Patch Adams Community Health Clinic

PATCH ADAMS Community

Health

Clinic

at

Allegheny

and

17th

content

the team dynamic Kenney Roposh Mike Rothman Melanie Whedon

the client Patch

Adams

and

his

vision

of

health

the site Allegheny Avenue Philadelphia, PA

and

North

17th

Street,

building design process with the intent to create as complete beautiful a building as possible

and

the final design proposal the

final

iteration

of

the

design

process

Kenney Roposh Schneksville, Pennsylvania Always realistic; Kenney has no problem telling his teammates when they are simply wrong, or the problems that will coincide with their design choices.

Mike Rothman Hackettstown, New Jersey Determined; when Mike says he’s going to do something, he does it and he does it well.

Melanie Whedon Bolton, Connecticut The optimist; those times when design problems become hard to solve, Mel keeps going, knowing there is a solution.

Kenney & the jets Why Kenney & the jets?

Because we’ve learned to enjoy ourselves in the studio. We believe that if you enjoy yourself and your project, the outcome will follow.

6

the client: Patch Adams of Philadelphia

the idea: HEALTHY HEALTHCARE

h ttp://w w w.patc h a d a ms .org/ p h ila d e lp h ia - clin ic

Patch Adams Patch Adams believes that health care spreads much further beyond diagnosing and treating an ailment: health is a lifestyle, represented through relationships, happiness, and appreciation for yourself and those around you. h ttp://w w w.patc h a d a ms .org/ p h ila d e lp h ia - clin ic

PATCH’S CAMPAIGN

“Remember laughing?

Laughter enhances the blood flow to the body’s extremities and improves cardiovascular function.

Laughter boosts the immune system and helps the body fight off disease, cancer cells as well as viral, bacterial and other infections.

Being happy is the best cure of all diseases!”

PATCH ADAMS VISION FOR THE COMMUNITY HEALTH CLINIC orchards

bike foot

paths paths

public

and

program

central courtyard

open room

waiting

kitchen & restaurant

h t tp://w w w .p a tc hadams .o rg /p h ila d e lp h ia - clin ic

“This clinic will provide community-based health care that is genuinely non-profit, preventive, humane and fun.

It is a refuge for doctors and nurses who want time to heal patients.

It is a refuge for patients who want to be treated with dignity.�

-Patch Adams Philadelphia

12

the site: Allegheny Avenue and North 17th Street Philadelphia, Pennsylvania

the site: ALLEGHENY AVENUE & 17TH STREET

east falls

tioga

hunting park

Te m p l e U n i ve r s i t y Hospital

a l l e g h e ny we s t

Te m p l e U n i ve r s i t y C h i l d re n’s H o s p i t a l

Ca m b r i a H e a l t h Ce n te r P CO M

fairhill

s t r aw b e r r y m a n s i o n

P h i l a d e l p h i a D i s t r i c H e a l t h Ce n te r D a u p h i n S t re e t

n o r t h ce n t r a l

hartranft

high school elementary school re c re a t i o n ce n te r library

for

safe

to

play

children

create

more

health

care

clean lots

up

local

access

un-used

within

create

more

the

to

after

children

18

or

younger

15%

are

65

or

older

and

every

mothers

1

are

out

of

5

single

mothers.

area

for

the

with

school help

for

care the

working

parents

needs

are

vacant

jobs

homework

invest

22%

residents

provide and

areas

DEMOGRAPHIC

ALLEGHENY WEST FOUNDATION STRATEGIC PLAN

provide

in

the

community’s

Allegheny West The site was chosen by the Patch Adams group of Philadelphia because it is in an area of need for accessible health care.

The site is easily accessible through public transportation and sits on the edge of various communities.

ORELAN

ALLEGH

D STRE ET

ENY AV ENUE

N. 17T H STRE ET

WESTM

Bounded by commercial Allegheny Avenue to the south, residential Westmoreland Street to the north, and an active railroad diagonally to the west.

Parts of the site are contaminated with toxic soil, since it is a post-industrial brownfield site.

View of Allegheny Avenue

V i e w o f W e s t m o re l a n d S t re e t

The site is 5 acres, and the building program is estimated to only take up 20% of the site.

V i e w o f c e n t e r c i t y f ro m t h e m i d d l e o f t he sit e, facing Allegheny Avenue

18

the building design process: January 2013 - April 2013

The intent of our Patch Adams Community Health Clinic is to provide a holistic sense of health by blurring the boundaries of program and enhancing the community interaction through all segments of the building.

residential

residential

Westmoreland Street

Westmoreland Street

Allegheny Avenue

commercial

community garden

Patch Adams

Allegheny Avenue

commercial

N. 17th Street

topographic entrance

public recreation

N. 17th Street

commercial - residential

site strategies

Patch Adams

Allegheny Avenue

commercial

residential

community garden

Patch Adams

Allegheny Avenue

commercial

N. 17th Street

rem

edi

atio

n

public recreation

bioremediation

Westmoreland Street

bio

community garden

bioremediation of toxic soil

public recreation

N. 17th Street

Patch - gardens - recreation

residential Westmoreland Street

We

started

burying

by

part

the

building

the

earth,

creating

a

of into

and single

overarching

roof

sit

all

atop

activity.

of

to the

BALLARD LIBRARY & NEIGHBORHOOD SERVICE CENTER

early exterior and interior precedent studies

Bohlin Cywinski Jackson Seattle Public Library Seattle, Washington

DEPARTMENT OF SOCIAL AND CULTURAL ANALYSIS

Lewis.Tsuramaki.

Lewis New York University

initial building strategy

The

original

building came

scheme

from

original energy

zero-net

research.

developed an

open,

public

north.

ideas

We of

playful,

side

berming, private

our

with

a

closed, side

to

the

BUILDING FORM ANALYSIS

thick northern wall

southern glazing

Our west

original building

building to

allow

form

started

with

making

for

maximum

southern

a

long

glazing.

east

Floor Area 21,400 f2 Volume 415,000

f3

Exterior SF 34,000 f2 Volume/Exterior SF 12.2 f2

southern glazing

Glazing SF South: 4,475 North: 1,875 East/West: 1,250 Balance Point Temp 48.2o

thick northern wall

Heating Peak Load 15,491,126 BTU/year Cooling Peak 24.5 tons Ventilation 1 9 8 f 2 northern Solar 25%

Load

windows

Savings

second building iteration

we tried to utilize the “shed� structure to cohesively keep each piece of program under one roof roof

our structure set up bays of patterns that allowed for the shed structure and at a comfortable scale for the area structure

our glazing has always been southern facing which is the easiest way to harness and control natural solar light glazing

the undulations in the form allowed for tall vertical walls to act as east and west shading while typical southern glazing could shade harsh summer sun sunshading

the massing has always been a constant effort to provide spaces for the public, private and ineractions between the two massing

GLENEAGLE’S COMMUNITY CENTRE

structural building precedents

Patkau Architects Vancouver, BC

site plan design The

site

here

plan

focuses

dividing between and

a

wall.

site

secured

the

means

retaining The

gardens be

the

public

through of

on

public

would

behind

the

building,

yet

creating of

a

lack

welcoming

space

to

the

sides

of

the

buildings.

The

site

had

four this

faces,

so

in

scheme

we

pushed

the

health

clinic

to

the

north

in

the

middle

leaving the open

the

space to

and while

rest

was

left

community

activity.

of

STRUCTURAL INFLUENCE

lightwells

By laying out a simple 25 foot grid, it allowed us to shift parts of our building to allow for more natural light. We also included windows on the northern side to allow for cross ventilation.

Floor Area 17,958 f2

cross ventilation

Volume 538,740

f3

Exterior SF 18,918 f2 Volume/Exterior SF 28.5 f2 Glazing SF South: 5,568 North: 0 East/West: 0 Balance Point Temp 44.4o Heating Peak Load 15,594,131 BTU/year Cooling Peak 24.5 tons Ventilation 1 9 8 f 2 northern Solar 25%

Load

windows

Savings

third building iteration: mid-crit

By

the

time

we

got

to

the

mid-crit, had

we

stepped

away

from

the

overarching roof and

structure instead

fragmented roof,

the

while

maintaining interior

the

“shed.�

Fragmenting

the

model

programatic

issues

thresholds,

This

circulation

spaces

of

is

came

security

where could

become

destinations,

health

clinic.

from

the again

outside

the

fragmented roof design

solar panel energy generator

butterfly roof rainwater encatchment

cross ventilation daycare and adult care a

southern glazing wa ate ter erw wall wal waterwall t erm th mal mass ma m ma asss thermal

ssunspace un unspa p ce e

reception

administration

health clinic exam rooms

northern insulating

FRAGMENTED ROOF

water barrells for thermal mass sun spaces

The

building

maintained

began

the

administrative

25’

to

get

column

core.

less grid,

thin, along

and

more

with

the

compact. central

We

Floor Area 17,937 f2 Volume 185,126

rain water collection solar panels

f3

Exterior SF 26,100 f2

cross ventilation Volume/Exterior SF 7.09 f2

sun space

Glazing SF South: 2,455 North: 916 East/West: 814 Balance Point Temp 41.6o Heating Peak Load 7,055,487 BTU/year Cooling Peak 20.2 tons Ventilation 1 6 3 . 5 f 2 northern Solar 23.7%

Savings

Load

windows

48

the final design iteration April 2013 - May 2013

program

net zero

security

community

The final design phase came from developing a program to fit the healthcare implications for Patch Adams, while mainting the issues with the site. The ultimate goal is to create a community derived project with fun in mind.

1

2

3

5

6

7

8

9

A

B

C

D

E

F

G

The final scheme worked out all the issues of overlapping spaces where the “inbetween� were designed enjoyable spaces for the every day purpose, making the casual use of the building enjoyable and whimsical.

on the south: Allegheny Avenue

existing conditions

our vision

MAKING A FACE ON ALLEGHENY

PROVIDING RECREATION ON WESTMORELAND

on the north: Westmoreland Street

physical therapy

healthcare

multipurpose

private

community

public

daycare

administration

cafe/kitchen

1

2

3

4

5

6

7

9

8

A consult room

exam room 1

exam room 2

exam room 3

exam room 4

exam room 5

exam room 6

multi-purpose room m

office

B physical therapy e

child daycare center

nurse’s r

health admin. patch administration

waiting room

event information

C waiting

mechanical

demonstration

cafe e

outdoor cafe

D health reception

health information

building reception p

common area

E senior care center

sunspace

sunspace

F

G

administrative core

community space

multi-purpose room

health exam e rooms m physical therapy

administration core

child daycare

sunspace adult daycare

Allegheny West

cafe

demonstration kitchen

outdoor cafe

1

2

3

4

5

6

7

9

8

A consult room

exam room 1

exam room 2

exam room 3

exam room 4

exam room 5

exam room 6

multi-purpose room m

office

B physical therapy e

child daycare center

nurse’s r

health admin. patch administration

waiting room

event information

C waiting

mechanical

demonstration

cafe e

outdoor cafe

D health reception

health information

building reception p

common area

E senior care center

sunspace

sunspace

F

G

B

A

aluminum deck roof plywood sheathing vapor barrier rigid insulation metal decking acoustic metal sheet

2 x 10 wood trelise

2” concrete panel 2” air gap vapor barrier 2” rigid insulation 8” CMU block 4” light gage steel stud 5/8” GWB

2’ x 7’ double hung operable window

C

D

E

F

aluminum siding plywood sheathing vapor barrier rigid insulation metal stud wall plywood sheathing gypsum wall board

clerestory window wooden rainscreen

W18x35 Wide Flange girder 8” steel tube column

roof assembly: metal roofing panels 6” R40 rigid polyiso insulation vapor barrier metal decking perforated metal acoustic sheet

carpeting concrete on metal decking

wood siding on metal stud 3” rigid insulation exhaust fan

metal rod railing wooden support and finish 2x4 wood stud framing steel girder air space for HVAC ducts cove lighting acoustic ceiling tiles

lightshelf sliding glass window

composite vinyl flooring concrete slab on grade

wood covered bench w/ metal studs 3” rigid insulation 8” cmu block

STRUCTURE

A

B

HVAC

C

D

E

F

LIGHTING

G

A

B

C

D

E

F

G

1

2

3

4

5

6

7

8

9

roof assembly: metal roofing panels 6” R40 rigid polyiso insulation vapor barrier metal decking

wood siding on metal stud 3” rigid insulation exhaust fan

SUNSPACE DETAIL: PUBLIC

perforated metal acoustic sheet

lightshelf sliding glass window

wood covered bench w/ metal studs 3” rigid insulation 8” CMU block

erspective

MEZZANINE ROOF DETAIL: SEMI-PRIVATE

aluminum siding plywood sheathing vapor barrier rigid insulation metal stud wall plywood sheathing gypsum wall board

W18x35 Wide Flange girder 8� steel tube column

carpeting concrete on metal decking

metal rod railing wooden support and finish 2x4 wood stud framing steel girder air space for HVAC ducts cove lighting acoustic ceiling tiles

composite vinyl flooring concrete slab on grade

aluminum deck roof plywood sheathing vapor barrier rigid insulation metal decking

HEALTH CLINIC DETAIL: PRIVACY

acoustic metal sheet

2 x 10 wood trelise

2” concrete panel 2” air gap vapor barrier 2” rigid insulation ” CMU block 8” ” light gage e steel ste 4” stud /8” GWB 5/8”

2’ x 7’ double hung operable window

PROVIDING A VIEW TO NATURE

from the center of the site

cons l consult lt t room

exam room 1

exam room 2

exam room 3

e a exam room 4

exam room 5

exam room 6

multi-purpose room m

office

physical therapy e

game room r

rec room

break ea e ak a k room om

bathrooms r o waiting room

ada a WC C

dr. . office ce

nurse’s r bullpen l

WC C fac f ac a c WC W C

child daycare center

check in desk

check in i desk

mechanical m n l

health h admin. .

pharmacy p ha h arma ac cy

patch administration

waiting room

pick-up p k u up p

dr dr rop-off o f

office e

event information

bathrooms

adult t daycare ca

mechanical room

demonstration kitchen

cafe e health reception

health information

outd

building b reception p

common area ada ad da WC W C

ada a WC W C

4 8 2 48.21

WC W C

fac f fa WC W C office o off ff f fic ce e

senior care center

sunspace

sunspace

balanc e poin t 44.41 4 4.41 41.63 38.02

24.5 198.06 1 5491126 15491126 25.08

cooling li load l d

24.5

til ti ventilation heating load solar savings

198.06 15594131 1 5594131 25.08 2 5.08

24.13 20.23

195

163.5 23.77 2 3 77 19.59

tekcarb latem erutcurts malulg

7525976

7055487

noitces

physical therapy

se ti section ion

BUILDING PERFORMANCE TIMELINE

In the final design, we expanded the sun spaces to run along the entire south facade. By sloping the sothern roofs down it allowed for solar panels to be used more efficiently. We also include sun shading and light shelves on the southern glazing.

children daycare y

children reception p

common n area a

senior re eception e p reception

sen senior seni s en e n care Allegheny Avenue

ENERGY GAIN: solar panels

net-zero strategies

Floor Area 18,924 f2 Volume 153,242

f3

sun shading PASSIVE STRATEGIES: cross ventilation

Exterior SF 31,563 f2

high insulated roofs

Volume/Exterior SF 4.9 f2 exam room

administration n

entry y lobby y + recep ception cep p

sunspace e

southern glazing

Glazing SF South: 3,052 North: 2,915East/ West: 428 Balance Point Temp 38o Heating Peak Load 7,525,976 BTU/year Cooling 24 tons

Peak

Ventilation 1 9 5 f 2 northern

sun spaces

Solar 19%

Load

windows

Savings

PROVIDING A SAFE PLACE TO PLAY OUTSIDE

Westmoreland Street

AND BRINGING THE OUTDOORS IN