Josh Howard & Jonathan Latta Texas A&M University // College of Architecture Centrum Telehealth Center for Austin, Texas, USA Virtual Care Hub
Josh Howard My name is Josh Howard and I am from Orange, Texas right near the Texas/Louisiana border. I am a senior Environmental Design undergraduates student at Texas A&M, Class of 2021. From a young age, I have used different creative mediums such as sketching, woodworking and writing to express my ideas. Upon discovering architecture, I immediately saw it as the perfect interestion between creativity and functionality. Attending Texas A&M has helped me to refine my passion for design. In my free time, I enjoy being active with sports such as tennis and swimming, listening to music, watching movies, and spending time with friends. My design philosphy has always viewed architecture as a way to better the lives of occupants while creating a sustainable and more equitable world for all. I am excited to be a part of designing the future!
josh_howard@tamu.edu joshhoward9898@yahoo.com (409) 779-2494 Orange, Texas
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Team Introduction
Jonathan Latta Hi! My name is Jonathan Latta and I’m from Frisco, Texas, just north of Dallas. I’m a senior Environmental Design undergraduate student at Texas A&M University, Class of 2021.
As I was growing up I spent most of my time in a workshop on various projects including longbows, skateboards, and electric guitars, I developed a love of creating things that has transferred to the rest of my life. I enjoy listening to music, playing my guitar, and singing. In addition to architecture, I am very interested in thomistic philosopy, my Catholic faith, and the culinary arts. I love finding new lenses to look at the world around me, whether it be in metaphysics, theology, cuisine, and/or the people I encounter in the day to day.
I’m hardworking, flexible, and eager to see where life takes me!
jonathanlatta@tamu.edu jonathanlatta708@gmail.com (972) 467-7792 McKinney, Texas
Project Brief
Introduced as an exploration of the future of telemedicine, this project asks students to design
a healthcare facility specifically suited for the practice of telemedicine. The COVID-19 pandemic forced many providers to suddenly switch to telehealth practices, while also exposing how unprepared many facilities were to do so. This project seeks to provide a space which is conducive to practicing to healthcare virtually, as this will only become more popular in the future.
The projects forces students to consider what spaces, infrastructure, and environment will
be needed to help the providers practice virtual care most efficiently while also thinking about the experiences of both the providers and the patients. Each student group was allowed to decide if their project would serve only virtual or both virtual and in-person patients, as well as create their own business model for the facility.
An initial list of required spaces was given, which students could add to:
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Telehealth consult rooms
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Physician space
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Practitioner Space
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Staff Respite Space
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Data Center Space
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Central Monitoring
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Command and Control space
• Parking
Ultimately, this project challenges students to design a flexible, adaptable space which provides
a suitable and effective environment for providers to practice telemedicine. Students must research their typology and use their creative intution to design solutions for the problems that the future of healthcare faces.
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
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Table of Contents Site Introduction ������������������������������������������������ 1 Site Context ����������������������������������������������������������������������������������������������������������������������������������� 4 Climate ����������������������������������������������������������������������������������������������������������������������������������������� 6 Flood Map ������������������������������������������������������������������������������������������������������������������������������������ 7 Site Access ������������������������������������������������������������������������������������������������������������������������������������ 8
Project Scenario ������������������������������������������������� 11 Centrum Center ������������������������������������������������ 15 Introduction �������������������������������������������������������������������������������������������������������������������������������� 16 Central Courtyard ������������������������������������������������������������������������������������������������������������������������18 Space Program ����������������������������������������������������������������������������������������������������������������������������� 20 Materials and Methods of Construction ���������������������������������������������������������������������������������������� 21 Cost Estimate ����������������������������������������������������������������������������������������������������������������������������� 22 Staffing Needs ����������������������������������������������������������������������������������������������������������������������������� 23 Provider Pod ������������������������������������������������������������������������������������������������������������������������������� 24 Floor Plan ����������������������������������������������������������������������������������������������������������������������������� 26 Section & Elevations �������������������������������������������������������������������������������������������������������������� 28 Structure & MEP ������������������������������������������������������������������������������������������������������������������� 30 Data Center ��������������������������������������������������������������������������������������������������������������������������������� 32 Floor Plan ����������������������������������������������������������������������������������������������������������������������������� 34 Section & Elevations �������������������������������������������������������������������������������������������������������������� 36 Structure and MEP ����������������������������������������������������������������������������������������������������������������� 38
Sketch Gallery �������������������������������������������������� ii Acknowledgements ���������������������������������������������� vii Thank You! ����������������������������������������������������� ix
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
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Site Introduction
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Site Street Map
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Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Site Context
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St. David’s North Austin Medical Center
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Women’s Health Texas - Renaissance OB/GYN
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Walnut Creek Metropolitan Park
ar panels
10AM
1PM
4PM Sunrise
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Sunset
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Sunrise
Sunset
10AM
4PM
1PM
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Climate
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Flood Map
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Site Access
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Project Scenario
Telehealth Trends
The COVID-19 pandemic rapidly increased the adoption of Telehealth systems as a means of care across all healthcare needs. Primary care, urgent care, and even patient monitoring have all been forced into virtual options with COVID-19 patients requiring the attention of healthcare professionals. The trend of going virtual is expected to remain at the current demand or grow up to 650%, depending on the source. Increasingly, architects have had to adapt existing spaces or design new spaces for the implementation of telemedicine that provide the same quality of care as inperson visits. In our exploration, we each developed a proposal for a telemedicine provider suite as a design charette before this proposal. The image on top is Jonathan Latta’s “TeleXX Virtual Care Hub - Healthcare from Home” backyard hut. Telehealth providers can have this 30x15 ft shed in their backyard and use it as an office as well as laboratory space for simple pharmacalogical and medical testing needs. Pictured below, Josh Howard’s charette involved designing a working space and environment that was perfectly suited for practitioners of telehealth. His proposal, the Brazos Health Center, implemented strategies such as daylighting, biophilia, collaborative work spaces, and more.
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Project Scenario
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TeleXX Virtual Care Hub - “Healthcare from Home” // Jonathan Latta
Brazos Health Center // Josh Howard
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Centrum Center
PARK BEND DR.
PROVIDER BUILDINGS DATA CENTER
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Introduction
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Our project is situated in Austin, Texas about 12 miles north of the Texas State
Capitol building. More precisely, it is tucked between St. David’s North Austin Medical Center, Austin Community College: Northridge Campus, Walnut Creek Metropolitan Park, and a few suburban neighborhoods. This location lends to a unique opportunity for the site to serve medical professionals, college students, cyclists/ hikers, and families. Considering these things, we have designed a project to serve all these demographics.
The site is organized into two different design typologies; the northmost building
on the site is the data center, providing IT and logistics support to the rest of the project. Surrounding this are six provider buildings that provide telehealth services to patients and consumers. They are designed in a way to have the best virtual healthcare services for the Austin area as well as any area with good internet connection no matter the distance.
Access to the site is twofold. Park Bend Dr. connects the site to Texas Loop 1, a
major thoroughfare connecting North and South Austin. To the east of the site, there is an existing paved bike/bike trail with a direct route to Walnut Creek Metropolitan Park and the surrounding neighborhoods. Around the site, there are hike/bike trails connecting each of the buildings to eachother for full bicycle/pedestrian circulation.
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Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Central Courtyard
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Space Program
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Space Program
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Steel Framing
Slate Roofing
Wood Flooring
Plaster Walls
Site-Cast Concrete` 21 Materials and Methods of Construction
Wood Siding
Cost Estimate Data Center Building Cost
5685 SF @ $280/GSF
$1,592,000
Provider Space Building 2,234 SF @ $160/GSF Cost Total Building Costs
$237,000 $1,829,000
Fixed Equipment
8% of Total Building Costs
$147,000
Site Development
15% of Total Building Costs
$275,000
Total Construction Costs
$2,003,500
Site Acquisition
$750,000
Movable Equipment
8% of Total Building Costs
$147,000
Professional Fees
6% of Total Construction Costs
$135,000
Contingencies
10% of Total Construction Costs 1% of Total Construction Costs
$225,000
Administrative Costs TOTAL BUDGET REQUIRED BUDGET REQUIREDd
$23,000 $3,832,500
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Cost Estimate
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Staffing Needs DATA CENTER: -Receptionist (2) -IT Specialist -Telehealth Dispatchers (2) -Receptionist -Administrator -Janitorial Staff (2) Total: 9 Employees PROVIDER SPACES (6): -Doctor -Nurses (4) -Receptionists (2) -Janitor Total: 8 employees (x6) LANDSCAPE/SITE UPKEEP: -Maintenance (2) -Lanscaping (hire company) TOTAL: 59 Employees
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Staffing Needs
Provider Pod
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Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Provider Pod Floor Plan
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section
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Provider Pod Section & Elevations
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2” CONCRETE LAYER
MOISTURE BARRIER
EXTERIOR WOOD CLADDING
INSULATION
EXTERIOR WALL SECTION - PROVIDER BUILDING
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Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Dining Hall Structure & MEP
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Data Center
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Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Data Center Floor Plan
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section
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Data Center Section & Elevations
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MOISTURE BARRIER
CONCRETE CLADDING
INSULATION
EXTERIOR WALL SECTION - DATA CENTER
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Data Center Structure and MEP
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Sketch Gallery
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Gallery
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Gallery
Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
Gallery
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Gallery
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Acknowledgements
Josh Howard & Jonathan Latta Texas A&M University // College of Architecture Centrum Telehealth Center for Austin, Texas, USA Virtual Care Hub Under the Guidance of: Brian D. Briscoe, AIA, ACHA EDAC, LEED AP BD+C Vice President, Project Coordinator, HKS Rebecca Baron, NCIDQ, LEED AP, Vice President Senior Healthcare Advisor, HKS Deborah Wingler Ph.D, EDAC, Vice President Health Research Lead, HKS Craig Beale, FAIA, FACHA, LEED AP, Principal (Ret.) HKS George J. Mann, FAIA, Endowed Professor of Heatlh Facilities Design for Texas A&M College of Architecture William R. Eide, AIA Research Visiting Scholar Ronald L. Skaggs, FAIA, FACHA, FHFI, LEED AP, Chairman Emeritus of HKS Joseph G. Sprague, FAIA, FACHA, FHFI, Principal and Senior Vice President of HKS Jason Schroer, Director of Health Principal, AIA, ACHA, LEED AP Zhipeng Lu. Ph.D. Associate Director, CHSD Assistant Professor Carly E. McCord, Ph.D, Director of Telebehavioral Care Centrum Telehealth Center for Austin, Texas, USA Josh Howard & Jonathan Latta
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Thank You!
jonathanlatta@tamu.edu jonathanlatta708@gmail.com (972) 467-7792 McKinney, Texas
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josh_howard@tamu.edu joshhoward9898@yahoo.com (409) 779-2494 Orange, Texas