Healthcare Design — Cancer Centers CMTA Project Experience
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About CMTA
CMTA is a multi-specialty firm that focuses on building systems engineering – designing cost-effective, energy-efficient, highperformance buildings. We function as a trusted partner and guide for the owner and design team bringing energy reduction, decarbonization, and health and wellness goals to fruition. As CMTA strives to improve the built environment, we also invent products, set national goals, and work to transform the market to improve results for everyone. We define our innovative approach to engineering as Building Science Leadership. We are data-driven and results-proven. Over the last 20 years, we have collected utility data on our projects, which enables us to continually improve our approach. This database means we design from verified information and not engineering theories, as well as understand how to make these buildings a reality without extra first costs.
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National Leader in Energy Efficient Design
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Local + National Healthcare Effective engineering services in healthcare is a passion of ours, and it shows in the care and attention to detail we put into every project. Whether it’s a small clinic or large hospital, specialized expertise must be a top priority across the design team. The mechanical, electrical, and plumbing systems are critical elements to these buildings. We understand special attention must be given to the design regarding infection control, equipment functionality, illumination levels, indoor air quality, and comfort levels for patients, visitors, and staff. We bring our energy efficient focus to healthcare design and work with our hospital clients to improve their energy efficiency and reduce maintenance and operations costs.
300M SF
Healthcare Design
$24B
Construction Value
Our Expertise • Ambulatory Care
Centers • Cancer Treatment
Centers • Central Plants
• Behavioral Health
• Laboratories
• Cardiac Cath Labs
• Long-Term Care
• Central Sterile
• Medical Office
• ED Additions /
Buildings
Renovations
• Endoscopy Centers
• MRI & Imaging Centers
• Operating Rooms
• Heart Centers
• Nursing Units
• Proton Beam Therapy
• ICUs
• Pharmacies (USP 800)
• LDRs
• Radiopharmaceutical
• Gero Psych 4
• Hybrid ORs
Facilities
Centers • Technology / Security • NICUs
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Complex Healthcare Design For more than 50 years, we have provided services for some of the nation’s largest and complex medical campuses. We understand the impact that design decisions and construction processes can have on care delivery, and are acutely familiar with the maze of regulations and standards that affect design and construction.
Select Project Experience Baptist Health Lexington Lexington, KY • 450,000 SF Patient Tower Addition • 900,000 SF Renovation • 500,000 SF Parking Garage • New Central Utility Plant Cape Cod Hospital Hyannis, MA • New 190,000 SF High-Rise Clinical Building with 2 Linear Accelerators • New Central Plant Baptist Health Hardin Elizabethtown, KY • 950,000 SF Campus Expansion • Replacement of Central Plant St. Elizabeth Cancer Care Center Edgewood, KY • 582,000 SF Replacement Facility
Altru Health System, Hospital Expansion Grand Forks, ND • New 500,000 SF Facility Massachusetts General Hospital Boston, MA • New 10-story 515,000 SF Acute Care Facility North Shore Medical Center Salem, MA • 226,000 SF IR & Cardiology Addition • LEED Gold Norton Brownsboro Hospital Louisville, KY • 300,000 SF Facility (2009), 172,000 SF Addition (2020) • ENERGY STAR score: 97 • LEED EB Certified
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Oncology + Radiation Therapy Our team has completed 625+ free-standing and addition / renovation projects for oncology and radiation therapy in the last 30 years. We understand the unique issues involved in designing cancer treatment environments where there is a need for complex, cutting-edge technology in conjunction with a calm, soothing environment. We value early communication and collaboration with the full design team and owner. Our goal is to help create safe, supportive healing environments where the latest technology improves care without increasing patient anxiety and staff stress. Our projects are delivered with a focus on risk mitigation and ease of use for both patient care providers and facility maintenance staff. We bring the decades of healthcare experience and understanding required to ensure a facility functions as well in 15 years as it does the day it opens.
Select Project Experience University of Kentucky Health, Cancer Center Lexington, KY
Sanford Health, Roger Maris Cancer Center Fargo, ND
Mayo Health System — St. Mary’s Campus, Radiology Renovations Rochester, MN
Baptist Health, Hardin Outpatient Medical Pavilion Cancer Center Elizabethtown, KY
Mayo Health System — Downtown Campus, Radiology Renovations Rochester, MN
Baptist Health, Floyd Memorial Hospital, Cancer Center New Albany, IN
Altru Health System, Cancer Center Grand Forks, ND
MeritCare Medical Center, Radiology Department Fargo, ND
University of Minnesota, Masonic Cancer Research Building 705 Minneapolis, MN St. Elizabeth Healthcare, Cancer Center Edgewood, KY Lake Region Healthcare, Cancer Center Fergus Falls, MN
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Veterans Administration Medical Center, Radiology Expansion Boise, ID Mercy Health, Paducah Cancer Center Paducah, KY
625+
Oncology + Radiology Projects
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Healthcare Technology + Security We provide comprehensive technology solutions for healthcare clients nationally. Our team understands that today’s modern hospitals are seeing an increase in technology to meet patients’ and healthcare teams’ needs and ensure their safety. Therefore, our team strives to design, integrate, streamline, and procure systems to be as simple as they can be. Healthcare facilities are supported by some of the most complex, mission-critical technology systems. An average hospital technology system runs a complicated combination of infrastructure, communication, and security features, many of them wireless and essential to daily patient care. We design healthcare technology to be a staff multiplier, increasing efficiency and allowing the healthcare team greater flexibility as they perform their duties, ultimately improving patient care while ensuring privacy and safety.
Technology Expertise • Sensitive area access control
• New infant security tracking
• IP video surveillance
• Public address systems
• Structured cabling (voice, data, video, building
• Local area networks (LAN)
automation) • Building Systems / Central plant connectivity
• Patient Electronic Record Data center/PBX
facility design & project management
• Wireless IP telephone & Ethernet
• IT systems commissioning
• Wireless patient monitoring systems
• Security assessments
• Tele-medicine/ videoconferencing
• Campus & single building master planning
• Nurse call & paging systems • Personnel, pharmaceutical, & logistical asset
tracking
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Zero-Energy + Decarbonization CMTA’s zero-energy and decarbonization strategy is simple: design for drastic energy reduction, then consider renewable-energy options. And while decarbonization looks at overall carbon emissions reduction, lowering the project’s energy use is an important piece in that process. CMTA strives to be on the cutting edge of energy and carbon reduction driven by our innovative teams, research-based ideas, and data-driven results. This ideal is supported by our completed and in-progress projects as well as the positive impact of our projects on our owners and end-users.
9+M SF
in Zero Energy / Zero Carbon Facilities
180M+
Metric Tons of CO₂e Emissions Eliminated
202
LEED Certified / Targeted
(21 Platinum; 87 Gold; 67 Silver; 27 Certified)
700+
ENERGY STAR Projects Scoring over 75
150MW
Renewable Power
Designed / Installed
5,500
Miles of Linear Geothermal Wells Designed / Installed 12
High-Performance Healthcare We bring our energy efficient focus to our healthcare and work with our hospital clients to improve their energy efficiency and reduce maintenance and operations costs. Since a significant portion of a hospital’s life cycle cost is attributed to energy costs, we understand that a dollar saved in energy can result in 20 dollars of additional revenue equivalent (based on a typical healthcare profit margin). Efficient buildings use less power and frequently allow the emergency power generation resources to serve more of the building than would otherwise be possible.
EUI (kBtu/sf/yr)
300
National
CMTA High Performance Healthcare Projects
200
Nation's Most Energy Efficient Hospital Based on Utility Data
100
0
Median U.S. Hospital (energystar.gov)
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Riverview Health Westfield Hospital
Perry County Memorial Hospital
125
130
Major Health Partners Hospital
Clark Regional Medical Center
157
Norton Brownsboro Hospital
Two of our recent replacement facilities are among the most energy efficient hospitals in the United States. Riverview Health Westfield Hospital in Indiana has an Energy Use Intensity (EUI) of 96, while Perry County Memorial Hospital has an EUI of 99. And our most recent replacement hospital has an EUI of 125 using conventional boiler and chillers. CMTA | 13
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Occupant Health + Wellness CMTA’s buildings are moving beyond energy efficiency and sustainability to lead the industry’s focus on improving occupant health. Our team has a vast understanding of the building performance metrics and design strategies that improve the built environment for occupant comfort and wellness. This knowledge allows us to be successful in incorporating strategies that improve the health and wellbeing of the occupant while still maintaining budget and energy efficiency goals. Our continuous drive for improvement fuels our research into Indoor air quality, lighting, and comfort as markers for occupant wellness. This allows us to incorporate proven strategies into every project we complete. We focus on delivering the best value for the building owner and the occupants,
which goes beyond costs, and improves human health while maintaining budget and energy-efficiency goals.
Patient and Staff Experience We want patients to feel as if at home — lighting is a large part of creating this inviting atmosphere. By using the latest technology and cost effective strategies, we aim to create a more comfortable, less-institutional feel, while still being functional. In addition to providing natural daylight, circadian lighting strategies are utilized to help support the sleep health of both patients and staff. This is accomplished by providing high-energy melanopic lighting during the day, and warmer, more soothing lighting after hours.
We spend about 85% of our lives in buildings, and it is essential that architects and engineers understand how the built environment affects the health and wellness of its occupants.
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St. Elizabeth Healthcare Cancer Center Edgewood, Kentucky
St. Elizabeth Medical Center is leading the way in cancer care and treatment in the Northern Kentucky and Cincinnati areas by designing and constructing a new, $126 million cancer center addition. The project consists of a 235,000 SF six-story addition that will be accompanied by a 70,000 SF, three-story 140-bed patient tower located on top of the existing fully-functioning fourstory patient tower. Garren Colvin, CEO of St. Elizabeth Medical Center, wanted this building to be a “Key component in fulfilling our ongoing vision to lead Northern Kentucky to become one
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of the healthiest communities in America.” CMTA embraced this and wanted the engineering of the building to be a part of this vision. Examples of this include additional filtration and airflow treatment for the conditioned air of the building and silver ionization water treatment improving the water quality for the patients.
Project at a Glance Completion: 2021 Size: 305,000 SF Cost: $126,000,000 Project Type: Addition & Renovation
130 Performed EUI
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Baptist Health Patient Tower Addition Lexington, Kentucky
The Baptist Health Lexington hospital project involved an addition of a 450,000 SF patient tower to house a new state-of-the-art cancer center and a new women’s center. The new cancer center included radiation therapy, a patient-centered chemotherapy/ infusion center, an expanded multidisciplinary oncology clinic, and CyberKnife. The women’s center included labor and delivery, perinatology, antepartum, surgery suites, nursery, NICU and gynecology beds. In addition to the new patient tower, the project includes a new 30,000 SF dining and dietary facility, a new 12 story parking garage, and an addition/renovation to the campus central utility plant.
Project at a Glance Completion: 2016 Size: 915,000 SF Cost: $250,000,000 Project Type: Addition & Renovation
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Norton Healthcare Cancer Institute Louisville, Kentucky
Norton Healthcare invested $38 million in a new comprehensive cancer center in Louisville in an effort to focus on the unique needs of the region’s cancer patients and their families. The facility houses an array of oncology services, including radiation oncology, medical oncology, infusion therapy, and support services, along with hematology, neuro-oncology, and surgical oncology specialties in one location. The new, three-story 48,590 SF freestanding Cancer Center is designed according to the following program: The
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first floor is used for radiation treatment with two state-of-the-art linear accelerators and the Prompt Care Clinic, providing urgent care for oncology patients; the second is primarily used for exams and offices; the third is for infusions and treatments.
Project at a Glance Completion: 2018 Size: 48,590 SF Cost: $38,000,000 Project Type: New Construction
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Riverview Health Westfield Hospital Westfield, Indiana
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95
Performed EUI
The project team was tasked to design a full-service facility that included 20 private patient rooms, a combined urgent care emergency department, and state-of-the-art surgery rooms. The upper floors of the facility include outpatient services. This design was required to meet the owner’s sustainability goals, while maintaining brand consistency. The outstanding energy results of Riverview Health’s Westfield Hospital match its beauty. Comparing the ENERGY STAR hospital portfolio manager to a median hospital, this facility utilizes almost half the energy. This facility’s energy costs are around $2 per SF, while the average median facility would use nearly $4 per SF. Westfield Hospital has been requested by the American Society of Healthcare Engineers to discuss the methodology used to have a hospital performing with an EUI of less than 100.
Project at a Glance Completion: 2018 Size: 108,000 SF Cost: $35,000,000 Project Type: New Construction Awards / Certifications: • AIA Healthcare Design, 2019
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CMTA provided great energy modeling data to ensure the financial performance of the geothermal system. Now that the system has been in operation for a year, its energy use is extremely low, and we are realizing the predicted return on the investment. — Scott Tripp, Riverview Health
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Fauquier Health Cancer Center Medical Office Warrenton, Virginia
The new Cancer Center Medical Office Building at Fauquier Hospital encompasses approximately 24,000 SF and includes a single-story new facility on the Healthcare Campus. The new facility houses an Infusion Center, exam center suites, Pharmacy and includes space for a future Linear Accelerator and Simulator spaces. The primary air conditioning systems for the addition consist of several variable volume rooftop air handling units with each suite utilizing electric reheat at each terminal unit. Due to the inclusion of an Infusion area, a medical gas system was requested to be included in our design for this area. CMTA designed the Pharmacy area which included IV Prep, Ante, and Chemo Rooms per USP Standards. Fan Filter Diffusers were used in
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the Pharmacy area in order to achieve the filtration and air change requirements. A new 1,200 amp 277/480V utility electrical service was provided to the facility. A new 200-KW emergency power back-up generator was installed to maintain power during outages. Three new automatic transfer switch units were installed for new emergency power life safety branch panels, critical branch panels and equipment branch panels. Nurse Call systems were provided within the Infusion Center and a specialized doorbell system was installed within the Pharmacy suite to alert staff of visitors.
Project at a Glance Completion: 2019 Size: 24,000 SF Cost: $9,000,000 Project Type: New Construction
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Boston Medical Center Boston, Massachusetts
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CMTA’s knowledge and attention to detail made this difficult project a major success with energy savings of $1.5M. Thanks to their expertise, we have the most resilient hospital cogen plant in Boston. — Bob Biggio, Boston Medical Center 26
$1.5M Annual Utility Savings
Boston Medical Center’s (BMC) main objectives for a cogeneration plant were to reduce energy cost, reduce their carbon footprint, and increase the resiliency of their inpatient care buildings, totaling 1.5 million SF during a major campus consolidation effort. A single 2 Megawatt internal combustion engine cogen system offered BMC the best return on investment and enough power to keep their most critical inpatient care buildings energized and heated in the event of an extended normal electric power outage or another catastrophic event. This cogen system provides $1.5M of annual operating savings. As significant energy reductions are a cornerstone goal for BMC, so is carbon neutrality. As a result, BMC engaged in the largest collaborative power purchase agreement (PPA) in the United States. 16 megawatts of the 60 megawatt solar field is allocated to BMC to make BMC a zero-energy campus. Through the cogen, PPA, and campus consolidation strategies, BMC has reduced its carbon footprint by 90% since 2011.
Project at a Glance Completion: 2019 Size: 1,500,000 SF Cost: $13,500,000 Project Type: Renovation Awards / Certifications: • Zero Energy/Carbon Neutral • Practice Greenhealth: Top 25 Green Hospital Nationally • Becker’s 60 Greenest Hospitals in America
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Lombardi Comprehensive Cancer Center Washington, DC
The Georgetown Lombardi Comprehensive Cancer Center, part of Georgetown University Medical Center and Georgetown University Hospital, sought to improve the diagnosis, treatment, and prevention of cancer through innovative basic and clinical research, patient care, community education and outreach, and the training of cancer specialists of the future. Lombardi is one of only 40 comprehensive cancer centers in the nation, as designated by the National Cancer Institute (NCI), and the only one in the Washington, DC, area. This project consisted of a four-story 11,200 SF addition to the front of the existing Lombardi Cancer Center and houses a new proton therapy treatment machine. The machine occupies three stories of the addition with the fourth story providing office space.
Project at a Glance Completion: 2009 Size: 27,800 SF Cost: $20,000,000 Project Type: Addition
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BUILDING SCIENCE LEADERSHIP
