Empathy and Artwork Design Book by Array Architects

The Healing Power of Art ARRAY-ARCHITECTS.COM

Table of Contents

Firm Profile Overview

UH Seidman Cancer Center 12 UH Rainbow Babies & Children’s Hospital

UH Ahuja Medical Center 26 Capital Health Medical Center Hopewell

St. Elizabeth Healthcare

Firm Profile We are a team of architects and designers with unique backgrounds, but we all have one thing in common – we share a strong desire to use our expertise and knowledge to design solutions that will help people in moments that matter most.

This focus makes us leaders in our field. We are always ranked amongst the highest ranking healthcare-only practice in Modern Healthcare’s design firm rankings.

Architecture is about relationships. Relationships with spaces, objects and most importantly – people. The complex, changing world of healthcare requires a team of effective communicators and true collaborators. Our 30 year history of being dedicated to healthcare holds countless stories of discovering optimal solutions with our clients.

Environments have to set our expectatio spirits, and inspire h Waiting Area Photography: Kevin G. Reeves

e the power ons, lift our hope.

The design of the interior environment can positively affect the expectations of patients and their loved ones. To inspire confidence and reduce stress, the environments must be in-sync with an organization’s reputation, mission and core values. A well-conceived environment will positively influence employee service, attitudes and behaviors. Colors, textures, patterns, artwork and graphics must be carefully selected, well coordinated and integrated into the overall design to resonate with patients, families and staff.

The Healing Power of Art ADVANCING CULTURAL PROGRAMMING IN HEALTHCARE The National Endowment for the Arts (NEA) and the Society for Arts In Healthcare brought together 40 experts in medicine, the arts, social services, media, business, and government to develop a strategic plan for advancing cultural programming in healthcare. The strategic plan aimed to help advocate raises awareness of the benefits of arts in healthcare, better document and disseminate research demonstrating its value, move toward a national funding base, and develop adequate training to educate and train healthcare workers, administrators and planners. From their initial study conducted in 2004 and through subsequent updates, increasing numbers of clinicians and other professionals from the medical community are working side by side with designers and arts professionals in both healthcare and community settings, and around the world the arts are emerging as an important and integral component of healthcare. In two recent surveys, nearly half of the healthcare institutions in the United States reported having arts in healthcare programming. The majority of these programs are in hospitals, with smaller percentages reported in long-term care and hospice/palliative care organizations.

Click here

to view our thought leadership on healing environments

IMPROVING THE PATIENT’S OVERALL QUALITY OF LIFE Research demonstrates the benefits of the arts in healthcare in hospitals, nursing homes, senior centers, hospices, and other locations within the community. Arts in healthcare programs and creative arts therapies have been applied to a vast array of health issues—from post-traumatic stress disorder to autism, mental health, chronic illnesses, Alzheimer’s and dementia, neurological disorders and brain injuries, premature infants, and physical disabilities—to improve patients’ overall health outcomes, treatment compliance, and quality of life. New evidence is emerging that demonstrates that these programs also have an economic benefit. Data show that such programs result in patients requiring shorter hospital stays, less medication, and having fewer complications—all of which translates to a reduction in healthcare costs. However, much of the research focused on the economic benefits of arts in healthcare is anecdote rich and data poor. It is hoped that future analysis of the economic benefits of arts in healthcare programs will advance policy conversations about using the arts to simultaneously reduce health costs and raise the quality of care.

Cafeteria Photography: Scott Pease

With a practice focused exclusively on healthcare design, Array Architects has observed first hand how the power of art can heal and inspire both patients and caregivers. Additionally, there is a rich and growing body of research connecting arts in healthcare programs to improved quality of care for patients, their families, and even medical staff. Studies have proven that integrating the arts into healthcare settings helps to cultivate a healing environment, support the physical, mental, and emotional recovery of patients, communicate health and recovery information, and foster a positive environment for caregivers that reduces stress and improves workplace satisfaction and employee retention. (1) (1)

The Society for Arts in Healthcare Field Reports

University Hospitals Seidman Cancer Center Cleveland, OH

TO HEAL, TO TEACH, TO DISCOVER The UH Art Collection was created in 1988 to advance University Hospitals’ mission: To Heal, To Teach, To Discover. It is hoped that the presence of art will calm, uplift and delight patients, visitors and employees. The System’s mission came to the forefront during the art selection process for their new Seidman Cancer Center. University Hospitals Seidman Cancer Center is one of only 12 freestanding cancer hospitals that are part of a National Cancer Institute-designated Comprehensive Cancer Center. The 375,000 SF, nine-story, 120-bed cancer center, located on University Hospitals’ Case Medical Center Campus, was designed using evidence-based design principles and input from caregivers, patients and clinicians. The planning for Seidman Cancer Center began two years prior to construction beginning and actively engaged caregivers, patients and their families in the process. Patient and family members shared their perspectives through questionnaires, focus group sessions and by touring mock-up rooms. Their feedback was directly responsible for several design elements.

This installation, by Marc Golub, entitled “Cancer Speaks” captures the cancer journey, produced within The Gathering Place, of Seidman patients. Click here to view more work from Marc Golub. Photography: Kevin G. Reeves

The radiation oncology department is located in the sub-basement due to equipment shielding requirements. The water feature in the waiting area reflects light from skylights and provides a soothing backdrop for patients and their families.

This installation, by Gary Bukovnik, entitled “May Amaryllis, Calla Lilly, Iris” is located inside the radiation oncology department and provides a bright and uplifting glimpse of nature for patients.

This installation, by Woods Davy, entitled “Catamar 1114-10” is located in the main elevator lobby and provides a focal point for meditation in a space that is often overlooked when planning art installations. Photography: Kevin G. Reeves

This waiting area, adjacent to the Outpatient Service entrance, features a seating area designed to offer a place of quiet and respite. To the left, you can see the 4-story mobile by Brad Howe entitled “Sea Rhythm.”

Array’s Practice Area Leader for Interior Design, Patricia

to engage in a very real and personal way and to

D. Malick, AAHID, EDAC, Lean Green Belt and University

stimulate imagination, escape and even whimsy. This

Hospitals Art Curator Trudy Wiesenberger, met with

collection resulted in 325 original pieces of art featuring

patient and community focus groups to explore

local, national and international artists of renown.

imagery which resonated with them. The power of art was embraced as a positive distraction to lift spirits,

“The variety of media is intended to provide warmth,

calm, and inspire hope. Selected imagery and various

texture and depth to the healing environment,”

art mediums represent the enduring qualities of nature,

Wiesenberger explained. “We strive to make the hospital

the meditative qualities of water, and peace and

a welcoming place. The art at University Hospitals is

serenity.

meant to engage the head and the heart, the body and the brain.”

Much of the art in the building carries nature themes, consistent with patient input and with the hospital’s intention to focus on the healing qualities of nature. Original, abstract art was also carefully selected and placed to provide opportunities for patients and visitors

Healing Environments

Environments have the power to set our expectations, lift our spirits and inspire hope. This is what motivates me to create spaces which mitigate the challenges faced by all who enter a healthcare facility.

Patricia D. Malick, AAHID, EDAC, Lean Green Belt

Principal and Practice Area Leader, Interior Design

Visitors are greeted at the reception area by a beautiful collage by Therman Statom entitled “Nueva Historias (New Histories)”

Photography: Kevin G. Reeves

By placing artwork of similar shape and size behind reception areas, it provides both a positive distraction for patients as well as offers landmarking and wayfinding assistance.

Click here to view more work from Virginia Burt. Rock Garden Entrance Photography: Kevin Reeves

Photography: Kevin G. Reeves

Healing Gardens CREATE A SANCTUARY Noted landscape architect Virginia Burt used nature and art to connect patients with the healing power of nature. The Schneider Healing Garden, adjacent to the Seidman Cancer Hospital, offers a place of respite, rejuvenating and restfulness. This intricate granite labyrinth is 11 circuit Chartres pattern and is made of 955 pieces of hand-cut stone, is the garden’s centerpiece and is designed for walking meditation.

It has been proven that walking a labyrinth at any age can lower a person’s heart rate and blood pressure.

The Healing Garden features a water fountain that features a lighting sequence that reflects the seven chakras.

Photography: Kevin G. Reeves

The 13,000 SF garden features sculptures, sloping walkways and more than 75 plant species. The garden focuses on the four elements of Earth, Wind, Fire and Water through various rock walls, sculptures and artwork installations. A snowmelt system keeps the pattern free of ice and snow, ensuring year-round accessibility.

Click here

to view our thought leadership on ecotherapy

University Hospitals Rainbow Babies & Children’s Hospital Cleveland, OH

QUENTIN & ELIZABETH ALEXANDER NEONATAL INTENSIVE CARE UNIT Consistently ranked among the nation’s top pediatric hospitals, Rainbow Babies and Children’s Hospital is renowned for its Neonatal intensive care program. To address the capacity demands as well as provide a model of care infused with the latest in evidence-based design and family-centered care, University Hospitals, engaged Array to provide programming, planning, peer review and interior design & wayfinding services to work in tandem with Parkin Architects, Ltd. for a replacement unit. To fulfill the concept, a bridge spanning an interior courtyard was designed to connect the fourth floor public elevator lobbies of an 11 story hospital tower to the new Neonatal Intensive Care Unit lobby. Working with curator Trudy Weisenberger, the bridge provided an opportunity to create an art gallery with high and low art niches which delight family members of all ages.

The bridge was designed to create a distinct ‘front door’ and create an engaging area of respite away from the bedside, where families can walk, make phone calls and experience the art.

Photography: Scott Pease

CONNECTING HEALING WITH ART At the midway point of the bridge a large window seat was incorporated which overlooks the courtyard which includes a whimsical sculpture garden. During the day, sun filters through colored glass panels casting interesting shapes and shadows.

SHARE Featured Projects - Art Array uses Pinterest as a great collaborative tool that allows us to pin ideas and thoughts in one online location. Click the image above to check out our inspiration boards for our featured projects.

Art niches engage parents and siblings at a variety of heights. At night, families are delighted by a constellation of LED starlight elements.

Photography: Scott Pease

Ahuja Medical Center University Hospitals Beachwood, OH

HIGH-QUALITY

The glass sculpture entitled “TRUST” positioned in the visitor elevator lobby conveys a powerful message.

The art collection installed at UH Ahuja Medical Center, the

Photography: Scott Pease

System’s newest community hospital, caught the interest of the International Academy for Design and Health who awarded the hospital a High Commendation in the category of Use of Art in the Patient Environment. Array’s Interior Design Practice Leader, Patricia D. Malick, AAHID, EDAC and UH Art Curator, Trudy Wiesenberger, worked in tandem throughout the design process to ensure that the material selections, lighting and art selections were well-integrated, aesthetically appropriate, properly scaled, and would represent established and emerging, local, national and international artists through mixed media. The interior architecture, finish materials and artwork marry beautifully and the result is an eclectic, sophisticated, high-quality collection that visitors describe as a “fine, small art museum”. Wiesenberger, now retired and who had previously worked as an instructor at the Cleveland Museum of Art, joined the hospital system and put together a patient-friendly collection that today includes roughly 2,000 pieces. Wiesenberger designed the collection to provoke thought and curiosity, to encourage reflection, to delight, uplift and comfort. Artwork is in virtually all the patient and exam and consultation rooms. The hospital’s collection includes not only paintings and prints, but ceramics, textiles and metal, wood and glass sculptures. Sometimes Wiesenberger commissions art for specific locations. In other instances, “good posters” picturing fine art pieces suffice. Click here to learn more about Trudy Wiesenberger’s collections.

Patient Experience

Some of life’s most poignant moments- from childbirth to a cancer diagnosis- occur in the spaces we design. These spaces support people in a quiet and beautiful way. Stephanie Story, CHID Interior Design Director

This experience begins in the lobby, where visitors take in from all angles the serenity of Chimney Vase, a glass sculpture by Brent Kee Young, glass artist and Cleveland Institute Art Professor. Click here to view more work from Brent Kee Young.

ENGAGEMENT The placement of art, in focal areas, patient spaces and staff support zones, was carefully conceived. Works range from lithographs, photography, hand blown glass, ceramics, to paintings. The 250 original works of art acquired or commissioned for Ahuja Medical Center followed a series of “guiding principles” which included criteria that work should be responsive to the community and of a healing nature. For everyone who spends time at Ahuja Medical Center or any of the University Hospitals – patients, visitors, caregivers and staff – the art collection is designed to uplift, comfort and calm, to provoke thought and curiosity, to encourage reflection, to delight in the moment, and to inspire confidence and hope. Didactics play an important role in the Ahuja Medical Center collection. Alongside each original work of art, there is a descriptive label that informs the patients, visitors and employees about the artist, the technique, the intention.

A self-guided tour booklet is available, so patients and families can take time to engage with each piece and gain an even deeper understanding of the artist’s vision.

A series of Art Glass pieces from UH’s permanent collection are strategically placed on pedestals along a connecting concourse.

Ahuja was recognized for its innovation in Patient Quality of Life because it created many therapeutic indoor and outdoor areas for patients and staff. Respite areas including a meditation space with beautiful wood sculpture by Norbert Koehn. The Bikur Cholim room is an adjacent meditative space respectful of the Orthodox community needs.

Clinical areas also feature artwork, placed to provide interest and positive distractions for caregivers.

Photography: Scott Pease

The two story dining area creates a sense of awe through a major installation imagined by Trudy Weisenberger. She spearheaded the commission by Dale Chihuly, featuring a 36’ wide site-specific hand-blown glass installation called “Ahuja Azure, Citron and Amber Persian Wall,” comprised of 112 Persian glass elements attached to stainless steel armatures. It was gifted by generous friends of University Hospitals. Photography: Scott Pease

Special attention was given to sourcing local artists on the Inpatient floors. Cleveland native Jeffrey Biggar’s photography series can be found in one such patient corridor; familiar imagery resonates with patients. Artwork was used to help with landmarking and wayfinding on the inpatient floors.

Selecting vibrant colors in sync with the inherent energy of an active Emergency Department provide a strong backdrop for beautiful imagery that can afford a welcome relief from stress. Photography: Scott Pease

Capital Health Hopewell Greenfield Hospital Pennington, NJ

WOW, I CAN’T BELIEVE IT’S A HOSPITAL For this six-story, 570,000 SF new hospital with an integrated 330,000 SF Medical Office Building, the Hospital’s Steering Committee tasked Array with creating an environment where patients and visitors would exclaim: “Wow, I can’t believe it’s a hospital.” The design needed to be welcoming, provide a personal experience unlike any other hospital, and support the delivery of exceptional care. Focus groups provided different perspectives on every aspect of the design: from patient experience (amenities, menu, toiletries, visitation, etc.) to safety and infection control and then we translated the information gathered into our design.

Color-cued elevator banks help visitors identify inpatient and outpatient wings of the hospital while custom sculptures themed for each floor enhance in navigation between floors. Collaborators: HKS, Inc. Lin Swensson Stacy Kent

Photography: Blake Marvin / HKS, Inc.

The hospital features a dedicated pediatric ED with its own waiting area. Tom Montanari, a local artist, was commissioned to paint scenes of local fields and hot air balloons soaring two stories high.

Photography: Blake Marvin / HKS, Inc.

Reflecting on their proximity to the Delaware River and Trenton, NJ, the artist, Colleen Attara creates fantastical scenes with local inspiration.

As you approach the Pediatric unit, a large interactive waiting area entertains children with wall murals made of recycled resin, shaped and painted to create a whimsical threedimensional scene.

‘OF THE COMMUNITY’ A strong element to the healing environment theme was art. For the interior spaces, Array worked in tandem with Lin Swensson, the project art consultant specializing in healthcare and Kent Design, a firm specializing in environmental graphics, signage, wayfinding and visual communications to develop a call-to-artists to support Capital Health’s philosophy that the art should be ‘of the community.’ Lin Swensson worked with local artists and Judith Brodsky at Rutgers University’s Brodsky Center for Innovative Editions (where the printmaking also occurred), to ensure locally sourced works of art. More than 800 permanent pieces are on display at the Hopewell campus, with rotating exhibits adding new works throughout the year. Stacy Kent led the heritage recognition installations which included large murals depicting the hospital’s bucolic setting, rich history, strong ties to the community; artifacts made up a special part of each installation.

STRONG LOCAL CONNECTIONS Lin’s indoor and outdoor installations also included works from the Sculpture Foundation, a local organization with a public sculpture garden, to offer their artists additional open space for their masterpieces to be displayed for the public to enjoy.

WATCH State of the Arts Click the video above to watch a PBS special of how Lin Swensson, art consultant for Capital Health, put the art collections together to create a healing experience.

A dramatic two-story mural by artist Don Gensler, this wall emphasizes the founding and transformation of the medical center and the power of art in healing.

In addition to the permanent art installations, a gallery adjacent to the four story atrium features rotating exhibitions by local artists.

Click here to read more on the collection at Capital Health.

In addition to artwork commissioned specifically for the new hospital, world-renowned architect, Michael Graves, a Princeton, NJ resident, created a series of one-of-a-kind paintings and designed a pergola installation on hospital grounds.

Photography: Blake Marvin / HKS, Inc.

This wall, created from local stone and custom designed clay mosaics by Linda LaStella, celebrates the community and the System’s two campuses near the Delaware River.

Recognizing the importance of philanthropy, this history wall with mural by David Guinn, celebrates Capital Health’s history of philanthropy as well as their outreach programs in the community.

This history wall, themed “Compassion,” is located outside the Birthing Center. It focuses on the continual thread of compassion at Capital Health in the history of the nursing and education in maternity and infant care. Artifacts from the maternity wing at the original campus are highlighted within a mural painted by Meg Saligman.

While a new Greenfield hospital, Capital Health wanted to capture their history in the region and worked with Kent Design to commission local artists to submit ideas for mural installations designed around five main themes, Community, Compassion, Generosity, Growth & Inspiration. The mural art for each history wall was created by a different artist. This wall, with mural painted by Illia Barger, themed “Growth,” features articles and surgical instruments from the original hospital located in Trenton, NJ.

Photography: Blake Marvin / HKS, Inc.

Illuminated ceilings featuring nature scenes add dimension and positive distraction to the diagnostic areas of the hospital.

PATIENT EXPERIENCE Using best practice design principles, all rooms are same-handed and have inboard patient bathrooms located on the patient headwall helping improve patient safety accessing the bathroom while maximizing the window area. The large exterior windows provide scenic views and optimize natural light. To promote a calming, therapeutic environment, the hospital features bright, airy common areas, healing gardens, rooftop gardens, a water wall and outdoor walkways.

As part of the community effort, students in the print making class at Rutgers University were commissioned to create limited edition prints for each patient room. The theme of each print is tied in some way to the unit it is installed in. The butterfly in the image above is installed in the Pediatric unit.

St. Elizabeth Healthcare Re-branding Across Campuses Covington, KY - Florence, KY - Fort Thomas, KY

ESTABLISHING BRAND Array Architects was retained by St. Elizabeth Healthcare to develop a master plan and implement upgrades at facilities throughout their system. Following a merger/acquisition of two hospitals located in the Cincinnati metropolitan area, St. Elizabeth Healthcare needed to establish a strong branding effort to unite the two systems. A major effort was started to support their mission statement to “provide comprehensive and compassionate care that improves the health of the people [they] serve.” Array Architects worked collaboratively with St Elizabeth Healthcare, Anchor Health Properties and Debbie Fredette from The Art Company to establish a design aesthetic for all of the campuses that would provide an optimal patient and staff experience. The goal is to create a warm, welcoming environment with the latest in technology advances. The design of the renovated spaces allowed for larger pieces of art with a less is more approach. The art is impactful and an important part of the new design aesthetic. It creates a unifying look throughout all of the facilities while maintaining each of the facilities’ individual preferences.

Ft. Thomas Main Street: Continuity of artwork style and colors helps to extend the hospital’s brand throughout the campuses.

Photography: Scott Pease

Ft. Thomas Main Street: Florence Outpatient Entrance: Colorful artwork enhances the experience in the Outpatient Waiting area.

Photography: Scott Pease

A collaborative effort and partnership of the design team and art consultant results in a cohesive and complementary installation across campuses.

Ft. Thomas Oncology Center for Excellence: Artwork is also placed in the clinical areas and offers a positive distraction for patients and caregivers.

Ft. Thomas Main Street: A family waiting room adjacent to Pre and Post Op features a seating area designed to offer a place of quiet and respite.

UNIFY CAMPUSES THROUGH ART St. Elizabeth’s Ft. Thomas campus maintains its community

a diverse sprawling community with many young families.

feel with art that evokes gardens. It also has art that, while

The scale of this facility allowed us to use larger pieces of art.

contemporary, is more representational, which resonates

The large atrium entry is the perfect setting for a suspended

with the community. Upon entering the facility, the pair

sculpture. The shapes within the sculpture are mirrored in the

of canvas paintings creates a sophisticated feeling. They

painting in the waiting area. The clean lines and uncluttered

are original paintings by a noted local artist. The Oncology

appearance at the entry is continued throughout the facility

Center of Excellence combines the state-of-the-art in

with waiting areas given a bold punch of color on the walls

equipment and care with the comforts of home.

and a complementary art treatment that enhances the space.

The art provides a splash of color and welcome relief for the

Equally thoughtful consideration is required whether the

patient. The waiting area art is calm and serene with the Asian

space is a public or clinical zone to balance the right amount

inspired gardens that work well with the salt-water aquarium.

of color and abstraction to add the level of sophistication needed to unify the campuses.

The community served by St Elizabeth’s Florence campus is

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