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