SECTOR
Healthcare
SECTOR
Healthcare
Architecture49 is a national leader in the integrated design and delivery of Canada’s most important buildings and environments. Across the country, we create inspiring spaces that elevate the health, social vitality and sustainability of our communities. We also have a depth of experience in designing complex, highprofile projects. A49 is united in the belief that communities are enriched by a broader, more enlivened collaboration between clients, builders, architects, engineers, interior designers, landscape architects and urban planners. We believe in the strength of a multi-disciplinary view,
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and in the opportunity to shape urban infrastructure to Canadian principles of honesty, diversity, practicality and regionalism. With offices from coast to coast across Canada, Architecture49 boasts a history spanning over half a century of profoundly significant contributions. Our collective of regional offices and our array of specializations and experiences will continue to be in harmony with the Canadian landscape.
Sainte-Anne Hospital for Veterans, Ste-Annede-Bellevue, Quebec (consortium PCJA)
From St. John’s to Vancouver, we navigate urban and rural contexts. Some cities enjoy a wealth of heritage properties, and benefit from a mindful approach to blending contemporary glass with two-hundred-year-old stonework. Other regions experience unique weather—high winds, frequent storms, or low winter temperatures— and require local expertise to craft gathering places built to withstand those conditions with longevity and relevance.
Whether it’s the heart of old Quebec, or the vast prairies of Manitoba, our work celebrates the cultural and geographic mosaic of Canada. We endeavour to define the essence of a project not only to meet client needs, but to design with a vocabulary that will enrich that region and provide a meaningful sense of place for years to come.
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On the outside we are a design-forward national architecture practice with focused expertise. Inside we embody the Canadian principles of honesty, diversity, practicality and regionalism. 13 LOCATIONS / 250 EMPLOYEES
National Sectors
Regional Sectors
Healthcare
Commercial
Hospitality
Cultural
Science and Technology
Educational
Security and Defence
Historical
Sports and Entertainment
Industrial
Transportation
Residential
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St. John’s NL Thunder Bay ON Vancouver BC
Winnipeg MB
Charlottetown PE
Timmins ON Ottawa ON
Montreal QC Halifax NS
Sudbury ON Toronto ON
Cornwall ON
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Moncton NB
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HOSPITAL CLIENTS
20+ 15+ 10+
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MASTER PLANNING AND REDEVELOPMENT PROJECTS
NEW HEALTHCARE FACILITIES LONG TERM CARE FACILITIES
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“ Our Healthcare practice explores how patientfocused healing is connected to the quality of spatial experience. In this spirit, we create beautiful healing spaces equipped for the healthcare spaces of tomorrow.� DENNIS RAMSAY Healthcare Sector Leader
McGill University Health Center concept rendering (design competition finalist), Montreal, QC (with Parkin/Cardinal Hardy in joint venture)
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SECTOR
Healthcare Healthcare facilities are comprised of diverse spaces with specialized considerations and requirements and include clinics, diagnostic and treatment areas, inpatient units, research laboratories as well a non-clinical areas that support the operations. Over the last 60 years our team has developed expertise in healthcare design and understand how each of the spaces work together to affect and impact the lives of the patients, visitors and staff.
OUR APPROACH Our approach is based on the belief that the built environment can be an integral part of the healing process and will have a major impact on patient health outcomes and staff satisfaction. We seek to incorporate evidence based design research into our solutions which support medical advancement and patient care. With every project we start by developing our understanding of the clients’ needs. We work closely with clinicians to gather the latest data patient usage patterns and demographics. We are continuously seeking to increase our knowledge of current thinking and to understand how similar facilities and programs are delivered in other jurisdictions. We conduct reviews of research literature and facilitate discussions with researchers and clinicians.
EVIDENCE BASED DESIGN - A FOCUS ON PATIENT WELL-BEING Health care delivery models are constantly changing and evolving. Current models of care place patients and their families at the core, and this is reflected in the design of health care facilities. More and more, primary care services are being offered in community healthcare centres allowing patients to be treated close to hone. This reduces stress by reducing travel and improving the quality of life. The essence of evidence based design is patient safety which includes infection risk, reduction of hospital acquired injury and errors in treatment. Within the hospitals, inpatients have the benefit of more single rooms as hospitals move away from the old ward style units. Naturally, this helps to mitigate infection prevention and control issues, but it also allows for the design of a more home-like environment. These rooms often make accommodations for a family member who may wish to overnight. This in turn supports the comfort and well-being of the patient, promotes recovery and reduces the length of stay.
Montreal University Health Center (CHUM) Owners’ Advocate, design concept rendering, programmatic test fit, MontrÊal, QC (consortium BPYA) architecture49.com
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“ We hope as community members have walked through the health centre doors that they have found it to be warm and inviting and that they have seen the care that has gone into making our facility easy to move about; and comforting to be in.� PETER MACKINNON Former CEO, Colcheter East Hants Health Authority
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The environment of care must address the needs of a patient in their unimpeded recovery. The physical layouts together with the careful selection of materials have a measured impact on the design of the contemporary hospital. Additionally, staff that care for those patients must be given effective spaces in which to work and places where they can rejuvenate themselves to make them more effective in care delivery.
Colchester East Hants Health Centre, Truro, NS (in association with Tye Farrow) Project highlights: MRI service; accessible walk in clinics; Helipad; dedicated Palliative Care Unit; dialysis services; latest health care technologies; increased space to support patient care and privacy and the capacity to expand up to 124 patients
JC Wilt Infectious Diseases Research Centre green wall, Winnipeg, MB
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Our approach to healthcare design is based in the belief that physical space can be an integral part of the healing process and will have a major impact on patient outcomes and staff satisfaction.
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01. IWK Neo Natal Intensive Care Unit, Halifax, NS 02. Garron Centre, IWK Health Centre, Halifax, NS (in association with CannonDesign) 03. Kleysen Institute for Advanced Medicine, Health Sciences Centre Campus, Winnipeg, MB 04. McGill University Health Centre concept rendering, (design competition finalist), Montreal, QC (with Parkin/Cardinal Hardy in joint venture)
05. Women and Newborn Hospital, Health Sciences Centre, Winnipeg, MB (in association with Parkin Architects) 06. Sainte-Anne Hospital for Veterans, Ste-Anne-deBellevue, QC (consortium PCJA) 07. Colchester East Hants Health Centre, Truro, NS (in association with Tye Farrow) 08. Halifax Infirmary Emergency Department, QEll Health Sciences Centre, Halifax, NS
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SUSTAINABILITY With that knowledge and experience, we recognize that our buildings need to be adaptable to the rapidly changing world of healthcare. Over the course of a building’s lifespan, clinical practices can shift and grow to reflect the newest research or the changing needs of a community. We apply evidence-based design principles to meet the needs of today, but we also work to ‘future-proof’ our spaces. As changes occur over the life of a building, our approach to planning and design allow for ongoing renovation and redevelopment that will address those future needs. Building for the future – and good design in general requires development of sustainable spaces. We have designed to LEED standards and have helped our clients develop cost-effective strategies to save energy and resources, even in the most complex of research and treatment spaces. We conduct ongoing research into material selection, energy management and occupant control of space heating and ventilation. We believe that every successful green building initiative is an important step towards better performing, more comfortable built environments.
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LEAN DESIGN Lean-led programming and design engages all stakeholders including executives, management and front line workers. The essence of Lean are the Activities, Connections, Pathways and the Continuous Improvement of a health care unit or facility. We work closely with the health care team to identify and eliminate items of waste in their current state work flow and then to design to a future state. We embed several Lean tools in our design methodology including: value stream mapping, visual management, mock ups, standardization and more. Implementing Lean principles ensures that the facility will be flexible enough to move forward, continuously improving.
Women and Newborn Hospital, Health Sciences Centre, Winnipeg, MB (in association with Parkin Architects) Targeting LEED Silver Project highlights: green roof to reduce rainwater run-off and provide natural outdoor environment; integrated photo-voltaic array enclosing 3-storey staff lounge.
JC Wilt Infectious Diseases Research Centre green wall, Winnipeg, MB
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We understand that the design choices we make will affect the well-being of the people who use these spaces, and we strive to incorporate evidence-based design that supports medical advancement and patient care.
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01. Diagnostic Imaging Building, Health Sciences Centre, Winnipeg, MB
04. Medicity, Gurgaon, New Delhi, India (consortium PCJA)
02. Critical Services Redevelopment Project, Anne Thomas Building, Health Sciences Centre, Winnipeg, MB
05. Sainte-Anne Hospital for Veterans, Ste-Anne-deBellevue, QC (consortium PCJA)
03. Colchester East Hants Health Centre, Truro, NS (in association with Tye Farrow)
06. CancerCare Manitoba Addition and Renovations, Winnipeg, MB 07. Western Manitoba Cancer Centre, Brandon, MB
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LONG TERM CARE FACILITIES Evidence shows that thoughtful design of the long term care environment can promote and improve health and wellness for residents, staff, and families. While most design strategies address safety, function and stewardship, simultaneously our designs study psychological and social well-being promoting a sense of wellness, familiarity and place within our long term care homes. There is great opportunity through design to create an environment of comfort, safety and calm through careful design of the resident home area, choice of materials and colour, thoughtful lighting including maximized natural light and by providing view and secure access to the outdoors. Evidence-based design has given credence to the notion that design can and does make a difference. We have seen firsthand that providing diversity, familiarity, as well as spaces that stimulate and inspire both resident and care provider, all increase the overall quality of care.
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The Meadows, Yarmouth, NS (in Association with Montgomery Sisam Architects)
“ Our long term care homes support a growing trend in resident-centered care with new facilities that are home-like, diverse and supportive, that help residents build upon remaining strengths and abilities and allow staff to achieve their highest potential as caregivers.� TINA BIRMINGHAM Practice Leader, Architecture49
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01. Sainte-Justine Hospital Expansion concept rendering (design competition finalist), Montreal, QC (consortium CGA/ABCP architects) 02. Halifax Infirmary Emergency Department, QEll Health Sciences Centre, Halifax, NS
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04. Western Manitoba Cancer Centre, Brandon, MB 05. Critical Services Redevelopment Project, Health Sciences Centre, Winnipeg, MB 06. Medicity, Gurgaon, New Delhi, India (consortium PCJA)
03. Sainte-Anne Hospital for Veterans, Ste-Anne-deBellevue, QC (consortium PCJA) architecture49.com
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Charlottetown Office: 410 Mount Edward Road, Unit 1 Charlottetown, PE C1E 2A1 t 1.902.367.4646 Cornwall Office: 1345 Rosemount Avenue Cornwall, ON K6J 3E5 t 1.613.933.5602 Halifax Office: 1640 Market Street Halifax, NS B3J 2C8 t 1.902.429.5490 Moncton Office: 55 Driscoll Crescent Moncton, NB E1E 4C8 t 1.506.857.1675 Montréal Office: 1244, rue Ste-Catherine O., 3° étage Montréal, QC H3G 1P1 t 1.514.878.3941 Ottawa Offices: 152-200 Tremblay Road Ottawa, ON K1G 3H5 t 1. 613.238.0440 2611 Queensview Drive Ottawa, ON K2B 8K2 t 1.613.829.2800 St. John’s Office: 341 Freshwater Road, Suite 202 P.O. Box 13156 St. John’s, NL A1B 4A4 t 1.709.726.1342 Sudbury Office: 2565 Kingsway Sudbury, ON P3B 2G1 t 1.705.525.0820 Thunder Bay Office: 1269 Premier Way Thunder Bay, ON P7B 0A3 t 1.807.625.6700 Timmins Office: 823 Birch St South P.O. Box 120 Timmins, ON P4N 7C5 t 1.705.267.6438 Toronto Office: 201 - 1300 Yonge Street Toronto, ON M4T 1X3 t 1.416.368.6987 Vancouver Office: Suite 200 - 1985 West Broadway Vancouver, BC V6J 4Y3 t 1.604.736.5329 Winnipeg Office: 1600 Buffalo Place Winnipeg, MB R3T 6B8 t 1.204.477.1260 www.architecture49.com
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