Cardiology Design Book

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Cardiology ARRAY-ARCHITECTS.COM


Table of Contents

Firm Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Cardiology Service Introduction . . . . . . . . . . . . . . . . . . . . . . 6 Inspira Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Nemours / Alfred I duPont Hospital for Children . . . . . . . 18 Mount Sinai Health System . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Cardiology Consultants of Philadelphia . . . . . . . . . . . . . . . 26

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Our Firm in Brief

After 35 years serving healthcare clients, we’ve learned that it’s never just about the building. Every problem and challenge our clients face are unique opportunities to adapt, improve or transform­—and they all require something different. That’s why we are so much more than just healthcare architects. Our integrated services align analysts, advisors, and architects to provide a complete continuum of project exploration and execution. Guided by process, powered by collaboration and built around an innovative culture.

100%

DEDICATED TO HEALTHCARE

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FIVE LOCATIONS NATIONWIDE We’re strategically located throughout the country to engage with clients on site, to optimize results. • Boca Raton, FL • Boston, MA • New York, NY

• Philadelphia, PA • Washington, DC


A R C H I T E C T S

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D E S I G N

Array Architects is committed to improving healthcare outcomes by providing design solutions informed by integrated insights from perspectives across the organization. No brick is placed without considering its placement. No wall is raised without determining its integrity. No systems are installed, no colors are applied, no impact is made without a careful reasoning for doing so. We don’t address needs—we address your needs­—taking into account the context of a project and assembling a roster of experts whose combined strengths align to give your project life, value and spirit beyond its basic function. •

Healthcare Thought Leaders

Data-Driven Decision-Making

Cross-Disciplinary Teams

Customer-Focused Design

Process-Led Lean Design

A D V I S O R S

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S T R A T E G Y

Array Advisors is a multi‑disciplinary team providing custom solutions to optimize healthcare operations and solve business challenges. When addressing the distinct needs of any healthcare business, there is no solution without informed preparation and consideration. It requires a nuanced approach of dedicated professionals with a variety of viewpoints. We uncover the opportunities buried within your challenges by untangling the complexities of those problems, and then engineering a solution using industry-leading tools and techniques. •

Capacity Analysis

Lab & Pharmacy Optimization

Strategic Planning

Lean Operational Improvement

Change Management

Transformation

A N A L Y T I C S

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T E C H N O L O G Y

Array Analytics is an innovative think tank of analysts and product developers dedicated to helping healthcare systems identify and contextualize business drivers. These days, big data is critical to making informed decisions, but information must be distilled and interpreted to truly be valuable. We developed the platform you need to dynamically draw upon real-time industry data, combine it with your own, and leverage it so you can visualize relevant business drivers and opportunities. Array Analytics is the foundation upon which targeted solutions drive transformation in healthcare business. •

Data Integration

Real Estate Strategy

Market Analysis

Strategic Capital Allocation

Predictive Analytics

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Cardiology: Interventional Platform & Intensive Care Environment Qualifications Heart disease is among the most common conditions facing our population. Major advancements have been made to aid in early detection and prevention technologies, demanding newer and more comprehensive facilities to accommodate these specialties. We are knowledgeable about the intricacies associated with planning facilities to accommodate advanced imaging, surgery, cardiac rehabilitation and monitoring. We recognize that in order to reduce treatment stress we design spaces that minimize disruption by separating diagnostics, treatment and recovery spaces. Patient spaces that require one-to-one nursing care also need specialized planning and design to ensure care delivery is not hampered by clinicians traveling far distances for supplies and life-saving equipment. A well-designed Intensive Care Unit—be it for adults, children or infants— with optimal sight lines and supply storage within easy reach means more time spent caring for patients.

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BROWSE Our Thoughts Click on our Thought Leader above to browse our website for Cardiology and Diagnostic treatment-related spaces.

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Patient Experience

“Hearing that your heart may not be working as it should brings stress and unease. Being able to support our loved ones, or help process our own diagnosis in a warm, inviting and thoughtfully design space promotes healing and eases our anxiety.” Stephanie Story, CHID, LEED AP BD+C Principal & Interior Design Director



Inspira Health Greenfield Hospital Cardiology Service MULLICA HILL, NJ

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Array was selected as part of an integrated team to provide planning and design services for the replacement of Inspira Health’s Woodbury hospital. After selection, Inspira asked Array to lead a rapid assessment phase integrating their strategic plan, financial projections, and operational goals along with site and cost analysis to determine if the replacement hospital should remain on the existing site or move to a new site in the service area. Array used Lean Facilitation to assist the Inspira team and through that process delivered a recommendation for Board approval in less than eight weeks. After determining a new site would best serve the Health System’s goals, Array and the integrated team began our Process-led Lean Design approach to program and plan the new facility. Six visioning sessions were held with staff and community members over three days. Cross functional work sessions were then held with each team to map the current state flows of every department. Armed with a detailed assessment, we worked with the teams to develop the ideal future state and work flows for the new facility. The replacement hospital’s Interventional Platform was designed to include all services - surgery, endoscopy and catheterization lab suites - collocated and sharing staff, pre-op, recovery and PACU. The Sterile Processing Department was designed to have immediate access from the semi-restricted and non-restricted areas to minimize steps and cross traffic of soiled and clean instruments as well as facilitate throughput. Utilizing physical mock-ups, a universal patient-centric, private pre-op and recovery room was designed to meet the needs of different patients and facilitate the use and throughput of the surgical spaces.

Left: Exterior Photography: Halkin Mason Photography PAGE 11


Inspira Health MULLICA HILL, NJ

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Interventional Surgery Platform Within the Hospital’s Surgery Department, separate surgery, endoscopy and catheterization lab suites include siloed perioperative and recovery ares as well as support spaces. Additionally, the Sterile Processing Department was located on a separate floor and supported the surgical suites as well as departments such as LDR and c-section. During the current state, process and experience mapping sessions, it became clear the siloed departments led to inefficiencies and required duplicate support spaces, additional pre-op, recovery and PACU stations as well as staff. The replacement hospital’s Interventional Platform was designed to include all three services collocated and sharing staff, pre-op, recovery and PACU. The Sterile Processing Department was designed to have immediate access from the semi-restricted and non-restricted areas to minimize steps and cross traffic of soiled and clean instruments as well as facilitate throughput.

Smart Technology Advanced smart room technology at Inspira Mullica Hill promotes efficiency and enhances the patient experience. Interactive TVs provided in every patient room share real-time details with the patients care team throughout the patient’s stay. This technology allows patients to send messages to housekeeping, facilities and other members of their care team to create a more responsive and home-like experience. Digital displays outside each patient room alert visitors, housekeeping staff and others of the activity going on inside the room, such as a private consultation between the patient and a doctor, by sharing real-time information. This reduces interruptions and maintains privacy standards. Also incorporated in the design is a “Genius Bar.” This space opens up to where all of the IT staff are located within the hospital. Located in the lobby, this space is easily accessible by patients and families to assist them with personal health technology devices and integration.

Collaborators: • • • • •

Leach Wallace Associates, Inc. Mitchell Associates O’Donnell & Naccarato, Inc. Sikora Wells Appel The Lighting Practice

Top Left: Patient Room Top Right: Staff Surgery View Bottom: Surgery Room Photography: Halkin Mason Photography PAGE 13


Cooper University Hospital Surgery Platform Expansion CAMDEN, NJ

Array was engaged to help Cooper University

Department while also achieving operating rooms

Hospital meet increased patient demand and

that were optimally sized and organized to suit

improve the efficiency of their seven-suite

the needs across procedures. Wherever possible,

surgical floor. With physical space for five new

operating rooms were scaled and configured

operating rooms, and the need to expand capacity

to be flexible, accommodating a variety of

to accommodate their renowned orthopedic

complex orthopedic procedures and anticipated

practice, the expansion included adding and

marketshare capture.

reconfiguring ortho, trauma and robotic ORs.

The project included renovation and expansion

The design team studied operational workflow

of pre-op, PACU, Phase 2 recovery and support

throughout the surgery department to fully

spaces. A highly complex project to design

understand all operational and experiential

and construct, the integrated project team

factors. Through detailed value stream, process

collaborated to plan 16 distinct construction

and experience mapping, Array developed a

phases to ensure continued operation of the

transformation plan which identified potential

surgical platform while ensuring patient safety and

improvements to the overall performance of the

supporting operational excellence.

Collaborators: • Healthcare Building Solutions O’Donnell & Naccarato • Procz Group • Stantec • Torcon

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Top Right: Control Room Bottom Left: Operating Room Bottom Right: Team Center


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Client Engagement

“At the heart of each project lies client engagement—proactive partnering and ensuring patient, staff and client satisfaction allows the design to promote healing in any healthcare environment.”

Sebastian Soler Radiology & Imaging Content Expert, Studio Director



Nemours/Alfred I. duPont Hospital for Children Hybrid Cath Lab WILMINGTON, DE

Ranked among the nation’s best in pediatric

The new Catheterization Suite was designed as a

cardiology and cardiac surgery by U.S. News &

hybrid Bi-Plane Catheterization Lab and Support

World Report, families from across the country—

Space. This shell space where the hybrid lab

and around the world—come to the Nemours

is located was planned for by Array when we

Cardiac Center. To meet this demand, this

designed the 21,000 SF NICU/CICU expansion.

pediatric specialty hospital needed to expand its

(which can serve as Prep/ Recovery space for

cardiac intensive care unit and wanted to build a

cardiac patients). The shelled space allowed for

new hybrid operating suite, but expansion space

the existing cath lab to continue service while

was extremely limited.

the new hybrid lab was under construction and brought on line. The new suite is configured so that a second catheterization lab can be constructed with minimal operational impact during construction.

Top Right: Catheterization Lab Bottom : Catheterization Lab Photography: Jeffrey Totaro

Click Here to explore additional Nemours experience.

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“Hybrid Cath Labs can serve patients in an innovative way. Offering the ability to diagnose cardiac conditions and quickly move patients to a recommended surgical procedure is a clear benefit of these facilities. Making sure that everyone on the clinical platform is in sync with the concept is an absolute necessity.” – Lisa Lipschutz, RA, ACHA, EDAC, Lean Green Belt Principal & Practice Leader, Planning PAGE 19


Mount Sinai Health System Cardiovascular Intensive Care Units NEW YORK, NY

Array and Mount Sinai Health System have

elongated the team center to provide seated

collaborated on several projects within the

observation spaces for clinicians to chart and

adjacent Klingenstein and Guggenheim buildings

maintain visual contact while allowing as much

over the last several years:

patient and visitor privacy as possible.

• A full gut renovation of the Guggenheim Pavilion’s fifth floor central unit, provided an updated coronary care unit (CCU) with 12 private rooms, including two isolation

• A full gut renovation on the sixth floor of Mount Sinai’s Klingenstein Clinical Center serves patients with a variety of complex cardiac needs. The renovation of this floor

rooms. The Unit is equipped with full view

included a ten-bed cardiac critical care unit

sliding and breakaway doors to allow ease

and an adjacent ten-bed step-down unit.

of clinical access as well as direct patient

Exterior windows were replaced to provide

observation from outside the room. While the

greater energy efficiency. New interior fit-out

configuration didn’t easily allow for recessed

construction included all interior partitions,

touchdown stations between rooms, the team

smoke separations, doors, ceilings and finishes.

Collaborators: • AKF Group LLC • Reuther+Bowen

Top Right: Patient Room Bottom Left: Main Hallway Bottom Right: Lounge Area Photography: Halkin Mason Photography

Click Here to view our Mount Sinai Cardiology projects video story

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Healthcare Planning

“After having the privilege of working with heroes who cure, treat and receive care in our built environments, I will never underestimate the importance of creating uplifting, inspiring spaces.”

Lisa N. Lipschutz, RA, ACHA, EDAC, Lean Green Belt Principal & Practice Leader, Planning



Mount Sinai Health System Cardiovascular Units NEW YORK, NY

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Collaborators: • AKF Consulting Engineers • Loring Consulting Engineers • Turner Construction Top Left: ICU Patient Room Top Right: Lobby Hallway Bottom Left: Nurses Station Bottom Right: ICU Room Photography: Halkin Mason Photography

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Cardiology Consultants of Philadelphia Physician Practice & Outpatient Imaging PAOLI, PA

Array and the Cardiology Consultants of

The 16,500 SF one-story site is organized with

Philadelphia, a large cardiology practice with

waiting and reception in the center for ease of

offices throughout Southeastern Pennsylvania,

access to the examination rooms and testing/

collaborated to consolidate three practice sites

imaging modalities. Exam room configuration is

into one site in suburban Philadelphia. The

based on a typical ratio of three exam rooms per

consolidated practice includes both physician

physician. Pods of exam rooms are accessed from

practice space and cardiac imaging, as well as

the main spine with a centrally-located medical

centralized administrative services including

assistant work zone. Shared physician offices are

patient scheduling and billing.

located to the rear with additional charting alcoves distributed to exam rooms distant from offices. Testing includes echo, stress echo and nuclear imaging including a Spect Camera and PET CT with required support spaces.

Collaborators: • D & B Construction • Entech Engineering

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Top: Practice Reception Bottom Left: PET/CT Imaging Room Bottom Right: team Center Photography: Array / Katie Breiter


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Boca Raton / Boston / New York City / Philadelphia / Washington


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