POLYTRAUMA AND INTEGRATION
A CONTINUUM OF CARE FOR WOUNDED VETERANS IN HIGHER EDUCATION
Forward The intent of this project is to design a Polytrauma Rehabilitation Center (PRC) for returning veterans in higher education on the campus of Carle Hospital in Urbana, Illinois. The PRC will become the entry point for wounded veterans into the proposed University of Illinois Continuum of Care for Wounded Veterans in Higher Education. This system, the first of its kind, would provide continuous care for wounded veterans who will transition from the PRC to the new UIUC Center for Wound Veterans in Higher Education and eventually into independent living, matriculation, and graduation.
4
Project Introduction
Professor William Worn, was the Director: Master of Architecture in Health Design at the University of Illinois at Chicago. In 2010, he joined the University of Illinois at Urbana-Champaign as an Associate Professor, while simultaneously continuing his role as President of Worn Jerabek ARCH 572: Behavior + Environment 5 Architects P.C. in Chicago.
Urbana-Champaign, Illinois
Site Analysis
Image Courtesy of www.google.com
8
Project Introduction
The twin cites of Urbana-Champaign are located in central Illinois, 140 miles south of Chicago. They serve a population of over 230,000 and are home to the University of Illinois at Urbana-Champaign. In addition to the university, UrbanaChampaign is host to the Carle Foundation Hospital, a Level I Trauma Center. The cities’ unique relationship with the ARCH 572: Behavior + Environment 9 university and Carle Hospital make them a perfect location to advance the study of Traumatic Brain Injury (TBI).
Carle Foundation Hospital
Carle Foundation Hospital Locations in Urbana-Champaign “The 345-bed regional care hospital has achieved Magnet® designation, the nation’s highest honor for nursing care and was recently named to the 100 Top Hospitals® by Thomson Reuters. It offers a more advanced level of clinical expertise and technology than any area hospital, housing the area’s only Level I Trauma Center as well as Level III perinatal services. The Hospital admitted more than 22,000 patients and treated more than 70,500 patients in the emergency room during 2012. The Mills Breast Cancer Institute, Carle Cancer Center, Carle Spine Institute and Carle Heart and Vascular Institute bring additional advanced diagnostic and treatment options” (via www.carle.org).
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Project Introduction New 9-Story Bed Tower, Rendering Courtesy of Carle Foundation Hospital and HDR
130
5 4
3
BRADLEY AVE
I-74
2 CHURCH STREET
1
UNIVERSITY AVE SPRINGFIELD AVE
WINE ST
FLORIDA AVE
LINCOLN AVE
KIRBY AVE
WRIGHT ST.
NEILL ST
GREEN ST
6 MATTIS AVE
7
8
PROSPECT AVE
A new nine story bed tower (lower left) is currently under construction and marks the end of the Campus Modernization Project at Carle’s main campus in Urbana. The new tower will house 136 new private rooms and provide expanded services to cardiovascular, neurological, and intensive care patients. It is also the new Surgery home of the Carle Heart and Vascular Institute. Due to the completion of the Campus Modernization Project, Carle is exploring new opportunities for future planning. Some of the future areas of interest include expanding neurological research and services and consolidating resources among campuses.
I-57
12
DUNCAN RD
Carle Foundation Hospital Main Campus, Image Courtesy of Carle Foundation Hospital
I-74
WINDSOR RD
11
9 CURTIS RD
10 I-57
1 - Main Campus - Level 1 Trauma Center - Heart & Vascular Institute - Cancer Center - Women’s Services - General Surgery - Neurosciences
130
2 - Medical Supply
8 - Pain Clinic
3 - North Annex
9 - Therapy Services
4 - Home Health Services
10 - Convenient Care Clinic
5 - Health Information Management
11 - Convenient Care Clinic
6 - Surgi Center
12 - Clearview Land
7 - Specialty Clinic
ARCH 572: Behavior + Environment
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Center for Wounded Veterans in Higher Education
Potential Site Selections
Rendering Courtesy of LCM Architects
Located near Lincoln and Nevada in Urbana, “the Center for Wounded Veterans in Higher Education will provide comprehensive, integrated educational services to veterans with severe and multiple disabilities as they pursue degrees at the University of Illinois at Urbana-Champaign. The Center’s architectural design will provide transitional residential accommodations for 12 to 14 veterans at a time, and non-residential services for up to 150 veterans and their families” (via www.illinois.edu). The addition of a PRC to the Center for Wounded Veterans in Higher Education would allow Urbana-Champaign to offer the first full continuum of care for veterans with TBI and polytrauma. Veterans would have the proper rehabilitation and therapy facilities to move from injury to independent living.
Injury
12
Project Introduction
Polytrauma Rehab Polytrauma Center (PRC) Network Site (PNS)
Residential Transitional Rehabilitation Program
Independent Living
VA Polytrauma System of Care miles
Image Courtesy of www.google.com
Clearview - I-72 & I-54
ARCH Behavior + Environment 13 The 74 acre land development in northwest Champaign is owned by 572: Carle for future expansion.
Potential Site Selections
Potential Site Selections
Image Courtesy of www.google.com
Kirby & Mattis
14 Introduction The Project southern Champaign
location borders two Carle Clinics and the Surgi Center.
Image Courtesy of www.google.com
Main Campus
ARCH 572: Behavior Environment 15 Open lots to the east and west offer opportunities to build on the existing Main+Carle Campus
Rehabilitation Institute of Chicago (RIC), image courtesy of Feinberg School of Medicine
Program Analysis
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Project Introduction
572: Behavior + Environment 17 National Intrepid Center of Excellence (NICoE),ARCH image courtesy of www.dexigner.com
Traumatic Brain Injury (TBI)
Patient Profile SOCIAL ENVIRONMENT
Brain Stem
Breathing, Heart Rate, Swallowing, Reflexes for seeing and hearing, Controls sweating, blood pressure, temperature, Sense of balance
Cerebellum
Coordination of voluntary movement, Balance and equilibrium
Family
Frontal Lobe
Controls our expressive language, Assigns meaning to the words we choose, Involves word associations, Memory for habits and motor activities, Flexibility of thought, planning and organizing
Caregivers, Support, Relationships
Parietal Lobe
Visual attention, Touch perception, Goal directed voluntary movements, Manipulation of objects, Integration of different senses
Occipital Lobes
Vision
Temporal Lobes
Hearing ability, Memory acquisition, Categorization of objects, Understanding or processing verbal information, Emotion
PTSD
Friends
Flashbacks Avoidance Hypervigiliance Nightmares Re-Experiencing
TBI Cognitive Deficits Irritability Insomnia Depressions Fatigue Anxiety
Headache Sensitivity of light or noise Nausea & Vomitting Vision Problems Dizziness
Support, Relationships, social contact, function in this environment
POLYPHARMACY Work social and working environment, professional competence
PAIN
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Project Introduction
Polytrauma patients are particularly unique because they are facing multiple injuries across multiple disciplines. Injuries can include loss of limbs, TBI, and PTSD. Because of this unique patient profile, spaces must be specially designed to accommodate a variety of needs and patients. ARCH 572: Behavior + Environment 19
Evidence Based Design Factors Safety Enhancement
Medical Errors
Patient and Family Frustrations
Building Operating Expense
Wayfinding System
Roger S. Ulrich and a number of other experts in Evidenced BasedLess Design have complied a study throughReduce the Georgia Enviormental Tech College of Architecture and the Center for Health DesignStress to analyze how the hospital environment can be Impact improved. It is important to look at the way healthcare spaces are designed in order to create a better environment for everyone that experiences these spaces. Some key strategies derived for Evidence Based Design are helping to improve Patient Falls and staff outcomes. The research shows that some of the most successful strategies patient safety, patient outcomes, include single-bed rooms, reduction of noise, visual and physical access to nature, clear wayfinding, and improved ventilation systems. These strategies not only benefit patients, but also promote a better work environment for nurses and physicians which leads to a reduction in medical errors. The following diagrams map the important relationships and design strategies associated with Evidence Based Design. Staff Injuries
Building Function Lower Nosocomial Infection Lower Patient and Family Frustrations Safety Enhancement
Medical Errors
Reduce Building Operating Expense
Wayfinding System
Sustainability
Reduce Enviormental Impact
Less Stress
“It is now widely recognized that well-designed physical settings play an important role in making hospitals less risky and stressful, promoting more healing for patients, and providing better places for staff to work.� (Ulrich et al., A Review of the Research Literature on Evidenced-Base Healthcare Design, 2008) Building Spaces
Patient Falls
Staff Injuries
Building Spaces
EBD in Relation to TBI
Lower Infection Rates
Shorter Length of Stay Patient Room
Improve Sleep Quality
Evidence Based Design Factors
Building Function
Sustainability
Patient Health
Alleviating Pain
Patient Health
Family Support Spaces
Building Spaces
Increase Patient Satisfaction
Lower Stress Levels
Less Stress
Less Perceived Pain Lower Infection Rates
Increase Efficency
Physician Support Spaces
Staff Support Spaces
Lower Stress Levels
Less Use of Pain Medication Improve Sleep Quality
Audio Environment
Shorter Shorter Length of Stay Patient Length of Stay
Patient Room
Visual Environment
Alleviating Pain Less Depression
Medication Usage
Better Sleep
Family Support Spaces Lower Stress Levels
Increase Patient Satisfaction Less Pain
Improve Quality of Care
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Project Introduction
Increase Efficency
ARCH 572: Behavior + Environment
21
Polytrauma Rehabilitation Centers
General VA Program
5
BGSF 41,431 ft²
Polytrauma Rehbilitation Centers
12 Bed PRC
5%
90
Palo Alto
Veterans
252
Minneapolis
26% 35%
34%
PRC Patients Served
Richmond
162
DGSF 31,870 ft²
Active Duty
BGSF 52,820 ft²
San Antonio Tampa
18 Bed PRC
6% 30%
PROGRESS
29% 35%
44
2
fastest improvement in physical recovery within the first six months
Average Days of Inpatient Care
35%
Maximum Years of Inpatient Care
issues with reintegration into cultural environment
Administrative Services Support Areas
physical
TIME loosing track
to cultural en virnment with
in the clinic
AVERAGE TIME IN PRC
INPATIENT
Project Introduction
TIME OF FASTEST IMPROVEMENT
OUTPATIENT
Traumatic Brain Injury 1 YEAR of RECOVERY
6 MONTHS of RECOVERY
44 DAYS of PCR
Polytrauma
cultural
Orthopedic 2 YEARS of RECOVERY
Beds
22
Patient Areas Diagnostics & Treatment
social
18
DGSF 40,631 ft²
In designing the five existing PRC’s, the VA developed a design guide that includes program recommendations, example patient rooms, and technical considerations. Based on recommendations from the VA, it was determined that either a 12 or 18 bed PRC would be the optimum size. These numbers are based on a nurse to patient ratio of 1:6 and the amount of patients being treated at the five existing PRC’s. Using the VA Program as a base, each team designed their own program based on their own research and observations. As precedent studies, the programs of the National Intrepid Center of Excellence in Bethesda, MD and the Rehabilitation Institute of Chicago were analyzed and drawn from.
END of ACUTE MEDICAL CARE
ARCH 572: Behavior + Environment
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The Polytrauma Continuum: VA Model
The Polytrauma Continuum: UIUC Model
Transitional Unit Hospital
Parking
Outpatient Unit
Community
Carle Foundation Hospital
University of Illinois at UrbanaChampaign
Inpatient Unit Center For Wounded Veterans in Higher Education
Fisher House 24
Project Introduction
Outpatient Unit
Inpatient Unit
Fisher House
ARCH 572: Behavior + Environment
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CARLE FOUNDATION HOSPITAL INTEGRATED REHABILITATION AND POLYTRUAMA CENTER AT CARLE FOUNDATION HOSPITAL MAIN CAMPUS JORDAN TRIPP AND DAVID ZIELINSKI
SELECTED FOR ITS CLOSE PROXIMITY TO THE CARLE FOUNDATION HOSPITAL CAMPUS THIS REHABILITATION CENTER WAS SITED TO TAKE ADVANTAGE OF THE EXISTING RESOURCES OF CARLE FOUNDATION HOSPITAL. THIS SITE ALSO ALLOWS THE CURRENT HOSPITAL TO MAXIMIZE ITS EXPANSION, BY CHOOSING A SITE THAT LEAVES THE ONE LARGE REMAINING SPACE FOR EXPANSION OPEN. THIS SITE LOCATION ALSO DOES NOT NEED TO INTRODUCE ANY NEW SURFACE PARKING OR PARKING STRUCTURES ALLOWING THE CAMPUS TO UTILIZE MORE OF ITS OPEN SPACE FOR CLINICAL EXPANSION. WITHIN OUR SITE OUR BUILDING SEEKS TO SERVE NOT ONLY VETERANS SUFFERING POLYTRUAMA, BUT CIVILIANS AS WELL. FURTHERMORE, THIS CENTER DOES NOT SEEK ONLY PATIENTS SUFFERING POLYTRUAMA, BUT RATHER THOSE SUFFERING WHO TBI OR PHYSICAL INJURIES ALONE. THIS FACILITY ALSO WOULD TREAT INJURIES OF BOTH VETERANS AND CIVILIANS WITH THESE SINGULAR CONDITIONS TO CREATE A FACILITY THAT HAS THE ABILITY TO ADAPT TO EVER-CHANGING PATIENT LOADS.
186 Integrated Rehabilitation and Polytrauma Center
Jordan Tripp and David Zielinski
187
PROPOSAL 1
Champaign Champign
Active Duty
Plastic Surgery Center Tampa
2
Maximum Years of Inpatient Care
Outpatient Services Campus
PHASE 3_relocation of outpatient services
OUTPATIENT PROPOSAL 1 SERVICE MODEL 2
Outpatient Services Campus North Annex
OUTPATIENT REHABILITATION SERVICES
North Annex sychatry + Interventional Pain Orthopaedics
North Annex
OUTPATIENT REHAB SERVICES
Champaign on Kirby
North Annex
hampaign on Kirby
Champaign on Mattis
Eye Center
Womens Center
Psychology & Psychatry + Interventional Pain + Orthopaedics
Womens Center
Outpatient Specialized Services Park
Eye Center
Use Financial Resources Wisely - Sharing and consolidation of resources allows Carle to utilize existing services and provides a model that supports growth and expansion of Carle Foundation Hospital’s services
Outpatient Services Campus
PHASE 3_relocation of outpatient services
Champaign on Mattis
Outpatient Specialized Services Park
PROPOSAL 1
Plastic Surgery Center
Outpatient Specialized Services Park
Plastic Surgery Center
Deliver Integrated Care - This new facility proposes a model of care that allows for diagnosis, treatment, and research to be performed in the same space. This allows all aspects of the healthcare process to meet and collaborate in one space to provide a higher quality of care for the patient.
Champaign Champign on Mattis on Kirby
Champaign Champign on Mattis on Kirby
Outpatient Specialized Services Park
tient services
Grow and Partner Regionally - New areas of research and services allow Carle to seek new and innovative partners in the field of medicine.
North Annex
Womens Center
Orthopedic
Make Care More Accessible - Planning proposal moves and consolidates outpatient facilities for ease of access for people seeking both inpatient and outpatient services.
OUTPATIENT REHABILITATION SERVICES
PROPOSAL 1
Eye Center
Orthopedic
Champaign Champign on Mattis on Kirby
Outpatient Specialized Services Park
Traumatic Brain Injury
Champaign on Mattis
Outpatient Services Campus
Polytrauma
OUTPATIENT REHABILITATION SERVICES
Beds
Plastic Surgery Center Womens Center
North Annex
North Annex
18
Champaign Champign on Mattis on Kirby
Eye Center
Traumatic Brain Injury
Psychology & Psychatry + Interventional Pain + Orthopaedics
Polytrauma
North Annex
Outpatient Services Campus
Champaign on Kirby
Beds
2
Maximum Years of Inpatient Care
OUTPATIENT REHABILITATION SERVICES
Champaign Mattis NorthonAnnex
18
Psychology & Psychatry + Interventional Pain + Orthopaedics
Plastic Surgery Center
Care Diagram
162
Active Duty
Neurological Rehabilitation Patients
Champaign on Kirby
44
PRC Patients
Orthopedic
Champaign on Mattis
Tampa
Orthopedic Rehabilitation Patients
Champaign on Mattis
San Antonio
PRC Patients Served
PHASE 3_relocation of outpatient services PHASE 3_relocation of outpatient services
252
Traumatic Brain Injury Richmond
PROPOSAL 1
Polytrauma
Veterans
Plastic Surgery Center
Palo Alto
Outpatient Services Campus
Outpatient Services Campus
90
Minneapolis
Average Days of Inpatient Care
188 Integrated Rehabilitation and Polytrauma Center
North Annex
Polytrauma Rehbilitation Centers
Beds
North Annex
18
Champaign on Kirby
Outpatient Specialized Services Park
5
Plastic Surgery Center
MISSION: To provide a facility that expands the high quality research and treatment capabilities of Carle Foundation Hospital and provide rehabilitation care for general rehabilitation patients, TBI, and polytrauma
*BASED ON 2011 FY NUMBERS, AVERAGING PATIENTS BETWEEN 6 PRC, AND A 44 DAY LENGTH OF STAY Plastic Surgery Center Champaign on Mattis
OUTPATIENT REHABILITATION SERVICES
North Annex
PATIENTS REQUIRING THE SERVICES OF A PRC ARE ENOUGH TO FILL 6 BEDS YEAR ROUND
OUTPATIENT REHAB SERVICES
Champaign on Kirby
Average Days of Inpatient Care
Campus- The high standards expected Focus on our People North Annex by the Carle Foundation hospital ensure that employees always strive to be at the top of the health care industry. New facilities provide not only healthcare, but a chance to attract top professionals in any field that will continue the standard of excellence at Carle Hospital
Womens Center
44
North Annex
OUTPATIENT REHABILITATION SERVICES
Services
Womens Center
Psychology & Psychatry + Interventional Pain + Orthopaedics
North Annex
VISION: To provide a comprehensive continuum of care for rehabilitation of polytrauma patients and enhance research and treatment methodologies
Champaign on Kirby
Eye Center
San Antonio
Champaign on Mattis
Eye Center
162
Specialized Services Park
Womens Center
Champaign on Mattis
Eye Center
Plastic Surgery Center
Champaign on Mattis
Psychology & Psychatry + Interventional Pain + Orthopaedics
Plastic Surgery Center
Champaign on Kirby
PRC Patients Served
Richmond
Benefit the Community - Broadens the patient care and research capabilities of Carle Hospital FoundaOUTPATIENT REHABILITATION tion. Additional research space provides a facility SERVICES for university researchers and outside companies a place to conduct research that will benefit future patients Outpatient
Champaign on Mattis
252
PHASE 3_relocation of outpatient services
Palo Alto
Outpatient MODEL 1 OUTPATIENT SERVICE
Veterans
Champaign on Mattis
90
Minneapolis
Psychology & Psychatry + Interventional Pain + Orthopaedics
Jordan Tripp David Zielinski
Champaign on Mattis
Polytrauma Rehbilitation Centers
PROPOSAL 1
Champaign Champign on Mattis on Kirby
Provide Value to Patients - A new facility using EviOutpatient dence Based Design and efficient planning provide Specialized patients with a proven system that provides a higher Services Park quality of care, that can reduce cost and make rehabilitation services more accessible
Champaign Champign on Mattis on Kirby
5
As part of our planning for Carle Foundation Hospital we are suggesting that Carle consolidate their existing outpatient facilities into one outpatient services Plastic Surgery Center Champaign on Mattis Eye Center Womens Center campus. Furthermore, we are pushing and outpatient services that would be part of this facility to this new outpatient campus toPsychology alleviate strain on the & Psychatry +any Interventional Pain + Orthopaedics North Annex existing Carle Foundation Hospital campus. Plastic Surgery Center
It is intended for this new facility to serve 18 Inpatients with varyPHASE 3_relocation of outpatient services ing conditions ranging from TBI to physical rehabilitation, to full on polytrauma. This facility is suited to serve veterans and civilians simultaneously. The outpatient services for our facility have PROPOSAL 1 been designed into the new proposed outpatient services model for Carle Foundation Hospital.
Spring 2013
How do we design to the values of Carle Foundation Hospital?
on Mattis HOSPITAL on Kirby CARLE FOUNDATION OUTPATIENT SERVICE MODEL
Plastic Surgery Center
ARCH 572: Polytrauma and Integration Professor William Worn
REHABILITATION CENTER SERVICE MODEL
Plastic Surgery Center
CARLE FOUNDATION HOSPITAL REHABILITATION EXPANSION
Jordan Tripp and David Zielinski
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SITE SELECTION
SITE ANALYSIS
Clark St.
Na ion at n e t ial Ess
re tu
Ed uc
This site was chosen to utilize Carle’s existing facilities while allowing Carle to utilize its larger sites for expansion. Furthermore, this site does not introduce any additional surface parking or parking structures. Finally with connections underground allow service and patient flow between facilities.
s
nnec tion
Re so 190 Integrated Rehabilitation and Polytrauma Center
RADIAL GRID:
Selected Organizational Grid
1. Carle Foundation Hospital 2. North Annex 3. Surgi-center at Mattis and Kirby 4. Center for Wounded Veterans in Higher Education
s es
This new facility, along with the planned outpatient development, provides Carle Foundation Hospital with an efficient planning model that not only incorporates the hospital facilities, but also the Center for Wounded Veterans in Higher Education. This site allows Carle’s Facilities to be located along Lincoln Ave., allowing efficient transfer between all existing and future facilities. This planning also allows Carle to consolidate existing facilities to better utilize their own resources.
Co
CARLE LOCATIONS:
University Ave
Ac c
s ce ur
PRC
Possible Organizational Grids Jordan Tripp and David Zielinski
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PATIENT ROOM
PATIENT BED ARRAY STUDY
FINAL PATIENT BED ARRAY
The patient room is designed to hide anything technical and provide the patient with an environment that is safe, efficient, and visually pleasing. The offset in-board bathroom allows the patient maximum view to the exterior while clinicians can maintain full view of the patient when charting. The bathroom is designed to be as efficient as possible while maintaining ADA code requirements. This allows us to maximize space within the patient room for all users.
1. PATIENT VIEW FROM BED
PATIENT PERSPECTIVE:
TYPICAL PATIENT ROOM
PATIENT ROOM SECTION 192 Integrated Rehabilitation and Polytrauma Center
The patient room is designed to take maximum advantage of the major green space along the northeast side of our site. By pushing out the window wall we have been able to allow vision to nature without the patient having to turn their head. The patient room has been arrayed along the park in order to have a majority of rooms face the park. Any rooms that do not take advantage of this view still have access to designed green areas around our facility.
1
2
2. PATIENT VIEW FROM BED Jordan Tripp and David Zielinski
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PATIENT ROOM TECHNOLOGY
PATIENT
White
RIBBON
Brushed Aluminum
PATIENT RIBBON OPTION
ELECTRONIC THREAD
PATIENT RIBBON OPTION
PATIENT ROOM CUSTOMIZATION The patient room is designed for the foot wall to be customizable to the patients specifications. This is done by introducing the patient ribbon, which is essentially a powered peg-board, which allows the patient to add or subtract any items they desire from their individual foot wall. Because the wall is powered patients can use monitors to create a full wall of monitors to use for sharing time with family, simulation therapy that can be done within the room, and anything in between. For those who do not wish to live in a fully technological environment their is the opportunity to plug in shelves, plants, artwork, or anything else the patient can imagine. In order to reduce horizontal surfaces that can attract bacteria, any peg hole not being used “closes� using spring loaded doors. This technology is also applied to the patient head wall and nurse team stations for clinicians to incorporate into their environment. 194 Integrated Rehabilitation and Polytrauma Center
SURFACE THREAD
DECOR THREAD PATIENT RIBBON OPTION Jordan Tripp and David Zielinski
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FIRST FLOOR PLAN The first floor plan incorporates several different programmed spaces including any entry lobby spaces, administrative spaces, diagnostic and treatment spaces, and our relaxation green space. This green space is intended to be an interior and exterior green space to be utilized at any time of year while maintaining access to the exterior. Major diagnostic space on the first level include the therapy pool and our CAREN lab, which can, at times, be utilized for outpatient therapies.
CLINICAL
Support DGSF 9800 sq. ft.
SERVICE ADMIN. PUBLIC
D&T DGSF 5100 sq. ft.
Chapel Office AL
IC
IN
CL
Office
Electrical
Admin DGSF 3400 sq. ft.
MIN
AD
Monitoring Office
CAREN Office
Programming
IC
PUBL
Office
W.C.
W.C. Patient Reacclimation Office
Media Room/ Veterans Specific Library/ Information Center
Patient Prep
Simulation Room
Office
W.C.
Circulation Diagram
Storage
Departmental Diagram
Office
Simulation Room
Locker Room
Office
Locker Room
Therapy Pool
Office W.C.
W.C.
W.C. Deep
Shallow
Office W.C.
W.C.
Equipment Storage
W.C. Office
Main Entrance Office Illinois Veterans Memeorial
196 Integrated Rehabilitation and Polytrauma Center
Educational Meeting Room
Conference
Conference
WEST ELEVATION
Jordan Tripp and David Zielinski
197
SECOND FLOOR PLAN The second floor plan contains our main diagnostic and treatment space. Utilizing a care model where diagnosis, treatment, and research are performed in the same space. We have located our Prosthetics and Orthotics Lab on the same floor to immediately utilize the main gym space for testing and design. This level includes specialty labs, the main one being our vision lab to help those who may have suffered any vision problems after their injuries. This floor pushes all of the patient spaces along the green space along the north east to maintain patient access to the space, as well as, provide a major way finding element.
Therapy Room PT/OT/Speech Quiet Treatment
Therapy Room Group
Therapy Room PT/OT/Speech Quiet Treatment
Vision Research Office
Local Storage
Vision Therapy Meeting Room
Private Gym W.C.
Vision Therapy Gym
CLINICAL
Support DGSF 4500 sq. ft.
SERVICE ADMIN.
W.C.
PUBLIC
D&T DGSF 8600 sq. ft.
Engineering Lab Module
Lounge/Relax Patient & Family
L
CA
IN
CL
Office W
D
Research Lab Module
Admin DGSF 2800 sq. ft.
Engineering Lab Module
Research Lab Module
Lounge/Relax Staff
N
ICE
ADMI
SERV
Open Gym Local Storage
Locker w/ W.C.
Locker w/ W.C.
Office
Local Storage
Office
Staff Locker
Circulation Diagram
Patient WarmUp/Cool Down
SECTION AND ELEVATIONS In section this building is designed into several key zones, administration, diagnostics and treatment, and bedded care. The facade is designed to mimic the interior program, while maintaining a feeling of safety for patients who may find floor to ceiling glass daunting. The administration wing has become the piece that anchors, our otherwise light building to the site. It was important to us that this piece remain as solid as possible, therefore there are minimal penetrations through the administration walls.
UP
Staff Locker
Office
W.C.
Exam Room
W.C.
Office
Departmental Diagram
Exam Room Office
Preliminary Testing
Oven Room Office
Research Office
Scanning Room
Workshop Laboratory
Seating and Positioning
Research Office Work Room Lamination
198 Integrated Rehabilitation and Polytrauma Center
Work Room Plaster
Machine Room
EAST ELEVATION
SECTION
Jordan Tripp and David Zielinski
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THIRD FLOOR PLAN The third floor is continuation of our second floor diagnostic and treatment floor. Because a majority of the space on the second floor is double-heighted, it became important for us to continue the program vertically through the building. The third floor contains a majority of the research labs, including those for PTSD, and any rentable research space to be utilized by the University of Illinois or any outside research group. Specialty therapies including car therapy and the ADL Apartment are included on this floor as well. Stairs between levels two and three also become a therapy space for those with more advanced abilities.
Leaseable Research Lab
Leaseable Research Lab
Leaseable Research Lab
PTSD Closed Lab
CLINICAL
Leaseable Research Lab
SERVICE
PTSD Open Lab
ADMIN. PUBLIC W.C.
W.C.
D
D
ADL Office
W
W
Patient Relax
Support Support DGSFDGSF 1850 1850 sq. ft.sq. ft.
W.C.
F.
RE
Kitchenette
Office
Apartment Area
W
D
PTSD Research Office
IN
CL
D&T DGSF D&T DGSF 4000 4000 sq. ft.sq. ft.
AL
IC
PTSD Research Office
Lounge/Relax Staff
AdminAdmin DGSFDGSF 3300 3300 sq. ft.sq. ft.
N
ADMI
Local Storage W.C. Office
W.C.
Circulation Diagram
Departmental Diagram
Office
Staff Lockers Office Staff Lockers
Exam Room
Office Exam Room
Office
Office
200 Integrated Rehabilitation and Polytrauma Center
NORTH ELEVATION
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FOURTH FLOOR PLAN The fourth floor is predominately bedded care and the support spaces that are required to serve the patients. Most patient beds are arrayed along the park to the north east. This fourth floor was the main driver for the form, program, and layout of the rest of the floors in the building. Because of the deep floor plate we found it necessary to introduce large light wells into our facility to allow natural light better enter our facility. Areas of refuge for our staff our important on this level, and a large amount of space has been devoted to the facilities staff for support and relaxation.
CLINICAL SERVICE ADMIN.
Nurse Station
Bedded Care DGSF 8300 sq. ft.
PUBLIC
W.C. W.C. Utility Room Clean
Living Room/Family Support
Linen Room
Support DGSF 4750 sq. ft.
Storage Medical Equipment Storage Patient Care Equipment
Quiet Room
IC
IN
CL
AL
E
IC RV
SE
Central Dining
Patient Relaxation
Nurse Station
Report Room
Admin DGSF 1300 sq. ft.
IC
PUBL N
ADMI
Team Room
Office Office
Office
Circulation Diagram
Medication Room
W.C.
Departmental Diagram
W.C.
Office
Soiled Equipment Holding
Inpatient Lobby
Utility Room Soiled Office
Staff Lockers
W.C.
Nourishment Room
Staff Lockers
Nurse Station
W.C. W.C.
Multi-Purpose Room
Staff Room/Lounge
202 Integrated Rehabilitation and Polytrauma Center
Staff Beds University Residents Shared Offices
SOUTH ELEVATION
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1 14
PERSPECTIVES-FOURTH FLOOR The perspectives from our fourth floor are intended to show the main patient and staff areas; the patient room and the nurse and clinician teams stations. These spaces it will be noticed take on a more modern and “hard� appearance. This is contrasted by the design of space on the first floor intended for relaxation, which take on softer and warmer materials that have a familiar quality about them.
13 15-17
19 18 20
10
Fourth Floor
7
4
PERSPECTIVES-FIRST FLOOR
ENTRY LOBBY
BUILDING IMAGERY The nature of our program and the design of our building required us to design in detail some of our more important spaces, including the interior/exterior green space, the Illinois Veterans Memorial, the patient hallway, the patient room, and several exterior perspectives of our facility. All of these images are intending to show accurate materials and planting intended to be used within our facility. The following page provides the locations of the various perspectives throughout the building. Although a majority of the perspectives can be found in the next few pages several images are located within the preceding pages to better describe in detail specific areas of the building. We designed to this level of detail to better understand how patients will be introduced and interact within the main public spaces in our facility.
The perspectives from our first level intend to show many of the amenities that are part of our facility, mainly that of our interior/exterior relaxation space as well as our Illinois Veterans Memorial. These spaces are intended to draw patient, staff, and family visitors throughout the day. Furthermore, these spaces are designed as spaces of healing for the patient; more for healing the mind then healing the body.
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First Floor 11
204 Integrated Rehabilitation and Polytrauma Center
Jordan Tripp and David Zielinski
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206 Integrated Rehabilitation and Polytrauma Center ILLINOIS VETERANS MEMORIAL
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208 Integrated Rehabilitation and Polytrauma Center ILLINOIS VETERANS MEMORIAL
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INTERIOR/EXTERIOR RELAXING GARDEN
210 Integrated Rehabilitation and Polytrauma Center
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INTERIOR/EXTERIOR RELAXING GARDEN
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INTERIOR/EXTERIOR RELAXING GARDEN
212 Integrated Rehabilitation and Polytrauma Center
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INTERIOR/EXTERIOR RELAXING GARDEN
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INTERIOR/EXTERIOR RELAXING GARDEN 214 Integrated Rehabilitation and Polytrauma Center
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EXTERIOR PERSPECTIVE
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INTERIOR/EXTERIOR RELAXING GARDEN
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218 Integrated Rehabilitation and Polytrauma Center NURSE TEAM STATION
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220NURSE Integrated Rehabilitation and Polytrauma Center TEAM STATION
Jordan Tripp and David Zielinski
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Acknowledgements Throughout the course of the semester, various individuals generously volunteered their valuable time and expertise to assist with the development of the studio. The studio would like to express our most sincere appreciation to all those who participated in being guest lecturers and critics.
COLLABORATORS
Todd Eicken, Senior Vice President, HDR David Kuffner, Cannon Design Percy “Rebel� Roberts, President and COO, VOA Associates Inc. Carle Foundation Hospital UIUC Veterans Student Support Services
222 Acknowledgements