Architecture Engineering Interiors Consulting Healthcare Department of Veterans Affairs
Think What’s Possible
Page is a powerfully imaginative and collaborative architecture and engineering firm: one that’s ready for today and designed for what comes next. We pair form with function, reason with emotion, and ideas with expert implementation. At Page, the potential of what’s possible is paired with the practicality of how to make it happen. Our purpose is designing places smarter, while improving the experiences of those who work, live, and learn in them. From thought to finish, Page experts—of all disciplines—see the big picture, figure the best way forward, and deliver solutions in inventive and amazing ways. Imagine that.
Visit our website at pagethink.com
Think what’s possible
Page Serves The Following Core Markets:
Academic
Advanced Manufacturing Aviation
Civic / Community / Culture
Commercial / Mixed-Use
Government Healthcare
Mission Critical Science / Technology
The sky’s the limit with exceptional design and teams that outperform expectations.
Imagine:
Greater sustainability from the inside out.
Inspiring workplaces people want to return to.
Learning environments that attract world class students.
Health centers designed to make care and lives better.
Research centers that speed innovation from lab to life.
Now you’re thinking...Let’s get to work.
Full-service, international architecture, engineering and design leader
Our solution-driven project focus results in life-enhancing buildings and places. Our multidisciplinary services allow complete integration from conceptualization to engineering to interiors and more, resulting in an improved client experience and final product.
We recognize that good talent can be applied to complex projects regardless of industry. And good talent becomes great when it gains experience in a variety of situations. We create crossover teams so that individuals can work on different projects and share their own expertise and insights with other team members. Our collective commitment to visionary design is reflected in our portfolio of successful projects.
This we believe.
As agents for positive change, we are driven by the ideals we hold dear. In the delivery of our services, we are guided by three core values:
Page is known for their well-researched program-driven solutions aided by integrated multidisciplinary expertise and a strategic mindset. We bring global thinking and experience to bear on projects that build communities. Our portfolio reflects a commitment to visionary design, a record of innovation and fresh ideas and most importantly, demonstrated success with complex projects.
We develop a uniquely created design for every project that reflects the building type, client, need and location. We take pride in knowing that a Page project is one of the best possible solutions to the needs of its multiple stakeholders from owner to operator to neighbor.
ENGINEERING
Our in-house engineering experts lead development of the latest industry design codes and standards. Page engineers contribute to progress in safety, wellness, sustainability, energy and carbon neutrality, and increase our impact by working across disciplines. We use a combination of custom tools and Building Information Technology solutions to visualize and communicate how occupants and operations interface with complex integrated building and process systems. Adoption of advances in renewable energy, microgrids, Internet of Things and high-performance systems demonstrate our commitment to socially responsible design. Our multidisciplinary mechanical, electrical, plumbing, fire protection and process engineering practice areas work collaboratively with design and construction partners to bring your concepts to reality.
INTERIORS
Page believes that well-designed interiors can be a critical force. They help clients accomplish their mission, and improve the quality of people’s lives. Just like our interiors in our own offices, our clients’ interiors serve as positive, consistent visual reinforcements of their own cultural identity.
By combining the skills of our interior designers with those of our architects, planners, engineers, and visualization specialists, we offer our clients a range and quality of single point responsibility found in few other places. Our interiors services range from programming, space-planning and officing studies to the selection of furnishings, finishes and artwork.
PLANNING / URBAN DESIGN
We help our clients evolve, grow, and prosper because our process is informed by research, cutting-edge technology tools, and an appreciation for the unique culture of the people, organizations, and places we serve. Our interdisciplinary team of master planners, urban designers, architects, landscape architects, and programmers are dedicated to supporting the ongoing evolution of our urban areas, encouraging appropriate development and redevelopment suited to the particular conditions of each site we aim to transform. Through urban districts, institutional campuses, innovation districts, long range development plans, master plans, streetscapes and transit-oriented communities, our teams integrate the building blocks of community, sustainability, and resilience into innovative solutions.
LAB PLANNING / DESIGN
Page specializes in challenging projects for demanding clients throughout the globe. Laboratory facilities are among the most intricate and complex projects.
The unique challenges posed by highly toxic petrochemical corrosion labs, sterile environments for pharmaceutical manufacturing, biohazard high-containment suites, precise environmental control of animal laboratories are commonplace obstacles overcome by our dedicated technical team of architects and engineers every day. Page has specialists equipped with a thorough understanding of the safety standards and scientific equipment requirements foundational to the success of all laboratories.
BRANDING & GRAPHICS
Our visual identity and experiential designers create brand identities and graphic designs that support how places and environments are experienced. The orchestration of 2-dimensional design work including typography, color, imagery, form, technology and, especially, content, forms this basis. Examples of this work include wayfinding systems, architectural graphics, signage, exhibit design, retail design, and themed or branded spaces. We operate at the intersection of communications and the built environment. We provide architectural and placemaking visioning, and create overall design vocabularies that help clients hone in on the possibilities, character and nature of a project.
HISTORIC PRESERVATION / MODERNIZATION
Page’s historic preservation and modernization service begins by asking the question: “What can be done to help this building perform at its highest level?”.
Our integrated modernization approach unlocks the potential of existing buildings. Furthermore, historic preservation and modernization adapts spaces to support changes in the industry in buildings such as Courthouses, Historic Buildings, Hospitals, Government Buildings, and National Park Facilities, making them more efficient and sustainable, all while respecting the building’s history.
STRATEGY / ANALYTICS
To support clients before and beyond traditional professional services we have a dedicated strategies and analytics team that develop and employ a broad array of tools, techniques, and processes to help our clients make informed project decisions. Our in-house team brings expertise, energy and passion to clarifying client challenges and opportunities sometimes before the nature of or need for a facility or real estate project is confirmed.
Our team members collaborate with Page and consultant specialists, designers, engineers, and clients to clarify goals, assemble information, and evaluate alternatives. Their understanding of business dynamics and organizational complexities allows them to efficiently and effectively facilitate productive discussions and target research. Custom data exploration and visualization differentiates our deliverables, not just to explain and summarize findings, but often also serving as interactive decision-making tools that help bring clients and their stakeholders into the evaluation process. We specialize in capturing and analyzing clients’ existing performance data to identify areas in which operational and spatial efficiency can be improved to save time, resources, space, and money while optimizing performance.
BUILDING SCIENCES
Page approaches sustainable design through the interdisciplinary lens of building sciences to create higher performing, healthier, more resilient buildings. As one of the first signatories of AIA 2030 Commitment, we are invested in leading the industry towards carbonneutral buildings and advocating for resilient solutions to help our clients prepare for the future.
We believe that intention requires rigor and through our data driven and integrative process, we collaborate early and often to ensure designs are informed by our building performance analysis. With experience across a wide range of environmental certification systems, our multidisciplinary team is well qualified to provide a holistic and comprehensive approach to sustainable design.
COMMISSIONING
Page recognizes the level of investment and importance of facilities that function as designed from the day they open. Our Commissioning service provides this assurance to owners and operators as well as minimizing costly construction rework. This is accomplished through a collaborative process that includes the building owner, design professionals and the general contractor under the guiding hand of the Commissioning Authority.
Our Commissioning staff has developed a solid track record for Page as a Certified Commissioning Firm (CCF). The exacting standards of our teams of professional engineers, architects and field technicians in service of our clients support delivery of construction quality.
Page is a NEBB certified TAB firm. We perform Testing, Adjusting, and Balancing in accordance with NEBB standards. Page is an independent testing firm with absolutely no affiliation with manufacturers, factory representatives, vendors/providers, contractors or installers of HVAC-related equipment and systems.
Veterans’ Healthcare Environments for Quality Care.
Recently ranked among the nation’s Top 25 International Design firms, the #2 Federal Government Sector Architecture Firm as ranked by Building Design & Construction (2019) and #3 Veterans Affairs (VA) Sector Architecture Firm as ranked by Building Design & Construction (2019) the firm’s practice extends throughout the nation and around the world with current and recent projects located in over 40 states and 80 countries. Page has designed a wide variety of facilities for USACE, VA, NAVFAC, USDA, Department of State, GSA, FBI, commercial clients and foreign governments. Project types include both new construction and renovations that range from laboratories to U.S. Embassies and Consulates to residential and commercial buildings, airports, residences, hotels, manufacturing facilities, hospitals and clinics. Our work has involved cleared personnel, classified information and AT/FP design expertise.
Page is accustomed to working with unique guidelines, criteria and expectations of a wide range of governmental clients. For almost four decades, Page has maintained a continuous workload of DoD Military Health System (MHS) projects as an integral part of its healthcare practice. We have been responsible for over 30 planning and design commissions spanning over 3 million square feet on over 20 bases in the U.S. and around the world within the last 15 years alone. Our DoD experience ranges from developing MIL-HDBK-1191 (currently UFC 4-510-01), which established the Design Criteria for all MHS projects, to the Independent Technical Review (ITR) of the $990 million Rhine Ordnance Barracks Medical Center Replacement (ROBMCR) in Germany, which exceeds 1 million square feet. Most recently, Page has planned a replacement medical/dental clinic in Geilenkirchen, Germany, an expansion to a medical/dental clinic at RAF Croughton, England, as well as a replacement hospital at RAF Lakenheath, England. The Documentation will provide all project requirements and parameters, including updated Program for Design, validated 1391, and comprehensive summary of Architecture and Engineering requirements.
“Throughout the design and construction processes, Page’s project oversight was absolutely outstanding in every regard.”
Greg Vrentas, Director, Department of Veterans Affairs, Austin VA Clinic
Community Oriented Intuitive Centered Care
Collaborative Flexible Evidence Based
Community
Intuitive Wayfinding
Partners in Care
Community Oriented
Healthcare in the community has always been a viable component of society with healthcare facilities commonly being the foundation that shelters the delivery of care. At Page, we understand our clients’ commitment in serving their communities and creating environments for healthy initiatives that nurture the physical and well-being of patients, families, and employees.
Intuitive
Awareness of the power of the healing environment has guided Page to focus on providing greater comfort and autonomy for patients and their families. The world within a hospital is a disorienting experience, with its focus on illness, protocols, and equipment. The most successful healing environments start with clear and thoughtful planning, and provide wayfinding that is easy to follow and nurturing therapeutic spaces that reduce stress. Design considerations include:
Access to Daylighting within Corridors and Occupied Spaces
Views to Nature and/or Access to Gardens
Clear On-Stage / Off-Stage Circulation
Patient-and Family-Centered Care
We understand environments need to be supportive of the healing and recovery process, providing patients comfort and empowerment alongside with their families to participate and collaborate with healthcare practitioners in their care. Through the four guiding principles of centered care, Page has partnered with clients and community organizations to encourage design that reflects this approach to the planning, delivery, and evaluation of health care.
Patient Areas with Choice of Environmental Comforts (i.e. lighting, thermal, noise control)
Integrated Technologies of Communication for Sharing Information
Family Accommodations and Amenities that Encourage and Support Participation
Collaborative Spaces that Provide for Continuum of Care
Environmental Health
Collaboration
Flexibility
Healthy Environments
The commitment to sustain and respect our environment for future generations has challenged the design and construction industry to critically evaluate materials and methods that are utilized on projects, particularly in the healthcare environment. As in the delivery of healthcare “First Do No Harm,” our environments should perform to the same standard. A person cannot be expected to heal if their surrounding environment is a contributing factor. At Page, the composition of the design considers the use of materials, products, and systems that promote environmental sustainability and regenerative health.
Collaborative
Page recognizes that the success of a project is a reflection of its entire team. In healthcare design it is imperative that our design experts work integrally with administrators, physicians, nurses, and other hospital staff to bring the skills and knowledge of each individual into a collaborative environment that builds a holistic project team. Healthcare providers a very aware of the clinical skills and operations required to provide care for the patient while our design experts can provide the planning and tools, models, and benchmarks that will speed the process and allow for informative decision making of an optimal design solution.
Flexible
Healthcare buildings are designed to remain for decades, yet the interior environment needs to adapt and change at the same pace our processes evolve with new technology and operations. A consideration is integrating an “Adaptable Core” which locates major fixed elements along a perimeter edge of the primary functional areas, elements such as stairs, elevators, mechanical shafts and electrical / telecommunication spaces. This concept permits future configuration of new spaces within the core to accommodate needed functions without having to work around major obstacles.
Evidence Based
Predictive Analytics & Simulation
Lean
Evidence Based Design
EBD finds its roots in the analysis of the way a facility operates and the effect that a facility has on the people who use it and that it serves. This examination of performance and improvement in operations is a very similar approach to that which Page utilizes in its unique Problem SeekingTM approach to facility programming and planning. EBD design processes first begin by reviewing and gathering pertinent evidence on both global and local levels. The global relates to studies involving numerous facilities and research efforts. The local addresses the way a particular healthcare organization functions. Both have significant impact on what a building should be in order to improve patient outcomes, staff satisfaction and the perception of the healthcare institution.
Page approaches EBD by considering both global and local evidence and then developing project specific responses.
Predictive Analytics & Simulation
Predictive analytics is used to find optimal solutions—ultimately saving clients’ time, resources, space and money. We believe that architecture, at its best, is the result of a creative, problem-solving process. To find optimal designs for our clients, Page utilizes predictive analytics to detect patterns and predict future outcomes. Using clients’ existing data sets, we apply the science of analytics to test the operational efficiency of existing or proposed facilities. As a result, we bring quantitative, objective, and data-driven focus to the entire design process. We use event simulation software, statistical analysis tools, and lean Six Sigma methods to simulate real-world processes and systems over time.
Lean
All organizations have a series of processes intended to create value. Lean Thinking is not just a manufacturing strategy, but a management strategy of improvement.
Lean in the Healthcare sector has many similarities to Lean in Manufacturing and can be applied in a variety of ways. Several principles, including eliminating wastes, standardizing work, just-intime delivery and storage, and building in quality, can be executed in myriad ways through the operations of the facility, the functional relationships between departments or services, program components and architectural solutions. The incorporation of Lean Thinking can result in cost reduction, fewer errors, throughput increase, inventory reduction, space reduction, lead time reduction, increase in labor productivity, and improved staff morale. By examining ways to introduce or improve Lean Thinking in the design process, Page is providing the client with the tools to improve the patient process and patient care.
Designed “to care for those who have borne the battle,” the Austin VA Outpatient Clinic embodies the mission of the U.S. Department of Veterans Affairs. Patient-centric philosophies have been incorporated with architectural concepts that reflect the unique geological characteristics of Central Texas. The building’s exterior and public interior spaces feature horizontal bands of masonry and native lueders limestone, which allude to rock formations at nearby McKinney Falls State Park, located just two miles away. Designed to achieve LEED Silver certification, the 257,000-square-foot facility is the largest freestanding VA outpatient clinic in the U.S.
The facility’s future users, both patients and staff, helped guide the design process, and their input is manifested in several ways. Interiors are designed to enhance the care given to patients and their loved ones, as well as inspire the caregivers by providing a workplace that gives staff members a sense of pride, which in turn encourages a better quality of care. The design also maximizes energy efficiency while creating light-filled public spaces and corridors illuminated by floor-to-ceiling windows that offer occupants visual connections to the outdoors. The horizontal configuration demonstrates a connection to the natural environment, which is intended to be a calming influence for users undergoing stressful situations.
Outpatient services offered at the facility include primary care, urgent care, diagnostic imaging, behavioral health, pharmacy and specialty services such as cardiology, nephrology, neurology, oncology, endoscopy, cytology, urology, minor surgery, ENT, dental, ophthalmology, audiology and a self-contained women’s clinic.
This three-story Primary Care Annex provides non-critical primary care to veterans in Alabama while serving as an example of architecture that is aesthetically pleasing, provides a therapeutic environment for patients and blends with the area while maintaining distinguishing features. The 68,000-square-foot facility houses ambulatory care, women’s clinic, pharmacy, radiology, physical therapy, audiology, prosthetics and a blood-draw lab.
The LEED for Healthcare Silver-certified design makes a visual statement that embodies its function as a build-to-suit modern medical facility. The annex is located on the north, and flatter, part of the site, to facilitate easy service access with a level loading dock.
The 2,300-car parking garage is located on the south side of the site, providing parking for the VA’s Birmingham Hospital that is six blocks away.
The area between the clinic and the parking garage serves as a special courtyard—an oasis—onto which the main circulation of the building is oriented. The amount of shading and sunlight the courtyard receives allows it to function both as an orientation device as well as a quiet healing garden, away from the noise, hustle and bustle of city streets.
The project contractor was B.L. Harbert International with whom Page has successfully collaborated on other LEED-certified facilities.
Dallas VA Medical Center Clinical Expansion for Mental Health Dallas, Texas
The Dallas VA Clinical Expansion for Mental Health will consolidate all the mental health outpatient clinics, domiciliary and residential rehabilitation treatment programs into one building, creating a campus zone with its own entry, image and presence. The building includes approximately 273,000 SF of programmed space, including 120 residential beds.
The building is oriented with the main circulation spine running in the north-south direction, allowing large expanses of glass to face north. Therapy, public and recreation spaces are oriented to maximize access to natural light. Residential courtyards are incorporated on the east side of the building to provide daylighting for recreational and dining spaces.
Embracing mental health recovery as a journey of healing and transformation, the facility provides a variety of environments giving veterans a choice regarding which type of activity they would like to participate in, promoting empowerment and easing their transition back into the community.
Department of Veterans Affairs Dallas Long-Term Care Spinal Cord Facility
Dallas, Texas
When a patient becomes a long-term resident on a hospital campus, how the physical environment is designed can help ease the patient’s transition, while also creating a home and fostering a community among the residents. The Long-Term Care Spinal Cord Injury Facility at the VA Dallas campus has been planned and designed to provide a home for multiple generations of veterans with spinal cord injuries (SCI) of varying degrees of severity. A collaborative team comprising design professionals, SCI clinical specialists, physicians and staff, along with engagement from representatives of the Paralyzed Veterans of America (PVA) and future campus residents, was heavily involved from programming through design of this new facility.
Reflecting Eden concepts, the VA Dallas LT-SCI was designed to empower residents to play an active role in their healing process. The primary goal for the LT-SCI is to create an environment which promotes privacy, dignity, independence and mobility for its residents in order to improve the quality of life for Veterans living with spinal cord injuries. The project team evaluated and compared the elements within the healthcare environment, the neighboring community and individual homes to create a design that merges the best of all paradigms. The result is a physical environment that can contribute to positive experiences and a better quality of life for a person with spinal cord injury. The 120,000-square-foot facility will eventually house up to 60 SCI residents. The design of the LT-SCI facility interprets a house/town planning model that supports improved individual and community living.
Department of Veterans Affairs Reno Clinical Expansion Reno, Nevada
The VA Sierra Nevada Health Care System (VASNHCS) in Reno has a long-standing history of serving US veterans. Like many VA campuses, however, the original buildings have aged beyond accommodating patient care functions, and the availability of land for expansion is scarce. Through the course of this project, many studies were completed in order to best align services, organize the campus into appropriate zones, simplify wayfinding and maximize future flexibility.
A new clinical expansion building will be constructed adjacent to the older facility in order to simplify wayfinding and achieve the facility’s goals of creating a new and transformative main entrance to the campus. Great care was taken to incorporate natural light into the dense clinical chassis, as one of the design guidelines.
During the course of this project, the VA is implementing the Patient Aligned Care Team (PACT) model, which embeds ancillary service providers within the clinic and separates veteran and staff circulation, within all primary care clinics. This new model of care drives the typical clinic module, which is also followed in the eye, audiology/ speech and dental clinics. In addition, support services such as lab, materials management and kitchen will be located within the new building.
Michael E. DeBakey VA Medical Center Mental Health Clinic and Parking Garage
Houston, Texas
The Michael E. DeBakey VA Medical Center Building 108 project comprises a vertical expansion and renovation to house the relocated Mental Health Clinic Trauma Recovery Program, the Operation Iraqi Freedom / Operation Enduring Freedom Therapy Programs and the Telemedicine Psychotherapy Program.
The project includes renovation of the first floor, with the new clinic to be located on the second floor. Ancillary and support services are strategically located throughout the clinic. The design will be compatible with the existing architecture on campus, and will include materials such as tilt-up or pre-cast concrete panels and abundant glass to maximize natural daylight to the interior spaces. Taking cues from mental health issues unique to the veterans, the interior spaces will provide tall, open spaces as well as intimate spaces. The interior finishes will be warm and welcoming, providing more of a hospitality environment. Sustainable design concepts will be included throughout the facility.
Also included is the expansion of a new 200-car parking garage to include 400 new spaces, expandable to 1200 spaces.
Project Details
Project Size 177,230 Square Feet
Services Provided Architecture / Interiors
VA Satellite Outpatient Clinic Fort Worth, Texas
The Department of Veterans Affairs (VA) selected Page to design an outpatient clinic facility in Fort Worth, Texas, for lease to the Government, for a period of up to 20 years, on a site for an approximate 177,230 NUSF facility.
The clinic was designed and constructed to suit the government’s requirements and is of a shape and dimension that accommodates the space program and interior functional requirements of a VA Outpatient Clinic. Additionally, it is of sound and substantial construction in accordance with the VA technical requirements, in a new building with facade of stone, marble, brick, stainless steel, aluminum or other permanent materials. The building is compatible with its surroundings. Overall, the building projects a professional and aesthetically pleasing appearance, including an attractive front and entryway. The building includes energy efficient lighting, heating, ventilating, and air conditioning equipment which provide optimum and stable interior environmental conditions to sustain utilization of the building for the functional program and design. Pedestrian routes, complying with accessibility criteria, are provided from public streets and public transportation stops to public entries.
The VA Clinic has a mental health area for outpatient treatment. Area provisions are five group therapy rooms, a group therapy area with crafts, teleconference rooms for therapy and doctors education, methadone treatment area with vault and four offices, and 38 offices
