Medical + Healthcare Portfolio

MASSA MULTIMEDIA ARCHITECTURE

MEDICAL + HEALTHCARE PORTFOLIO

TABLE OF CONTENTS

University

Replacement

MRI Renovation

Alzheimer’s Care

Process Improvement

Caremore - Washington DC

Praise

Project List

Office Locations / Contact

Here at MMA, Intelligent Design is key. All of our projects are designed with practicality and proper aesthetic design in mind. MMA are experts in providing innovative, efficient, and flexible customer centered designs in today’s limited resource environment.

ABOUT US

HYPERPOD™

Redefining the ICU

Evidence Based Design

MMA has set itself apart from all other design firms with it’s depth, breadth, and critique of evidence-based literature.

As hospitals grow incrementally over time, healthcare needs coupled with site limitations present new and unique challenges for every expansion. Many large hospital spaces are not designed or used as effectively as they could be. This ineffective design leads to inefficient use of staff time and ultimately decline of patient care.

MMA is skilled at designing technologically complex environments in antiquated space and configuring optimal solutions under difficult constraints.

MMA’s designs put staff, operational, and economy of scale efficiencies first. This in turn leads to healthier and happier patients.

HYPERPOD is a registered trademark of Massa Multimedia Architecture

Revolutionary Concept

In the ever changing climate of Healthcare design and development, one aspect stands out as a true challenge to any Owner. How do you meet your census needs with ever increasing room size requirements and only a limited amount of space to expand?

MMA was recently tasked with the challenge of designing a new 60 bed ICU in an existing space that conventionally could only support 40 beds. MMA’s design team culled from its vast database of research and evidence based design calculations and came to one conclusion. It was possible.

The design was coined the HYPERPOD™.

This design effectively reduced the linear footage requirements along an outside wall by up to 35%, while still meeting the code driven natural light requirements to patients. By using internal “lightscapes”, a small room designed to pass light to another room, MMA was able to fit 8 rooms in the space that could originally only support 5. The design of this concept additionally allowed for increased staff productivity by allowing a single nurse to comfortably monitor 4 or even 8 rooms with a minimal amount of walking.

Each HYPERPOD™ consists of 4 rooms served by a single access hallway or portal. Patients may be observed either from this portal for from nurse landing stations along the main corridor.

VIEW OUR COMPARATIVE STUDY Open Plan and Racetrack Units. mma-architects.com/blog/

VIEW OUR STUDY on Perceptual Effects of Physical and Visual Accessibilities in Intensive Care Units. mma-architects.com/blog/

Why MMA?

Decision making in today’s healthcare economic climate is not as straight forward as it used to be. Buy-in from everybody is more important than ever from the neurosurgeon to the director of environmental services. Upset the nursing staff and the Docs aren’t happy. Make the Docs feel as though their opinion doesn’t count and initiatives are blocked. MMA’s lead architect can successfully navigate these difficult waters on your behalf. As healthcare only specialists, MMA has a remarkable history of managing expectations and perceptions. Astute leaders understand that formulas don’t create vision and without vision there is no growth. MMA’s imagination puts form to the clients vision. MMA takes the lead from the client then enhances and executes, on time and on budget. People get excited and stay excited with improved morale the outcome. Successful outcomes are ensured with MMA as your partner.

LONG RANGE | FACILITIES PLANNING

When asked by St. Mary’s to demonstrate their unique problem solving abilities, MMA responded with an intensive 3 week charette.

MMA’s response revitalized a stalled master planning

effort launched by another healthcare architect that drug on for over a year without a consensus being reached. The result was a bold imaginative design that completely revitalized the

St. Mary’s image, bolstered morale and enabled a CEO decision to move forward.

MMA’s master plan concept provides for 120,000 new square feet without the loss of a parking spot, reconfig -

ures outpatient traffic patterns for customer oriented service, and provides the latest in healing healthcare environments.

The solution that escaped the previous Top 10 architect’s imagination

LONG RANGE | FACILITIES PLANNING

Multiple needs addressed:

Projects resulting from MMA’s Phase 1 and Phase 2 $54 million Master Facilities Plan for St. Mary’s Health Care System inc. Athens, Georgia. Several of these projects were designed and executed simultaneously by MMA:

• 100,000 square foot Women’s/Diagnostics/NICU facility

• Adult Intensive Care Unit modernization

• ED Pediatric renovations

• CT Scanner consolidation

• Gift Shop

• Physician’s Lounge

• Operating room renovations/ new OR

• Inpatient Neuro Sciences/ NCCU renovations

• Central Scheduling Unit

• EMS facility planning

• Infusion Therapy renovations

• $2.5 Million Endoscopy unit

• Chapel

• $2.4 M rooftop util ity infrastructure

• Rooftop 20 bed Inpatient Acute Rehab Unit

• Inpatient Rehab gym/ therapy area.

EXPANSION | WOMEN’S CENTER, NICU, DIAGNOSTICS FACILITIES

From LDR to LDRP/ Putting Families First

When asked by St. Mary’s to redesign for a change in operational birthing concepts, MMA responded with an even more vigorous three week effort than the previous LDR (Labor, Delivery, Recovery) effort. The new design yielded greater program advantages than the original design including more square feet without a budget increase. MMA’s continued investigation and understanding of the issues facing St. Mary’s since the original three week master solutions exercise allowed MMA to sharpen their pencils and create an even better benefit for the dollar. The result is a state of the

art LDRP (Labor, Delivery, Recovery, Postpartum) Women’s and NICU Center that is destined to gain St. Mary’s a strategic marketplace advantage in those service lines.

“I’ve participated in hundreds of architect presentations to hospital boards, MMA’s presentation is the only one I can recall where the Committee and Physicians applauded upon conclusion ”

~ Judy Smith, National Birthing Consultant

The solution that helped revitalize an organization

St. Mary’s largest capital program has engendered a renaissance in staff enthusiasm for caregiving in several service lines. Many of St. Mary’s employees have been with the organization for over 20 years. Pride in workplace is an important component in staff satisfaction, especially in maternity where it is common knowl -

edge that converting from traditional LDR to single room maternity care means an initial 40% staff loss. Couple staff turnover as a result of cross training, a CEO mandate for program growth and resistance from traditional practice OB’s to new models of care meant that a design solution nothing less than extraordinary

Hospital needs coupled with site limitations presented quite a design challenge. 12 foot floor to floor heights when 15 feet is customary for new construction and a site that was only 85 feet wide ultimately empowered , not hindered, MMA in their development of an extraordinary solution. Many of the hospital staff were not aware that an option such as the one MMA developed existed. Not surprisingly as the previous architect hired by St. Mary’s had not envisioned this solution either

ORGANIZATIONAL RENAISSANCE

Tom Fitz, President /CEO of St. Mary’s asked MMA to create something “uplifting, comfortable and really inspiring”. Mr.Fitz asked the 200 visitors their opinion; guests responded with rousing applause. Athens Banner Herald

As is the case for many hospitals that have expanded incrementally over time, St. Mary’s found itself without any clear physical organization image. As a faithbased institution, only a design that embodied the hope the leadership and staff placed in MMA would do as this was the largest facilities program St. Mary’s had undertaken. This alone was a daunting design challenge, but not for MMA who have experience in creating unique non-institutional health care imagery. The new atrium serves as the epicenter for a 240, 000 square foot long range plan

that will render the facility functionally viable for a long time to come. This solution did not even register on the radar screen of the previous Top 10 architect who was unable to gain consensus regarding the best direction to move in. The new facility creates an impressive new front from Baxter Street and is monumentally positioned to elevate St. Mary’s image into a first class caregiving organization.

Many large hospital spaces are not used as effectively as St. Mary’s new atrium. Patient traffic patterns are directed through and adjacent to the space and the Atrium will continue to serve as the main hub for continued expansion. Admissions/ Registration fronts the space with new patient elevators directly connected. The bold italianate flooring pattern is a natural wayfinder. Volunteers and coordinators have clear views of all walking and vehicular traffic.

“My spirit is uplifted when I come into this space.”

Dr. Middendorf

A Renaissance in the Birth Experience

St. Mary’s needed an improved Women’s program and they needed it fast. Hospital leadership and privileged physicians stated that whoever applied for the CON first would gain the marketshare advantage. In 21 days MMA prepared detailed conceptual drawings and computer animation on which

“The docs couldn’t find anything wrong with the design.” ~ Kem Meeks OB Director

the CON was based. The first budget ended up being the final budget and the hospital is now the proud owner of a facility that has taken everyone by surprise. OB’s that initially were against moving to single room care are now

outspoken advocates for family oriented birthing. The design concept made it easy for those physicians who were initially against single room care to endorse the design as it allowed for a transition from LDR to LDRP

as practice habits gradually changed. The physicians have also been impressed with how the design supports operational and staff efficiencies. MMA can help create an advantage for you.

CENTERED BIRTHING

Putting families first

St. Mary’s new single room maternity suites have all the amenities an expectant mom would want for her family to be comfortable before, during and after the birth. Overnight accommodations, DVD’s, data points, Sanijet NSF approved whirlpools, etc. create the Ritz impression. Private foyers outside the room allow family to step outside while the Doc examines and serves as a staff communication point in between births. Suites are ACOG parametered, acoustically isolated and visually screened. The unit is designed for maximum staff efficiencies whether for high or low volume. Support services are located close by to improve staff efficiency. Daylight floods the unique interior 3 story Birthing Atrium and supports the Renaissance Revival design concept. Staff and Docs were heavily involved through field trips and mock-up validation. All this in a 12 foot floor to floor height!

RENAISSANCE IN THE BIRTH EXPERIENCE

Efficient and Inspiring

MMA designs put staff, operational, and economy of scale efficiencies first. St. Mary’s new obstetrical unit is designed to work as well on a slow 3rd shift as it does on a full day. The central staff position has visual control of the waiting/ patient entry area, triage, nursery, and the entire birthing suite. MMA believes

that inspiring imaginative healing environments are sympathetic to efficient clinical settings. The appealing environments you see here were achieved in a building only 85 feet wide with 12 foot floor to floor heights. MMA’s unique design exceeds most typical designs on a net to gross space basis.

NEW and EXPANDED DIAGNOSTICS CENTER

Diagnostics is the gateway into the system

MMA completely reoriented and significantly expanded St. Mary’s existing Diagnostics unit to present a new face in the new 100,000 square foot Phase 1 Women’s /NICU / Diagnostics expansion. A new private high throughput digital Women’s imaging unit was created, a Toshiba MRI environment was provided, 2 CT scanners were relocated in a back to back configuration to improve staff efficiency

and to directly support ED, a new digital ED support acquisition room was provided and several other key spaces to improve patient throughput and staff operations.

Single Room NEONATAL INTENSIVE CARE

Research put to practice

The latest in neonate healing environment design and how emotions relate to space is incorporated into St. Mary’s new 20 infant NICU unit. The apprehension an expectant mom might have about where her new baby might be cared for if needing help is now gone as NICU and maternity are now visually connected. Many new facilities locate NICU remote from Birthing. MMA’s design provides emotional comfort and security. Transverse daylight axis design concept was accomplished in a building only 85 feet wide! Staff epicenter has visual connectivity with all ares of the unit including the staff lounge. Depending on the infants care plan, families have control over a private or a transparent environment. Overnight accommodations are provided for inside and outside the infants room.

“We’ve had nothing but compliments.” ~ Imelda Curatao, St. Mary’s Hospital Director

COORDINATED REGISTRATION AND ADMISSIONS

Transparent patient intake process

MMA reconfigured patient intake patterns as part of St. Mary’s largest capital expansion. Outpatient registration had been handled in the ED intake area and for a 40,000 visit ED this was not patient friendly. MMA’s solution consolidated inpatient registration and outpatient admissions, same day surgery and inpatient surgery case scheduling, and adjunct scheduling operations to make the patient/ organization interface as transparent , friendly and as organized as possible. The new service is located not more than 75 feet from the patient parking deck and just across the main lobby from vehicular drop-off. All coordinators, intake personnel and volunteers are in visual contact with one another and patients/ families are always connected with a person. The new atrium is a calming, organizational feature that is designed to initiate the wayfinding process in an understandable way. Reorganizing the patient intake process was not even addressed in the former Top 10 architect’s long range facilities plan. MMA is expert at distilling key functional flaws within a healthcare setting and proposing creative, cost saving solutions.

MMA was awarded Mission Impossible for this rooftop expansion after St. Mary’s dismissed the former Top 10 Healthcare architect for not sticking to budget. The need to implement this program to capture available market place beds was critical. MMA’s mission was not only to put the project back on track but to also increase unit size from 16 to 20

beds with little additional space. MMA configured an efficient net to gross circulatory concept that worked within an extremely limiting existing floor structure that greatly constrained plumbing and mechanical rough- in placements. MMA utilized all future floor load bearing capacity of the existing underlying bed tower to meet new stringent seismic design cri -

Mission Impossible:

-Fit 20 beds in roughly the same square footage and budget as the original architect’s 16 bed scheme and maintain $1.68 M construction cost.

-Meet newly enacted IBC 2000 seismic requirements on an existing 1970’s structure.

-Immediately create a Phase 1 partial 2 bed unit to capture 2003 Medicare reimbursement advantage.

-Construct over an ICU Unit at the front entrance.

-Seven month construction schedule which included a $2.5 million Infrastructure/ utility backbone.

“This unit has to be operational by April 1”

- Tom Fitz, CEO

CENTRAL ENERGY PLANT | INFRASTRUCTURE

Extraordinary technical and construction schedule complexity surrounded this project. The new services that comprise this project needed to be operational before the new rooftop Acute Rehab unit became operational. Construction occurred during winter months when timing was most critical.

$2.5 Million Master Planning and Construction Challenge

To support 120,000 square feet of long range growth at St. Mary’s and to bring power distribution to current code, MMA implemented a major new rooftop utilities backbone connecting the Central Energy Plant to the areas of new expansion. The extraordinary technical challenge involved independent structural analysis of 6 previously built additions to confirm the existing structure’s ability to

support the 700 pounds per lineal foot of utility / rack weight and support design to accommodate new seismic criteria. Included is a new 4 branch power distribution penthouse with 45,000 pounds of electrical gear constructed over the existing surgical suite (equivalent to 3.5 MRI magnets).

Imelda Curatao, Manager and Dr. Middendorf complained of lack of privacy, poor image, excessive clutter and noise in the adult ICU. MMA responded with core privacy zones, Physicians PACS area, consolidated and relocated meds and RT supplies for security and infection control and employed indirect lighting techniques to change unit ambiance. National AHRQ metrics annalists, NCR Picker, listed MMA’s design as one of the Top 10% in their national database for Patient Centered Care.

Modernization for Efficiency and Privacy

St. Mary’s challenge to MMA was to cosmetically improve the outdated appearance of the adult ICU unit. MMA initialized the design process by analyzing the functional effectiveness of the support and staff core and proposed both a functional and visual reordering of the unit. The result is a modern unit with greater efficiency and less clutter, improved infection and security control, and increased patient information confidentiality. The design allows for future core expansion under the Women’s Center project as well as future HVAC upgrades.

“We’ve had nothing but compliments.”

~ Imelda Curatao, ICU Director

MASTER PLANNING | SURGICAL SERVICES

Planning for space and for operational efficiency

St. Mary’s was experiencing a bed shortage and turning away 800 ED admissions a year. The solution was unclear. Lack of a coherent long range plan caused space that was originally earmarked for surgery to be lost to other needs. When asked by St. Mary’s to solve OR space shortages, plan for growth and combine their remote outpatient site with IP surgery for operational savings, MMA responded with a comprehensive look at all the ‘halo’ conditions surrounding not just the OR but other interventional service lines as well. The result was the refinement of an option that

combines AM Admit, extended care and other pre surgical testing beds in one location connected to a comprehensive flexible post anesthesia arena greatly enhancing staff and anesthesia efficiencies as well as patient convenience and privacy. Surgical patients can be discharged without having to go back through the main lobby. The suite is configured for future growth. Improvements include all new electrical and code compliant filtered air distribution to the existing OR’s.

A new operating room in an already crowded suite

Offering the latest in Stryker digital communications and PACS integration, St. Mary’s new neurological operating theatre is part of a comprehensive new neurosciences initiative. MMA assisted the hospital in combining improved stat digital ED diagnostics with a new dedicated NCCU and neurosciences bed unit to launch this strengthened service line. The challenging aspect of this

initiative was the reallocation of non surgical space within an already undersized OR to create the room needed for the new operating room.

Melanie Nash, OR Director was skeptical at first. CSPD was undersized, the anesthesiologists complained about lack of space. The physicians locker rooms were too small, the hallways were used for storage and pre and post op were marginal at best. Sounds familiar? How were we going to fit in a new OR without any additional space. St. Mary’s asked MMA to help. Through long range surgical planning, building relationships with the staff and the Docs, a level of trust was created that allowed the tough inevitabilities to be forged and agreed upon. The result is the launching of a needed marketplace initiative and revenue generating service without having to expand the building. MMA can be your partner for your tough assignments as well.

More than just a Gift Shop

The new Gift Shop significantly modernized the appearance of the existing main visitors lobby, increased Gift Shop utilization and sales, and further demonstrated St. Mary’s commitment to modernization. St. Mary’s initially sought design consultation services from a large Hallmark franchise Owner, but after seeing MMA’s design thoughts and analysis the Hallmark consultant endorsed MMA’s creative design solution. On budget, on time.

“I’m just thrilled. I get so many compliments. I’m really proud of our space.” ~ Janet

McGarity, Director

ST MARY’S MEDICAL OFFICE BUILDING

RENOVATION | CATH / EP LAB

With the addition of a new acclaimed electrophysiologist, and a projected doubling of cardiology volumes in 6 months, MMA moved quickly with a 3 week effort to design and price an expansive PCI program in renovated space to meet the Owner’s CON filing expectations. This project was the first component in a newly launched cardiology service line encompassing over 31,000 square feet.

“The Project team exceeded our expectations”. David Bailey, MSN, RN, MBA , Service Line Director

3 Week CON Design and Filing for $4.7 Million Cardiology Program

MMA is skilled at designing technologically complex environments in antiquated space. Accommodating new Phillips Allura bi-plane systems, with overhead rolling weights that of a small car , in low 12 foot floor to floor heights with insufficient structural capacity to carry the load is MMA’s specialty. The final design is not perceived as a renovation at all but instead appropriately as a flagship service line of the hospital. MMA, with its history of accomplishing tech -

nically challenging initiatives, had to assure the Owner in the first 2 weeks of the engagement that the new technologies would work in their 1966 era building. Going beyond just meeting the demanding parameters of this project, MMA also showed Hospital Leadership how non-invasive diagnostics could be connected the labs and to the Emergency Department below.

“ These are the nicest labs in the greater Atlanta area” Lori Bell, Phillips Medical

St. Joseph’s / Candler NEUROSCIENCES / TBI Center

“After a year of operation there is not one thing I would change. We are very very pleased with the design”

-Diane Hinely, RN Neuro Manager

St. Joseph’s/ Candler Health System, Savannah, Georgia is a leading Magnet health care provider in a rapidly expanding market. The 2 hospital system contacted MMA to design their new flagship state of the art Neurosciences Intensive Care Unit as the first phase of improvements to the entire neurosurgical service line. The design incorporates all of the leading patient care and family design features and is configured for future growth. Located at the front door to the hospital, the new design will establish an aesthetic platform from which subsequent projects will borrow from to begin the modernization of the 60’s era plant.

Rooftop addition on facility not structured for vertical expansion

A previous architect master planner devised plans on the assumption that existing facilities were designed for future vertical expansion. The Owner developed project implementation plans and capital expenditure budgets based on those recommendations. When MMA was commissioned to design the first phase of a complete neurosciences services overhaul they immediately conducted and in depth survey of existing conditions including deep piling investigations

that confirmed that the existing 1960 era facilities were not structured for vertical expansion. MMA’s expertise in configuring optimal solutions under difficult constraints enabled the Owner to move forward with a rooftop expansion even under stringent seismic and hurricane forces. The new NICU design is extremely efficient, flexible and is designed to work integrally with the Phase 2 step down Neuroscience expansion.

The new NICU design is extremely efficient, flexible and is designed to work integrally with the Phase 2 step down Neuroscience expansion.

EXPANSION | ST JOSEPH’S

St. Joseph’s/ Candler Health System, Savannah, Georgia is a leading Magnet health care provider in a rapidly expanding market. The 2 hospital system contacted MMA to design their new flagship state of the art Neurosciences Intensive Care Unit as the first phase of improvements to the entire neurosurgical service line. The design incorporates all of the leading patient care and family design features and is configured for future growth. Located at the front door to the hospital, the new design will establish an aesthetic platform from which subsequent projects will borrow from to begin the modernization of the 60’s era plant.

St. Joseph/Candler Health System |

Low Cost / Major Improvement

$300k yielded a complete functional reconfiguration of Candler Hospital’s 60,000 visit ED front door. No loss of existing functioning space was necessary for MMA to figure out how to meet increased patient volumes in tight quarters. The complex 3 phase project occurred in the midst of 24 hour ongoing operations. Custom tailored Triage, intake and discharge processes, improved ambulance traffic flow, improved staff station visibility /functionality are embodied in the design concept. MMA provided the client with several options to choose from then worked with staff to design functionality down to the ‘J number’ printer. Staff could not believe how much larger the nurses area felt and how a 3 fold increase in Triage space was achieved within existing constraints.

5 Suite Endoscopy Unit on a fixed budget

This new unit was initially designed as an elevated addition with parking for the GI Docs below. The contractor had prepared a design development budget for the project that met the Owner’s pro forma. Then the oil and gas crisis hit. In 8 weeks MMA and its consultants redesigned the project to sit on the ground floor saving $600,000.00 which equalled the price increase. The project moved forward with the same program elements and features that the original design had but without the covered parking. The Docs were satisfied however because they

were involved all along and understood that marketplace pressures beyond the contractor’s control forced a revision to the design solution. With MMA as your partner, team members, hospital leadership and physicians stay informed and always have options at their disposal.

St. Mary’s new 9900 square foot Endoscopy Suite was built on a tight budget. MMA worked closely with the Owner and Brasfield & Gorrie Contractors to deliver the project for $2.3m construction cost without a sacrifice in quality. This was in the face of the 2004-2005 volatile construction materials escalation bubble. Built on time as well. Even the Olympus endoscope vendor said it was the best laid out unit he had seen.

St. Mary’s, Athens, Georgia was voted Georgia Alliance of Community Hospital’s ‘Large Hospital of the Year’ for 2006. In a rapidly growing competitive marketplace, St. Mary’s moved quickly to open up a significant new ambulatory services site on busy Atlanta Highway. MMA complied with the Owner mandate for a 6 month start to finish designbuild project including active MRI and CT environments. The 44,000 square foot interior upfit project was delivered on budget, on-time.

Fast Track ambulatory services

St. Mary’s chose to consolidate several existing ambulatory service programs located in various facilities throughout the city into one strategic location on busy Atlanta Highway. An opportunity arose for St. Mary’s to lease an entire brand new Class A business site for these services. MMA modified infrastructure to suit the needs of health

care and designed user friendly, private and convenient facilities. Included are diagnostics, registration, lab, neurosciences labs, rehabilitation and physical fitness programs

UNIVERSITY OF GEORGIA | HEALTH CENTER

Student Health Elevated

UGA’s recently completed $17 million expansion and renovation to their comprehensive student health services facility will make it one the largest in the nation. MMA was commissioned to identify various alternatives to help meet growing demand and to develop a whole new image for one the most important emerging East Campus gateways. MMA developed detailed conceptual options up to F (any of which would have solved the functional and space challenges) but Option C best met the University President and Administrations identity and corner resolution vision. MMA resynthesized and corrected detailed space programming prepared by a previous architect.

UNIVERSITY OF GEORGIA | HEALTH CENTER

$17 million student center recently completed on time and on budget. 110,000 square foot comprehensive health services facility comprised of office based, ambulatory and outpatient care environments and is JCAHO certified. According to Dr. Jean Chin, MD, MBA, Director: “MMA solved what we thought was an unsolvable problem”. MMA’s scope formulation, budgeting and programming accuracies yielded a final deviation of only 200 sf from the original conceptual phase program prepared by MMA.

UNIVERSITY OF GEORGIA | HEALTH CENTER

Wayfinding clarity, discreet mental health and health promotion settings and built in ability to expand are several hallmarks of the new design. New and improved fast track and emergent care functionality, security, quality control and error reduction objectives in key clinical settings were several core design prerequisites. Environments improve staff morale, utilization and efficiency, customer satisfaction and are great places to work. The Women’s Clinic Nurse Manager said it best: ‘The renovations are functionally perfect’.

The Women’s Clinic Nurse Manager said it best: ‘The renovations are functionally perfect’

LIMITED LAND MASTER PLANNING

Maximizing Program in Limited Space

When St. Mary’s Hospital, Athens, Georgia embarked on the largest capital facilities expansion in their history, they needed the confidence they could do so without preempting future growth alternatives. St. Mary’s had limited land on which to expand and MMA developed a plan that allowed them to ultimately replace their entire acute campus component with only 10% additional land. The history of hospital expansion speaks for itself. Just when you think you

have enough land, you don’t. MMA treats all master planning exercises as an urban high density land planning challenge. This does not mean that non institutional healing environments, greenspace and clear wayfinding are sacrificed. MMA is expert at showing a client how their campus can achieve a maximum density configuration in an intelligible, attractive way.

The positioning of Medical Office Buildings on a hospital campus has significant master planning implications. St. Mary’s new 80,000 sq. ft. MOB and parking deck design was originally devised by the developer’s non-medical architect. MMA protected St. Mary’s long range growth interests with a different design that even the developer acknowledged was a better design. MMA became part of the design team as a result.

PROCESS DRIVEN AMBULATORY CARE

University Medical Center Prototype

31,000 square foot, 8 component, process engineered ambulatory care facility designed for low cost, highest net to gross efficiencies, and optimal staff to physician/care giver ratios. MMA developed the detailed plans you see here and achieved complete buy in from all 8 user groups within 6 weeks from being authorized to commence work. Environments are evidence based driven, peer reviewed, and mock tested so upon opening day no process, whether it be IT or materiel related will be untested. Facility is expandable along major axis with clear intuitive wayfinding. MMA is a member of the collaborative healthcare research team at NXT and other research driven enterprises advancing thought on the patient experience. MMA’s straightforward design process involves all stakeholders in a collaborative, cross pollination environment where process improvements are the natural outcome. MMA client testimonials document a vast improvement in staff and workplace satisfaction in completed projects.

Discreet and highly efficient 8 user group ambulatory care facility to serve as prototypical referral gateway for a large university medical center joint venture.

REPLACEMENT ACUTE CARE HOSPITAL

University Medical Center Prototype

The Center Pointe ambulatory care center’s primary purpose is to be a community based primary and subspecialty care integrated group practice. Center Pointe is designed to fundamentally alter referral patterns and utilization in a tertiary system’s secondary catchment markets. The experience of 500 on-staff physicians, having practiced and continuing to practice in multiple facilities though the upstate, was brought to bear in configuring the idealized patient and provider centered environments in the first of its kind group practice model for the states largest tertiary medical system.

REPLACEMENT ACUTE CARE HOSPITAL

REPLACEMENT ACUTE CARE HOSPITAL

LEAN Critical Access Hospital

Maximizing clinical efficiency while providing the latest in ‘Evidence Based Patient Centered Design’ under HUD 242 financing is a challenge.

Greensboro’s new access hospital is super efficient, beats national and current CAH models, and incorporates all key patient / customer and staff satisfiers. Each clinical care pathway was LEAN evaluated based on a lowest level third shift cross-trained staff compliment being able to provide as much care as humanly possible in error free and safe environments.

Aside from conforming to all emerging waste reduction and cost containment mandates for healthcare, sustainable features include healing gardens, rooftop terraces, daylight introduced into the building’s core and around which key patient services emanate, energy efficient energy plant technologies, etc. The facility is also configured for growth.

MRI

Maximizing clinical efficiency while providing the latest in ‘Evidence Based Patient Centered Design’ under HUD 242 financing is a challenge.

Greensboro’s new access hospital is super efficient, beats national and current CAH models, and incorporates all key patient / customer and staff satisfiers. Each clinical care pathway was LEAN evaluated based on a lowest level third shift cross-trained staff compliment being able to provide as much care as humanly possible in error free and safe environments.

Aside from conforming to all emerging waste reduction and cost containment mandates for healthcare, sustainable features include healing gardens, rooftop terraces, daylight introduced into the building’s core and

DEMENTIA | ALZHEIMER’S CARE

34 Bed facility on limited land

MMA’s clients and other experts say it best:

“It has been a week since our CEO – Stan Anderson and I visited St. Mary’s Center for Alzheimer’s and Dementia Care. Both of us felt the design and the construction set a new standard for memory care units. We hope to showcase the St Mary’s facility as a center of excellence which will bring attention to your design work and our technology”.

Howard Bradley , SimpleC, LLC

PROCESS IMPROVEMENT | Staff/Care Team LEAN renovations

Designs that yield up to 25% more net function in the same space.

MMA are medical planning and process improvement experts. In the new healthcare economy where scarce dollars exist to build new bed units, you need a designer that has experience in making the nearly impossible happen. MMA recently completed designs for (3) neurosciences inpatient nursing units that catapult older bed unit staff station designs into the 21st century. Every piece of equipment is carefully and spatially matched to support a communica -

tion and data flow process helping to engender error free interdisciplinary team cooperation. This results in clearer, stat communication even in code blue situations and increases the time available for direct team based care planning. MMA designs not only support the delivery of nursing care but also extract new usable space from poorly configured existing space.

CAREMORE

Primary care providers serve as the frontline player in our delivery of care. They are the first contact for our patients, providing the level of touch that every patient deserves. Present in all neighborhoods of our communities, they are the gatekeepers of the health of our patients. CareMore serves as an extension of primary care, supporting primary care providers with interdisciplinary care teams, Care Centers, and Extensivists for advanced patient care and chronic disease management.

With CareMore, patients get access to a host of extra services and resources centered on them. Many of these services are available at our Care Centers. Care Centers are one-stop outpatient facilities designed to give additional attention to chronic conditions, general health, and prevention.

“The facility is absolutely stunning. I was overtaken by it. We are very proud.”

– Cindy Fox Miller, Baptist Easley Foundation Chair

“Our architect, solved what we thought was an unsolvable problem.”

– Dr. Jean Chin, CEO, MD, MBA, Diplomate ABIM, UGA Health Services Director

“His collaborative approach with our medical staff and employees has resulted in a highly functional and very well accepted facility. Patient and community response has been overwhelmingly positive.”

– Tom Fitz, President and former CEO of St. Mary’s Healthcare System

“MMA are schematic geniuses.”

– Kenn Flynn, Project Manager

“The renovations are functionally perfect.”

– UGA Women’s Health Services Director

“I’ve participated in hundreds of architect presentations to hospital boards, MMA’s presentation is the only one I can recall where the Committee and Physicians applauded upon conclusion.”

– Judy Smith, National Birthing Consultant with Smith Hager Bajo, Boston

“My spirit is uplifted when I come into this space.”

– Dr. Middendorf, Intensivist

“Tom Fitz, President and former CEO of St. Mary’s asked MMA to create something ‘uplifting, comfortable, and really inspiring.’ Mr. Fitz asked the 200 visitors their opinion; guests responded with rousing applause.”

– Athens Banner Herald

“I can think of no way to improve the design.”

– Fremont P. Wirth, MD, Past President of American Association of Neurological Surgeons, Director of American Board of Neurosurgery

“Fantastic facility. Great attention to detail.”

– St. Mary’s Health System Anesthesiologist

“The ICU at St. Mary’s ranks in the top 10th percentile.”

– NCR Picker

“The design is unbelievable. This is a great day for the Athens community.”

– St. Mary’s Healthcare System Board Member

“The layout is perfect from the patient care workflow perspective.”

– Ronald Forehand, MD, FAAFP, UGA DIrector of Medical Services

“I have agreement that your latest design was brilliant.”

– Dr. Jean Chin, CEO, MD, MBA, Diplomate ABIM, UGA Health Services Director

“None of our four ophthalmic surgeons could find anything wrong with the design – and that’s scary.”

– Bonnie Butler, Surgery Center Manager

“After a year of operations, I can not think of one thing we would change. I am very very pleased with how things turned out.”

– Diane Hinely, MSN, RN, Neurosciences Manager with St. Joseph’s / Candler Health System

“We are super, super pleased with the design. Everything is so impressive that even after a year of operation we continue to receive compliments. The process is evidenced in the design. You can see it.”

– Neurosciences Director

“I’ve completed over 110 surgery centers and Athens Eye Surgery Center was the best project to date.”

– Jennie Simmons, President of Surgery Center Consultants

“It was a blessing working with these guys.”

– Will Gaither, PM with Brasfield and Gorrie Contractors

“The architect really captured what I was after. I could not be more pleased.”

– President and CEO of St. Mary’s Healthcare System

“This is a great place to work. It is really fantastic. We are very lucky.”

– Dr. Gary Persons, MD, Obstetrician

“This is the most amazing thing I’ve seen.”

– Dr. Dicks, Neurosurgeon Chief of Staff

SELECT PROJECT LIST

St. Mary’s

200 Building Tenant Upfit for Oconee Heart and Vascular

300 Building Tenant Upfit including MRI/CT

2002 Masterplan

2005 Masterplan

Arrhythmia

Broad Street Renovations

Cath Lab

Central Scheduling

Chapel

Colony Square Renovation

C- Section

CT Scan

Doc Lounge

Emergency Department Toilet

Emergency Pediatrics

Emergency Department Triage

Endoscopy Addition

Endoscopy Renovations

EP Lab

Executive Board Room

Extended Recovery

Gift Shop

Health Information Services

Highland Hills Dementia Addition

ICU Core Renovation

Rooftop Infrastructure

Infusion Therapy

Mammography

NCCU

Neuro Lab

Neuro Diagnostics

Operating Room 9

Palliative Care

Rehab Addition

Rehab Gym

Respiratory Therapy

Women’s Center Addition

Private Dining

Emergency Department Canopy

Emergency Department EMS Lounge

COO Office

Board Room

OB Sleep

7th Floor Nurse Station

1st Floor Hall Finishes

Foundation Project

Doc Lounge

Extended Recovery

Lab Draw Area

Kitchen Sewer

Emergency Department Masterplan

200 Building Renovations

Financial Counselling

Beltran Office Renovations

Hospice House Signage

Emergency Department Exam

Dining

Med School

6th Floor Patient Room Improvements

Cath Lab Renovations

Respiratory Therapy

Sterile Processing Addition

Colony Square Suite 229

Xray Dressing Room

Flower Suite

Industrial Medicine

200 Building Renovations

OR Expansion – Threshold Capital

7th Floor ICU

Dementia Fire Safety Plan

Highland Hills Masterplan

1st Floor GME Renovations

Classic City OBGYN

Cashiers

Mission Services – Computer Training Lab

7th Floor Patient Shower Renovation

SMH Hospice House Addition

CEP Expansion and Renovation

2nd Floor OR and Support Spaces Renovation

4th Floor ICU Waiting and Staff Areas Renovation

7th Floor Patient Bathroom Renovation

Good Samaritan Life Safety Plans

Sacred Heart Life Safety Plans

Good Samaritan Workflow Analysis

Good Samaritan Emergency Department Renovation

Sacred Heart Emergency Department Renovation

3rd Floor EP Lab Equipment Upgrade

Existing Conditions Plans

University of Georgia

University Health Center

UHC Vision Clinic Renovation

Gold Clinic Renovation

Lab

Interior Upgrades

St. Joseph’s / Candler

Candler Emergency Department Renovations

Neurosciences ICU Addition

Keller Crymes and Demarco

Athens Eye Surgery Center

Barrow Regional Medical Center

Hyperbaric Wound Care

Mary Black Health System

MRI Addition

Greenville Health System

USC Pharmacy Renovation

Bed Scheduling Renovation

LDR 6 East Renovations

Peace Hospital 2nd and 3rd Floor Nurse Station Renovations

Medical Center Powdersville

Marshall I. Pickens Classrooms / DE Pharmacy Renovation

Au Bon Pain

Oakwood Orthopedics Renovation

HSAB Renovations

3rd Floor Offices

ICU Renovations HYPERPOD

North Greenville Campus MRI Canopy Addition

Pediatric Neurology – Patewood ‘A’

Heart Education Center

Compounding Pharmacy

1st Floor Admin Offices and Medical Library Renovation

5th Floor Dialysis Unit Renovation

Echo-EKG Unit Renovation

Roger C. Peace 2nd Floor Sub-Acute unit patient room

shower renovation

Kidnetics Renovation

Kitchen Floor Structure Remediation below Proposed MRI

Telemetry Surveillance Room

Chapel Renovation

Vascular Access Relocation

Door Hardware Standards Development

Caremore

Primary Care Facility

Temporary Care Facility

King Manor Care & Rehabilitation Center

Redesigning a new entry for the facility

Renovating the 2 main nurses stations

Physical therapy suite

Introduction of a robust ADL (advanced daily living suite)

New York School Construction Authority

IS 174X

School Based Health Center

456 White Plains Road, Bronx, NY 10474

IS 145

School Based Health Center

1000 Teller Avenue, Bronx, NY 10456

MS/HS 272

School Based Health Center

3710 Barnes Avenue, Bronx, NY 10467

PS 391

School Based Health Center

2225 Webster Avenue, Bronx, NY 10458

Susan E. Wagner HS

School Based Health Center

1200 Manor Road, Staten Island, NY 10314

IS229

School Based Health Center

Roland Patterson School

275 Harlem River Park Bridge, Bronx, NY 10453

FOUNDED 1996

HEADQUARTERS

NEPTUNE, NEW JERSEY 3297 Route 66 - Neptune, NJ 07753 732.918.2300

DC OFFICE

WASHINGTON D.C. 1054 31st St. NW - Suite 138 Washington DC 20007 202.450.5895

SOUTH CAROLINA OFFICE

GREENVILLE, SOUTH CAROLINA 1002 East Washington St. Greenville, SC 29601 864.467.9871

SATELLITE OFFICE

TALLAHASSEE, FLORIDA

2757 West Hannon Hill Dr. Tallahassee, FL 32309

SATELLITE OFFICE

TAMPA, FLORIDA

8524 Tidal Bay Ln. Tampa, FL 33635