Designs Delivered Inspira Health Inspira Medical Center Mullica Hill
Table of Contents
Greenfield Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Planning & Site Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Integrated Project Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Lean-led Process Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Designing with Efficiency in Mind . . . . . . . . . . . . . . . . . . . . . 16 Exterior Design Elements . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Interior Design & Wayfinding . . . . . . . . . . . . . . . . . . . . . . . . . 20 Patient & Family Experience . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Linked Initiatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
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Architecture is about relationships. Relationships with spaces, objects, and most importantly-people. PAGE 5
Project Introduction Facing increasing need for inpatient and outpatient capacity and to prepare for future growth and expansion, Inspira began considering their options for renovating an existing facility or building new. They engaged Array to help, beginning with an investigation of their Woodbury, NJ hospital campus. Inspira analyzed transformational options ranging from sequential renovations and additions to the existing hospital, to a new greenfield site. Demographic data including forcasted growth indicated the location would not effectively support market demands. Building new enabled Inspira to right-size their building program, prepare for expansion, capture market share, and incorporate cutting edge technology across the facility—all in support of a patient and family-centered experience.
GREENFIELD DESIGN
Having a ‘blank slate’ allows us to innovate using evidencebased design, sustainable design and lean design principles. As the recent “mini-boom” of replacement hospitals subsides, post-occupancy evaluation evidence suggests the impacts of replacement hospitals on market, operational and financial performance can be dramatic. Greenfield projects are informed by everything we do, drawing upon the full spectrum of our healthcare expertise. Every capital investment is an opportunity to create outsized returns and deliver better patient care. This is especially true with Greenfield facilities. We leverage our experience to help you mitigate investment risk and make informed, strategic decisions around location, care model, and design.
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Planning & Site Selection Array was engaged by Inspira Health to help evaluate their options for sustained clinical care in their community while accommodating growth, additional service lines and improved operational performance. The existing hospital infrastructure was evaluated and multiple expansion and renovation options were explored. The Array team studied the hospital and health system’s current state operations and provided detailed process improvement opportunities. This study increased understanding of the requirements for physical infrastructure necessary to support future hospital operations. In conjunction with this study, various sites for a new Greenfield facility were explored taking into account regional growth trends, shifting community healthcare needs, and market competition. Array evaluated the full scope of information and designed an integrated platform for decision modeling and scenario testing. With the Health System having a broader and deeper understanding of the project context, and having had the ability to see the projected implications of those decisions, consensus was reached. The Hospital now has a long-term strategy for inpatient, outpatient, and specialty services that will meet the needs of the community for many years.
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Integrated Project Delivery
When Inspira (with CBRE acting as its program manager) began the process of selecting a team for this project, they issued a request for an integrated team that asked the designers (architects and engineers) and construction teams to join in a relationship that brought the highest level of expertise and collaboration to the project. The objectives of pursuing Integrated Project Delivery (IPD) include keeping construction costs down, reducing negative environmental impacts, keeping the schedule on track, and ensuring consistent, high quality results. Following a four-week, workshop-style interview process, an integrated team was selected, composed of Array Architects (architecture and interior design), Leach Wallace Associates (mechanical, electrical, plumbing, and fire protection engineering), and Skanska (construction management). Although some team members had previous experience working together, the greenfield Mullica Hill project represented their first joined IPD project and, for many on the team, their first experience with IPD in any capacity. As the project was nearing construction completion in the fall of 2019, the team sat down to not only review the project’s successes, but also dig into the aspects of the IPD structure that the healthcare design industry can learn from.
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OWNER’S PERSPECTIVE ON IPD Brandon Bardowsky, vice president of facilities and construction at Inspira Medical Center at Mullica Hill, served as Inspira’s representative on the project’s senior management team (SMT), which is the executive-level decision-making group that includes members from all parties that are joined by the poly-party contract. Here are his top three takeaways from the IPD arrangement:
1
An accurately defined project base scope is critical. The project design team is working under a contractual obligation to deliver a specific scope for a fixed cost. Therefore, having a higher level of clarity around the project scope will free the team to direct its energies toward delivering the defined scope in the most efficient and cost-effective method possible, instead of spending that energy on scope revisions.
2
3
A well-defined and prioritized list of out-of-scope items can both expedite
James Britt RA
Associate Principal
approvals and help with planning work. If the process results in cost
Focusing on the successful delivery of
savings and/or generates confidence that contingencies can be released,
projects, James’ extensive relationship-
then providing the team with a prioritized wish list of scope that could be
building background over his 19-year
added to the project can help the design team evaluate the potential to
career positions him to ensure teams
achieve the savings required. It also helps plan for the eventual integration
are empowered to achieve their goals.
of that scope with minimal rework. Having this list can also inform and
An advocate for collocating for optimal
incentivize the design team to achieve this scope within the original budget.
team and client collaboration, James is
IPD management structure and incentives result in less owner control. IPD is a collaborative endeavor. With shared risks and rewards comes shared control of the project budget, including its contingency. The team
dedicated to finding and implementing the project approach that works best for each client.
collectively determines how to use, or not use, this resource for project
James brings firsthand knowledge
success. Surplus budgetary funds and contingencies can be used to
on the benefits and challenges
cover scope gaps or unexpected problems within the team’s scope, study
of the collaborative IPD process,
opportunities that can yield savings, or accelerate work to achieve savings.
enabling him to help reduce waste and maintain full transparency during highly complex projects. As an Engagement Manager, James will drive communication and alignment across the full stakeholder spectrum.
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Integrated Project Delivery SHIFTING TO TEAM-BASED THINKING Beyond these critical considerations, one universally accepted wish among team members was greater upfront education about the process to expedite the required shift to team-based thinking. The IPD process requires a mindset that’s different from the protectionist views that traditional project team relationships can foster—and that shift can be difficult to achieve. Team trust-building rhetoric is simple to engage in, but often elusive in practice. Each project team can expect to go through some growing pains (commonly referred to as the “forming, storming, norming, and performing sequence”). One thing that the Inspira team did to help everyone understand and embrace their responsibilities to each other and the project was to engage an independent facilitator who isn’t linked to the project or any team members in any other capacity. The facilitator for the Inspira project led contract negotiations with an eye toward objective fairness, helped establish clear communications protocols among team members, assisted in conceptualizing project dashboards that clearly conveyed project status, and helped the team build trust in each other that was critical to success of the project.
The Inspira Mullica Hill Medical Center was completed ahead of schedule and delivers an environment that far exceeds what the team thought was possible within the time and budgetary constraints of the project. The quality of the patient environment, the dynamic public spaces, the material palette, the efficiency of the plans, the performance of the systems, and the quality of the construction are a testament to what the IPD methodology can achieve.
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PREFABRICATION: ACCELERATING SPEED TO MARKET Many building components for the Hospital were premanufactured to reduce the project schedule and simplify construction. Due to the scale of the project, the team was looking for ways to maximize the regularity of parts of the building while maintaining construction schedule and cost. It was decided prefabrication could help meet those goals. Our IPD team used prefabrication for the patient bathrooms in this project. These were designed as pods, or streamlined enclosures that can be manufactured off-site. Due to the repetitive nature of the patient toilet rooms, we felt using a pod system would lend itself to the efficiency of the project and align with the goals of IPD. Having the non-ADA patient toilet rooms manufactured at a different location lent itself to better and more consistent quality. One team could work on every pod instead of having multiple trades working within the space. This prevented errors and poor craftsmanship and allowed the team to work efficiently, making sure the walls, location of plumbing fixtures, tile layout, etc. matched the Patient bathroom Prefabricated “POD”
construction documents.
Overall benefits of prefab included quick install of the unit within the space, as well as quick connections to MEP infrastructure. The unit is its own support system, so the wall partitions are strong and can handle any additional weight attached to it, i.e. sink counters and grab bars. The pods, in combination with the success of the prefabricated exterior façade panels, helped us lead a cost-conscious, efficient, and consistent project delivery. In an age where large hospital systems are looking for the greatest-and-latest innovation and quicker speed to market, prefabricated systems are starting to become a major boon to healthcare construction.
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Lean-Led Process Design MAXIMIZING OPERATIONAL EFFICIENCY The Array team led Inspira’s leadership and other key stakeholders through extensive process mapping to understand strengths and opportunities of their current state of operations before designing a future state process map that presents a conceptual basis for improved operations. Using the future state as a foundation, a transformation plan was developed that created specific action items for Inspira and the design team to address in order to achieve the desired future state. During design, the team identified how core areas on patient floors feel isolated from natural light which impacts patient, family, and staff sense of well-being. Array developed a notched floor plate with floor to ceiling glass at family sitting areas adjacent to team centers or other cross corridor locations to maximize light penetration into the floor.
RIGHT-SIZING PROGRAMS & CHOOSING IMPACTFUL PATIENT CARE ELEMENTS For the decision to build to be made with confidence, we conducted concurrent program analysis scenarios that could be easily shifted to yield the highest ROI for each building site being considered. The potential programmatic ROI strategies were calculated and then validated through discrete event simulation modeling. In order to gain confidence in some scenarios, events were simulated with multiple growth projection accounting for hundreds of variability models to ensure the appropriate program capacity was selected. We reinforced the results of the simulation modeling with a foundational understanding of the System’s current state. All existing assets were captured and categorized, and we initiated master planning only after building a full appreciation of the system’s holdings, demographics and services lines. We defined care models that complemented strategic goals, analyzed transformational options for the Greenfield site as well sequential renovations of existing facilities, and defined a roadmap for project success by prioritizing the most impactful opportunities for improvement. Understanding the current state allowed Inspira to help identify changes necessary as a business, including the impact of different sites and catchment areas, and it allowed the System to account for the future state of healthcare, encompassing: • Serving population in a manner that is reflective of the need. • Understanding which services to offer by determining volume, and therefore opportunity. • Identifying lowest cost, highest impact care elements.
OPPORTUNITY TO EXPAND Since this was a new hospital, all services were expanded and optimized to meet projected needs. The ED, OR Suite and Maternal Child Health Unit are designed for expansion with site and building provisions made to support the growth. The overall hospital layout also accommodates a future bed tower.
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LEVERAGING RESOURCES In order to best leverage staff and facility resources, the team developed an interventional platform combining services such as operating rooms, cath labs, procedure, endoscopy, ERCP rooms, pre-op and recovery to be adjacent to shared support areas to limit programmatic redundancy. Early in the design process, full scale key room mockups were built to allow Inspira stakeholders to offer feedback based on the team role-playing routine scenarios in the space. This drove many detailed refinements such as placement of doors, curtains, outlets, equipment, and right-sizing of family and clinician areas. Additionally, vendors were invited to present mockups of boom systems within OR mockups for clinician evaluation and feedback. This assisted greatly in the basis of design selection.
Share your Vision Campaign - “What would you like to see in the new Hospital?”
‘Someplace You Want to Be, Not Someplace You Have to Be’: an Inside Look at Inspira Medical Center Mullica Hill Hear from Inspira leadership, clinicians, and the Array team as they reflect on the visioning, design process and the result in our most ambitious project spotlight to date. The short video provides sprawling views of the greenfield site, captures design details throughout the entire facility and offers an inside look at the collaborative nature of the project
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Designing with Efficiency in Mind ENERGY EFFICIENT MEP SYSTEM DESIGN All new construction at the hospital included compliance with the currently adopted State energy code, ASHRAE Standard 90.1 2013. This version of the code is on average estimated to be 6% more energy efficient than the previous version of the code for full-service hospital facilities like Mullica Hill. The design team, in conjunction with Leach Wallace Associates, took care to ensure that all mechanical systems were configured to provide the best possible energy savings within the budget constraints of the project. Some of the more conspicuous efforts included application of high efficiency equipment, such as dual fuel condensing hot water boilers designed for low temperature heating water, and electric centrifugal chillers selected for operating efficiencies above code minimums, focusing especially on their anticipated loading profiles. Cooling towers were selected for an increased temperature range in order to reduce pump power consumption on days when this benefits overall plant operation. The design team studied several ways to control the chilled water plant during the winter months in order to reduce energy consumption. With airside economizers provided for air systems to take advantage of free cooling energy during the colder months, the team needed to address the resulting gap between chiller equipment sizes needed to satisfy cooling loads during the extreme seasons. The team provided winter cooling for the hospital by a right sized (100 ton) high efficiency air cooled chiller with waterside economizer. This equipment allows for more efficient chilled water service during the colder months, and for the central chilled water plant to be shut down during those months, providing even more energy savings.
QUALITY AIR SYSTEMS Air systems provided for the facility include fully custom variable air volume air handling units serving all clinical spaces. In order to conserve heating and cooling energy, total enthalpy type energy recovery ventilating units were provided to pretreat minimum outside air with room neutral building exhaust, and then deliver the air to the air handling units for distribution. Fan energy is also conserved through oversized ductwork which has a much lower demand for static pressure, allowing for smaller motors and a reduction in annual energy consumption. Wherever possible, unoccupied space airflow setbacks have been implemented in order to reduce fan energy and associated heating and cooling energy at the AHUs, and to reduce reheat energy at terminal equipment locations. Space pressurization and air delivery is precisely controlled through supply, return and exhaust air systems with variable volume terminals, delivering the minimum airflow to serve the building properly. The kitchen, one of the large energy consumers in a hospital, has been provided with automatically controlled kitchen hoods and makeup air systems. This provides for an as-needed airflow delivery, controlling for pressurization as required, and introducing a reduction in heating and cooling energy consumption throughout the year.
FULLY AUTOMATED SYSTEMS The building is fully automated with central systems direct digitally controlled. Performance and alarm communication is thorough and convenient for facility staff, providing for good monitoring and customization ability for the major building systems. The availability of digital system trends is a diagnostic tool that will allow management to make better decisions on equipment maintenance and potential upgrades. Together, the systems implemented for the Inspira Medical Center at Mullica Hill offer a synergistic design focused on energy conservation, sustainability and serviceability. Systems have been progressively designed in concert with the latest industry trends and focus, and will serve as a flagship hospital for Inspira for years to come.
SMART TECHNOLOGY The pioneering smart room technology at Inspira Mullica Hill promotes efficiency and enhances the patient experience. The intuitive technology announces and identifies each care team member entering a patient’s room. This technology allows each patient to understand the role of any caregiver entering their room. Patients also have an interactive TV that allows them to send and receive messages, ask for assistance with medications, explore educational and entertainment options and streamline the discharge process. The smart room features include vital sign integration, patient and asset tracking, digital displays and interactive TVs.
Kent Doss AIA, LEED AP BD+C, Lean Six Sigma Black Belt
Principal; Practice Leader – Design; Senior Regional Vice President, Mid-Atlantic Region Kent’s healthcare work has varied from small, focused interventions
INTELLIGENT BUILDING ORIENTATION
within existing facilities to large-scale,
Inspira’s size could feel daunting without appropriate attention to the footprint and
an understanding that each project,
orientation. Array’s designers meticulously articulated the five-story, 700-foot long
regardless of size or scope, is an
building to ensure visitors see a building that is beautiful but not overwhelming.
opportunity to realize improved
Despite its formidable size, the building is welcoming.
processes, efficiencies and outcomes,
Absent the physical constraints that an urban site might have, a greenfield site must leverage its orientation properly. Inspira’s entry faces north and northeast, providing beautiful morning sun. The building rear receives plentiful, long afternoon daylight.
free-standing buildings. Guided by
Kent has earned long-term client relationships, as well as national awards for design excellence. Beyond design quality, Kent is also a champion for alternate, collaborative delivery methods such as Design-Build, Design-Assist and other Integrated Project Delivery for complex projects.
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Exterior Design Elements EXTERIOR FAÇADE PANELS Inspira’s entire exterior is panelized, allowing for significant savings in construction time. The integrated project delivery team completed the facility 30 days ahead of schedule. Wood materials featured throughout the promenade tie the interior and exterior. Working with Jersey Panel Corporation (JPC), Array designed much of the exterior skin to be prefabricated in JPC’s shop. A total of 475 prefabricated panels (125 of which were mixed finishes) were installed by an eight-person work crew, taking 54 workdays over a four-month duration. A project of this scale with panels constructed on site would have taken a 30-person crew approximately 10 months just for the 125 mixed-finish panels alone. In total, prefabrication helped save 409 construction workdays, not to mention untold savings of insurance risk for a large labor force!
NATURAL LIGHT In terms of physical health and wellness, exposure to daylight can significantly contribute to the overall health of building occupants. Studies have shown benefits including: • Improved sleep—workers who have windows sleep an average of 47 minutes more per night • Lower obesity risks—daylight exposure has been correlated with reduced BMI and enhanced self-control • Reduced blood pressure by altering levels of nitric oxide in the skin and blood • Reduced heart attack risk To provide building occupants with natural light they need, slats of glass were incorporated into the design to allow natural light to enter the public zones.
SUSTAINABILITY Daylighting can minimize the reliance on artificial lighting while helping to reduce energy consumption. Despite all of the good the improved energy codes mandate, hospitals are still energy hogs. The energy use intensity of a hospital is nearly three times that of a typical office building. The U.S. Department of Energy’s Federal Energy Management Program reports that effective daylighting can reduce lighting energy use in building interiors by up to 75%. From the outset of designing Inspira’s new Medical Center, the project was conceptualized as an instrument tuned for process efficiency, but as we progressed through the initial planning and design, we weighed the unit plan’s compactness against the environmental quality of the central core work areas and began exploring methods to balance the two.
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Compact Footprint (Baseline) Diagram No natural light in central work zones
Initially, we applied a universal planning grid overlay
OPEN NURSE WORK AREA
on a 32-bed racetrack concept to create a baseline for our analysis. While this layout may result in the lowest
EN SU CL O SP PPO SE AC R D ES T
caregiver footstep count, this exercise quickly revealed EN SU CL O SP PPO SE AC R D ES T
OPEN NURSE WORK AREA
both the atmospheric compromises and support space shortcomings that were a natural outcome of prioritizing process over the environment.
PATIENT ROOM
Corridor Extensions Diagram Minimal natural light in central core work zones
Next, we tested the effectiveness of eroding the building corners to provide windows at the corridor ends. Though we felt this was an effective solution from a compactness/efficiency and wayfinding/ corridor environment perspective, we didn’t feel it realized an equitable work environment solution, since the corner glass really didn’t penetrate far or
OPEN NURSE WORK AREA
OPEN NURSE WORK AREA
EN SU CL O SP PPO SE AC R D ES T EN SU CL O SP PPO SE AC R D ES T
wide enough into the unit to be universally effective.
Gap Diagram Maximized natural light in central core work zones plus patient respite areas with views
The solution we finally settled into integrates three “gaps” in the perimeter patient rooms. We positioned these gaps on
PATIENT ROOM
OPEN NURSE WORK AREA
along the racetrack, and we integrated a semi-decentralized
EN SU CL SP PP OSE AC OR D ES T
PATIENT RESPITE
EN SU CL SP PP OSE AC OR D ES T
PATIENT RESPITE
alternate sides of the building so that they are equally spaced
OPEN NURSE WORK AREA
team station model at these gap points. Additionally, the three team work zones span the entire central support core so that natural light penetrates all the way through the unit. Finally, we provided sufficient clearances at the gaps to allow for intimate seating groups along the floor-to-ceiling glass.
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Interior Design & Wayfinding THE AESTHETIC The facility’s interior is grounded in a modern aesthetic, and the light-filled spaced is layered with mixed materials like stone, wood, and tile that lend warmth, approachability and a home-like feel. The facility strives to marry the exterior and interior by drawing in natural elements to capitalize on surrounding views of farmland and carries elegance and grace through well-placed design elements such as the floating staircase in the grand entryway.
ENTERING THE FACILITY As visitors enter the main door, clear wayfinding directs them to the information desk and elevators. Rooms to the right of the information desk allow for private discussions around registration or finances. Stairs lead directly to surgery or maternal child health waiting areas. Grounded by the gracious curve of the lobby’s stone wall, Inspira’s grand stairway is free-floating, lending a light feel in the space. Precast treads that are visible above the stairs’ stringer follow the wall curve. A two-story, custom backlit resin panel adds visual interest as visitors move up the stairway. Behind the information desk, a nature-inspired graphic panel incorporating Inspira’s brand colors, lends a sense of tranquility to visitors. The terrazzo floor pattern sweep draws visitors to the elevators. Large windows flood the lobby with natural light, a natural stone desk and custom pendant lighting combine for an elevated aesthetic. A dimensional walnut wood wall and wood ceiling inlays balance the modern elements of the space with warmth.
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TRANQUIL WAITING AREAS FOR RESPITE When designing waiting areas, it is important to have natural division and adequate space to provide extended family members the necessary room to support each other in comfort without encroaching on others. Our team understood restrictive spaces can provoke anxiety. The waiting areas within the Hospital are bright and open providing appropriate space for wheelchair access. This is vital to creating a sense of calm and keeping all occupants as stress-free as possible. Looking toward surgery waiting, visitors waiting for results can quickly locate a patient tracking board. Open access and clear visibility to the main entrance provide brightness, positive distraction and a sense of connection. A variety of lounge seating and powered furniture ensure visitor comfort. Maternal and child health waiting features two distinct, comfortable areas. The first includes powered tables for work and a beverage station, while the second offers cozy upholstered furniture and a fireplace, lending a soft ambiance. In every patient unit, waiting areas nestled between patient rooms flood corridors with natural light. These nooks provide visitors areas of respite without having to leave the unit.
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Patient & Family Experience
PATIENT & VISITOR AMENITIES In order to provide patients and families an environment for care that is both welcoming and relaxing, the design incorporates hospitality features. The waiting areas enable choice, comfort, and rest. By including a variety of seating options, visitors can easily plug in at tables, or rest in high-back seating. This allows family who are waiting to have the experience that they choose. Hotel-like amenities not commonly seen in waiting areas such as bathrooms with showers enable family members to stay close to their loved ones, if needed, for longer periods of time. A nourishment station within each waiting area allows family members easy access to light snacks and beverages. Abundant natural light, warm, rich materials and a modern design combine to create an upscale ambiance in the Servery. A variety of stations including a grill, pizza oven and salad bar give users access to many dining options. Also included in the dining experience are a variety of seating options, hidden waste receptacles, and the ability to charge devices. Interior materials with warmth and texture, coupled with varied light levels contribute to aesthetic harmony. As users progress further in the Servery, seating and aesthetics become more formal. Diners circulate around a custom-wood banquette and screen system that provides daylight transfer and a sense of privacy. Adjustable height tables allow for handicap accessibility.
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PATIENT ROOMS In patient rooms designers centralized color and art to provide visual interest, making footwalls the focal point. A designated place for the sink basin, a commonly displaced feature in many patient rooms, firmly anchors the functional nature of the wall. Smart room technology is utilized here in the form of the television, which doubles as an information board for the patient. A safe for patient belongings is also included in the cabinet.
INTENSIVE CARE UNITS Working together with System leadership, the design team planned an ICU made up of 20 patient rooms where visibility and observation were key. Centrally-located team centers and between-room charting stations provide nurses with clear patient room sightlines through breakaway doors and view windows. Built-in PPE stations are easily accessible by staff and supplies are organized at the point of use. The unit is filled with natural daylight and patient rooms utilize advanced smart room technology including: interactive TVs; digital displays outside of each patient room; patient and asset tracking; and vital sign integration promote efficiency and enhance the patient/visitor experience. Additional room features include patient lifts, bedside charting, and a family zone complete with sleep sofa and charging station for personal devices.
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Patient & Family Experience MATERNAL CHILD UNIT To meet the Client’s needs, the planning and design team utilized the Array Lean process while working closely with user groups to determine what would help make expectant mothers feel the most relaxed during their stay. Patients are greeted by a warm and inviting waiting area at the entrance to the Unit. Each labor, delivery and recovery room include areas that conceal equipment until they are needed during delivery. Spacious light-filled Mother-Child Health (MCH) patient bathrooms are equipped with a jetted tub to soothe and assist mothers-to-be during labor and after delivery. The completed unit provides expectant mothers with all the amenities and technology needed to have a safe and personal birth experience. All rooms are private and are equipped with smart room technology and comfortable sleeping accommodations for a partner. The unit also includes two operating rooms for cesarean sections.
SPLIT FLOW & PEDIATRIC EMERGENCY DEPARTMENT The main emergency department entrance and check-in includes charging stations conveniently located throughout the waiting area, biophilic art installations, and color blocking to clearly designate different areas. Pediatric waiting, marked by the orange wall, is directly adjacent. The Pediatric Unit incorporates whimsical art, bursts of color, and patient room technology that records EMR data automatically. Angled headwalls create better access to patients. On the opposite side of the room, visitors have dedicated space for their belongings and powering their devices.
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INTERVENTIONAL SURGERY PLATFORM
Patricia Malick CHID, IIDA, EDAC, Lean Green Belt
Within the former hospital Surgery Department, separate surgery, endoscopy and catheterization lab suites included 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.
Principal & Practice Leader, Interior Design As a founding Principal of the firm, Pat has been an integral part of Array’s evolution. She has been at the forefront of advancing the role of interior design beyond the confines of applied color, pattern and texture into a more holistic
The replacement hospital’s Interventional Platform was designed to include all
approach focused on patient safety,
three services collocated and sharing staff, pre-op, recovery and PACU. The Sterile
empowerment, culture change and
Processing Department was designed to have immediate access from the semi-
improved outcomes. This approach
restricted and non-restricted areas to minimize steps and cross traffic of soiled and
maximizes the potential for an ideal
clean instruments as well as facilitate throughput.
‘patient-as-guest’ experience.
TECHNOLOGY HUB Also incorporated in the design is the “Inspira+ Bar.” This space is supported by Inspira’s IT staff. Located in the lobby, this space is easily accessible by patients and families to receive assistance with personal health technology devices and integration. The Inspira+ Bar is a place patients can be helped to access their medical records through the Inspira Care app. The technology hub also includes a store that sell wearables to monitor health stats such as heart rhythms and other vitals.
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Related Initiatives MEDICAL OFFICE BUILDING & CANCER CENTER The Array team has been working with Inspira’s leadership to determine the most beneficial disbursement of outpatient services between the existing Woodbury facility and the new Mullica Hill hospital. The first facility to fill this need is a state-of-the-art, comprehensive cancer center (developed in association with MD Anderson) and a multispecialty MOB that includes Orthopedic, Cardiology, Women’s Services, and tenant physician spaces. This facility shares a connection with the new hospital.
HOSPITAL ADDITION Inspira’s Vineland campus needed additional med/surg beds. The Array team used simulation models to test how an independent med/surg unit would impact operations at an existing organization that included all acuity-levels of care on individual bed floors. In order to satisfy the goals of optimized workflow, patient access and site expandability, the optimal solution required a complex overbuild.
AMBULATORY NETWORK STRATEGIC PLANNING Inspira is exploring the development of a system-wide health and wellness strategy as part of their population health initiatives. The impetus for this pursuit includes sociodemographic shift within their regional market and the anticipation of structural changes within the healthcare market. Using Pivotal, Array Analytics’ SaaS platform, the Array team has been working with Inspira to investigate potential asset / service deployment strategies that align with population profiles, serve community needs and create opportunities for Inspira to align services with developing consumer preferences.
SYSTEM-WIDE BEHAVIORAL HEALTH ANALYSIS
STAIR 167 SF
OFFICE 109 SF
OFFICE 149 SF
OFFICE 126 SF
PATIENT ENTRANCE
OFFICE 133 SF
D HOLD CLEAN HOLD 119 SF 2 SF
EXIST. STAIR 169 SF
SEMI-PRIVATE 209 SF
SEMI-PRIVATE 188 SF
TOILET 47 SF
SEMI-PRIVATE 211 SF
SEMI-PRIVATE 188 SF
TOILET 48 SF
TOILET 48 SF
CALMING 87 SF
ADA TOILET 60 SF
EXIST MECH 69 SF
ELEC. 29 SF
PASS-THRU WINDOW
PHONE ALCOVE
ADA TOILET 59 SF
SEMI-PRIVATE 195 SF
ELEC. 27 SF
PRIVATE 195 SF
ADA TOILET 58 SF
TOILET 48 SF
SEMI-PRIVATE 192 SF
ANTE 51 SF
TOILET 44 SF
CHARTING/TREATMENT/ PLANNING 253 SF
SECLUSION 80 SF
TEAM STATION 172 SF MED. PREP. 79 SF
SEATING ALCOVE
SEMI-PRIVATE 191 SF
TOILET 48 SF
OFFICE 138 SF
STAFF LOCKER 121 SF 36 (3) TIER LOCKERS
EVS 32 SF
PHONE ALCOVE
SEMI-PRIVATE 211 SF
EXIST. STAIR 128 SF CORRIDOR 61 SF
analysis of all existing inpatient settings and assessed their viability for behavioral health
STAFF TOILET 63 SF
CORRIDOR 336 SF
TOILET 48 SF
Recognizing the increasing need for behavioral health inpatient beds, Array performed an
OFFICE 144 SF
STAFF ENTRANCE
SOCIAL WORK OFFICE 157 SF
BUILT-IN BENCHES
CORRIDOR 760 SF
CORRIDOR 529 SF
TOILET 48 SF
CONSULT 164 SF
SALLYPORT CONSULT/VISITOR 163 SF 73 SF
STORAGE CREDENZA
SEATING ALCOVE
SEMI-PRIVATE 191 SF
OFFICE 110 SF
UNIT ENTRANCE 46 SF
STAFF LOUNGE 197 SF
use. In addition to physical plant evaluations, the analysis also contained demographic and geographic assessments, existing uses and utilization mapping, code compliance, test fits, budgeting and CON application assistance.
BEHAVIORAL HEALTH UNIT SECOND FLOOR SCHEMATIC PLAN
Scale : As indicated Project No. 6125 Date : 05/28/20
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