Healthcare
GLOBAL
Healthcare Qualifications Table of Contents 1. Introduction 2. Experience 3. Awards & Recognition
Introduction
Experience
Healthcare Qualifications
Awards & Recognition
Firm Background / History: URS (originally United Research Services), with its earliest predecessor company dating back to 1904, is a global leader in planning, architectural and engineering design. Our specialized group of professionals known as URS Health is comprised of a core group of over 250 design and technical professionals devoted exclusively to health facility planning and programming, architecture and engineering and technology. Integrated Team: URS’ health planning experts and related specialists have developed facilities representing a broad range of healthcare services for our clients, including: • • • • • • • • • • • • • • • • • • • • • • • • • •
Planning Services Master Planning Programming Certificate of Need Consulting Sustainable Design + SR01 Architecture Interior Design Landscape Design Joint Commission Compliance Life Safety & Code Consulting Facility & Property Assessments Civil Engineering Traffic Engineering Structural Engineering Mechanical Engineering Fire Protection / Life Safety Systems Electrical Engineering Security & Force Protection Low Voltage / IT System Design Medical Engineering Planning Asbestos Services Commissioning Program Management Construction Administration BIM / Revit Services 3D Modeling & Animation Services
Many firms offer typical full-service capabilities. Those services highlighted are unique, best-in-class services offered exclusively by URS.
Unique Characteristics: • URS is a full service integrated planning and design firm: architecture and interior design services, partnered with a complete spectrum of all engineering and specialty services, complimented by program and construction management services. We offer tremendous depth and expertise that will be available for your project. • URS is consistently ranked by Architectural Record, Building Design & Construction, Modern Healthcare, Engineering News-Record and other periodicals in the Top 20 architecture/engineering firms • Leaders in sustainability and green practices, URS is ranked the #2 Green design firm by Engineering-News Record (ENR). • URS is well versed in LEAN principles, processes and tools including A3, 5S, Pull Planning, Kaizen Events, Gemba, 3P and more. We integrate into your LEAN process improvement initiatives as they relate to facility design, either with your in-house group leaders or with outside consultants. • We understand the need for philanthropic tools from day one. Our design team have embraced this need on several projects and will engage and inspire the community for philanthropic opportunities to deliver a world class experience. • We have many examples of developing facilities for hospital’s service lines into highly recognizable Centers of Excellence, reinforcing their brand identities to the community and the patients they serve. • Our in-house Program Management group provides an extensive project cost database that will enhance the Construction Manager’s pre-construction services, to ensure we will provide fiscally responsible design solutions that meet your budget requirements. Diversity / MWBE: URS has completed a significant amount of work ($11 billion in revenue in 2013) for Federal, State and Local governments. As a result, we have many proactive small business/diversity/MWBE subcontracting programs that will allow us to support Erlanger Health System’s commitment to achieve diversity in a way that is consistent with the overall goals and objectives of this project.
BIM Experience: URS began utilizing BIM in 2003 and quickly became a recognized leader in the implementation of BIM as a design tool. A recent example of our experience, URS coordinated and managed the shared BIM platform creating an aggregated 3D facility simulation of over 1,500,000 sq. ft. for the $768M Medical Center of Louisiana at New Orleans, which to-date is the largest allRevit project in the world. For this complex undertaking, URS and Autodesk developed interdisciplinary, inter-office strategic plans for sharing model information, coordinating change and supporting multiple design applications in a single coordination and construction management software platform. The strategies developed by URS and Autodesk included plans for transferring files between multiple locations, dividing the building into small, coordinated subsections for easier editing and managing the file as project information
developed. This project was completed either under the A-E design leadership of the Columbus office of URS.
We bring a
rich history in
planning and design.
Technology: Ensuring that we are at the forefront of the industry in technology, awareness, and collaboration, URS operates a continuous program of research and development. Regular reviews and updates to existing and new software and technology are undertaken to ensure we are gaining the best efficiencies in processes and workflows and can pass this benefit on to our clients. The foundation for projects in our current market is the “information� we transmit: graphics, schedules, reports, digital models, or many other formats. We have
Medical Center of Louisiana at New Orleans (MCLNO)
introduced a Secure Cloud Environment for which the project “information” is now universally accessible. These workflow enhancements and introduction of the Secure Cloud Environment have allowed URS to extend the use of our BIM dataset to the field on almost any device, directly in the hands of our team and yours. Utilizing Autodesk BIM 360 Field & Glue, we are able to replicate and present the current Revit model from each discipline, coordinated in the Cloud, and available for field meetings, walkthroughs, or general reference. This same technology is also used to conduct field reports digitally, and provide that information back to the project team, synchronized in the Cloud, immediately available to everyone. In this workflow, our team and yours become highly-aware of the project intricacies and make better, well-informed decisions throughout the process.
LEAN – Integrated Performance Design Process: The design of an innovative healthcare campus that anticipates the evolution of healthcare delivery must be the outgrowth of efficient and effective operations and a design solution that is flexible enough to accommodate continuous improvement over time. Our Integrated Performance Design Process targets all aspects of performance, quality, safety, environmental, energy, financial and operational for optimization. To achieve this, we will explore issues from both a Lean campus and Lean system perspective as we develop improved processes and responsive design solutions. Throughout the entire process of planning, design, and construction, the URS/Sasaki team is committed to deploying Lean tools and processes in our internal work, and to making our processes transparent and easily understandable.
Sustainability: As places of healing, healthcare organizations are presented with a unique opportunity to foster public health from a holistic perspective. A perspective that includes education, prevention, treatment and healthy facilities: facilities that will help support their commitment to healthy individuals and healthy communities. Healthcare organizations can do this by adopting sustainable design strategies that have the dual benefit of reducing operating costs and contributing to a healthier environment. Natural ventilation, access to daylight and the use of non-toxic materials make people healthier and more productive. Improved indoor environmental quality may prove relevant when treatment patients with compromised immune systems and environmentally-related chronic illnesses.
Transition Planning: Major capital projects provide the impetus for and can create new working environments that enable the owner to challenge prior thinking related to staffing, supply chain, use of technology, role of family members and interactions between patients and staff. This extensive planning process will create a set of improvement opportunities and challenges intended to be implemented in the new and renovated facility. Critical assumptions driving future performance, processes and work flow have been developed around the experience of the planning team. Our goal is to work with your leadership and staff to diagnose and recommend high value strategies to improve the primary operational issues identified throughout the planning process in an effort to facilitate a smooth transition and operationalization of the new facility.
URS uses a holistic and cost-effective approach to sustainable design, which is based on an integrated, multidisciplinary approach in all project phases. We integrate sustainability principles from project inception (including site selection) to facility construction and operation.
Introduction
Experience
Experience
Project Examples
Awards & Recognition
Performance Since 1904, URS has enjoyed the kind of tremendous success and growth that can only be accomplished with satisfied clients. URS’s primary focus is client satisfaction and, appropriately, the firm has adopted client satisfaction as the ultimate goal of its operating philosophy. Although much could be said with regard to past and current performance, perhaps the best testimony to our success is the recommendations of our past and present clients. “Thank you for the efforts of your staff at URS during the planning, design and construction phases of our new medical office building, now named the William W. Wilkins Building. Despite of the constraints of an extremely tight budget and schedule, your team produced the project on time and within our budget. We have appreciated the professionalism and extra effort put forth by URS’ team to accommodate the aggressive schedule to design and build the 110,000 sf medical office building within one year. Furthermore, the experience, talent, creativity and communication skills of your team members combined to produce an aesthetically appealing, state-of-the-art facility. The building is now complete and we are very satisfied with the results. In fact, because of the positive experience we have hired URS to provide planning, architectural design and engineering services for our next major building project on the Grant Medical Center campus.” Robert Falcone, MD, Chief Operating Officer, Grant Medical Center
“I am writing this letter to commend the outstanding work performed by the URS project team for our Second Century Project at North Colorado Medical Center in Greeley, Colorado. URS was involved in this project from the very beginning and spanned three years of programming, planning and design for the 314,000 sf, $98 million acute care hospital expansion. The project is a very important, prominent addition to our campus and includes new additions for Surgery, Women’s Services, Cardiovascular Services, Intensive Care and Inpatient Acute Care. A new entrance lobby and front door for our facility are also featured. Throughout this effort, URS has delivered and maintained a level of professionalism and expertise unmatched in our industry. The abilities of key project team members ... to listen and respond to the unique, diverse needs of administrators, board members and medical staff ensured the project would meet the vision and mission of North Colorado Medical Center. ... The commitment and dedication shown by URS has resulted in a very happy and satisfied client. I look forward to future opportunities to work with URS and its excellent people.” Harvey D. Harrington, II, RA, Project Executive, Banner Health - West
Private Patient Room
Stairwell
Neonatal Intensive Care Unit (NICU)
“I am writing to let you know of my and Southern Ohio Medical Center’s (SOMC) appreciation for the personnel and services rendered by URS in our $110 million bed tower and surgical/emergency department expansion project. As you know it was not without a few bumps in the road but overall from the initial design team to punch lists at the end, URS has helped SOMC pull off a successful once in a lifetime project that will forever change the face of healthcare in southern Ohio.” Craig Gilliland, Administrative Director of Financial Support and Facilities, Southern Ohio Medical Center
Entrance to the Heart & Vascular Center
Redesigned Cafeteria
Emergency Department Lobby
“It was just a joy to see the thought that goes into each and every color, each and every floor, each and every piece of equipment. I couldn't be more pleased with how it turned out. It's fabulous.� Cheri Vander Weide, Member of Spectrum Health Board of Directors Daughter of Helen DeVos
Radiology Department
Private Patient Room
Cafeteria
Spectrum Health Helen DeVos Children’s Hospital Replacement Facility
Healthcare Experience URS’s team of professional planners, architects, and engineers possess extensive experience in healthcare design. Projects range from small renovations to replacement or new healthcare campuses; and services provided range from planning to comprehensive architectural and engineering. Sample projects are featured on the following pages.
Spectrum Health Helen DeVos Children’s Hospital Grand Rapids, MI URS was selected to provide professional planning, architectural design and engineering services for this new, 14-story, 464,000 sq ft facility that quadupled the size of the existing DeVos Children’s Hospital. The new LEED Gold certified hospital changes the Grand Rapids skyline and raised the profile of childrens’ health care in Michigan. The Helen DeVos Children’s Hospital is part of the “Medical Mile” - the regional center for healthcare services, medical research and education.
• Pediatric ICU
floor which contains 24 private patient rooms, four (4) of which are negative isolation patient rooms and four (4) of which are protective patient environment private patient rooms.
The new facility offers expanded capacity and includes the following areas: • Family-centered patient rooms.
• Connector bridge to the neighboring Michigan •
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Street Development, which houses outpatient services. Two medical surgery inpatient floors which contain 24 private patient rooms per floor. One floor contains five (5) negative isolation private patient rooms and the other floor contains four (4) protective environment private patient rooms. One future medical surgery inpatient floor. State-of-the-art pediatric surgery department with five (5) Operating Rooms, two (2) triage rooms, two (2) recitation rooms, 18 exam rooms and 14 future exam rooms, adn a general radiology room. State-of-the-art pediatric radiology department with two (2) CT Scan rooms, two (2) MRI rooms (one 1.5T and one 3.0T located on level C, one story above the basement level), two (2) general radiology rooms, three (3) radiology / fluroscopy rooms, one (1) Dexa scan room, a nuclear med room, and a future pet / CT room planned. Neo-natal ICU floor containing 40 private patient rooms with four (4) nursing work stations.
Great detail was given to create a childfriendly, family-centered environment. Special features include:
Helen DeVos Children’s Hospital • • • • •
$286 Million 464,000 SF LEED Gold Certified 14-story Child-friendly, family-centered environment • Two medical surgery floors Services • Consulting Architect • MEP Services • Engineer-of-Record
• A healing
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environment celebrating natural elements such as water, land, sky and sun. An outdoor garden with children’s play area accessible from the main lobby. Artwork created by children with the help of area artists. Specious, private, family-centered patient rooms with floor-to-ceiling windows. Ample areas for play and entertainment, including a PlayVision interactive play area. Special amenities for families, such as a theater,
Golisano Children’s Hopsital of Central New York* SUNY Upstate Medical University Syracuse, NY
Golisano Children’s Hospital of Central New York, SUNY Upstate Medical University • $100M Constructin Cost • Completed 2009 • 240,000 GSF
Serving 17 counties in central New York, the University Hospital offers the only Level 1 trauma center, the only dedicated pediatric ED, and the only sub-specialized inpatient care for children other than newborns in addition to many other specialty areas.
The vertical expansion project replaces 198 patient beds from University Hospital in a new six-story bed tower. Built over the existing Emergency, Radiology, Surgery and Intensive Care departments, the project adds 237,000 square feet in a highly urban context. Three floors provide space for adult private bedrooms for Oncology, Cardiology and Neurosciences service lines. Two additional floors house the Golisano Children’s Hospital of Central New York. A new interstitial floor separates the new construction from the existing building. Designed as a hospital within a hospital, the new Children’s Hospital is located on the top two floors of the six-floor expansion of the University Hospital’s East Wing. Designed as an abstracted tree house, children and their families now have a dedicated entrance and reception area and a contemporary healthcare environment designed specifically for them. Providing triple the existing space, Children’s will include 35 general pediatric beds; 15 PICU beds; 10 observation beds; a hematology/oncology day hospital; and a satellite pharmacy. Careful consideration was given to integrating the vertical expansion project with existing programs and services. A separate loading dock is connected by new elevators to a new materials handling area. New public elevators serving University Hospital provides for a seamless con-nection from the main lobby to the new bed units. Existing elevators are repurposed to provide increase capacity and direct connections between the new beds and existing D&T departments.
*Project completed by staff while with a previous design firm: Greg Mare - Design Team Leader Rob Baughman - Life Satefy Code Code Analysis
Levine Children’s Hospital, Carolinas Health System* Levine, NC
Levine Children’s Hopsital, Carolinas Health System • $55M Constructin Cost • Completed 2007 • 231,000 GSF
The three primary drivers behind the development of the new Levine Children’s Hospital were: anticipated growth in the population of children in the community; the need for a physical environment which is commensurate with the high level of care provided; and the
cultural shift to family-centered care. Located adjacent to the Carolinas Medical Center entry, the new addition brings together 232 private pediatric beds dedicated to intensive care, progressive care, acute care, rehab and observation, as well as other children’s support services. Serving 32 pediatric specialties (Pediatric Cardiac Care, Surgery, Neonatal, and Pediatric Intensive Care to name a few), the patient areas are all supported by familyfriendly spaces, including lounges and a Family Resource Center featuring a pediatric health library, reading areas, computers, meeting and classroom space. Focused on family-centered care, the hospital has a dedicated entrace and registration area with a multistory atrium space to welcome the patients, families and staff. Open spaces connect the patient areas with areas for interactive exhibits, information, and respite. most important was the ability to bring together a majority of the children’s hospital functions and create a strong identity for the community to recognize and embrace as the premiere Children’s Hospital of Charlotte. Designed to be Progressive When Carolinas Health System set out to create this world-class facility, they wanted to develop an image that is welcoming, transparent, dynamic, exciting and oriented to the community. Starting from the curved glass walls that unfuld like the pages of a book, the building is designed to contract with the surrounding Carolinas Medical Enter Complex. As you approach, the scale changes and you
become aware of the three story, glass enclosed lobby, and all of the activities within. As the curved, multi-layered, blue canopy leads you into the building, you are immediately aware of the inside/outside nature of the lobby. There are a myriad of types of spaces, ranging from quiet seating to active play areas, both in the lobby and outside on the adjacent terrace. To tie all of this together, a story of “prismatic” is used to appeal to adults and children of all ages. This includes the use of a variety of materials ranging from dichroic glass and LED lighting, to a major crystal sculpture that hangs from the six story atrium and flows throughout the entry area of the lobby. A key element of the building is the public space. Overlooking the first floor, there are two additional levels of activity spaces, including the family resource center, the meditation room, administrative offices, classrooms and the children’s diagnostic center. Balconies with multiple gathering areas add to the vibrancy of the spave. Much more that a lobby, this public spave become the focal point, the community family room where people can meet, share stories and feel better.
*Project completed by staff while with a previous design firm: Greg Mare - Design Team Leader Rob Baughman - Life Satefy Code Code Analysis
Maria Fareri Children’s Hospital* Westchester Medical Center Valhalla, NY Westchester Medical Center was originally founded as a county Maria Fareri Children’s hospital whose Hospital, Westchester mission was to provide Medical Center healthcare services • $69M Constructin to county empoyees, Cost and those who could • Completed 2003 not afford private • 265,000 GSF healthcare. As a result, it was often thought of as the hospital of last resort. In the nineties, the medical center began to change that perception through a series of strategic initiatives that established several Centers of Excellence. As the only tertiary care facility north of new York City, their goal was to become the regional referral center for the most severe cases in trauma, neurosciences, transplant, heart, oncology, and women’s and children’s services. The major modernization of the Medical Center included a 265,000 square foot addition to house the Level One Trauma Center and the Maria Fareri Children’s Hospital. The Children’s Hospital includes a 52-bed Neonatal Intensive Care Unit, adjacent to their 18 bed Pediatric Intensive Care Unit and 15-bed Trauma Intensive Care Unit. Immediately connected to the NICU is a renovated Women’s Center in the adult portion of the Medical Center, allowing for the quick transfer of sick babies and convenient movement of staff, patients and equipment. Combined, the Women’s and Children’s services are located centrally to both the Children’s Hospital and the Medical Center. As a way to create a normalized environment for the customers of the medical center, as well as to ground the design of the project to the region it is located in, it was decided that the overall theme of a “Village” would guide all design efforts. Due to the rich heritage in the area, several sub-themes were created to reinforce the Village theme including: trains, boats, planes, music, painting, film, sports and nature. All of these have created multiple opportunities for philanthropy at the town, village and city levels, as well as from the local educational systems, private corpora-tions and professional sports organizations.
*Project completed by staff while with a previous design firm: Greg Mare - Design Team Leader Jim Brennan - Architectural Design
Children’s Physicians Facility, Oklahoma University Medical Center* Oklahoma City, OK The University of Oklahoma Children’s Children’s Physicians Physicians Facility Facility, Oklahoma is the first piece of University Medical the implementation Center of a master plan commissioned by the • $45M Constructin University of Oklahoma Cost Medical Center to • Completed 2008 establish the vision • 200,000 GSF for the Oklahoma University Children’s Hospital to “Create a pediatric-centered, world-class, forward-looking children’s hopsital, supportive of families, care givers, researchers, students, educators, and the surrounding community.” This vision expresses the desire of Oklahoma University Children’s Hospital to create a best-in-class healthcare environment for the patients and constituents of the campus. In kepping with the Vision and Guiding Principals, six planning issues were resolved in the following ways: Site Usage: Utilize the edges and corners of the site to organize all site functions and leverage existing assets. Create a coherent and intuitive master plan that clearly
locates site functions of inpatient, outpatient, children’s, women’s, emergency, parking, front doors, open space and service and support. Accessibility: Create a system of circulation patterns that provides easy, safe and convenient wayfinding for users throughout the hospital. Design the patient flow experience from the roadways, drop-offs, parking structures, front doors to the final destination. Circulation System: Create a system of linkages for pedestrian circulation between buildings. Link all parts of the campus with pleasant and effective pedestrian circulation. Quality of Public Space: Create an inviting, pleasant and attractive outdoor/indoor environment for the public and users of the hospital. Expand current campus successes. Image & Identity: The organization of all outdoor and indoor spaces should provide a clear understanding of the hospital and orient users toward memorable destination points and landmarks. Achieve a hierarchy of scale and setbacks that creates approachable public open space and enhances orientation. *Project completed by staff while with a previous design firm: Greg Mare - Design Team Leader
St. Mary’s Hospital for Children Modernization & Expansion* Bayside, NY The goal of this project is two-fold; to right-size the facility and provide an environment specific to the needs of the children. The addition of 102,000 SF to the existing building will allow for all 97 beds to be right-sized and a doubling in the size of the current therapy program. The modernization of the existing 78,000 SF facility will allow daily programs to expand as needed. The idea of the new expansion is to break down the scale of the building and its program units to those of a child. The 5-story bed tower is set back on the site and flanked by smaller scaled, colorful glass pavilions. These pavilions house the interactive Lobby, Therapy Gym, and Indoor Play Area; each integrated into the site as an extension of the landscape, minimizing the scale of the bed tower beyond. Furthermore, the introduction of distinctive colors and attractive textures denotes other programs of most interest to the children. Providing a Second Home The children at St. Mary’s typically stay from several weeks to several months, and providing a home-like environment is paramount to their emotional well being and rehabilitation progress. Each patient floor provides experiences similar to those found in the typical home. Each patient room provides a sense of privacy and opportunities for personal identity. The patient room and adjacent bathroom have dedicated areas for the storage of individual belongings such as slippers, bathrobes, and favorite soaps. Outside each room is a “garage” for their own wheelchair, big wheels, and rehabilitation equipment. Much of the day is spent with the children outside their rooms, whether that’s mingling with the staff at the open work areas or interacting with other children in the large Great Rooms provided on each floor. The sense of identity yet community is developed
through these unique program elements. For the parents, there are St. Mary’s Hospital for programs to help in the Children, Modernization care of their child once & Expansion at home. The Activities • 97-bed Private Room of Daily Living Training • NICU Room has all the • Addition necessary amenities • Family Centered a family and child Approach would need to master • Phased Renovation before leaving. Here • $102M the family and child • 180,000 GSF can spend several days • Completed 2013 and nights together, with the assistance of staff, training on how to adapt to their new needs, in an environment similar to what they are likely to experience. Playing to the Scale of Children With more than a doubling in size, the idea of the new expansion is to break down the scale of the building and its program units to those of a child. The simple 5-story bed tower is set back on the site and flanked by smaller scaled colorful glass pavilions. These pavilions house the interactive Lobby, Therapy Gym, and Indoor Play Area; each integrated into the site as an extension of the landscape, thereby minimizing the scale of the bed tower beyond. Furthermore, the introduction of distinctive colors and attractive textures denotes other programs of most interest to the children such as the Music Environement and the Rehabilitation Gym. The Public School, Day Care, Café, Dental Office, Salon, and Patient Unit neighborhoods all become appropriately scaled destinations for the children.
*Project completed by staff while with a previous design firm: Greg Mare - Design Team Leader
All Children’s Hospital Outpatient Care Center* St. Petersburg, Florida
Project Highlights • • • •
$54 million 250,000 SF Perinatal Cardiology Non-Invasive Cardiology • Pharmacy • Laboratories • Completed 2010
This seven-story Outpatient Care Center had the rare opportunity to become a gateway connector for patients, staff, and visitors to the many services of the new All Children’s Hospital campus. As the design for the new replacement hospital was underway, the design of the new Outpatient Care Center (OCC) began as well which is located across the street from the new hospital. The OCC contains the following outpatient/clinic
space: perinatal cardiology, non-invasive cardiology, endoscopy, hematology/oncology, infusion, plastic surgery, clinical nutrition, genetics and general pediatrics. Also included in the OCC is a patient resource center, outpatient pharmacy, and one floor dedicated to laboratories. A bridge connects the Center to the hospital across the street to the north as well as a second bridge linking the OCC to the primary parking garage to the south. In addition, a future physicians office building is planned immediately adjacent to the east.
*Project completed by staff while with a previous design firm: Greg Mare - Design Team Leader Steve Zilles - Project Architect Rob Baughman - Life Safety Code Analysis
All Children’s Hospital Replacement Hospital* St. Petersburg, Florida
Project Highlights • • • •
$194 million 672,000 SF 259 Beds Hospital within a Hospital Concept • 97 Bed NICU
The challenge for All Children’s was to plan and design a replacement children’s hospital that would allow for expansion, while improving connectivity with a nearby adult hospital. In 2000, Karlsberger began working with All Children’s Hospital in St. Petersburg, Florida, to determine how to best expand the critical care needs of the steadily growing pediatric facility. Unfortunately, the available adjacent space was too small or an occupied building stood in the way. Meanwhile, several blocks away, Bayfront Medical Center, an adult hospital with whom All Children’s has partnered for years, was experiencing similar constraints of being landlocked and needing room to grow. Despite having a substantial high-risk obstetrics service, there was a lack of connectivity
*Project completed by staff while with a previous design firm: Greg Mare - Design Team Leader Steve Zilles - Project Architect Rob Baughman - Life Safety Code Analysis
between Bayfront Medical Center and its nearby partner, All Children’s Hospital. The solution was to design a new 259-bed total replacement facility for All Children’s Hospital and to literally design Bayfront’s obstetrics services into the new pediatric hospital – a unique approach to the hospital within a hospital concept. Maternity services and well-baby care are provided by Bayfront Medical Center, which is located just one floor away from a new NICU with space for 97 infants. The stateof-the-art facility also includes a cardiovascular intensive care unit and pediatric intensive care unit, radiology/imaging services, several large surgery suites, and a dedicated pediatric emergency center.
Dell Children’s Medical Center of Central Texas Replacement Hospital* Austin, Texas The new Dell Children’s Medical Center of Central Texas offers the first-ever look at a Project Highlights trend-setting hospital that is groundbreaking not only in • $200 million its design, but in its com• 473,000 SF mitment to the environment. • 169 Beds Combined with a desire to • Was Designed to celebrate the community and Draw and Retain culture of Austin, Texas, the Leading Healthcare 169-bed hospital was deProfessionals signed to serve the medical • LEED Platinum • Completed 2007 needs of the community, to draw and to retain leading healthcare professionals, to efficiently organize the hospital’s program, and to provide opportunity for future growth. The building’s low, horizontal profile fits nicely into the surrounding area and sets the tone for the remaining acres of the brownfield site, formerly the Robert Mueller Municipal Airport, upon which it was built. Inside, the use of courtyards and natural materials, indigenous to the 46-county region the hospital serves, provide intuitive wayfinding and reflect the unique landscape of the area. One of the most distinguishing green features is the use of an on-site Combined Cooling Heating Power Plant that produces energy more efficiently and reuses its by-products. With a self-imposed height limitation of three floors above ground, the hospital also fits in nicely with the surrounding communities. The first development of a Master Redevelopment Plan for the former Robert M. Mueller Airport, the project is situated on 32 acres and will establish the architectural character of the overall 700acre “brownfield” site. The hospital was awarded LEED® Platinum certification in March of 2009, becoming the world’s first hospital to achieve this status.
*Project completed by staff while with a previous design firm: Steve Zilles - Project Architect Paul Carney - Project Coordinator Rob Baughman - Life Safety Code Analysis
Akron Children’s Hospital William H. Considine Professional Building (MOB)* Akron, Ohio
Project Highlights • $45 million • 239,400 SF • Designed for Maximum Flexibility • Accommodates Several Outpatient Programs and Medical Practices
*Project completed by staff while with a previous design firm: Steve Zilles - Project Architect Paul Carney - Project Coordinator Rob Baughman - Life Safety Code Analysis
The William H. Considine Professional Building is located on Perkins Square just across the street from the hospital’s centerpiece Centennial Building. Connected to an adjacent parking structure, it is sited to further define the rejuvenated square while maximizing views of downtown, as well as a nearby minor league ballpark. Fragments of the stone walls of the old Ohio-Erie Canal that adjoin the site inspired the outdoor terraces and auditorium that are part of the education spaces located on the lower two floors. Designed for maximum flexibility, the building accommodates several large hospital outpatient programs, along with private medical practices ranging in size from 1,000 sf to more than 14,000 sf. Conference and educational spaces include an auditorium and flexible classrooms which can be connected or used individually. The seven-story, 240,000 sf facility utilizes a brick and glass material palette that matches the hospital and relates to other historic warehouse structures in the neighborhood. A six-story atrium is a focal point of the building, providing views of the square, while orienting users of the facility. A colorful and whimsical interactive artwork called Atrium Aviation Company features a fanciful winged creature that travels the entire height of the atrium – activated by children with tokens given to them after they have visited the doctor.
Niswonger Children’s Hospital* Johnson City, Tennessee The challenge was to plan and design a children’s hospital that consolidates all of the hospital’s pediatric care services into one facility, promoting operational efficiency while creating an experience that is less intimidating and confusing to patients and families.
The design for the hospital celebrates its natural surroundings and uses the sky, wind and sun to evoke feelings of comfort and healing. The main lobby, three-story glass atrium and windowlined hallways are filled with natural light, accented by skylights of dichroic glass.
The solution was a 37-bed tertiary care “children’s hospital within a hospital” includes a dedicated pediatric ED with its own entry and treatment zone; a pediatric surgical suite with two ORs and its own pre/post op and holding/recovery areas; and several PICU, med/surg and NICU beds. A ground-level service entrance links to the existing hospital elevator core for increased privacy when transferring patients, while the first floor includes a dedicated children’s hospital entrance and lobby with various family support spaces.
The façade of the building features the unique work of artist Ned Kahn that consists of tiny metal plates suspended from a grid that when moving freely in the wind, capture the colors of the sky, the sunlight and the movement of the clouds in their reflection. The building itself resembles interlocking “puzzle pieces,” signifying the importance of the interlocking relationship between the hospital and the community it serves. Special attention was given to all of the public areas including a roof-top courtyard and multiple outdoor terraces.
Project Highlights • $35 million • 91,800SF • 37-bed tertiary care “hospital within a hospital” • Completed 2009
*Project completed by staff while with a previous design firm: Paul Carney - Project Coordinator Rob Baughman - Specifications/ Life Safety Code Analysis
Cincinnati Children’s Hospital Medical Center Cincinnati, Ohio URS provided consulting services (programming and schematic design) to DNK Architects for this state-of-the-art outpatient building. This facility houses occupational, physical and speech therapies, audiology, treatment rooms, licensed education classrooms, clinics, library, support offices and research accommodations in a six-story building on North Burnett Street, adjacent to the Cincinnati Children’s Hospital Medical Center. The Department for Developmental and Behavioral Pediatrics is the primary tenant in the building, with their world-renowned program for developmentally delayed children (including specialized service areas for autism and down syndrome patients).
Project Highlights • • • •
120,000 SF $30 million 6-Story Occupational, Physical, and Speech Therapies • Audiology
J4/C4 NICU Columbus, OH With the completion of the new patient tower at Nationwide Children’s Hospital, the renovation of the NICU was one of the first of many back fill projects. Consolidation: NCH previously served 114 NICU patients spread out amongst three wings between the third and fourth floors of their facility. NCH’s main goal was to house all the NICU beds on the fourth floor creating one center-of-care for all NICU patients; this was made possible by the move of the adjacent J4 PICU unit to the new tower giving 63,510 total sq ft available space for the NICU. The current conditions on multiple floors inefficiently spread the staff and the units’ support functions, while the new configuration optimizes staff efficiency and workflow. Interior Design/ Wayfinding: With NCH’s new 12-story patient tower came the need to refresh the remaining hospital’s image in other areas of the hospital and to enhance the staff, patient, and visitor experience. The existing C4 and J4 NICU wings were previously constructed at
different times and didn’t have a similar visual connection, so it was important to mimic the new tower’s construction finishes extending this new experience into the NICU backfill project. The challenge was to interpret the tower standards into an existing space. The journey to NICU begins in the first floor main lobby with families and visitors being directed to one destination on the fourth floor, versus the previous two destinations on separate floors. After arriving on the fourth floor, and being greeted at a central station, families and visitors are directed to one of three nearby NICU bays. Based on new hospital standards, each bay is identified with a different color. Phasing: Phased construction was essential with the need to work around the critical NICU patients, being sensitive to noise, staff access and services. The Design team worked with NCH to coordinate construction phasing with a separate 5th floor renovation project located directly above the J4 NICU
Nationwide Children’s Hospital J4/C4 NICU Expansion • $4.1 Million • 63,510 SF NICU Renovation • Consolidation of J4 and C4 Wings to creating a centerof-care for NICU patients • 114 NICU beds Services • Planning & Programming • Architecture • Comprehensive Engineering • Interiors
Spectrum Health Lemmen-Holton Cancer Pavilion Grand Rapids, MI The new, $95M, 284,000 sq ft Lemmen-Holton Cancer Pavilion was designed to serve as the hub for cancer care in the 13-county area served by Spectrum Health. It was designed to provide a seamless continuum of care and features state-of-the-art clinical technology. Major components include: Radiation Oncology - 5 vaults, HDR Brachytherapy; Ambulatory Treatment and Infusion; Diagnostic Imaging - Ultrasound, Mammography, CT, PET/ CT; 4.5T MRI on Level 2 including a copper RF shielding and steel that was required because of its proximity to two corridors; Multidisciplinary Clinics; Patient Education; Clinical Research; Laboratory Space; and Pharmacy. The main focus of the interior is the unique multilevel “Life Garden”, a six-story atrium with lush greenery, waterfalls and natural light that creates a warm and welcoming environment. The central Life Garden creates an area inside the lobby that allows patients to connect with the natural environment. Each floor has a themed garden which helps patients and families connect to nature, as well as providing aesthetic and psychological links to key patient care areas. This project received LEED Gold certification in 2009, making it the first Healthcare Facility in Michigan to be awarded this prestigious certification. LEED gold certification was based on a number of green design
and construction features: brownfield redevelopment, public transportation access, covered parking, and mitigation of the heat island effect. URS successfully used Revit to design and document the Lemmen-Holton Cancer Pavilion for Spectrum Health. The project was delivered ahead of schedule which allowed for a longer QA / QC period.
Lemmen-Holton Cancer Pavilion • • • • •
$95 Million 284,000 SF LEED Gold Certified Radiation oncology Ambulatory treatment and imaging • Diagnostic imaging • Patient education • Six-story “Life Garden” atrium Services • Architect & Engineerof-Record
Spectrum Health Fred and Lena Meijer Heart Center Grand Rapids, MI URS designed a new $137 million, 10-level tower to house a world-class cardiovascular program. The Fred and Lena Meijer Heart Center provides comprehensive cardiac care in a patient-focused environment. It accommodates the consolidated heart programs for two previously separate hospitals to form a new program that ranks as one of the largest in the state of Michigan. By having sufficient and cohesive space and state-of-the-art equipment, Spectrum is able to meet the needs of an increasing number of people who require cardiovascular care. The 330,000 sq ft facility includes: • Diagnostic Center for echocardiograms, stress tests and other non-invasive tests. • 12-room Cardiovascular Observation Unit. • Surgical Center with nine operating rooms and 19 pre- and post-operating rooms. • Intervention Center with eight catheterization rooms and 24 patient rooms. • Two Critical Care Centers each with 31 private telemetry patient rooms and 5 ultra critical care rooms. • Two Inpatient Centers each with 46 private telemetry patient rooms
• Education Center with conference room space for medical and community meetings, along with private physician offices. A three-story atrium with plants from around the world provides a quiet, soothing space in the midst of stateof-the-art medical technology.
Fred & Lena Meijer Heart Center • • • •
$137 Million 308,000 SF 10 level tower 105 private patient rooms • 19 pre- and postoperating rooms • 12 room Chest pain Observation Center Services • Architect & Engineerof-Record
MSU, College of Human Medicine, Secchia Center Grand Rapids, MI This new 184,000 sq ft, eight story medical school is a key component of the Michigan Street Development, and sited on Grand Rapids’ renowned “Medical Mile.” The College represents a new model for the medical school - with partnerships and synergy developed with the other entities that compose the “Medical Mile” - Spectrum Health, the Van Andel Research Institute, and a host of private physician partners. The Secchia Center is a medical education facility designed to accommodate a first and second year student class of 100 students each. This site includes the Dean’s headquarters and is a parallel program with the existing East Lansing campus. Telecommunications/AV play a significant role for the College of Human Medicine since faculty resources are shared between Grand Rapids and East Lansing, along with third and fourth year students located throughout the State. The College of Human Medicine utilizes a Willed Body Prosection Teaching Lab to instruct anatomy. The lab is located on the 6th floor of the Secchia Center. The Anatomy Suite includes a Plastination Lab. This resource
space is available for other institutional MSU College of and commercial Human Medicine partnerships. The Secchia Center Clinical Skills lab is located on the 5th • $90 Million floor. The majority • 184,000 SF of the instructional, • LEED Gold Certified administration, and • Student-centered public spaces are medical school located on floors 1-4. • Extensive There are two 120 telecommunications student auditoriums. and audio/visual One is a traditional lecture configuration Services and one is a Case • Architect & Study space. Engineer-of-Record The Secchia Center Ellenzweig: Design was a 100% donor Consulant funded $52 million construction project that opened in September 2010. The University secured the property while the Michigan Street Development was in construction. The design team was challenged with programming and designing a medical education program into what had been designed as a MOB under the Michigan Building Code. This is the largest off-campus facility MSU has developed. URS collaborated with Ellenzweig of Cambridge, MA. This team has also programmed a medical research facility for the College of Human Medicine. As part of Michigan State University’s commitment to sustainable design, this facility is LEED® Gold Certified.
Medical Center of Louisiana at New Orleans (MCLNO) New Orleans, LA The new Louisiana State University (LSU) Academic Medical Center (AMC) of Louisiana in downtown New Orleans will replace the existing LSU Hospital and the existing Charity Hospital. The new Medical Center will be located on a 37acre campus. The LSU AMC is a very high profile project for New Orleans and the State of Louisiana and is vital in the revitalization of this area of the city. The urban campus will also include a new VA Replacement Hospital. The combined projects will produce one of the most modern medical campuses in the United States with flood and hurricane resistant structures designed to stay online for weeks in the event of a major emergency where utilities are interrupted. The construction cost of the entire project is estimated at approximately $768 million. Use of Building Information Modeling (BIM) The entire project was designed, simulated and documented for construction on a shared BIM platform to create an aggregated 3D facility simulation of 2,000,000 sq ft. This was the largest single-platform, all discipline BIM model of its kind in the world. URS and Autodesk (the BIM software provider) developed the interdisciplinary, inter-off strategic plan for sharing model information, coordinating change, and supporting multiple design applications in a single coordination and construction management software platform. The strategies developed by URS and Autodesk included plans for transferring files between multiple locations, dividing the buildings into smaller, coordinated subsections for easier editing and managing the file as project information developed. The design model was used to
validate ideas about space and system efficiency as well as confirm with stakeholders in 3D the quality of space and arrangement of resources and equipment.
LSU Academic Medical Center • $768 Million • 2 Million SF • Largest singleplatform, all discipline BIM model of its kind in the world
Through the use of the BIM data strategies, changes to the design were Services synchronized between • MEP Services • Electrical disciplines within Engineering minutes to maintain fluid development NBBJ: Architect-ofand minimize lost Record time resolving system and design conflicts. Scheduled coordination and review sessions included model-based clash detection addressed inter-disciplinary synchronization as the design progressed. As part of the design process, the team used interoperable file formats and customized software tools to maintain connections between Architectural, Engineering, Simulation and Civil design software platforms.
Cleveland Clinic Avon, Oh Cleveland Clinic Avon is a new healthcare campus situated on a 40-acre site on the western edge of Greater Cleveland and on the eastern side of Lorain County. The facility expands the Clinic’s range of services to the area and its commitment to these communities. The initial phase of the project is comprised of two major structures: a four-story Family Health Center of approximately 125,000 square feet, and a twostory ASC (Ambulatory Surgery Center) of 70,000 square feet. The ASC houses an outpatient surgery center, free-standing Emergency Department with 24-hour service, and an Imaging Department complete with a Women’s Health Suite, Nuclear Medicine, CT, and MRI. The two structures are linked by a central two-story atrium that contains a retail pharmacy, conference center, and cafe. The inspiration for the design of the project was based around the patient experience and connection to the surrounding wooded site. This is first experienced as the entry boulevard brings the visitor into the site, traveling down the central green then finally received by the expansive entry canopy. Once in the central atrium, the visitor has direct connection to all major wings of the facility for ease of accessibility and building navigation.
Cleveland Clinic Richard E. Jacobs Health Center • $100 Million • 125,000 SF Family Health Center • 70,000 SF Ambulatory Surgery Center (ASC) • ASC Houses a Freestanding ED, Imaging Dept., Nuclear Medicine and MRI Services • Architect & Engineer-of-Record
Cleveland Clinic Toronto, ON Cleveland Clinic Foundation, Executive Health Center • $6 Million • 24,000 SF Health Center • Includes Radiology Suite, Outpatient Procedure and Endoscopy Suites, Exercise and Physiology Space, Physicians Offices Services • Architecture • Comprehensive Engineering • Interiors
URS provided professional architectural, engineering, and interior design services to develop a new outpatient care facility for Cleveland Clinic in the Province of Ontario. Located on the 30th floor of the BCE Building in downtown Toronto, Cleveland Clinic Canada was designed to serve two distinct service lines for patient care delivery, an Executive Health Center as well as a Health Solutions clinic and ambulatory center. The program for this 24,000 square foot facility includes exam rooms, radiology suite, outpatient procedure and endoscopy suites, a pre-procedure and recovery unit, exercise area and physiology space, nutritional counseling and abbreviated food service, as well as administrative and physicians offices. The design team for this project met the challenge of creating a successful design given a number of unique circumstances associated with fulfilling patient care standards in a high rise building on an urban site as well as accommodating an accelerated schedule for both design and construction.
Cleveland Clinic West Palm Beach, FL URS provided professional architectural, engineering, and interior design services to develop a new outpatient care facility for Cleveland Clinic in on both the 1st and 14th floors of a new office building in West Palm Beach, Florida. To accommodate the functional requirements of the medical program, engineering systems were designed to provide make up air and exhaust beyond those of a standard base office building. This Cleveland Clinic facility incorporates high- end design and finishes as well as incorporated sustainable design principles. Sustainable design will include consideration for utilizing recycled products, mitigating volatile organic compounds (VOCs), maximizing daylighting to all interior spaces, providing recycling stations and enclosing copy machine areas. The program for this 26,000 square foot facility includes exam rooms and a radiology suite including general x-ray, bone density, mammography, and
ultrasound. A future phase will include an ambulatory surgery suite with endoscopy suites and a 10-patient pre/postop area as well as support spaces as required. In addition, a 19,000 square foot radiology component on the first floor includes an MRI and CT center.
Cleveland Clinic Florida City Place Tower • $4.2 Million • 26,000 SF Outpatient Care Facility • 19,000 SF Radiology Department Services • Architecture • Comprehensive Engineering • Interiors
Wayne HealthCare Greenville, OH Wayne HealthCare Additions & Renovations • $29 Million • 105,000 SF Addition & Renovation to the Existing Facility • New Main Entrance • 12,400 SF Emergency Dept., Imaging, Women’s Health • Includes 3,000 SF of Flexible Space Services • Planning • Architecture • Comprehensive Engineering • Interiors
URS was selected by Wayne Hospital to provide professional planning, architectural design and engineering services for a four-story, 105,000 sq. ft. addition and renovation of its existing facility in Greenville, Ohio. A new main entrance opens to a three-story atrium lobby that serves as the Hospital’s circulation hub, with easy access to registration, the elevator bank, and new ground-floor services such as the 12,400 sq. ft. Emergency Department, Imaging, Women’s Health, Blood Draw/ Lab, Ambulatory Care Center and Dietary/ Central Stores. The main entry lobby also
serves as a much needed community gathering place, with open flexible space for community functions such as health fairs, celebrations, etc. The second floor provides access to the existing hospital as well as 3,000 sq. ft. of flexible space. The third floor houses a new, 24,400 sq. ft. Surgery Department, including PrePost, PACU and CSS, and is designed with the flexibility to add a future ICU Department. The fourth floor holds new mechanical, medical gases and electrical systems. The project is designed to accommodate a two-story bed addition.
Wayne HealthCare, Oncology Greenville, OH Wayne HealthCare Oncology Project Additions • $4.7 Million • 12,500 SF Addition to the Existing Facility • Design included accommodations for future technologies and services Services • Planning • Architecture • Comprehensive Engineering • Interiors
The Wayne Oncology Center located in Greenville, Ohio is a 12,500 square foot addition to an existing outpatient services center. The Oncology Center project provides services for radiation oncology including a linear accelerator room and a simulator room. The medical oncology services include a spacious infusion area with ample daylight looking out into a private garden. Supporting services include exam rooms, procedure rooms and a laboratory complemented by a multi-story entry and waiting area accentuated with skylights. An office suite has been designed for the Cancer Society of Darke County, the locality in which the Oncology Center is located. The layout of the project was planned for expansion and to accommodate future technologies and services.
Currently the residents of Greenville and Darke County need to travel approximately one hour to Dayton, Ohio to receive these types of cancer care treatments. By combining all of these services at one location, conveniently located in the community, travel time for patients and their family members is greatly reduced. URS worked closely with the physicians, nurses and other caregivers that will operate this facility through a series of user group meetings to develop and refine the final design and amenities of their new facility.
Westerville Health Center Campus Westerville, OH OhioHealth Westerville Health Center Campus • $35 Million • 200,000 SF New Build • Multi-Phased Construction • Greenfield Site • Parking Area Services • Planning • Architecture • Comprehensive Engineering • Interiors
OhioHealth selected URS to develop this new medical campus in rapidly growing northeast Columbus. A first-of-itskind facility in central Ohio, the campus brings together many of OhioHealth’s clinical specialties—from primary care and physician services to imaging services, surgery, rehab and, ultimately, up to 100 inpatient beds—in a convenient and patient-friendly setting. URS provided master planning services associated with the development of a multiple phased scenario to accommodate initial client needs, as well as projected growth .
Situated on 42 acres of land, the medical campus incorporates the development of three buildings totaling nearly 200,000 square feet built in three phases: Phase One: included the construction of approximately 173,400 sf including outpatient Surgery Center, as well as the shell of a Health Center, connecting structure, and related site/parking features. Phase Two: involved the tenant “fit-out” of the Health Center and completion of related site and parking features. The spaces included the following specialties: Urgent Care, Physical Therapy, Occupational Therapy, Clinical Lab, Inter ventional Radiology, Preventative Medicine.
Surgical Heart Center Columbus, OH Surgical Heart Center at Grant Medical Center • $60 Million • 167,500 SF New Build • Multi-Phased Construction • 18 State-of-the-art Surgical Suites • Pre/Post-Op Suites, PACU Services • Planning • Architecture • Comprehensive Engineering • Interiors • Telecommunications
Grant Medical Center is the primary downtown Columbus hospital of the Ohio Health System. The vision of Grant leadership is to become the downtown provider of choice by building on the Medical Center’s leadership in surgical service and quality patient care/services, and to capitalize on current and proposed downtown revitalization and development plans. First, a new six-story, 110,000 square foot Medical Office Building (MOB) was constructed on an adjacent site to serve as a replacement for Baldwin Tower offices, an outdated, 50-year-old nursing school that served as physician offices. With the MOB completed, the Baldwin Tower offices
were demolished—a historic, controlled urban implosion—to create the footprint for the key component of the master plan: a new 167,000 sf, four-story Surgical and Heart Center. This project also included the renovation of approximately 30,000 square feet of adjacent space. The completed building is architecturally defined by a two-story lobby space that serves as Grant’s new front door to the Columbus community. Patient access is facilitated by drop off / queuing lanes, temporary parking for valet service, and direct vehicular access to the parking garage.
2007
Build Ohio Award by General Contractors of Ohio
Doctors West Columbus, OH OhioHealth Doctors West Hopsital Heritage Osteopathic Medical Education Center and Emergency Expansion • $12 Million • 37,000 SF State-ofthe-art Emergency Dept. • 33,000 SF Medical Education Center • Two Medical Simulation Labs Services • Planning • Architecture • Comprehensive Engineering • Interiors • Site Development
URS was selected to provide professional architectural, management, and engineering services. The 70,000 sq. ft. hospital expansion includes a state-of-the-art emergency department on the first floor and The Heritage Medical Education Center on the second floor. The medical education space includes an open lab, an anatomical lab with cadaver cooler, two medical simulation labs with a control room located between them, two virtual reality/computer labs, a medical education library/ resource center, residents’ sleep rooms, a 300-seat auditorium, conference rooms, offices and associated support spaces. The Heritage Education Center
embodies the Hospital’s commitment to becoming the nation’s leading training site for osteopathic medical education. Above all, the new expansion is the result of the continuous vision to be “the place where people want to work, physicians want to practice, osteopathic physicians want to train, and - most importantly - where people want to go when the need healthcare services.” The new addition consists of a two-story, above grade structure. The addition connects the existing floors of the hospital on the first floor level and second floor level.
Southern Ohio Medical Center Portsmouth, OH Southern Ohio Medical Center offers an important community-building goal: to be its region’s premier healthcare provider. To this end, SOMC underwent a major, $110 million expansion and modernization of its main medical campus in Portsmouth, Ohio. Driven by the expanding needs of a growing population, the plan includes Emergency Services, Surgery, a Heart Center, 102 private patient rooms, a new main entrance and lobby, and additional parking. The new five story patient tower sits predominately as the focal point of the campus, creating a new entry lobby with central registration. Clear visibility from the lobby to the Same-Day Surgery, a Heart Center and Patient Tower area simplifies way finding. Integrating the parking and covered drop-off with the site topography creates an inviting stepped terrace entrance to the hospital. Separating the patient tower from the emergency / surgery addition allowed the new Heart Center to be open to provide its vital services to the community ten months ahead of the original schedule. Both projects consist of 230,000 sf of new space and 100,000 sf of renovated space.
Southern Ohio Medical Center • $110 Million • 230,000 SF new space • 100,000 SF renovated space • Five-story patient tower • 102 private patient rooms Services • Architect & Engineer-of-Record
North Colorado Medical Center Second Century Project Greeley, CO North Colorado Medical Center (NCMC) serves as a regional medical center for southern Wyoming, western Nebraska, western Kansas, and northeastern Colorado. Banner Health invested $63.5 million in a 285,500 sf, four-story addition to remedy regional service voids, outdated technology, undersized surgical facilities, and non-ADA compliant inpatient beds. The NCMC expansion combines the latest healthcare technology with a fresh, hospitality driven brand identity to enhance NCMC’s place as the premier healthcare provider in the region. Dedicated in November of 2005 primary elements of the new facility addition include 86 new acuity adaptable, private patient rooms featuring natural light to promote healing, the new Cardiovascular Institute of North Colorado, new Monfort Family Birth Center featuring a new neonatal intensive care nursery, and replacement surgery center, central sterile processing unit and new Intensive care unit. Patient-centered amenities, services and organizing elements characterize and differentiate NCMC’s interior space from the former structure as well as from competing healthcare providers. Abundant natural elements—including a light-filled four-story atrium, a sunken garden that can be viewed by surgical preand post-operative surgery patients, and multiple “healing
water” features—enhance patients’ and visitors’ experiences. A natural palette and local material choices, such as wood, slate and stone, establish a professional, yet warm tone congruent with the ranch background of the region as well as the quality care each patient receives.
Banner Health North Colorado Medical Center Second Century Project • $63.5 Million • 285,500 SF • 86 private patient rooms • Monfort Family Birth Center • Cardiovascular Institute of North Colorado • Patient-centered amenities
A careful balance beServices tween image / comfort • Architect & Engineerand cleanliness / infecof-Record tion control / durability was achieved through deliberate furnishing and finish choices. The warm and functional interior scheme continues throughout the hospital, where each floor is designed around a separate color to aid wayfinding. Design choices for specialized departments promote privacy and relaxation for patients and families.
The Heart Center The Christ Hospital* Cincinnati, OH The Christ Hospital has a long and rich tradi-tion of service to the residents of Cincinnati. While this • New Cardiac tradition has included Diagnostic Unit, 4 the provision of high New Pre-Op/Cvnr quality cardiovascular Rooms, 16 New C/Vicu Rooms, 12 services, recent market New Sicu Rooms developments, coupled • $77M Constructin with the need for program Cost and facility improvements, • Completed 2003 have produced serious • 193,000 GSF challenges to this program’s continued success. As one of the pre-eminent strategic services for Christ Hospital, senior leadership determined that a reorganization and upgrade of the facilities was necessary.
The Christ Hospital Heart Center
The goal of the cardiovascular center project was to provide the highest quality referral center for cardiovascular services within the Health Alliance network. The main enhancements to Christ Hospital include a 109,600 square-foot addition and 83,500 square feet of renovations. Key cardiovascular related components include a multi-purpose interventional operating room, an additional catheterization lab, renovated cardiac catheterization preparation and recovery area, replacement of the existing electro physiology lab plus an additional EP lab, creation of a new cardiac diagnostic unit in the emergency room, 4 new pre-op/CVNR rooms, 16 new C/VICU rooms, 12 new SICU rooms, and 40 C/V step down beds. Patient benefits include the ability to provide quality outcomes in an environment of reduced lengths of stay. Medical and hospital staff benefits include the increase in retention and recruitment while improving staff morale. Another major benefit is the simplification of patient, staff and material flow for the cardio-vascular program. The exterior design creates a strikingly modern image, reflecting the high tech facilities and leading edge services provided within. This signature design is an announcement to the community that Christ Hospital is committed to providing the highest quality services it has long been known for.
Cardinal Health-The Ohio State University PET and Pharmacy Renovations Columbus, Ohio
Key OSU Cardinal Health Shared Space V1,V2: Cyclotron Vault
URS designed the renovation and expansion of an existing building at SciTech, a nonprofit research collaborative adjacent to the campus of The Ohio State University. The renovated facility will provide a home to create and research short-lived radioactive agents for medical imaging. The facility is designed to incorporate two cyclotrons and a compounding pharmacy used in the creation of radioactive isotopes. The isotopes are used in positron emission tomography (PET), which enables faster, more frequent images which, in turn, allow physicians to visualize images of various biological processes in anatomical, structural, and molecular depictions. For oncology treatment, these images provide valuable information in the assessment and extent of disease. As a result, physicians
can make more informed decisions for patient management through detection, diagnosis and prognosis, staging (extent and location), assessing therapeutic targets, monitoring therapy and evaluating response to therapy (clinical applications). Accommodating research and isotope manufacturing work flow and the 23ton cyclotrons in the existing building presented significant challenges. One cyclotron is housed in an addition to the building. The other was dropped into the building after new foundations were created within the existing structure and the roof and roof structure removed. The cyclotrons then share a common electronics room where the newly created radioisotopes are packaged for distribution to treatment applications at area hospitals and treatment centers.
Project Highlights • Facility Will Provide Home to Create and Research Radioactive Agents • Designed for 2 Cyclotrons and a Compounding Pharmacy
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Morehouse Concourse Molecular Imaging Expansion, The Wright Center of Innovation in Biomedical Imaging, The Ohio State University
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The Wright Center for Innovation in Biomedical Imaging at The Ohio State University was created in 2003 when Dr. Michael V. Knopp received a $9.1 million Third Frontier Grant from Ohio Governor Bob Taft and $8 million from BRTT (the Biomedical Research and Technology Transfer award) - the largest ever awarded to a medical researcher at OSU. The project is also known as the “Biomedical Structural, Functional and Molecular Imaging Enterprise.”
some with a half-life of only 20 minutes, which is conducted at the Wright Center is made possible by the availability of a nearby nuclear pharmacy also designed by URS.
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Dr. Knopp is the Novartis Pharmaceuticals Corporation Chair for Imaging Research at OSU. He is recognized internationally as an expert in the research and clinical applications of magnetic resonance imaging (MRI), positron emission tomography (PET), and computed tomography (CT). His own research involves imaging of angiogenesis and therapy response monitoring, cardiovascular imaging, assessment of molecular and functional imagery and contrast agents. Non-invasive diagnostic investigation utilizing radioactive fluids,
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URS planned and designed the expansion of the Wright Center of Innovation to accommodate current installation of the new Philips Gemini TF PET/CT hybrid imaging system (Nuclear Cardiology) with enhanced digital capability; and future installation of the Philips Ingenuity TF PET/MR (with Achieva 3.0T MRI) and the Philips Ingenia 3.0T MRI. Working with equipment vendors that supply imaging equipment URS determined infrastructure and functional requirements (including a new 480 volt electrical service) to accommodate all technology. Internal flow was carefully planned to provide maximum operational efficiency and optimal patient experience. URS provided full Planning, Architecture, Engineering and Interior Design services for the project.
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• URS Planned and Designed the Expansion • New Philips Gemini TF PET/CT Hybrid Imaging System • New Electrical Service to Accommodate all Technology
Introduction
Awards & Recognition
Experience
What we have accomplished
Awards & Recognition
Awards Alpena General Hospital, Alpena, Michigan • Design Award - Illuminating Engineering Society of North America - West Michigan Chapter • Exhibition of Architecture for Health - American Hospital Association and the American Institute of Architects • Design Award - American Institute of Architects - Grand Valley Chapter • Design Award - Masonry Institute of Michigan Bethesda Medical Center at Arrow Springs, Cincinnati, Ohio • Merit Design Award - Architectural Award Cleveland Clinic Foundation, Center for Medical Magnetic Resonance, Cleveland, Ohio • American Institute of Architects Design Award DeVos Children’s Hospital Pediatric Radiology, Grand Rapids, Michigan • Award: 2004 Vista Design Awards-Honorable Mention Honorable Mention Grand Valley Blood Center, Grand Rapids, Michigan • Distinguished Building Design Award - American Institute of Architects - Grand Valley Chapter • Honor Award for Excellence in Masonry Design - Masonry Institute of Michigan Grant Medical Center Revitalization, Columbus, Ohio • Build Ohio Award, Association of General Contractors of America Helen DeVos Children’s Hospital, Grand Rapids, Michigan • Engineering News Record (ENR Magazine) Midwest Best Projects Award for the category of Health Care • West Michigan Business Review Green Award • American Society of Landscape Architects Award, Michigan Chapter, Merit Award, Landscape Architectural Design • Engineering Society of Detroit – Construction & Design Award • International Interior Design Association, Michigan Interior Design Excellence Awards, Sustainable, over 10,000 sf • National Vision Awards Flooring Competition – Floor Focus Magazine Lakeshore Area Radiation Oncology Center, Holland, Michigan • Featured in AIA Health Facilities Review Publication Lemmen-Holton Cancer Pavilion, Grand Rapids, Michigan • AIA Grand Valley Chapter Honorable Mention, Building Category Mary Free Bed Outdoor Therapy Rehabilitation Center, Grand Rapids, Michigan • Merit Award - American Society of Landscape Architects Michigan Veterans Facility, Grand Rapids, Michigan • Landscaping Award of Excellence - Michigan Association of Nurserymen
Mount Carmel West New Education Center, Columbus, Ohio • Award of Excellence by the Associated Builders & Contractors Pine Rest Christian Hospital - Jay and Betty Van Andel Center, Grand Rapids, Michigan • Award of Excellence in Institutional Construction - Associated Builders & Contractors, Inc. Spectrum Health –Grand Rapids, Michigan • 2001 Technology Award for Chiller Replacement – ASHRAE • Spectrum Health, South Tower Addition – 2004 ABC Construction Award The Synergy Suite, University Hospitals at Landerbrook, Mayfield Heights, Ohio • Cleveland Interior Design Award, Honorable Mention Wishard Primary Care Center, Indianapolis, Indiana • Featured at the 1997 Exhibition of Architecture for Health
Recent Publications 2011, CAM Magazine, Special Construction Issue, “Building a Circle of Healing,” Helen DeVos Children’s Hospital 2011, Architectural Showcase, Healthcare Design, Spectrum Health, Helen DeVos Children’s Hospital, Grand Rapids, Michigan 2011, The Grand Rapids Press Editorial Board, New Children’s Hospital, Heart Transplant Program Burnish Grand Rapids’ Reputation as Medical Destination 2011, Rapid Growth Media, The Helen DeVos Children’s Hospital is the New Kid on the Block 2011, Architectural Showcase, Healthcare Design, Wayne Healthcare Addition, Greenville, Ohio 2010, Healthcare Design, “An eye toward the future”, September 2010, Architectural Showcase, Healthcare Design, Westerville Medical Campus, Westerville, Ohio 2009, Architectural Showcase, Healthcare Design, Spectrum Health, Lemmen-Holton Cancer Pavilion, Grand Rapids, Michigan 2008, Architectural Showcase, Healthcare Design, Grant Medical Center, Surgical and Heart Center, Columbus, Ohio 2006, Architectural Showcase, Healthcare Design, Banner Health, North Colorado Medical Center, Greeley, Colorado 2007, The New York Times, Grand Rapids Lays Foundations for a Health Mecca, Michigan Street Development – Health Hill
Speaking Engagements 2012, Design with Impact Canadian Association of Pediatric Health Centres, Vancouver, British Columbia, Mr. Greg Mare, AIA, EDAC 2011, Healthcare Design Conference Nashville, roundtable session “Family Centered Design and Its Impact on Healing: A Case Study from the Helen DeVos Children’s Hospital” 2011, Health Facilities Institute Hilton Head, “LEED Gold, It’s More than just the Points” 2011 Clean Med-Phoenix LEED Gold, It’s More than just the Points” 2011, Two Hospitals, Two Countries, Two Leaders: Making Connections NACHRI Creating Connections Conference, Baltimore, Maryland, Mr. Greg Mare, AIA, EDAC 2011, Little Patients, Little Patience: Operational Efficiency in Ambulatory Care NACHRI Annual Leadership Conference 2011, Bellevue, Washington, Mr. Greg Mare, AIA, EDAC 2011, How Do I Get My Next Project: An Architect / Owner Dialog on Selection Healthcare Facilities Symposium & Expo, Chicago, Illinois, Mr. Greg Mare, AIA, EDAC 2010, Ohio Health Association Annual Meeting Speaker “Planning and Implementing a Major Hospital Addition,” Mr. Mark Dye, ALA, CDT 2010, Health Facilities Symposium Chicago, “LEED Gold, It’s More than just the Points” 2010, Healthcare Design Conference Las Vegas roundtable, “Ergonomic Design in Healthcare Facilities” 2010, The Elephant in the Room: Innovation and Evidence-Are They Compatible? Healthcare Design 2010, Las Vegas, Nevada, Mr. Greg Mare, AIA, EDAC 2009, The Green Patient Lab 3.4kids: The Simulated Environment Proposition NACHRI Fall Meeting, Orlando, Florida, Mr. Greg Mare, AIA, EDAC 2009, Critical Analysis of Two Distinct Patient Room Designs ASHE / PDC, Phoenix, Arizona, Mr. Greg Mare, AIA, EDAC 2009, Dublin Methodist Hospital: Update to the Pebble Partners Pebble Partners Meeting, Eugene, Oregon, Mr. Greg Mare, AIA, EDAC 2009, Managing Expectations ASHE / PDC, Phoenix, Arizona, Mr. Greg Mare, AIA, EDAC 2009, Fundraising and the Design Process NACHRI Creating Connections Conference, Nashville, Tennessee, Mr. Greg Mare, AIA, EDAC 2009, Capital Campaign Fundraising and the Design Process Healthcare Facilities Symposium & Expo, Chicago, Illinois, Mr. Greg Mare, AIA, EDAC