Seattle Children's Building Care: Diagnostic and Treatment Facility

CHILDREN’S HOSPITAL ASSOCIATION Facilities Forum Tour | May 17-18, 2022

SEATTLE CHILDREN’S

Building Care: Diagnostic and Treatment Facility

SEATTLE CHILDREN’S Building Care: Diagnostic and Treatment Facility

OWNER

Seattle Children’s

DESIGNERS ARCHITECT OF RECORD

OWNER‘S REPRESENTATIVE

ZGF Architects LLP

LOCATION

SiteWorkshop LLC

Seneca Group

Seattle, Washington COMPLETION DATE

December 2022

LANDSCAPE ARCHITECT

CONSULTANTS MECHANICAL/PLUMBING ENGINEER AND SUSTAINABILITY CONSULTANT

SIZE

Affiliated Engineers, Inc.

New Construction

Stantec Consulting Services Inc.

468,000 SF total Hospital Build-Out: 320,200 SF Parking Garage: 148,420 SF 286 cars Hospital Renovation

6,840 SF

Sustainability Certifications

LEED BD+C Healthcare v4 Gold Salmon Safe

ELECTRICAL ENGINEER

CIVIL/STRUCTURAL ENGINEER

Coughlin Porter Lundeen FIRE PROTECTION

McKinstry

BUILDING ENCLOSURE CONSULTANT

RDH Building Science

WAYFINDING/ ENVIRONMENTAL GRAPHICS

Target Energy Use Intensity (EUI):

Studio SC

* For comparison, a typical U.S. hospital EUI is around 234 kBtu/sf/year

Sellen Construction

116.4 kBtu/sf/year*

GENERAL CONTRACTOR

Long Range Master Plan (LRMP) and Major Institution Master Plan (MIMP)

OVERVIEW ZGF has served as the lead architect for all new construction and renovations for Seattle Children’s Hospital (SCH) for the last 16 years. Beginning in 2006, ZGF was hired to lead SCH through a 15-year Long Range Master Plan (LRMP) and Major Institution Master Plan (MIMP) to gain approval to expand the facility by over 1 million square feet. ZGF worked with over 200 clinicians, staff, patients and families to develop the master plan while affirming SCH’s vision for the campus, a projection of their programmatic needs

for 15 years, an estimate of the cost of development, and identification of first facility needs under the new MIMP. The LRMP also developed a housing policy and program to address the need for safe and affordable housing near the hospital for staff and patient families in need.

Following the completion of the Long Range Master Plan, ZGF designed the first phase of expansion—the 330,000 SF Building Hope bed tower, also known as Forest A, for the hospital’s intensive care

Building Hope: Cancer and Critical Care Expansion / Friends of Costco Building (Forest A)

and cancer patients—on an existing 28.5acre site within the residential Seattle neighborhood of Laurelhurst. Given the sensitivity of the hospital expansion in the close-knit neighborhood, SCH encouraged early community input which included an extensive public outreach program, leading to ZGF’s recommendation that the hospital purchase land adjacent to the campus used for the first phases of new development.

The new site, on the lowest grade of the campus, preserved important views.

Forest A includes 192 beds dedicated to pediatric cancer care. Because SCH is a teaching hospital affiliated with the University of Washington Medical Center, the Fred Hutchinson Cancer Research Center, and Seattle Cancer Care Alliance (both designed by ZGF), the bed floors are oversized to accommodate “rounding” of teaching teams at bedside, in circulation nodes, and in care team zones.

Building Care: Diagnostic and Treatment Facility (Forest B) The second phase of expansion on the main campus—the 468,000 SF Building Care: Diagnostic and Treatment Facility, also known as Forest B—will deliver critical diagnostic and treatment services to the region’s sickest children. It will serve as the new front door to Seattle Children’s, connecting both physically and programmatically to the existing campus.

Patients, families, and staff will arrive into a three-level, amenity-filled atrium—the new heart of campus.

The clinical program includes a clinical laboratory; pharmacy; interventional, cardiac, and general surgery suites; sterile processing; cancer and blood disorder

clinics; and inpatient beds. Clinical spaces connect horizontally through skybridges to services in adjacent hospital facilities to further the care continuum. To simplify the complex building connections on levels 1, 3, and 7, the architects designed ‘trail maps’ to guide users through campus.

Additionally, ZGF has completed nearly 100 renovations within the main campus buildings and numerous campus outpatient facilities. SCH and ZGF’s shared commitment to sustainability and high-performance design has led to highly energy- and water-efficient LEED Gold® buildings.

FOREST C

Forest B Program Stack PROJECT COMPONENTS New Front Door for Campus

BEDS

SURGERY

• Lobby, Event Space, Coffee Shop

SURGERY

Patient Care

CBDC CLINIC + PHARMACY

• Cancer and Blood Disorder Clinic (CBDC), Inpatient Beds

LAB + STERILE PROCESSING CBDC CLINIC LAB RETAIL PHARMACY + FUTURE IMAGING LAB SUPPORT PARKING PARKING

ENTRY/LOBBY

Diagnostic and Treatment ED PARKING

• Surgery, Lab, Pharmacy, Sterile Processing

Design Process Over the course of 18 months and 55 immersive programming and design workshops with hospital leadership, care teams, staff, and family representatives, ZGF and Seattle Children’s developed an operationally efficient, patient-centered model of care for this transformative new building.

Before Building Care was ever built, it was mocked up floor by floor using acres of cardboard (yes, acres!). Full-size mock-ups are an important design tool to enable the project team and end-users to physically see and feel a new space. During design workshops, user groups walk through the space and run simulations to see how it will be operationalized once built. Real-time feedback and design changes can be implemented practically overnight.

As Seattle Children’s continues to grow, Building Care has been designed to maximize flexibility and allow for seamless connections to future expansions.

Warehouse used for full-size mock-ups using cardboard

Project team and end users run simulations in the warehouse

User groups walk through the mock-up to physically see and feel the space

Unique Features

Laboratory

• Building Care brings the forest floor to the heart of the city. Seattle Children’s story unfolds throughout the building like rings of a tree, with elements of nature inspired by the hospital’s Pacific Northwest roots. An interactive “trail map” in the main lobby guides visitors through campus, starting in the Forest zone with Building Care and connecting seamlessly to existing services in River, Mountain, and Ocean zones.

Highly flexible laboratories allowing rapid reconfiguration.

Centralized Pharmacy

Continuous + Patient Kit Combo - Patient kits are assembled every 2 hours for oral medications. Kit contents are prepared in independently functioning cells and not on the line. IV medications are no longer a part of the kit, they are produced continuously and delivered.

Cancer and Blood Disorder Clinic • The new Cancer and Blood Disorder Clinic (CBDC) establishes an on-campus partnership between Seattle Children’s and Seattle Cancer Care Alliance. Previously, oncology patients had to travel between facilities for different types of care. Now all care comes directly to the patient from start to finish. Flexible, universal design integrates space for a large multidisciplinary team of care providers and researchers to work side by side while reducing travel for patients and families.

Provider sketch of ‘Universal Room’ zones.

Care brought to the patient and family, including height, weight, exam, infusion, meds and nourishment.

‘Universal Room’ mock-up evaluation by CBDC team

OR Grouping • The new ORs and catheterization labs are designed with an induction room, allowing family members to remain with their child for more time before a surgery or procedure. This has been shown to reduce patient stress and has the potential to improve patient outcomes.

• State-of-the-art mechanical systems provide the highest level of safety and occupant comfort meeting or exceeding hospital standards. A “backpack approach” to MEP design, where all systems run vertically up the back of the building, accommodates floor-to-floor department adjacencies with built-in resiliency for the future (e.g. if one floor fails, the next floor up or down can support it). » Heat Recovery Chiller: Able to satisfy more than 90% of the building’s annual heating load and more than 50% of its annual cooling load with high efficiency heat recovery. This saves over 800 tons of CO2 from reduced boiler natural gas usage alone. In addition, the heat recovery chiller in combination with the air-cooled chillers saves over 1.8 million gallons of cooling tower water usage. » HEPA Recirculation Units: Energy is saved by reducing the amount of conditioned air supplied to a room while maintaining required filtered room air changes. » OR Setbacks: Operating room airflows are setback during unoccupied hours to reduce energy use while still maintaining sterile environment requirements. » Outpatient Clinic & General Admin Setbacks: Utilizing occupancy sensors, air conditioning system requirements are reduced during unoccupied hours to save energy. » SPD Wastewater Energy Recovery: Waste heat from the Sterile Processing Department equipment is captured indirectly via the building’s hydronic systems to provide energy-efficient hot water heating.

» Fan Power Reduction: Air systems are sized to allow for reduced fan energy usage.

• High-performance glazing works in tandem with the building’s heating and cooling systems to optimize thermal comfort and access to daylight for occupants.

• Complex, large-scale structural systems, engineered to exceed the most stringent building codes, ensure that Building Care remains safe and operational in case of a seismic event.

CONSTRUCTION STATISTICS • 410,000 craft labor hours to date • 670 peak construction personnel on-site in a single day • 16,500 cubic yards of concrete • 4,000 tons of steel • 665 doors furnished by 9 different vendors • 110 subcontractors • Over 6 miles of rubber, integrated, wood and stainless base • Shell + Core separate from TI design process » Shell + Core started in March 2017 » 27 Week-long Design Events for TI fit-out, November 2017 April 2019 • OAC Meetings: 143 • RFIs: 2,057 and counting • Permits: too many to count!

• Value Engineering Effort: Did it even end?

LOWER LEVEL 1/ P1 WLP-1B

MECHANICAL & ELECTRICAL

FREEZER

PARKING

SHELL

11 9 G

8 6

Support Services

7

6.8

Staff Support

5 4.8

R CORRIDO 00F FA.L1.1

4

UP

STAIR 1

MILK BREAST

100.2

FA.L1.210.6

KITCHEN MEETING

G

A

FA.L1.205

KITCHEN RPOSE -PU MULTI07

A FO RMUL MILK/ 10.5 FA.L1.2

S RM MOTHER S RM 2 FA.L1.120 MOTHER

1

GER PASSEN OR ELEVAT

FA.L1.121

SERVICE OR ELEVAT

KITCHEN MEETING FA.L1.206

PUBLIC OR ELEVAT LOBBY OP-OFF B.M. DR

GER PASSEN OR ELEVAT NO.27

SERVICE OR ELEVAT NO.31

FA.L1.100

SERVICE

Circulation Building Support A.7

NO.30

NO.26

FA.L1.2

Exiting/Stair

SERVICE OR ELEVAT LOBBY 100E

J

LEVEL 1

PHARMACY

MRI

Patient Care Patient/Family Amenities Public Amenities and Circulation Support Services Caregiver Work Staff Support Exiting/Stair Circulation Building Support

LEVEL 2

1.5 RC .2.73

RC.2 .723

3 RC .2.72 4 RC .2.72 RC.2 .724

5 RC .2.72 RC.2 .725

6 RC .2.72 RC.2 .726A

SHELL

WLP-1A

LAB

Public Amenities and Circulation Support Services Staff Support Exiting/Stair Circulation

FA.2 .100.S

STAIR

1

FA.2.100.S

N EW GER PA SSEN TOR ELEV A NO. 26

Building Support

N EW SERV ICE TOR ELEV A NO. 30 4

5

SERV ICE TOR ELEV A UL E VEST IB

FA.2.100

PU BL IC LO BB Y FA.2.100

G EXISTIN GER PA SSEN TOR ELEV A NO. 27

FA.2.100.E FA.2 .100.E

G EXIS TIN SERV ICE TOR ELEV A NO. 31 ELEV. 31

ELEV. 27

M ECH

FA.2.130

EXIS TIN

G

FA.2.130

LEVEL 3

CDBC CLINIC

Patient Care Patient/Family Amenities Public Amenities and Circulation Support Services Caregiver Work Staff Support Exiting/Stair Circulation Building Support

LEVEL 4

LAB

SPD

Support Services Staff Support Exiting/Stair Circulation Building Support

LEVEL 5

O A

V

O A V

WLP-1B

V A

O

SURGERY V

WLP-1A

Patient Care Patient/Family Amenities Public Amenities and Circulation O

A

Support Services Caregiver Work Staff Support Exiting/Stair Circulation Building Support

LEVEL 6

SURGERY

Patient Care Patient/Family Amenities Public Amenities and Circulation Support Services Caregiver Work Staff Support Exiting/Stair Circulation Building Support

LEVEL 7

O

V

WLP-1B

PHARMACY

S

CDBC CLINIC

Patient Care Patient/Family Amenities Public Amenities and Circulation Support Services A

Caregiver Work

V O

Staff Support UP

DN

Exiting/Stair Circulation Building Support

LEVEL 8

FRL-2

WLP-1B

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

V V

A O

O V V

V V

PATIENT BEDS

Patient Care Patient/Family Amenities Public Amenities and Circulation Support Services WLP-7B

Caregiver Work Staff Support Exiting/Stair Circulation Building Support

CONTACT Julia Leitman 925 Fourth Avenue Suite 2400 Seattle, WA 98104 T 206 582 5432 E julia.leitman@zgf.com

SEAT TLE 925 Fourth Avenue Suite 2400 Seattle, WA 98104 T 206 623 9414

WASHINGTON, DC 600 14th Street NW Suite 800 Washington, DC 20005 T 202 380 3120

PORTL AND 1223 SW Washington Street Suite 200 Portland, OR 97205 T 503 224 3860

NEW YORK 39 West 19th Street 12th Floor New York, NY 10011 T 212 624 4754

LOS ANGELES 515 South Flower Street Suite 3700 Los Angeles, CA 90071 T 213 617 1901

VANCOUVER 355 Burrard Street Suite 350 Vancouver, British Columbia V6C 2G8 Canada T 604 558 8390 www.zgf.com