Patch Adams Free Clinic of Philadelphia Tioga, Philadelphia Prepared by ZION Muzalier Gaussaint Stephanie Smith
Design VIII
Prof. David Kratzer/ Prof Brian Johnston
Philadelphia University
Fall 2012
TABLE OF CONTENTS I. Project Narrative II. Project Description A. Project Description B. Project Objectives C. Design Goals III Clients and Users A. Client B. Users V. Space Needs Analysis A. Project Typological Research B. Programming Analysis - Defining the Problem C. Programming Analysis - Quantifying the Response D. Project Space Components E. Funtional Relationship/ Space Movement System VI. Site and Context Documentations A. Site Inventory B. Quantitative Analysis C. Site Approach and Attitudes VIII. Site and Program Testing A. Atrium - Place of Wonder B. Site Plan Strategies VIII. Precedent Studies A. Structure B. Spatial Relationship C. Green education IX. Architectural Proposal A. Proposal #1 B. Proosal # 2 C. Final Design X. Bibliography XI. Projects Partners and Consultants
Free Clinic of Philadelphia
I. EXECUTIVE SUMMARY The Patch Adams Free Clinic of Philadelphia is a sustainable model of community-owned healthcare and a social nexus for the residents of the neighborhood of Tioga. The architecture consists of two programmatic wings (the Healthcare Core, and Community Outreach) connected through an all age, indoor playground. Therefore, programmatically, its architecture not only satisfies the primary needs of the healthcare core facility, but also reaches out to the community by encompassing fitness and wellness facility, a cafĂŠ serving fresh food products, educational and media classrooms, and a small health resource library. Primarily placed on Allegheny Avenue (southern edge of the site), the architecture welcomes the community through a public plaza, accessible from the sidewalk for the pedestrian and through a lay- by accomodating the drop-off area for vehicular access. On the northern edge of West Moreland Street, a picnic area is provided for community activities, a basketball court for recreational purposes and a pedestrian and bike friendly permeable walkway which engages the community visitor from the sidewalk, through the landscape and culminates to a public plaza adjacent to the community amphitheater and the children playground. The site is designed to suit agricultural components such as greenhouses for yearround cultivation, raised beds for orchards and compositing bins for organic waste management.
Site - SouthEast Panorama showing site boundary on West Moreland Street
Site - East Panorama showing site bounddary on Allegheny Avenue
Patch Adams
II. PROJECT DESCRIPTION
III. CLIENT AND USERS
A. Project Description
A. Client
The proposal for the Patch Adams Free Clinic of Philadelphia is a 5-acre lot located at the edge of the North Philadelphia neighborhood of Tioga on Allegheny Avenue. The site is bounded to the north by West Moreland Street, to the west by the Septa Regional Rail Main Line, and to the east by a vacant warehouse and residential row homes. The healthcare clinic occupies approximately 17, 500 square feet while the rest of the site encompasses an edible landscape including orchards, vegetable garden, and greenhouses, and neighborhood gathering spaces such playground and picnic area. The free clinic is a sustainable hybrid model of healthcare delivery with programmatic elements dedicated to community education, fitness and wellness, and healthy food access.
Patch Adams lives only to connect to people, through medicine. He believes that excellence in health can only be achieved by devoting your life to ending poverty. His passion is to serve humanity by changing typical medical care philosophy. Patch Adams would like to open a clinic which would be a global model on how the health care system can be revolutionized. Health care would be integrated with community, agriculture, arts, education, recreation, and must of all fun. This is a more holistic approach for healing. Ideally the clinic would be open to anyone and be completely free. It would instill a cultural well-being and create an overall healthier community. The Patch Adams clinic will be funded solely on donations. Currently the budget is $5.6 million. They hope to raise $5.1 million through major donor campaigns and half million dollars through grassroots fundraising. As an incentive for donors Patch Adams is offering naming opportunities for a variety of spaces within the clinic.
B. Project Objectives a. Develop a community Health Care Co-op Precedent b. Improve physical and mental Health of the Community c.Create a safe Cultural environment Colorful, texture-filled, plants, nurturing, cheerful aesthetic d. Entice social sustainability and not gentrification
C. Design Goals a. Create an identity/landmark using Patch Adams iconographic image b. Connect with the Community through design c. Develop an inviting and nurturing characteristic in space d. Develop a clinic owned and operated by emebers of community
B. Users The proposed site of the Patch Adams Free Clinic is located at the edge of Tioga on Allegheny Avenue. Tioga is a predominantly residential area with neighborhood commercial areas on 17th, 20th, and 22nd Streets. However, commercial activities have dramatically decreased to about 50 percent compared to the 1950’s due to crime rate and poverty. The health clinic will be operated by members of the community. Their incentive to pay a small fee to become a member provides specialized care including dentistry, chiropractic, optometry, pediatrics, acupuncture, fitness training among other therapies. All other amenities besides primary health care will become available based on “sweat equity,” the users volunteering his time to the service of the the clinic.Volunteer work will include in administrative tasks, child care, caring for agriculture, food preparation, and other tasks. Young adults who are uninsured are the target users for the health care clinic. There are health disparities between adults who are uninsured versus insured. Uninsured adults are more likely to be in fair or poor health, not have a regular source of health care and experience a range of cost barriers to care. As young adults graduate from high school and transition into either higher education or employment, they are faced with the responsibility of seeking and securing their own form of health insurance coverage. Many young adults may find themselves uninsured.Young adults between the ages of 19 and 29 comprise the largest segment of the uninsured population within Tioga.
Free Clinic of Philadelphia
V. SPACE NEEDS ANALYSIS A. Project Typological Research Health clinics serve populations which have limited access to medical care. The overall goal for federal clinics is to first provide quality primary care services to populations which are underserved and vulnerable. Even if you are uninsured a patient will receive checkups, treatments, immunizations, dental care, prescription, mental and substance abuse care if needed. Based upon the patient’s income, they will pay what they can afford. The U.S department of Health works to improve health care access and quality while eliminating health disparities. There are several health center program fundamentals which are necessary in order for a clinic to operate. The clinic must be located in a community which is in high need. The community should be in a medically underserved area or have a population which suffers from poverty. The clinic should also be governed by a community board. This means that the majority of the patients the clinic serves should be from the community. The clinic should not only offer primary care but also supportive service which promotes improving access to health care. These can include translation services, transportation and education classes. A health care clinic should offer a variety of services including dental care, family planning, medical care, mental health services, prenatal and well-baby care, STD testing and treatment, and Women’s Health.
Philadelphia always took care to the health of the public. The Philadelphia Almshouse, built in 1732 was used to give free hospital care to the poor. Philadelphia was the first city in America to offer free health care. It was also home to the first medical school, children’s hospital, cancer hospital, eye hospital, nursing school and dental school. All health clinics share certain elements in common. In order for a clinic to be successful they must be able to understand the specific problem they want to address and know the population they want to serve. They must also understand the barriers in the existing health care system and know how to reach their client population. They have to be able to reach out to organizations that can support them and secure financial recourses. They should also have dedicated volunteers which is the most important recourse involved in running a clinic. There are several costs involved in running a clinic including amenities for volunteers, supplies, building and space maintenance costs, unanticipated emergencies, and hiring a clinician director.
There are three general types of health care centers. Grant Supported Federally Qualified health centers are public and private non-profit health care organizations which accept Medicare and Medicaid. Federally Qualified Health Center look-alike are centers that supports the delivery of comprehensive, culturally competent, quality primary health care services to low-income, underserved, and special populations. The only difference between the two is that look-alikes do not receive federal funding. The final type of health center is out patient health groups/ facilities operated by tribal organizations.
Blockley House http://www.poorhousestory.com/PA_Philadelphia_BlockleyAlmshousePC.jpg
Patch Adams
V. SPACE NEEDS ANALYSIS
B. Programming Analysis - Defining the Problem _What
Chart Title
5% 5% 28%
19%
High School Equiv.
12% < or High School 72%
6%
Chart Title
Healthy and Ready
Less than a Year in College
Equivalent
Chart Title
72%
Title Chart TitleWomen PregnancyChart in Tioga
Education Attainment %
2 year - 4 Year College
72%Chart Title
Late/ No Prenatal Care
1 Year or more in College 55% 16%
< 18 Years old
Associate Degree
Obese before Pregnancy
Bachelor Degree 10%
5%
< 5% or High School 12%Equivalent
6%
2 year - 4 Year College
72%
19% High School Equiv.
Healthy and Ready
Less than a Year in College
Late/ No Prenatal Care
55%
16% 1 Year or more in College
< 18 Years old
Associate Degree
Obese before Pregnancy
Healthcare Center Locations vs Poverty Level on Tioga
Bachelor Degree 10%
_Why The are health disparities between adults who are insured versus uninsured. Adults living below 150% of the Federal Poverty Line are nearly three times more likely to be uninsured compared to those living at or above 150% of the Poverty Line FPL. There is 37,000 individuals living in Philadelphia with out health insurance. Uninsured adults are more likely to be in fair or poor health, not have a regular source of health care and experience a range of cost barriers to care.
13.9%
60% above
11.7%
40% below
37.1% lack regular source of care
8.3% Unhealthy
38%
Insured
Uninsured 24.3%
33.7%
Unemployed
37.1% lack regular source of care
19.9% Fair/Poor
Top Reasons: - Cost [43%] - Prescription medicine cost [37.5%] -Dental Care Cost [57.7%]
Health
450 die yearly due to lack of insurance
Free Clinic of Philadelphia
V. SPACE NEEDS ANALYSIS
C. Programming Analysis - Quantifying the Response
Clinic Has Capability to Serve Almost the Entire Uninsured Population of Tioga
_Who 40 hours a week open
week
8 physicians
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
600 patients a
Total Population- 10,000
Total Uninsured - 3,260 1/3 of Population
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
As young adults graduate from high school and transition into either higher education or employment, they are faced with the responsibility of seeking and securing their own form of health insurance coverage. Many young adults may find themselves uninsured. Young adults between the ages of 19 and 29 comprise the largest segment of the uninsured population.
Age Distribution of Uninsured Adults
Age Distribution at Uninsured Adults in PhiladelphiaAdults in Age Distribution at inUninsured Philadelphia Philadelphia 3% 13%
20%
employed
3% 13%
19 - 29
20% 41%
23%
41%
23%
30 - 39
40 - 49
50 - 59
50 - 59
60+
60+
Young Adult make up majority of Tioga Population
Program Description
Retail- 2,600- 4,100 sq. ft Cafe- 2,000- 3,500 Restrooms - (2) 200 each Storage- 200
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
Entry/ Vestibule- 600-1,500 sq. ft Lobby/AtriumReception AreaWaiting Area- 400- 500
Administration- 1925- 2000 sq. ft. Operation Department (5 offices)- 750 Clinical Department/ Outreach- (2) 400 each Staff Meeting Room/ Conference- 250 Copy Room- 25 Storage -200 -Medical Record -Operation Storage Restrooms- (2) 150 each
Educational- 6,400 sq. ft. Kitchen class- 500 Classrooms- (2) 400 each Health Care Department- 9.300 sq. ft. Childrenâ&#x20AC;&#x2122;s Library- 350 Dental Department- 1,300 -Children Collection -150 -Children Seating Area- 200 -Treatment Rooms- (2) 300 each General Adult Collection - 500 -Hygiene Room- 300 -General Collection - 200 -Sterilization Lab/ Darkroom- 120 -Consultation Room- 150 -Health Based Collection - 300 -Exam Room- (2) 90 each Special Reference Collection (Employer)- 300 Optical Department Seating Area- 500 -Refraction Room- 300 Technology Area- 250 -Consultation Room- 150 Copy center- 250 -Exam Room- (2) 90 each Education Desk- 400 Pediatrician Department- 500 Library Administration Center- 300 -Exam Room- (2) 250 each Restrooms- (2) 200 each -Consultation- (2) 250 each Storage- 200
Chiropractic/ Therapy Massage- 1,360- 1,400 -Consultation Room- (2) 150 each -Adjusting Area/ Exam Room- (3) 72 each -Physical Training Active Area- 150 - Massage Room- (2) 72 each General Health Care- 3,300- 3,400 -X- Ray Room- 750 -Nurse Stations- 300 -Medical Storage- 400 -Restrooms- (2) 600 each -Labs- 200 -Break Room- 500 Birth Center Department- 2,100 -Exam Rooms- (2) 90 each -Birthing Rooms/ Restrooms- (2) 700 each -Consultation Rooms- (2)150 each -Family Lounge- 225 General Building Services- 11,910 sq. ft. -Circulation- 7,650 -Elevator- 100 per fl -Mechanical Room- 3,060 -Parking Lot (20 spaces)- 5000
Fitness Center- 7,300 sq. ft.
Gym/ Workout Area- 3,500 Yoga/ Exercise Classroom- 500 Acupuncture Room- (2) 100 each Sauna-100 Pool- 2,000 Restrooms- (2) 150 each Offices- 200 Lockers/ Showers- 500
Gross Net Building- 42,510 sq. ft.
Agricultural- 26,000 sq. ft. + Storm Water Managment- 1,000 Green houses- (4) 1500 each Orchard- 6000 Composting- 2000 Picnic Area- 2000 Food Shed- 2000
30 - 39
40 - 49
2,962 visitors served a week
19 - 29
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Waiting area / Reception / Lobby lobby space type does not include elevator lobbies. Building lobbies often serve as the “public face” of building Overview
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Free Clinic of Philadelphia
V. SPACE NEED ANALYSIS D. Project Space Component - Birthing Center The birth center is a home-like facility existing within a healthcare system providing family-centered care for healthy women before, during, and after normal pregnancy, labor, and birth. They are guided by principles of prevention, sensitivity, safety, appropriate medical intervention, and cost effectiveness.
PRENATAL CARE PLANNING
WELLNESS POSTPARTUM CARE INTRAPARTUM CARE
Founded in 2009, WOMENCARE is a local organization established in Northeast Philadelphia to provide health care options and maternity care choices for women and their families in the Philadelphia area. A key objective of our non-profit organization is to establish a health care facility, which is a FQHC, within Philadelphia to provide quality services for womenâ&#x20AC;&#x2122;s health, maternity care and related health and social service needs. Pregnant Women in Tioga
WOMEN PREGNANCY IN TIOGA
19% 55%
Healthy and Ready Late/ No Prenatal Care < 18 Years old Obese before Pregnancy
10%
Charlotte,VA A 7000 square feet well lit and ventilated facility providing services in the region of Northern Virginia. SPATIAL REQUIREMENTS
EDUCATION
16%
NOVA BIRTH CENTER
Lobby/ waiting area Birthing room Playroom Restrooms Small classroom Large classroom Exercise room Internet cafe Storage Library Kitchen Utility Large offices Workroom Midwife Lounge
900 sq ft - 915 sq ft 450 sq ft - 700 sq ft 25 sq ft 70 - 125 sq ft 255 sq ft 600 sq ft 430 sq ft 290 sq ft 80 sq ft 165 sq ft 165 sq ft 45 sq ft 165 - 200 sq ft 160 sq ft 225 sq ft
ADDITIONAL SPACES Area for emegenecy care Sanitary Storage and Biomedical Waste Disposal Laundry Facility
Patch Adams
Components Components
V. SPACE NEED ANALYSIS Elements of aSpace Dental Component Office D. Project - Dental and Optical Care
Public Corridor Public Corridor
Public Corridor Public Corridor
Exam Rooms Waiting Room Rooms Waiting -Rooms Can also be multipurpose - The sizeRoom is dependent on the practitioner's style ExamExam Waiting Room Can also be multipurpose The size is dependent on the practitioner's style More efficient to make rooms act as: Usually must accommodate many children & large Exam Rooms Waiting Room - Can also be multipurpose - The size is dependent on the practitioner's style Reception Hygienist Room Elements of a Dental Office - efficient More efficient to rooms make rooms -groups Usually must accommodate many children & large -Refraction, field, and Can also be multipurpose The size is dependent on the practitioner's style More to make actothers as: act as: Usually must accommodate many children & large Reception Hygienist Roomsimilar to treatment - Approx. 150 Sq. Ft. - Room equipped Reception Hygienist Room -Refraction, field, and others groups More efficient to make rooms act as: Usually must accommodate many children & large -Refraction, field, and others groups --Approx. Room equipped to treatment Incandescent & Ft. diffuse lighting Reception Hygienist Room - Approx. 150 Sq.150 Ft. Sq. - Room-room equipped similarsimilar to treatment Refraction Room -Refraction, field, and others groups -- Incandescent & diffuse Should recessed and below-ceiling lighting --Approx. 150 Sq. Ft. -room Roomroom equipped similar to treatment Incandescent &contain diffuse lightinglighting Refraction Room - Usually only one is necessary Storage Refraction Room Should contain recessed and below-ceiling lighting Sterilizing Area -- Incandescent & diffuse lighting Should contain recessed and below-ceiling lighting room - Usually only is necessary - one Two desired in busy office Storage Refraction Room - A very important factor in the office - Usually only isisone necessary Storage Sterilizing Area - Location by dental - Should contain recessed and below-ceiling lighting Sterilizing Areadetermined - one Two isnecessary desired inoffice busylane office -Size is usually a 15ft to 20ft A very important factor in the office Usually only is Place for the multitude of supplies Two is desired in busy Storage -procedures, Location by dental space, image doctor wants - A very important factor in the office Sterilizing Areadetermined Business Office - Location determined by & dental -Size is usually a 15ft to 20ft lane Place for the multitude of supplies Two is desired in busy office Can small cabinets exam rooms -Size is usually a 15ft to 20ft lane - A very- important factor in supplies theinoffice thebemultitude of procedures, space, & image doctor -Needs adequate Business Office -procedures, Location determined bystorage dental - Key control point for office management space, & image doctor wants wants - Place-for Business Office Can small cabinets in rooms exam rooms -Size is usually a 15ft to 20ft lane -- Place for thebemultitude ofexam supplies Can be small cabinets in -Needs adequate storage Key control point for office management procedures, space, & image doctor wants - Adjacent tofor waiting -Needs adequate storage Business Office - Key control point officeroom management - Can be small cabinets in exam rooms --All Adjacent to waiting room -Needs adequate storage traffic and flow control is regulated -- Key control point for office management Adjacent to waiting room Refraction Storage -All traffic and flow control is regulated Treatment through herecontrol --All Adjacent to room is regulated traffic andwaiting flow Room Refraction Refraction Storage Treatment through here Storage -All traffic and flow control is regulated Room Treatment through here Room Refraction Storage Treatment through here Room Business Presentation Offices Business Business Presentation Presentation Offices Offices Business Presentation Offices
Reception Reception Reception Reception
Staff Room Staff Room
Staff Room Staff Room
Private Office Private Private Office Office Private Office
Private Office Private - Private Consultation room Private OfficeOffice room of doctor -- Private Consultation Arrangement at discretion Private Office - Private Consultation room Arrangement at discretion of doctor -- Private Consultation room Arrangement at discretion of doctor Treatment Room of doctor - Arrangement at discretion Treatment Room - This is the heart of the dental practice Treatment Room This is the heart the&dental practiceenvironment Must be a stress-less comfortable Treatment Room - This is the heart of the of dental practice Must be aof stress-less & practice comfortable Fair amount of&storage required for environment supplies --This the the dental Mustis--be a heart stress-less comfortable environment Fair amount of storage required for supplies Emphasis of treatment room: -- Must be a stress-less & comfortable environment Fair amount of storage required for supplies -- Emphasis of treatment room: Efficiency, ease ofrequired maintenance, & a pleasant atmosphere -- Fair amount storage for supplies Emphasis of of treatment room: Efficiency, ease of maintenance, & a pleasant atmosphere -- Emphasis of treatment room: Efficiency, ease of maintenance, & a pleasant atmosphere - Efficiency, ease of maintenance, & a pleasant atmosphere
Sterilization Lab & Dark Sterilization Sterilization Room Lab & Dark Lab & Dark Sterilization Room Room Lab & Dark Room
Hygienist Hygienist Hygienist Hygienist Treatment Treatment Treatment Treatment
Exam Rooms Exam Exam Rooms Rooms Exam Rooms
Exam Rooms Exam Exam Rooms Rooms Exam Rooms
Misc. Rooms Misc. Misc. Rooms Rooms Misc. Rooms
Private Office Private Private Office Office Private Office
Consultation Room Consultation Consultation Room Room Consultation Room File Room File Room
Misc. Rooms Misc. - ExtraRooms rooms available help when busy Misc. Rooms Reception Extra rooms available help busy when busycan & Waiting Fields, andwhen minor surgery Misc. Rooms Reception - Extra -Treatment, rooms available help ReceptionRoom & Waiting and minor surgery can be done in aFields, room about 100-300sq. --Treatment, Extra -Treatment, rooms available help when busy & Waiting Fields, and minor surgery can Ft. Reception Room beindone in aand room about 100-300sq. Waiting -Treatment, minor surgery can Ft.&Room be done aFields, room about 100-300sq. Ft. Room be done in a room about 100-300sq. Ft.
Public Corridor Public Corridor Public Corridor Public Corridor
File Room File Room
Free Clinic of Philadelphia
V. SPACE NEED ANALYSIS D. Project Space Component - Educational Classroom 24’-0” 24’-0”
24’-0”
26’-0” 26’-0” 40’-0”
40’-0”
40’-0” 26’-0” 26’-0”
32’-0”
26’-0”
24’-0”
40’-0” 40’-0”
32’-0” 32’-0”
32’-0”
24’-0”
25’-0” 25’-0”
25’-0” Size25’-0” 25’-0” Standard Room
Designed for 25 to 30 people with Standard Room a standard seatingSize arrangement. Standard Size Room d Size Room Standard Designed Size for 25 toRoom 30 people with Designed for 25Designed to 30 people with a standard seating arrangement. or 25 to 30 people with for 25 to 30 people with a standard seating arrangement. seating arrangement. a standard seating arrangement.
29’-0”
Small Class
Large Room 29’-0” 29’-0”29’-0” 29’-0” Designed for group lectures a Designed for ten to fifteen pupils. Small Class Large Room Rooms of this size can be used for demonstrations Small Class Large Room Small Class Class Roomfor group lectures and Large Room Designed foraSmall ten to fifteen pupils. variety of purposes, such as a conference Large Designed Designed for group lectures and lectures Designed for ten to fifteen pupils. Rooms of thisDesigned size can be for usedten for to fifteen pupils. demonstrations Designed for group lectures and Designed for group Designed for ten to fifteen pupils. student room, or for a a variety of room, purposes, such as acouncil conference Rooms of this size can be used for demonstrationsdemonstrations Rooms of this size can beroom, usedstudent forsmall Rooms of group. thisorsize demonstrations class council room, acan be used for variety purposes, such as aforconference a variety of purposes,a such as of a conference a variety of purposes, such as a conference small class group. room, student council room, or for a room, or for a room, student council room, or forroom, a student council small class group. small class group. small class group.
Other Design Considerations Other Design Considerations
Ceilings should be a maximum of 9’-6” high.
Ceilings should be a maximum of 9’-6” high. Light from the windows should, if possible, come over the pupil’s left shoulder. Light Considerations from the windows should, if possible, come over the pupil’s left shoulder. Other Design Design Considerations Other Design Considerations should be high. a maximum of 9’-6” high. of 9’-6” high. ould be a Ceilings maximum of 9’-6” Ceilings should be a maximum Light from the windows should, if possible, come over the come pupil’sover left shoulder. the windows should, if possible, Light from come theover windows the pupil’s should, leftif shoulder. possible, the pupil’s left shoulder.
Patch Adams
Albany, GA.The idea behind this design was the separation of spaces. It would house eighteen residents at a time. Residents would be divided up into three “patient pods” with six private rooms, a living room, chapel or play space, and access for each room to the outdoorspace.1 Free Clinic of Philadelphia
HOSPICE CARE
HOSPICE CARE
Free Clinic of Philadelphia
CAREANALYSIS V. HOSPICE SPACE NEED D. Project Space - Hospice Care The image below shows the layout Component of the Willson Hospice located in Albany, GA.The idea behind this design was the separation of spaces. It TheThe image shows layout ofWillson thebeWillson would house eighteen residents at a time. Residents would divided imagebelow below shows thethe layout of the Hospice Hospice located in located in up into Albany, three “patient pods” with six private rooms, awas living room, GA. idea behind design the separation Albany, GA.The The idea behind thisthis design was the separation of spaces. of It spaces. It 1 chapel orwould play space, and access for each room to the outdoorspace. would house eighteen residents at a time. Residents would be divided house eighteen residents at a time. Residents would be divided into three “patient pods” with six private rooms, a living room, up up into three “patient pods” with six private rooms, a living room, chapel or play space, and access for each room to the outdoorspace.1 1
chapel or play space, and access for each room to the outdoorspace.
Free Clinic of Philadelphia
Bed facing the room entrance Because of the level and type of care needed to give patients in a hospice center, the space has very specic requirements. There needs to be space for the families of those staying in the center, a bed that faces the room entrance, seating, an easily accessible rest room, a bedside table for comfort items such as tissues, water, a phone, and pictures.2
Free Clinic of Philadelphia
Sensual considerations would be the color of the space, the texture, lighting (natural versus electric), sound, and scents. Bed facing the room entrance
of the Willson Hospice located in n was the separation of spaces. It ime. Residents would 1 be divided ix private rooms, a living room, ach room to the outdoorspace.1
Because of the level and type of care needed to give patients Bed facing the room entrance in a hospice center, the space has very specic requirements. There needsBecause to be space those staying of thefor levelthe andfamilies type ofofcare needed to give patients Bed facing the room entrance in the center, thatcenter, faces the space room has entrance, seating, in aa bed hospice very speci c requirements. an easily accessible rest room, bedside for comfort There needs to bea space fortable the families of those staying 2 and type of care needed to give patients of the level items such asintissues, water,Because phone, pictures. the center, a abed that and faces the room entrance, seating, an easily accessible rest room, a bedside for comfort in a hospice center, thetable space Sensual considerations would be the color of the space, the 2has very specic requirements. items such as tissues, water, a phone, and pictures. There needs to be texture, lighting (natural versus electric), sound, and space scents. for the families of those staying Sensual considerations would beathe color of the space, in the center, bed that faces thetheroom entrance, seating, texture, lighting electric), sound, and scents. an(natural easilyversus accessible rest room, a bedside table for comfort
items such as tissues, water, a phone, and pictures.2
Sensual considerations would be the color of the space, the texture, lighting (natural versus electric), sound, and scents. 1 20’
1
Bed facing the room entrance
1
20’ Because of the level and type of care needed to give patients in a hospice center, the space has very 10’ specic requirements. Hall There needs to be space for the families of those staying in the center, a bed that faces the room entrance, seating, 10’ 14’ an easily accessible rest room, a bedside table for comfort items such as tissues, water, a phone, and pictures.2 Hospice Room
Sensual considerations would be the color of the space, the texture, lighting (natural versus electric), sound, and scents.
Hall
24’
EXAM ROOM
due to the typically small sizes. Every room needs seating, writingbare surface, storage, lighting, privacy curtain, and an An exam room contains verya basic, necessity items exam table. An exam table due to the typically small sizes. Every room needs seating,for a dentist varies from that Patch Adams used a pediatrician, an optometrist, and a chiropractor. a writing surface, storage, lighting, by privacy curtain, and an exam table. An exam table for a dentist varies from that used by a pediatrician, an optometrist, and acontains chiropractor. Patch An exam room V. Adams SPACE NEED ANALYSISvery basic, bare necessity items Patch Adams due to the typically small sizes. Every room needs seating, D. Project Spacesurface, Component a writing storage,- Exams lighting, Room privacy curtain, and an An exam room contains very table basic,for bare necessity items exam table. An exam a dentist varies from that An exam room contains very basic, bare necessity items due to the typically small sizes. Every room needs seating, used by a pediatrician, an optometrist, and a chiropractor. due to the typically small sizes. Every room needs seating, aa writing writingsurface, surface, storage, lighting, privacy curtain, and an storage, lighting, privacy curtain, and an exam table. table.AnAnexam exam table a dentist from that exam table for for a dentist variesvaries from that usedby byaapediatrician, pediatrician, optometrist, a chiropractor. used an an optometrist, and aand chiropractor.
Free Clinic of Philadelphia
EXAM ROOM EXAM ROOM
EXAM ROOM
Patch Adams
BIBLIOGRAPHY
3
“Designing Refuge: A Hospice Case Study | Design.” SaportaReport. http://saportareport.com/ leadership/design/2012/08/27/designing-refuge-a-hospice-case-study/ (accessed August 30, 2012).
1.
3
Tarashanti, Char. “The Art of Placement: Feng Shui for Hospice Care.” MNHPC.org. mnhpc.org/wpcontent/uploads/2011/03/Handout-mnhpc-conf1.pdf (accessed August 30, 2012).
2.
3
3
3
3. “Designing a Divided Exam Room|Healthcare Design Blog.” Healthcare Design Blog|Jain Malkin Inc. http://www.healthcaredesignblog.com/index.php/2012/04/designing-a-divided-exam-room/ (accessed August 30, 2012).
HERRING, SHANNON. “Top Ten Things to Remember when Space Planning for That New Ofce on Tampa Bay Medical News.” Mana-Sara Medical News - Healthcare News of Mana-Sara for Physicians and the Medical Profession. http://mana-sara.medicalnewsinc.com/top-ten-things-to-remember-whenspace-planning-for-that-new-ofce-cms-875 (accessed August 30, 2012).
Patch Adams
V. SPACE NEED ANALYSIS Cafeteria Specifics- Cafeteria D. Project Space Component Exciting Cafeteria Rog Cafeteria Component Analysis Dry Storage Refrigeration Food prep Cooking Serving Station Dish Cleaning Office Seating Area
200sf 200sf 300sf 200sf 200sf 300sf 100sf 1500sf
Total
3000sf
Cook Cook Cook Cook Client Interaction Dishwasher Manager Client Interaction
Specific Adjacencies and Connection
Cafeteria Seating Area / 100 people - personal scale, small and programmatically efficient, detailed in environment
Total Area = 1331 ft ^ 2
Total Area = 1421 ft ^ 2
Waiphiu Intermediate School
Total Area = 936. 3 ft ^2
- open plan, cross ventilation, natural lighting, utilization of passive tech.
Total Area = 1320 ft ^2
for Health Clinic General Storage for Health Clinic
V. SPACE NEED ANALYSIS D. Project Space Component - General Storage
Overview pace type includes subgrade, attic, or other spaces with minimal nishes that are desigThe General Storage space type includes subgrade, attic, or other spaces with minimal nishes that are desigrchandise, materials, ornated equipment that is not hazardous in or nature nor that requires special in nature nor requires special for storage of merchandise, materials, equipment is not hazardous e access, or utility needs. Supply areas, storerooms, le rooms not nished to typiHVAC, security, machine access, or and utilityneeds. Supply areas, storerooms, and le rooms not nished to typical ofce nish but with perimeter partitions doors are included in this space type. t with only perimeter partitions andlevel, doors are only included in this spaceand type. Space Attributes
Important design considerations for the General Storage space type are efcient use of space, energy cost
savings, and minimal Typical of general derations for the General Storage spaceHVAC typerequirements. are efcient use features of space, energystorage cost space types include the list of applicable design objectives elements as outlined below. For a complete list and denitions of the design obVAC requirements. Typical features of general storage space types include the list of jectives within the content of whole building design, click on the titles below. tives elements as outlined below. For a complete list and denitions of the design obent of whole building design, click on the titles below. Functional / Operational
•Occupancy Group: General Storage space types fall into Storage Group S Incidental Use in Group A, B, E, I, M, or R Occupancy Classications, assuming sprinklered construction and one-hour partition separation from tional other occupancies. neral Storage space types fall into Group Use providing in Group A, B, E, I, •Efcient Use ofStorage Space: Open spaceSisIncidental maximized while adequate circulation paths for personnel and merchandiseconstruction handling equipment as hand partition trucks. ssications, assuming sprinklered andsuch one-hour separation from
Open space is maximized while providing adequate circulation paths for personnel and Sustainable quipment such as hand •Energy trucks.Cost Savings: Distinguish between areas for storage and circulation in the lighting plan to reduce unnecessary xtures. Consider using energy-efcient lighting xtures. •Minimal HVAC: Exposed HVAC ductwork with suite thermostat control and ducted air return is sufcient in the General Storage space type, however separate zones can be designated for larger storage areas.
Distinguish between areas for storage and circulation in the lighting plan to reduce unsider using energy-efcient lighting xtures. ed HVAC ductwork with suite thermostat control and ducted air return is sufcient in ace type, however separate zones can be designated for larger storage areas.
Free Clinic of Philadelphia
Patch Adams
V. SPACE NEED ANALYSIS E. Space Movement System Diagram
COMPOSTING GREENHOUSES FOOD SHED
STORAGE ADMINISTRATION
BIRTHING CENTER
DENTAL
EXAM
CLASSROOMS
SAUNA/POOL
GYM
PEDS EXAM
CHIRO
EXAM
OPTICS
LIBRARY COLLECTION
ACCUPUNCTURE
MASSAGE ROOM
RECEPTION WAITING AREA
YOGA
CHILDREN AREA
KITCHEN CLASS
CAFE
RELAXATION ENTRY ATRIUM
PARKING
Free Clinic of Philadelphia
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Site Plan West Moreland Street
ail
al R
17th Street
ion
Reg
SITE
Allegheny Avenue
Patch Adams
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Topography
West M ore
land Stre
et
onal
Regi
17th Stre
Rail
SITE
et
Alleghen y Avenue
Free Clinic of Philadelphia
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - North and South Site Sections
Section looking East onsite
East- West Section Looking North
Section looking West onsite
East - West Section looking West onsite
East- West Section Looking South
ng North
East - West Section looking North
Patch Adams
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Site Elevations
Elevation looking North from West Allegheny Avenue
Elevation looking North from West Allegheny Avenue
Elevation looking West North 17th Street
Elevation looking East from North 19th Street
Free Clinic of Philadelphia Patch Adams Patch Adams VI. SITE AND
CONTEXT DOCUMENTATION
Patch Adams A. Site Inventory - Site Panoramas
Panoramic Views of Site Various Panoramas are necessary for this site due to its overgrown vegetation and topograPanoramic Views of Site phy. The pamoramas also provide immediate site context such as exisiting buildings, exisiting
Panoramic Views of Panoramas Site edge conditions, and existing earth conditions. that capture the site from the streets provide visual information of how the design will be perceived aesthetically from the Various Panoramas are necessary for this site due to its overgrown community
Various Panoramas are necessary for this site due to its overgrown vegetation and topography. The Panoramas also provide immediate Various Panoramas are necessary for this site due to its overgrown vegetation topography. The Panoramas also provide immediate site contextand such as existing buildings, existing edge conditions, vegetation and topography. The Panoramas also provide immediate site existing context earth such as existing buildings, existing edge conditions, and conditions. Panoramas thatbuildings, capture the site site context such as existing existing edge conditions, and existing earth conditions. Panoramas that capture the site and visual existinginformation earth conditions. Panoramas that capture the site from the streets provide of how the design will fromvisual the streets visual information of how from the streets provide information of how the design will the design will be perceived aesthetically from the provide community. be perceived aesthetically from the community. be perceived aesthetically from the community.
1 1
1
2 2
8
6 6
7
5 5
6
5
4 4 2 2
1 1
4
2 1
3 1
2 2
7 7
8 8
3
3
Patch Adams
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Site Panoramas
3 4
5
Free Clinic of Philadelphia
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Site Panoramas 6
7
8
Patch Adams
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Climate
West M ore
land Stre
et
Rail
Alleghen y Avenue
17th Stre et
onal
Regi
SITE
Free Clinic of Philadelphia
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Vegetation Species The site is located in HARDINESS ZONE 7. Vegetation species in this zone are able to withstand average annual low temperatures between 10 degrees and 0 degrees Fahrenheit. Common species include:
Flowering Dogwood Cornus Florida
It is a small deciduous tree growing to 33 feet high, with a trunk diameter of up to 1 ft. The fruit is a cluster of two to ten drupes, each 10–15 mm long and about 8 mm wide. They are an important food source for dozens of species of birds, which then distribute the seeds.
American Hazelnut (Corylus americana) Early Harvest Apple (Malus x domestica) Early Golden Apricot (Prunus armeniaca) Black Tartarian Cherry (Prunus avium) Arapaho Blackberry (Rubus spp. ‘Arapaho’)
The soil type: of the site is Class 8 and therefore making not suitable for commercial production and restricting use to recreation, wildlife preservation, water supply or aesthetic purposes. Green Ash Fraxinus pennsylvanica
West M ore
Green Ash is one of the most widely planted ornamental trees throughout the United States and much of Canada. It is a medium-sized deciduous tree reaching 40 80 feet tall with a trunk up to 2 feet in diameter.
land Stre
et
Rail
et
17th Stre
onal
Regi
SITE
Alleghen y Avenue
Empress Tree
Paulownia tomentosa
Empress is the most dominant species on the site . Often confused with the “Catalpa”, it is deciduous tree, native to central and western China, but invasive in the eastern of US, which grows to 32 feet – 80 feet tall, with large heartshaped to five-lobed leaves 6 in to 16 in across. Ecologically, it functions as pioneer plant because it can survive wildfire, tolerant to pollution and not selective about soil type.The fruit is a dry egg-shaped, containing tiny seeds, which were commonly used as a packing material by Chinese porcelain exporters in the 19th century, before the development of polystyrene packaging.
Patch Adams
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Wildlife Species BEE
American Robin
European Starling
Rock Dove
Tuffed Titmouse
Carolina Chickadee
Free Clinic of Philadelphia
VI.1729 SITEW AND CONTEXT ALLEGHENY AVEDOCUMENTATION - zoning A. Site Inventory - Zoninng Codes
12 FT
50 FT
Max. Occupiable Area 75 % of Lot
50 FT
Unlimited
60 Ft. if abutting a residential district
Neighborhood Commercial Mixed Use-2 Residential Multi-Family-1 Residential Single Family Attached-5 Active Parks and Open Space I-2 Medium Industrial Site Boundaries
I-1 Light Industrial The I-1, Light Industrial district is primarily intended to accommodate low-impact employment-generating land uses, such as light industrial, assembly, fabrication, offices, research and development, small-scale wholesaling, local distribution, and similar activities that generate few adverse operational impacts (e.g., noise, traffic).
Allowable Uses Educational Facilities Safety Services Medical, Dental, Health Practitioner Sole & Group Practitioner Community Garden Market or Community-Supported Farm Horticulture Nurseries & Greenhouses
Not Allowed Multi-Family Living Group Living Active Recreation Day Care Food, Beverage, & Grocery Retail
Patch Adams
1729 W ALLEGHENY AVE - district use diagram AND CONTEXT DOCUMENTATION 1729VI.WSITE ALLEGHENY AVE - district use diagram A Site Inventory - District Use Diagram
SITE
site grocery stores health site facilities schools grocery stores daycare health facilities
schools daycare
Free Clinic of Philadelphia
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Traffic and Circulation
SITE SITE
Direction of Traffic
Two Way Streets One Way Streets Traffic Direction Two Way Streets
Direction of Traffic
One Way Streets Traffic Direction Two Way Streets
Direction of Traffic
One Way Streets Traffic Direction
Two Way Streets One Way Streets Traffic Direction
Bus Routes
Bus Routes
Bus Routes
Bus Stops 33 Bus 60 Bus 2 Bus
Bus Routes/stops Pedestrian Traffic Density Pedestrian Traffic Density
SITE
Pedestrian Traffic Density
SITE
Important Nodes Important Nodes Important Nodes
Train Rout Train Routes
SITE
Paths 5BikeMinutes
Train Route
Train Route
Between Trains Bike Paths
Bike Paths Traffic Volume Traffic Volume Traffic Volume
Patch Adams
VI. SITE AND CONTEXT DOCUMENTATION A Site Inventory - District Figure Ground
SITE
Free Clinic of Philadelphia
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Historiagraphy (1900 - 1940’s)
1910
1729 W Allegheny Ave Early 1900’s In the early 1900’s the plot at 1729 W Allegheny Ave was still occupied by George V. Cresson Co. Foundry and Workshop. The area, similar to the present, consisted mainly of businesses and row housing. Train tracks cut through the site in the same place that today’s electric Amtrak trains pass through. The site’s location would soon become more important given its proximity to what would become a large, social shopping district.
1942
The North 22nd Street Shopping Corridor (30’s & 40’s)
During the mid 1900’s the Allegheny site was occupied by Bunting Glider, a company that manufactured and sold metal furniture. During this time, the site was located on the outskirts of what was known as the North 22nd Street Shopping Corridor. This was an area of about five blocks that operated as a large, and popular, shopping district. 1. http://www.philageohistory.org/rdic-images/view-image.cfm/rand-mcnally-indexed-atlas-phila-1901 2. http://www.philageohistory.org/rdic-images/view-image.cfm/HGSv23.2211 3. http://www.flickr.com/photos/25450545@N07/5620344762/sizes/m/in/photostream/
Patch Adams
VI. SITE AND CONTEXT DOCUMENTATION A. Site Inventory - Historiagraphy (1940â&#x20AC;&#x2122;s - Present)
1972
Benjamin Brothers Terminal and Warehousing (70â&#x20AC;&#x2122;s) During this period of time, the Allegheny neighborhood was largely in decline. The introduction of shopping malls took its toll on the shopping corridor, and forced many shop owners from the area. The neighborhood was in decline, yet a new company bought the site. This was a trucking company called Benjamin Brothers Terminal and Warehousing. It was built in 1972 and was the last building to be located on the plot at 1729 W Allegheny Ave.
2012
1729 W Allegheny Ave (Present Day) Today the neighborhood is in continued decline. The main portion of the site is covered by the remaining foundation of the Benjamin Brothers building. There are large slabs of concrete and fragments of the old structural steel. A large pile of tires sits among the overgrowth, a remnant of the building that used to occupy the space. The area is largely covered by weeds and brush, but also large quantities of garbage and discarded 4. http://www.showcase.com/property/1729-W-Allegheny-Avenue/Philadelphia/Pennsylvania/301614#&&/wEXAQURV29ya2Zsb3dIaXN0b3J5SUQFJGUwNjNiOWQ2LTU0MzktNDdhMi05N2U0LTVmZjM0YTRhNjBlM1ppJnpuLBkUBTU5JP2NGcMLngSH
Free Clinic of Philadelphia
The site is 5-acre lot located at the edge of the North Philadelphia neighborhood of Tioga on Allegheny Avenue. The site is bounded to the north by West Moreland Street, to the west by the Septa Regional Rail Main Line, and to the east by a vacant warehouse and residential row homes.
SITE ACCESS
W Allegh
eny Ave.
Train Stations Vehicular Traffic
NEIGHBORHOOD ANALYSIS Tioga is a predominantly residential area with neighborhood commercial areas on Vehicular Traffic Rail Traffic 17th, 20th, and 22nd Streets. However, commercial activities have dramatically Transport HUBs decreased to about 50 percent compared to the 1950’s due to crime rate and Bus Stops poverty. The neighborhood boundaries include: To the east is the Broad & Erie transportation hub and the Temple University health complex. To the south is an industrial zone at Allegheny Avenue along the R-6 and R-8 rail lines. To the west is the former industrial district known as Hunting Park West. CLIMATE AND SOIL DATA To the north of Erie Avenue is a residential section with a relatively high rate of homeownership. Latitude and Longitude : NEIGHBORHOOD DEMOGRAPHICS STATISTICS Total Population: 10,000 African American: 93.6% Under age 20: 31.0% Over age 64: 16.0% Homeownership: 53.0% Median Income: $20,000 % in Poverty: 32% Median Sale Price:* $48,000
Site
Average rainfall: Summer Prevailing Wind Direction: Winter Prevailing Wind Direction: Frost Free Period: Soil Type:
SITE ACCESS AND CONNECTIVITY The proposed site of the Patch Adams Free Clinic is located at the edge of Tioga on Allegheny Avenue. It is accessible through various transportation nodes connecting to various neighborhood and suburban sites such as the Septa Bus 60 to and from Kensington/ Port Richmond with various stops along Allegheny Ave, the Septa Bus 2 from and to South Philadelphia with stops on 17th Street, the Broad Street Subway Line running along with stop on Broad Street and Allegheny and the Allegheny Regional Rail station with trains running from Norristown/Lansdale to Thorndale.
St
B. Quantitative Site Analysis Muzalier Gaussaint, Stephanie Smith Jared Bilsak, Robert Garcia
Transportation access points in proximity to the Patch Adams Free Clinic proposed site
N Broad
VI. SITE AND CONTEXT DOCUMENTATION
Bus Stops
Scale=Scale= 1”-0“ = 1”205’-0” = 5’-0”
40 degrees North and 75 degrees West 42 inches Northwest Southeast 161 - 215 days/ Year Class 8 ( Not suitable for commercial production and restrict use to recreation, wildlife preservation, water supply or aesthetic purposes).
Patch Adams
VI. SITE AND CONTEXT DOCUMENTATION C Site Approach and Attitudes
1/4 mile radius 1/2 mile radius Park/ Garden Nodes Community Nodes
17th St
Broad St
NEXUS [CONNECTIONS] 22nd St
Community Pathways
Based on accessibility, proximity to nodes neighborhood and adjacency to community pathways, the development of the southeast corner of Tioga and 17th will have greater impact on the revitalization of Tioga neighborhood.
Erie Ave
FOOD ACCESS Tioga St
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
Institutional Node
Temple Hospital
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
Community Ownernship Node
Allegheny Station Allegheny Subway Station
Allegheny Ave
The community of Tioga suffers from the highest levels of adult obesity. They also have the highest rates of hospitalizations for asthma, diabetes and heart disease in Philadelphia. There is only one supermarket in the area which carries fresh produces. There are a series of corner stores in the area which donâ&#x20AC;&#x2122;t offer healthy eating options.
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
Households in Poverty 19140
40%
Philadelphia
18.4%
Modes of Transportation Drive a car/Taxi
50% 32%
Bus 16.2%
Subway/ RailWalk
9.7%
Bicycle
8.8%
Circulation of Vehicles in a 5 minute interval Railroad car Vehicle
Levels of Crime Medium Crime Area Slightly High Crime Area
After analyzing the circulation of the site in a 1 block radius, within timed intervals, it was concluded there is low foot traffic. There was heavy vehicle traffic on W. Allegheny heading east towards Broad street and on 17th st. heading north towards Erie ave. It was inferred that the reason for minimal pedestrian circulation was due to the amount of crime in the area. High levels of crime is the result of 40% of the resident being below the poverty line.
Circulation of People in a 10 minute interval Child Female Male White Male
POVERTY > CRIME > LOW CIRCULATION
Free Clinic of Philadelphia
VII. PROGRAM + SITE TESTING A. Atrium - A Place of Wonder
These sketches and models are explorations of the atrium component of the program as the space of wonder. Its spatial and experiential character is created by exposing its main structural elements and including playful elements for kids, a sunken plaza for small events and lectures, and green environmental education components such as the biowall. It is the community living of Patch Adams, which allows intergenerational social interaction, unify the programmatic zones of the building and engage the pedestrian from the street.
Patch Adams
VII. PROGRAM + SITE TESTING B. Site Plan Strategies - Sketch 1 This site strategy explores the integration of a courtyard, bringing the natural landscape in the interior spaces. Site Plan NTS
HEALTH CARE
FITNESS AND WELLNESS
RETAIL
ADMIN
ENTRY
EDUCATION
Free Clinic of Philadelphia
VII. PROGRAM + SITE TESTING B. Site Plan Strategies - Sketch II This site strategy explores the integration of an atrium space connecting the public plaza on Allegheny Avenue and the pedestrian community plaza from West Moreland. Site Plan NTS
Patch Adams
VII. PROGRAM + SITE TESTING B. Site Plan Strategies - Sketch III
This site strategy explores the sustainable aspect of the site developed to open the building to natural ventilation during the summer months, and the creation of a community heeling garden on the northern edge of the building. Site Plan NTS
Free Clinic of Philadelphia
VII. PROGRAM + SITE TESTING B. Site Plan Strategies - Sketch VI
This strategy is a further development of the healign garden into a community amphitheater in proximity to the western community block of the program, and includes the former as part of the pedestrian entry from West Moreland. Site Plan NTS
Patch Adams
VIII. PRECEDENT STUDIES A. Structure - Swedbank Stadium by C.F Moller Architects The structural language of the steel truss on the envelope creates a sense of lightness to the overal mass of the stadium and sets a rythm on the facades alternating metals cladding and glazing. Swedbank Stadium is a modern and elegant football stadium which focuses on providing a close relationship between the players and the public, to create the maximum experience. The human scale comprises the primary point of departure for an architectural design which is readable and recognisable at various levels in the arena, foyer and exterior. The stadium enjoys a central location in the Stadium Area, Malmö, immediately adjacent to the classic Malmö Stadium, built in 1958. Between the old and the new stadium, a connecting square is built: the Stadium Square. Overlooking the square is a restaurant with room for 2,000 sitting guests. The restaurant – like the shops, conference facilities, offices, etc. – is open all year round and functions like a new living-room for the citizens of Malmö. Description Extracted from C.F Moller Architects Website 1- http://www.cfmoller.com/p/Swedbank-Stadium-i2306.
Site Plan Bird Eye View
Free Clinic of Philadelphia
VIII. PRECEDENT STUDIES A. Structure - Swedbank Stadium by C.F Moller Architects
Section
Southeast Corner Perspective
Construction Photos
Patch Adams
VIII. PRECEDENT STUDIES
B. Spatial Relationship - Nardini Guapa Distiellerie “ Bolle” by Massimiliano and Doriana The Nardini Grappa Distillary was completed in 2004, designed by Massimiliano and Doriana Fuksas in Bassano del Grappa,Vicenza, Italy – the first impressions of the complex are two otherworldly inflated disks hover over a pool of water. Supported on stilts, the glass and steel envelope reflect the water below.Visitors stroll over paths that crisscross over the pool. A descending ramp leads into the 100-seat auditorium below, forming a natural canyon. Underwater lights illuminate the surface, creating a shimmer across the grounds of the distillery and reflected in the floating volumes above.1
Location: Bassano Del Grappa,Vicenza, Italy Project: Nardini Research Centre and Auditorium Date of Project: 2002-2004 Client: Giuseppe and Cristina Nardini – Ditta Bortolo Nardini SpA Interior Design: Fuksas Design Contractor: Impresa Paolin, Bassano del Grappa Engineering: Engineer Gilberto Sarti, Rimini Services: AI Studio, Torino Vinnitskaya , Irina . “Nardini Grappa Distillery “Bolle” / Massimiliano and Doriana Fuksas” 13 May 2012. ArchDaily. Accessed 06 Oct 2012. <http://www.archdaily.com/233532> Photos by Maurizio Marcato
Free Clinic of Philadelphia
VIII. PRECEDENT STUDIES
B. Spatial Relationship - Nardini Guapa Distiellerie “ Bolle” by Massimiliano and Doriana WATER AND SPATIAL TRANSITION The effect of the complex makes for a sublime experience. Most of the surface below the building is untraversible. The water clearly sets up a boundary and guides visitors to various points of the complex. The two volumes that float over the pool are research center laboratories. The submerged volume accessed by the exterior ramp or the internal stair houses an auditorium. The procession between above and below is amplified by the passage through the surface of the water. It appears to be just a few centimeters deep from ground level, but once visitors descend into the submerged volume below it becomes clear that it extends for several meters.1
Vinnitskaya , Irina . “Nardini Grappa Distillery “Bolle” / Massimiliano and Doriana Fuksas” 13 May 2012. ArchDaily. Accessed 06 Oct 2012. <http://www.archdaily.com/233532> Photos by Maurizio Marcato
MATERIAL CONTRAST The geometry and material choices of the submerged space are big contrast to those of the laboratories above. The material shift goes from one that is airy, transparent and fine to heavy and solid. The geometry also shifts from one of clear form to the geometric and spatial complexity of the passages and spaces below. The consistency of material within these individual spaces creates a unified reading of the space. 1
Patch Adams
VIII. PRECEDENT STUDIES C. Green Education - Institute for Forestry and Nature Research by Behnisch, Behnish, and Partner The purpose of the building was to show that sustainable architecture can be achieved within normal cost limits.The choice of materials therefore were limited by environmental and ecological considerations. Behnisch Architekten chose to use standard, mass-produced roofs for horticultural greenhouses, costing seventy-five percent less than custom-made roofs.The two spaces that seperate the threewings of the building serve as ecological gardens and climate buffers. the offices facing them are double glazed as external facades for protection.The plants within the garden humidify and cool the air in hot weather. They serve as solar collectors in the cooler part of the year. These garden are not apart of building cirulation because of work regulation temperatures. Wooden frames and double glazing allow for high retention of heat. In the summer, the office blinds are closed and roof vents are open to provide solar chimneys. Exposed concrete slabs in the offices act as heat stores. In winter, they are gently heated. Offices are cross-ventilated through open door and windows. These efforts allow offices to go with out air conditioners. 1
Behnisch, Stefan. â&#x20AC;&#x153;Theme - Institute for Forestry and Nature Research, Wageningen, the Netherlands.â&#x20AC;? The Architectural Review. 209.1247 (2001): 1
Elements such as dry-stone walls, scattered tree groves and alleys, hedges, berms, ponds, swamps, and water channels were introduced, creating intricate, varied microclimates The new building was designed not to dominate its rural setting, but to embrace the landscape, with all workplaces in direct contact with indoor and outdoor gardens. Elements such as drystone walls, scattered tree groves and alleys, hedges, berms, ponds, swamps, and water channels were introduced, creating intricate, varied microclimates and delicately balanced ecosystems. The building uses a sophisticated grey water cycle which handles rain water collection and a sequence of ponds. 1
Free Clinic of Philadelphia
IX. ARCHITECTURAL PROPOSALS A. Proposal #1 - Site/Program/ Structure/ Sustainable Strategies SITE As site organizational strategy, this proposal is located on Allegheny Ave, the southern edge of the site, for public presence and welcomes the communter through an accessible public plaza. On the northern edge, it provides spaces such a basketball court and picnic area to cater the needs of the residential commnity of West Moreland. A public plaza on the northwest corner of the building welcomes the pedestrian. from West Moreland into the Atrium Space. Private Garden - healing garden element framed by a green wall creates privacy and opens exams rooms of the healthcare rooms to the natural environment PROGRAM 3 wings - Healthcare, Community Outreach, and Admin - centered around a voluminous atrium designed in the spirit of Patch Adams. Interior Atrium Plaza around interactive and environmental green wall STRUCTURE Steel trusses spanning the width of atrium spaces expanding into all three program wings. Steel post and beam construction with selected exterior concrete load-bearing walls for the remaining structure. SUSTAINABLE STRATEGIES Natural ventilation through Stack effect in Atrium space Natural Lighting Passive Solar Gain
Section through Community Amphitheater
Diagrams
Section through Atrium
Site Plan
Patch Adams
IX. ARCHITECTURAL PROPOSALS A. Proposal #1 - Presentation Drawings
Biowall
Structure
First Floor Plan
Plan
Axonometric Drawing
Interior Perspective of Atrium
Free Clinic of Philadelphia
IX. ARCHITECTURAL PROPOSALS A. Proposal #1 - Models
1/40th scale Site Model
1/8th Scale Model
Patch Adams
IX. ARCHITECTURAL PROPOSALS
PATCH ADAMS CLINIC OF PHILADELPHIA
B Proposal #2 - Site/Program/ Structure/ Sustainable Strategies SITE As site organizational strategy, this proposal is located on Allegheny Ave, the southern edge of the site, for public presence and welcomes the communter through an accessible public plaza. On the northern, edge it provides spaces such a basketball court and picnic area to cater the needs of the residential commnity of West Moreland.
The proposal for the Patch Adams Free C of the North Philadelphia neighborhood to the north by West Moreland Street, t to the east by a vacant warehouse and r approximately 17, 500 square feet while including orchards, vegetable garden, an such playground and picnic area. The fre delivery with programmatic elements de and healthy food access. The program is broken into three wi community outreach. They meet in the environment is physically engaging and fu
The resident from West Moreland descends into the atrium along an amphitheater, an outdoor community space which opens up to the public and retail spaces of the healthcare wing. PROGRAM 3 wings - Healthcare, Community Outreach, and Admin - centered around a voluminous atrium designed in the spirit of Patch Adams. Interior Atrium Plaza around interactive and environmental green wall STRUCTURE Steel trusses spanning the width of atrium spaces expanding into all three program wings. Steel post and beam construction with selected exterior concrete load-bearing walls for the remaining structure.
Site Plan
SUSTAINABLE STRATEGIES Natural ventilation through Stack effect in Atrium space Natural Lighting Passive Solar Gain PROGRAM HIEARCHY PLAN
PROGRAM HIEARCHY IN SECTION
Section through Community Amphitheater
FLOOR PLAN
SUSTAINABLE STRATEGIES
Diagrams Section through Atrium
Free Clinic of Philadelphia
IX. ARCHITECTURAL PROPOSALS B. Proposal #2 - Presentation Drawings
Allegheny Avenue Entry Plaza
First Floor Plan
Pedestrian Entry from West Moreland Through Amphitheater
Patch Adams
IX. ARCHITECTURAL PROPOSALS B. Proposal #2 - Presentation Drawings and Models
Interior Perspective of Atrium
Perspectives of Atrium Model
Free Clinic of Philadelphia
IX ARCHITECTURAL PROPOSALS B. Proposal #2 - Models
1/40th Scale Site Model
1/8th Scale Model
Patch Adams
IX ARCHITECTURAL PROPOSALS C. Final Design - Site/Program/ Structure/ Sustainable Strategies SITE As site organizational strategy, this proposal is located on Allegheny Ave, the southern edge of the site, for public presence and welcomes the communter through an accessible public plaza. The sidewalk is designed to create a lay-by is from the street to accomodate drop off area and a loading zone. On the northern, edge it provides spaces such a basketball court and picnic area to cater the needs of the residential commnity of West Moreland. The resident from West Moreland descend into the atrium along a child outdoor playground and an amphitheater, an outdoor community space which opens up to the outreach community wing of the building with job training and media classrooms, cafe and the fitness center PROGRAM 2 wings - Healthcare, Community Outreach - centered around a voluminous atrium designed in the spirit of Patch Adams. Interior Atrium Plaza around interactive and environmental biowall STRUCTURE Steel trusses spanning the width of atrium spaces expanding into both program wings cores Steel post and beam construction with selected exterior concrete load-bearing walls for the remaining structure. SUSTAINABLE STRATEGIES Natural ventilation through Stack effect in Atrium space Natural Lighting Passive Solar Gain Water retention through green roofs
Site Section
Site Plan
Free Clinic of Philadelphia
IX. ARCHITECTURAL PROPOSALS C. Final Design - Plan and Design Diagrams
Building Mass Development
Wings Core
Concrete Loadbearing Wall vs Porous Glass Edge
Sawthooth Toplighting in side Circulatory Core of building
Water Collection through Sawthooth Toplighting
Solar Collection on Atrium Roof
Patch Adams
IX. ARCHITECTURAL PROPOSALS C. Final Design - Buildings Sections
Section through Community Amphitheater
Section through Atrium
Free Clinic of Philadelphia
IX. ARCHITECTURAL PROPOSALS C. Final Design - Building Elevations
South Elevation from Allegheny Avenue
North Elevation from West Moreland
Patch Adams
IX. ARCHITECTURAL PROPOSALS C. Final Design - Community Atrium
Biowall
Catwalk Playground Sunken Plaza
Biowall
Steel Structure
Concrete Walls
Plan
Axonometric Drawing + model
Free Clinic of Philadelphia
IX. ARCHITECTURAL PROPOSALS
C. Final Design - Atrium and Reflected Ceiling PLans
Framing
1st Floor Reflected Ceiling Plan
Core Reflected Ceiling Plan
Atrium Model showing: - Playground on catwalk with obstacle course and slide through biowall. - Sunken plaza for small meeting and performance. - Atrium adjacency to the community wing looking at the cafeteria and the seating area
Patch Adams
IX. ARCHITECTURAL PROPOSALS C. Final Design - Exterior Perspectives
Entry Perspective from Allegheny Avenue
Entry Perspective from West Moreland Street
Free Clinic of Philadelphia
IX. ARCHITECTURAL PROPOSALS C. Final Design - Models
1/8th Scale Model
1/40th scale Site Model
Patch Adams
IX. ARCHITECTURAL PROPOSALS C. Final Design - Detailed Sections
Detailed Section through Community Wing and Seacting Area
Free Clinic of Philadelphia
IX. ARCHITECTURAL PROPOSALS C. Final Design - Detailed Sections
Detailed Section through Atrium
Patch Adams
IX. ARCHITECTURAL PROPOSALS
C. Final Design - Detailed Sections through Atrium Facade Roof Metal Caping
1/2" Expansion Bolts mounting 5"x3"x1/4" L Shape Steel 1/2" Expansion Bolts mounting 5"x3"x1/4" L Shape Steel with A325 Bolts mounting to 3"x3"x1/2" Steel Angle
1/2" Gypsum Sheathing 5-1/2" Metal Stud with Expanded Polystrene Metal Flashing with 2x4 Stud Blocking
R 30 Roof 3/4" Exterior Grade Plywood Sheating on Roofing Membrane 5" Extended Polysterene Insulation 3" Concrete with Metal Mesh Reinforcing
3"x3"x1/2" Steel Angle 8'x9'-8"Glass Curtain Wall with 2-1/2"x 5" Stainless Steel Mullion
Top of Roof 30' - 11 5/16"
2" Cellular Composite Metal Deck with Sound Insulation 30K12 Steel Joist
3-7/8" Metal Stud Wall with EPS Insulation Metal Flashing 1/2" Plywood Sheating
1" Wood Finish on 1/2" Plywood Underlayment
1/2" Gypsum Finish
Raised Floor with 2x12 Wood Joist
3" Growing Medium Filter Fabric
3" Concrete with Metal Mesh Reinforcing
5-1/2" Expanded Polysuterene Insulation
1/2 Plywood Underlayment on 5/8" Gypsum Finish
W8x35 Structural Steel Beam W10x35 Structural Steel Girder with L3x3x1/4" L Angle Bolted Connection HSS10x10x5/8 Hollow Strutural Stainless Steel Tube - Column
Detail Section through Atrium and Catwalk
L3x3x1/2 L Shape Steel
2" Cellular Composite Metal Deck with Electrical Raceways W8 x35 Structural Steel Beam
Catwalk Level Plan 19' - 0"
Free Clinic of Philadelphia
dams
dams
dams
X. BIBlIOGRAPHY
BIBLIOGRAPHY
1. BIBLIOGRAPHY “Designing Extracted Refuge: A Hospice Study | Design.” SaportaReport. http://saportareport.com/ Description from C.FCase Moller Architects Website1http://www.cfmoller.com/p/ leadership/design/2012/08/27/designing-refuge-a-hospice-case-study/ (accessed August 30, 2012). Swedbank-Stadium-i2306.html
“Designing Char. Refuge: A Art Hospice Case Study Design.” SaportaReport. http://saportareport.com/ Tarashanti, “The of Placement: Feng |Shui for Hospice Care.” MNHPC.org. mnhpc.org/wpleadership/design/2012/08/27/designing-refuge-a-hospice-case-study/ August 30, 2012). content/uploads/2011/03/Handout-mnhpc-conf1.pdf (accessed August(accessed 30, 2012).
1. 2.
Tarashanti, “The Art ofRoom|Healthcare Placement: Feng Shui for Blog.” Hospice Care.” MNHPC.org. mnhpc.org/wp“DesigningChar. a Divided Exam Design Healthcare Design Blog|Jain Malkin Inc. content/uploads/2011/03/Handout-mnhpc-conf1.pdf (accessed August 30, 2012). http://www.healthcaredesignblog.com/index.php/2012/04/designing-a-divided-exam-room/ (accessed August 30, 2012). 3. “Designing a Divided Exam Room|Healthcare Design Blog.” Healthcare Design Blog|Jain Malkin Inc. Behnisch, Stefan. “Theme - Institute for Forestry and Nature Research, Wageningen, http://www.healthcaredesignblog.com/index.php/2012/04/designing-a-divided-exam-room/ HERRING, SHANNON. “Top Ten Things to Remember when Space Planning for That New (accessed Ofce on the Netherlands.” The Architectural Review. 209.1247 (2001): 28. Print. August 30, 2012). Tampa Bay Medical News.” Mana-Sara Medical News - Healthcare News of Mana-Sara for Physicians http://www.philageohistory.org/rdic-images/view-image.cfm/rand-mcnally-indexed-atlasand the Medical Profession. http://mana-sara.medicalnewsinc.com/top-ten-things-to-remember-whenphila-1901 HERRING, SHANNON. “Top Tence-cms-875 Things to Remember when Space Planning for That New Ofce on space-planning-for-that-new-of (accessed August 30, 2012). Tampa Bay Medical News.” Mana-Sara Medical News - Healthcare News of Mana-Sara for Physicians http://www.philageohistory.org/rdic-images/view-image.cfm/HGSv23.2211 BIBLIOGRAPHY and the Medical Profession. http://mana-sara.medicalnewsinc.com/top-ten-things-to-remember-whenhttp://www.flickr.com/photos/25450545@N07/5620344762/sizes/m/in/photostream/ space-planning-for-that-new-ofce-cms-875 (accessed August 30, 2012). 2. 3.
http://www.showcase.com/property/1729-W-Allegheny-Avenue/Philadelphia/Pennsylva“Designing Refuge: A Hospice Case Study | Design.” SaportaReport. http://saportareport.com/ nia/301614#&&/wEXAQURV29ya2Zsb3dIaXN0b3J5SUQFJGUwNjNiOWQ2LTU0MzktNDleadership/design/2012/08/27/designing-refuge-a-hospice-case-study/ (accessed August 30, 2012). dhMi05N2U0LTVmZjM0YTRhNjBlM1ppJnpuLBkUBTU5JP2NGcMLngSH 1.
Tarashanti, Char. “The Art of Placement: Feng Shui for Hospice Care.” MNHPC.org. mnhpc.org/wpcontent/uploads/2011/03/Handout-mnhpc-conf1.pdf (accessed August 30, 2012).
2.
3. Vinnitskaya . “Nardini Grappa DistilleryDesign “Bolle” / Massimiliano and Doriana “Designing, aIrina Divided Exam Room|Healthcare Blog.” Healthcare Design Blog|Jain Malkin Inc. Fuksas” 13 May 2012. ArchDaily. Accessed 06 Oct 2012. <http://www.archdaily. http://www.healthcaredesignblog.com/index.php/2012/04/designing-a-divided-exam-room/ (accessed August 30, 2012). com/233532>
HERRING, SHANNON. “Top Ten Things to Remember when Space Planning for That New Ofce on Tampa Bay Medical News.” Mana-Sara Medical News - Healthcare News of Mana-Sara for Physicians and the Medical Profession. http://mana-sara.medicalnewsinc.com/top-ten-things-to-remember-whenspace-planning-for-that-new-ofce-cms-875 (accessed August 30, 2012).
XI. PROJECT PARTNERS AND CONSULTANTS
Patch Adams Free Clinic of Philadelphia Phialdelphia University Master of Sustainable Design Program Phialdelphia University Master Occupational Therapy Program Tioga Community - Tioga United Oragnization Philadelphia University College of Architecture and the Built Environment