Inpatient Surgery ARRAY-ARCHITECTS.COM
Table of Contents
Firm Profile Ambulatory Surgery
6
Capital Health
10
Laser Spine Institute
4
16
Nemours/A.I. duPont Hospital for Children
26
Montefiore Medical Center
32
Veterans Affairs Medical Center Saint Elizabeth Healthcare St. John Medical Center UPHS Chester County Emblem Health
40
46
52
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Firm Profile The complex, changing world of healthcare requires a team of effective communicators and true collaborators. Our 35 year history of being dedicated to healthcare holds countless stories of discovering optimal solutions with our clients. 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.
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Surgical Platforms Surgical services, whether provided on the hospital campus or in a surgical center, are integral to a health system’s service lines. A robust surgical service attracts referring physicians as well as patients, and is often a patient’s first impression of the health system’s quality outside of routine physician visits.
Quote on the importance of a solid surgical platform. – someone
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Capital Health Hopewell Medical Center Pennington, New Jersey
Array Architects, in association with HKS, Inc., designed a state-of-the-art 237-bed Replacement Hospital for Capital Health. Collaborating with Anchor Health Properties (Developer and Owner’s Representative), the design team was tasked with designing a facility that elicits a “Wow, I can’t believe this is a hospital!” To achieve this goal, the new facility features a Concierge Pavilion, a Diagnostic Treatment and Support Building and a Patient Tower all connected by atriums with healing gardens. A Medical Office Building is also joined to the hospital by a two level pedestrian mall. The main hospital contains an Interventional Radiology area with four rooms plus one CT and an eight-position Stage 1 recovery area. The Interventional Radiology Department shares a 25 room prep/recovery area with surgery. Ten surgical suites, one of which is a hybrid OR, are also located in the main hospital. A 12 position PACU is adjacent to an ambulatory prep/recovery area that contains 25 private rooms with shared toilet rooms. Procedural Endoscopy with five rooms contains three endoscopy, one ERCP and one bronchoscopy room with a 10 position prep/recovery area. Oncology Infusion programs are vertically connected by the lobby atrium and pedestrian mall. The infusion bays have access to and views of a roof garden developed over the Cancer Center’s first floor with a coffee bar adjacent to the roof garden. An additional second floor function accessed from the mall is a four-OR ambulatory surgery suite. Waiting Photography: Blake Marvin/HKS, Inc.
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Capital Health Hopewell Medical Center
Collaborators: AKF Engineers Anchor Health Properties HKS, Inc. O’Donnell & Naccarato Skanska Target Building Construction The Lighting Practice Wells Appel
Top Left: Surgical Waiting Top Middle: Endoscopy Recovery Bottom: Main Entrance / Conceirge Photography: Blake Marvin/HKS, Inc.
“You present the latest in industry forethoughts and assist clients in considering not only the present needs, but future possibilities as well.” - William Keefer Director, Property & Project Management, Capital Health
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Project Name City, ST
Project Blurb
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to view our thought leadership on Ambulatory Surgical Centers Assessments Exterior / Front Entrance Photography: Scott Pease
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Top Left: Prep/Recovery Bay Middle: Operating Suite Bottom: Main Lobby & Waiting Photography: Scott Pease
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Laser Spine Institute Ambulatory Surgery Center Cincinnati, OH The Laser Spine Institute (LSI) is opening an Ambulatory Surgical Center in Cincinnati, Ohio. LSI provides services to high net-worth individuals, with an intense five-day hospitality-like environment that includes initial screening, surgery, post-surgical physical therapy, and body reconditioning for spinal correction and lower back pain relief. Attracting the clientele of this facility requires the level of finish and number of amenities offered to rival those of fivestar resorts. In addition to provisions for patients, amenities are provided for their companions during the week-long process. Personalized work areas with internet access and conference facilities, fine dining, personalized television and relaxation rooms, and a concierge service are included in the program.
Nurse Stations Photography: Scott Pease
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Planning & Design
“After having the privilege of working with heroes who cure, treat and receive care in our healthcare environments, I will never underestimate the importance of creating uplifting, inspiring spaces.�
Lisa N. Lipschutz, AIA, ACHA, EDAC, Lean Green Belt Principal and Senior Planner
Top Left: Cafe / Dining Top Middle: Prep/Recovery Bay Top Right: Nurse Stations Bottom Left: Reception Bottom Right: Waiting Photography: Scott Pease
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Nemours / Alfred I. duPont Hospital for Children Multi-Specialty Outpatient Center Deptford, New Jersey When this national children’s hospital decided to move into a new market, they needed move quickly. As with all ambulatory projects in today’s competitive environment, being first to market with the right product at the right cost is critical. Patient and Family focused design in the context of maximum efficiency is the hallmark of the final Ambulatory project and was achieved through a rigorous process to define target outcomes and then test solutions. Current and Future State process mapping, Data Collection, Visual Programming, Experience Mapping and Continuous Stakeholder Engagement are cornerstone tools used to ensure the right space was built at the right size at the right time. With the rapid evolution of care and reimbursement models and the uncertainty of the future, a flexible and adaptable platform was created to be viable today and tomorrow.
Waiting Rendering: Array Architects
Waiting Renderings: Array Architects
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Nemours / Alfred I. duPont Hospital for Children Multi-Disciplinary Outpatient Center
Top Left: Exterior Bottom Left: Playground Below Center: Patient Room Top Right: Children’s Area Photography: Halkin Mason Photography
Shifting the paradigm to create a new, integrated multi-specialty outpatient center. Array’s Process-led design approach rapidly defined and designed a new, fully integrated multi-specialty outpatient center that features flexible provider clinics, physical therapy, diagnostic imaging, wellness, and ambulatory surgery. Our approach, using Lean as a foundation, allowed Nemours to work through complex questions about integration, resource deployment, and business/revenue implications while studying physical configurations and cost structures to support them. All of this was achieved without sacrificing commitment to capital budget objectives as well as schedule. Patient and Family focused design in the context of maximum efficiency is the hallmark of the final project and was achieved through a rigorous process to define target outcomes and then test solutions. Current and Future State process mapping, Data Collection, Visual Programming, Experience Mapping, and Continuous Stakeholder Engagement are cornerstone tools used to ensure Nemours built the right space at the right size at the right time. Staffing efficiencies, provider load, throughput, and technology were integrated into the architecture process. With the rapid evolution of care and reimbursement models and the uncertainty of the future, a flexible and adaptable platform was created to be viable today and tomorrow.
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Montefiore Medical Center Ambulatory Surgery Center Bronx, New York
Montefiore Medical Center selected Array to consolidate ambulatory services from three campuses and outpatient clinics into a new state-of-the-art Ambulatory Tower that would become the benchmark for their expanding Ambulatory Care services. Array provided planning and design services for a new 12-story Ambulatory Surgical Center on a site that received prior zoning approval for a hotel. To avoid obtaining a variance, which would result in significant cost and delays, the footprint and setbacks could not be altered. Array developed a unique design solution incorporating dedicated elevators for staff and materials within the operating suites and support areas. Although the 12 ORs and four procedure rooms (sized to become additional ORs if needed) are split between three floors, simulation modeling showed that the dedicated elevators facilitated patient flow and reduced room turnaround time.
Opposite: Exterior Canopy Photography: Halkin Mason Photography
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Patient Experience
“Some of life’s most poignant moments, from childbirth to a cancer diagnosis, occur in the spaces we design. Ultimately, these spaces are about people and supporting them in a quiet, beautiful way.”
Laura Morris, AAHID, LEED AP BD+C, IIDA, Lean Green Belt Interior Design Director
Collaborators: BR+A Engineers Reuther + Bowen Shen Milsom Wilke, LLC Newman Design Cauldwell Wingate Jones Lang LaSalle Top Left: Waiting Area Middle: Prep/Recovery Bay Right: Operating Suite Bottom: Main Lobby & Waiting Rendering: Halkin Mason Photography
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Top Left: Elevator Lobby Middle: Pre-Op / PACU Bottom: Exam Room Opposite: Team Center Photography: Halkin Mason Photography
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Veterans Affairs Medical Center Outpatient Center Greenville, NC Collaborating with Gilbane on this lease-back project for the Federal government, sustainability is incorporated into the design as a means to improve the overall building environment and performance while respecting the construction project budget. Outpatient services include Day Surgery, Imaging, Physical Therapy, Pharmacy & Laboratory and Dental Clinics. Other sustainable and LEED compliant features in the building have overall benefits to the environment including pollution and landfill reduction, optimized energy consumption, water use reduction, and recycled and regional materials use. Innovative design features include mercury elimination, low emitting furnishings, green cleaning practices and green education programs. This facility has received its LEED Silver certification. Interior finishes reflect the facility’s mission and patient profile, using evidence-based design metrics to develop a supportive interior environment that is conducive to healing the body & mind, promotes staff productivity & performance, expresses high quality design and is respectful of public monies. Information on needs and the patient population profile, including mental health requirements, gathered at user group meetings were used to inform the design direction and selection of finishes during the design process.
Front Entrance Photography: Jeffrey Totaro
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Top Left: Nurse Station / Prep & Recovery
Collaborators:
Above: Operating Suite
BBH Design
Top Right: Exterior
Dewberry Gilbane Building Company
Bottom Left: Check-In
Gilbane Development Company
Bottom Center: Waiting
Rivers & Associates
Bottom Right: Cafe
Rolf Jensen & Associates
Photography: Jeffrey Totaro
Terracon
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St. Elizabeth Healthcare Ambulatory & Urgent Care Center Covington, KY Following a merger/acquisition of two hospitals located in the Cincinnati metropolitan area, St. Elizabeth Healthcare recognized a need for a new Ambulatory Care Center to serve as a ‘Gateway for Health’ to increase its profile in the Cincinnati metropolitan area’s growing market. Array sited this new, three-story, 120,000 SF Ambulatory Care Center facing a major interstate to increase public awareness. A “Main Street” circulation design provides convenient access to all services including central registration and reception, community conference zones, bistro, gift shop and patient education center. This amenityladen spine follows the length of the building with access to Imaging and Lab Services and the 10,000 SF Urgent Care Center. The Urgent Care Center promotes an optimal patient experience with a focus on convenience. Patients are warmly greeted, then invited to use the latest technology for registration. Retail amenities ensure patients and visitors have an engaging, positive experience. Exterior landscaped views and an intimate reflection garden, beautiful artwork and rich colors and textures serve as orienting devices for both patients and staff. Second and third floors house physician offices, Dialysis and Diabetes Center for primary and specialty care.
Exterior Photography: J. Miles Wolf
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St. Elizabeth Healthcare Ambulatory Care Center The Ambulatory and Urgent Care Center provides services to this growing area of northern Kentucky. The facility promotes an outpatient experience where the patient can be scheduled more conveniently and treated quickly in a more patient-centric clinical environment. The building was strategically located on a major interstate that fronts the site and has direct access to the facility. Ambulatory Care services are located on the first floor for public access and cross utilization of staff. The “Main Street� facilitates clear circulation to all services.
Collaborators: Anchor Health Properties Champlin Architects Health Strategies & Solutions KLH Engineers Messer Construction THP Limited
Top Left: Private Gowning Bottom Left: Main Street Corridor Top Right: Patient Registration Bottom Right: MRI Photography: J. Miles Wolf
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Technical Development
“I find the practice of healthcare architecture truly motivating; the study and development of the relationship between the architectural setting and patient experience allows us to have a quantifiable impact on the patients’ well-being.” Tim Nichols, CDT Practice Leader, Architecture
St. Elizabeth Healthcare Ambulatory, Surgery and Urgent Care Center Dearborn, IN The System’s expansion into Indiana begins with an 75,000 SF MOB and Ambulatory Surgery Center which will house imaging, physician offices, specialty clinics as well as an after-hours Urgent Care Clinic. Specialties such as orthopedics, cardiology, nephrology and women’s services are included in the early planning by the St. Elizabeth Physician Group. “St. Elizabeth Physicians is excited about this opportunity to enhance the services provided to our patients living and working in Southeastern Indiana and Southwestern Ohio,” Jacob Bast, chief operating officer of the physician group, told The Cincinnati Business Courier. “The expanded services and additional access to primary care will further support our commitment to connected and coordinated care.”
Exterior Rendering: Array Architects
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St. John Medical Center Patient Services & Surgery Addition Westlake, Ohio As a result of St. John’s Strategic Facility Master Plan, it was determined that key Medical Center services were in need of expansion and modernization to support the quantitative demand and qualitative vision for the future. In addition to investment aimed at accommodating projected inpatient demand and improving the patient experience for all services on campus, surgery lacked capacity and space to meet future volumes. Array worked with the Medical Center and a team of consultants to develop the Master Plan into an Implementation Plan; including development of floor plans and detailed project budgeting. Array prepared and reviewed with user groups “test-fit” floor plans for a new Outpatient Entrance with first floor outpatient functions and a dedicated elevator leading up to Same Day Surgery Center, located in existing shelled space. In addition to enhanced family waiting and amenities, the new layout provides three-walled patient Prep/Recovery positions to address desired patient privacy while supporting staff workflow and efficiencies. Additional new construction provides a first floor Clinical Decision Unit adjacent to the Emergency Department, and provides valuable second floor space for a new PACU and Endoscopy Unit; adjacent to the new Prep/Recovery Unit. Extraction of these services from the existing Surgery Suite space provides space for the addition of four new Operating Rooms, expanded support and storage and improved provider facilities.
Operating Suite Photography: Kevin Reeves
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Collaborators: Barber & Hoffman Donley’s MCM Company Osborn Engineering Company Sandhu & Associates Thorson Baker & Associates Van Auken Akin ArchitectsPinterest
Left: Lobby Top Center: Recovery / Prep Top Right: Nurse Station Bottom Right: Exterior Photography: Scott Pease & Kevin Reeves
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UPHS Chester County Hospital Ambulatory Care Center Jennersville, Pennsylvania In conjunction with Anchor Health Properties, University of Pennsylvania Health System and Chester County Hospital , Array has designed a 70,000 SF ambulatory care facility 15 miles from the main Chester County Hospital campus. The design features a “Main Street� service line access corridor for a patient friendly circulation system. First floor services include Imaging (MRI, CT, Mammography, Ultrasound and Radiology), Physical Therapy, Blood Lab, primary and specialty care clinics. Second floor services include an Eye Clinic and leasable space. The site promotes health and wellness through an integrated plan that includes healing gardens around the perimeter of the center, a wellness path and rest areas. The wellness path loops through open spaces to the east of the building and around the wooded wetland areas and storm water management basin and incorporates rest areas with parkbench seating. Anchor Health Properties, Chester County Hospital and Array held an extensive visioning session and visited local gardens and farms to gain inspiration for the landscape surrounding the ambulatory care center. To encourage patients to use the facility to its fullest potential, a full-service bistro is included at the main entrance. This allows a restful place for a break, with inside and outdoor seating, making multiple visits in one trip easier for the whole family. Several different waiting areas allow families comfortable spaces to congregate.
Main Entrance Photography: Jeffrey Totaro
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Emblem Health New York, New York A full-block in bustling Brooklyn is becoming the centerpoint of ambulatory healthcare as Array collaborates with this client on a signature building complete with off-street parking, ground floor retail and several floors of ambulatory medicine.
Collaborators: Cauldwell Wingate Cerami Associates Cosentini Dewberry FNA Associates HDLC Metropolis Ruether + Bowen Thornton Tomasetti Timothy Haas VD Associates
Top: Entrance Bottom: Infusion Renderings: Hans Weber
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Boca Raton / Boston / Columbus / New York City / Philadelphia / Washington