Health care ambulatory care

BEDROOM 107 SF LIVING / DINING 139 SF

Health Care: Ambulatory Care/ Ambulatory Surgery Centers CL. 8 SF

REF.

Current CL. and recent health care 10planning SF and design:

KITCHEN 104 SF

OB Unit Renovations Central Maine Medical Center

ENTRY 94 SF

Lewiston, ME

CL. 4 SFPlastic Surgery Maine Portland, ME

TLT. 54 SF

Lowell St. Renovations Maine Eye Center Portland, ME

HEALTH CARE

PDT Architects

Maine Eye Center PORTLAND, MAINE

Renovation 25,000 sf Construction cost $4.5M Completed 2017 Like many ophthalmology practices, Maine Eye Center has experienced growth as the population ages. To accommodate the growth, they decided to relocate and expand both the surgery center and the retina practice to a new facility, freeing up space to expand the other parts of the practice. They explored both new building and renovation options and chose a two story, 25,000-sf renovation.

The design places the surgery center on the first floor and the retina practice on the second. Each floor has its own check in and waiting. The surgical center includes five operating rooms, a Lasik surgical suite, pre-op and post-op areas, and other support spaces. The retinal floor includes exam rooms, offices, staff areas, and other support spaces.

Maine Eye Center’s design process paralleled a gastroenterology practice fit-up on the building’s remaining two floors. The opportunity of sharing common services and spaces was explored, with the design of each practice incorporating common elements.

HEALTH CARE

PDT Architects

Central Maine Urgent Care PORTLAND, MAINE

Renovation 6,500 sf Completed 2017 Central Maine Urgent Care satisfies a growing demand of patients seeking more convenient options for after-hours care, where appointments aren’t needed and wait times are minimal.

The location for the facility was chosen for high visibility and easy access, with frontage along one of the city’s main streets.

The formerly retail building required significant upgrades. Most everything needed to be replaced, including gas, water, and electrical services, HVAC, fire alarm system, and emergency generator. The exterior was redesigned to align with the hospital’s branded features, and the envelope was upgraded for energy efficiency.

The program includes six exam rooms, a treatment room, xray, lab, and retail pharmacy. The clinical core includes a centrally located provider work core with exam rooms at its perimeter.

The bullpen work area is fully enclosed with glass for complete visibility of treatment areas. An ambulance entrance was located directly off the clinical core. Backstage corridors provide staff access to the lab and pharmacy.

HEALTH CARE

PDT Architects

Portland Gastroenterology PORTLAND, MAINE

Renovation Portland Gastroenterology Practice 12,400 sf Portland Endoscopy Center 10,300 sf Infusion Center 1,000 sf Pathology Lab 550 sf Completed 2017 The new Portland Gastroenterology Center replaces and nearly doubles the square footage of their former facility. The large group practice has 12 physicians and 4 mid-level providers with a total staff count reaching close to 100. An eighteen-month planning and design process began with a study to determine whether their existing space could be expanded and reworked to meet the demands of the growing practice.

The study concluded that finding a new location and starting fresh rather than making further investment in their existing facility was the way to move forward. When they found a building that addressed both location and parking, PDT tested the program against the building’s plan. In the following months, PDT worked closely with a variety of PGC stakeholders to complete the design.

HEALTH CARE

PDT Architects

Guiding principles carried through the design process include: • Provide patients with a private, quiet, dignified experience.

• Improve patient and staff flow; limit travel distances • Separate front and back stage functions • Improve operations through design • Improve the flow of shipping and receiving and make it invisible to patients • Design in flexibility for expansion • Design staff areas that promote collaboration • Incorporate sustainable products and finishes that support a healthy environment

HEALTH CARE

PDT Architects

Androscoggin Valley Medical Arts Center Developers Collaborative, Kevin Bunker LIVERMORE FALLS, MAINE

New construction 13,700 sf Completed 2012 Franklin Memorial Hospital wanted to expand its outpatient clinic, support the community, and contribute to the revitalization of this historic Maine downtown. Developer Kevin Bunker of Developers Collaborative handled site selection, permitting, design, and construction for the hospital.

A collaborative process with the client and this largely rural community produced an efficient plan that:

• provides a wide range of health care services

• shortens trips to the doctor

• anchors a prominent downtown site

• encourages pedestrian traffic to local businesses

• adds convenient, off-street parking

HEALTH CARE

PDT Architects

The new clinic is part of Franklin Memorial’s shift toward a primary-care-centered model that is intended to lower costs while bringing primary and specialty care closer to patients.

The building houses primary care, orthopedics, women’s health, physical therapy, behavioral health, and a breast care center and imaging suite (radiography, mammography, densitometry & ultrasound).

All the specialties share front desk support, the central nurse hub, the lab, and the procedure room.

For wayfinding within, feature walls and accent colors orient and guide patients. In offices and treatment areas, a calm, natural palette with wood-grain flooring sets off custom light fixtures and cubicle curtains by a local designer.

HEALTH CARE

PDT Architects

Clinical and Physical Therapy Office OA Centers for Orthopaedics BRUNSWICK, MAINE

Interior fitup 9,000 sf Completed 2012 A conservative initial budget and concerns about ease of maintenance drove some of the choices in this interior tenant fitup.

The combination of strong orange against a neutral gray-andblue palette creates an environment that encourages movement and healing. The long orange entry wall is pierced by slot windows that borrow light from the PT suite and pour it into the entry and check-in area.

Circulation for patients and staff alike is simple and direct. Three providers work from standing workstations in semi-private alcoves dispersed through the exam room cluster, close to the cast room, OT treatment room, x-ray suite, and PT suite.

The practice provides services to a spectrum of patients from the college athlete to the elderly, so the PT suite is extensive, with a workout area, stride floor, and numerous treatment tables sharing equipment.

HEALTH CARE

PDT Architects

Windham Office OA Centers for Orthopaedics WINDHAM, MAINE

Interior fit-up 5,000 sf Construction cost $650,000 Completed 2007 This facility accommodates a two-doctor practice with a related practice sub-lease at one end. The reception work area is shared, as are other staff areas, with separate patient check-in and checkout windows. Patient and staff flow was critical to the planning, so work areas are located along the corridors, which create a loop from entry to check-out.

The design addresses other important concerns, such as acoustical separation and the use of natural light. Sustainable features range from the mechanical system design and a cuttingedge wall assembly to finish and substrate material selections.

HEALTH CARE

PDT Architects

OA Performance Center OA Centers for Orthopaedics SACO, MAINE

Renovation 22,000 sf Completed 2008 As part of the growth of its specialized services, Orthopaedic Associates recycled a section of a deteriorating industrial building into a sports medicine/PT/performance center.

The center is comprised of a 5,000-sf clinic, a 4,000-s.f. physical therapy center, a 7,000-s.f. sports medicine and performance center, a retail store, a reception and waiting area, locker rooms, and other support spaces. The interior fit-up includes spaces for orthopaedic services and performance evaluation and testing staffed by the University of New England’s School of Medicine.

HEALTH CARE

PDT Architects

The Orthopaedic Associates interior renovation is part of a larger project that turned a 1960s industrial building into a stateof-the-art training facility.

A few years later the Michael Phelps Skill Center was added to the complex, with a swim school for all levels, from beginners to competitive swimmers through triathletes. Swimmers train in ergonomic spa pools with adjustable current and video monitoring for coaching sessions.

BEFORE

HEALTH CARE

PDT Architects

Oculoplastics Division Maine Eye Center at Stroudwater Crossing PORTLAND, MAINE

Third-floor renovation 9,900 sf Oculoplastics Division 3,400 sf Completed 2009 Cramped quarters and lack of parking were inhibiting the growth of Maine Eye Center’s Oculoplastics and Aesthetic Divisions.

Moving these services to a separate facility allowed Maine Eye to address space needs and to define a practice image more in keeping with the clientele and begin the process of establishing a brand identity.

Through the use of color, unique materials, and lighting, the appearance of a high-end specialty practice is the lasting impression of this efficient working environment.

HEALTH CARE

PDT Architects

Head and Neck Surgery &The Hearing Center LEWISTON, MAINE

Renovation 4,800 sf Completed 2011 Each specialty has its own clinical zone: Shared Front office and staff spaces Consistent aesthetic, using vibrant seaside colors against light

wood tones, appeals to younger patients Ophthalmology Six exam rooms and one treatment room Sterilization workroom Offices for providers and practice manager Audiology Two sound booths with adjoining offices Fitting room and grinding booth Testing room Storefront display at lobby entrance

HEALTH CARE

PDT Architects

Ambulatory Care Center Martin’s Point Health Care BRUNSWICK, MAINE

New construction 12,700 sf Completed 1999 This prototype design was developed with input from health care professionals, administrators, and staff. Family practice and pediatrics offices open directly to the sunny, shared reception/ waiting area, with staff and diagnostic functions centrally located.

Both ends of the building were designed to accommodate future expansion.

HEALTH CARE

PDT Architects

Ambulatory Care Center Martin’s Point Health Care PEASE TRADEPORT, PORTSMOUTH, NEW HAMPSHIRE

New construction 18,900 sf Construction cost $2.3M Completed 2001 The design for this building is a refinement and expansion of a prototype facility built two years earlier. Extensive interviews and planning with the staff led to improvements in patient flow, plus the addition of a centralized core that houses diagnostic services, a conference room, and specialized treatment areas.

A convenient full-service pharmacy has its own entrance. The central rotunda provides an orienting circulation axis as well as natural light for waiting and medical records areas. The plan can accommodate future changes and expansion.

“The new Portsmouth facility was built with all the latest advancements in outpatient medical technology specifically with patients’ interests in mind.”

—Mark Henshcke, M.D.

HEALTH CARE

PDT Architects

University Health Care (Now SMHC Physicians) SACO, MAINE

Renovation 3,000 sf New construction 21,800 sf Construction cost $3M Completed 2002 Neighbors on the quiet road that emerges onto busy Route 1 in Saco valued the buffer provided by this site and the existing Colonial Revival house. In response, PDT renovated the house and tucked the new 21,800-sf medical office building behind it.

The house is used for administrative offices and patient education. The two-story MOB is shared by SMHC Physicians on the first floor and the Veterans Administration CBOC on the second.

In addition to exam rooms, procedure rooms, labs, and support spaces, the first floor was designed with conference/seminar areas and resident/intern work areas to support the UNE teaching program. Those spaces have been converted for the use of SMHC.

HEALTH CARE

PDT Architects

clinical administration diagnostic support

By visually integrating the character of the old house with the new building, the design strives for patient-friendly spaces without an institutional feel.

PDT kept the building low, stretching it out along the Route 1 side to mimize its presence from the road. New landscaping and the retention of the lot’s tree line and rock walls help preserve the residential character of the neighborhood.

“This patient-friendly center, along with our unique, whole-person approach to health care, dramatically distinguishes us from other medical facilities in the area.”

—Paul Loiselle, Administrative Director, University Health Care

HEALTH CARE

PDT Architects

BEDROOM 107 SF LIVING / DINING 139 SF

CL. 8 SF REF.

CL. 10 SF KITCHEN 104 SF ENTRY 94 SF

CL. 4 SF TLT. 54 SF

HEALTH CARE

PDT Architects