PROCESS BOOK PATCH ADAMS COMMUNITY HEALTH CLINIC DESIGN VIII, PROFESSOR CHUNG
the team
the Client
the Site
the Program
the structure
the systems
net zero
detail
the team S A R A D E M U T H MATT ANDERSON T I M S C H A E F E R
Sara DeMuth
Jackson, NJ
matthew anderson
Bordentown, NJ
timothy schaefer
Flemington, NJ
the client D R.
PATC H
A D A M S
D R.
PATC H
A D A M S
a different doctor “Often I am asked, “What kind of doctor are you?” I generally like to say, I’m a caring, fun doctor.” This response catches people off guard because they are really asking, “What is your medical specialty?” Then I explain that my first hope for a patient is to be a friend, to learn and care about the patient. I also encourage the patient to be active in creating a healthy life. I try to be open to many perspectives and never give up.”
V ision for the Patch Adams community health clinic “This clinic will provide community-based health care that is genuinely nonprofit, preventive, humane and fun. It is a refuge for doctors and nurses who want time to heal patients. It is a refuge for patients who want to be treated with dignity. For a small annual fee, members will own this clinic, gaining diagnosis and referral, dentistry, chronic and urgent care, counseling, pediatrics, birthing, massage, family planning, chiropractic, and other therapies. The Patch Adams Clinic therefore offers healing, learning, play, food and work. Designed and decorated whimsically in the spirit of Dr. Patch Adams, our clinic remind that true healing touches the soul.�
http://www.patchadams.org/philadelphia-clinic
the site N. 17th St. & W. Allegheny Ave. P hiladelphia , pa 1 9 1 4 0
N.
17TH
ST.
&
W.
ALLEGHENY
AVE.,
PHILADELPHIA,
PA
1 9 1 4 0
NORTH
SOUTH
EAST
WEST
WEST ALLEGHENY
The area that was chosen for the site is one with several urban problems, such as high unemployment and crime. Medical facilities in West Allegheny are overcrowded and underfunded, therefore designing a building that is more than just a health facility but rather an interactive community center is essential for the neighborhood. The site is located on a 5 acre lot in the West Allegheny neighborhood. Bordering the site on the North, South and East are residential streets and to the West the regional rail creates a strong border for the site. Since the lot was once an industrial site, parts of the site are contaminated with toxic soil, creating a brownfield condition that is in need of being addressed.
SITE MODEL: 1”=40’-0”
PLAN: SITE PLAN
W. W E S T M O R E L A N D S T. 1.
N . 1 9 T H S T.
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8. 4.
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N . 1 7 T H S T.
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6. 10.
5. 11.
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13. 15.
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W. A L L E G H E N Y AV E .
SECTION: SITE SECTION
1. Farmers Market 2. Recreational Field 3. Reclaimed Wood Boardwalk 4. Greenhouses 5. Apple Trees 6. Self-Educational Plots 7. Workshop Plots 8. Solar Pavilion 9. Basketball Courts 10. Meadow 11. Playground 12. Educational Raised Beds 13. Medicinal Garden 14. Spray Pools 15. Communal Gathering Space
site parti
By using the main axis to the site, and then by pushing and pulling it, it creates areas for interactive program to be placed for an experiential progression.
b ro w nfield site
In order to address the brownfield site, hardtops such as parking and basketball courts were placed so that the most toxic areas were capped. To the West of the site, the area by the railroad would use a series of phytoremediation meadows to clean the soil, and then the rest of the contaminated soil on the site would be removed and replaced.
farmers mar k et
The area for the farmers market allows the community and local farmers to not only sell their produce but to also have access to healthy food.
education plots
Workshop plots designate a space for the community to come together and learn different gardening skills.
community plots
Smaller plots allow the community to grow their own food, interact with, and inspire other members of the community.
outdoor auditorium
Large gathering areas create an outdoor space for larger workshops and community meetings.
spray pools
Located to the South of the site, there are two spray pools that can be used by the community during the summer to relax and cool off, and in the cooler months they act as a hard top for kids to play games on.
community murals
The regional rail line’s retaining wall provides an area for all the members to come together and paint different murals for the community to enjoy.
The Southern entrance is designed to be open and inviting as well as warm and welcoming. Throughout the Southern side of the site there are a series of medicinal garden plots in addition to areas with stadium seating for the community to use.
The wooden pergola structure creates a shaded space for picnics, community gatherings, as well as seating for the basketball courts. The structure also contains the solar panel array on top in order to assist in our net-zero goal.
The smaller plots allow the community to interact and inspire one another. The orchards contain apple trees, providing the community with fast and healthy food.
the program community health clinic
intent
The intent for our project is to create an i n v i t i n g building that promotes c o m m u n i t y i n t e r a c t i o n which would inspire the community to educate themselves about healthier qualities of life. The objective is to design peaceful spaces, both interior and exterior. The spaces are envisioned to make individuals feel c o m f o r t a b l e and at home by using a warm material palette and natural light to create a w a r m atmosphere. By creating a familiar and fun environment it will encourage the users to return in addition to encouraging participation in improving the community. We want the community to feel w e l c o m e d and a sense of belonging, as they are taking part in having a role in the community.
MODEL: 1/8”=1’-0”
PLAN: GROUND FLOOR
6. 15.
6. 3.
5.
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1. Community Space 2. Exam Room 3. Office 4. Storage 5. Staff Room 6. Bathroom 7. Pharmacy 8. Reception 9. Admin. Office 10. Overnight Room 11. Adult Day Care 12. Waiting 13. Tech Center 14. Cafe 15. Child Day Care 16. Physical Therapy 17. Therapy Office 18. Dental Office 19. Kitchen 20. Reading Room 21. Classroom 22. Demo Kitchen
EGRESS PLAN
FACADE SYSTEM
The facade system mimics the interior program in relation to the exterior, as well as allowing natural light to enter all of the spaces Private Semi-private Semi-public Public
E A S T E L E VAT I O N
W E S T E L E VAT I O N
N O R T H E L E VAT I O N
S O U T H E L E VAT I O N
SECTION: ATRIUM
S O U T H E R N E L E VAT I O N / S E C T I O N The Southern atrium entrance is intended to be open an inviting in order to allow maximum views into the community space to inspire the community to enter and interact with one another.
SECTION: EXAM
After entering through the compressed entry, the community space opens up into a variety of programs that all begin to blend and interact. Primary areas are highlighted by way of the acoustic panel and lighting system.
The West corridor contains waiting nooks for both the Pharmacy and the General Health Clinic. The nooks become an extension of the walls in addition to the steps in the community space. The spacing of the wooden beams overheard are in relation to the nooks to allow natural light to illuminate the area.
The East corridor contains nooks that provide a private reading atmosphere for the users. The clerestory windows above shine light on the wooden beams below, creating a warm lit area for the nooks and an inviting progression throughout the corridor.
The waiting room not only extends out into the community space but also becomes an extension of the stair and ramp system, where the stairs wrap around and become seating. The water walls are being used to denote the waiting areas in addition to creating white noise that calms the patients.
the STRUCTURE MULTI-LAYERED STRUCTURAL SYSTEM
S tructure : F raming axon To support our intent of creating a warm and welcoming building, open web trusses were implemented to create a less dense and lighter ceiling plane, allowing for more natural light to enter further into the building. Wanting to expose the ceiling plane, utilization of the open web trusses allow for HVAC and systems to run through out the trusses to be seen as a way finding system to denote spaces.
Wall section : South Atrium 3” metal decking 1/2” plywood 4” rigid insulation 1/2” plywood metal composite panel
cement fiber board waterproof membrane 1/2” plywood 4” rigid insulation vapor barrier 1/2” plywood 6” metal stud 1” gwb
The atrium has a glass curtain wall to allow for the most visibility acting more as a link for the exterior to the interior than an barrier. Having the most open facade denotes the importance of the community space and its relationship to the rest of the building.
26 gauge metal Metal Fascia
Waterproof membrane 1” plywood
Composite metal plate
4” rigid insulation Vapor barrier
3” Metal decking 1” Plywood Steel Truss linear actuator Curtain Glass Cement fiber board 1” plywood Waterproof membrane 4” rigid insulation vapor barrier 1” plywood 6” metal stud 1” plywood 1/2” GWB
Acoustic Panel
Wall section : exam room The building is wrapped with cement fiber board that is colored and textured to mimic wood, creating an more warm and welcoming aesthetic. Clerestory windows are integrated with an linear actuators to allow for cross ventilation and control for personal comfort in each room. The high clerestory windows allow for more light to enter the spaces creating a lighter ceiling plane.
Composite metal panel 1/2” ptd plywood wood block w 8x26 metal flashing metal channel 1” rigid insulation wood block 6x8x1/2” steel angle 1/2” gwb Aluminum mullion
4” rigid insulation Aluminum mullion Wood block 6x8x1/2” steel angle 6” metal stud metal flashing water proofing 1” gwb steel channel 3x10 wood beam
Wall section : E. Corridor
The break of the roof was one of the earliest moves made to allow natural light to penetrate the middle of the building. This move also allowed for the implementation of a thermal mass. The clerestory that is cantilevered off is supported by 3x10 wood beams which are cast within the concrete masses.
structure : framing P lan W 4x13
20LH1
0
20K4
W 14x3
22K4
0
0 20LH1
3x10
3x10
18K3
W 4x13
0
28LH1
model : 1 / 8 ” = 1 ’ - 0 ”
the SYSTEMS hvac, acOUSTIC & LIGHTING
systems : hvac The return HVAC system uses color to denote program in addition to the direction to orient users to feel comfortable in the space. Community Space General Health Clinic Adult Care Education Dental, Optical & Physical Therapy
The colored HVAC is exposed in the corridors to denote the program areas and the same color is used on the sliding doors to annotate the room numbers. The lights are hung within the structure in the order to illuminate the HVAC and ceiling as well as the doors and ground plane.
systems : acoustics
The cloud system becomes a layer added to the ceiling which creates a porous plane that exposes the HVAC, structure, and lighting systems above. The panels are situated at different heights throughout the building in order to alter the feeling of the space, in relation to the program, by way of compression and expansion.
fragment model : 1 / 4 ” = 1 ’ - 0 ”
S Y S T E M S : lighting
The lighting is situated within the acoustic panel system in addition to being placed to denote movement throughout the space. The community space lights are used to highlight certain acoustic panels relating to important areas of the community space such as the waiting rooms, cafe and technology center.
R eflected C eiling P lan
Net Zero passive & Active systems
S un angles early form
w inter solstice
Early diagram of clerestory window that spanned between the break in the roof was initially angled to maximize the amount of sun the thermal mass would receive. Windows were changed to be vertical to prevent heat loss through horizontal surfaces and over heating during the summer. Water collection strategy with the implementation of the gutter at the base of the clerestory.
fINAL form S ummer solstice
Roof overhangs block thermal masses from receiving direct solar gains during the summer preventing overheating in corridor spaces.
E q uinox
As fall proceeds into the winter, the thermal masses will receive more sun to warm the thermal masses and vice versa moving from winter to spring.
w inter solstice
Receives the most sun and allows for the most amount of light to enter the building warming spaces for comfort during the colder months.
Water collection Water is collected in gutters located at the base of each roof and drained into two underground cisterns.
C ross -V entilation Operable windows reduce cooling loads of building during warm months. Air flows through the corridor spaces pushing the stack of hot air out of the windows located on the northern side.
OPERABLE WINDOWS / DOORS
tHE DETAIL gENERAL HEALTH cLINIC
MODEL: 3”=1’-0”
In order for the exam rooms to feel warm and welcoming the wood material wraps around the room in an enveloping form to comfort the patients. The wood furniture and paneling has storage and tables built within.
PLAN: GENERAL HEALTH CLINIC 6.
3. 8. 5. 7.
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1. Exam Room 2. Office 3. Reception 4. Staff Room 5. Bathroom 6. Waiting 7. Storage 8. Pharmacy
PLAN: ADA BATHROOM 32” CLR
32” CLR
60
60
”D
”D
36” GRAB BAR
18” TYP
17” MIN
IA
IA
36” GRAB BAR
18” TYP
42” GRAB BAR
42” GRAB BAR
17” MIN
SECTION PERSPECTIVE: GENERAL HEALTH CLINIC
FRAGMENT MODEL: 1/4”=1’-0”
FRAGMENT MODEL: 1/4”=1’-0”