as well as outpatient clinical spaces supported by academic research and civic spaces. Many of these structures will also integrate parking and various uses such as dining, retail and various commercial programs.

typ. inpatient unit 73’-0” 55’-0”

6’-0” parking level

Phase 1

Phase 2

Phase 3

-14’-0”

MUSC

reating visions of health and wellness

S S

G UNS P CO A

collective

interactive

Shifting the focus of the conceptual design of the next replacement phase of the MUSC hospital, the directives of this study cover infrastructure design, conceptual facility planning, building and landscape form, facade and character, along with key entry and spatial conditions â&#x20AC;&#x201C; both inside and out. The design works within the framework of the masterplanning study developed previously, while responding to urban design guidelines, addressing flexibility and the ability to accommodate changing needs over time.

publc ggreen link clinic

communal

6 5 4 1 3 2

patterns for future growth

10 9 ADMINISTRATION RECREATION CENTER LONG-TERM REHAB ACUTE CARE ORTHOPEDIC ACUTE CARE PEDIATRIC ACUTE CARE

Phase 1

OBSTETRICS

NEONATAL

GYNECOLOGY

PHARMACY

LDR, EDUCATION CENTER, CHAPEL HEMATOLOGY

ONCOLOGY

8 7 6 5 4 3

RECORDS

ADMIN

NICU

PICU

OP CLINIC

RETAIL

REGISTRATION, MUSEUM, LOUNGE

PARKING, WATER MANAGEMENT

LOADING DOCK, MATERIALS

Phase 4

resea esearrch

civic

academic clinical programmatic networking

NINE FORdesign DESIGN directives 1

CREATE A ‘POSTCARD’ IMAGE Create an iconic landmark form of higher scale than surroundings.

Seoul Seonam Hospital Samoo Architects Engineers

EMPHASIZE AND ENRICH THE PEDESTRIAN EXPERIENCE Provide outdoor civic spaces.

PROMOTE INTEGRATION WITHIN THE MEDICAL CAMPUS Create shared spaces between

Visual bridging.

Compression and expansion of urban space.

ESTABLISH A RELATIONSHIP WITH CONTEXT

Integrated parking structures.

Galleria Centercity UNStudio Palomar Hospital CO Architects

DEFINE ZONES OF PASSIVE AND ACTIVE FUNCTIONS

ENSURE CAMPUS ACCESSIBLE BY VARIOUS TRANSIT MODES

ESTABLISH PATTERN FOR FUTURE GROWTH growth.

8 9

INTEGRATE WAYFINDING INTO SPACE AND FORM Create view corridors.

Arrange buildings to maximize access to daylight.

EMPLOY HEALTHY AND SUSTAINABLE DESIGN

Illinois Medical District DLR Group

women’s center 185 ft administrative offices

15’

surgery - 40 acute beds

15’

mechanical

cardio - 40 acute beds

15’

surgery,prep & recovery,anesthesia

surgery - 21 ICU & 17 acute beds

heart & vascular procedure space

cardio11- CCU & 27 acute beds

diagnostic imaging,staff support,biomedical engineering

digestive disease center ,clinic

140 ft

91 ft

cente ,sterile processing,cafeteria cardio diagnostics,chest pain center,

Ashley River Tower

registration main entry ambulatory clinics,auditorium retail/parking

18’ 18’ 18’ 10’ 10’ 11’

INTERACTIVE ENVIRONMENTS women and childrenâ&#x20AC;&#x2122;s hospital | musc| charleston, south carolina architecture + health graduate studies | 2011

opa

que

outer layer

bac

kw all ope

n at

spe

cial

11/28/11 3:46 PM

pro

gra m

loc

atio n

inner layer

stripes: silkscreen print on glass

privacy, thermal protection and translucent daylighting

ter

lay er

inn

lay er

obstetrics, neonatal program

resource center

education center, theater, chapel, library

gynecology

op pharmacy

hematology/oncology acuity beds

admin, records

admin

NICU, PICU

10 9 8 7 6 5 4 3 2

registration, museum, lounge/cafe parking

1 B

200 ft

mech admin rec center long-term rehab acuity beds, OT orthopedic acuity beds, family room pediatric acuity beds, family room

85 ft

daycare center outpatient clinic gift shop restaurant cafe, retail materials management, parking, water collection

Bee Street Garage

[design and methods]

[abstract] Architectural design retains a direct relation to the senses of well-being,security,and comfort for its occupants,specifically in healthcare facilities where the primary focus is on healing. We can utilize this ability to aid in patients’ healing process by providing restorative environments that cater to specific perceptions of happiness,comfort,familiarity,and sanctuary. Further investigations into evidence-based design has inspired designers to begin implementing simulated environments,existing natural environments,and the concept of bringing nature inside. Through the integrations of differing n“ ature” techniques within the healing environment, architectural designers intend to achieve such positive benefits as tranquility,serenity,peace of mind,relief of stress and pain, and a boost in mood levels for patients, staff, and family alike. The hypothesis states that the integration of nature in the architectural design of healthcare facilities creates a restorative environment to promote the healing process for patients.

Categories of Care Settings [WHERE] Patient Care -– patient rooms Diagnostic Care -– ER,imaging,surgery Entry/ Common Spaces -– atriums,hallways, elevators,waiting rooms,entrances Secondary Care -– outpatient,rehab,clinics pharmacy,clinical labs I ntegrations of N“ ature” Techniques [HOW] Simulated Imagery - L– ED light panels,digital imagery projection,paintings, photographs Apertures - v– iews of landscape,extent, Natural Vegetation -– healing gardens, water features Daylighting - l– ight wells,atriums

[introduction]

The research questions asks [1] How is n“ ature” represented within the hospital setting?

WHO

This study aims to identify the different ways that nature is implemented within healthcare facilities by looking through two analytical lenses: Kaplan’s Theory of Restorative Environments (interactive and kinesthetic) and Appleton’s Prospect Refuge Theory of Landscape Settings (visual).

WHERE

audience

HOW settings

According to Kaplan (1998),natural settings can fil the mind and enhance restoration by permitting reflection of settings,sound patterns,motion,and intensity of forms and color. Small p“ ocket parks” help to reduce nearby noise and distractions by focusing one’s ability on things that don’t require special effort,yet are inviting and fascinating. Separation from distractions can be achieved for restorative benefits by offering settings that afford views of distant places and refocusing attentions. By providing views to the outdoors,it allows the mind to wander and detract from stressful thoughts while creating restorative focus and sense of wonder. The patients become engaged within their imaginations as they mentally escape to a w“ hole different world” as they imagine wandering in the space and encourage mental exploration of areas not seen within view (Kaplan,R.,Kaplan,S.,& Ryan,1998). Appleton’s (1996) Prospect Refuge Theory of Landscape Settings states that T“ o see without being seen involves utilization of environmental conditions that support biological survival and hence are a source of pleasure,” and suggest that visual (non-interactive) cues support the healing process as well as the interactive and kinesthetic cues.

University of New Mexico Cancer Treatment and Clinical Research Facility

Evelyn H. Lauder Breast Center of Memorial Sloan-Kettering Cancer Center and Imaging Center

Location: Albuquerque, NM Architect: Rohde May Keller McNamara Architecture, P.C. & VOA Associates Inc.

WHAT techniques Quiet Fascination

Concept

Even a small space, if it has extent, can constitute a whole different world.

Separation from Distraction

The sense of being in a different world is easily undermined by intrusions and distractions.

View from the Window

Understanding

The choice of materials can enhance restoration.

topboxdesign.com

Restful

 



 

Even if one is not in a setting, it can have restorative benefits.



Kaplan’s Matrix for Restorative Environments

Bronx Adult Behavioral Health Center

Location: Bronx, NY Architect: STV Primary Objectives: reflects a philosophical shift toward treatment of mental illness as a chronic disease with acute episodes requiring short-term cases as opposed to a long-term acute illness

healthcaredesignmagazine.com

Techniques: - Interiors bathed in natural light - Extensive use of warm materials palette - Vast art collection of 450+ pieces - Imaging rooms open to views of the landscape

Exploration

Natural settings can fill the mind & enhance restoration.

Wandering in Small Spaces

Wood, Stone & Old

effects

Primary Objectives: to minimize stress and to highlight calm and comfort

mskcc.org

Primary Objectives: create a state-of the art facility that would promote efficient patient care and high staff performance, and also to create an inviting and uplifting hospitality-like environment to encourage wellness, as well as a connection to the region’s unique tri-cultural patient base

healthcaredesignmagazine.com

Occupants Benefitted by N“ ature” [WHO] Staff Patients Family Physicians

Location: New York, NY Architect: Perkins Eastman

healthcaredesignmagazine.com

Techniques: - Appropriate use of color - Integration of natural views to the surrounding landscape - Plant life softens main entrance - “Lantern of Hope” atrium for wayfinding - Rooftop garden - Daylighting throughout all circulation areas

Intended Benefits of N“ ature” [WHAT] Stress Relief Pain Relief Mood Improvement Relaxation

healthcaredesignmagazine.com

Techniques: - Soothing color palette - Finishes inspired by natural elements - “Treatment Mall” emulates a Main Street atmosphere for wayfinding and familiarity - Interior courtyard provides abundant day light and views to nature garden

DESIGN RESEARCH effect of nature on healing process through architectural design graduate studies | 2010 qualitative case study research

[results and analysis] [categories of “nature” integration] Simulated Imagery

Apertures

Natural Vegetation

Daylighting

Interactive and Kinesthetic [Theory of Restorative Settings]

Visual

[Prospect Refuge Theory]

Graphical representation of the implications of nature found within the healthcare setting.

The Center for Cancer Prevention and Treatment at St. Joseph Hospital

The Roy and Patricia Disney Family Cancer Center

The research gathered from the ten case studies from the 2010 Architectural Showcase indicated a strong tendency to utilize interactive and kinesthetic n“ ature” integration through the use of healing gardens, indoor natural vegetation and water features,light wells,and daylit atriums. A growing trend seems to be emerging within these new healthcare facilities to incorporate and experiment with visual n“ ature” integration through the use of simulated imagery as LED light panels, colorful wayfinding displays, paintings,and photographs,and also through apertures with extensive views out into the natural landscape. By analyzing these n“ ature” techniques through the two lenses of Kaplan’s Theory of Restorative Settings and Appleton’s Prospect Refuge Theory,the results of the research affords the opportunity for further investigation into the correlation between intended health benefits and the actual restorative effects of specific n“ ature” implementations within the healing e n v i r o n m e n t .

Smilow Cancer Hospital at Yale-New Haven Hospital

Location: Burbank, CA Architect: SWA Architects Location: New Haven, CT

Location: Orange, CA Architect: Montario Design Group, Inc.

Architect: Shepley Bulfinch and CAMA, Inc.

Rick Scanlan

taa1.com

Primary Objectives: enhance patient experience and to promote dignity and quality of life, we replenish the human mind and spirit with the environment that surrounds us healthcaredesignmagazine.com

taa1.com

healthcaredesignmagazine.com

Techniques: - Pocket gardens and reflection rooms - Diffused light filters through resin screens - Maximization of natural light - Integration of preserved trees - Incorporation of music at the body’s same frequency - Views to private pocket gardens during treatment

healthcaredesignmagazine.com

the818now.com

Primary Objectives: concept of patient-centered care through natural elements and technologies that together create an integrated healing environment

Techniques: - Indoor and outdoor water features - Customized treatment rooms with patient- controlled lighting, music, temperature and natural image projections - Color-changing illuminated double-height lobby - Exterior garden spaces - Extensive use of natural materials

Primary Objectives: patient care, community service, teaching, and clinical research Techniques: - Healing Arts Program - Wayfinding addressed through art, daylighting, and proximity of spaces - Appropriate art affording “nature scenes with long views” - Long views and skylights - Rooftop healing garden

yalecancercenter.org

opa.yale.edu

yalemedicalgroup.org

residential branching pattern

campus grid pattern

SITEanalysis PLANNING and infrastructure graduate studies | 2011 site analysis,concept development, site design and development review Site planning is the art and science of designing places for human activities,usually for land parcels under a single ownership. The scale is smaller than that of public-sector land use planning,which deals with the overall pattern of towns,cities,and regions. Requires a sophisticated understanding of how the built environment can be designed to support desired human activities for the full spectrum of users.

992

912

SP RI NG

EXTENDED VIEWS (south-facing slopes)

L VA 988

FLEET

ES P

RD 960

D WOO

900

AIL

VA LL

RUHAMAH RD

888

VIE

860

932

FEET

924

KR D

123

ILL

C 836

H AL

VA LL

968 VIE

T AR TEW

500’

high points

low points

964

HA M AH

major tree cover grass fields

844

subdivisions

880

highways county roads

SIM

300’

parcel lots

932

920

L RIA

100’

contour lines

856 IN RD CHASTA

884

0’

LEGEND

892

924

REE

PIN DIN

936

123

948

WIN

site inventory

860

940

876

832

956

836

noise interference views afforded

872

1,000’

inpatient tower

addition

SILVER SPRING smithgroup jjr healthcare architecture intern | 2011 holy cross hospital expansion | maryland departmental and planning schematic development healthcare studio team collaboration

EX.21

EX.2

AREA OF NEW ROOF

EX.23

EX.22

EX.24

EX.25

EX.26

EX.28

EX.27

EX.29

58.3 BRIDGE 2001

351' - 0"

A4.1.3 RD

CAMPUS EXPANSION AND RENOVATION

346' - 6"

A4.3.2

A4.3.3

EX.A3 A4.1.5

A4.3.2

A4.1.5

TLT 2071

TLT 2069

41 SF

TLT 2067

41 SF

TLT 2063

TLT 2065

41 SF

TLT 2061

41 SF

TLT 2057

TLT 2059 41 SF

41 SF

TLT 2055

41 SF

2.02

DD.3

TLT 2007

39 SF

WAITING 2002

ANTE 2005

PATIENT ROOM 2006

DD.2 A4.1.6 DD.1

VE5

474 SF

100 W. FRANKLIN ST, RICHMOND VA 23220

8' - 0"

CORRIDOR 2123

30' - 0"

TLT 2011

WORK AREA 2118

N/S UNIT COORD 2119

81 SF

CORRIDOR 2075

1 A6.2.1

257 SF

CORRIDOR 2004

WORK AREA 2117

PATIENT ROOM 2012

71 SF

STAFF TLT 2112

TEAM ROOM 2114

163 SF

52 SF

NOUR 1 2111

CORRIDOR 2109

58 SF

159 SF

crash cart

331 SF

ALCOVE 3115

pyxis

PATIENT ROOM 2016

266 SF

TLT 2021

TLT 2019

pyxis

ice

CORRIDOR 2050

TLT 2045

268 SF

A4.1.7

SMITH SECKMAN REID, INC.

41 SF

TECHNOLOGY CONSULTANT 2990 SIDCO DRIVE NASHVILLE, TN 37204 T 615.383.1113 F 615.386.8469

3 A6.1.1

52.1

TLT 2041

266 SF

WHITING-TURNER CONTRACTING

TLT 2043

CONSTRUCTION MANAGER 300 EAST JOPPA ROAD BALTIMORE, MD 21286 T 410.337.5709 F 410.337.5700

41 SF

TLT 2039 41 SF

1 A7.2.1

41 SF

ISSUED FOR

3 A4.3.1

41 SF

SCHEMATIC DESIGN 1

58.3

30' - 0"

57.9 58

29' - 11"

DATE

A4.3.1

TLT 2031

41 SF

REV

41 SF

56.9 57.6

56.6

30' - 0"

54.9

55.9 56

30' - 0"

54.1 53.7

54.2

55 30' - 0"

07-29-2011

SEALS AND SIGNATURES

A4.1.1

58.9 60

PARKING CONSULTANT 900 WEST VALLEY RD. SUITE 800 WAYNE, PA 19087 T 610.995.0260 F 610.995.0261

TLT 2047

41 SF

TLT 2023

WALKER PARKING CONSULTANTS

50.1

258 SF

265 SF

PATIENT ROOM 2042

11350 RANDOM HILLS ROAD SUITE 750 FAIRFAX, VA 22030 T 703.383.9383 F 703.383.9392

STAIR 1 S201

PATIENT ROOM 2046

M/E/P ENGINEERING 6522 MEADOWRIDGE ROAD MEADOWRIDGE CORPORATE PARK ELKRIDGE, MD 21075 T 410.579.8100 F 410.540.9041

SYSKA HENNESSEY GROUP

267 SF

PATIENT ROOM 2038

TLT 2037

266 SF

41 SF

A4.1.6

AA.2

PATIENT ROOM 2044

TLT 2035

TLT 2033

LEACH WALLACE ASSOCIATES, INC

267 SF

PATIENT ROOM 2034

267 SF

266 SF

STRUCTURAL ENGINEERINGS 8381 OLD COURTHOUSE ROAD SUITE 350 VIENNA, VA 22182 T 703.556.0651 F 703.556.0378

CC4

41 SF

A4.1.5

pyxis

MCMULLAN & ASSOCIATES, INC

A4.1.4

171 SF

41 SF

pyxis

PATIENT ROOM 2040

2.03

297 SF

pyxis

bench

PATIENT ROOM 2030

TLT 2029

crash cart

OFFICE-MED INTENSIVIST 2051

91 SF

bench

267 SF

TLT 2027

TLT 2025

53 SF

linen cart

87 SF

PATIENT ROOM 2028

267 SF

NOUR 2 2084

LINEN ALCOVE 2089

PATIENT ROOM 2036

PATIENT ROOM 2026

365 SF

201 SF

180 SF

99 SF

PATIENT ROOM 2032

267 SF

266 SF

TLT 2017

AA.1

PATIENT ROOM 2020

PATIENT ROOM 2018

2.03

318 SF

linen cart

SHAFT

360 SF

pyxis

PATIENT ROOM 2.03 2024

116 SF

CIVIL ENGINEERS 2 RESEARCH PLACE, STE. 100 ROCKVILLE, MD 20850 T 301.948.2750

FAMILY LOUNGE 2052

NURSE STATION 2080

EQUIP 2 2083

84 SF

STAT LAB 2096

98 SF

2' - 3"

PATIENT ROOM 2022

87 SF

ELEC 1 2087

72 SF

EQUIPMENT 2093

CORRIDOR 2097

37 SF

BENCH

SMITHGROUP, INC 901 K STREET NW SUITE 400 WASHINGTON, DC 20001 T 202.842.2100 F 734.780.8553 www.smithgroup.com LOIEDERMAN SOLTESZ ASSOCIATES

P-TUBE

CLEAN / MEDS 2 2081

SOILED 2 2082

STAFF CORRIDOR 2085

67 SF

STAFF REST AREA 1091

EQUIP 1 2108

CORRIDOR 2015 A4.1.6

133 SF

PHARMACY - OFFICE 2086

STAFF TLT 2088

269 SF

RT EQUIP / STORAGE 2090

172 SF

SHAFT

80 SF

NURSE STATION 2116

glove box

RT CLEAN STORAGE 2092

67 SF

58 SF

ALCOVE 2107

287 SF

111 SF

pyxis

OFFICE NUR MGR 2095

STAFF LOUNGE 2100

LOCKER 2105

linen linen cart LINEN cart

CLEAN / MEDS 1 2110

PHARMACY PREP 2091

JAN 2101

COMM 2102

75 SF

113 SF

ice

65 SF

SHAFT

P-TUBE

PATIENT ROOM 2014

41 SF

71 SF

194 SF

2.03

TLT 2015

ELEC 2 2103

ALCOVE 2104

SOILED 1 2106

256 SF

41 SF

A4.1.2

121 SF

TLT1 2122

TLT2 2121

STAFF CORRIDOR 2113

TLT 2013

CONSULT/CONF. 2120

114 SF

PATIENT ROOM 2010

41 SF

pyxis

81 SF

108 SF

CC.1

pyxis

OFFICE NUR ED 2094

59 SF

56 SF

41 SF

EX.A4

319 SF

279 SF

253 SF

EE.1

CONFERENCE/ MULTIPURPOSE 2053

2.03

CORRIDOR 2076

ON CALL 2074

STAFF TLT 2073

2.03

251 SF

PATIENT ROOM 2054

134 SF

PE1

257 SF

TLT 2009

252 SF

ANTE ROOM 2072

349 SF

CC.3

251 SF

PATIENT ROOM 2056

PATIENT ROOM 2058

DD.5

ELEVATOR LOBBY 2124

SE4

113 SF

CORRIDOR 2003

252 SF

PATIENT ROOM 2060

2.03

PE2

269 SF

PATIENT ROOM 2008

PATIENT ROOM 2062

DD.6

SE3

A6.1.2

DD.4 23' - 9"

VE6

PATIENT ROOM 2064

PATIENT ROOM 2066

252 SF

290 SF

STAIR 2 S202

DD.6

PATIENT ROOM 2068

2.03

KLMK GROUP

41 SF

A4.2.4

PATIENT ROOM 2070

Holy Cross Hospital 1500 Forest Glen Road Silver Spring, MD 20910 T 301.754.7000

A4.3.3

53.1

54 30' - 0"

53 30' - 0"

52 30' - 0"

51 14' - 10"

50 11' - 4"

NOT FOR CON STR UCT ION KEYPLAN

PROJECT NORTH

renderings by smithgroupjjr SHEET NOTES C. REFER TO AND COORDINATE WITH MECHANICAL, PLUMBING, AND ELECTRICAL DRAWINGS FOR ADDITIONAL INFORMATION. D. ALL FIRE WALL PENETRAIONS SHALL BE FIRE CAULKED AND SEALED AS DESCRIBED PER UL ASSEMBLY SHEET Axxx. E. PENETRATIONS IN SMOKETIGHT PARTITIONS SHALL BE SEALED WITH ACOUSTIC SEALANT. REFER TO PARTTION INFORMATION ON SHEET Axxx. F. FIRE SEPARATION AND SMOKE PARTITIONING, IDENTIFIED ON THIRD FLOOR PLAN SHEET Axxx.

KEY NOTES

PLAN LEGEND

A. REFER TO LS SERIES FOR LIFE SAFETY AND RATED PARTITION TYPES. B. REFER TO PROJECT INFORMATION SHEET FOR MATERIAL SYMBOLS, REFERENCE SYMBOLS, AND ABBREVIATIONS.

N.I.C. EXISTING TO RAMAIN

2.01 2.02 2.03 2.04 2.05 2.06

DRAWING TITLE

SECOND FLOOR ADDITION

DOCK LEVELER 90 MIN. MOVEABLE FIRE WALL AND ENCLOSURE REFER TO SHEET A7.2.1 FOR TYPICAL ICU ROOM ENLARGED PLAN AND ELEVATIONS REFER TO SHEET A7.2.2 FOR TYPICAL IMC ROOM ENLARGED PLAN AND ELEVATIONS REFER TO SHEET A7.2.3 FOR TYPICAL MED SURG ROOM ENLARGED PLAN AND ELEVATIONS OVERHEAD GARAGE DOOR

1/8" = 1'-0" SCALE PROJECT NUMBER

G. DIMENSIONS ARE TO FINISHED FACE OF PARTITION UNLESS OTHERWISE NOTED.

DRAWING NUMBER

26895.000

A2.1.2a

NEW HOSPITAL GERMANTOWN, MARYLAND: USER GROUP MEETING SCHEMATIC DESIGN

general acute care

hospital MAIN PERSPECTIVE OF THE CAMPUS

GERMANTOWN smithgroup jjr healthcare architecture intern | 2011 holy cross hospital | maryland departmental and planning schematic development healthcare studio team collaboration

NEW HOSPITAL GERMANTOWN, MD

207' - 9"

0.2 6' - 11"

10' - 6"

29' - 0"

3 29' - 0"

29' - 0"

5.6

6.7

29' - 0"

HOLY CROSS HOSPITAL OBSERVATION DRIVE GERMANTOWN, MD

29' - 0"

KLMK GROUP

10' - 4"

100 W. FRANKLIN ST, RICHMOND, VA 23220 A4.1.2 2

A4.1.5

A4.1.4

A.1

A4.1.4

A4.1.3

SMITHGROUP, INC 901 K STREET NW SUITE 400 WASHINGTON, DC 20001 T 202.842.2100 F 202.974.4500 www.smithgroup.com

10' - 7"

28' - 0"

MACRIS, HENDRICKS AND GLASSCOCK CIVIL ENGINEER 9220 WIGHTMAN ROAD, SUITE 120 MONTGOMERY VILLAGE, MARYLAND 20886-1279 T(301) 670-0840

DINING

70' - 4" 28' - 0"

88' - 8"

STRUCTURAL ENGINEER 8381 OLD COURTHOUSE ROAD SUITE 350 VIENNA, VIRGINIA 22182 (703) 556-0651

DN UP

A4.1.1

MCMULLAN & ASSOCIATES, INC.

A4.1.1

SYSKA HENNESSY GROUP, INC. MEP ENGINEER 11350 RANDOM HILLS ROAD, SUITE 750 FAIRFAX, VIRGINIA 22030 (703) 383-9383

C UP

28' - 0"

C.2

MATERIALS MANAGEMENT DN

LEACH WALLACE ASSOCIATES, INC. 2

A4.1.3

3' - 0"

MEP ENGINEER 6522 MEADOWRIDGE ROAD MEADOWRIDGE CORPORATE PARK ELKRIDGE, MD 21075 (410) 579-8100

SMITH SECKMAN REID, INC. TECHNOLOGY CONSULTANT 2990 SIDCO DRIVE NASHVILLE, TENNESSEE 37204 (615) 383-1113

56' - 4"

A4.1.1

0.1

3.6

8.329' - 0"

29' - 0"

10.3 29' - 0"

29' - 0"

28' - 5"

13.2

24' - 2"

16' - 5"

CONSTRUCTION MANAGER 300 EAST JOPPA ROAD BALTIMORE, MD 21286 (410) 337-5709

1' - 8 1/2" 146' - 6"

67' - 2"

AREA C

A4.1.2

AREA C

A4.1.2

MATCHLINE

AREA A

AREA B

32' - 0"

WHITING-TURNER CONTRACTING

ISSUED FOR

REV

DATE

50' - 4"

30' - 0"

74' - 8"

26' - 0"

BEHAVIORAL HEALTH

H 3

IMAGING

A4.1.2

DN UP

SCHEMATIC DESIGN

29' - 0"

113' - 8"

20' - 0"

3 A4.1.2

A4.1.5

NO CO T FO NS R TR UC TIO N

EMERGENCY DEPARTMENT 2

A4.1.3

L.2

A4.1.1

76' - 5 3/4"

12' - 0"

K L

A4.1.1

11' - 8"

29' - 0"

L.3 L.6

07/29/2011

SEALS AND SIGNATURES

L.5 MAIN LOBBY

L.8

KEYPLAN

9' - 9"

19' - 4"

20' - 9 1/2"

UP PROJECT NORTH

3.2

A4.1.4

AREA A

16' - 11"

MATCHLINE

AREA B

2' - 6"

2 A4.1.5

A4.1.3

A4.1.3 1

7/29/2011 10:30:29 AM

DRAWING TITLE

OVERALL FIRST LEVEL PLAN

A4.1.1

16' - 3 1/2"

29' - 0"

renderings by smithgroupjjr

364' - 0"

01 LEVEL- OVERALL SCALE: 1/16" = 1'-0"

1/16" = 1'-0" SCALE

Plot Date:

PROJECT NUMBER

16'

GRAPHIC SCALE: 1/16" = 1'-0"

32'

PROJECT PHASE

26896.000

A2.0.1 DRAWING NUMBER

simplicity and tranquility

PONTE VEDRA balfoort finnvold architecture architecture intern | 2009-2010 ponte vedra beach house | florida facade and interior finish design development

â&#x20AC;&#x153;The goal was to create a sense of place that not only defines this moment, but also imparts a sense of timelessness of all the collective beach memories of the past.â&#x20AC;? - michelle balfoort, AIA, LEEP AP president

photography by adam cohen

inside out modern transition

HILLCREST balfoort finnvold architecture architecture intern | 2009-2010 stuart residence | florida construction documents and interior finish design development

â&#x20AC;&#x153;This house was designed and built with a mid century modern influence...a clean vernacular of wall, glass, column. Floor to ceiling sliding glass walls allow spaces to transition easily from indoors to out. Structure is expressed through free standing exposed columns, and exposed concrete. The overall effect is a house that is open, airy, and inviting. Indoor and outdoor living overlap and intertwine seamlessly.â&#x20AC;? - michelle balfoort, AIA, LEEP AP president

photography by adam cohen

NATURAL textural cultural emotional historical

TRANSITIONAL gestural technical structural material

As world views vary, so does architecture: at the personal level, at the social and cultural level and between different sub-cultures within a society. Simon Unwin - â&#x20AC;&#x153;Analyzing Architectureâ&#x20AC;?

Amy Erica Zimmerman Clemson University Master of Architecture Architecture + Health Class of 2012 University of Florida Bachelor of Design Major in Architecture Class of 2009