DECEMBER 2014

VOL. 14, NO. 10

HCDMAGAZINE.COM

mission
critical
Special report on emergency departments

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C CONTENTS | DECEMBER 2014 VOL. 14, NO. 10

26
FEATURES
18 STATE OF EMERGENCY
New design strategies being put in place at emergency departments across the country
create a more effective, pleasing, and speedy experience. By Anne DiNardo

26 DIVINE INTERVENTION
The Southdown Institute in Ontario, Canada, is a unique facility in a tranquil setting, providing
mental healthcare and addiction treatment for clergy members. By Terry Montgomery

30 HIGH ALERT
Hospitals and health systems are charged to reduce healthcare-associated infections,
inspiring design solutions to help combat the mounting epidemic. By Sara O. Marberry

36 CONTINGENCY PLANS
Recent Ebola cases in the U.S. have placed a spotlight on the importance of designing
healthcare spaces for the worst-case scenario. By Sheila F. Cahnman

2014 REMODEL/RENOVATION COMPETITION

40 INTRODUCTION
41 COMPETITION JURY
42 LET LIGHT IN ON THE COVER: Lenox Hill HealthPlex, New
York. Photo: Chris Cooper.
The transformed adult infusion center at Broward Health Medical Center brightens the
cancer care experience in this Best in Category-winning project. By Jennifer Kovacs Silvis Healthcare Design (ISSN: Print 1541-7905, Online
2168-0043) is published 10 times per year in Jan/
Feb, Mar, April, May/Jun, July, Aug, Sept, Oct, Nov, and
43 MODERN MENU Dec, by Vendome Group, LLC, 216 East 45th St., New
York, NY 10017. Periodicals postage paid at New York,
A clean, sleek dining space at UC San Diego Health Systems Thornton Hospital wins its NY, and additional mailing offices.

category in this years Remodel/Renovation Competition. By Jennifer Kovacs Silvis 2014 by Vendome Group, LLC. Healthcare Design
is a trademark of Vendome Group, LLC. All rights
reserved. No part of Healthcare Design may be
44 REMODEL/RENOVATION COMPETITION reproduced, distributed, transmitted, displayed,
published, or broadcast in any form or in any media
without prior written permission of the publisher.

54 SPECIAL SUPPLEMENT: REMODEL/RENOVATION DIRECTORY To request permission to reuse this content in any
form, including distribution in education, profes-
sional, or promotional contests or to reproduce
material in new works, please contact the Copyright
Clearance Center at info@copyright.com or
978-750-8400. For custom reprints, permissions,

DEPARTMENTS or logo licensing, please contact Nick Iademarco

at Wright's Media, 1-877-652-5295 ext. 102 or
niademarco@wrightsmedia.com.
EDITORIAL POLICY: Articles and opinions published
4 HCDMAGAZINE.COM A monthly rundown of exclusive content available at HCDmagazine.com in Healthcare Design do not necessarily reflect the
views of Publisher or the Editorial Advisory Board.
6 EDITORIAL So, whats new? By Kristin D. Zeit SUBSCRIPTIONS: For questions about a subscrip-
tion or to subscribe, please contact us by phone:
1-888-873-3566, online: www.HCDmagazine.com/
8 MONITOR Keeping track of the industrys vital signs page/subscribe, or email: hcd.vendome@ads-g.
info. Subscription rate per year: $140 domestic,
$179 outside the US. Single copies and back
16 THE CENTER Moving healthcare forward By Debra Levin issues: $22 Domestic, $34 outside the US.
POSTMASTER: Send changes of address to:
Healthcare Design, PO Box 397, 2865 S Eagle Rd.,
64 FIRST LOOK Park place By Jennifer Kovacs Silvis Newtown, PA 18940

2 HCDmagazine.com 12.14
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4 HCDmagazine.com 12.14
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 in dark blue in the center of the clinic space. Credit:
Cannon Design]]

MONITOR Edited by Anne DiNardo

Above: Touchdown

Heads together spaces will wrap

around each floor
of the University of
Many providers have started to transform staff
workspaces, moving away from traditional models of Minnesota Ambulatory
assigned offices and segregated departments, and Care Center and
designers are considering a variety of approaches provide an open,
flexible, and daylit
to accommodate the shift. The new University of
space for staff to work.
Minnesota Ambulatory Care Center, a $160 million
Left: A rendering of
project, offers one interesting take on the concept.
the fourth floor shows
For this project, the owners recognize the fact that they need to the touchdown spaces
be a lot more interactive and interdisciplinary in the way that they ap- in orange and the
proach care, says Jocelyn M. Stroupe, a principal at CannonDesign collaborative spaces in
(Chicago). Creating places where various providers and caregivers dark blue in the center
can interact with one another was important to advance that mission. of the clinic areas.
The client came to us with the idea that there should be no
traditional offices in this building, adds Randy Guillot, a design
principal at CannonDesign (Chicago).
Rather, the university wanted an environment that allowed the
clinical staff to work comfortably without duplicating office space
that existed on other academic buildings on campus. The design
CANNONDESIGN

team developed a plan to provide a choice of work settings,

including open and shared spaces to bring together previously
separated teams. Guided by the idea of corporate hoteling spaces,

8 HCDmagazine.com 12.14
MONITOR
Top 5 takeaways of 2014
Healthcare Design regularly checks the pulse of the industry by inviting
healthcare design professionals to share whats on their minds and why, via
our Take 5 column. This year, we heard from healthcare planners, CEOs,
designers, architects, and more on a range of topics, from branding and
population health to technology and building resiliency.
As we head into a new year, we offer some of the most intriguing ideas and
issues that were top of mind for our Take 5 subjects in 2014.
1. Big data and healthcare design
research
Clients routinely ask us to demonstrate
that our designs have been associated
with improvements in efficiency or effec-
tiveness. But a design firm can conduct
only a small number of rigorous studies in
any given year. If we could extract facility-
specific benchmarking data from building
information models and performance data
from health systems, perhaps we could
apply analytic techniques to increase our
understanding of how design decisions af-
fect healthcare quality.Sheila Bosch, director
of healthcare research at Gresham, Smith and
Partners (Tampa)
2. Getting registration right
The first three to five minutes of the patient
experience are critical to the overall impression
of a health system. For this reason, patient
registration is becoming an increasingly im-
portant topic. This process requires solutions
that accommodate technological challenges,
operational implications, staffing requirements,
and experiential considerations in order to
create the unique experience that each health
system strives to achieve.Michael Lied,
principal and director of healthcare for GBBN
Architects (Cincinnati)
3. Using monitoring technology to im-
prove service
All the monitoring technology used in a health-
care environment provides limitless potential to

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10 HCDmagazine.com 12.14
harness data in new ways and connect disparate
services and objects with one another. For exam-
ple, monitoring systems could ping a concierge
robot that a patient is becoming dehydrated and
deliver a glass of water before they even think to
ask a nurse for assistance. A smart cup could
then trigger a silent alert when it dips below a
certain threshold, bringing robot Jeeves back
with a refill (but not if the bed detects the patient
is sleeping).Dave Ruthven, creative director of
NXT Health (New York)
4. Rethinking resiliency
Our answer to grid failure is the ubiquitous diesel
generator. But 50 percent of diesel genera-
tors experienced problems during the eastern
U.S. blackout, and they were inadequate for
the New York hospitals during Superstorm
Sandy. Resilience means incorporating essential
redundancy into the everyday infrastructure of
hospitals, such as operable windows, daylighting,
on-site renewable energy, and cogeneration sys-
tems. Hopefully, well stop relegating emergency
systems to minimal, normally extraneous capital
investments.Robin Guenther, principal at
Perkins+Will (New York)
5. Dont let Walgreens beat you to the
corner
Location is everything. Your hospital might be
the best there is, but if people cant get to it
easily, then its difficult to earn their business.
Think of location in terms of convenience,
visibility, and access. For an outpatient center,
your criteria for choosing a location need to
be same that Walgreens is using for its store
sites. You might be across the street from them
or even competing for the same site.Paula
Crowley, CEO of Anchor Health Properties
(Wilmington, Del.)
Want to share your own Take 5 in 2015? Contact
Anne DiNardo at adinardo@vendomegrp.com.
HCDmagazine.com 12.14 11
MONITOR
PROJECT BRIEFS
North America
Construction of the new $15 million Baptist Memorial
Rehabilitation Hospital in Germantown, Tenn., was
completed. The 54,880-square-foot rehabilitation hospital
includes 49 all-private rehabilitation beds along with a full-
service kitchen, dining room, stroke unit, brain injury unit,
and physical therapy gym.
Oak Hill Hospital in Brooksville, Fla., plans to
add an obstetrics unit to its new 70,000-square-foot
North Tower, which opened in 2013. The project
was approved by the Florida Agency for Health Care
Administration, and architectural planning for the
$13.7 million project has begun. The new department
is expected to be operational by early 2016.

The newly constructed Martin Army Community

Hospital at Fort Benning, Ga., held a ribbon-cutting
ceremony to mark its opening. The U.S. Army
Corps of Engineers $390 million project features a
745,000-square-foot facility that includes 70 inpatient
beds, 24 psychiatric beds, and 24 medical/surgical
beds. The facility was built to LEED Silver standards

Carolinas Medical Center-Union in Monroe,

N.C., celebrated the opening of its new Women and
Childrens Center. The facility features a special care
nursery with private family bonding rooms and a
family-style waiting lounge with a fireplace, bistro,
Internet caf, and childrens play area. The project also
includes an additional 22,550 square feet of space for
a 13-room pediatric unit.

Health Central Hospital broke ground on a two-

year project to expand its bed tower and emergency

5 Ways to Enhance Your department. The project includes the development of

68 new rooms in the emergency department and 40

Healthcare Facility Today rooms in the patient tower. The Ocoee, Fla., hospital
will continue to operate during construction.
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12 HCDmagazine.com 12.14
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GIVING TREE
Maggies Oxford, the newest Maggies Cancer Caring Centre, looks
at home on the edge of Churchill Hospitals grounds in Oxford,
England, where its sited among a small stand of trees. London-
based architectural firm Wilkinson Eyre was inspired by the concept
of a tree house when designing the center, which opened this fall. In

Say it with Moxie keeping with the woodland setting, the building is constructed from
timber and has plenty of windows to afford views to the outdoors.
Tilted columns support the structure while also evoking a thicket of
trees. For more, visit HCDmagazine.com/maggies-centres.

The 2015 Healthcare Design

Conference call for presentations
The Healthcare Design Conference, founded and produced by
Vendome Healthcare Media and The Center for Health Design,
is accepting presentation proposals for the 2015 event to be
held Nov. 14-17 in Washington, D.C.
Topics should be educational in nature and can include
but are not limited to: research studies, case studies, patient
safety and satisfaction, high-performance hospitals/sustainable
practices, ambulatory care, remodel/renovation/conversion
projects, and more.
The deadline for submissions is Jan. 30, 2015. For more
information, contact Jen Wilcox, director of education for The
Center for Health Design, at 925-521-9404, ext. 119, or at
jwilcox@healthdesign.org; or Alison
BEN BISEK/WILKINSON EYRE ARCHITECTS

Berger, program manager for The

Center, at 925-521-9404, ext. 129, or at
aberger@healthdesign.org. HCD
SAVE THE DATE!

www.takeform.net | 800.528.1398

14 HCDmagazine.com 12.14
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C THE CENTER | 12.14
Moving healthcare forward
A new tagline for The Center for Health Design captures an initiative to
progress healthcare design as well as the organization
By Debra Levin
The Center for Health Design unveiled a
new tagline at the 2014 Healthcare Design
Conference in San Diego last month: Mov-
ing Healthcare Forward. Though the tagline
is new, moving healthcare forward is what
The Center has been doing for more than two
decadessometimes by the inch, sometimes
by the mile.
The Center was founded by people who
sought to change the world, each of whom
saw what could be rather than what was, and
who were willing to have a go at making that
vision a reality. So how has The Center worked
to change the world? One key strategy has
been to not do it alone. Weve partnered with
so many individuals, organizations, product
manufacturers, and foundations over the
years, successfully harnessing the power of
the industry to create a community and from
that community, a movement.
One of our most successful initiatives is the
Pebble Project, which next year will celebrate
its 15th anniversary. The concept behind the
Pebble Project is a simple one: Create a com-
munity that generates research around the
built environments impact on health outcomes
and, as a result, each Pebble would create a
little ripple effect in its community and beyond.
A few years back, I received a letter from
the CEO of a hospital in Indianapolis. A key
hospital in its system had joined as a Pebble
Partner early on in project planning. It did a lot
of things right, including extensive research at
the facility once it opened, research that was
shared throughout the system. And when it
came time to design and build a new hos-
pital, the system benefited greatly from that
knowledgea ripple effect the CEO wanted
to share.
Its a success story, but there arent enough
stories like this. Many Pebble Projects, like
early adopters Bronson Methodist Hospital
in Kalamazoo, Mich., and, more recently,
Adelante Healthcare in Phoenix, have been
game-changers in our industry. But when all is
said and done and the doors open, hospitals
transition to providing care and rare is the situ-
16 HCDmagazine.com 12.14
ation where the human and financial resources
are readily available to dedicate time to studying
results. Even so, dozens of studies, large and
small, have been conducted at Pebble facilities
over the years.
How might we leverage some of the
transparency afforded by healthcare
reform? How might we harness the
capacity and resources of graduate-
level students in our field?
These studies have helped to inform Pebble
facilities and others. Yet an underlying frustra-
tion remains: how to find the resources required
to fulfill the potential of the project and support
the ability to look at our healthcare facilities
under a microscope and understand incre-
mentally how the built environment can impact
outcomes, cost of care, patient and staff safety,
and overall satisfactionand how to best share
that information.
Maybe the answer lies in partnerships. How
might we leverage some of the transparency af-
forded by healthcare reform? How might we be
able to harness the capacity and resources of
graduate-level students at the growing number
of universities offering advanced degrees in
healthcare architecture, health policy, or nurs-
ing?
So whats next? Watch for a new website
from The Center packed with tools, resources,
best practices, and learning opportunities, all
curated in an easy-to-access format. There will
also be more regional networking events that
provide opportunities for affiliates to learn and
socialize with their communities, as well as
Pebble in Practice meetings around the country,
open to all.
But for now, as we close out 2014, I wish you
all the best this holiday season and in the New
Year. HCD
Debra Levin
STATE OF
EME
18 HCDmagazine.com 12.14
 The ability to process, evaluate, and treat
patients as quickly as possible will always
be key in the emergency department, with
new design strategies being put in place
to create a more effective, pleasing, and
speedy experience By Anne DiNardo
MANY FACTORS ARE at play today in shaping the future of
the emergency department (ED), a space thats likely to face
rising demand.
From my experience, most of the emergency depart-
ments are picking up patient volume, says Craig Pickerel,
project manager and architect at SSOE Group (Toledo,
Ohio). Some of it has to do with some people now getting
care who werent before. Also, with the aging popula-
tion, older people are more likely to have chronic medical
conditions.
As healthcare systems continue to consolidate and close
hospitals, the EDs that remain open are starting to experi-
ence higher patient volumes. Meanwhile, providers are also
exploring the construction of freestanding EDs, which are
popping up in communities to deliver care closer to where
patients live and adding competition to the emergency care
market. The introduction of specialty ED units also contin-
ues, although not as rapidly as some had predicted, target-
ing specific patient populations, such as pediatric, geriatric,
or behavioral health.

RGENCY
HCDmagazine.com 12.14 19
 Many organizations are responding to the evolving
marketplace by making operational changes to treat
existing patients in a more effective manner, rethink-
ing layouts that speed up throughput, and improving
aesthetics to make the front door to their hospital as
pleasing an experience as possible.
Keep care moving
Registration and triage have always been the first
stops for patients in the ED, but many facilities today
are beginning to staff these frontline areas with
physicians who can diagnose patients as quickly as
possible and determine if they should move through
the traditional ED process or to a more clinical setting
for nonemergency care.
By putting a physician there, you get a higher level
of evaluation, says Jeff Brand, design principal and
national practice area leader for healthcare at Perkins
Eastman (New York). Another advantage is that in

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different times. Now, you have a doctor and nurse
right at the front door, they evaluate you, interview you
once, and that story is the story. Theres no room for
further error.
Another change is the expansion of fast-track
care, an approach thats been growing in usage in
the emergency department for some time. Designed
to treat patients with less serious injuries, facilities are
giving fast track more space as a means to improve
service, reduce door-to-provider time, control treat-
ment costs, and reserve exam room beds for those
truly in need.
Smaller exam rooms can be used here and require
fewer pieces of equipment and furnishings, with
many rooms using a recliner or stretcher instead of a
full-size patient bed. As the concept takes off, facilities
are also increasing the number of fast-track rooms
and incorporating separate lab and staff areas, as well
as waiting rooms.
Out of room
Alternative waiting spaces are also growing in adop-
tion as another effort to improve throughput within the
ED. These areas are separate from the main waiting
room and can feature open or semiprivate designs. If
Im waiting for an X-ray or a blood test and Im feeling
OK, then give the exam room to someone who really
needs it and put me in a different type of setting,
Brand says. You have to route people to where they
need to be.
For example, the Lenox Hill HealthPlex freestanding
ED in New York uses a separate area for patients who
are waiting for test results or discharge instructions.

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The semiprivate cubicles are located in the core of the
main ED and are equipped with iPads.
20 HCDmagazine.com 12.14
Designers and architects say that when space is
available, its important to include a separate wait-
ing space for fast-track patients, in particular, to
streamline flow and reduce irritability and confusion
among patients and family members in regular ED
care who might question why someone is being
treated faster than them. During the renovation
of the Methodist University Hospital in Memphis,
Tenn., a rapid assessment and results waiting
room were combined into one space. [Patients]
can still be in a controlled environment, but theyre
not taking up an exam room, says Jon R. Sum-
mers, principal, BRG3S Architects (Memphis).
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Warmer welcome
Many of the design elements and aesthetics that
have become must-haves in inpatient areas are
also finding a home in the ED. Traditional curtained
exam areas are being replaced with private rooms,
helping to improve patient satisfaction, privacy,
and infection control.
Facilities are also moving away from sterile or
institutional-like settings and adding warm materi-
als and color palettes, residential-style furnishings,
decorative lighting, and artwork.
A renovated ED at ProMedica St. Lukes
(Maumee, Ohio) features a fireplace in the wait-
ing room, wood-like materials on the floors and
headwalls of the private exam rooms, and artwork
throughout the department.
These efforts go a long way toward making a
facility a welcoming and inviting place, Pickerel
says. A lot of times the emergency department
is the introduction to the hospital for patients, he
says. A well-maintained space can transform the
perception of care.
For a look at some recent emergency department
projects and design trends, see page 22. HCD
Anne DiNardo is senior editor of Healthcare Design.
She can be reached at adinardo@vendomegrp.com.
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 HOW VALUE ENGINEERING AFFECTED
A HEALTHCARE FACILITY IN THE SOUTHEAST.
John Neal was the plumbing designer on the project. Six months
after the owners move in, he got a phone call letting him know the
oor in the hospitals kitchen is collapsing. Turns out the contractor
went against the engineers specs and connected PVC to a 190
commercial dishwasher. Now the owners are going to have to dig
up the oor and replace it with cast iron. All because they didnt
follow the engineers specications. To learn more about this story
and the dangers of value engineering, visit charlottepipe.com/ VE.

YOU CANT BEAT THE SYSTEM.

3 HEALTHCARE DESIGN 11.14

1 2

EXAMINING THE
POSSIBILITIES
Edited by Anne DiNardo

Emergency departments are taking on new layouts,

materials palettes, and operational efficiencies in
an effort to provide a pleasing and patient-centric
experience while also increasing throughput. Whether
freestanding, located on a hospital campus, or focused
on a particular patient population, EDs are turning to
color, comfortable furnishings, custom millwork, and
dedicated family spaces to promote a serene and safe
environment for all. The following projects illustrate
some of the current trends and design solutions
popping up in the ED.

3
Lenox Hill HealthPlex, New York
1: Perkins Eastman (New York) partnered with North Shore-LIJ
Health System to renovate the former Joseph Curran Building

CHRIS COOPER (PHOTOS 1-3); SARAH MECHLING-PERKINS EASTMAN (PHOTO 4)

in Greenwich Village into the new Lenox Hill HealthPlex, one of
Manhattans first freestanding EDs. The building exterior was
restored and the first floor and basement level were adapted to
create the 54,000-square-foot facility, which opened in July 2014.
2: An area of the waiting room houses pediatric-friendly
elements, including a play table and furniture and a restroom
scaled for children. Designated pediatric exam treatment bays
are accessed directly from this waiting area.
3: Semiprivate cubicles with recliners in the center of the ED are
used as an alternative to the exam room for patients waiting for
lab results or to get an X-ray. A nearby workstation serves as
central command for staff members managing patient flow and
room assignments.
4: Glass block at either end of the ED and in the exam rooms
helps bring natural light into the facility, and a soothing blue
color palette was chosen to reflect the buildings history as the
National Maritime Unions headquarters and hiring hall. 4
 1

Mountain View Hospital, Payson, Utah

2 1: During a multiphased expansion, the Mountain View
Hospital doubled the size of its ED to 10,000 square feet
and converted to private exam/treatment rooms, which
are equipped for bedside registration. Custom millwork
conceals the headwall when not in use, helping to reduce
the visual clutter inside the rooms.
2: An enlarged central nurses station improves visibility
and access to each patient room. Inspired by its location
at the foot of a mountain range, the materials and colors
were chosen to reflect the local landscape. Colored
stripes in the floor are used to reference water springs,
alpine meadows, and wildflowers, while the decorative
lightbox above the nurses station uses blue and white
panels to resemble clouds in the sky.
3: The expanded department, designed by TSA Architects
(Salt Lake City), features two trauma rooms. In addition
to the main emergency treatment area, the facility has a
fast-track zone, with a separate triage space and exam
3 rooms. The ED also houses a bereavement and consult
room for family members to use.
WWW.FAIRCHILD-CREATIVE.COM

HCDmagazine.com 12.14 23
1

4
Methodist University Hospital, Memphis, Tenn.
1: This new department features an inner core layout that aligns all
the patient rooms around a centralized staff area. The staff enters
the exam room from the inner core and families and patients enter
from a perimeter corridor.
2: The 32,000-square-foot ED, designed by BRG3S Architects
(Memphis, Tenn.), houses five triage rooms located off the main
waiting area. The triage rooms open into the nurses work area on
the back side.
3: With the previous ED setup, only two ambulances could park
under a covered entryway, while additional vehicles had to park
on the street. In the new ED, an underground emergency vehicle
KEN WEST PHOTOGRAPHY

plaza was designated for unloading and parking up to 18 vehicles.

Curtains conceal two mass decontamination shower areas that can
be used in the case of a chemical spill or other disaster.
4: A new corridor connects the ED entry to the main hospital and
provides additional seating for overflow.
 1

Hirair and Anna Hovnanian Emergency Care Center at

Ocean Medical Center, Brick, N.J.
1: The interior palette of the 140,000-square-foot emergency care center at
Ocean Medical Center, designed by WHR Architects (Houston), features natural
materials and soft aqua/green shades to create a hospitality sensibility for the
environment. The seating area in the main lobby features walls in various aqua
shades, with artwork and translucent panels with sea grass patterns.
2: The ED occupies the first floor of a new three-story hospital building. A bold
vertical marker in the form of a wing sail with a color-changing light serves as a
new entry identity for the campus and as a wayfinding beacon at night.
JEFFREY TOTARO, 2014

3: The registration area features sliding glass doors and subtle tectonic details
and continues the horizontal wood lines from the main lobby.
4: A separate nurses station and exam rooms serve pediatric patients and use
a more playful color palette to appeal to younger patients. The exam rooms have
clerestory windows to bring natural light into the room and a sleeper sofa is
available for parents during long visits.

HCDmagazine.com 12.14 25
 Divine
TOM ARBAN (CHAPEL); SHAI GIL (EXTERIOR)

The stained glass window, an important piece of artwork from the institutes previous chapel, was disassembled, cleaned, restored, and set into a new freestanding
steel frame. Full-height glazing allows for views of the stained glass from the exterior. Opposite: The facility presents a modest, residential scale on first arrival.
26 HCDmagazine.com 12.14
intervention
The Southdown Institute in Ontario, Canada, is a unique facility in a tranquil setting,
providing mental healthcare and addiction treatment for clergy members
By Terry Montgomery
THE SOUTHDOWN INSTITUTE is a charitable orga-
nization that provides mental health and addic-
tions assessment and treatment programs to the
international religious community. The focus of care
is on the promotion of health and well-being through
the integration of psychological treatment and the
Catholic spiritual tradition.
Completed in February 2014, the facility presents
a modest, residential scale on first arrival. Its clad
in wood siding, which is painted charcoal gray with
some feature walls in red, a move intended to mini-
mize the prominence of the building massing and
allow the lush greenery of the landscape to stand
out. The bright primary colors of the chapels stained
glass window, which was preserved and relocated
from the institutes previous site, contrast sharply
with the dark exterior.
The building was conceived as a healing retreat
in a tranquil landscape.Its situated around a central
courtyard that features a stand of mature white
pines, which is accessible to all the major communal

HCDmagazine.com 12.14 27
1

1. Wood for the front door

2
and feature wall was
salvaged from a felled
red oak on the site.
2. From the building
lobby, a view of the
central courtyard and
outdoor terrace was
designed to provide
an immediate sense
of calming as well as
provide an invitation to
explore the surrounding
landscape.
3. The building is
situated around a
courtyard of mature
SHAI GIL (PHOTOS 1, 3); TOM ARBAN (PHOTOS 2, 4, 5)

spaces.The site incorporates an important In contrast to the communal spaces, 22 white pines.
4. Bright corridors
watershed, which will establish a natural modest private bedrooms on the second
provide access to the
reserve in an area thats quickly being floor provide opportunities for solitude
terrace as well as
developed. and reflection.Consultation and treatment
comfortable seating.
The great room is the social heart of the rooms also occupy a discreet wing on the 5. With broad views
Southdown Institute, featuring a fireplace second floor. HCD to the surrounding
and views of the wooded landscape to the landscape, the great
north. The room is furnished with soft seat- Terry Montgomery is principal of Montgom- room establishes a social
ery Sisam Architects in Toronto. He can be hub for the facility.
ing and includes a library, computer area,
reached at tmontgomery@montgomery
and games area.
sisam.com.

28 HCDmagazine.com 12.14
3

HCDmagazine.com 12.14 29
HIGH ALERT
Hospitals and health systems are charged to reduce healthcare-associated infections and the
tens of thousands of deaths they cause each year, inspiring design solutions to help combat
the mounting epidemic By Sara O. Marberry
ALTHOUGH RECENT EBOLA cases have garnered the national spotlight, healthcare-associated
infections (HAIs) claim the lives of 99,000 Americans every year. Not only is the human toll of HAIs
staggering, the cost of treating them in the U.S. is estimated by the Centers for Disease Control
and Prevention (CDC) to be upward of $20 billionone of the reasons why hospitals are facing
reductions in Medicare payments if they dont reduce HAIs by 2015.
Much of the effort to reduce infections centers on protocols and process. However, theres gen-
eral consensus and increasing evidence that the design of the built environment plays an important
role in preventing HAIs in healthcare facilities.

Making the connection

The U.S. Department of Health and Human Services has made reducing HAIs a priority, introduc-
ing several nationwide initiatives since 2008. The latest is the Partnership for Patients campaign
that strives to save 60,000 lives a year by reducing complications and readmissions, and improv-
ing the transition from one care setting to another. At the core of this initiative are 26 Hospital
Engagement Networks, which are working with healthcare providers and institutions in 3,700 U.S.
hospitals to identify best practices and solutions.
Central line-associated bloodstream infections (CLABSI), catheter-associated urinary tract infec-
tions (CAUTI), and surgical site infections (SSI) are three of the nine conditions targeted for
40 percent reduction by CMS as part of the campaign. They are also among the top five HAIs,
along with C. diff (Clostridium difficile) and MRSA (methicillin-resistant Staphylococcus aureus).

HCDmagazine.com 12.14 31
 Because theyre more procedure based, CLABSI,
CAUTI, and SSI are less affected by the design of the built
environment. However, air quality and traffic flow in and out
of operating rooms can impact SSIs, while room layout and
size may be factors in CLABSIs and CAUTIs. If the room is
too small and people are climbing all over each other trying to
put in a central line,
Evidence shows that the environment plays the risk of contamina-
tion is higher, says Loie
a role in the transmission of pathogens Ruhl Couch, infection
that are spread by air, water, and contact. prevention specialist at
Barnes-Jewish Hospital in St.
Louis, which is participating in a Hospital Engagement Network.
Theres growing evidence that the environment plays a role in the trans-
mission of pathogens that are spread by air, water, and contact, too. How-
ever, according to research done by Georgia Institute of Technologys Craig
Zimring and colleagues, published in the Health Environments Research &
Design Journal in 2013, the exact cause is often hard to establish.
The way that hospitals approach infection problems is by thinking about
the chain of transmission, Zimring says. And the built environment is an
intervention that can help stop the chain of transmission.

Balanced design
One of the primary interventions that the built environment can help facilitate is
handwashing, which is generally thought to be the biggest factor in preventing
the spread of contact pathogens in a hospital. Organisms can live on surfaces
for days or months, and while the placement of sinks and gel dispensers is a
factor in encouraging handwashing, its extremely difficult to control human
behavior. Some hospitals have tried monitoring systems, but staff may find
workarounds. People have to do it not because youre forcing them to do it,
but because its the right thing to do, Couch says.
Easy-to-clean surfaces and materials with no cracks or crevices are also
critical to preventing the spread of contact pathogens. If it were up to me, all of
the furniture would be concrete, Couch states, conceding that a happy medium
must be struck to facilitate a less institutional approach to hospital interiors.
The balance between making it look noninstitutional and easy to clean is
a challenge, says Mitch Goplen, vice president of facility services at Billings
Clinic (Billings, Mont.). Goplen relies on a committee made up of individuals
from nursing, facilities, infection control, and a community member. They
help establish standards, he says, explaining that products have to perform
from a cleaning standpoint but also meet the functional and design stan-
dards set by the committee.
Sheila Cahnman, founding principal of JumpGarden Consulting (Wilmette, Ill.),
says, Were starting to see a new vocabulary in healthcare interior design that
incorporates a more contemporary look that may reflect the publics desire to
have a hospital environment thats less about being homelike and more about
looking and being technologically advanced and free of infection.
In some projects, this may translate to pristine, white, or clutter-free walls with
less casework and fewer details that are harder to clean. This was the paradigm
up until the early 1980s, Cahnman says. Our challenge as designers is to cre-
ate an experience thats reassuring and uplifting, and not too sterile.

More to come
New technology and products are available that may also help reduce infection
rates and risk. Hydrogen peroxide vapor systems, for example, have proven

32 HCDmagazine.com 12.14
 GPS for Your Facility.

Visitors, patients, and families need to locate crucial services quickly and efciently. Waynding can help.
Classify departments and functional areas through identiable designs and palettes.
Colorful directional clues help staff spend more time on patient care and less time providing directions.
Waynding strategies could positively inuence patient satisfaction scores while reducing anxiety
and stress for family members.
Perceptions of your facility can aid in inuencing future recommendations and revenue.

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 effective in patient rooms. You still have to wipe the room down,
but its an extra precaution, Goplen says. Meanwhile, the
jury is still out on UV light systems that are wheeled into
rooms to kill pathogens. If theres anything on the surface
masking [the pathogen], it will just stay on the surface, says
Andrew Striefel, a hospital environmental specialist in University
of Minnesotas
Preventing infections requires engagement department of
environmental health and
of many individuals within an entire hospital safety (Minneapolis). You
system, each of whom has different goals. have to clean the surfaces
first for it to work at all.
Copper has also been touted for its antimicrobial properties. It has some
benefit, but its expensive, Couch says. And the material may take some time
to be effectivefor example, it may take hours to kill a patch of MRSA on a door-
knob. So even though its copper, it still has to be cleaned, she explains.
Cahnman calls for more research into where infections are most often har-
bored so that money may be spent on the most efficient solutions. If handwash-
ing compliance is an ongoing issue, is there any other way to reduce the spread
of infection by hand contact? she says. Doors that open on voice command, for
example, is one idea she offers.
Such research could inform the Facility Guidelines Institutes (FGI) Guidelines
for Design and Construction of Hospitals and Outpatient Facilities, whose recent
revisions have already been crafted with an eye on infection control, according
to FGI CEO Thomas Jung. He says reducing HAIs influenced many of the bodys
requirements for all areas of the hospital, including those for handwashing sinks in
patient rooms, distances and clearances, and flow of materials in and out of ORs,
for example.
Striefel, who serves on the FGIs guidelines revision committee, says that
building commissioning and maintenance training will be more of a focus in the
next edition. Buildings are designed and built that people dont know how to
maintain, he says. For example, if you dont clean out cooling coils, they fill up
with dirt, which impacts air quality. And, he adds, Were looking at expand-
ing the section on commissioning so hospitals arent stuck with contaminated
systems before they even open.

United front
Preventing infections requires engagement of many individuals within an entire
hospital system, each of whom has different priorities and goals, a conclusion
Zimring and his colleagues came to after reviewing more than 3,800 references
related to HAIs in the design and medical fields. To address this problem
at the system level, they recommend engaging designers, clinicians, and
representatives from departments including quality improvement, facilities,
infection control, environmental control, and purchasing.
This type of collaboration may not always be easy to achieve, though. While the
healing environment committee at Billings Clinic is working today, it took Couch
10 years to get the facilities staff at Barnes-Jewish Hospital on board. But she was
persistent, earning their respect by educating them on environmental factors that
impact infections, such as surfaces and materials, room sizes, location of ventila-
tion systems, etc.
I didnt talk about just what they needed to do, but why they needed to do it,
Couch says. HCD

Sara O. Marberry is a contributing editor for Healthcare Design. She can be reached
at sara@saramarberry.com.

34 HCDmagazine.com 12.14
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CONTINGENCY
Recent Ebola cases in the U.S. have placed a spotlight on the scarcity of facilities prepared to
treat patients suffering from infectious diseases and the importance of designing healthcare
spaces for the worst-case scenario By Sheila F. Cahnman
THROUGHOUT HISTORY, PANDEMICSplague, small-
pox, and measles, among othershave caused millions
of deaths. These were largely eradicated in developed
countries by the 20th century, but strains such as HIV and
now Ebola are continuing to kill thousands throughout the
world, specifically affecting underdeveloped nations with
weak healthcare systems. Ease of global travel has now
increased exposure to the most virulent of these diseases,
and many are starting to creep back into North America
and Europe.
Though infection control has become a hot topic
in healthcare facility design, the effort is focused on
healthcare-associated infections (HAIs) such as MRSA
(methicillin-resistant Staphylococcus aureus) or C. diff
(Clostridium difficile). Though insidious, these infections
can be controlled through routine good practice and sup-
portive design. However, thats not the case for highly in-
fectious diseases. Epidemics, such as the SARS outbreak
in Singapore and Canada in 2002 or the H1N1 flu virus of
2009, required early detection, isolation, and containment,
and subsequently raised the awareness of health officials
36 HCDmagazine.com 12.14
that a more diligent approach needed to be developed.
One solution was the creation of biocontainment patient
care units, of which there are four in the United States that
house a total of 25 beds. These units were funded by the
federal government to isolate patients who have a highly
infectious disease that could cause an epidemic, or for
victims of bioterrorism. The largest of these units is at Uni-
versity of Nebraska Medical Center in Omaha, Neb., which
contains 10 beds. The others are Emory University Hospital
in Atlanta (two beds), National Institutes of Health (NIH) in
Washington, D.C. (seven beds), and Rocky Mountain Labo-
ratories (St. Patrick Hospital) in Missoula, Mont. (six beds).
The recent appearance of the Ebola virus in the U.S. has
sparked political action in several states to initiate develop-
ment of this caliber of facility. Recent announcements
include a new space at North Shore-LIJ Health System in
New York, and the Methodist Health System is converting
an ICU wing at its Campus for Continuing Care in Richard-
son, Texas, where it will provide decontamination, labora-
tory equipment, and other dedicated personnel for IT and
biomedical support to meet biocontainment standards.
PLAN

HCDmagazine.com 12.14 37
HCDmagazine.com 12.14 37
An epidemic occurs when a disease affects a greater number people than is usual for the locality
or one that spreads to areas not usually associated with the disease. A pandemic is an epidemic
of worldwide proportions.
In 2009, the European Network of Infectious Diseases
(EUNID), a European Commission co-funded network of ex-
perts in the management of highly infectious diseases, cre-
ated recommendations for high-level isolation units (HLIU).
EUNID defines a HLIU as a healthcare facility specifically
designed to provide safe, secure, high-quality, and appropri-
ate care, with optimal infection containment and infection
prevention and control procedures, for a small number
of patients who have, or who may have, a highly infectious
disease.
Though personnel undergo extensive training in order to
handle such virulent diseases, facility design must support
these best practices. While theres no current recommenda-
tion for a broad expansion of services, its conceivable that in
the future every major city in the U.S. (or at least cities with a
major international airport) may have an inpatient unit thats
designed to handle highly infectious diseases, if necessary.
There are a number of design directives that can be
followed to create a permanent HLIU or a unit that can be
flexed to isolate highly infectious cases based on the cur-
rent Centers for Disease Control and Prevention (CDC) and
EUNID guidelines. What follows are just a few; for a more
comprehensive list, go to HCDmagazine.com/infectious-
disease-design.
Design breakdown
Emergency department: Since the ED is the first portal to
a hospital, its important to separate and triage suspected
infectious patients outside the main area to avoid
compromising the entire operation. Ideally, this would be
a permanent, separate waiting area with negative airflow
and a dedicated hazardous exhaust system. More likely,
though, the answer might be an adjacent open space or
parking lot that allows for tents or temporary mobile units
with access to all utilities (HVAC, power, medical gases)
until the risk is mitigated.
Storage: Adequate storage space for large equipment,
supplies of personal protective equipment (PPE), pharma-
ceuticals, and clinical supplies is a must. Also, there must
be an area for the temporary safe-keeping of deceased pa-
tients, large enough to contain and decontaminate trolleys,
sealable coffins, and other mortuary equipment.
Staff: There should be a separate staff lounge and office
area contiguous to the unit with changing and shower facili-
ties, including a decontamination shower. Patient monitoring
requires a large amount of staff rotation and preparation, so
these areas are much larger than conventional critical care
units.
Family: Since the family cant remain with the patient and
theyre in an extremely stressful situation, special waiting
areas should be developed with amenities that provide
comfort.
Finishes: Units need to be constructed for ease of clean-
ing and decontamination (seamless floors and walls, solid
horizontal surfaces) and be as airtight as possible (monolithic
38 HCDmagazine.com 12.14
ceilings, sealed doors and windows) with other de-
sign features that enhance the ventilation system, such
as an interlocking door system with a clinician-
controlled override function.
Patient room: The room needs to be sized the same or
larger than a typical private critical care patient room, large
enough to accommodate specialist equipment (mechanical
ventilator, hemofiltration machine, monitoring equipment)
and allow free movement of staff wearing bulky PPE. Each
room needs a private bathroom (toilet, handwashing sink,
and shower). Other details include a room door with an au-
tomatic closer, a hands-free lavatory, and a view window
for observation from an anteroom.
Anteroom: This is an area outside the patient
room (in a temporary setting, such as a nearby
patient room or a marked area in the hallway) where
clean PPE is stored and where healthcare workers
can don PPE before entering the patient room. If waste
passes through this area, it must be properly contained,
but preferably its taken out via a separate route. The ante-
room must also be large enough to store clinical supplies
(intravenous fluids and tubing, syringes, dressings, speci-
men containers) and also house a hands-free lavatory.
PPE removal area: This space should be close to the
patient room and separate from the clean area, a place
where healthcare workers leaving the patient room can
take off and discard their PPE. This space must be easily
disinfected and provide an area where workers can sit.
Leak-proof infectious waste containers for discarding used
PPE are required. This area should be adequate for pack-
aging clinical specimens and for decontaminating outer
specimen containers, too.
Emergency response
Highly infectious diseases require extraordinary clinical
diligence that cant be supported by conventional critical
care isolation room or unit design, such as those described
in the current Facility Guidelines Institute (FGI) guidelines,
which arent intended to protect against such virulent
diseases. In fact, comingling of these patients within a
hospitals existing units is highly undesirable.
If in the future theres a significant increase in highly
infectious disease cases, then freestanding facilities or
units in academic, tertiary hospitals may become a norm.
Likewise, hospitals without these facilities should develop
contingency plans to hold and isolate individual patients
until they can be transferred in a safe manner, or to handle
mass casualties. Criteria for the safe handling of Ebola and
other highly infectious patients are evolving quickly, and
the healthcare design community will need to respond with
best practices in subsequent facility design. HCD
Sheila F. Cahnman, AIA, ACHA, LEED AP, is founding principal
of JumpGarden Consulting LLC. She can be reached at
sheila@jumpgardenllc.com.
CONNECTING
THE INDUSTRY OF DESIGN

BE PART OF THE NEW

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REMODEL/RENOVATION
REMODEL/RENOVATION NURSES STATIONS

Have it your way

As human experience takes on greater importance
in any healthcare systems bottom line, the 2014
Healthcare Design Remodel/Renovation Competition
tackles areas that contribute to these efforts

KEEPING PEOPLE HAPPY and satisfiedpatients, families, and staff alikeis a top
priority for healthcare organizations looking to maximize post-reform reimburse-
ments and retain the best people to provide the best care. Bringing the mountain to
Mohammed through more ambulatory care facilities reaching deeper into communi-
ties is one way to do this; improving experiences within hospitals is another.
The 2014 Healthcare Design Remodel/Renovation Competition focused on two
categories, ambulatory care and dining, in recognition of these needs. With any reno-
vation, the challenge to work within an existing space (often without being allowed
to disrupt care or service) is significant, but its particularly so in healthcare. This
annual competition honors those whove met that challenge to deliver inspired
spaces that elevate both the delivery and the experience of care.
A jury of industry experts assembled by our partners at The Center for
Health Design reviewed dozens of entries to determine the top three proj-
ects in each category. The finalists were posted to the Healthcare Design
website for public voting this fall. Based on the reader votes, we were able to
determine our Best in Category winners and runners-up, who were honored at
an awards ceremony in November during the Healthcare Design Conference in
San Diego. Turn the page to meet the winners and hear the stories behind their
successful projects. And be sure to check out the Remodel/Renovation Competi-
tion supplement starting on page 44 as well as bonus pages of the supplement
included in the digital version of this issue found at HCDmagazine.com.

Kristin D. Zeit
Editor-in-Chief
Healthcare Design

The text and source lists for the project profiles beginning on page 44 were provided directly
by the competition winners and were not vetted by the editors of Healthcare Design.

2014 REMODEL/RENOVATION SPONSOR

GOLD SPONSOR

40 HCDmagazine.com 12.14
 NURSES STATIONS REMODEL/RENOVATION

2014 REMODEL/RENOVATION JURY

Carlos Amato, AIA, ACHA, EDAC, LEED AP Shireen Kanakri
Principal Assistant Professor
CannonDesign Ball State University

Cindy Barr, EDAC Janet Kobylka, IIDA, NCIDQ, AAHID,

Operations and Facilities Planner
Capital Link Inc.
Georgeann Burns
President
Health Facilities Planning Partners LLC
Kerrie Cardon, RN, AIA, ACHA
Healthcare Knowledge Consultant
Herman Miller Healthcare
Christine Chadwick
Senior Vice President, National Heathcare
Sector Lead
Strategic Consulting (AEquip)
AECOM Canada Ltd.
Heather Clark, IIDA, NCIDQ, EDAC
Interior Designer
JPT Architects
Jennifer DuBose
Senior Research Associate
Georgia Institute of Technology
Bethany Friedow, MS, EDAC
Architectural Researcher
HDR
EDAC, LEED AP
Healthcare Transition Planner
Balfour Resource Group
Sonali Kumar, PhD, EDAC
Technology Process Manager
Balfour Resource Group
Libby Laguta, AAHID, EDAC
Principal
CDH Partners
Peter Lambur, AIBC, NCARB, EDAC
Principal
Peter Lambur Architect Inc.
Paul Levesque II, AIA, LEED AP
Principal/Healthcare
HOLT Architects PC
Michael Roughan
VP/Healthcare Principal
HDR
Cindy Saathoff, IIDA, NCIDQ
Associate Principal, Project Interior
Designer
AECOM

Brandon R. Guzman, EDAC, Assoc. AIA, Gary Schindele, FHFI

LEED AP ID+C President
Associate, Interior Architecture Paladin Medical Products LLC
SmithGroupJJR - Los Angeles
Shari Stein, MS, IIDA Assoc., IDEC, ISPI
Kendall Hall, MD, MS, FACEP Principal Partner
Scientific Director DesignTeam Plus LLC and
MedStar SiTEL (Simulation Training and Team-4-Community L3C
Education Lab)
Gary L. Vance, FAIA, FACHA, LEED AP
Kris Hansen Director of National Healthcare
Healthcare Sales BSA LifeStructures
Target Commercial Interiors
Amy Wagenfeld, PhD, OTR/L, SCEM,
Saif Haq, PhD CAPS
Professor Assistant Professor
Texas Tech University Rush University

Jill Johnson Deborah Wingler, MSD-HHE, EDAC

Director, Facility Development, President
Design, and Construction Healing Design Integration
Yavapai Regional Medical Center
Bob Winters, AIA
Ken Kaiser, AIA, SASHE, CHFM, NFPA Principal
Manager, Facility Renovation Ottolino Winters Huebner Inc.
Northwestern Medicine
REMODEL/RENOVATION

Let light in
From ambient lighting controls to natural daylight, the transformation of the adult
infusion center at Broward Health Medical Center brightened the cancer care
experience in this Best in Category-winning project
By Jennifer Kovacs Silvis

CANCER PATIENTS UNDERGO recurring treatments,

sometimes for weeks or even months. So providing
them with a space where they could be comfort-
able, socialize with one another, and have access
to nature was a priority in the renovation of Broward
Health Medical Centers adult infusion center in Fort
Lauderdale, Fla.
The efforts paid off in more ways than one,
with the 5,600-square-foot project submitted by
Perkins+Will winning the ambulatory care environ-
ment Best in Category award in the 2014 Healthcare
Design Remodel/Renovation Competition.
The project began with recognition that the
patient experience in the existing space could use
some work, particularly to improve operational inef-
ficiencies that caused both throughput and patient
satisfaction to suffer. To start, the design team col-
laborated with staff and patient advocates to identify
an orientation that improved sightlines for caregivers
and introduced such concepts as an express clinic
to perform triage and provide lab services on-site.
But beyond logistics, the design placed a keen
focus on experience. Giving a sense of control images of greenery at each [infusion] station to further The renovated infusion center
back to the patients was another very important part enhance the positive healing effects associated with includes 20 infusion chairs in a
of the new strategy, so individual lighting controls, proximity to nature. The result was a cheerful, relaxing spa-like environment with views
TV, personal charging stations, built-in family seat- environment that feels more therapeutic than clinical, to the outdoors. Large-scale
illuminated photo images of
ing, and choices for privacy versus social interac- says Lilia Gonzalez, senior associate and technology
greenery at each station provide
tion were provided, says Mark Lutz, healthcare director at Perkins+Will (Coral Gables, Fla.).
further access to nature.
discipline leader for Perkins+Will (Miami). Significant difference in appearance between before/
after, another juror lauded. Seems to
Operational inefficiencies had caused be very sensitive to the needs of the
patient.
both throughput and patient satisfaction For Gonzalez, what was most

to suffer before the renovation. successful was the ability of the

Of particular note to jurors were the lighting
options, allowing patients to personalize their sur-
roundings and, again, have an increased sense of
control over their environment. Customizing ambi-
ent temperature and visual appeal of space creates
design to conceal clinical ele-
ments to create a more soothing environment.
Designing spaces to be clean and uncluttered,
while still making everything readily accessible to the
nursing staff, reduces the stress and anxiety associ-
ated with infusion and promotes a more positive
MARK SURLOFF PHOTOGRAPHY

a spa-like environment, one juror noted. patient experience, she says.

However, nature and natural daylight define the For more on the project, see page 44. HCD
centers look and feel. The design of the space was
intended to maximize views to the outdoor healing Jennifer Kovacs Silvis is executive editor of
Healthcare Design. She can be reached at jsilvis@
garden. We also wanted to bring each patient closer
vendomegrp.com.
to nature through oversized, illuminated photo

42 HCDmagazine.com 12.14
 Modern menu
A new dining space at UC San Diego Health Systems Thornton Hospital
wins its category in this years Remodel/Renovation Competition for its
take on a clean, sleek dining experience that lets the food stand out
By Jennifer Kovacs Silvis

AT ANY DINING facility, the food is the star. But in water tones used in the island ceiling element
UC San Diego Health Systems (UCSD) servery at and bold, warm colors reminiscent of sunsets
Thornton Hospital, it wasnt shining very brightly. incorporated in a glass backsplash.
The La Jolla, Calif., hospital was built in the The new look was even translated to the
90s and by 2010, the provider commissioned spaces signage, designed by RTKLs in-house
RTKL to redesign and expand the dining space, branding team to seamlessly integrate with the
a 4,000-square-foot remodel that earned Best in new design.
Category for dining facilities in the 2014 Healthcare
Design Remodel/Renovation Competition.
The renovation was driven by a growing number
of users, thanks to UCSDs new Sulpizio Cardio-
vascular Center and the in-progress Jacobs Medi-
cal Center addition. The existing dining area was
too small for the anticipated demand, and it also
presented a number of other challenges, including
its aesthetics.
This area was covered with dark cherry wood
finishes and polished bronze accents, without
access to natural daylight. The overall light level
and color rendition werent designed to address
the function and showcase the quality of food that
UC San Diego had to offer to the staff and visitors,
says Jacky Yung, associate vice president at RTKL
(Los Angeles).
The team first set out to streamline the space to
address the projected volume of users while also
rectifying an existing tunnel-like entry by creating a
strong connection to the buildings main atrium and
public circulation path.
The layout of the space was designed to As one juror commented, The renovated Materials such as tile, glass,
maximize efficiencies and natural light coming in space feels modern, fresh, and vibrant; the and quartz were selected for
from the courtyard. The design draws you in from branding and signage tie the overall design the remodel of the servery at
the hospital atrium and focuses on using color and concept together nicely. The cafeteria adjacen- Thornton Hospital for durability,
cies and layout were also executed well. Added cleanability, and longevity.
light to guide visitors seamlessly through the serv-
ery space. The focal point is in the center of the another: Well integrated graphics and interiors.
room, with a unique and organic ceiling element, Color and organics successfully enliven the
anchored by an island, to act as a pivot point, space.
says Elizabeth Grube, senior designer at RTKL Overall, its how the space feels that Grube
(Chicago). says shes happiest with: It feels uplifting, fresh,
Immediately notable in the new space is the and inspiring.
bright and very light color palette that serves as a For more on the project, see page 50. HCD
HENNIKER PHOTOGRAPHY

white canvas throughout the server station counter

to showcase colorful, healthy food choices, Jennifer Kovacs Silvis is executive editor of
Healthcare Design. She can be reached at
Yung says. The modern take was complemented
jsilvis@vendomegrp.com.
by splashes of color inspired by the southern
California landscape, Grube adds, with cool blue

HCDmagazine.com 12.14 43
REMODEL/RENOVATION AMBULATORY CARE

BEST
REMODEL/RENOVATION

IN CATEGORY
Broward Health Medical Center, Adult Cancer Infusion Fort Lauderdale, Fla.
Submitted by: Perkins+Will 2014

In 2012, Broward Health Medical

Center partnered with Perkins+Will
to develop its new adult cancer
treatment center. The hospital was
operating with a limited number
of infusion stations, suffering from
operational inefficiencies, slow
patient turnaround, and poor patient
experiences. A large multidisciplinary
team of doctors, nurses, and admin-
istrative personnel, as well as patient
advocates, worked together with
Mark Lutz, Perkins+Wills (Miami)
healthcare discipline leader to estab-
lish a plan of action. The team sought
to set itself apart with a new concept
in the delivery of cancer care utilizing
the Philips Ambient Experience. Key
aspects of the Philips Ambient Expe-
rience call for providing patients with
the ability to personalize their sur-
roundings through lighting and other
aesthetic features, increasing their
sense of control over their environ-
ment. This gives patients increased
involvement in their treatment,
increases their satisfaction, reduces
anxiety, and has demonstrated reduc-
tions in procedural treatment time.
BEFORE
The new adult cancer infusion
center occupies 5,600 square feet
at the ground level of BHMC. The
center now offers an ample main re-
ception waiting area with an internet
resources area for patients to access
while they wait. It also provides a
relaxed nonclinical atmosphere with
20 infusion chairs, two beds, and an
express clinic that will perform triage
and a variety of clinical laboratory
services on-site, which will reduce
overall treatment time. The new
layout provides doctors, nurses, and
pharmaceutical staff with improved an alternative quiet space to receive
sight lines and communications so treatment while they relax. Each infu-
they can easily monitor and provide sion bay has views to the outdoors,
M. LUTZ (BEFORE); MARK SURLOFF PHOTOGRAPHY (AFTER)

individualized attention to each pa- and was designed to provide guest

tient. Finish materials for the center
were carefully chosen for sustain-
ability, durability, and cleanability to
promote a safe and healthy healing
environment. A landscaped healing
garden for patients and family offers
seating for friends and family mem-
bers, personal TVs, wireless internet
access, personal charging stations,
lighting controls, and privacy for
resting; all of these elements serve
to reduce stress and improve patient

Engineers: ESI Consulting; General contractor: Turner; Ceiling panels: Armstrong; Digital printing: Reprographia;
Flooring: Mannington Commercial; Glass: McGrory Glass; Modular walls: DIRTT; Plastic laminate: Wilsonart;
Formica; Paint: Sherwin Williams; Seating: Steelcase; Solid surface: Corian; Upholstery: Designtex; Maharam; Wall
base: Johnsonite; Wallcovering: Carnegie Fabrics.

44 
t
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Healthcare Design
 AMBULATORY CARE REMODEL/RENOVATION

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M. LUTZ (BEFORE); MARK SURLOFF PHOTOGRAPHY (AFTER)

outcomes. Additionally the center
offers a social services office, music
and art therapy, peer-to-peer
mentoring programs, and a self-
serve caf area with casual lounge
seating overlooking the garden.
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the director of cancer services at
BHMC, this new infusion center
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Supplement to Healthcare Design
t

45

Welcoming. Comfortable. Stylish.
We care about providing smart furniture solutions so you can care for more important things.

Our products contribute to healing mind, spirit and body as well as being loaded with features to excel in healthy spaces including indoor air
and level certifications, wall-saver designs, easy clean out, and finishes infused with Antimicrobial Silver Ion Protection that are unfazed by
strong disinfectants and bleach-based cleaners.

Congratulations
2014 Remodel/Renovation
Competition Winners

Perkins+Will
for Broward General
Medical Center Adult
Cancer Infusion

RTKL Associates
for UC San Diego
Thornton Hospital
Cafeteria

800.482.1717
www.NationalOfficeFurniture.com
 REMODEL/RENOVATION AMBULATORY CARE

Joanie Abdu Comprehensive Breast Care Center Youngstown, Ohio

Submitted by: Strollo Architects
BEFORE

Jury comments:
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honor the memory of his wife who
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died of breast cancer in 1997.
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tion of 12,000 square feet of the
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former St. Elizabeth Health Center
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services in a single location dra- the staircase that is surrounded t
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project was to create a nonclinical setting and is continued through-
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and fear that patients typically Finishes include stone-like vinyl carpet becomes a focal point in t
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feel during the examination and tile with a recycled content, metal- the interior corridors. Significant
treatment process. Upon entering lic wallcovering with tone-on-tone attention in concentrated on the
the facility, patients are greeted striping in guest waiting areas, and artwork and accessories which
with a light-filled atrium space on glass mosaic tile in the exam rooms grace much of the common areas. are consistent with a spa-like
the lower level. The delicate sound and restrooms. Plush patterned Wood, metal, and natural grass environment.
sculptural works are featured The dream of one man to
throughout, along with sepia- honor his wifes memory became
Electrical contractor: Tri-Area Electric; Fire protection contractor: North Coast Fire Protection; Flooring
contractor: Ryan Carpet; General contractor: B&B Contractors and Developers; HVAC contractor: York toned photography of enlarged a reality of a community who
Mahoning; Interior design: The Workshop Arch + Design LLC; Painting contractor: Babyak Painting; Plumbing flowers in the exam rooms. worked tirelessly to raise funds to
contractor: Prout Boiler Heating & Welding; Carpet: Atlas; Shaw; Carpet tile: Tandus; Ceramic tile: Architectural
Ceramics; Laminate: Formica; Nevamar; Pionite; Wilsonart; Resilient base: Johnsonite; Sheet vinyl: Armstrong;
Furniture is simple yet elegant complete this project and make it
Solid surface: Corian; Formica; LG; Wilsonart; Tackboard: Knoll Textiles; Maharam; Vinyl comp tile, vinyl plank and upholstered in faux leathers a major success.
and vinyl tile: Armstrong; Wallcovering: Knoll Textiles; Koroseal; Wolf Gordon; Wall paint: Pittsburgh Paint. and durable Crypton fabrics that

48 
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4VQQMFNFOU
UP
Healthcare Design
BEFORE
 AMBULATORY CARE REMODEL/RENOVATION

MemorialCare Los Altos MOB Long Beach, Calif.

Submitted by: RTKL Associates Inc.
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MemorialCare wanted a fresh the conventional model for doctors clinics visibility and becomes more uplifting; which in turn, attribute to
RTKL ASSOCIATES INC. (BEFORE): HENNIKER PHOTOGRAPHY (AFTER)

new look for its medical centers and offices and hospitals. A medical interesting and less intimidating. health, vibrancy, and well-being. The
began thinking outside the box for its center in a retail setting not only en- The interiors of this new space are color story starts with the bold col-
location. An old Borders bookstore courages the community to go to the unique and unexpected. The design ors and higher contrast of materials
in the middle of a retail shopping doctor but makes focusing on your concept for the space not only makes in the public space when the patient
center was selected as the place for health as simple as running errands. visitors feel welcomed and comfort- is in their least vulnerable state. As
MemorialCare to make their mark. Similar to how retail fronts maxi- able, but weve completely removed they progress through the clinical
The retail front is a good place for an mize advertisements to shoppers; the clinical feel when they walk areas and ultimately reach the exam
outpatient facility because its less in- the clinics inviting interiors seen through the front door. The bold room, the color tones have calmed
timidating and more convenient than through large windows increases the colors are inviting, energizing, and down a bit and more natural tones
create a very simple yet comfort-
ing environment. The patient feels
Construction: George Hanna Construction; Electrical: Sunset Electric; Flooring: Universal Metro; Interior design, medical planning, space planning: RTKL
Healthcare Los Angeles; Millwork: Quality First Woodworks; Signage: RTKL Branding Los Angeles; Acoustical ceiling tile: Armstrong; Fabric on furniture: Pallas secure and safe.
Textiles; Flooring - clinical space: Armstrong; Flooring - office space: Mannington; Flooring - public space: Porcelanosa; Flooring - restrooms: Stone Source;
Furniture: OFS Brands; Glass railing: Skyline Design; Millwork: Wilsonart; Paint: Sherwin Williams; Privacy curtains: Maharam; Resin panels: 3 Form; Solid
surface: Living Stone; Wall tile - public space: Porcelanosa; Wall tile - restrooms: Stone Source; Wallcovering: MDC Wallcovering.

Supplement to Healthcare Design
t

49

 AMBULATORY CARE REMODEL/RENOVATION
Arizona State University Health Services The Arizona State University
Health Services Building was de-
Building Tempe, Arizona signed and built to promote health
Submitted by: Orcutt | Winslow and wellness in a holistic man-
ner. The projects primary design
opportunities included creating a
facility that expresses health, creating
a new identity for the Health Services
Building that engages ASUs historic
Palm Walk, and creating an inviting
nonclinical environment with clear
circulation. The importance of con-
venience, sustainability, safety, and
aesthetics were all considered in this
project. The building has received
LEED Platinum Certification. One
half of the project was a renovation
of 14,500 sq ft of the original build-
ing built in 1953. The other half was
a two-story addition of new facilities.
Jury comments:
Great LEED story. Nice interiors update, fresh and inviting. Lobby area complements the nearby buildings.
feels comfortable with the natural light, warm wood tones and high The metal panel is used to introduce
ceiling. Clinical area looks clean, well lit, efficient, well planned and up
to date.
Excellent project to show what other major university health centers
should do.
BEFORE Strategic use of sustainable initiatives.
Newton Wellesley Ambulatory Care Center Newton, MA
Submitted by: TRO Jung|Brannen, Inc.
Newton Wellesley hospital
initiated this project for a new
off-campus ambulatory care center
incorporating rehabilitation, spine
center, and pain management ser-
vices in order to provide a higher
level of seamless patient care.
The Center includes Pain/Spine
Treatment and Exam Rooms,
Prep/Recovery Bays, PT/OT Exam
Rooms, Occupational Therapy,
Pediatric and Adult Speech, Hi/
Low Therapy tables, Hand Therapy
stations, X-Ray, Therapy Pool,
Pediatric Gym, and Rehabilitation
Jury comments:
Gym. The program allows multiple
This renovation is a
care providers to collaborate more
remarkable change to an old
effectively.
warehouse.
Currently, the hospital has
Light and color is used to
soften a very functional layout.
a need to shift certain services
BEFORE off-campus; reducing space needs
Major improvement to the
exterior creating a total and parking requirements on the
transformation. main hospital campus. This reha-
Creative adaptive reuse of the bilitation facility is representative
facility. of this trend. New off campus
outpatient facilities and adminis-
Supplement to Healthcare Design 12.14
Both were woven together into one
building that is contemporary yet
blends in with the surrounding
historical campus.
Overall, this new building is a
gem for both students and staff alike
and was a great enhancement to the
ASU community. Wait times have
been cut significantly and with all
services provided to each student
within their private exam room,
visits have been reduced to under
an hour. It reinforces the campuss
fabric as part of its historic core at a
visible location for both pedestrians
and drivers.
The primary building materi-
als are locally-made brick, metal
panel and glass, elements that can
Orcutt | WinslOW (befOre); bill timmerman (after)
be found throughout the Tempe
campus. The new brick matches the
existing building, a material that
visual variety and define functional
elements of the building, creating
private spaces that become serene
gardens acting as outdoor waiting
areas next to the lobby.
tration buildings meet this goal
by bringing the world class care
and consistent branding to off-
campus locations.
The project adaptively reuses
an existing 50,000 square foot
DHL warehouse. The original
square footage was reduced by
10,000 square feet to align with
hospital needs.
The existing building un-
derwent a complete renovation
including exterior finishes and a
glass entrance canopy including
the strategic placement of win-
dows and skylights to maximize
daylight in key areas.
richard mandelkOrn
49_A
REMODEL/RENOVATION DINING

BEST
REMODEL/RENOVATION

UC San Diego Thornton Hospital Cafeteria La Jolla, Calif. IN CATEGORY

Submitted by: RTKL Associates Inc.

2014

With the influx of new con-

struction and a flurry of ongoing
campus development, UC San
Diego (UCSD) had quickly
outgrown the servery at Thornton
Hospital and was looking to gain
as much increased efficiency
out of the space as possible,
while presenting a fresh face to
visitors, patients, and staff, that
would complement the high-end
elegant design of the new Sulpizio
Cardiovascular Center and the
Jacobs Medical Center which is
in progress.
RTKL ASSOCIATES INC. (BEFORE); HENNIKER PHOTOGRAPHY (AFTER)

With a servery plan already

given, RTKL was brought in
to develop the interior design,
champion the project, including
permitting, licensing, and con-
struction coordination, and eval-
BEFORE
uate options for enhancements to
PIC/project designer, project architect/manager, interior designer: RTKL Healthcare Los Angeles; Graphics
and signage: RTKL Branding Los Angeles; General contractor: DPR Construction Inc.; Structural engineering:
the dining area, as well as studies
KPFF Consulting Engineers; MEP engineering: exp; Hardware consultant: Finish Hardware Technology; Food of the existing courtyard space.
service planning, FS casework fabricator: Orness Design Group Inc.; Interior planting: Ambius; Millwork RTKL focused on a strategy of us-
fabricator: Westmark Commercial Casework; Flooring, flooring inset, millwork die wall tile, stone at
planters, tile at pizza oven: Stone Source; Flooring/service side: Stonhard; Glass at back wall: GlassKote; ing natural materials, fresh colors,
Wood and resin accent: Lamellux; Countertops: Caesarstone; Countertops: Formica; Resin panels: 3 Form; and natural lighting to create an
Furniture: OFS Brands; Fabric Wallcovering: Carnegie; Casework laminate: Wilsonart; Casework laminate:
environment that is inspiring,
Pionite; Wall protection: HiMacs; Specialty doors and openings: Technical Glass Products; ACT: Armstrong;
Roller shades: Hunter Douglas Contract; Interior signage: T Graphics. refreshing, and timeless.

50 
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Healthcare Design
 DINING REMODEL/RENOVATION

At the entry, a canted soffit
gives the caf a new presence
within the existing atrium space
while the transparency of the
new storefront promotes visibility
and enhances the open feel of the
interior space. The use of interior
plants brings life and freshness
into the space, while the use of
natural stone adds to the modern,
timeless feel and draws visitors
into the space. The servery
is warm, open, and inviting.

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Materials such as tile, glass, and
quartz were selected for durabil-
RTKL ASSOCIATES INC. (BEFORE); HENNIKER PHOTOGRAPHY (AFTER)
the identity of the caf. A dedicated BEFORE BEFORE
staff area is carefully carved out for
use after-hours, and an overflow
dining area is outfitted to serve as a
conference room during nonpeak
dining times.
The UCSD Thornton cafeteria
expansion was a 4,000-square-
foot remodel that required careful
coordination with the existing
OSHPD 1 facility and a dedicated
commitment to working collabora- Jury comments:
tively with the universitys Infec- t
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Design elements such as custom-
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in drawing visitors through the
space, helping to ease congestion
and streamline flow. Flexibility
was also built into movable point-
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tinue through, creating a sense of
connectivity and strengthening
also spent working closely with
OSHPD to examine the possibil-
ity of adding an open-air covering
over the existing courtyard, such
that the space could be better uti-
lized for dining and other events
at any time. RTKLs efforts also
Reader comments:
included the involvement of its in-
house branding and environmental
design group, which revamped the
menu design and interior signage.
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Supplement to Healthcare Design
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51

REMODEL/RENOVATION DINING
Reading Hospital Reading Health System Reading, Pa.
Submitted by: King + King Architects



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After 50 years of continued
operations, Reading Hospital Health
Center undertook a major renova-
tion of their existing employee caf
and main kitchen. These facilities,
housed in a 1950s Neo-Georgian
style bi-level building in the heart
of their campus boast some of the
original design features, including
preserved terrazzo floors in the main
dining room. Opened in November
2013, the renovation included a
5,880-square-foot kitchen renova-
tion with two room service lines, a
new 1,100-square-foot dish room, a


BEFORE
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Healthcare Design
5,100-square-foot facelift to the dining
room, a 4,150-square-foot servery, and
the addition of a 480-square-foot bistro
named Counter Clockwise.
The initial phase of the project was
to open Counter Clockwise, replacing
a 480-square-foot vending alcove and
storage rooms, which would serve
prepared sandwiches, salads, and
beverages. This node is along a main
corridor in the hospital, featuring the
bistro and seating for 20 people. This
would allow the main employee caf
to offload some burden to maintain
full operations throughout the entire
construction phase. The success of the
redesign was due in part to the use
of technology during planning and
implementation. The 3D modeling
allowed the end users to clearly visual-
ize the space, equipment ,and work
flow so that meaningful adjustments
could be made during meetings. The
BEFORE
end users were involved in the entire
process from day one, making sure all
the shortfalls of the existing facility
were corrected to create an expanded
space that would take the hospital into
the future.
The project was especially chal-
lenging in that it was necessary to
provide uninterrupted meal service
to 1500 patients and 2500 employees
and visitors everyday throughout the
duration of the renovation. The design,
construction and end user teams de-
veloped a workable plan, consisting of
six complex phases with sub-stages, to
meet that goal. Each phase had critical
paths within themselves and had to be
totally complete before moving onto
the next.
Each of the four elements; kitchen,
dish room, serving lines, and main
dining were designed with functional-
ity and aesthetic in mind, while main-
taining the historical integrity of the
building. The dish room, which was
previously located on the lower level,
utilized a failing tray conveyor system
and antiquated equipment. It was relo-
cated to the main level adjacent to the
kitchen with a new dishwashing sys-
tem. Overall the design created a new
space for staff to relax and recharge
while they enjoy their meals.
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KING + KING ARCHITECTS (BEFORE); READING HEALTH SYSTEM (AFTER)
Architecture/interior design: King + King
Architects; Construction mnagement: L.F.
Driscoll Co.; Food service consultants: Stafford
Design Group; Food service management
advisory services: The Norton Group Inc.; MEP
design: Leach Wallace Associates Inc.; Ceiling
- dining room: Armstrong; Ceiling - servery:
Armstrong; Flooring - servery: Armstrong; Glass
moasic tile: Crossville; Paint: Sherwin Williams;
Porcelain tile: Crossville; Quarry tile: Daltile;
Solid surface: DuPont.
 DINING REMODEL/RENOVATION
St. Davids Medical Center Austin, Texas
Submitted by: schneiderHALLS design

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2013 CASEY DUNN PHOTOGRAPHY
The St. Davids basement renovation
project included the conversion of the con-
gested, institutional, 17-year-old cafeteria
and physicians lounge in the basement of
the hospital into an upscale servery and
BEFORE BEFORE dining area. The overhaul also included
revamping the dish room, basement cor-
ridors, elevator lobbies, and conference hall.
Taking two years to complete, the project
was finished in March 2013 accommodat-
ing the new objectives within the existing
28,451-square-foot space. Renovating the
main service level of a fully operational
1950s hospital was a challenge. The recon-
figuration of the only servery and dining
space for a 463,406-square-foot facility that
serves 1,900 meals per day was an even big-
ger undertaking.
The project goals were to eliminate the
institutional look overall, provide a press-
ready conference hall, improve traffic flow
and transaction volume in the servery, and
allow for more efficient seating in the din-
2013 CASEY DUNN PHOTOGRAPHY; BRONSON DORSEY
BRONSON DORSEY ing room. Strategic placement of popular
Construction: Flynn Construction; Foodservice consulting: Robert Rippe & Assoc.; MEP: Agnew Associates selections, close attention to waiting line lo-
Inc.; Structural: Paul Koehler Brown; Decorative laminate: Advanced Technology Inc.; Porcelain tile: cations, and the addition of enticing interior
American Olean; Accoustic panel: Knoll; Acoustic ceiling tile: Armstrong; Entol; Acrylic panel: 3 Form;
details to draw patrons through the space,
Carpet: Durkan; Carpet tile: Shaw; Countertops: Cosentino/Eco; Cosentino/Silestone; Fiber reinforced
plastic: Marlite; Flooring: Andreola Terrazzo & Restoration Inc.; Armstrong; Johnsonite; Glass tile: Travis Tile; contributed to better traffic flow. Food
Glass/Glazing: RGC Advanced Glass LLC; Kitchen Equipment: Serveco Equipment Co.; Laminate: Wilsonart; stations now include the grill, chef s special
Lighting: American Flourecsent; Fine Art Lamps; Finelite; Gotham; Kichler Lighting; Kirlin; Lithonia; Rebelle;
Sea Gull Lighting; Tivoli; Unilight; Millwork: Forester; Mirror: Artmasters; Paint: Sherwin Williams; Perforated
display cooking, full deli, a stone wood-
panel: Forms + Surfaces; Plastic laminate: Navamar; Porcelain tile: Daltile; Stone Solutions; Travis Tile; fired pizza oven, grab-and-go coolers, two
Prefab panel: Marlite; US Custom Finishes; Quarry tile: Daltile; Stone: Stone Solutions; Stone tile: Travis Tile; beverages counters, and a self-service island
Tile: Armstrong; BPI; Tile base: American Olean; Upholstered wrapped panel: Knoll; Upholstery: Designtex;
Vinyl tile: Mannington; Wall protection: Inpro; Wallcovering: National; Trikes; Wolf Gordon; Wood trim: with salad and dessert bars. Increased menu
Spectrim; US Custom Finishes. variety through these new retail stations
Supplement to Healthcare Design
t


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transformed the previous favorite areas
so that all counters are now prospering
equally.
The dining room color scheme is soft
and sophisticated, with restaurant-like
ambiance. A variety of seating and table
arrangementsbooths, bar height, group
tables, and two tops against half walls
give a sense of intimacy in an open room.
Decorative lighting and unique ceiling
details highlight the different sections.
All seats have a view of the manicured
landscaping in the exterior park. Dining
accommodations evolved from a place
you have to go to because of limited time
to the preferred respite. Banquette styl-
ing and local photography on the walls
showcasing the best of Austin, Texas,
provide unique regional touches.
Patient and staff satisfaction is at the
forefront of the minds of people involved
in the facilities department. The pre-
design research, user group interviews,
case studies, and overall staff interaction
throughout the entire process allowed for
a higher degree of success. The servery
has seen tremendous growth and the
service staff are excited to walk these
halls. The hospital now looks at this once
dingy basement with renewed spirit and
vigour.
53

Eisenhower Medical Center, (Caf 34) Walter and Leonore Annenberg Pavilions Food/
Nutritional Services and Dining Room Rancho MiRage, califoRnia
Submitted by: Moon Mayoras Architects, Inc.
In 2009, Eisenhower Medical Cen-
ter (EMC), located in Rancho Mirage,
California, began construction on the
Walter and Leonore Annenberg Pa-
vilion, their largest hospital expansion
in more than 40 years. In addition to
supplying 270 additional licensed beds
to their inpatient capacity, the primary
objective of the expansion project was
to enhance the overall patient care
experience by providing patient and
family-friendly amenities throughout
the Pavilion.
As part of the project, the architect
evaluated each of EMCs support
services to determine its capacity to
support the current patient volume
and the 270 additional inpatient beds.
Although some support services
were identified for possible expan-
sion in place, EMC decided to fully
replace the antiquated 40-year-old
food service department space with
a state-of-the-art, 21,000-square-foot
Food and Nutritional Services Area
and Dining Room.
Named in honor of Dwight D.
Eisenhower, the 34th President of the
United States, Caf 34 was designed
on the lower level of the new An-
nenberg Pavilion with direct access
to EMCs inpatient bed units above
and the medical centers main public
thoroughfare. Caf 34 features a brand
new state-of-the-art kitchen, four
contemporary bistro-ambiance dining
areas separated by partitions, and one
private dining room.
Open seven days a week, Caf 34
was designed to replace the previous
traditional cafeteria and supports
EMCs room service/hospitality tray
service to inpatients while offering
a variety of healthy and nutritious
DINING REMODEL/RENOVATION
Jury comments:
BEFORE
dietary selections for fresh produc-
tion to physicians, staff, families, and
visitors.
The scratch production kitchen
features a receiving cooler for dis-
tribution of all refrigerated product
and a food bank for low tempera-
ture storage after blast chilling. The
layout was configured to provide for
dedicated short order cooking for
tray line production and employee
access to silverware washing via the
servery without interruption to food
production areas.
Caf 34s dining areas each enjoy a
view of an outdoor dining patio. The
hospital hosts special events on the
dining patio from December through
May as permitted by the cooler desert
climate. The dining rooms and patio
face westward toward the Annenberg
Pavilions signature water feature and
Supplement to Healthcare Design 12.14
Impressed by the outdoor water
feature, the interactive design
process, and the ceiling details.
The renovation improved flow in the
servery.
Access to light and views has positive
impact.
Fun and welcoming spaces, colors,
lighting. Great use of indoor/outdoor
space. Interesting flow and good
break-up of seating into comfortable
groupings. Will provide a good break
for family, visitors and staff from
normal hospital functions and stress.
Very well done. Nice to read that this
renovation was undertaken with staff
input.
boast a stunning backdrop of the Santa
Rosa/San Jacinto Mountains.
EMCs Caf 34 was designed as
a vital component of the medical
Moon Mayoras architects, inc. (before); steve Mcclelland PhotograPhy (after)
centers Health Care as It Should
Be campaign. Patients, physicians,
and staff were integral to the user-
intensive Caf 34 iterative design
collaboration process. The designer
engaged EMCs executive chef,
dietitians, nurses, and service staff
through multiple user group meetings
to share experiences with the former
EMC cafeteria, provide suggestions
to improve the food preparation and
service process, review the design of
the new facility, and help implement
strategies to create the cultural and
physical paradigm shifts required to
provide EMC with a more patient-
and family-friendly model of food
service delivery.
53_A
 The following directory planning, programming, academic medical
REMODEL/RENOVATION DIRECTORY
ACOUSTIC TREATMENTS centers, ambulatory care centers, critical access
includes companies that hospitals, hospitals, and women & childrens care
centers. Offices: Minneapolis and Rochester,
provide products and Minnesota; Milwaukee, Wisconsin; Los Angeles,
services for the remodel Roseville, and San Francisco, California; and
Washington, DC.
and renovation of healthcare
facilities. Listings include full
contact information and are
organized by category, to help LogiSon Acoustic Network
Burlington, ON
you find the partners you need Contact: Ric Doedens
(866) 564-4766
for your next project. Email: info@logison.com
Web: www.logison.com
INDEX The LogiSon Acoustic Network generates a Hord Coplan Macht, Inc.
soothing background sound thats specifically Baltimore, MD
engineered to cover speech and noise. Conver- Contact: Rick Abbott
Acoustic Treatments ..................................54 sations are more difficult to hear, helping fulfill (410) 837-7311
Antimicrobial Products ...............................54 HIPAA requirements relating to speech privacy. Email: rabbott@hcm2.com
Post-installation surveys and HCAHPS scores Web: www.hcm2.com
Architects and Planners .............................54 show a marked improvement in terms of patient
Art Consultants ..........................................55 satisfaction with noise levels and the sleeping
Art for Medical Facilities.............................55 environment. The system is uniquely designed to
provide local control in individual rooms, allowing
Art/Framing ...............................................56 patients and staff to adjust the volume as needed.
Building Materials & Products ....................56
Cabinets and Casegoods ............................57
Chairs, Bariatric .........................................57
ANTIMICROBIAL PRODUCTS
Chairs, Lounge Area ...................................57
Design-Build ..............................................57
Doors, Hardware and Control .....................57
Emergency Response Systems ..................57
Environmental Graphic Design ...................58
Fabrics, Performance .................................58
Fabrics, StaKleen Upholstery ......................58
Flooring .....................................................58 CuVerro - Olin Brass
Louisville, KY
Flooring, Resilient ......................................58 Contact: Jill Miller Levi + Wong Design Associates,
Flooring Underlayment ...............................58 (877) 311-2883
Inc.
Foodservice Design....................................58 Email: cuverro@olinbrass.com
Concord, MA
Web: www.cuverro.com
Furniture, Interior .......................................59 Contact: Thomas Levi
(978) 371-1945
Furniture, Public Seating ............................59 Email: tlevi@lwda.com
Headwall Systems .....................................59 Web: www.lwda.com
Healing Environments ................................59 ARCHITECTS AND PLANNERS Levi + Wong Design is a passionate group of ar-
chitects, interior designers, landscape architects
Healthcare Interior Architecture..................59 and planners dedicated to design excellence.
Interior Designers ......................................60 Our collaborative style, proactive approach,
and interactive Virtual Design Process foster an
Lighting, LED .............................................60
integrated, innovative design culture. We are a
Markerboards ............................................60 client-centric firm led by working principals
Nurse Call Systems ....................................60 dedicated to Quality Design, Service, Innovation,
Team Work and Sound Business that form the
Signage .....................................................60 foundation of our success.
Signage, Digital..........................................61 HGA Architects and Engineers Foremost to our clients we are Visionaries,
Sinks .........................................................61 Minneapolis, MN Advisors, Designers, and Managers.
Contact: Julie Luers
Sound Masking ..........................................61 (612) 758-4613
Suicide Resistant Products.........................61 Email: jluers@hga.com MorrisSwitzer ~ Environments for
Web: www.hga.com Health
Tables ........................................................61 Vermont/Massachusetts/Maine
HGA is a national leader in healthcare design.
Wall/Corner Protection ...............................62 We have been instrumental in integrating Contact: Dan Morris
Wall Panel Systems....................................62 Evidence-Based Design research, Lean prin- (888) 781-8441
ciples, Integrated Project Delivery (IPD), and Email: info@morrisswitzer.com
Wayfinding and Signage Consultants .........62 Web: www.morrisswitzer.com
the Patient Experience into the design process.
Window Coverings .....................................62 Our healthcare expertise includes master

54 
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Healthcare Design

Page Southerland Page, Inc.
Dallas, TX
Contact: Mattia Flabiano III
(214) 522-3900
Email: mflabiano@pagethink.com
Web: www.pagethink.com
Perkins Eastman
New York, NY
Contact: Jeffrey Brand AIA, EDAC
(212) 353-7200
Email: info@perkinseastman.com
Web: www.perkinseastman.com
One of the 15 largest international architecture
firms, Perkins Eastman offers expertise in health-
care, senior living and educational facilities and
strategic master planning. We bring quality design
to complex, program-driven buildings. Our focus
is to design the next platform of carecreating
new facilities, enhancing existing structures and
providing flexible solutionsto advance the heal-
ing and wellness process. We deliver unique design
approaches and value to each project through our
U.S. and international offices.
Pomarico Design Studio
Architecture, PLLC
Beacon, NY
(845) 838-0448
Email: info@healthcaredesign.com
Web: www.healthcaredesign.com
In practice since 1992, PDS singular emphasis is
a high level of personal involvement, permitting
the growth of true partnerships whereby we be-
come the instrument through which the Clients
needs are met. We create intelligent healthcare
environments that not only meet the challenging
demands of todays changing world, but exceed
them. We go one step beyond the ordinary, to push
ourselves, examine everything, and deliver spatial
qualities to revolutionize the patient, family and
provider experience.
REMODEL/RENOVATION DIRECTORY
ART FOR MEDICAL FACILITIES
Ratcliff Architects
Emeryville, CA
Contact: Steven Steinberg, AIA
(510) 899-6422
Email: ssteinberg@ratcliffarch.com
Web: www.ratcliffarch.com
SFCS Architects
Roanoke, VA
Contact: Tye Campbell
(800) 873-2788
Email: sfcs@sfcs.com
Web: www.sfcs.com
ARCH Framing & Design
ART CONSULTANTS St. Louis, MO
Contact: Paul Burton
(866) 945-6621
Email: paul@archframing.com
Web: www.archframing.com
Our Evidence Based Design Certified Art Con-
sultants focus solely on beautiful, appropriate
artwork for healthcare projects nationwide.
Since 1978 we have completed more than 10,000
healthcare artwork projects. We offer Compli-
mentary Design Service to create healing and
soothing environments. We work with you and
your budget to save you time and to help you
create the environment you need. We ship from
our own production facility and install anywhere.
ARCH Framing & Design
St. Louis, MO
Contact: Paul Burton
(866) 945-6621
Email: paul@archframing.com Given Photography
Web: www.archframing.com Bellevue, WA
Our Evidence Based Design Certified Art Con- Contact: Cary Given
sultants focus solely on beautiful, appropriate (206) 953-0964
artwork for healthcare projects nationwide. Email: givenphotography@comcast.net
Since 1978 we have completed more than 10,000 Web: www.givenphoto.com
healthcare artwork projects. We offer Compli-
mentary Design Service to create healing and
soothing environments. We work with you and
your budget to save you time and to help you
create the environment you need. We ship from
our own production facility and install anywhere.
Advertising supplement to Healthcare Design
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REMODEL/RENOVATION DIRECTORY
Richard Sherman Photography
Princeton, NJ
Contact: Richard Sherman
(610) 453-5163
Email: rsherman@tousjour.com
Web:
www.richardshermanphotography.com
Im an artist who photographs peaceful and
tranquil nature scenes that healthcare facilities
use to create positive healing environments. My
collection includes seascapes, landscapes, and
abstracts from the U.S. and abroad. My Healing
Water and Wooden Boat portfolios are de-
signed to provide a visual escape for patients and
their caregivers. As a certified Veteran-Owned
Small Business, it has also been my privilege to
provide artwork to various VA Medical Centers.
Richard Sherman Photography: Find Your
Sanctuary.
Talley Fisher
Rob Fisher Sculpture, LLC
Bellefonte, PA
Contact: Talley Fisher
(814) 355-1458
Email: robfishersculpture@yahoo.com
Web: www.robfishersculpture.com
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Serrot MD
Chicago, IL
Contact: Jeanett Suarez
(800) 786-5988
Email: jsuarez@serrotmd.com
Web: www.serrotmd.com
Serrot MD is a company specialized in creating
Mood-Enhancing Art for healing environ-
ments. Founded by an artist and neuro-
ophthalmologist, it offers evidence-based,
patient-centered, customizable art systems.
Collaborating with designers, architects, and
art consultants, Serrot MD combines fine art
photography, digital art, and traditional media
to optimize the visual environment for each
specific area of a hospital or clinic in order to
lighten patients negative emotional loads and
improve their hospital experience.
ART/FRAMING
ARCH Framing & Design
St. Louis, MO
Contact: Paul Burton
(866) 945-6621
Email: paul@archframing.com
Web: www.archframing.com
Our Evidence Based Design Certified Art Con-
sultants focus solely on beautiful, appropriate
artwork for healthcare projects nationwide.
Since 1978 we have completed more than 10,000
healthcare artwork projects. We offer Compli-
mentary Design Service to create healing and
soothing environments. We work with you and
your budget to save you time and to help you
create the environment you need. We ship from
our own production facility and install anywhere.
BUILDING MATERIALS &
PRODUCTS
Specified Technologies Inc.
Somerville, NJ
Contact: Danielle DeGerolamo
(908) 526-8000
Email: ddegerolamo@stifirestop.com
Web: www.stifirestop.com
Specified Technologies Inc. (STI) is an industry
leader in developing innovative fire protection
systems that help stop the spread of fire, smoke,
and toxic fumes. Since firestopping is our only
business, we concentrate all our resources
on providing the highest quality, fully tested,
innovative firestopping solutions. Specified
Technologies Inc.s firestop programs and prod-
uct solutions are designed to meet the unique
needs of healthcare including compliance with
the Joint Commission, code compliance, infec-
tion control, and patient privacy.
 REMODEL/RENOVATION DIRECTORY
CABINETS AND CASEGOODS CHAIRS, LOUNGE AREA DOORS, HARDWARE AND
CONTROL

Proximity Systems, Inc.

Houston, TX Corbin Russwin
(800) 437-8111 Berlin, CT
Email: info@proximitysystems.com Contact: Wayne Falce
Web: www.proximitysystems.com (860) 828-7244
Proximity Systems is the leading provider of wall- Email: wayne.falce@assaabloy.com
mounted technology workstations, medicine Web: www.corbinrusswin.com
cabinets and kiosks. For more than 20 years,
weve worked with a wide range of companies
to ensure our units integrate seamlessly into
their facilities. With our innovative designs and
extensive manufacturing experience, were
shaping the standard.

National Office Furniture

CHAIRS, BARIATRIC
National Office Furniture
Jasper, IN
Contact: Lisa Merder
(800) 482-1717
Email:
lisa.merder@nationalofficefurniture.com
Web: www.nationalofficefurniture.com
National Office Furniture provides high-quality,
stylish furniture at an exceptional value to meet
the office furnishing and public seating needs
of your entire healthcare facility. We pride our-
selves on personal attention, environmental
responsibility, and customer-focused thinking.
With sustainability certifications such as Indoor
Advantage Gold and BIFMA level, Nationals ver-
satility and sustainable nature make it ideal for
waiting areas, family zones, private offices, cafes,
conference rooms, training rooms and more.
See our ad in this issue
Jasper, IN
Contact: Lisa Merder
(800) 482-1717
Email:
lisa.merder@nationalofficefurniture.com
Web: www.nationalofficefurniture.com
National Office Furniture provides high-quality,
stylish furniture at an exceptional value to meet
the office furnishing and public seating needs
of your entire healthcare facility. We pride our-
selves on personal attention, environmental
responsibility, and customer-focused thinking.
With sustainability certifications such as Indoor
Advantage Gold and BIFMA level, Nationals ver-
satility and sustainable nature make it ideal for
waiting areas, family zones, private offices, cafes,
conference rooms, training rooms and more.
See our ad in this issue
DESIGN-BUILD
Structure Tone Healthcare
New York, NY
Contact: Joseph Chin
(212) 251-9454
Email: joseph.chin@structuretone.com
Web:
www.structuretone.com/healthcare
SARGENT Manufacturing
New Haven, CT
Contact: David Higginson
(860) 828-7216
Email: david.higginson@assaabloy.com
Web: www.sargentlock.com
EMERGENCY RESPONSE
SYSTEMS
Systems Technologies
Hayden, ID
Contact: Linda Paris
(888) 826-3394
Email: sales@wirelessnursecall.com
Web: www.wirelessnursecall.com
Now UL1069 Edition 7 listed for skilled care, Vi-
sion Link offers more features, greater reliability,
fast installation and less cost. Includes remote
access for analysis reports and programming.
Select from a wide variety of wireless wall sta-
tions and personal transmitters with automatic
fall alarm and elopement notification to staff
pocket pagers, iPads, smartphones, pagers,
radios, wireless phones, email and more with
flexible messaging and call escalation until
cancelled. May be integrated with existing
equipment. Call today for complete information!

Advertising supplement to Healthcare Design
t

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REMODEL/RENOVATION DIRECTORY
ENVIRONMENTAL GRAPHIC FABRICS, STAKLEEN
DESIGN UPHOLSTERY

Mondo
Conshohocken, PA
Contact: Garrett Davelaar
(800) 361-3747
Email: mondo@mondousa.com
ArtHouse Design The Mitchell Group Web: www.mondoworldwide.com
Denver, CO Niles, IL
Contact: Marty Gregg Contact: Ann Brunett
(303) 892-9816 (847) 647-7300
Email: marty@arthousedenver.com Email: ann@mitchellfauxleathers.com
Web: www.arthousedenver.com Web: www.mitchellfauxleathers.com
Founded in 1996, ArtHouse Design (www.
arthousedenver.com) offers comprehensive
wayfinding and signage program development
and design services for healthcare facilities, FLOORING
including hospitals, medical buildings, and medi-
cal campuses. ArtHouse Design has extensive
experience developing wayfinding signage
nora systems, Inc.
Salem, NH
systems specifically for healthcare facilities.
Contact: Carol Fudge
The ArtHouse team of environmental graphic
(800) 332-6672
designers works worldwide to develop effec-
Email: healthcare-us@nora.com
tive, award-winning wayfinding systems and
Web: www.nora.com/us
signage that help improve the visitor and patient
experience; support a healthcare facilitys brand;
provide educational information; and more. Florock Polymer Flooring
Chicago, IL
(800) 356-7625 FLOORING UNDERLAYMENT
Email: web@florock.net
Web: www.florock.net
FABRICS, PERFORMANCE ECORE Commercial Flooring
Lancaster, PA
Shaw Contract Group (877) 258-0843
Cartersville, GA Email: jld@ecoreintl.com
Contact: Paul Young Web:
(770) 387-7844 www.ecorecommercialflooring.com
Email: paul.young@shawinc.com
Web: www.shawcontractgroup.com
See our project in this issue

Carnegie FOODSERVICE DESIGN

New York, NY
(800) 727-6770
Email:
FLOORING, RESILIENT
salesservices@carnegiefabrics.com
Web: www.carnegiefabrics.com ECORE Commercial Flooring
See our projects in this issue Lancaster, PA
(877) 258-0843
Email: jld@ecoreintl.com
Web:
www.ecorecommercialflooring.com
Orness Design Group, Inc.
San Diego, CA
Contact: Ken Relethford
Forbo Flooring Systems (858) 457-5955
Hazleton, PA Email:
(800) 842-7839 krelethford@ornessdesigngroup.com
Email: info.na@forbo.com Web: www.ornessdesigngroup.com
Web: www.forboflooringna.com Orness Design Group is a Premiere Foodservice
Design Company with extensive experience in
Health Care Venues. We understand the specific
LSI Floors needs for each unique project and provide detailed
Toronto, ON space planning for todays nutrition based menus.
Contact: Rick Moffatt Award-winning design for healthcare renovation,
(800) 449-3916 2014 UCSD Thornton Hospital Caf.
Email: rmoffat@lsifloors.com See our project in this issue
Web: www.lsifloors.com

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Webb Foodservice + Interior
Design
Tustin, CA
Contact: Gina Brinegar
(714) 508-1880
Email:
ginab@webbfoodservicedesign.com
Web: www.webbfoodservicedesign.com
FURNITURE, INTERIOR
Carolina
High Point, NC
Contact: Jessica Sanders
(800) 763-0212
Email: jsanders@ofsbrands.com
Web:
www.carolinabusinessfurniture.com
See our project in this issue
National Office Furniture
Jasper, IN
Contact: Lisa Merder
(800) 482-1717
Email:
lisa.merder@nationalofficefurniture.com
Web: www.nationalofficefurniture.com
National Office Furniture provides high-quality,
stylish furniture at an exceptional value to meet
the office furnishing and public seating needs
of your entire healthcare facility. We pride our-
selves on personal attention, environmental
responsibility, and customer-focused thinking.
With sustainability certifications such as Indoor
Advantage Gold and BIFMA level, Nationals ver-
satility and sustainable nature make it ideal for
waiting areas, family zones, private offices, cafes,
conference rooms, training rooms and more.
See our ad in this issue
REMODEL/RENOVATION DIRECTORY
FURNITURE, PUBLIC SEATING
Modular Services Company
Oklahoma City, OK
(800) 687-0938
Email: info@modularservices.com
Web: www.modularservices.com
See our ad in this issue
HEALING ENVIRONMENTS
Integra Seating
Walworth, WI
Contact: Chandra Putnam
(800) 235-0234
Email: cputnam@integraseating.com
Web: www.integraseating.com
Integras high-quality furniture is specifically Krug
designed for high-use environments, such as Kitchener, ON
healthcare facilities. All seating lines have replace- Contact: Kim Jones
able components and superior strength providing (519) 748-5100
long-lasting product lifecycle, sustainability, and Email: kjones@krug.ca
durability. Our standard seating passes a 1000-lb. Web: www.krug.ca
drop test. The Coastal Collection is one of Integras Working with industry partners and top health-
many beautiful collections. Products include: care facilities, Krug Healthcare Solutions offers
bariatric, ortho-height, urethane arm caps, wood an exceptional range of product for acute,
leg protector, tablet arms with a 300-lb. capacity, ambulatory, and extended care facilities. Krug
and have a lifetime warranty. has deepened its presence in the healthcare
market by adding patient room casegoods,
metal seating, infusion modules, and behavioral
health solutions. Krug is committed to the con-
HEADWALL SYSTEMS tinual development of evidence-based product
solutions that meet the changing needs of the
healthcare environment.
See our ad in this issue
HEALTHCARE INTERIOR
ARCHITECTURE
Hospital Systems, Inc (HSI)
Pittsburg, CA
Contact: Kathie Campbell
(925) 427-7800
Email: kcampbell@hospitalsystems.com
Web: www.hospitalsystems.com
HSI has been a leader in the development, design
and manufacturing of patient care headwalls,
consoles, labor & delivery/neonatal care systems,
bed locators and their accessories for more than Ratcliff Architects
44 years. As a Build to Order Manufacturer, our Emeryville, CA
products are designed specifically to make the Contact: Steven Steinberg, AIA
installation process faster and easier. We have a (510) 899-6422
diverse and highly trained design team that can Email: ssteinberg@ratcliffarch.com
provide detailed drawings, spec sheets and creative Web: www.ratcliffarch.com
functional solutions to best accommodate you
and your client.
We are proud to be a Women-Owned, Certified
Green, Small Business and we manufacture all of
our products entirely in the USA.
Advertising supplement to Healthcare Design
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REMODEL/RENOVATION DIRECTORY
INTERIOR DESIGNERS MARKERBOARDS SIGNAGE

HGA Architects and Engineers

Minneapolis, MN
Contact: Julie Luers
(612) 758-4613
Email: jluers@hga.com
Web: www.hga.com

JSArchitects
New York, NY
Contact: Jamil Sheikh
(212) 267-6727
Email: jamil@jsarchitects.net
Web: www.jsarchitects.net
MorrisSwitzer ~ Environments for
Health
Vermont/Massachusetts/Maine
Contact: Dan Morris
(888) 781-8441
Email: info@morrisswitzer.com
Web: www.morrisswitzer.com
Perkins Eastman
New York, NY
Contact: Jeffrey Brand AIA, EDAC
(212) 353-7200
Email: info@perkinseastman.com
Web: www.perkinseastman.com
One of the 15 largest international architecture
firms, Perkins Eastman offers expertise in health-
care, senior living and educational facilities and
strategic master planning. We bring quality design
to complex, program-driven buildings. Our focus
is to design the next platform of carecreating
new facilities, enhancing existing structures and
providing flexible solutionsto advance the heal-
ing and wellness process. We deliver unique design
approaches and value to each project through our
U.S. and international offices.
LIGHTING, LED
Eatons Cooper Lighting Business
Peachtree City, GA
Contact: Tom Lane
(770) 486-4800
Email: talktous@eaton.com
Web: www.cooperlighting.com
VividBoard
Lebanon, OH
Contact: Susan Claus
(877) 543-2999
Email: info@vividboard.com
Web: www.vividboard.com/hcd
VividBoard provides custom dry-erase boards for
the healthcare industry. From patient room boards
to nurse scheduling boardsVividBoard can de-
sign and manufacture a board that will highlight
the hospitals design elements while providing
functional space for the staff, patients, and families
to communicate. Our boards are easy to write on, Identity Group Architectural
easy to clean (no special cleaners required), and Signage
have a lifetime guarantee against ghosting! Made in Cookeville, TN
the USA from premium American made materials. Contact: Ron Quarles
(615) 515-9003
Email: archsignage@identitygroup.com
Web: www.identitygroup.com/
architecturalsigns
NURSE CALL SYSTEMS Dedicated to the quality fabrication and instal-
lation of architectural signs and sign systems,
our highly skilled craftsmen manufacture to
your exact specifications. From property entry
and parking, to site navigation and departure,
the team at Identity Group ensures that your vi-
sion is displayed professionally and consistently,
everywhere it needs to be. Whether your project
is one space, one building, or an entire campus,
Identity Group provides a complete solution for
Systems Technologies all of your signage needs.
Hayden, ID
Contact: Linda Paris
(888) 826-3394
Email: sales@wirelessnursecall.com
Web: www.wirelessnursecall.com
Now UL1069 Edition 7 listed for skilled care, Vision
Link offers more features, greater reliability, fast
installation and less cost. Includes remote access
for analysis reports and programming. Select
from a wide variety of wireless wall stations and
personal transmitters with automatic fall alarm
VividBoard
and elopement notification to staff pocket pag- Lebanon, OH
ers, iPads, smartphones, pagers, radios, wireless Contact: Susan Claus
phones, email and more with flexible messaging (877) 543-2999
and call escalation until cancelled. May be inte- Email: info@vividboard.com
grated with existing equipment. Call today for Web: www.vividboard.com/hcd
complete information! VividBoard provides custom dry-erase boards for
the healthcare industry. From patient room boards
to nurse scheduling boardsVividBoard can de-
sign and manufacture a board that will highlight
the hospitals design elements while providing
functional space for the staff, patients, and families
to communicate. Our boards are easy to write on,
easy to clean (no special cleaners required), and
have a lifetime guarantee against ghosting! Made in
the USA from premium American made materials.

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 REMODEL/RENOVATION DIRECTORY
SIGNAGE, DIGITAL SUICIDE RESISTANT PRODUCTS

Bradley Corporation
Menomonee Falls, WI
Contact: Kris Alderson
(800) 272-3539
Email: jan.jewell@bradleycorp.com
Web: www.bradleycorp.com

Interactive Touchscreen Solutions,

Inc.
Crofton, MD
Contact: Natalie Bobila
(800) 652-4830, ext. 316
Email: nbobila@itouchinc.com
Web: www.itouchinc.com
Improve the patient experience with the Navigo
Suite of Products from Interactive Touchscreen
Solutions, Inc. ITS offers a vast selection of digital
signage solutions that complement and modern-
ize any facility. Choose from our Navigo Active
Signage, Touchscreen Directory, Wayfinding,
Room Scheduler or Visitor Management Solu-
tions. ITS offers a standard line of enclosures as
well as customized enclosures to fit your space.
With more than 30 years combined experience,
our management team can create the most effi-
cient state-of-the-art directory that best suits your
facilitys needs. Contact us today and learn how
the Navigo Suite of Products can work for you.
SINKS
Bradley Corporation
Menomonee Falls, WI
Contact: Kris Alderson
(800) 272-3539
Email: jan.jewell@bradleycorp.com
Web: www.bradleycorp.com
Grifform Innovations
Glide, OR
Contact: Gail Griffin
(541) 496-0313
Email: gail@grifform.com
Web: www.grifform.com
Grifform Innovations Scrub Sinks are made of
National Office Furniture provides high-quality,
DuPont Corian and available in most Corian
colors. They are designed to help surgeons and
staff meet required aseptic scrub procedures. A
durable sink that adds an appealing quality to any
Emergency or Operating room! Please visit our
website today at www.grifform.com to view our
other healthcare-related products which include
Shower Pans and Walls, Vanities and Sinks and
Privacy Partitions.
SOUND MASKING
TABLES
National Office Furniture
Jasper, IN
Contact: Lisa Merder
(800) 482-1717
Email:
lisa.merder@nationalofficefurniture.com
Web: www.nationalofficefurniture.com
stylish furniture at an exceptional value to meet the
office furnishing and public seating needs of your
entire healthcare facility. We pride ourselves on
personal attention, environmental responsibility,
and customer-focused thinking. With sustain-
ability certifications such as Indoor Advantage
Gold and BIFMA level, Nationals versatility and
sustainable nature make it ideal for waiting areas,
family zones, private offices, cafes, conference
rooms, training rooms and more.
See our ad in this issue

LogiSon Acoustic Network

Burlington, ON
Contact: Ric Doedens
(866) 564-4766
Email: info@logison.com
Web: www.logison.com
The LogiSon Acoustic Network generates a
soothing background sound thats specifically
engineered to cover speech and noise. Conver-
sations are more difficult to hear, helping fulfill
HIPAA requirements relating to speech privacy.
Post-installation surveys and HCAHPS scores
show a marked improvement in terms of patient
satisfaction with noise levels and the sleeping
environment. The system is uniquely designed to
provide local control in individual rooms, allowing
patients and staff to adjust the volume as needed.

Advertising supplement to Healthcare Design
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REMODEL/RENOVATION DIRECTORY
durability and functionality of wall protection
WALL/CORNER PROTECTION giving designers the freedom to incorporate
photography, branding, etc. into areas prone to
major wall and door damage. It is the only wall and
door surface option that puts a digitally printed
high resolution image behind the material. This
method fully protects it from abuse in high-traffic
areas ensuring the image remains beautiful years
after installation.
WALL PANEL SYSTEMS
FRP is beautiful, easy to clean, and scratch and
impact resistant. Choose beautiful laminates from
major manufacturers and a variety of trim options
including our patented SaniSEAL Trim technol-
ogy. See more at www.indurofrp.com.
See our project in this issue
WAYFINDING AND SIGNAGE
CONSULTANTS

The Design Office of Steve

Marlite Neumann & Friends
Houston, TX
Dover, OH
Contact: B. Steve Neumann
Contact: Diana Hibbs
Construction Specialties (330) 343-6621
(713) 629-7501
Muncy, PA Email: steve@snfriends.com
Email: dhibbs@marlite.com
Contact: Dave Bronovicki Web: www.snfriends.com
Web: www.marlite.com
(800) 233-8493 Since 1974, we are considered the benchmark in
Induro Decorative Laminate FRP wall panels
Email: acrovyn@c-sgroup.com healthcare wayfinding. The Design Office of Steve
produced by Marlite provide ultimate durability
Web: www.acrovynbydesign.com Neumann & Friends is a nationally recognized
for high abuse spaces in all areas of healthcare,
New Acrovyn by Design merges the aesthetic signage and wayfinding consultancy, specializing
from the atrium to the surgical suite. Induro
options of traditional wall covering with the in the design of unique and specialized healthcare
wayfinding systems. Projects are undertaken with
an appreciation of the built environment, reflective
of exacting client needs, expectations and future
continuation, using innovative design solutions,
quality documentation, value engineering, sched-
HCD Online Buyers Guide uling, and fiscal responsibility.
How may we resolve your signage/wayfinding/
wayshowing needs?

Your online resource

for products/services WINDOW COVERINGS
for your next new
construction,
expansion, or
renovation project.

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Santa Ana, CA
product category Contact: Mike Brogan
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 e g i s t e r
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Now
and !
SAVE

APRIL 19-21, 2015

BALTIMORE MARRIOTT WATERFRONT

COMMUNITY-DRIVEN DESIGN.
PERSON-FOCUSED SOLUTIONS.

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F FIRST LOOK | 12.14
Park place
The design of the Fifth XiangYa Hospital in Changsha, China, embraces the surrounding
environment, creating a campus that puts the spotlight on nature
By Jennifer Kovacs Silvis

The natural surroundings of Changsha, China, includ-

ing a mountainous parkland, have directed the design
of Fifth XiangYa Hospital, a health campus planned
and designed by Payette (Boston) in the capital of
Chinas Hunan Province.
Working on a site adjacent to a park under develop-
ment by the city, the team opted to split the campuss
programming in two, creating a healing garden at its
core thats aligned with that neighboring park. The
campus includes a 1,700-bed general hospital on one
end and an 800-bed VIP hospital on the other. An
arrival plaza between the two maintains a focus on the
central garden space, with the two hospital con-
courses running the length of the garden and offering
multiple entry locations.
Each hospital is designed with flexibility in mind
and enough flexibility to respond to the regions
massive population. The 6 million-square-foot complex
supports its 2,500 beds in an academic setting, includ-
ing teaching and research components, and an antici-
pated outpatient volume of 10,000 patients per day.
To that end, the buildings can be adjusted for various
bed counts; depending on need, unit blocks can be MORE ONLINE To see more renderings of the Fifth XiangYa Hospital, visit
scaled from six to 60 rooms, with a horizontal flow that HCDmagazine.com/first-look-fifth-xiangya.
allows staff to group patients by diagnosis or room type.
Further, an underground support services platform links separate on-stage and off-stage flows. Top: Visitors progress through the
the two buildings to avoid unnecessary duplication. The campus, to be completed in 2020, also campus, moving from an urban
Almost all of the patient units are designed to be one- includes alternative energy systems, water landscape to a natural site, with
sided and provide views to the south or of the mountain retention and reuse, and potentially natural the entry plaza offering views and
park, with a two-corridor system in place throughout to connection to the central healing
ventilation. HCD
garden. Above: A terrace garden
PAYETTE

creates a large exterior plaza at the

Do you have a new project on the boards? Email Jennifer Kovacs Silvis at jsilvis@vendomegrp.com for details
first level of the hospital.
on how to contribute to First Look.

64 HCDmagazine.com 12.14
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WASHINGTON, DC

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