ABOUT HOSPITAL // ISSUE 03
The HOSPITAL journal is the annual, student-produced publication of the works from the University of Illinois at Urbana-Champaign vertical graduate studio program. The studio seeks to investigate the current trends of healthcare architecture with the aid of renowned professionals in the field. The intention of this publication is to share the work produced by the students with the rest of the community both academic and professional.
CREDITS
CONTRIBUTORS Kenneth Doroba Xiaoran Du Allison Gloude Tim Rank Ethan Rattray Julia Rings Tyler Schwede Aqeel Shhaib Meggan Stanton Tyler Stephens Elyse Townley Jordan Tripp Xiaoyu Wang Mulugeta Woldgeorgis Ruoqi Zhong David Zielinski
FACULTY ADVISOR William Worn, AIA, LEED AP Associate Professor
PRODUCTION NOTES TYPESET
Century Gothic, Century Gothic Bold
PUBLISHER www.lulu.com HOSPITAL, Issue 03 Copyright Š 2013 All rights reserved No part of this publication may be used or reproduced in any manner without written permission from the University of Illinois at Urbana-Champaign School of Architecture College of Fine + Applied Arts
UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN www.arch.illinois.edu 117 Temple Hoyne Buell Hall 611 Lorado Taft Drvie, MC-621 Champaign, Illinois 61820 tel 217.333.1330 fax 217.244.2900
ARCH 572: Behavior + Environment
3
Forward The intent of this project is to design a Polytrauma Rehabilitation Center (PRC) for returning veterans in higher education on the campus of Carle Hospital in Urbana, Illinois. The PRC will become the entry point for wounded veterans into the proposed University of Illinois Continuum of Care for Wounded Veterans in Higher Education. This system, the first of its kind, would provide continuous care for wounded veterans who will transition from the PRC to the new UIUC Center for Wound Veterans in Higher Education and eventually into independent living, matriculation, and graduation.
4
Project Introduction
Professor William Worn, was the Director: Master of Architecture in Health Design at the University of Illinois at Chicago. In 2010, he joined the University of Illinois at Urbana-Champaign as an Associate Professor, while simultaneously continuing his role as President of Worn Jerabek ARCH 572: Behavior + Environment 5 Architects P.C. in Chicago.
Table of Contents
6
Project Introduction
Site Analysis
8
Program Analysis
16
Carle Clinic, Polytrauma Rehabilitation Canter // Allison Gloude + Julia Rings
26
Clearview Polytrauma Care Center // Kenneth Doroba + Ethan Rattray
92
Clearview Polytrauma Rehabilitation Center // Timothy Rank + Tyler Stephens
110
Collective Healing // Tyler Schwede + Mulugeta Woldgeorgis
128
Polytrauma Rehabilitation Center // Xiaoran Du + Xiaoyu Wang + Ruoqi Zhong
150
Carle Polytrauma Rehabilitation Center // Meggan Stanton + Elyse Townley
168
Integrated Rehabilitation and Polytrauma Center // Jordan Tripp + David Zielinski
186
ARCH 572: Behavior + Environment
7
Urbana-Champaign, Illinois
Site Analysis
Image Courtesy of www.google.com
8
Project Introduction
The twin cites of Urbana-Champaign are located in central Illinois, 140 miles south of Chicago. They serve a population of over 230,000 and are home to the University of Illinois at Urbana-Champaign. In addition to the university, UrbanaChampaign is host to the Carle Foundation Hospital, a Level I Trauma Center. The cities’ unique relationship with the ARCH 572: Behavior + Environment 9 university and Carle Hospital make them a perfect location to advance the study of Traumatic Brain Injury (TBI).
Carle Foundation Hospital
Carle Foundation Hospital Locations in Urbana-Champaign “The 345-bed regional care hospital has achieved Magnet® designation, the nation’s highest honor for nursing care and was recently named to the 100 Top Hospitals® by Thomson Reuters. It offers a more advanced level of clinical expertise and technology than any area hospital, housing the area’s only Level I Trauma Center as well as Level III perinatal services. The Hospital admitted more than 22,000 patients and treated more than 70,500 patients in the emergency room during 2012. The Mills Breast Cancer Institute, Carle Cancer Center, Carle Spine Institute and Carle Heart and Vascular Institute bring additional advanced diagnostic and treatment options” (via www.carle.org).
10
Project Introduction New 9-Story Bed Tower, Rendering Courtesy of Carle Foundation Hospital and HDR
130
5 4
3
BRADLEY AVE
I-74
2 CHURCH STREET
1
UNIVERSITY AVE SPRINGFIELD AVE
WINE ST
FLORIDA AVE
LINCOLN AVE
KIRBY AVE
WRIGHT ST.
NEILL ST
GREEN ST
6 MATTIS AVE
7
8
PROSPECT AVE
A new nine story bed tower (lower left) is currently under construction and marks the end of the Campus Modernization Project at Carle’s main campus in Urbana. The new tower will house 136 new private rooms and provide expanded services to cardiovascular, neurological, and intensive care patients. It is also the new Surgery home of the Carle Heart and Vascular Institute. Due to the completion of the Campus Modernization Project, Carle is exploring new opportunities for future planning. Some of the future areas of interest include expanding neurological research and services and consolidating resources among campuses.
I-57
12
DUNCAN RD
Carle Foundation Hospital Main Campus, Image Courtesy of Carle Foundation Hospital
I-74
WINDSOR RD
11
9 CURTIS RD
10 I-57
1 - Main Campus - Level 1 Trauma Center - Heart & Vascular Institute - Cancer Center - Women’s Services - General Surgery - Neurosciences
130
2 - Medical Supply
8 - Pain Clinic
3 - North Annex
9 - Therapy Services
4 - Home Health Services
10 - Convenient Care Clinic
5 - Health Information Management
11 - Convenient Care Clinic
6 - Surgi Center
12 - Clearview Land
7 - Specialty Clinic
ARCH 572: Behavior + Environment
11
Center for Wounded Veterans in Higher Education
Potential Site Selections
Rendering Courtesy of LCM Architects
Located near Lincoln and Nevada in Urbana, “the Center for Wounded Veterans in Higher Education will provide comprehensive, integrated educational services to veterans with severe and multiple disabilities as they pursue degrees at the University of Illinois at Urbana-Champaign. The Center’s architectural design will provide transitional residential accommodations for 12 to 14 veterans at a time, and non-residential services for up to 150 veterans and their families” (via www.illinois.edu). The addition of a PRC to the Center for Wounded Veterans in Higher Education would allow Urbana-Champaign to offer the first full continuum of care for veterans with TBI and polytrauma. Veterans would have the proper rehabilitation and therapy facilities to move from injury to independent living.
Injury
12
Project Introduction
Polytrauma Rehab Polytrauma Center (PRC) Network Site (PNS)
Residential Transitional Rehabilitation Program
Independent Living
VA Polytrauma System of Care miles
Image Courtesy of www.google.com
Clearview - I-72 & I-54
ARCH Behavior + Environment 13 The 74 acre land development in northwest Champaign is owned by 572: Carle for future expansion.
Potential Site Selections
Potential Site Selections
Image Courtesy of www.google.com
Kirby & Mattis
14 Introduction The Project southern Champaign
location borders two Carle Clinics and the Surgi Center.
Image Courtesy of www.google.com
Main Campus
ARCH 572: Behavior Environment 15 Open lots to the east and west offer opportunities to build on the existing Main+Carle Campus
Rehabilitation Institute of Chicago (RIC), image courtesy of Feinberg School of Medicine
Program Analysis
16
Project Introduction
572: Behavior + Environment 17 National Intrepid Center of Excellence (NICoE),ARCH image courtesy of www.dexigner.com
Traumatic Brain Injury (TBI)
Patient Profile SOCIAL ENVIRONMENT
Brain Stem
Breathing, Heart Rate, Swallowing, Reflexes for seeing and hearing, Controls sweating, blood pressure, temperature, Sense of balance
Cerebellum
Coordination of voluntary movement, Balance and equilibrium
Family
Frontal Lobe
Controls our expressive language, Assigns meaning to the words we choose, Involves word associations, Memory for habits and motor activities, Flexibility of thought, planning and organizing
Caregivers, Support, Relationships
Parietal Lobe
Visual attention, Touch perception, Goal directed voluntary movements, Manipulation of objects, Integration of different senses
Occipital Lobes
Vision
Temporal Lobes
Hearing ability, Memory acquisition, Categorization of objects, Understanding or processing verbal information, Emotion
PTSD
Friends
Flashbacks Avoidance Hypervigiliance Nightmares Re-Experiencing
TBI
Cognitive Deficits Irritability Insomnia Depressions Fatigue Anxiety
Headache Sensitivity of light or noise Nausea & Vomitting Vision Problems Dizziness
Support, Relationships, social contact, function in this environment
POLYPHARMACY Work social and working environment, professional competence
PAIN
18
Project Introduction
Polytrauma patients are particularly unique because they are facing multiple injuries across multiple disciplines. Injuries can include loss of limbs, TBI, and PTSD. Because of this unique patient profile, spaces must be specially designed to accommodate a variety of needs and patients. ARCH 572: Behavior + Environment 19
Evidence Based Design Factors Safety Enhancement
Medical Errors
Patient and Family Frustrations
Building Operating Expense
Wayfinding System
Roger S. Ulrich and a number of other experts in Evidenced BasedLess Design have complied a study throughReduce the Georgia Enviormental Tech College of Architecture and the Center for Health DesignStress to analyze how the hospital environment can be Impact improved. It is important to look at the way healthcare spaces are designed in order to create a better environment for everyone that experiences these spaces. Some key strategies derived for Evidence Based Design are helping to improve Patient Falls and staff outcomes. The research shows that some of the most successful strategies patient safety, patient outcomes, include single-bed rooms, reduction of noise, visual and physical access to nature, clear wayfinding, and improved ventilation systems. These strategies not only benefit patients, but also promote a better work environment for nurses and physicians which leads to a reduction in medical errors. The following diagrams map the important relationships and design strategies associated with Evidence Based Design. Staff Injuries
Building Function Lower Nosocomial Infection Lower Patient and Family Frustrations Safety Enhancement
Medical Errors
Reduce Building Operating Expense
Wayfinding System
Sustainability
Reduce Enviormental Impact
Less Stress
“It is now widely recognized that well-designed physical settings play an important role in making hospitals less risky and stressful, promoting more healing for patients, and providing better places for staff to work.� (Ulrich et al., A Review of the Research Literature on Evidenced-Base Healthcare Design, 2008) Building Spaces
Patient Falls
Staff Injuries
Building Spaces
EBD in Relation to TBI
Lower Infection Rates
Shorter Length of Stay Patient Room
Improve Sleep Quality
Evidence Based Design Factors
Building Function
Sustainability
Patient Health
Alleviating Pain
Patient Health
Family Support Spaces
Building Spaces
Increase Patient Satisfaction
Lower Stress Levels
Less Stress
Less Perceived Pain Lower Infection Rates
Increase Efficency
Physician Support Spaces
Staff Support Spaces
Lower Stress Levels
Less Use of Pain Medication Improve Sleep Quality
Audio Environment
Shorter Shorter Length of Stay Patient Length of Stay
Patient Room
Visual Environment
Alleviating Pain Less Depression
Medication Usage
Better Sleep
Family Support Spaces Lower Stress Levels
Increase Patient Satisfaction Less Pain
Improve Quality of Care
20
Project Introduction
Increase Efficency
ARCH 572: Behavior + Environment
21
Polytrauma Rehabilitation Centers
General VA Program
5
BGSF 41,431 ft²
Polytrauma Rehbilitation Centers
12 Bed PRC
5%
90
Palo Alto
Veterans
252
Minneapolis
26% 35%
34%
PRC Patients Served
Richmond
162
DGSF 31,870 ft²
Active Duty
BGSF 52,820 ft²
San Antonio Tampa
18 Bed PRC
6% 30%
PROGRESS
29% 35%
44
2
fastest improvement in physical recovery within the first six months
Average Days of Inpatient Care
35%
Maximum Years of Inpatient Care
issues with reintegration into cultural environment
Administrative Services Support Areas
physical
TIME loosing track
to cultural en virnment with
in the clinic
AVERAGE TIME IN PRC
INPATIENT
Project Introduction
TIME OF FASTEST IMPROVEMENT
OUTPATIENT
Traumatic Brain Injury 1 YEAR of RECOVERY
6 MONTHS of RECOVERY
44 DAYS of PCR
Polytrauma
cultural
Orthopedic 2 YEARS of RECOVERY
Beds
22
Patient Areas Diagnostics & Treatment
social
18
DGSF 40,631 ft²
In designing the five existing PRC’s, the VA developed a design guide that includes program recommendations, example patient rooms, and technical considerations. Based on recommendations from the VA, it was determined that either a 12 or 18 bed PRC would be the optimum size. These numbers are based on a nurse to patient ratio of 1:6 and the amount of patients being treated at the five existing PRC’s. Using the VA Program as a base, each team designed their own program based on their own research and observations. As precedent studies, the programs of the National Intrepid Center of Excellence in Bethesda, MD and the Rehabilitation Institute of Chicago were analyzed and drawn from.
END of ACUTE MEDICAL CARE
ARCH 572: Behavior + Environment
23
The Polytrauma Continuum: VA Model
The Polytrauma Continuum: UIUC Model
Transitional Unit Hospital
Parking
Outpatient Unit
Community
Carle Foundation Hospital
University of Illinois at UrbanaChampaign
Inpatient Unit Center For Wounded Veterans in Higher Education
Fisher House 24
Project Introduction
Outpatient Unit
Inpatient Unit
Fisher House
ARCH 572: Behavior + Environment
25
CARLE CLINIC POLYTRAUMA REHABILITATION CENTER AT KIRBY AND MATTIS ALLISON GLOUDE, JULIA RINGS
26
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
27
STRATEGIC PLAN VISION A rehabilitation center which unites superior patient care with an academic environment. MISSION To create a cohesive building which maximizes patient welfare and encourages clinical research and education. CLINICAL To create a renovated, interdependent facility with melds the two current Carle clinics to make one large cooperative facility. The coordination of the current Carle clinics with the new PRC would provide a range of treatments with the highest quality of care for the patient. RESEARCH The new facility will offer a variety of opportunities to advance research and improve technologies used to treat TBI patients. The interdisciplinary research will benefit patient care, Carle Foundation, and the University of Illinois. EDUCATION The goal of the PRC would be to collaborate with the University of Illinois to provide a place for students to practice and research. The patients of the hospital will also learn how to retrain their bodies and can begin on an educational track related to the University. The patient will profit from the interaction between the University and Carle by getting the most recent, advanced treatment possible while reacclimating to society. LOBBY - RECEPTION
28
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
29
KIRBY AVE
PARKDALE DR
CARLE SURGI CENTER RIDGELAND DR
LAKESIDE DR
CYPRESS DR
MATTIS AVE
CLOVER LN
BROADMOOR DR
LAKESIDE DR
CARLE PAIN CLINIC
GEORGETOWN DR
PARKSIDE TERRACE
CARLE SPECIALTY CLINIC
CARLE CONVINIENT CARE
SITE ANALYSIS
PAVILIONS CARLE CLINIC RETAIL RESIDENTIAL
30
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
KIRBY AND MATTIS The location on Kirby and Mattis Avenue features a variety of medical specialities within the existing locations of Carle Clinic in the area. The Surgi-Center and the Pain Clinic are providing surgical suites and a focus on Orthopedics, Interventional Pain Therapy and the Treatment of Diabetics. The specialty clinic is oriented to the fields of Allergology, Endocrinology, Oral and Maxillofacial Surgery, Psychology and Rheumatology. Allison Gloude and Julia Rings
31
SURGI CENTER
PAIN CLINIC
Surgical Operations for several fields of specification Plastic Surgery, without anesthesia only stable patients
Convenient Care / Family Practice
4 Surgery Suites 7 Recovery Beds (Phase I, Phase II) Imaging: X-Ray
32
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Orthopedics: Knees for age 40+ Hips for age 50+ Specialists for Hands and Feet Interventional Pain Therapy Diabetics Treatment
Allison Gloude and Julia Rings
33
KIRBY AVE
PARKDALE DR
CARLE SPECIALTY CLINIC
CYPRESS DR
GEORGETOWN DR
MATTIS AVE
CLOVER LN
BROADMOOR DR
LAKESIDE DR
LAKESIDE DR
CARLE PAIN + CLINIC
LEVELS OF ACUITY
RIDGELAND DR
PARKSIDE TERRACE
CARLE SURGI CENTER
CARLE CONVINIENT CARE
CONCEPT
CARLE CLINIC PARK SCHOOL RETAIL
PROPOSAL The proposal for the site intends to create a connecting link between the existing structures and increase their collaboration. Furthermore it will provide complementary facilities for the proposed Polytrauma Rehabilitation Center. The consolidation and purposed collaboration also includes a new address for this structure along Mattis Avenue.
RESIDENTIAL 34
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
35
BLOCKING AND STACKING IN CONTEXT
STAFF / ADMIN INPATIENT Offices Nurse Station Medication Room Report Room Conference Room Team Room Lounge Locker Room Toilet Staff Shower
36
OUTPATIENT
THERAPIES / SERVICES
Offices Medication Room Conference Room Locker Room Toilet
Physical Therapy Speech Therapy Hearing Therapy Occupational Therapy Family Therapy Recreational Therapy Psychology Nutritional Services
ADDITIONAL Classrooms Offices Increased Lobby Security Coffee Shop Health Sciences Library University Offices
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
BEDDED CARE
OUTPATIENT
SUPPORT
INPATIENT
Sub waiting Patient Lounge Exam Room Cognitive Therapy Counseling Procedure Room Group Room Driver Training Room Living Skills Training Gait Study Track Gym, Patient Rehabilitation Gym Offices Speech Therapy Lab Assistive Technology Lab Recreation Therapy Room BROS Treatment
INPATIENT
Sub waiting Patient Room Bathroom Shower Isolation Room Isolation Room Bathroom Anteroom Dining Room Family Support Computer Activities Laundry Room Storage Quiet Room Multipurpose Room Gym, Rehab Therapy Apartment Living Skills Exam / Treatment Room Recreation Therapy Room Testing Lab BROS Treatment Therapy Room Kitchen Therapy Room Toilet ADDITIONAL Increased Gym Increased Gait Track
Nourishment Room Alcove Food Carts Linen Room Clean Utility Soiled Utility Storage Housekeeping OUTPATIENT Linen Room Clean Utility Soiled Utility Storage Housekeeping ADDITIONAL
D&T MRI CT X-Ray Operating Rooms Research - Orthopedics Research - Speech Therapy Research - Hearing Therapy Research - Prosthetics Laboratory
Storage Mechanical
PROPOSED PROGRAM Allison Gloude and Julia Rings
37
MEDICAL TRANSPORT
MAIN ENTRANCE
SUPPORT / SUPPLY
SITE PLAN 38
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
39
MEDICAL TRANSPORT
CLINICAL PUBLIC SERVICE
SURGI CENTER
VERTICAL CIRCULATION
SURGI CENTER INPATIENT
INPATIENT
LIBRARY
LIBRARY PUBLIC, PATIENTS
VIEWS
OUTPATIENT
OUTPATIENT
PAIN CLINIC
ADMIN
SUPPORT / SUPPLY
MATTIS AVE
MATTIS AVE
LIGHTING
PAIN CLINIC
ADMIN
HEALING GARDENS
EXTERNAL AND INTERNAL CIRCULATION
40
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
41
MEDICAL TRANSPORT
Medical Transport 123 404 SF
Recreational Therapy
Therapy
20 1421 SF
OR
OR
6 430 SF
7 433 SF
53 163 SF
Gym 21 3107 SF
Therapy 52 155 SF
MRI
CT
X-Ray
28 824 SF
30 571 SF
29 571 SF
Multipurpose Room
Computer Activities
26 635 SF
51 390 SF
Team Room 54 372 SF
Therapy
Therapy
Room
13 243 SF
14 243 SF
15 268 SF
Apt Living Skills
Exam
45 688 SF
Testing
47 243 SF
46 243 SF
Med. 64 154 SF
Lounge 32 504 SF
J.C. 130 250 SF
Staff Lounge 129 1159 SF
Courtyard 34 1908 SF
Staff Lounge
BROS
33 1159 SF
Family Waiting
27 653 SF
124 464 SF
Clean Util. 38 302 SF
Storage
Soiled Util.
43 329 SF
37 216 SF
Storage 39 300 SF
Dining Room
Linen 40 191 SF
44 2812 SF
Computer Lab
Family Support
50 548 SF
48 1359 SF
J.C. Storage
Kitchen
41 540 SF
42 2604 SF
Quiet Room 36 555 SF
49 123 SF
Speech Therapy 56 798 SF
Gift Shop 63 338 SF
Computer Lab 125 523 SF
Hearing Therapy
Security
Vending
62 141 SF
127 120 SF
57 791 SF
Library 126 6386 SF
Ortho/ Prosthetics
MAIN ENTRANCE
59 967 SF
Cafe 60 434 SF
Storage 61 242 SF
Research Prosthetics/ Ortho
Cognitive Therapy
Procedure
71 262 SF
76 259 SF
72 446 SF
Nurses Station
Exam Room
65 525 SF
68 515 SF
Driver Training 79 515 SF
Speech Therapy 73 233 SF
Hearing Therapy 74 237 SF
Storage
J.C.
80 64 SF
75 69 SF
Storage 67 401 SF
Office 84 169 SF
Office 81 119 SF
Office
Assistive Tech Lab
82 119 SF
66 1070 SF
Recreation Therapy
BROS Treatment
69 598 SF
70 673 SF
Kitchenette 87 237 SF
Lunch/ Conference 88 459 SF
Kitchenette/ Lounge
Group Room
Living Skills
85 719 SF
77 504 SF
78 453 SF
Office 83 119 SF
Univ. Office
Univ. Office
Univ. Office
Office
89 155 SF
90 157 SF
92 151 SF
91 156 SF
Kitchenette
Lunch/ Conference
101 237 SF
102 459 SF
Office
Office
Office
Office
113 155 SF
114 157 SF
115 151 SF
116 156 SF
Conference 109 569 SF
Lounge 93 569 SF
Office 120 198 SF
Office 97 198 SF
Office 119 197 SF
Courtyard 55 2829 SF
Office 98 197 SF
J.C. 121 66 SF
J.C. 122 66 SF
Office 99 179 SF
Office
42
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Classroom
Classroom
Classroom
94 439 SF
95 440 SF
96 440 SF
FIRST FLOOR
Office 118 179 SF
Office 103 158 SF
Office
Office
Office
104 158 SF
105 158 SF
106 158 SF
Office 107 158 SF
Office Office
Office
Office
110 158 SF
111 158 SF
112 158 SF
117 249 SF
SECOND FLOOR
100 249 SF
Allison Gloude and Julia Rings SUPPORT / SUPPLY
43
Office 81 119 SF
Assistive Tech Lab 66 1070 SF
Office Recreation Therapy
BROS Treatment
69 598 SF
70 673 SF
82 119 SF
Kitchenette/ Lounge
Group Room
Living Skills
85 719 SF
77 504 SF
78 453 SF
Office 83 119 SF
Kitchenette 87 237 SF
Lunch/ Conference 88 459 SF
Univ. Office
Univ. Office
Univ. Office
Office
89 155 SF
90 157 SF
92 151 SF
91 156 SF
Kitchenette
Lunch/ Conference
101 237 SF
102 459 SF
Office
Office
Office
Office
113 155 SF
114 157 SF
115 151 SF
116 156 SF
Conference 109 569 SF
Lounge 93 569 SF
Office 120 198 SF
Office 97 198 SF
Office
Courtyard 55 2829 SF
119 197 SF
Office 98 197 SF
J.C. 121 66 SF
J.C. 122 66 SF
Office 118 179 SF
Office 99 179 SF
Office Classroom
Classroom
Classroom
94 439 SF
95 440 SF
96 440 SF
100 249 SF
Office 103 158 SF
Office
Office
Office
104 158 SF
105 158 SF
106 158 SF
Office 107 158 SF
Office Office
Office
Office
110 158 SF
111 158 SF
112 158 SF
117 249 SF
SUPPORT / SUPPLY
ADMINISTRATION - FIRST FLOOR 44
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
ADMINISTRATION - SECOND FLOOR Allison Gloude and Julia Rings
45
PAIN CLINIC
ADMINISTRATION The administration pavilion is the most southern part of this arrangement and it is located right next to the pain clinic. It contains offices and conference rooms for the administration of the hospital, but furthermore for the veterans association too. The open courtyard in the middle of the building provides the building with natural lighting in every room and gives the employes a separate place to meet outside.
46
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
47
242 SF
Nurses Station
Exam Room
65 525 SF
68 515 SF
Research Prosthetics/ Ortho 72 446 SF
Cognitive Therapy
Procedure
71 262 SF
76 259 SF
Driver Training 79 515 SF
Speech Therapy 73 233 SF
Hearing Therapy 74 237 SF
Storage 67 401 SF
Storage
J.C.
80 64 SF
75 69 SF
Office 84 169 SF
Office 81 119 SF
Assistive Tech Lab 66 1070 SF
Office Recreation Therapy
BROS Treatment
69 598 SF
70 673 SF
82 119 SF
Kitchenette/ Lounge
Group Room
Living Skills
85 719 SF
77 504 SF
78 453 SF
Office 83 119 SF
OUTPATIENT - FIRST FLOOR 48
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
OUTPATIENT - SECOND FLOOR Allison Gloude and Julia Rings
49
OUTPATIENT The Outpatient pavilion is to be used as an expansion of the orthopedic clinic currently on site . An expansive gym and gait lab provide rehabilitation services to the outpatients and speciality patients. The first and second floor also have rooms for a variety of therapy services.
50
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
51
Gift Shop
Speech Therapy
63 338 SF
56 798 SF
Computer Lab 125 523 SF
Security 62 141 SF
Vending
Hearing Therapy
127 120 SF
57 791 SF
Library 126 6386 SF
MAIN ENTRANCE
Ortho/ Prosthetics 59 967 SF
Cafe 60 434 SF
Storage 61 242 SF
LIBRARY - FIRST FLOOR 52
LIBRARY - SECOND FLOOR
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings Research Prosthetics/ Ortho
Cognitive Therapy
Procedure
71
76
Driver Training
53
LIBRARY The library gives patients, physicians and visitors the possibility to look up things of interest and also provides the patients with entertaining literature. The research offices on the upper floor can be entered from the clinical balcony. Furthermore the Library pavilion contains a vending area, a coffee shop and also a gift shop. Because of its location right next to the entry it is a very public space.
54
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
55
POSITIVE-NEGATIVE
SUBTRACTION
ADDITION
Gift Shop 63 338 SF
Computer Lab 125 523 SF
VETERANS MEMORIAL
Vending
Security
127 120 SF
62 141 SF
Library 126 6386 SF
MAIN ENTRANCE
VIEWS
Cafe 60 434 SF
Storage 61 242 SF
LIGHTING
56
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Nurses Station
Exam Room
65 525 SF
68 515 SF
The proposal for the memorial is to remind visitors of the existence and the importance of the military in the country. This space is designed to emphasize the individual solider as well as their military groups. The subtractions “VOIDS� represent the fallen soldiers, one for each category of military. The addition next to it symbolizes the troops which are still serving. These two elements are connected by a two and a half story black granite wall which is visible from every floor and is accessible from the front of the building. The voids of the memorial serve a secondary purpose of creating natural light and ventilation in the parking garage below grade. The punctures in the earth create an inviting space within the two garage levels and allow visitors to view the memorial from every level. Allison Gloude and Julia Rings
57
Medical Transport 123 404 SF
MEDICAL TRANSPORT
Recreational Therapy 20 1421 SF OR 6 430 SF
OR 7 433 SF
Gym 21 3107 SF
Therapy 53 163 SF
Therapy 52 155 SF
Multipurpose Room 26 635 SF
MRI 28 824 SF
CT 30 571 SF
X-Ray 29 571 SF Exam 47 243 SF
Testing 46 243 SF
Apt Living Skills 45 688 SF
Team Room 54 372 SF
Computer Activities 51 390 SF
Lounge 32 504 SF
Therapy 13 243 SF
Courtyard 34 1908 SF
Staff Lounge 33 1159 SF
Therapy 14 243 SF
Room 15 268 SF
Med. 64 154 SF
BROS 27 653 SF
J.C. 130 250 SF
Staff Lounge 129 1159 SF
Storage 43 329 SF
Family Waiting 124 464 SF
Dining Room 44 2812 SF
Storage 41 540 SF
Clean Util. 38 302 SF
Soiled Util. 37 216 SF
Kitchen 42 2604 SF
Storage 39 300 SF
Computer Lab 50 548 SF J.C. 49 123 SF
INPATIENT - FIRST FLOOR 58
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Family Support 48 1359 SF
Linen 40 191 SF
Quiet Room 36 555 SF
INPATIENT - SECOND FLOOR Allison Gloude and Julia Rings
59
INPATIENT The Inpatient pavilion features a bedded care unit with 12 beds and a state of the art gym. Many therapy rooms line the exterior of the inpatient gym making it a convenient and easily accessible location for inpatient rehabilitation sessions.
60
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
61
PATIENT ROOM 62
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
63
64
AREAS
VIEWS
HEAD WALL
THERAPY WINDOW / FRAME
The patient room is divided into three zones: The clinical zone at the entrance, the patient zone in and around the bed and the family space facing the patient at the other end of the room.
The layout of the room allows the maximum views for both the patient and the caretakers. The patient has the full view out of the window into nature, over to the family space, to the bathroom, to door and the nursing window.
The head wall behind the patient is serving the physicians and the nurses with all the necessary utensils and gases. They are well hidden behind panels which open with a single touch by a magnetic lock.
The therapy window / frame provides the patient with light therapy and different forms of shading and patterns on the window itself.
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
65
PATIENT PROFILE PROGRESS
INPATIENT - TBI - PTSD
fastest improvement in physical recovery within the first six months
OUTPATIENT social issues with reintegration into cultural environment physical
TIME
INPATIENT
66
TIME OF FASTEST IMPROVEMENT
OUTPATIENT
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
n the clinic
cultural
2 YEARS of RECOVERY
virnment withi
1 YEAR of RECOVERY
AVERAGE TIME IN PCR
to cultural en
6 MONTHS of RECOVERY
44 DAYS of PCR
loosing track
END of ACUTE MEDICAL CARE
- TBI - PTSD - Orthopedics - Speech Therapy - Hearing Therapy - Occupational Therapy - Therapy
PTSD
Flashbacks Avoidance Hypervigiliance Nightmares Re-Experiencing
TBI
Cognitive Deficits Irritability Insomnia Depressions Fatigue Anxiety
Headache Sensitivity of light or noise Nausea & Vomitting Vision Problems Dizziness
POLYPHARMACY
The rehabilitation center will be used to treat mild to severe TBI and psychological health conditions. Veterans, car crash victims and general TBI patients will be treated in the inpatient facility.
PAIN
Allison Gloude and Julia Rings
67
PATIENT ROOM Same handed Patient left Full nature views Inboard, head wall bathroom Decentralized nursing with central team spaces Philip’s Daylighting window concert, light therapy corner for circadian rhythm Cabinet available to load from nurse station, access to patient room media wall
68
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
69
SECTION FOOT WALL 70
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
SECTION HEAD WALL Allison Gloude and Julia Rings
71
THERAPY MODE 72
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
73
PHILIP’S DAYLIGHTING WINDOW CONCEPT
74
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
75
HEALING GARDENS Healing gardens are a crucial element to the pavilion scheme of the hospital. Each garden provides a specific service for a different group of hospital occupants.
GARDEN CONTINUATION 76
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
PATHWAY SYSTEM Allison Gloude and Julia Rings
77
EXTERIOR VIEW HEALING GARDENS 78
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
79
INPATIENT PAVILION WATER GARDEN BEGINNERS PRIVATE / PUBLIC INPATIENT / STAFF / PUBLIC STRESS RELIEF AND REDUCTION ENGAGES PHYSICAL ACTIVITY INTERACTIVE WATER SCULPTURES
INPATIENT GARDEN
INTERACTION WITH THE ELEMENT CREATES WHITE NOISE
QUIET, SILENCE ACCESSIBILITY
ONE PRIVATE / PUBLIC LOOP, SEPARATED
REHABILITATION ACTIVITIES PSYCHOLOGICAL REHABILITATION ACTIVITIES PRIVATE LOOP FROM THE OTHERS STRESS RELIEF
LIBRARY 80
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
81
LIBRARY OUTPATIENT OPEN EXTERIOR AREA WITH PLENTY OF SEATING
REHABILITATION ACTIVITIES
PUBLIC SPACE
ACCESSIBILITY
INTERCONNECTED WITH PATHWAY SYSTEM
SEMI-PRIVATE OPTION FOR PRIVATE SPACE
VISIBLE FROM LIBRARY
INTERCONNECTED WITH PATHWAY SYSTEM
STONE GARDEN
VEGETATION GARDEN
INTERMEDIATE PUBLIC ACCESSIBLE TO EVERYONE
INTERMEDIATE SEMI-PUBLIC ACCESSIBLE OUTPATIENT AND STAFF
STRESS RELIEF AND REDUCTION ENGAGES PHYSICAL ACTIVITY
STRESS RELIEF AND REDUCTION
INTERACTIVE
ENGAGES PHYSICAL ACTIVITY
BALANCE
INTERACTIVE PRIVATE SPACES ZONES TO SPEND BREAKS
OUTPATIENT
82
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
83
EXTERIOR VIEW HEALING GARDENS 84
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
85
SERVICE
PUBLIC
CLINICAL
CLINICAL
86
HEALTHCARE BOULEVARD
clinical circulation physician & staff
VERY SLOW
FAST
SLOW
HEALING GARDEN
meeting points rest areas
general circulation, physicians, staff, patients, family, visitors
meeting points entrance areas
recreation areas meeting points
SUPPORT building services, infrastruture, goods
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
The central axis of the polytrauma rehabilitation center acts as the collaborative and active epicenter of the hospital. The axis provides divided pathways for clinical, public, and service circulation. Given the segmented nature of the hospital additions, the centralized street will provoke informal meetings between physicians, staff, and families alike. Different areas within the width of the street are provided for multiple rates of ambulation. There are also areas for lounging, research and retail. A gift shop, library, computer lab, and coffee shop are among the variety of amenities offered along the length of the street.
SUPPLY STORAGE
Allison Gloude and Julia Rings
87
100 ft.
CLINICAL BALCONY
OUTPATIENT PAVILION
100 ft.
100 ft.
LIBRARY
100 ft.
600 ft.
100 ft.
100 ft.
HEALTHCARE BLVD
PAIN CLINIC / GALLERY SPACE 88
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
89
INTERIOR PERSPECTIVE HEALTHCARE BLVD 90
Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis
Allison Gloude and Julia Rings
91
CLEARVIEW POLYTRAUMA CARE CENTER AT CLEARVIEW KENNETH DOROBA AND ETHAN RATTRAY
INITIALLY SELECTED FOR ITS MASSIVE BUILDING POTENTIAL, THE CLEARVIEW SITE HAS BECOME THE SETTING FOR A VISIONARY RETREAT CAMPUS TO BUILD UPON THE DREAMS OF CARLE FOUNDATION HOSPITAL. ENCOMPASSING ROUGHLY 70 ACRES OF LAND, THE CAMPUS INCLUDES THREE MAJOR DIVISIONS: A RECOVERY PARK, A CENTER FOR HOSPITALITIES, AND A RESEARCH PARK. WITHIN CLEARVIEW’S RECOVERY PARK, A POLYTRAUMA REHABILITATION CENTER FOR VETERANS & CIVILIANS SUFFERING FROM TRAUMATIC BRAIN INJURIES IS DESIGNED ABOUT THE THERAPEUTIC POTENTIAL OF ONE’S NATURAL ENVIRONMENT. THE PRC EMBRACES ITS NATURAL SURROUNDINGS WHILE PROVIDING A PRIME DESTINATION FOR HOLISTIC HEALING.
92
Clearview Polytrauma Care Center
Kenneth Doroba and Ethan Rattray
93
RESEARCH PARK: A1 ORTHOPEDICS A2 ORTHODICS/ PROSTHETICS A3 MENTAL & HEALTH CLINIC A4 NEUROSCIENCE RESEARCH CENTER A5 ORTHOPEDIC SPINAL RESEARCH CENTER A6 PROSTHETICS RESEARCH
HOSPITALITIES: B1 HOTEL B2 CONVENTION CENTER B3 FITNESS CENTER
RECOVERY PARK: C1 ORTHOPEDICS C2 POLYTRAUMA REHABILITATION CENTER C3 CENTER 94 LONG-TERM Clearview PolytraumaCARE Care Center
CARLE MIDWESTERN R E G I ONAL PRC KENNETH DOROBA + ETHAN RATTRAY ARCH 572, PROFESSOR WILLIAM WORN Vision Statement: The overall development of a retreat campus thatcapitalizes on the potential for long-term patient recovery and research development initiatives. Mission Statement: The Carle Midwestern Regional PRC is a specialized medical center responding to the heightened awareness of victims suffering from multiple traumatic brain injuries. With respect to Carle Federation Hospital's 2011 strategic plan, the facility will provide the "Polytrauma System of Care" in the form of rehabilitation services, diagnostics, and continued mental and health care to both members of our military and civilians alike. Clinical research and evidence-based practice will be employed to provide optimum holisticpatient care within the context of the newly proposed campus. Kenneth Doroba and Ethan Rattray
95
CONTEXTUAL SITE PLAN: [CROPPED] RECOVERY PARK
96
Clearview Polytrauma Care Center
BUILDING / SITE PERSPECTIVE:
Kenneth Doroba and Ethan Rattray
97
MATERIAL PALETTE: OAK LAMINATE UNDERFINISH
HYGIENE ZONE
OFF-WHITE STEEL MULLION
FAMILY ZONE
EXTERIOR VIEWPORT
WARM TRANSITION FLOORING 4'-0"
SERRATED ALUMINUM PEDISYSTEM
MAIN ENTRY
ROUND SKYLIGHT
PATIENT LIFT GAIT TRACK
56” x 60” PERIMETER AROUND TOILET
PATIENT ZONE
5'-0"
PAINTED GYPSUM DROP PANEL CEILING
56”- DIAM. WHEELCHAIR TURNABOUT
" 13'-0
CHROME SHADING DEVICE
5’-0”
NURSE PEAK VIEWPORT CLINICIAN ZONE
ROOM CHARACTERISTICS: TERRAZZO COUNTERTOPS INPATIENT FLOOR (CENTRAL NURSE STATION) AMBIENT FLUORESCENT LIGHTING
FROSTED GLASS RUBBER FLOORING STRIP
98 Clearview Polytrauma Care Center THERAPY CORRIDOR (ADJACENT
TERRAZZO SHEET FLOORING ACTIVITY LAB)
+ 490 S.F. TOTAL ROOM AREA + 6 SAME-HANDED ROOM DESIGNS, 6 OPPOSITE-HANDED ROOM DESIGNS (12 TOTAL) + PROMOTES NATURAL VISIBILITY + DESIGNED FOR PATIENT COMFORT (ECU) + ACCUITY ADAPTABLE SPACE- CURRENTLY DESIGNED TO ACCOMODATE INTENSIVE CARE UNIT (ICU) BED + BED PIVOTS TO ACCESS WATER CLOSET + CONTINUOUS HANDRAIL WITHIN WATER CLOSET + OUTBOARD TOILETS ENABLE DECENTRALIZED NURSING STATION ALCOVE + ACCOMODATES FAMILY VISITATIONS
PATIENT ROOM 99
Kenneth Doroba and Ethan Rattray
A
B
C
D
E
F
G
H
I A
SPACIAL ARRANGEMENT
DEPARTMENTS:
B
C
D
E
F
G
H
I
UP
Storage, Hazardous Waste 153 SF
Linen
1
94 SF
Conference Room, Outpatient 254 SF
Vestibule 167 SF
Subwaiting
Living Skills Training
Nurse Case Manager
156 SF
311 SF
244 SF
453 SF
Vestibule 167 SF Storage, Hazardous Waste 153 SF
THERAPY
2 Staff Lounge 368 SF
UP Bathroom, Outpatient Staff 97 SF
Small HVAC Private Counseling Closet 65 SF Room 121 SF
Subwaiting
Living Skills Training
Nurse Case Manager
156 SF
311 SF
244 SF
Patient Lounge 453 SF
Patient Waiting 148 SF
Large Private Conference Room 150 SF
Medication Room 121 SF
Interaction Space
Group Room
181 SF
461 SF
Storage, Medical Equipment 167 SF
Group Room
94 SF
Assistive Technology Lab 998 SF
UP Bathroom, Outpatient Staff 97 SF
283 SF
Staff Lounge
BROS Treatment
368 SF
Locker Room, Outpatient Staff 151 SF
Patient Waiting 148 SF
Large Private Conference Room 150 SF
Medication Room 121 SF
Interaction Space
Group Room
181 SF
461 SF
Storage, Medical Equipment 167 SF
Driver Training 490 SF BROS Treatment 470 SF
3 Private Research
Exam Room, Exam Room, Exam Room, Exam Room, Outpatient Outpatient Outpatient Outpatient 151 SF 130 SF 139 SF 129 SF
Procedure Room 297 SF
INPATIENT
Speech Therapy Lab
2
Driver Training 490 SF
470 SF
Cognitive Counseling Room 234 SF
362 SF
Linen
Utility Room, Soiled 101 SF
283 SF
RADIOLOGY (D&T) Locker Room, Outpatient Staff 151 SF
1
Speech Therapy Lab
OUTPATIENT
3
Conference Room, Outpatient 254 SF
Assistive Technology Lab 998 SF
Utility Room, Soiled 101 SF
UP
Patient Lounge
553 SF Small HVAC Private Counseling Closet 65 SF Room 121 SF
Group Room 362 SF
Cognitive Counseling Room 234 SF
Procedure Room 297 SF
Private Research
Exam Room, Exam Room, Exam Room, Exam Room, Outpatient Outpatient Outpatient Outpatient 151 SF 130 SF 139 SF 129 SF
553 SF
4 4 Private Research
ADMIN + RESEARCH
552 SF Private Research 552 SF
PUBLIC C.1
Private Research 553 SF Private Research 553 SF
D.1
E.1 D.1
BLOCKING + STACKING
5
5
G
F.1 E.1
F.1
H
I
G.1
SUPPORT
D.1
E.1
F.1
G.1
Private Research 552 SF Private Research 552 SF
5
Private Research
6
6
552 SF Private Research
6
UP
7
552 SF
UP DN
7
UP DN
7
Simulation Room
Aqua Therapy
700 SF
Simulation Room 700 SF
564 SF
Building MGMT 64 SF
8
Women's Men's Bathroom Bathroom 360 68 Room SF 53 SF 1055 SF
8
Building MGMT 64 SF
Staff Change
8
100 SF
360 Room 1055 SF
Patient Waiting Room
DN
450 SF
Patient Waiting Room 450 SF
Lab Storage
9
84 SF
9
Lab Storage
DN
84 SF
9 Counseling Room 140 SF CT 599 SF
10
Simulation Room
10
1539 SF
10
Simulation Room 1539 SF
MRI
OT Therapy
822 SF
268 SF
Therapy Garden Therapy Garden
- Open to Below
11
11
Gaitlab Study 874 SF
- Open to Below
11
Gaitlab Study
Physical Therapist Interventional Radiology Lab
874 SF
150 SF
871 SF Activity Lab
Activity Lab
2002 SF
12
2002 SF
Occupational Therapist
12 X-Ray
12
145 SF
276 SF
DN
Recreational Therapist
UP
120 SF
DN UP
13
13 UP
UP
UP
UP DN
14
14
Physical Therapist 152 SF
Occupational Therapist 150 SF
DN
14
Rehabilitation Gym Open to Below
Recreational Therapy Room, Group
15
15
16
16
1980 SF
Gym, Patient Rehab Therapy 3655 SF
Recreational Therapist 122 SF
15
100 Clearview Polytrauma Care Center
+1
Occupational Therapist 150 SF
Recreational Therapist 122 SF
Therapy Room
202 SF
BASEMENT FLOOR PLAN
Physical Therapist 152 SF
Rehabilitation Gym Open to Below
Therapy Room
-1
UP
13
Staff Staff Change, Change, Mens Womens 44 SF 48 SF
UP
Staff Bathroom 58 SF
202 SF
16
GROUND FLOOR PLAN
+2
SECOND FLOOR PLAN
+3
THIRD FLOOR PLAN Kenneth Doroba and Ethan Rattray
101
CLINICAL ELEVATORS (2)
PROPORTIONAL DIAGRAM: UC PRC Space Criteria Combined Outpatient & Inpatient Services
19.8 %
14.5 %
Public & Administrative DIAGRAM: PROPORTIONAL = 9,395 s.f. Areas
UC PRC Space Criteria General & Patient Combined Outpatient &=Inpatient Services 11,030 s.f. Support Services 19.8 23.2 %
23.2 %
Nursing Unit & Living = 6,900 s.f. Areas& Administrative Public = 9,395 s.f. Areas Diagnostic & Treatment = 20,120 s.f. General & Patient = 11,030 s.f. Support NSF Services = 47,445 s.f. Nursing Unit & Living == 78,285 6,900 s.f. DGSF (NSF * 1.65) s.f. Areas
14.5 % 42.5 %
42.5 %
INPATIENT ENTRY
Diagnostic & Treatment = 20,120 s.f. BGSF (DGSF * 1.21) = 94,725 s.f.
MODULAR DIAGRAM:
NSF
= 47,445 s.f.
DGSF (NSF * 1.65)
= 78,285 s.f. PATIENT CHECKUP
Combined Units:
MODULAR DIAGRAM: Combined Units:
(DGSF * 1.21) = 94,725 s.f. 78,285 s.f. DGSF BGSF Public & Administrative = 14 Units / 1,089 s.f. Areas 72 planning units General & Patient = 17 Units Support Services Nursing Unit & Living = 11 Units Areas
CROSS-SECTION: SOUTH TO NORTH
MRI APPOINTMENT
REHAB THERAPY MEETING
78,285 s.f. DGSF Public Diagnostic & Treatment = 31 Units & Administrative = 14 Units Areas 72 planning units General & Patient = 17 Units Support Services Nursing Unit & Living = 11 Units Areas
/ 1,089 s.f.
Diagnostic & Treatment
= 31 Units
CLINICAL ELEVATORS (2)
PUBLIC ELEVATORS (2)
PUBLIC ENTRY
MRI APPOINTMENT
INPATIENT FLOW OUTPATIENT FLOW
PROGRAMATIC CALCULATIONS
PATIENT FLOW DIAGRAM
SOUTH ELEVATION 102 Clearview Polytrauma Care Center
Kenneth Doroba and Ethan Rattray
103
PRELIMINARY DEPARTMENTAL SECTION
NORTH ELEVATION
EAST ELEVATION
104 Clearview Polytrauma Care Center
Kenneth Doroba and Ethan Rattray
105
WEST ELEVATION
LONGITUDINAL SECTION CUT: WEST TO EAST 106 Clearview Polytrauma Care Center
Kenneth Doroba and Ethan Rattray
107
MAIN ENTRY LOBBY
108 Clearview Polytrauma Care Center
COMMON THERAPY GARDEN
Kenneth Doroba and Ethan Rattray
109
Clearview Polytrauma Rehabilitation Center Timothy Rank & Tyler Stephens
110 Clearview Polytrauma Rehabilitation Center
Timothy Rank and Tyler Stephens
111
Zone Locations
The site is divided into three vertical sections. The section on the far right encompases the Rehab Quad. The middle zone is designated for a future research park. The final zone, on the far left is the site for the future Carle Foundation Hospital.
Research Park PARKING PARKING
PARKING
PARKING
Rehabilitation Park
PARKING
PARKING
PARKING
PARKING
PARKING
Future Carle Foundation Hospital PARKING
PARKING PARKING
PARKING
PARKING
COURTYARD
PARKING
PARKING Research Park PARKING PARKING
The program is wrapped around central courtyards, then surrounded by nature, with plants and green walls dispersed throughout the program.
PARKING
PARKING
Program Concept PARKING
PARKING
PARKING
PARKING
PARKING
Quad Locations PARKING
PARKING
112 Clearview Polytrauma Rehabilitation Center
maller quad areas so that companies of different sizes can rent space and still have a green area connected to their building. Connecting the different quads is a green belt that loops through the site and can be used as a walking or running track.
Timothy Rank and Tyler Stephens
113
Family/ Fisher House Entrance Family Support
View
Family/ Patient Garden
Family Support
View Span
Medical Transport Drop-off
Garbage and Equipment Drop-off
Lobby Spine
Patient Rooms & Rehab
Admin & Research
Patient Rooms & Rehab
View
Admin Patient Rooms & & Research Rehab
Admin Garden
Restoration
Site
Patient-Nature Relationship
Patient-Suport Relationship
Healing Garden Insertion
Employee and Patient Entrance Family Support
View
Family/ Patient Garden
Family Support Lobby Patient Rooms & Rehab
Admin & Research
Patient Rooms & Rehab
View
Admin Patient Rooms & & Research Rehab
Admin Garden
Restoration
Community Patient-Nature Relationship
Patient-Suport Relationship
Program Layout Diagram 114 Clearview Polytrauma Rehabilitation Center
Healing Garden Insertion
Building Site Plan Timothy Rank and Tyler Stephens
115
116 Clearview Polytrauma Rehabilitation Center
Timothy Rank and Tyler Stephens
117
118 Clearview Polytrauma Rehabilitation Center
Timothy Rank and Tyler Stephens
119
B
Storage
Physical Therapist Office
Auditorium
Library
Office Reception
Rehabilitation Reception
Cafe
Family Support
Occupational Therapist Office
Dinning Room
Radiography Room
CT Scan Room
A
Radiography Room
Kitchen
Control Room
MRI Exam Room
Equip. Rm.
Supply
Dirty Room
Clean Room
Building Support
BROS Treatment
Simulation Room
Simulation Lab
CAREN Lab
Ther. Room
Exam Room Exam Room
Ther. Room
Neuropsychology Storage
HouseKeeping Closet
Procedure Room
Med Equip. Storage
Medication Room
Speech Therapy Lab
Group Room
Building Management Storage
1293 SF
Mechanical
Building Management Storage
Data Center
Living Skills Training
OT Training
Recreation Therapy Room
Recreation Equipment Storage
Rehab Fitness
Therapy Pool
Pool Mech.
124 SF
Recr. Therapist
Recreation Therapy Room
Driving Training Room
Living Skills Training
Mechanical
Secondary Gym & Gait Study Track
First Floor: Key Plan
Research Support
D & T Services
Family Support
Office
Research
Bedded Care
Second Floor: Key Plan
Office
North-South Section
121 Timothy Rank and Tyler Stephens 120 Clearview Polytrauma Rehabilitation Center
Speech Therapist Office
Program Assistant Office
Mech. 755 SF
First Floor Plan
B
Ward Clerk Office
Social Worker Office
CNRR Case Manager
Nurse Educator Office
Counseling Psychologist Office
Family Therapist Office
Physiatrist Office
Storage
Storage
Classroom
Research Lab
Theraputic Garden
Classroom
Research Lab
Utility Room Clean
Utility Room Soiled
Report Room
Medication Room
PM & RS Storage
Nurse Station
Therapy Station
Team Room
Patient Laundry Room
Food Cart Storage
Linen Room
Nurse Station
Shower
Locker Room
RR
Team Room
Patient Nourishment Baggage Room Storage
Patient Care Equip. Storage
Restoritive Garden
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
RR
Activity Room
Patient Room
Patient Room
Patient Room
Staff Break Room
Patient Room
Patient Room
Patient Room
Rehab Fitness
Patient Room
Patient Room
Patient Room
Staff Break Room
Patient Room
Patient Room
Patient Room
Activity Room
123 Timothy Rank and Tyler Stephens 122 Clearview Polytrauma Rehabilitation Center
Physical Therapist Office
Recreational Therapist Office
A
Second Floor Plan
East-West Section
Daylight
View
Patient Room: 270 sf Toilet: 55 sf Total: 325 sf Family Clinical Hygiene
Patient Room Ceiling Plan
Patient Room
Patient Room zones
55 ft
Utility Room Soiled
Medication Room
55 ft
Report Room
Locker Team Room
PM & RS Storage
124 Clearview Polytrauma Rehabilitation Center
Patient Room views
Shower Patient Laundry Room
Nurse Station 462 sf RR
Timothy Rank and Tyler Stephens
125
126 Clearview Polytrauma Rehabilitation Center
Timothy Rank and Tyler Stephens
127
collective healing
VISION:
The Carle Polytrauma Rehabilitation Center is dedicated to providing the highestquality patient care through community involvement, integrated research, scientific discovery, and education for the purpose of maximizing the recovery of the individuals in our care. Our core values are represented in the Carle Strategic Plan, which in compliment with our research and collective healing spaces, establish a foundation for how we advance the ability of the people we serve.
MISSION: To advance human ability, the CPRC will not only serve as a landmark and educational hub for the awareness of veterans in the immediate Champaign-Urbana area, but the CPRC will also serve as the leading Midwest TBI rehabilitation center for the innovation and application of new and more promising treatments to improve and eliminate the effects of injury and debilitating health conditions, which will inevitably foster the wounded warriors back into our community.
CARLE polytrauma rehabilitation center CARLE’s STRATEGIC PLAN v
Provice Value to Patients
c
Benefit the Community
p
Focus on our People
a
Make Care More Accessible
r
Grow and Partner Regionally
i
Deliver Integrated Care
f
Use Financial Resources Wisely
Community and Private Garden Space 128 Collective Healing
Tyler Schwede and Mulugeta Woldgeorgis
129
LED olde fashioned lamps
Church Street
24
Temporary event space
25
Heat lamps for cold weather 23
19 27
Treated Brazilian walnut boardwalk Pervious concrete
Lincoln Avenue
18 10 26
12
16
20
Vehicular traffic reduced to east-bound one-way lane
New flexible public space for Carle and VA based events with rain gardens & infiltration basin below boardwalk.
15’
25’
12’
Easy connection to the community gardens and private sectors of the site
12’
11 15
17
14 13
21
29
c
a
c
a
r
i
1. UIUC Department
i
2. Creative Centers 3. Imaging Department
c
p
c
p
i
c
p a a
c v
v
p
i
v
p a
i
f
4. Living Skills Center
v
p a
i
f
5. Redevelopment Center
v
f
6. TBI Research Center
v
r
p v
p r
c
a
i
7. Building Healing Garden
v
c
a
v
p a
i
8. Hybrid Labs
v
c
a
v
p a
i
9. Inpatient Care Facilities
v
v
31 30
360’
0’
v
Busey Avenue
28
Coler Avenue
Park Street
22
c
c
i
f
10. Outdoor Ampitheater
p a c
p a
r
i
11. Gardens Vestibule
v
12. War Memorial
v
13. Garden Cafe
v
i
15. Public Gathering
c
i
16. Exterior Healing Gardens
f
17. Community Gardens
v c
18. Private Breakout Space
i
f
19. Long Term Care
f
20. Parking Garage
v
for our building if it were to become a 5 story, mid-rise rectangle
Separation The team seperated the inpatient aspects with the outpatient and came up with the core space
r
i
f
21. Park Street Boulevard 22. Carle Satellite Connection
c c
i
p a p a
14. Bicycle Lockers
f
v
Building BGSF After designing the program, our team 130 Collective Healing came up with the allowable perimeters
c
i
23. “Front Yard” Gardens 24. Church Street Bus
p a i
25. VA Tree Memorial
i
26. Parking Living Wall
p a r p a r
i
27. Carle Spine Institute
r
i
29. ECHO Childrens Hearing Institute
p a
i
30. Materials Management
p a
i
31. Carle Labs
p a
View Set Back The overall concept incorporates a large campus design. In order to maximize views for the occupants, the building is set back in a “ying/yang” principle
28. Day Care
Public vs Services In order to accomidate for the large exterior public spaces, a small program is introduced to not only house bathrooms, bike shelters and cafe’s, but it also serves as a barrier between the services space to the east and the public campus to the West
Campus Relationship
Walkable Facade A balcony system stems throughout the building’s facade as a way of creating easy-to-reach exterior spaces for occupants for optimal views to the events occuring on the boardwalk and campus
Building Gardens Cut-outs and various gardens are introduced to the building for ease of access for inpatients, and also to give private spaces for clinicians, outpatients, students and families
Southern Protection Mechanical Cover A MECCO shading system is placed on the south The building cover continues to wrap around Tyler Schwede 131 facade to protect the occupants from the harshand Mulugeta Woldgeorgis to not only provide shading for the roof healing southern exposure from the sun, to promote balcony exploration and interaction
gardens, but also to cover the roof mechanical operations
Boardwalk Approach 132 Collective Healing
Tyler Schwede and Mulugeta Woldgeorgis
133
North Entrance 134 Collective Healing
Tyler Schwede and Mulugeta Woldgeorgis
135
1 3
2
4
8
5 6 7
9 10 11 12 Fifth Floor Plan
13
Fourth Floor Plan
14 18 15
17 16
Third Floor Plan
Patient Room Wall Section
Second Floor Plan
Ground Floor Plan Linen and Storage
Living Skills Center
UIUC Department
TBI Research Center
Creative Centers
Inpatient Care Facilities
Imaging Department
Major Points of Egress
136 Collective Healing Redevelopment Center
Stacking Diagram
0’
20’
40’
80’
Students
Inpatients
Families
Clinical/ Researchers
Service
Outpatients
Circulation Diagram
1 ROOF FLASHING 2 MECHO SHADING SYSTEM 3 CONNECTING PLATE 4 PAVEMENT COVERING 5 GROWING MEDIUM 6 FILTER FABRIC 7 WATERPROOFING MEMBRANE 8 DRAINAGE LAYER 9 METAL DECKING 10 SUPPORTING I BEAM 11 FRAMING MEMBRANE (I BEAM) 12 ALLUMINIUM MULLION 13 FRITTED DOUBLE GLAZING 14 CONNECTING BOLTS 15 CONNECTING C CHANNEL 16 EXTERIOR METAL SHEET 17 INSULATION 18 CONCRETE FLOOR SLAB
Tyler Schwede and Mulugeta Woldgeorgis
Patient Room/ Shading Devide Connection
137
A
A
Ground Floor Plan
A
Third Floor Plan
A
Second Floor Plan
A
A
Fourth Floor Plan
A
A
138 Collective Healing
Tyler Schwede and Mulugeta Woldgeorgis
139
A
0’
Second Floor Plan
A
20’
40’
80’
Longitudinal Section A-A
A 3 foot slot is designed within each building floor to not only maximize the amount of floor to floor height, but also to create a more quiet and adaptable hospital. The slot runs all the plumbing, HVAC and electrical equipment to keep all floors free of wires and large un-movable objects. Carle Foundation Hospital also wanted to be sure the building was adaptable for future expansion and renovation, so the change of floor plans are easily done. Views were also an important part of our design, so the slot brings 15 foot height exterior walls for maximum views and optimal daylighting. Because of the amount of material between floors, there is minimal noise from floor to floor, which is a huge healing coorelation to TBI patients. The design of the patient room was inspired through maximizing view points for both nurses and patients. This move was done due to our research of TBI victims. It was observed that patients with TBI had a faster and easier healing process when they were given the ability for larger exterior viewpoints to vegitation and the community. We prioritized the patients inability to see the clinitian over the patients safe transition to the bathroom. However, we designed a ceiling track system that would allow the patients to easily moveuver throughout the room. As a veteran, the patient usually has a tough minded opinion of themselves, and so they accept unwinnable challenges (like their physical ability during intensive care). Thus, the track allows them to safely challenge themselves. Due to the urban fabric of the site, each patient room includes individual garden spaces to provide horticultural therapy and views.
140 Collective 6’ 4’ Healing 0’ 1’ 2’ Patient
Floor Plan
0’ 1’ 2’
4’
6’
Reflected Ceiling Plan
0’
20’
40’
80’
Transverse Section B-B
Tyler Schwede and Mulugeta Woldgeorgis
141
Inpatient and Outpatient Entrance 142 Collective Healing
Tyler Schwede and Mulugeta Woldgeorgis
143
Upper Level Outpatient Lounge 144 Collective Healing
Tyler Schwede and Mulugeta Woldgeorgis
145
Inpatient Care Nursing Station 146 Collective Healing
Tyler Schwede and Mulugeta Woldgeorgis
147
Rooftop Healing Gardens 148 Collective Healing
Tyler Schwede and Mulugeta Woldgeorgis
149
POLYTRAUMA REHABILITATION CENTER AT CARLE FOUNDATION HOSPITAL XIAORAN DU, XIAOYU WANG, AND RUOQI ZHONG
150 Polytrauma Rehabilitation Center
Xiaoran Du, Xiaoyu Wang, and Ruoqi Zhong
151
152 Polytrauma Rehabilitation Center
Xiaoran Du, Xiaoyu Wang, and Ruoqi Zhong
153
CHAMPAIGN
CARLE HOSPITAL CHAMPAIGN CHAMPAIGN
URBANA UIUC
SITE
NEW BED TOWERa
CARLE CAMPUS
Our proposal of the new polytrauma rehabilitation center chooses the Carle main campus as our site to utilize the existing resources from both Carle and the University. It also provides the opportunity to foster a connection amongst patient, the hospital, the university and the community. We share with Carle the dedication to provide high quality and assessable healthcare. The main objective of our proposal is to create an effe ctive healing environment for the patient and a less stressful working environment for the staff. To achieve that, we develop the idea of the integration of architecture and landscape. Once built it also provides the new bed tower a better natural environment outside of its patient rooms’ windows.
154 Polytrauma Rehabilitation Center
Inpatient Unit: Patient Areas • Sub Waiting • Patient Room-One Bed *11 • Patient Bathroom *11 – 825NSF • Isolation Patient Room-One Bed *1 • Isolation Patient Bathroom Room *1 • Isolation Anteroom • Dining Room • Living Room, Family Support • Computer Activities Room • Laundry Room • Storage • Quiet Room *2 • Multi-purpose Room • Gym, Rehabilitation Therapy • Apartment, Living Skills Training • Exam/Treatment Room • Recreation Therapy Room • Testing Lab, Neuropsychology • BROS Treatment / Office • Video gaming lab • Therapy Room, Group • Kitchen, OT Training • Therapy Room, PT/OT/Speech Quiet Treatment *2 • Toilet, Patient *2 • Nourishment Room • Alcove, Food Carts • Linen Room • Utility Room, Clean • Utility Room, Soiled • Storage, Medical Equipment • Storage, Patient Care Equipment • Storage, Building Management • Storage, Recreation Equipment • Storage, PM&RS (Physical Medicine and Rehabilitation Services) • Storage, Neuropsychology Testing • Housekeeping Aides Closet – HAC
• Office, Recreational Therapist • Office, Occupational Therapist • Office, Speech Therapist • Office, Military Liaison • Nurse Station, Inpatient • Medication Room • Report Room, Nurse • Office, Military Liaison • Conference Room, Interdisciplinary Treatment Team • Conference Room, Inpatient Care Planning • Team Room, Interns / Residents • Lounge, Staff • Locker Room, Staff • Toilet, Staff*2 • Shower, Inpatient Unit Staff
• Office, Social Worker • Office, Counseling Psychologist • Office, Vocational Rehabilitation Counselor • Office, Vocational Rehabilitation Psychologist • Medication Room • Conference Room, Outpatient • Locker Room, Outpatient Unit Staff • Toilet, Outpatient Unit Staff *2
VISION
To be a world-class rehabilitation Outpatient Units: Patient Care • Sub Waiting center for TBI and PTSD patients • Patient Lounge / Homeroom that provides high quality medi• Exam Room, Outpatient cal care. • Cognitive Therapy / Counseling Room *2 • Procedure Room, Outpatient • Group Room • Driver Training Room MISSION • Living Skills Training To create effective and acces• Gait Study Track and Instrumentation sible healing environment with Room • Gym, Patient Rehabilitation Therapy the strategies of the integration • Speech Therapy Lab of architecture and landscape, • Assistive Technology Lab provide pleasant environment • Recreation Therapy Room, Group for patients as well as staffs. • BROS Treatment / Office Enhance the connection with ex• Pain Management isting resources and community, Outpatient Units: Support Areas foster regional partnership with • Reception the University of Illinois at Urbana• Toilet*2 Champaign and local medical • Linen Room • Utility Room, Clean services. Impatient Units: Staff and Administrative Areas • Utility Room, Soiled • Storage, Medical Equipment • Office, Medical Director • Storage, Building Management • Office, Administrative Officer CARLE FOUNDATION HOSPITAL • Housekeeping Aides Closet – HAC • Office, Program Assistant SEVEN PILLARS: • Office, Physiatrist • Office, Ward Clerk • Office, Neuropsychologist 1. Provide Value to Patients • Office, Nurse Manager • Office, Physical Therapist • Office, Social Worker 2. Benefit the Community • Office, Recreational Therapist • Office, CCRN Case Manager 3. Focus on our People • Office, Occupational Therapist • Office, Nurse Educator 4. Make Care More Accessible • Office, Military Liaison • Office, Counseling Psychologist 5. Grow and Partner Regionally • Office, Speech Language Pathologist • Office, Neuropsychologist 6. Deliver Integrated Care • Office, Physical Therapist • Office, Family Therapist 7. Use Financial Resources • Office, Nurse Case Manager • Office, Blind Rehabilitation Specialist Xiaoran Du, Xiaoyu Wang, and Ruoqi Zhong 155 Wisely • Office, Physical Therapist
1st Floor PLan
156 Polytrauma Rehabilitation Center
Xiaoran Du, Xiaoyu Wang, and Ruoqi Zhong
157
5th-14th FLOOR
5th-14th FLOOR
4th FLOOR
4th FLOOR
3rd FLOOR
3rd FLOOR
2nd FLOOR
2nd FLOOR
1st FLOOR
PATIENT UNITS
1st FLOOR
DIAGNOSTIC & THERAPY
PUBLIC VERTICAL TRANSOIRTATION
ADMINISTRATION & OFFICES
CLINICAL VERTICAL TRANSPOTATION STAFF VERTICAL TRANSPORTATION
RESEACH -1 FLOOR -2 FLOOR
HORIZONTAL TRANSPORTATION
EDUCATION
-1 FLOOR
SERVICE & MECHANICAL
-2 FLOOR
PUBLIC AREA
2nd Floor PLan
158 Polytrauma Rehabilitation Center
3rd Floor PLan
Xiaoran Du, Xiaoyu Wang, and Ruoqi Zhong
159
4th Floor PLan
160 Polytrauma Rehabilitation Center
Xiaoran Du, Xiaoyu Wang, and Ruoqi Zhong
161
162 Polytrauma Rehabilitation Center
Xiaoran Du, Xiaoyu Wang, and Ruoqi Zhong
163
164 Polytrauma Rehabilitation Center
Xiaoran Du, Xiaoyu Wang, and Ruoqi Zhong
165
East Elevation
166 Polytrauma Rehabilitation Center
North Elevation
West Elevation
South Elevation
Xiaoran Du, Xiaoyu Wang, and Ruoqi Zhong
167
N
0’
100’ 200’
400’
800’
carle polytrauma rehabilitation center carle foundation hospital urbana, il meggan stanton • elyse townley
168 Carle Polytrauma Rehabilitation Center
Meggan Stanton and Elyse Townley
169
+program +vision
The Carle Foundation Hospital Polytrauma Rehabilitation Center is rooted in the values of community, quality of care, and growth.
+mission
To create a holistic healing environment that will serve the growing number of veterans with polytrauma through progressive medical treatment and integration into the Champaign-Urbana community.
+blocking and stacking diagram
+holistic healing
+program square footage PROGRAM (DGSF) INPATIENT OUTPATIENT AUXILIARY BEDS: 12,342 D+T: 21,334 D+T:6,567 D+T: 22,968 STAFF: 3,333 RECEPTION: 2,194 STAFF: 9,660 SUPPORT: 4,879 OUTDOOR: 4,125 SUPPORT: 16,727
Holistic healing involves creating environments that benefit the mind, body, and soul of patients, their families, and hospital staff as well as the implementation of alternative therapies, such as:
TOTAL DGSF: 104,129 SF TOTAL BGSF: 124, 954 SF INPATIENT
OUTPATIENT
AUXILIARY
outpatient: physical
Warrior Canine Connection
outpatient: mental
lobby
inpatient: physical
mechanical
bedded care
parking
Healing Gardens Art Therapy
=1089 SF
Horticultural Therapy
170 Carle Polytrauma Rehabilitation Center
Snoezelen Rooms
inpatient: mental
Meggan Stanton and Elyse Townley
171
+site
1 3 2
site adjacencies: key carle polytrauma rehabilitation center
patient tower addition
emergency department addition
existing lab facilities
existing support services
the forum at carle
carle guest house (fisher house)
site movement: key
entries:
public traffic medical transport traffic & drop off 1. public entry 2. staff entry public drop off emergency department tunnel 3. medical transport entry patient tower addition drop off materials & management tunnel parking garage traffic
172 Carle Polytrauma Rehabilitation Center
Meggan Stanton and Elyse Townley
173
+circulation
roof level 5 level 4 level 3
level 2 1
level 1 3
level 0 2
N
horizontal circulation: key
entries:
public traffic 1. public entry 2. staff entry clinical traffic 3. medical transport entry service traffic
174 Carle Polytrauma Rehabilitation Center
vertical circulation: key
inpatient: public outpatient: public
inpatient: clinical outpatient: clinical
Meggan Stanton and Elyse Townley
175
floor plans: key lobby
outpatient: physical
inpatient: physical
general offices
outpatient: mental
inpatient: mental
bedded care
shell space
+plan: level 0 N
0’
10’
20’
40’
+plan: level 1
a
N
80’
c
0’
10’
20’
40’
80’
c’
mechanical parking
b
b’
a’
+north elevation +north elevation
176 Carle Polytrauma Rehabilitation Center
Meggan Stanton and Elyse Townley
177
+plan: level 2 N
+main lobby
178 Carle Polytrauma Rehabilitation Center
0’
10’
20’
40’
80’
+outpatient gym
+plan: level 3 N
0’
10’
20’
40’
+therapy pool
+plan: level 4 N
80’
0’
10’
20’
40’
80’
+veterans’ memorial
Meggan Stanton and Elyse Townley
179
+plan: level 5 N
0’
10’
20’
40’
+patient room
80’
family area patient area 0’
1’
2’
4’
8’
clinical area
+patient corridor
+patient room
+section b-b’
+section a-a’
180 Carle Polytrauma Rehabilitation Center
Meggan Stanton and Elyse Townley 0’ 10’ 20’
40’
80’
0’ 10’ 20’
40’
80’
181
+implementation of nature An important concept driving the design of the Carle Foundation Hospital Polytrauma Rehabilitation Center is the incorporation of nature to improve patient healing and general well-being of all users. In the Carle PRC, incorporation of nature is done through use of daylight in interior spaces, natural views, and access to the outdoors.
+mental therapy garden
level 3
+daylighting diagram summer sun path
meditation labyrinth winter sun path
zen garden
planters with small reflecting pools
+roof garden network
physical therapy garden mental therapy garden extensive green roof
family garden staff garden
182 Carle Polytrauma Rehabilitation Center
Meggan Stanton and Elyse Townley
183
+family garden
+physical therapy garden
level 4
level 5
veterans’ memorial
shaded, private “pod” areas with different layouts
covered “porch” with different seating options
vertical garden (horticultural therapy)
+staff garden
level 4
various textural pathways covered gazebos/seating areas throughout garden
shaded track located around garden’s perimeter
main area: table and chair layout (potential cafe seating)
private “pod” layouts with different seating options
184 Carle Polytrauma Rehabilitation Center
Meggan Stanton and Elyse Townley
185
CARLE FOUNDATION HOSPITAL INTEGRATED REHABILITATION AND POLYTRUAMA CENTER AT CARLE FOUNDATION HOSPITAL MAIN CAMPUS JORDAN TRIPP AND DAVID ZIELINSKI
SELECTED FOR ITS CLOSE PROXIMITY TO THE CARLE FOUNDATION HOSPITAL CAMPUS THIS REHABILITATION CENTER WAS SITED TO TAKE ADVANTAGE OF THE EXISTING RESOURCES OF CARLE FOUNDATION HOSPITAL. THIS SITE ALSO ALLOWS THE CURRENT HOSPITAL TO MAXIMIZE ITS EXPANSION, BY CHOOSING A SITE THAT LEAVES THE ONE LARGE REMAINING SPACE FOR EXPANSION OPEN. THIS SITE LOCATION ALSO DOES NOT NEED TO INTRODUCE ANY NEW SURFACE PARKING OR PARKING STRUCTURES ALLOWING THE CAMPUS TO UTILIZE MORE OF ITS OPEN SPACE FOR CLINICAL EXPANSION. WITHIN OUR SITE OUR BUILDING SEEKS TO SERVE NOT ONLY VETERANS SUFFERING POLYTRUAMA, BUT CIVILIANS AS WELL. FURTHERMORE, THIS CENTER DOES NOT SEEK ONLY PATIENTS SUFFERING POLYTRUAMA, BUT RATHER THOSE SUFFERING WHO TBI OR PHYSICAL INJURIES ALONE. THIS FACILITY ALSO WOULD TREAT INJURIES OF BOTH VETERANS AND CIVILIANS WITH THESE SINGULAR CONDITIONS TO CREATE A FACILITY THAT HAS THE ABILITY TO ADAPT TO EVER-CHANGING PATIENT LOADS.
186 Integrated Rehabilitation and Polytrauma Center
Jordan Tripp and David Zielinski
187
PROPOSAL 1
Champaign Champign
Active Duty
Plastic Surgery Center Tampa
2
Maximum Years of Inpatient Care
Outpatient Services Campus
PHASE 3_relocation of outpatient services
OUTPATIENT PROPOSAL 1 SERVICE MODEL 2
Outpatient Services Campus North Annex
OUTPATIENT REHABILITATION SERVICES
North Annex sychatry + Interventional Pain Orthopaedics
North Annex
OUTPATIENT REHAB SERVICES
Champaign on Kirby
North Annex
hampaign on Kirby
Champaign on Mattis
Eye Center
Womens Center
Psychology & Psychatry + Interventional Pain + Orthopaedics
Womens Center
Outpatient Specialized Services Park
Eye Center
Use Financial Resources Wisely - Sharing and consolidation of resources allows Carle to utilize existing services and provides a model that supports growth and expansion of Carle Foundation Hospital’s services
Outpatient Services Campus
PHASE 3_relocation of outpatient services
Champaign on Mattis
Outpatient Specialized Services Park
PROPOSAL 1
Plastic Surgery Center
Outpatient Specialized Services Park
Plastic Surgery Center
Deliver Integrated Care - This new facility proposes a model of care that allows for diagnosis, treatment, and research to be performed in the same space. This allows all aspects of the healthcare process to meet and collaborate in one space to provide a higher quality of care for the patient.
Champaign Champign on Mattis on Kirby
Champaign Champign on Mattis on Kirby
Outpatient Specialized Services Park
tient services
Grow and Partner Regionally - New areas of research and services allow Carle to seek new and innovative partners in the field of medicine.
North Annex
Womens Center
Orthopedic
Make Care More Accessible - Planning proposal moves and consolidates outpatient facilities for ease of access for people seeking both inpatient and outpatient services.
OUTPATIENT REHABILITATION SERVICES
PROPOSAL 1
Eye Center
Orthopedic
Champaign Champign on Mattis on Kirby
Outpatient Specialized Services Park
Traumatic Brain Injury
Champaign on Mattis
Outpatient Services Campus
Polytrauma
OUTPATIENT REHABILITATION SERVICES
Beds
Plastic Surgery Center Womens Center
North Annex
North Annex
18
Champaign Champign on Mattis on Kirby
Eye Center
Traumatic Brain Injury
Psychology & Psychatry + Interventional Pain + Orthopaedics
Polytrauma
North Annex
Outpatient Services Campus
Champaign on Kirby
Beds
2
Maximum Years of Inpatient Care
OUTPATIENT REHABILITATION SERVICES
Champaign Mattis NorthonAnnex
18
Psychology & Psychatry + Interventional Pain + Orthopaedics
Plastic Surgery Center
Care Diagram
162
Active Duty
Neurological Rehabilitation Patients
Champaign on Kirby
44
PRC Patients
Orthopedic
Champaign on Mattis
Tampa
Orthopedic Rehabilitation Patients
Champaign on Mattis
San Antonio
PRC Patients Served
PHASE 3_relocation of outpatient services PHASE 3_relocation of outpatient services
252
Traumatic Brain Injury Richmond
PROPOSAL 1
Polytrauma
Veterans
Plastic Surgery Center
Palo Alto
Outpatient Services Campus
Outpatient Services Campus
90
Minneapolis
Average Days of Inpatient Care
188 Integrated Rehabilitation and Polytrauma Center
North Annex
Polytrauma Rehbilitation Centers
Beds
North Annex
18
Champaign on Kirby
Outpatient Specialized Services Park
5
Plastic Surgery Center
MISSION: To provide a facility that expands the high quality research and treatment capabilities of Carle Foundation Hospital and provide rehabilitation care for general rehabilitation patients, TBI, and polytrauma
*BASED ON 2011 FY NUMBERS, AVERAGING PATIENTS BETWEEN 6 PRC, AND A 44 DAY LENGTH OF STAY Plastic Surgery Center Champaign on Mattis
OUTPATIENT REHABILITATION SERVICES
North Annex
PATIENTS REQUIRING THE SERVICES OF A PRC ARE ENOUGH TO FILL 6 BEDS YEAR ROUND
OUTPATIENT REHAB SERVICES
Champaign on Kirby
Average Days of Inpatient Care
Campus- The high standards expected Focus on our People North Annex by the Carle Foundation hospital ensure that employees always strive to be at the top of the health care industry. New facilities provide not only healthcare, but a chance to attract top professionals in any field that will continue the standard of excellence at Carle Hospital
Womens Center
44
North Annex
OUTPATIENT REHABILITATION SERVICES
Services
Womens Center
Psychology & Psychatry + Interventional Pain + Orthopaedics
North Annex
VISION: To provide a comprehensive continuum of care for rehabilitation of polytrauma patients and enhance research and treatment methodologies
Champaign on Kirby
Eye Center
San Antonio
Champaign on Mattis
Eye Center
162
Specialized Services Park
Womens Center
Champaign on Mattis
Eye Center
Plastic Surgery Center
Champaign on Mattis
Psychology & Psychatry + Interventional Pain + Orthopaedics
Plastic Surgery Center
Champaign on Kirby
PRC Patients Served
Richmond
Benefit the Community - Broadens the patient care and research capabilities of Carle Hospital FoundaOUTPATIENT REHABILITATION tion. Additional research space provides a facility SERVICES for university researchers and outside companies a place to conduct research that will benefit future patients Outpatient
Champaign on Mattis
252
PHASE 3_relocation of outpatient services
Palo Alto
Outpatient MODEL 1 OUTPATIENT SERVICE
Veterans
Champaign on Mattis
90
Minneapolis
Psychology & Psychatry + Interventional Pain + Orthopaedics
Jordan Tripp David Zielinski
Champaign on Mattis
Polytrauma Rehbilitation Centers
PROPOSAL 1
Champaign Champign on Mattis on Kirby
Provide Value to Patients - A new facility using EviOutpatient dence Based Design and efficient planning provide Specialized patients with a proven system that provides a higher Services Park quality of care, that can reduce cost and make rehabilitation services more accessible
Champaign Champign on Mattis on Kirby
5
As part of our planning for Carle Foundation Hospital we are suggesting that Carle consolidate their existing outpatient facilities into one outpatient services Plastic Surgery Center Champaign on Mattis Eye Center Womens Center campus. Furthermore, we are pushing and outpatient services that would be part of this facility to this new outpatient campus toPsychology alleviate strain on the & Psychatry +any Interventional Pain + Orthopaedics North Annex existing Carle Foundation Hospital campus. Plastic Surgery Center
It is intended for this new facility to serve 18 Inpatients with varyPHASE 3_relocation of outpatient services ing conditions ranging from TBI to physical rehabilitation, to full on polytrauma. This facility is suited to serve veterans and civilians simultaneously. The outpatient services for our facility have PROPOSAL 1 been designed into the new proposed outpatient services model for Carle Foundation Hospital.
Spring 2013
How do we design to the values of Carle Foundation Hospital?
on Mattis HOSPITAL on Kirby CARLE FOUNDATION OUTPATIENT SERVICE MODEL
Plastic Surgery Center
ARCH 572: Polytrauma and Integration Professor William Worn
REHABILITATION CENTER SERVICE MODEL
Plastic Surgery Center
CARLE FOUNDATION HOSPITAL REHABILITATION EXPANSION
Jordan Tripp and David Zielinski
189
SITE SELECTION
SITE ANALYSIS
Clark St.
Na ion at n e t ial Ess
re tu
Ed uc
This site was chosen to utilize Carle’s existing facilities while allowing Carle to utilize its larger sites for expansion. Furthermore, this site does not introduce any additional surface parking or parking structures. Finally with connections underground allow service and patient flow between facilities.
s
nnec tion
Re so 190 Integrated Rehabilitation and Polytrauma Center
RADIAL GRID:
Selected Organizational Grid
1. Carle Foundation Hospital 2. North Annex 3. Surgi-center at Mattis and Kirby 4. Center for Wounded Veterans in Higher Education
s es
This new facility, along with the planned outpatient development, provides Carle Foundation Hospital with an efficient planning model that not only incorporates the hospital facilities, but also the Center for Wounded Veterans in Higher Education. This site allows Carle’s Facilities to be located along Lincoln Ave., allowing efficient transfer between all existing and future facilities. This planning also allows Carle to consolidate existing facilities to better utilize their own resources.
Co
CARLE LOCATIONS:
University Ave
Ac c
s ce ur
PRC
Possible Organizational Grids Jordan Tripp and David Zielinski
191
PATIENT ROOM
PATIENT BED ARRAY STUDY
FINAL PATIENT BED ARRAY
The patient room is designed to hide anything technical and provide the patient with an environment that is safe, efficient, and visually pleasing. The offset in-board bathroom allows the patient maximum view to the exterior while clinicians can maintain full view of the patient when charting. The bathroom is designed to be as efficient as possible while maintaining ADA code requirements. This allows us to maximize space within the patient room for all users.
1. PATIENT VIEW FROM BED
PATIENT PERSPECTIVE:
TYPICAL PATIENT ROOM
PATIENT ROOM SECTION 192 Integrated Rehabilitation and Polytrauma Center
The patient room is designed to take maximum advantage of the major green space along the northeast side of our site. By pushing out the window wall we have been able to allow vision to nature without the patient having to turn their head. The patient room has been arrayed along the park in order to have a majority of rooms face the park. Any rooms that do not take advantage of this view still have access to designed green areas around our facility.
1
2
2. PATIENT VIEW FROM BED Jordan Tripp and David Zielinski
193
PATIENT ROOM TECHNOLOGY
PATIENT
White
RIBBON
Brushed Aluminum
PATIENT RIBBON OPTION
ELECTRONIC THREAD
PATIENT RIBBON OPTION
PATIENT ROOM CUSTOMIZATION The patient room is designed for the foot wall to be customizable to the patients specifications. This is done by introducing the patient ribbon, which is essentially a powered peg-board, which allows the patient to add or subtract any items they desire from their individual foot wall. Because the wall is powered patients can use monitors to create a full wall of monitors to use for sharing time with family, simulation therapy that can be done within the room, and anything in between. For those who do not wish to live in a fully technological environment their is the opportunity to plug in shelves, plants, artwork, or anything else the patient can imagine. In order to reduce horizontal surfaces that can attract bacteria, any peg hole not being used “closes� using spring loaded doors. This technology is also applied to the patient head wall and nurse team stations for clinicians to incorporate into their environment. 194 Integrated Rehabilitation and Polytrauma Center
SURFACE THREAD
DECOR THREAD PATIENT RIBBON OPTION Jordan Tripp and David Zielinski
195
FIRST FLOOR PLAN The first floor plan incorporates several different programmed spaces including any entry lobby spaces, administrative spaces, diagnostic and treatment spaces, and our relaxation green space. This green space is intended to be an interior and exterior green space to be utilized at any time of year while maintaining access to the exterior. Major diagnostic space on the first level include the therapy pool and our CAREN lab, which can, at times, be utilized for outpatient therapies.
CLINICAL
Support DGSF 9800 sq. ft.
SERVICE ADMIN. PUBLIC
D&T DGSF 5100 sq. ft.
Chapel Office AL
IC
IN
CL
Office
Electrical
Admin DGSF 3400 sq. ft.
MIN
AD
Monitoring Office
CAREN Office
Programming
IC
PUBL
Office
W.C.
W.C. Patient Reacclimation Office
Media Room/ Veterans Specific Library/ Information Center
Patient Prep
Simulation Room
Office
W.C.
Circulation Diagram
Storage
Departmental Diagram
Office
Simulation Room
Locker Room
Office
Locker Room
Therapy Pool
Office W.C.
W.C.
W.C. Deep
Shallow
Office W.C.
W.C.
Equipment Storage
W.C. Office
Main Entrance Office Illinois Veterans Memeorial
196 Integrated Rehabilitation and Polytrauma Center
Educational Meeting Room
Conference
Conference
WEST ELEVATION
Jordan Tripp and David Zielinski
197
SECOND FLOOR PLAN The second floor plan contains our main diagnostic and treatment space. Utilizing a care model where diagnosis, treatment, and research are performed in the same space. We have located our Prosthetics and Orthotics Lab on the same floor to immediately utilize the main gym space for testing and design. This level includes specialty labs, the main one being our vision lab to help those who may have suffered any vision problems after their injuries. This floor pushes all of the patient spaces along the green space along the north east to maintain patient access to the space, as well as, provide a major way finding element.
Therapy Room PT/OT/Speech Quiet Treatment
Therapy Room Group
Therapy Room PT/OT/Speech Quiet Treatment
Vision Research Office
Local Storage
Vision Therapy Meeting Room
Private Gym W.C.
Vision Therapy Gym
CLINICAL
Support DGSF 4500 sq. ft.
SERVICE ADMIN.
W.C.
PUBLIC
D&T DGSF 8600 sq. ft.
Engineering Lab Module
Lounge/Relax Patient & Family
L
CA
IN
CL
Office W
D
Research Lab Module
Admin DGSF 2800 sq. ft.
Engineering Lab Module
Research Lab Module
Lounge/Relax Staff
N
ICE
ADMI
SERV
Open Gym Local Storage
Locker w/ W.C.
Locker w/ W.C.
Office
Local Storage
Office
Staff Locker
Circulation Diagram
Patient WarmUp/Cool Down
SECTION AND ELEVATIONS In section this building is designed into several key zones, administration, diagnostics and treatment, and bedded care. The facade is designed to mimic the interior program, while maintaining a feeling of safety for patients who may find floor to ceiling glass daunting. The administration wing has become the piece that anchors, our otherwise light building to the site. It was important to us that this piece remain as solid as possible, therefore there are minimal penetrations through the administration walls.
UP
Staff Locker
Office
W.C.
Exam Room
W.C.
Office
Departmental Diagram
Exam Room Office
Preliminary Testing
Oven Room Office
Research Office
Scanning Room
Workshop Laboratory
Seating and Positioning
Research Office Work Room Lamination
198 Integrated Rehabilitation and Polytrauma Center
Work Room Plaster
Machine Room
EAST ELEVATION
SECTION
Jordan Tripp and David Zielinski
199
THIRD FLOOR PLAN The third floor is continuation of our second floor diagnostic and treatment floor. Because a majority of the space on the second floor is double-heighted, it became important for us to continue the program vertically through the building. The third floor contains a majority of the research labs, including those for PTSD, and any rentable research space to be utilized by the University of Illinois or any outside research group. Specialty therapies including car therapy and the ADL Apartment are included on this floor as well. Stairs between levels two and three also become a therapy space for those with more advanced abilities.
Leaseable Research Lab
Leaseable Research Lab
Leaseable Research Lab
PTSD Closed Lab
CLINICAL
Leaseable Research Lab
SERVICE
PTSD Open Lab
ADMIN. PUBLIC W.C.
W.C.
D
D
ADL Office
W
W
Patient Relax
Support Support DGSFDGSF 1850 1850 sq. ft.sq. ft.
W.C.
F.
RE
Kitchenette
Office
Apartment Area
W
D
PTSD Research Office
IN
CL
D&T DGSF D&T DGSF 4000 4000 sq. ft.sq. ft.
AL
IC
PTSD Research Office
Lounge/Relax Staff
AdminAdmin DGSFDGSF 3300 3300 sq. ft.sq. ft.
N
ADMI
Local Storage W.C. Office
W.C.
Circulation Diagram
Departmental Diagram
Office
Staff Lockers Office Staff Lockers
Exam Room
Office Exam Room
Office
Office
200 Integrated Rehabilitation and Polytrauma Center
NORTH ELEVATION
Jordan Tripp and David Zielinski
201
FOURTH FLOOR PLAN The fourth floor is predominately bedded care and the support spaces that are required to serve the patients. Most patient beds are arrayed along the park to the north east. This fourth floor was the main driver for the form, program, and layout of the rest of the floors in the building. Because of the deep floor plate we found it necessary to introduce large light wells into our facility to allow natural light better enter our facility. Areas of refuge for our staff our important on this level, and a large amount of space has been devoted to the facilities staff for support and relaxation.
CLINICAL SERVICE ADMIN.
Nurse Station
Bedded Care DGSF 8300 sq. ft.
PUBLIC
W.C. W.C. Utility Room Clean
Living Room/Family Support
Linen Room
Support DGSF 4750 sq. ft.
Storage Medical Equipment Storage Patient Care Equipment
Quiet Room
IC
IN
CL
AL
E
IC RV
SE
Central Dining
Patient Relaxation
Nurse Station
Report Room
Admin DGSF 1300 sq. ft.
IC
PUBL N
ADMI
Team Room
Office Office
Office
Circulation Diagram
Medication Room
W.C.
Departmental Diagram
W.C.
Office
Soiled Equipment Holding
Inpatient Lobby
Utility Room Soiled Office
Staff Lockers
W.C.
Nourishment Room
Staff Lockers
Nurse Station
W.C. W.C.
Multi-Purpose Room
Staff Room/Lounge
202 Integrated Rehabilitation and Polytrauma Center
Staff Beds University Residents Shared Offices
SOUTH ELEVATION
Jordan Tripp and David Zielinski
203
1 14
PERSPECTIVES-FOURTH FLOOR The perspectives from our fourth floor are intended to show the main patient and staff areas; the patient room and the nurse and clinician teams stations. These spaces it will be noticed take on a more modern and “hard� appearance. This is contrasted by the design of space on the first floor intended for relaxation, which take on softer and warmer materials that have a familiar quality about them.
13 15-17
19 18 20
10
Fourth Floor
7
4
PERSPECTIVES-FIRST FLOOR
ENTRY LOBBY
BUILDING IMAGERY The nature of our program and the design of our building required us to design in detail some of our more important spaces, including the interior/exterior green space, the Illinois Veterans Memorial, the patient hallway, the patient room, and several exterior perspectives of our facility. All of these images are intending to show accurate materials and planting intended to be used within our facility. The following page provides the locations of the various perspectives throughout the building. Although a majority of the perspectives can be found in the next few pages several images are located within the preceding pages to better describe in detail specific areas of the building. We designed to this level of detail to better understand how patients will be introduced and interact within the main public spaces in our facility.
The perspectives from our first level intend to show many of the amenities that are part of our facility, mainly that of our interior/exterior relaxation space as well as our Illinois Veterans Memorial. These spaces are intended to draw patient, staff, and family visitors throughout the day. Furthermore, these spaces are designed as spaces of healing for the patient; more for healing the mind then healing the body.
6
AL
IC
IN
CL
MIN
8
AD
9
IC
PUBL
5
1 3 2
12
First Floor 11
204 Integrated Rehabilitation and Polytrauma Center
Jordan Tripp and David Zielinski
205
2
206 Integrated Rehabilitation and Polytrauma Center ILLINOIS VETERANS MEMORIAL
Jordan Tripp and David Zielinski
207
3
208 Integrated Rehabilitation and Polytrauma Center ILLINOIS VETERANS MEMORIAL
Jordan Tripp and David Zielinski
209
4
INTERIOR/EXTERIOR RELAXING GARDEN
210 Integrated Rehabilitation and Polytrauma Center
5
INTERIOR/EXTERIOR RELAXING GARDEN
Jordan Tripp and David Zielinski
211
6
INTERIOR/EXTERIOR RELAXING GARDEN
212 Integrated Rehabilitation and Polytrauma Center
7
INTERIOR/EXTERIOR RELAXING GARDEN
Jordan Tripp and David Zielinski
213
8
12
INTERIOR/EXTERIOR RELAXING GARDEN 214 Integrated Rehabilitation and Polytrauma Center
Jordan Tripp and David Zielinski ENTRY PERSPECTIVE
215
9
10
EXTERIOR PERSPECTIVE
216 Integrated Rehabilitation and Polytrauma Center
INTERIOR/EXTERIOR RELAXING GARDEN
Jordan Tripp and David Zielinski
217
13
218 Integrated Rehabilitation and Polytrauma Center NURSE TEAM STATION
Jordan Tripp and David Zielinski
219
14
220NURSE Integrated Rehabilitation and Polytrauma Center TEAM STATION
Jordan Tripp and David Zielinski
221
Acknowledgements Throughout the course of the semester, various individuals generously volunteered their valuable time and expertise to assist with the development of the studio. The studio would like to express our most sincere appreciation to all those who participated in being guest lecturers and critics.
COLLABORATORS
Todd Eicken, Senior Vice President, HDR David Kuffner, Cannon Design Percy “Rebel� Roberts, President and COO, VOA Associates Inc. Carle Foundation Hospital UIUC Veterans Student Support Services
222 Acknowledgements