Lance Keoki Kubiak - A+D Portfolio by lance.keoki.kubiak

LANCE KEOKI KUBIAK

ARCHITECTURE + DESIGN PORTFOLIO

LANCE KEOKI KUBIAK

Madera Community Hospital Central Utility Plant - Site Plan, pg. 24

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A R C H I T E CT U R E + D E S I G N P O RT FO L I O

TABLE OF CONTENTS PROFESSIONAL PORTFOLIO

NorthBay Healthcare - Hospital Expansion

WHHS - Critical Care Pavilion

SCVMC - Ambulatory Surgery Center

St. Helena Hybrid OR

MCH - Central Utility Plant

ACADEMIC PORTFOLIO

M.Arch Thesis: Veteransâ&#x20AC;&#x2122; Health

Memorial Hermann Katy Hospital

The Center for Independent Living

COMPETITION PORTFOLIO

AIA/AAH Student Design Charette

OPENGAP InNature Competition

RESUME & CV

Work Experience

Key Strengths

Skillsets Education

Honors + Awards

Presentations

Goals References

Project Catalog

63 TA B L E O F CO N T E N T S

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NORTHBAY HEALTHCARE NORTHBAY HEALTHCARE - HOSPTIAL EXPANSION Fairfield, California, Under Construction

Serving the residents of upper Solano County in

Northern California, the Northbay Healthcare - Medical Center Expansion project will provide a renovated Emergency Department and a new 3-story, acute care hospital. Major components of the a new 3-story above-grade addition include new Imaging and Dietary facilities on Level 1, new Acute Care Nursing Unit and two minor procedure rooms on Level 2, and new Operating Rooms and Pre-op/PACU on Level 3.

Serving as a Healthcare Planner for the project,

I managed the replanning and redesign of the existing Emergency Department at NorthBay.

This was a multi-

phased remodel that was required to remain fully-operational during construction. The final program added 15 Treatment Rooms of varying acuity, 2 Trauma Rooms, and 1 CT Scanner Room. In my role on the project, I also developed construction documents for the 3-story acute care tower. The 100,000 sq. ft. project with a budget of $159 million is being implemented utilizing a modified Integrated Project Delivery model. Current construction schedule has NorhBay Medical Center Expansion opening in the first quarter of 2019.

P R O F E S S I O N A L P O RT FO L I O

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LANCE KEOKI KUBIAK

NORTHBAY MEDICAL CENTER EMERGENCY DEPARTMENT EXPANSION NEW WING

NEW WING ENTRANCE

(E) STAIR 1 CORRIDOR

(E) CORRIDOR

(E) ELEVATOR MACHINE (E) TOILET, PUBLIC, MEN

DATA ROOM

(E) MAIN ELECTRICAL ROOM

(E) TOILET, PUBLIC, WOMEN

DATA ROOM

NEW WING ENTRANCE

(E) ELEVATOR MACHINE

(N) SERVER ROOM

(E) PBX OPERATOR'S OFFICE

(E) SERVICE ELEVATOR LOBBY

REAR PARKING LOT ENTRANCE

CORRIDOR

(E) JANITOR STORAGE

(E) STAIR 2

(E) PUBLIC CORRIDOR VESTIBULE

PAVILLION ENTRANCE

STORAGE SHARED OFFICE (MD WORKROOM)

PHASE 4

FAMILY CONSULT

TREATMENT

ACC PATIENT TOILET

TREATMENT

MEN'S STAFF TOILET

TREATMENT

(E) STORAGE

(E) TREATMENT F

(E) TREATMENT G

(E) CLEAN UTILITY

EQUIPMENT STORAGE

(E) SOILED UTILITY

(E) X-RAY

(E) TREATMENT E CONTROL

(E) PUBLIC CORRIDOR

(E) ELEC.

HOSPITAL ENTRANCE

PHASE 1

(E) CORRIDOR

(E) EQUIPMENT ALCOVE NURSE STATION

WAITING ROOM

CORRIDOR

VESTIBULE/ TRIAGE

PHASE 4

(E) TREATMENT C

TREATMENT

TRIAGE

TREATMENT CUBICLE CORRIDOR

CONTROL, RECEPTION, REGISTRATION & SECURITY

TREATMENT CUBICLE

OFFICE, ED MANAGER

NOURISH.

TREATMENT DISCHARGE WINDOW

PUBILIC TOILET

TELEPHONE DRINKING FOUNTAIN ATM ALCOVE

(E) TOILET, PATIENT CORRIDOR

(E) TOILET, PATIENT

(E) LAB

(E) TOILET, STAFF, MEN, ACC.

VESTIBULE

(E) TREATMENT A (NEGATIVE PRESSURE)

TOILET, STAFF, WOMEN

TREATMENT CUBICLE

TREATMENT, HOLDING

PHASE 4

TREATMENT, HOLDING

SHARED OFFICE (MD WORKROOM)

TRAUMA 1 PATIENT TOILET

PHASE 3

TREATMENT, HI ACUITY 6

NURSE STATION/CARE TEAM

TREATMENT, HOLDING

CORRIDOR

MEDS ALCOVE CORRIDOR

STAFF LOUNGE/ LOCKERS

(E) TOILET, PATIENT

(E) TREATMENT, OBSERVATION

(E) SHOWER, PATIENT

CARDIAC RESUS. ROOM

(E) TREATMENT, OBSERVATION SECURITY/ EMS

OBSERVATION

(E) TREATMENT, OBSERVATION

AMBULANCE ENTRANCE

COMPLETED PROJECT

R LOGO>

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TRAUMA 2/ORTHOPEDIC CAST

TELECOM.

PHASE 4 NEW HOSPITAL & EMERGENCY DEPARTMENT ENTRANCE

CT SCAN

TREATMENT, HI ACUITY 4

TREATMENT, HI ACUITY 5

SECURED HOLDING

PHASE 2

CORRIDOR

LOBBY

HSKPG

NURSE STATION

TREATMENT

WHEELCHAIR STORAGE

PUBILIC TOILET

(E) TREATMENT B (NEGATIVE PRESSURE)

TOILET, STAFF, NURSE STATION WOMEN, ACC.

T OR PP SU

COLOR LEGEND

Y ER RG SU

SURGERY

PRE-OP PACU

(E) ICU (E) CCU

CIRCULATION

(E) BUILDING SUPPORT

PERIOPERATIVE/ POST ANESTHESIA

(E) CIRCULATION

ACUTE CARE

SURGERY

(E) CRITICAL CARE

SURGERY SUPPORT

(E) INTENSIVE CARE BUILDING SUPPORT

SURGERY SUPPORT

(E) NICU

(E) LDRP

BUILDING SUPPORT

(E) BUILDING SUPPORT

CIRCULATION

(E) CIRCULATION

EMERGENCY

(E) LDRP/ NICU

SURGERY SUPPORT

ACUTE CARE

CENTRAL STERILE

IMAGING

DIETARY

EMERGENCY

(E) BUILDING SUPPORT (E) CIRCULATION (E) CUP BUILDING SUPPORT CENTRAL STERILE

CIRCULATION DIETARY EMERGENCY IMAGING

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P R O F E S S I O N A L P O RT FO L I O

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WHHS - CRITICAL C A R E PAV I L I O N MORRIS HYMAN CRITICAL CARE PAVILION Fremont, California, Under Construction

Originally planned in early 2001, the Washington

Hospital - Morris Hyman Critical Care Pavilion is a 220,000 sf, 4-story, Level 1 Trauma Center that was set to open in the mid-2000â&#x20AC;&#x2122;s. Due to economic pressures the project was placed on hold for more than a decade. In 2013, Ratcliff was hired to execute the original construction documentation and update the design of a new Emergency Department, adult ICU, and step-down inpatient beds for advances in technology and healthcare delivery. The Morris Hyman Critical Care Pavilion will open in 2018.

While assisting with the preparation of bid

documents and performing constructability review, I also helped develop a new master plan for the campus. The master plan called for reorganization of future campus buildings, patient services, and vehicular and pedestrian circulation, along with the relocation of 120 Medical/ Surgical Beds in the original 7-Story tower to a new building on campus. My team developed several scenarios to relocate the existing patient beds, including one strategy to remodel the existing 7-story tower and another strategy replace the beds in a new 5-story bed tower adjacent to the new Critical Care Pavilion. I prepared detaield space programs, building massing and preliminary renderings for the final master planning document. P R O F E S S I O N A L P O RT FO L I O

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BART Stat

ion

Phase 2 Parking Structure & Helistop 1900 Mowry

Central Utility Plant

Civic Center Drive 12 |

A R C H I T E CT U R E + D E S I G N P O RT FO L I O

BART Way

Phase 2 Morris Hyman Critical Care Pavilion

2000 Mowry Existing Main Hospital

2500 Mowry

Mowry Avenue

Center for Joint Replacement

BASEMENT FLOOR PLAN

FIRST FLOOR PLAN

SECOND FLOOR PLAN

FOURTH FLOOR PLAN P R O F E S S I O N A L P O RT FO L I O

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P R O F E S S I O N A L P O RT FO L I O

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A M B U L ATO R Y SURGERY CENTER Valley Medical Center - Ambulatory Surgery Center San Jose, California, Proposed 2022

As the largest district hospital in Silicon Valley, Santa

Clara Valley Medical Center plans to position its future campus services to address an ever-changing healthcare climate by creating a new completely outpatient-focused Ambulatory Surgery Center. Current programming scenarios plan for the addition of a new 150,000 sf, 5-story facility that will include an 8 OR Surgical Center, a 10 Procedure Room G.I. Suite, a 48bed Hemodialysis Unit, and other Ancillary Support Services.

During the early stages of planning, I facilitated

Architect/Client programming meetings in which the design team conducted interviews with Physicians and Clinicians and recorded request for specific departments.

We the

design team then synthesized those comments into a detailed space program and preliminary block plan layouts. The final detailed space program and layout options, along with building massing and preliminary renderings were recorded in a report and presented to Santa Clara County for project approval and funding. Proposed duration of planning and construction of the Ambulatory Surgery Center is estimated to be 3 to 4 years.

P R O F E S S I O N A L P O RT FO L I O

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OPTION 1B - 3RD FLOOR - BLOCK DIAGRAM AND PATIENT PATH OF TRAVEL

OR SUPPORT

OR 5

PRE-OP & PACU (30 BEDS)

OR 6

OR 7

ELEV

WAITING/ RECEP.

ELEC.

OR 2

OR 8

OR 3

OR SUPPORT

LOBB

WAITING/ RECEPTION

WAIT

ANCILLARY

ANC

CLINIC POD 2 (15 EXAM, 6 PROVIDER)

CLINIC POD 1 (15 EXAM, 8 PROVIDER)

CONF. CENTER

CLINICAL SUPPORT

ELEV

OPTION 1B - 2ND FLOOR - BLOCK DIAGRAM AND PATIENT PATH OF

STAIR

CLIN

SURG

SURGERY SUPPORT ELEV CLINIC ELEC. SUPPORT PATIENT TREATMENT

OR SUPPORT TRAVEL

CLIN GARDEN TERRACE

BUSINESS ADMIN.

SURGERY

ELEC.

PLAN LEG

LOBBY/ AMENITIES/ ADMIN

CLINICAL EXAM

OR 4

PEDS SEDATION DENTISTRY PHARMACY (2 PRIVATE PACUS)

STAIR

PLAN LEGEND

STAIR

STERILE CORE

OR 1

OPTION 1B - 5TH FLOOR - BLOCK DIAGRAM AND PATIENT PATH OF TRAVEL

SURG

ELEV

CLINIC SUPPORT

WAITING/ RECEP.

ELEC.

PATI

OPTION 1B - 4TH FLOOR STAIR- BLOCK DIAGRAM AND PATIENT PATH OF STAIRTRAVEL

PLAN LEGEND PATIENT SUPPORT

PLAN LEG PATI

LOBBY/ AMENITIES/ ADMIN FACILITIES

STAIR

VASCULAR LAB (5) IMAGING

PERITONEAL / NEPHROLOGY CLINICS (24 EXAM, 15 PROVIDER)

ANCILLARY PATIENT PATH OF TRAVEL

G.I. RM 8

AMBULATORY SPECIALTY CENTER CLINICALPROGRAMMING SUPPORT

30 ft 07/14/17

LAB

SURGERY

G.I. RM 1 G.I. RM 2

G.I. RM 7

CLINICAL EXAM N

PAIN (2) EX. RM

FACI LOBB

WAITING/ BUILIDNGRECEPTION SUPPORT

GASTROENTEROLOGY (22 EXAM, 14 PROVIDER)

PATI ANCI

G.I. RM 3 G.I. RM 4

G.I. RM 9

CLINI

AMBULATORY SP

PRE/POST RECOVERY (32 BAYS)

G.I. RM 5

G.I. RM 10

BUIL WAIT

STAIR

G.I. RM 6

CLINI

30 ft 08/07/17

SURG

SURGERY SUPPORT ELEV ELEC.

ELEV

WAITING/ RECEP.

STAIR

DATA G.I. PROCEDURE SUPPORT

ELEV

ELEC. STAIR

CLINIC SUPPORT

WAITING/ RECEP.

ELEC. PATIENT TREATMENT STAIR

OPTION 1B - 1ST FLOOR - BLOCK DIAGRAM AND PATIENT PATH OF TRAVEL

SURG

ELEV

G.I. PROCEDURE SUPPORT

ELEC. STAIR

PATIE

PATIENT SUPPORT

PATIE

PLAN LEGEND FACILITIES

FACIL

LOBBY/ AMENITIES/ ADMIN OPTION 1B - 5TH FLOOR - BLOCK DIAGRAM AND PATIENT PATH OF TRAVEL BUILIDNG SUPPORT

WAITING/ RECEPTION PATIENT PATH OF TRAVEL

LOBBY/ AMENITIES/ ADMIN

MATERIALS MGMT

HEMODIALYSIS (48 STATIONS)

30 ft 07/14/17

LOBBY

ELEV ELEC. STAIR

INFOR./ EDUCATION

HEMODIALYSIS SUPPORT AREA

CUSTOMER SERVICE

WAITING/ RECEP.

CONF. CENTER

OPTION 1B - 4TH FLOOR - BLOCK DIAGRAM AND

CLINICAL SUPPORT

ELEC.

G.I. RM 7

G.I. RM 8

DATA G.I. PROCEDURE SUPPORT

RECEP.

STAIR

PLAN LEGEND

OR 6

OR 7

OR 8

VASCULAR LAB (5) IMAGING

OR 3

ELEV ELEC.

PAIN (2) EX. RM

CLINICAL EXAM

OR SUPPORT

PATIENT SUPPORT FACILITIES

WAITING/ RECEPTION

BUILIDNG SUPPORT

ANCILLARY

PATIENT PATH OF TRAVEL

CLINICAL EXAM

ELEV ELEC.

WAITING/ RECEP.

PLAN LEGEND

STAIR

PATIENT SUPPORT FACILITIES

WAITING/ RECEPTION

BUILIDNG SUPPORT

ANCILLARY

MATERIALS MGMT

PATIENT PATH OF TRAVEL

CLINICAL EXAM N CLINICAL SUPPORT 0

SERVICE AREA

MAIN ENTRY ELEV ELEC.

INFOR./ EDUCATION CUSTOMER

HEMODIALYSIS SUPPORT AREA

WAITING/ RECEP.

SERVICE OPTION 1B - BASEMENT FLOOR - BLOCK DIAGRAM AND PATIENT STAIR PATH OF TRAVEL

B - SUPPORT

07/14/17

SURGERY SUPPORT PATIENT TREATMENT

PLAN LEGEND SECONDARY ENTRY

AMBULATORY SPECIALTY CENTER PROGRAMMING

30 ft

SURGERY

HEMODIALYSIS SUPPORT AREA ELEV ELEC. STAIR

PATIENT SUPPORT FACILITIES

07/14/17

PATIENT TREATMENT

LOBBY/ AMENITIES/ ADMIN

HEMODIALYSIS (48 STATIONS)

AMBULATORY SPECIALTY CENTER PROGRAMMING

30 ft

SURGERY SUPPORT CLINIC SUPPORT

LOBBY

PATIENT TREATMENT

07/14/17

PATIENT TREATMENT

PLAN LEGEND

STAIR

SURGERY SUPPORT ELEV

AMBULATORY SPECIALTY CENTER PROGRAMMING

30 ft

SURGERY SUPPORT

ELEV ELEC.

LAB

STAIR

CAFE

ELEC.

0 SURGERY

CLINICAL SUPPORT N 0 SURGERY

SURGERY

STAIR

PATIENT PATH OF TRAVEL

CLINICAL SUPPORT

OR 4

PERITONEAL / NEPHROLOGY CLINICS (24 EXAM, 15 PROVIDER)

CLINICAL SUPPORT

STAIR

BUILIDNG SUPPORT

OR SUPPORT

STAIR

1 - DIALYSIS WAITING/ RECEP.

FACILITIES

LOBBY/ AMENITIES/ ADMIN

ELEV

IMAGING 2 RAD. 2 MRI 1 MAMO 1 CT (SHELLED) 4 UT

PATIENT SUPPORT

CLINICAL EXAM

OR 2

WAITING/ ELEC. OPTION 1B - 1ST FLOOR - BLOCK DIAGRAM AND PATIENT PATH OF TRAVEL RECEP.

ELEC/TEL.

08/07/17

PATIENT TREATMENT

WAITING/ RECEPTION

STERILE CORE OR 1

AMBULATORY SPECIALTY CENTER ANCILLARY PROGRAMMING 07/14/17

30 ft

SURGERY SUPPORT

G.I. PROCEDURE

STAIR

2 - SPECALITY MECH/PLUM

0 SURGERY

PLANSUPPORT LEGEND

STAIR

WAITING/ RECEPTION

CENTRAL STERILE PROCESSING

PATIENT PATH OF TRAVEL

AMBULATORY SPECIALTY CENTER PROGRAMMIN

CLINICAL SUPPORT

ELEV ELEC.

ELEV WAITING/ PEDS SEDATION DENTISTRY PHARMACY LOBBY/OPTION AMENITIES/ ADMIN - 2ND FLOOR - BLOCK DIAGRAM AND PATIENT PATH OFRECEP. TRAVEL ELEC. (2 PRIVATE PACUS) PATIENT PATH1BOF TRAVEL STAIR

30 ft

BUILIDNG SUPPORT

CLINICAL EXAM

ANCILLARY OR 5

PRE-OP & PACU (30 BEDS)

BUILIDNG SUPPORT

FACILITIES

LOBBY/ AMENITIES/ ADMIN OR SUPPORT

FACILITIES

PATIENT SUPPORT

G.I. RM 3 G.I. G.I. RM 9 RM 4 PRE/POST G.I. RECOVERY G.I. RM 5 (32 BAYS) RM 10 G.I. RM 6

PATIENT SUPPORT

07/14/17

WAITING/ RECEPTION ANCILLARY

ELEV

3 - SURGERY SERVICE ENTRY

PATIENT TREATMENT

PLAN LEGEND

STAIR

OPTION 1B - 3RD FLOOR - BLOCK DIAGRAM AND PATIENT ELEC. PATH OF TRAVEL WAITING/

SECONDARY ENTRY

SURGERY SUPPORT

LOBBY/ AMENITIES/ ADMIN

PATIENT TREATMENT

OPTION 1B - BASEMENT FLOOR - BLOCK DIAGRAM AND PATIENT PATH OF TRAVEL

AMBULATORY SP

SURGERY

30 ft

STAIR

G.I. RM 1 G.I. RM 2

GASTROENTEROLOGY (22 EXAM, 14 PROVIDER)

STAIR

CLINICAL SUPPORT

ELEV CLINIC ELEC. SUPPORT

WAITING/ RECEP.

STAIR

SURGERY SUPPORT

ELEV

GARDEN TERRACE

SURGERY

HEMODIALYSIS SUPPORT AREA

CLINICAL EXAM BUSINESS ADMIN.

ELEV CLINIC ELEC. OF SUPPORT PATIENT PATH TRAVEL

4 - G.I.

SERVICE AREA

MAIN ENTRY

ANCILLARY

CLINIC POD 2 (15 EXAM, 6 PROVIDER)

CLINIC POD 1 (15 EXAM, 8 PROVIDER)

AMBULATORY SPECIALTY CLINICAL EXAM CENTER PROGRAMMING

PATIE

WAITING/ RECEPTION

ANCILLARY

CAFE

BUILI

PLAN LEGEND

5 - CLINICS

STAIR

PATIENT SUPPORT FACILITIES

LOBBY/ AMENITIES/ ADMIN SERVICE ENTRY WAITING/ RECEPTION

BUILIDNG SUPPORT PATIENT PATH OF TRAVEL

ANCILLARY CENTRAL STERILE PROCESSING

MECH/PLUM

CLINICAL EXAM N

CLINICAL SUPPORT 0

BUILIDNG SUPPORT PATIENT PATH OF TRAVEL

WAITING/ RECEP. ELEV ELEC.

STAIR

IMAGING 2 RAD. 2 MRI 1 MAMO 1 CT (SHELLED) 4 UT

AMBULATORY SPECIALTY CENTER PROGRAMMING

30 ft

07/14/17

SURGERY

ELEC/TEL.

SURGERY SUPPORT

ELEV ELEC.

PATIENT TREATMENT

STAIR

PATIENT SUPPORT FACILITIES BUILIDNG SUPPORT

AMBULATORY SPECIALTY CENTER PROGRAMMING

30 ft 08/07/17

P R O F E S S I O N A L P O RT FO L I O

PATIENT PATH OF TRAVEL

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AMBULATORY SPECIALTY CENTER PROGRAMMING

08/07/17

LANCE KEOKI KUBIAK

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A R C H I T E CT U R E + D E S I G N P O RT FO L I O

ST. HELENA HYBRID OR ST. HELENA - HYBIRD OR & CATHLAB ADDITION St. Helena, California, Under Construction

For many healthcare clients, evolving technology and

equipment play a pivotal role in sustaining improved patient outcomes and operational performance. Adoption of new imaging technologies will give cardiologists and surgeons greater diagnostics and surgical capabilities when providing advanced cardiovascular treatments. St. Helena Hospital of Napa Valley (SHNV) has a long traditon of providing essentail helath services to the Northern Napa Valley. With an increased aging population in the region, it became imperative that SHNV could provide advanced Image-guided Surgery and Catheterization services to address increasing rates of heart disease, heart failure, and stroke among an older demographic.

In an effort to advance cardiovascular care at St. Helena

Hospital looked to implement the latest in image-guided surgery with the addition of a new Hybrid Operating Room and Catheterization Lab. As both Lead Planner and Project Architect for the Hybird OR & Cathlab Addition, I was responsible for the production of Space Programming, Schematic Design, Design Development and Construction Documents.

Given

the complexity of the project, I and the rest of the A/E Team acquired knowledge about the latest developments in imaging technology and systems, planning guidelines, and best practices when designing these specialized surgical spaces.

P R O F E S S I O N A L P O RT FO L I O

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LANCE KEOKI KUBIAK

MEETING MINUTES - MEETING #2 : Options for Hybrid Cath Fit

5/18/2016 35039

SHARED MED/EQUIP. SUPPLY

HEAD END

•

Preference for Control Room and Equipment Room to be shared between Hybrid OR and Cath Lab

•

Provide Perfusionist/Blood Pump Room adjacent to Hybrid OR

•

Relationship Diagram approved by Provide Anesthesia Workroom close to St. Hybrid Helena Napa Valley Hospital OR Working Group on May 5th, 2016

CATH LAB IMAGING EQUIPMENT ROOM

CATH LAB CONTROL AREA

F MEDGAS CO2

SCRUB x 2

CATH LAB

HYBRID OR & CATH LAB

Combine Sterile7 Supply and Clean Supply for ADDITION Hybrid OR & Cath Lab functions

•

Provide Patient Consult Room adjacent to Waiting Room; room could also be used as Physician’s Dictation

•

LEGEND Existing Soiled Utility Room could be shared by Hybrid OR, Cath Lab and Prep/Recovery Bed Clinical Support Unit

SLIDING DOOR

HYBRID CONTROL AREA

STAFF LOCKERS, SHOWER, TOILET, FEMALE

Surgical Space

GURNEY GURNEY

SCRUB

HYBRID OR

Surgical Support Scrub/Gurney

PUMP ROOM

GURNEY

CLEAN CORRIDOR HYBRID OR IMAGING EQUIPMENT ROOM

EVS

ANEST. WORKROOM

E STERILE SUPPLY & CLEAN UTILITY

ADMIN/ RECEPTION/ CONTROL

SHARED OFFICE

CORRIDOR

PATIENT TOILET

EXECUTIVE SUMMARY

D.1

D PATIENT WALK-IN

Schematic Report Content and Appendix SCRUB/ SUPPLY

The following Schematic Report is subdivided into sections that help convey the context of the Hybrid OR project, the design approach and resultant schematic plan, information about the large scale medical equipment planned for the suite, the MEP/ B Structural infrastructure that supports the systems servicing the suite and an Appendix containing SHARED supportive information and data. SOILED UTILITY EVS

CORRIDOR

CLEAN UTILITY

CONSULT

NURSE STATION

use of the large scale medical equipment planned for the suite, the Hybrid OR and the Cath Lab. A code summary is included in the Report. 8

The Report includes an Accessibility & Compliance PATIENT TOILET section that addresses jurisdictional and OHSPD’s common requirements for addressing accessibility HW NURSE STATION to the proposed Hybrid OR suite and all associated accessible paths of travel, toilets, public telephones and drinking fountains. 6

TO SURGERY

POST-OPERATIVE

WAITING ROOM

ELEV. #7

space, surgical support and administrative space, for example. The color coded plans provide visual context of the program and helps convey patient and staff ﬂow. ELEC.

ELEV. #6

PATIENT The document sequentially presents the evolution of TOILET the design as the plan evolved, including equipment NURSE STATION placement detail and critical dimensions and clearances. The narrative supports the application of the program and, where required by OSHPD review, the expanding of the scope of work into adjacent, related spaces.

CORRIDOR

PROCEDURE ROOM, ENDO #2

WORK ROOM - ENDO

PROCEDURE ROOM, ENDO #1

The Project Description, Section 2, provides a The planning of the Hybrid OR suite is outlined background to the project including the medical need chronologically in Section 3 of the Schematic Report for the Hybrid OR suite and the team methodology beginning with the original Conceptual Plan provided The Schematic Report continues to include detailed PATIENT ROOM for bringing the goals of the project to fruition. To in the November 2014 RFP. The outline includes a medical equipment plans and notes in Section 4 ground the project into the physical parameters of narrative of the process and planning evolution of the with detailed plans and sections and a description HW Athe project location, the Report continues to describe suite supported by illustrations. The included space of the functioning layout within the procedure rooms the existing campus and the Ancillary Building where program identifies each room and space, lists room and the adjacent supportive equipment storage and it is to be built. Because the Ancillary Building is just shared control rooms. sizes and describes required adjacencies and other shy of 40 years old, it presents limited floor-to-floor planning components that comprise the content of HYBRID OR AND CATH LAB ADDITION - APPROVED RELATIONSHIP DIAGRAM heights and restrictive code upgrades. The age of the Hybrid OR suite. Color coded plans identify the building and its dimensions limit the choice and rooms by type, including clinical support, surgical 14

PUBLIC TOILET, M, ACC

PUBLIC TOILET, F, ACC

DIAGRAMMATIC SECTION OF ST. HELENA NAPA VALLEY HOSPITAL

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A R C H I T E CT U R E + D E S I G N P O RT FO L I O

Clean Corridor Admin

ELEC.

OP SURGERY

STAIRWELL E

APPENDIX

Control Room(s) should be arranged to have a side view of the patient table at Hybrid OR and Cath Lab

FEMALE

HEAD END

Cath Lab Control Room

•

Mechanical/Electrical Patient Beds

Nursing/Support The Ancillary Building required HVAC upgrade to provide adequate environmental support for the Staff Circulation proposed Hybrid OR suite. The Engineering Team proposed new rooftop air handling Staff Accessequipment and prepared studies of different duct routes to the C Patient Circulation treatment rooms on the third ﬂoor. Two of these Red Line options are illustrated in Section 5 of the report with further analysis of the preferred option. Section 6 of the Schematic Report includes supportive documentation for the main report. The original Concept Plan from the RFP is shown for original scope of work context and reference. Additional medical equipment layouts are included representing earlier room orientation design ideas. Meeting minutes and several ﬂoor plans are added to document the decision-making the hospital user group made.

3.4 5/18/2016 35039

S C H E M AT I C D E S I G N R E P O R T

The ﬁnal versions of the functional and relationship 4 5 diagrams were then used to inform the design of a preferred schematic layout and space program which received approval by the St. Helena Napa Valley Hospital Working Group on May 5th, 2016. The CATH approved schematic design can be seen at the LAB STAFF LOUNGE STAFF LOCKERS, end ofSUPPLY this section. SHOWER, TOILET,

The following priorities were established by the St. Helena Hospital working group to guide the planning process of the Hybrid OR and Cath Lab Addition:

A d v e n t i s t H e a l t h - S t . H e l e n a H o s p i t a l , N a p a Va l l e y Hybrid OR & Cath Lab Addition

HYBRID OR & CATH LAB FUNCTIONAL DIAGRAM The above diagram illustrates the relationships between clinical space, support service and administrative programs that are required for Hybrid OR and Cath Lab functions. Patient flow into surgical functions is through the Prep/Recovery Unit, passed the “red line” designation for a clean corridor environment. Clinicians and staff circulate through lounge/locker functions and can proceed to surgical functions passed the red line. Soiled utility space is efficiency the Hybrid OR and Cath Lab share 1 shared by the floor. For operational 2 3 control and equipment rooms.

Operational and Spatial Priorities

PLANNING & PHASING

CONSULT

Program Stair type, sizing and spatial relationships were established through the use of current healthcare planning guidelines (FGI) and building codes (CBC 2016), as well as direct input from St. Helena Napa Valley Hospital end-users. The resulting functional diagram (see left) accounts for the required adjacencies, optimal patient/staff workflow, and desired efficiencies through sharing of space, determined by the working group. Several preliminary options were generated by the planning team that explored various room configurations and imaging equipment orientation. These options can be found in the appendix of this report.

1.2 5/18/2016 35039

E X E C U T I V E S U M M A RY

CLEAN UTILITY

PATIENT

Public

S C H E M AT I C D E S I G N R E P O R T

WAITING WA ROOM RO

To Main Hospital

CH A d v e n t i s t H e a l t h - S t . H e l e n a H o s p i t a l , N a pS a Va l l eE y M AT I C D E S I G N R E P O R T H y b r i d O R & C a t h L a b A d d i t i oA n d v e n t i s t H e a l t h - S t . H e l e n a H o s p i t a l , N a p a Va l l e y Hybrid OR & Cath Lab Addition

NURSING

Clean

PLANNING & PHASING

STAFF

RECEPTION/ ADMIN/ CONTROL

EVS

Through a series of interviews and working sessions the team generated a functional program to guide space planning and design of the project. This Office, functional program can be found in the appendix of this report. Spvsr. Waiting

S C H E M AT I C D E S I G N R E P O R T

STAFF LOUNGE/ LOCKERS/ TOILET/ SHOWER

PREP/RECOVERY

Early in our process our planning team engaged St. Helena Napa Valley Hospital executives, physicians, surgical staff and clinicians to conﬁrm the functional requirements of Hybrid OR and Cath Lab spaces. The planning team also met with several imaging equipment manufactures to review site considerations and speciﬁcations.

A d v e n t i s t H e a l t h - S t . H e l e n a H o s p i t a l , N a p a Va l l e y Hybrid OR & Cath Lab Addition

SHARED SOILED UTILITY

RED LINE

Staff Lockers,

Reception/ Control

SCRUB/ GURNEY

5/18/2016 35039

Cath Lab In order to identify the spatial and operational impacts Showers, Toilets of a Hybrid OR and Cath Lab Addition, the design Clean team collaborated with a working group comprised Scrub Meds of St. Helena Napa Valley hospital management and end-users to understand and validate existing scopePatient of operations, quality of space, important Staff relationships, along with future priorities and goals at the start of the planning process. Anest. Work Rm

Scrub

SCRUB/ GURNEY

Functional Program

Sterile Supply

CATH LAB

ANEST. WORKROOM

Cath Lab Elec.

Meds

SHARED EQUIPMENT/ SHARED CONTROL

Shared Equipment

The use of hybrid operating rooms and interventional imaging suites have increased in today’s hospital setting. These spaces are now regarded an essential HybridaOR components to support variety of imaging-guided surgical procedures. Due to a rapid evolution in imaging technology, the physical and operational requirements for imagine-guided surgery spaces Patient continue to change. It is imperative that the planning team be informed in the latest requirements, guidelines and best practices Hybrid Elec. when designing these Soiled specialized surgical spaces.

IMAGING EQUIPMENT

PUMP ROOM HYBRID OR

Hybrid OR Control Room

CLEAN UTILITY & STERILE SUPPLY

IMAGING EQUIPMENT

Meeting Minutes

Proposed Functional Diagram3 . 3 PLANNING PROCESS

4.7 5/18/2016 35039

G 4

MEDICAL EQUIPMENT

6'-7"

LEVEL 4 39' - 5" 1

SHARED EQUIPMENT ROOM 9'-0"

228 SF

CLEAN CORRIDOR

CATH LAB

711 SF

510 SF

77 SF

CATH LAB ELEC. ROOM

CATH LAB

SHARED CONTROL ROOM

510 SF

LEVEL 3 26' - 6"

250 SF

F 5'-0"

SCRUB

CO2 STORAGE

STORAGE

GURNEY ALCOVE

SCRUB

CATH LAB - SECTION C

CLEAN CORRIDOR 711 SF

ti t H

lth St H l

H b id OR

d C th L b R

d l

CATH LAB - Partial Plan

3 1

Cath Lab Legend 1. 2. 3. 4.

Ceiling Mounted Bi-Plane C-Arm Ceiling Mounted C-Arm Rail System Floor Mounted Bi-Plane C-Arm Patient Table

Cath Lab Section C & Section D Legend 1. 2. 3. 4. 5.

LEVEL 4 39' - 5"

Ceiling Mounted Bi-Plane C-Arm Floor Mounted Bi-Plance C-Arm Patient Table 6 1/4” Unistrut Support Grid (E) W 18 x 50 Structural Beam

120 120 ° °

185° 185

CATH LAB ELEC. ROOM 77 SF

SHARED CONTROL ROOM

CATH LAB 510 SF

250 SF

LEVEL 3 26' - 6"

CATH LAB - SECTION D

P R O F E S S I O N A L P O RT FO L I O

S C H E M AT I C D E S I G N R E P O R T

21'-9 5/8"

A d v e n t i s t H e a l t h - S t . H e l e n a H o s p i t a l , N a p a Va l l e y Hybrid OR & Cath Lab Addition

3 25'-4 1/4"

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A R C H I T E CT U R E + D E S I G N P O RT FO L I O

MCH - CENTRAL UTILITY PLANT MCH - CENTRAL UTILITY PLANT REPLACEMENT Madera, California, 2010

Madera Community Hospital serves as the main

healthcare campus for the people of Madera County. The hospital contains 106 acute care beds, a 16-bed Emergency Department and a 10-bed Intensive Care Unit.

As the

populaiton in the surrounding area increases, the hospital system has planned for the future expansion of its acute care facilities. The first phase of a multi-phase campus expansion was to build a new Central Utility Plant to supply increased infrastructure capacity for building projects. The $17.5 million project replaced the existing utility plant that was original to the campus from 1971. The new utility plant was designed for increased energy efficiency and sized to support new campus construction over a twenty year timeline.

As a draftsperson for Kubow&Assoicates, I gained

exposure to a large healthcare project by working on the MCH - Central Utility Plant Replacement. My support duties included drafting construction documents and organizing necessary application packages for Office of Statewide Health Planning and Development (OSHPD) review. The experience I gained through this project gave me a solid foundation for working on future healthcare projects.

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A R C H I T E CT U R E + D E S I G N P O RT FO L I O LANCE KEOKI KUBIAK

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TEXAS A&M UNIVERSITY

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MASTER OF ARCHITECTURE CA

ANDIDATE

M.ARCH THESIS: VETERANS’ HEALTH DESIGNING FOR WOUNDED WARRIORS Decatur, Georgia, Spring 2013

As part of my M.Arch Thesis at Texas A&M

University, I developed design guidelines and planning principles for Veterans’ Health. Funded by Tuttle Fellowship from the AIA/Academy of Architecture for Health, I had the opportunity to travel internationally and domestically to gather knowledge that would guide my thesis design. The data I collected helped inform not just my thesis project but also several undergraduate and graduate level studio design courses at the college. The findings my the thesis, as well as the findings from the graduate and undergraduate studio courses were published and presented to the U.S. Department of Veterans’ Affairs for future reference when designing new clinical facilities within the VA Healthcare System.

My M.Arch study focused on designing a 7,000

square foot outpatient facility prototype specializing in the treatment of PTSD and TBI that would be at the Atlanta VA Medical Center in Decatur, Georgia. The Atlanta-VAMC location was selected primarily for its increased population of veterans returning from combat in Iraq and Afghanistan. My design focused on incorporating spaces for alternative medicine, virtual reality, horticultural therapy, art therapy and music therapy, along with family support functions.

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FALL 2012

Veteran Population

27% troops report substance abuse problems

320,000 troops sustained a TBI during active combat

300,000 troops diagnosed with PTSD or major depression

29 deaths -per 100,000 due to suicide among service members

A N C E K E O K I Demographics MHS LHealth KUBIAK HEALTHDEMOGRAPHICS

1.6 Million troops deployed during OEF/OIF conflicts. Site Analysis

Site Analysis LANCE KEOKI KUBIAK

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MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

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TEXAS A&M UNIVERSITY

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MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

FALL 2012

Site Analysis LANCE KEOKI KUBIAK

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LANCE KEOKI KUBIAK

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A R C H I T E CT U R E + D E S I G N P O RT FO L I O

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TEXAS A&M UNIVERSITY

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MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

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FALL 2012

Emerging Trends EMERGINGTRENDS ALTERNATIVE MEDICINE

Incorporation of nontraditional treatment modalities such as acupuncture, meditation, massage, yoga and Tai Chi therapy with traditional treatments.

VIRTUAL REALITY THERAPY

Developments in Virtual Reality and visualization have opened new avenues of treatment. The Department of Veterans Affairs has adopted VR as a key component of their exposure therapy for PTSD.

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ART AND MUSIC THERAPY

FAMILY SUPPORT

Due to the severity of their comorbid condition, soldiers oftentimes cannot verbalize their pain and emotion to clinicians. Art and music therapies allow patients to express their angst and anxieties through new avenues of expression.

Military health practitioners have acknowledge the importance of involving family into various stages of treatment. Programs are continuing to allocate more resources and space to facilitating such treatment intervention.

MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

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FALL 2012

Design Goals PROJECTGOALS PATIENT CENTERED CARE

PROMOTING COLLABORATION

PUBLIC VS. PRIVATE SPACE

ENVIRONMENTAL CONTROLS

ACCESS TO NATURE

WƌŽǀŝĚŝŶŐ Ă ĨƵŶĐƟŽŶĂů ƉƌŽŐƌĂŵ ƚŚĂƚ ĂůůŽǁƐ Ă ƉĂƟĞŶƚ ƚŽ ƌĞĐĞŝǀĞ ƋƵĂůŝƚǇ ĐĂƌĞ ŝŶ Ă ƐŝŶŐůĞ ĨĂĐŝůŝƚǇ ŝƐ ƉŝǀŽƚĂů ƚŽ ƉŽƐŝƟǀĞ ŚĞĂůƚŚĐĂƌĞ ŽƵƚĐŽŵĞƐ͘ ĞƐŝŐŶŝŶŐ Ă ĐŽŵƉĂĐƚ ƐƉĂĐĞ ƉůĂŶ ǁŝůů ŝŶƐƵƌĞ ƐĞƌǀŝĐĞ ŵĞŵďĞƌƐ Ă ĨŽĐƵƐĞĚ ůĞǀĞů ŽĨ ĐĂƌĞ ŝŶ Ă ŶŽŶͲŝŶƐƟƚƵƟŽŶĂů ͞ŚŽŵĞůŝŬĞ͟ ƐĞƫŶŐ͘

Create a variety of ŵĞŶƚĂů ƌĞŚĂďŝůŝƚĂƟǀĞ ƚŚĞƌĂƉǇ ĨŽƌ ǁŽƵŶĚĞĚ ǁĂƌƌŝŽƌƐ ŝƐ ƚŚĞ ĂďŝůŝƚǇ ƚŽ ĐƌĞĂƚĞ Ă ǀĂƌŝĞƚǇ ŽĨ architectural space ĂƌĐŚŝƚĞĐƚƵƌĂů ƐƉĂĐĞ ƚŚĂƚ ĨĂĐŝůŝƚĂƚĞƐ ƚŚĞ ĐŽůůĂďŽƌĂƟŽŶ ďĞƚǁĞĞŶ ĂŶĚ ĞĚƵĐĂƟŽŶ ŽĨ that facilitates the ƉĂƟĞŶƚƐ͕ ƐƚĂī ĂŶĚ ŚĞĂůƚŚ ƉƌŽĨĞƐƐŝŽŶĂůƐ͘ collaboration between and education of patients, staff and health professionals to provide an optimal standard of care.

<ĞǇ ƚŽ ƉƌŽǀŝĚŝŶŐ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ƉŚǇƐŝĐĂů ĂŶĚ

Design spaces to have ǁŝƚŚ WŽƐƩƌƵĂŵĂƟĐ ^ƚƌĞƐƐ ŝƐŽƌĚĞƌ ĂŶĚ ŽƚŚĞƌ ĐŽŵďĂƚ ƌĞůĂƚĞĚ ŝŶũƵƌŝĞƐ ƐƉĂĐĞƐ ǁŝůů ďĞ the flexibility of being ĚĞƐŝŐŶĞĚ ƚŽ ŚĂǀĞ ƚŚĞ ŇĞǆŝďŝůŝƚǇ ŽĨ ďĞŝŶŐ ŽƉĞŶĞĚ ĂŶĚ ĨƌĞĞ ǁŝƚŚŽƵƚ ƉƌŽĚƵĐŝŶŐ ĨĞĞůŝŶŐƐ open and free without ŽĨ ǀƵůŶĞƌĂďŝůŝƚǇ ĂŵŽŶŐ ƐŽůĚŝĞƌƐ͘ producing feelings of vulnerability and anxiety among soldiers with TBI and PTSD symptoms that effect sense of space and depth.

ƵĞ ƚŽ ƚŚĞ ŶĂƚƵƌĞ ŽĨ ƐǇŵƉƚŽŵƐ ĂƐƐŽĐŝĂƚĞĚ

Enhance a sense of ƉĂƟĞŶƚƐ͕ ĨĂŵŝůǇ ĂŶĚ ƐƚĂī͕ ĞīŽƌƚƐ ǁŝůů ďĞ ƚĂŬĞŶ ƚŽ ŝŵƉůĞŵĞŶƚ ǀĂƌŝŽƵƐ ŝŶƚĞƌŝŽƌ ůŝŐŚƟŶŐ͕ ŶŽŝƐĞ comfort and safety for ĂŶĚ ƚĞŵƉĞƌĂƚƵƌĞ ĐŽŶƚƌŽů ƐƚƌĂƚĞŐŝĞƐ ƚŽ ĞůŝŵŝͲ ŶĂƚĞ ƐƟŵƵůŝ ƚŚĂƚ ĂƌĞ Ă ŚŝŶĚƌĂŶĐĞ ƚŽ ƉŚǇƐŝĐĂů patients, family and ĂŶĚ ŵĞŶƚĂů ƌĞŚĂďŝůŝƚĂƟǀĞ ĞŶǀŝƌŽŶŵĞŶƚ͘ staff, efforts by implement various interior lighting, noise and temperature control strategies to eliminate stimuli that are a hindrance to physical and mental rehabilitative environment.

dŽ ĞŶŚĂŶĐĞ Ă ƐĞŶƐĞ ŽĨ ĐŽŵĨŽƌƚ ĂŶĚ ƐĂĨĞƚǇ ĨŽƌ

ZĞƐĞĂƌĐŚ ŚĂƐ ŝŶĚŝĐĂƚĞĚ ƚŚĂƚ ŵĂŝŶƚĂŝŶŝŶŐ Ă Maintain a physical and ƉŚǇƐŝĐĂů ĂŶĚ ǀŝƐƵĂů ĐŽŶŶĞĐƟŽŶ ƚŽ ŶĂƚƵƌĞ ƚŚƌŽƵŐŚ ĂĐĐĞƐƐ ƚŽ ŽƵƚĚŽŽƌ ŐĂƌĚĞŶƐ ĂŶĚ visual connection to ŝŶƐƉŝƌŝŶŐ ůĂŶĚƐĐĂƉĞƐ ĐĂŶ ĚĞĐƌĞĂƐĞƐ ƌĞĐŽǀĞƌǇ ĂŶĚ ƌĞŚĂďŝůŝƚĂƟŽŶ ƟŵĞƐ ĂŵŽŶŐ ǀĞƚĞƌĂŶƐ͘ nature through access to outdoor gardens and inspiring landscapes to increase treatment outcome and decrease recovery and rehabilitation times among veterans.

Provide a functional program that allows a patient to receive quality care in a single setting.

ACA D E M I C P O RT FO L I O LANCE KEOKI KUBIAK

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LANCE KEOKI KUBIAK

Design Parti Holistic approach; tranquility of nature Targeting physical, psychosocial and emotional distress §  Finding balance within the overlap

§  §

Site Plan LANCE KEOKI KUBIAK

LANCE KEOKI KUBIAK

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TEXAS A&M UNIVERSITY

MASTER OF ARCHITECTURE CANDIDATE

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Site Plan ・

MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

2012-2013 AIA/AAH TUTTLE FELLOWSHIP LANCE IN HEALTH KEOKI KUBIAK FACILITY PLANNING ・ TEXAS AND A&M DESIGN UNIVERSITY ・

A R C H I T E CT U R E + D E S I G N P O RT FO L I O

FALL ・ MASTER 2012 OF ARCHITECTURE CANDIDATE

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FALL 2012

2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH

PROGRAMANALYSIS Program Analysis THERAPY SERVICES

SERVICE 22%

ADMIN

21%

Modularity

12% 30’

45%

LOBBY

TOTAL: 7,080 NSF

17’

Modular/Prefab Construction

Master Plan

On-site Construction 4:1 ratio Prefab to On-site Construction LANCE KEOKI KUBIAK

LANCE KEOKI KUBIAK

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MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

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TEXAS A&M UNIVERSITY

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MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

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FALL 2012

Rehabilitation Paths

Outdoor Yoga Area

Gard den e for Staff// G oup Th Gr herapy

Cent Ce n ral Plaza

Pergola Eagle Sculpture with Bird Feeder

Port Po rtable rt ab Gas Fire ab e Pit D op-off Area Dr

Raised Planting Bed Me M em mo ori rial a Plaza

Sections

Staircase

Ou utd doo oor or Loun u ge ge

Walking Path under Woods Horttic culture Gard den

Art Display Area/ Seating Area

Pe erg gol oa

Children Playground

Op pen n Law aw wn

La aby yri rintth Trellliliss Trel Tr

Parking Ga ara rage

LANCE KEOKI KUBIAK

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TEXAS A&M UNIVERSITY

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MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

40 ft

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L A N CDESIGNING E K E O K I FOR DESIGNING FORWOUNDED WOUNDED WARRIORS WARRIORS AAREHABILITATIVE REHABILITATIVE ENVIRONMENTFOR FORPOST-COMBAT POST-COMBATVETERANS VETERANS KUBIAK ENVIRONMENT

Central Courtyard

Atlanta AtlantaVA VAMedical MedicalCenter Center––Decatur, Decatur,Georgia Georgia

Classroom Gardens

Dogtrot

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

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FALL 2012

LANCE KEOKI KUBIAK

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TEXAS A&M UNIVERSITY

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TEXAS A&M UNIVERSITY

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MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

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FALL 2012

Typical Module Section Typical Module Section Standing Standing seam metal roof seam metal roof light shelf light shelf HVAC system HVAC system

metal truss system metal truss system

acoustic tile ceiling acoustic tile ceiling covered porch covered porch

prefabricated slab prefabricated slab

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A R C H I T E CT U R E + D E S I G N P O RT FO L I O

helical pile system helical pile system

LANCE KEOKI KUBIAK LANCE ・ TEXAS A&M UNIVERSITY ・ A&M MASTER OF ARCHITECTURE CANDIDATE ・ 2012-2013 AIA/AAH FELLOWSHIP HEALTH FACILITY PLANNING DESIGN ・ FALL KEOKI KUBIAK ・ TEXAS UNIVERSITY ・ MASTER OF ARCHITECTURE CANDIDATE ・ TUTTLE 2012-2013 AIA/AAH IN TUTTLE FELLOWSHIP IN HEALTHAND FACILITY PLANNING AND2012 DESIGN

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FALL 2012

ŶĚ ƚŚĞƌĂƉĞƵƟĐ ĞŶǀŝƌŽŶŵĞŶƚ ƐƵƉƉůĞŵĞŶƚĂů ƚŽ

ůĂƉďŽĂƌĚ ƐŝĚŝŶŐ͘

Interior Renderings ROOF PLAN

ŶƚƌǇ ĂŶĚ ŵĂŝŶ ůŽďďǇ ŽĨ ĨĂĐŝůŝƚǇ͘

&ůĞǆŝďůĞ ĐůĂƐƐƌŽŽŵ ƚŽ ĂĐĐŽŵŽĚĂƚĞ ĨŽƌ ŵƵƐŝĐ͕ Ăƌƚ ĂŶĚ ŚŽƌƟĐƵůƚƵƌĂů ƚŚĞƌĂƉǇ͘

Main Entry/Lobby & Admin dŚĞ ǇŽŐĂ ƚƌĞĂƚŵĞŶƚ ŵŽĚƵůĞ ƉƌŽǀŝĚĞƐ Ă ĐŽŵĨŽƌƚͲ ĂďůĞ ƐƉĂĐĞ ǁŚĞǇ sĞƚĞƌĂŶƐ ĐĂŶ ƉƌĂĐƟĐĞ ƌĞůĂǆĂƟŽŶ ƚĞĐŶŝƋƵĞƐ͘

LANCE KEOKI KUBIAK

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TEXAS A&M UNIVERSITY

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dŚĞ ǀŝƌƚƵƌĂů ƌĞĂůŝƚǇ ƚƌĞĂƚŵĞŶƚ ŵŽĚƵůĞ ĨĂĐŝůŝƚĂƚĞƐ ďŽƚŚ ƉƐǇĐŚŽůŽŐŝĐĂů ĂŶĚ ƉŚǇƐŝĐĂů ƚŚĞƌĂƉǇ ŝŶ Ă ŚŽŵĞůŝŬĞ ĞŶǀŝƌŽŶŵĞŶƚ͘

MASTER OF ARCHITECTURE CANDIDATE

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

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2012-2013 AIA/AAH TUTTLE FELLOWSHIP IN HEALTH FACILITY PLANNING AND DESIGN

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ŵďŽŽ ŚĂƌĚǁŽŽĚ ŇŽŽƌ͘

TYPICAL SECTION

20ft

60ft

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MEMORIAL HERMANN CRITICAL CARE TOWER MEMORIAL HERMANN KATY HOSPITAL EXPANSION Katy, Texas, Spring 2012

During the first year, Spring semester of my

M.Arch program, studios focused on developing a technical understanding of building design and fundamentals of healthcare planning. The final project was a proposal for the addition of a 5-story critical care tower at Memorial Hermann in Katy, Texas. The project utilized existing acute-care models as bases for design development. Each critical care floor contained 24 single-patient rooms designed to increase patient comfort and staff workflow.

The placement of the new critical care tower was

important in maintaining important adjacencies with the original hospital. A bridge to the west of the new tower connects patient floors to operating rooms located in the existing podium. Floor plates used a racetrack patient room configuration to maximize views form nurse stations while optimizing staff workspace in the central core.

Design development included investigating case

studies of ICU patient rooms that used an EvidenceBased Approach in their design. Characteristics such as incorporating family zones, acuity- adaptability, and access to nature were applied to the final design of the studio project.

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ACUTE EMERGENCY/ TRIAGE

SITE PLAN NOT TO SCALE

ER WAITING ROOM

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LANCE KEOKI KUBIAK

ã&#x192;»

TEXAS A&M UN

SHELL SPACE

FAMILY

SHELL SPACE

TEAM WORK ZONE

ADMIN & STAFF

TEAM WORK ZONE

ADMIN & STAFF

FAMILY

TEAM WORK ZONE

SECTION A-A

SCALE: 1/16”=1’-0”

ATRIUM/ GARDEN

ATRIUM/ GARDEN MECHANICAL ROOM

SHELL SPACE

STAFF CONFERENCE

STAFF ON-CALL

WAITING ROOM

OFFICES

ER WAITING

EMERGENCY/ TRIAGE

ACUTE EMERGENCY/ TRIAGE

AMBULANCE

SECTION B-B

SCALE: 1/16”=1’-0”

SHELL SPACE

ACUTE EMERGENCY/ TRIAGE

NIVERSITY

ER CONFERENCE

SHELL SPACE

ICU PATIENT ROOM

ICU NURSING

ICU PATIENT ROOM

ER EXAM ROOM

ER NURSING

ER EXAM ROOM

EMERGENCY/ TRIAGE

ER WAITING ROOM

ENTRY

SECTION C-C

SCALE: 1/16”=1’-0”

・

MASTER OF ARCHITECTURE CANDIDATE

・

CERTIFICATE IN HEALTH SYSTEMS & DESIGN

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STAFF ON-CALL

STAFF LOCKERS

CONFERENCE

STAFF LOUNGE

23 21 19

STOR

TRAUMA ELEVATOR LOBBY

FAMILY WAITING

CLEAN UTIL

NURSE STATION

EQUIP

CONSULT

LAB

MED PREP

RESPIRATORY WORKROOM

NORISH

NURSE STATION

INFO/ LIB

OFFICE

OFFICE STAFF/SERVICE ELEVATOR LOBBY

MECH ROOM

NORISH

MECH ROOM

RESPIRATORY WORKROOM

FAMILY WAITING

NURSE STATION

CLEAN UTIL

MED PREP

LAB

EQUIP

INFO/ LIB

CONSULT

EXIT STAIRS

COMM ROOM

INFO/ LIB

EQUIP

LAB

MED PREP

FAMILY WAITING

STAFF TOILET

SOILED UTIL

CLEAN UTIL

NURSE STATION

EVS

NORISH

ELEC ROOM

OFFICE

TELE

RECEP

ELEC ROOM

CONSULT

EVS

NORISH

MED PREP

LAB

COMM ROOM

EQUIP

NURSE STATION

17 15

10 14

12 ICU WAITING ROOM

ATRIUM

ATRIUM WALKWAY

ICU/CCU FLOOR PLAN

A R C H I T E CT U R E + D E S I G N P O RT FO L I O

INFO/ LIB

FAMILY WAITING

08 16

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STAFF TOILET

CLEAN UTIL

NURSE STATION

NURSE STATION 18

SOILED UTIL

Nurse Viewing Station Decentralized Nursing

Handwash Station Sanitation Control Overhead Medical Boom Flexible Space Material Change Separation of Zones Patient Lavatory/Shower Acuity Adaptable

In Room Family Zone Family Centered Care

Patient Window Access to Nature

ANNOTATED PLAN

TYPICAL ICU/CCU PATIENT ROOM LANCE KEOKI KUBIAK

・

TEXAS A&M UNIVERSITY

・

MASTER OF ARCHITECTURE CANDIDATE

・

CERTIFICATE IN HEALTH SYSTEMS & DESIGN

・

SPRING 2012

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T H E C E N T E R FO R INDEPENDENT LIVING UNIVERSALLY ACCESSIBLE COMMUNITY CENTER Berkeley, California, Spring 2008

During my first year of design school at the

Universtiy of California, Berkeley I had many opportunties to investigate and experiment with design language and architectural form. Undergraduate studios give students an amporphus, open structure on which to test their skill, imagination and design intuition. For many students this setting is their first exposure to sketching, drawing and model making techniques. It is in this environment that I first developed confidence in my early design approach.

This project attempted to reconnect a new Therapy/

Wellness Center with the existing Berkeley, California neighborhood. Using site analysis, shape generation, and the concept of tree branching, I synthesized an artistic form that functionally served the needs of the neighborhood by connecting the siteâ&#x20AC;&#x2122;s culture with the buildingâ&#x20AC;&#x2122;s design. An art gallery, theater space, classrooms, and dining program are connected through vertical and horizontal branches. Ease of wayfinding and accessibility were drivers of this design concept.

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LANCE KEOKI KUBIAK LOWER FLOOR

GROUND FLOOR

SECOND FLOOR

THIRD FLOOR

CIRCULATION SPACE VERTICAL CIRCULATION MOVEMENT THROUGH SITE

LOWER FLOOR

GROUND FLOOR

PROGRAM SPACE THERAPY/EDUCATION CULTURAL ADMINISTRATION

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SECOND FLOOR

THIRD FLOOR

TECTONIC DETAIL SCALE 1/4”=1’-0”

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ACA D E M I C P O RT FO L I O

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A R C H I T E CT U R E + D E S I G N P O RT FO L I O

AIA/AAH STUDENT DESIGN CHARETTE WELLNESS CENTER FOR SPORTS MEDICINE Nashville, Tennessee, Fall 2011

The annual Healthcare Design Conference (HDC)

brings together more than 4,100 design professionals, educators, and students to discuss the latest trends and innovations in healthcare design. A regular program at HDC is the Student Design Charette by the AIA/ Academy of Architecture for Health. Student teams from colleges across the United States are invited to attend the conference to network with design professionals and compete in the 48-hour design competition.

In the Fall of 2011, I was a part of the student

charette team from Texas A&M University that designed and presented a concept to convert an antiquated public health facility into a holistic healing center for â&#x20AC;&#x153;everyday athletes.â&#x20AC;?

This adaptive reuse proposal for the Lentz Public

Health Center in Nashville, Tennessee brought health services to the level of the individual, inviting everyone to take the challenge of pursuing a healthier lifestyle through treatment areas with varying care levels to treat people physically, and with plenty of green spaces to lift their mental states. The final design provided an urgent care area and examination and treatment rooms, but also included group exercise and fitness rooms, a dance studio, a rock climbing wall, and fitness library. CO M P E T I T I O N P O RT FO L I O

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WELLNESS CENTER

COMMUNITY

ADAPTIVE REUSE | HOLISTIC HEALING

connection

‘open’ inter(active)

ARCHITECTURE

TOTAL VISION

NATURE

HEALTH

TRANSPARENCY

WATER

vsual rehabilation using the natural environment

PEOPLE

existing intangible connection to the community

NATURE

EXISTING CAMPUS

Facilities URBAN CONTEXT

connection wth nature strong visual axis

link with Sportsplex that provides the community with athletic options

texas a&m university • lu gan • lance keoki kubiak • luis martinez • adeleh nejati • akshay sangolli

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redefining the existing neighborhood through walkways and green open spaces

COMMUNITY

CONNECTIONS

CILITY FA

A R C H I T E CT U R E + D E S I G N P O RT FO L I O

terraced site development to engage landscape around the facility

PLE

URBAN CONTEXT

HEALING ENVIRONMENT CLINICAL / MEDICAL / ACUTE

PREVENTATIVE ‘solutions’

REACTIVE

PROACTIVE

first floor

third floor

second floor

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A R C H I T E CT U R E + D E S I G N P O RT FO L I O

OPENGAP INNATURE DESIGN COMPETITION GEOLOGICAL & SEISMIC EDUCATION CENTER Salton Sea, California, Fall 2011

OPENGAP organized an open ideas competition that

looked to generate innovative, cutting-edge, contemporary proposals for an interperative nature center, committed to a strategy of implementing architecture in a natural environment. Approaches were required to find synergies between nature and the building itself.

My submission to the InNature competition was for

a interperative nature center near the San Andreas Fault in Sourthern California. The Salton Sea SRA Geology and Seismic Education Center located near Bombay Beach, California attempts to intersect humanity and nature through an architectural representation characterized by a “faulting” through the building form. I generated the building concept through a series of site analyses and mappings that informed architectural programming and structure. A reinforced concrete spine runs the length of the facility that is shaped by three cross-sectional divisions along existing site conditions and one longitudinal fault. These features created a visual representation of natural seismic forces’ effect on the built environment. I accentuated these features in the site design and building interiors so that a connection was made between the visitors’ education and their architectural experience.

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global.DIAGRAM Diagram illustrates regional boundaries (US-Mexico Boarder), infrastructure and major cities in Southern California.

regional.DIAGRAM Diagram illustrates geographical features around the Salton Sea and the major divides in the San Andreas Fault.

local.DIAGRAM Diagram illustrates natural topography and existing road infrastructure around Bombay Beach, California.

site.DIAGRAM Diagram illustrates existing site topography and architectural features.

concept.DIAGRAM Diagram shows the in.TERSECT between the formal planning grid and the natural lines of topography.

concept.DIAGRAM Diagram shows an upper plate created by a division at intersections between grid and topography.

concept.DIAGRAM Diagram shows a lower plate created by a division at intersections between grid and topography.

concept.DIAGRAM Diagram shows the resulting grid shift between upper and lower plates due to the in.TERSECT between nature and humanity.

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A R C H I T E CT U R E + D E S I G N P O RT FO L I O

site.DE Contiun is then

and humanity.

in.TERSECT

Geological and Seismic Educational Center

SALTON SEA SRA: BOMBAY BEACH, CALIFORNIA

3 2

9 1

8 6

8 10

LEGEND

1 2 3 4 5 6 7 8 9 10

30 20

EXHIBITION HALL - PUBLIC SPACE PARKING BOAT RAMP LOADING DOCK CLASSROOMS/CAFE - SEMI PUBLIC SPACE BREEZEWAY DORMITORY - PRIVATE SPACE REINFORCED CONCRETE STRUCTURE BRIDGE BREAK WALL

in.TERSECT verb [ with obj. ] divide (something) by passing or lying across it: occasionally the water table intersects the earth's surface, forming streams and lakes | the area is intersected only by minor roads. • [ no obj. ] (of two or more things) pass or lie across each other: lines of latitude and longitude intersect at right angles. site.DESIGN Contiunious architectural massing is in.TERSECTed by existing boundary and topography of site. Architectural programming is then divided into public, semi-private and private spaces by these site conditions.

site.DESIGN Concept “faulting” is applied to building massing, creating an in.TERSECTion in architectural space.

The Salton Sea Recreational Area located in Southern California is a landscape characterized by a conflict between humanity and nature. Dynamic geographic features and harsh climate shape and control the built environment around the region. East of the Salton Sea lies the beginning of the San Andreas Fault system. Capable of generating large seismic events the fault is a constant force on the human landscape. The regularity of seismic activity in the Salton Sea region serves as a constant reminder of the interaction and intersection of humanity and nature. The Salton Sea SRA Geology and Seismic Education Center located near Bombay Beach, California attempts to in.TERSECT humanity and nature through an architectural representation characterized by a “faulting” through the building form. The building concept is generated through a series of site analyses and mappings that inform architectural programming and structure. A reinforced concrete spine runs the length of the facility that is shaped by three cross-sectional divisions along existing site conditions and one longitudinal fault. These features create a visual representation of natural seismic forces effect on the built environment. Effort is made to accentuate these features in site design and building interiors so that a connection is made between visitor’s education and architectural experience.

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in.TERSECT 13

1 2

MAIN ACCESS EXHIBIT HALL EXHIBITION SPACE RECEPTION OFFICE CLASSROOM LOADING ACCESS PUBLIC RESTROOM

LEGEND

8 7

in.TERSECT 14

LEGEND 1 2 3 4 5 6 7 8

13 13

fl.PLAN - BUILDING 1

Scale 1/8”=1’-0”

MAIN ACCESS EXHIBIT HALL EXHIBITION SPACE RECEPTION OFFICE CLASSROOM LOADING ACCESS PUBLIC RESTROOM

Scale 1/8”=1’-0”

A R C H I T E CT U R E + D E S I G N P O RT FO L I O

10 LEGEND

3 7

fl.PLAN - BUILDING 1

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8 3

LEGEND 1 2 3 4 5 6 7 8

CLASSROOM PUBLIC RESTROOM DINING CAFE KITCHEN LOADING DOCK OUTSIDE DINING DORM RECEPTION COMMON ROOM LARGE DORM PRIVATE ROOM STORAGE LOBBY OFFICE

fl.PLAN - BUILDING 2 & 3

Scale 1/8”=1’-0”

1 2 3 4 5 6 7 8 9 10 11 12 13 14

fl.PLAN - BUILDING 2 & 3 Scale 1/8”=1’-0”

1 2 3 4 5 6 7 8 9 10 11 12 13 14

CLASSROOM PUBLIC RESTROOM DINING CAFE KITCHEN LOADING DOCK OUTSIDE DINING DORM RECEPTION COMMON ROOM LARGE DORM PRIVATE ROOM STORAGE LOBBY OFFICE

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RESUME &ECV L ANCE K OKI KUBIAK

559//360//2108 1120 Hearst Ave. #23 B e r ke l e y, C a 9 4 7 0 2

lance.keoki.kubiak@gmail

I aspire to collaborate on projects that have the potential to contribute to enhanced health, wellbeing, sustainability, and equity for communities through the effective planning and design of inspirational architecture.

WORK EXPERIENCE

•

Associate Planner & Designer, Ratcliff Emeryville, Ca. 2013-Present Healthcare programming, planning, design development, construction document production, specification writing, engineering coordination, project management and construction administration experience for various San Francisco Bay Area Healthcare clients. Associate Project Manager, Jensen+Partners Los Angeles, Ca. 2012-2013 Design programming and master planning experience for VA Palo Alto & VA Menlo Park Master Plan, and Hennepin County Medical Center. Designer/ CAD Drafter, Kubow&Associates Architecture Fresno, Ca. 2009-2011 Construction document production experience for various projects with Kaiser Permanente – Fresno Medical Center, Fresno Community Medical Center and Madera Community Hospital.

KEY STRENGTHS

• • •

Professionalism Leadership Focus

SKILLSETS

• • • • • • •

Revit 2018 AutoCAD Sketchup Adobe Creative Suite Microsoft Office Suite Deltek Newforma

EDUCATION

•

Master of Architecture Texas A&M University, May 2013 Certificate in Health Systems and Design Bachelor of Arts in Architecture University of California, Berkeley, May 2009 Degree conferred with Honors

•

HONORS + AWARDS

• •

•

• • •

Team-Orientation Critical-Thinking Authenticity

• • •

Communication Curiosity Confidence

2012-2013 AIA/AAH Arthur N. Tuttle Jr. Graduate Fellow Selected as the 2012-2013 Fellow for the Arthur N. Tuttle Jr. Graduate Fellowship in Health Facility Planning and Design. 2013 Alpha Rho Chi Medal Recipient Nominated by Texas A&M University faculty as a graduating senior who has shown an ability for leadership, performed willing service for his or her school or department, and gives promise of real professional merit through his or her attitude and personality. Phi Kappa Phi Inducted as a member of Phi Kappa Phi National Honors Society. Recognition for placement in the top 10 percent of graduate students in all disciplines.

R E S U M E & CV

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LANCE KEOKI LANCE KEOKI KUBIAK KUBIAK PRESENTATIONS

• • •

GOALS

• •

REFERENCES

• • • •

PORTFOLIO

• • •

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559//360//2108 1120 Hearst Ave. #23 B e r ke l e y, C a 9 4 7 0 2

lance.keoki.kubiak@gmail

2015 Healthcare Design Conference, Washington, D.C. Co-Presenter - New Portable Technologies: Reshaping the Future of Healthcare Design 2014 AIA Conference, Chicago, Il. Co-Presenter - Integrating Research Into Design 2013 Healthcare Design Conference, Orlando, Ca. Presenter - 2013 AIA-AH Tuttle Fellowship Presentation: Designing for Veterans’ Health Licensure Goal to complete ARE 4.0 & CSE exams for State of California Architectural License by end of 2017. LEED AP Goal to achieve LEED AP Certification by mid-2018. Christopher Naughton, AIA Architect, HMC Architects 916//325//1100 Henry Kubow, AIA Architect, Kubow&Associates Architecture 559//446//0200 Kirk Hamilton, FAIA, Ph.D. Professor, Texas A&M University 979//845//7009 Susan Rodiek, Ph.D. Associate-Professor, Texas A&M University 979//862//2234 Architectural + Design Portfolio https://issuu.com/lance.keoki.kubiak/docs/a_d_portfolio REturning Home Publication https://issuu.com/returninghometamu/docs/1st_ed_returning_home_ ebook LinkedIn Profile https://www.linkedin.com/in/lance-keoki-kubiak-21808447/

A R C H I T E CT U R E + D E S I G N P O RT FO L I O

LANCE KEOKI KUBIAK

559//360//2108 1120 Hearst Ave. #23 B e r ke l e y, C a 9 4 7 0 2

lance.keoki.kubiak@gmail

The following is a comprehensive list of my project works between 2009 and 2017.

PROJECT CATALOG

• • • • •

• • •

• • • • • • • • •

Madera Community Hospital - Central Utility Plant1 Kubow & Associates, 2009 Ohasia Home Remodel1 Kubow & Associates, 2009 California Armenian Home - Skilled Nursing Facility Remodel1 Kubow & Associates, 2010 Madera Community Hospital Pharmacy Expansion1 Kubow & Associates, 2010 Lempel Huntingtion Residence2 Kubow & Associates, 2010 Hennepin County Medical Center Master Plan2 Jensen+Partners, 2012 VA Palo Alto Master Plan2 Jensen+Partners, 2012 VA Menlo Park Master Plan2 Jensen+Partners, 2012 Washington Hospital - Morris Hyman Critical Care Pavilion2 Ratcliff, 2013 Washington Hospital - Campus Master Plan2 Ratcliff, 2013 NorthBay Healthcare Medical Center Expansion2 Ratcliff, 2014 Sutter Health, Delta Medical Center - Pharmacy Replacement2 Ratcliff, 2015 Sutter Health, Delta Medical Center - Cathlab Addition2 Ratcliff, 2015 Saint Helena Hospital Napa Valley - Hybrid OR and Cathlab Addition3 Ratcliff, 2016 Kaiser Permanente, Fresno - MOB Behavioral Health Rennovation3 Ratcliff, 2017 Santa Clara County Medical Center - Bed Realignment Master Plan2 Ratcliff, 2017 Santa Clara County Medical Center - Ambulatory Surgery Center2 Ratcliff, 2017

Project Role Key: 1. Production/ Draftsmen 2. Planner/Designer 3. Project Architect

R E S U M E & CV

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LANCE KEOKI KUBIAK 2017

559//360//2108 1120 Hearst Ave. #23 B e r ke l e y, C a 9 4 7 0 2

lance.keoki.kubiak@gmail