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Architectural and interior design showcase.

MEDICAL CENTER

Veterans Affairs Las Vegas Medical Center Las Vegas, NV

RTKL Associates Inc. Washington, DC, and JMA Architecture Studio Las Vegas, NV

RTKL designed a 700,000-square-foot new medical campus, inpatient hospital and ambulatory care center for the Department of Veterans Affairs (VA) in Las Vegas, Nev. In an extensive review by the Veterans Health Administration (VHA) of the Veteran's population and their clinical needs through a process called CARES, Las Vegas was identified as having one of the fastest-growing Veteran populations in the country. Focused on the unique needs of Veterans of the nation's military services, the hospital provides clinical programs for the treatment of post-traumatic stress, spinal cord injury, and physical rehabilitation, among many others. The process concluded that a new hospital was required and that it was one of the highest priority projects of the VHA. Conceived to be a model for VA hospitals in the 21st century, the task is to re-examine the core planning guidelines used for years in an effort to increase efficiency. The new facility consolidates hospital-based services from multiple small sites across the region, streamlining and easing access to primary, secondary, and tertiary clinical services.

The project components include an 90-bed, all-private room patient tower, an outpatient care pavilion, sophisticated diagnostic and treatment facilities, a building for the Veterans Benefits Administration, and a 120-bed nursing home care unit. The range of service includes inpatient and outpatient behavior health programs, surgery, oncology, gastroenterology, and adult day care.

Project category: New construction (completed August 2012)

Chief administrator: John Bright, Director of Veterans Affairs, Southern Nevada Health System, (702) 636-3010

Firms: RTKL Associates Inc., (202) 883-4400: JMA Architecture Studio, (702) 731-2033

Design team: Joint Venture Partner (JMA Architecture Studio); Scott Rawlings, Lead Designer, Principal-in-Charge; David Spahr, Senior Medical Planner; Kim Hall, Senior Medical Planner; Gary Martin, Project Architect; Brian Cornell, Senior Landscape Architect (RTKL Associates Inc.)

Photography: [c]David Whitcomb

Total building area (sq.ft.): 1,045,000

Construction cost/sq.ft.: $357

Total construction cost (excluding land): $374,000,000

MEDICAL OFFICE BUILDING

Cardiovascular Center Chandler, AZ

Coaction Group Chandler, AZ

This project was based on a holistic approach and grounded in evidence-based design practices; the goal was the alignment between the built-environment, the operational protocols and the organization's culture. To this end, design architect Karen Shakman established four desired outcomes: patient-centered care, state-of-the-art facility, community outreach, and green health.

The main design challenge was to address the programming needs of all stakeholders, which included the client, the patient, the caregiver and the community. Planning for a cardiovascular practice involves creating an environment that supports a wide range of human conditions, including people with a considerable level of disabilities. In this context, research targeted the following population groups: the aging, the bariatric, and the caregiver/practitioner. Design solutions addressed these specific demographics by promoting efficiency, safety and staff retention, and were tailored to offer an environment that advocates preventive as well as curative medicine.

A unique characteristic of this project was the creation of an area called "My Heart Pod" to promote the integration of the building within the fabric of the neighborhood. Grounded in evidence-based design and green practices, this innovative community outreach approach proposes the incorporation, improvement and maintenance of an unused 14,400-square-foot public retention area adjacent to the primary site. This space will offer end-users of the practice and surrounding community a place for physical activities and educational programs. It will also offer patients and staff members a place for positive distraction and respite.

Project category: Unbuilt/ Conceptual design only (Summer 2014)

Firm: Coaction Group. (888) 433-3966

Design team: Karen Shakman, Principal and Design Architect; Brian Crawford, Job Captain; Donald Wieser, Project Architect (Coaction Group); Melinda Webster, Awarded General Contractor (A.R. Mays Construction); Structural Engineers (Caruso Turley Scott Inc.)

Total building area (sq.ft.): 14,400

Construction cost/sq.ft.: $90

Total construction cost (excluding land): $1,300,000

MEDICAL OFFICE BUILDING

Children's Mercy East Independence, MO

HMN Architects, Inc. overland Park, KS

HMN Architects, Inc. partnered with the Children's Mercy Hospitals and Clinics on a new, three-story, clinic located in Independence, Mo. The 55,500-square-foot clinic includes an imaging center, lab, urgent care, specialty clinics, and support spaces.

The new facility features specialty clinic services including: cardiology, endocrinology, gastroenterology, neurology, orthopedics, rehabilitation medicine, sports medicine, audiology and speech, and ear, nose and throat care. The building is equipped with 20 exam rooms, two procedure rooms, one audio booth, an ultrasound, and a digital radiation room. Prior to the opening of this facility, these services were located 20 miles away at Children's Mercy's downtown location.

The clinic achieved LEED Certification based on the implementation of several sustainable design principals. Materials selected for use on the exterior were derived from the architectural vernacular of Children's Mercy's existing facilities, allowing the building to be readily identified by the public. Interior materials also follow the standards established by Children's Mercy, being durable and in palettes that are fun and appropriate for children.

The design intent for the facility was to create a place for children to go when they are sick or hurt, that does not resemble a typical clinical setting. Interactive lighting features controlled by a number of child-size push-button consoles, bright finishes and cartoon characters on the walls and floors, clearly denote that this is a space designed for children to utilize and enjoy today; while the sustainable components of the design attest to the care and concern for their well-being in the future.

Project category: New construction (completed July 2012)

Chief administrator: Lonnie Breaux, VP of Facilities, (816) 234-3365

Firm: HMN Architects, Inc., (913) 451-9075

Design team: Matt Jennings, Architecture and Interior Design (HMN Architects, Inc.); Richard Crabtree, Structural Engineer (Bob D. Campbell); Travis Lee, MEP Engineer (Brack & Associates)

Photography: [c]2012 Manginelli Productions

Total building area (sq.ft.): 55,500

Construction cost/sq.ft.: $290

Total construction cost (excluding land): $16,000,000

MEDICAL OFFICE BUILDING

Continuum Health Partners Beth Israel Medical Group New York, NY

Array Architects New York, NY

Beth Israel Medical Center, part of Continuum Health Partners, offers a broad-based fully integrated health services network throughout the New York City metropolitan region. After their lower Manhattan family practice patient base increased beyond the capacity of their offices, Continuum committed to quickly expand the services offered at the medical facility. Continuum selected a building at the corner of 8th Avenue and 23rd Street for the expanded family practice. The project included the renovation of a three-story building with a new curtain wall and facade that incorporates the client's brand with LED-illuminated panels and signage. The exterior now invites patients to the space and defines the entrance with a matte silver facade that is lit blue in the evening.

Continuum's new facility provides a multitude of resources for their patients. The new walk-in, primary care medical practice is located on the 2nd floor, while the 3rd floor serves the specialty practices such as dermatology, radiology, ophthalmology, orthopedics, GI, cardiology and pain management.

Creating a welcoming and sophisticated clinical environment for the patients and staff was a high priority for Beth Israel. Reception desks lit from within welcome visitors to the medical floors. The new curtain wall and windows allow natural light to pour into the waiting areas and exam rooms. An organic shaped form, defines the administrative support area and acts as marker in the plan to guide patients to transaction areas. Highly functional areas such as the nurses' station, touchdown station, and support spaces have a similar level of finishes.

Project category: Remodel/Renovation (completed November 2012)

Chief administrator: John Chuey, MD, Senior Physician, (212) 420-2000

Firm: Army Architects, (212) 689-3110

Design team: Jeffrey Drucker, AIA, Project Executive; Jason Lee, LEED AR, Project Manager; Patricia Malick, AAHID, EDAC, LGB, Lead Interior Designer; Michelle DeForrest, LEED AP, Interior Designer; Udo Maron, AIA, ACHA, Healthcare Planner (Array Architects); Rick Meilen, PE, MEP Engineer (Kellen & Lemelson)

Photography: [c]2013 Jeffrey Totaro

Total building area (sq.ft.): 16,500

Construction cost/sq.ft.: $309

Total construction cost (excluding land): $5,100,000

MEDICAL OFFICE BUILDING

Kaiser Permanente Medical Offices--Antelope Valley Lancaster, CA

TAYLOR lrvine, CA

Kaiser Permanente challenged the architecture team of TAYLOR and its consultants to "break the mold" and re-invent the design and performance potential of the Kaiser Permanente Specialty Medical Offices. From a design standpoint, every feature, system, assembly, and design template was challenged, reevaluated, and reimagined. While some existing Kaiser Permanente planning features were proven to be the best solution, other operational and building options were explored and are being constructed as alternate solutions. With a strong focus on sustainability, these Specialty Medical Offices provide a great opportunity to maximize design potential, create the design directive, and to pursue a net-zero energy efficient building and LEED Platinum Certification. Along with tracking sustainability goals, there was also desire and commitment to achieve a lower Total Cost of Ownership based on alternative building solutions.

This project is designed as a 66 Provider, 136,580-square-foot Specialty Medical Offices located on a Greenfield 44-acre site in the City of Lancaster. The strong architectural form along with the branded elements offers the building a solid connection with its environment. Local to the area, poppies and butterflies are graphically morphed together offering playful and hopeful imagery.

Currently under construction, the building reaches beyond the design criteria and list of directives to support the Kaiser Permanente initiative of the Total Health Environment. The new specialty medical offices will become not only a place for healing for those seeking care but also a beacon for the community.

Project category: Project In progress (July 2014)

Chief administrator: Linda J. Lawson, RN, MSN, Chief Administrative Officer, (661) 729-4069

Firm: TAYLOR, (949) 574-1325

Design team: Pat Reyes-Cappelli, Project Director (Kaiser Permanente); Jun Gang, Project Manager (TAYLOR); David Mitchell, Mechanical/Plumbing Engineer (Glumac); Max Burcham, General Contractor (McCarthy); Stephen Carroll, Landscape Design (EPT Design); Duc Bui, Electrical Engineer (DPB Engineers Inc)

Total building area (sq.ft.): 136,580

Construction cost/sq.ft.: Not available

Total construction cost (excluding land): Not available

MEDICAL OFFICE BUILDING

UCLA Health--Thousand Oaks Health Clinic Thousand Oaks, CA

c|a ARCHITECTS Long Beach, CA

When transitioning a standard office building into a medical office building, challenges need to be addressed to achieve the programmatic and code compliance requirements necessary for an exceptional healthcare facility while creating an environment that elevates the patient experience. The challenges for the UCLA Health--Thousand Oaks Health Clinic began with the odd shape and tight space allocations of the floor plate. The team took advantage of the clinic's placement within the building by stacking the entry points on the first and second levels and using similar shapes, colors, and materials to define the entrances. Within the office space, innovative thinking allowed the team to create the fit, function, and circulation needed to fulfill the intense program requirements and develop an efficient workflow solution. A curved design element uniquely addressed the necessary separations while supporting patient interaction, service delivery, and increased access to natural light. This high-end yet serene environment supports the patient experience and minimizes the fears associated with hospitals. As UCLA continues to expand its satellite real estate, this is a branded experience--a positive healthcare experience--that supports the future direction of the healthcare industry.

Project category: Remodel/Renovation (completed March 2013)

Chief administrator: Farah Elahi, Chief Administrative Officer, (310) 825-0639

Firm: c|a ARCHITECTS, (562) 595-5666

Design team: David Chartier, AIA, ACHA, Architect: Eileen Amano-Peterman, AIA AAHID, ASID, EDAC, LEED AP ID+C, Interior Design; Angel Morales, Associate AIA, Project Manager; Roselyn Schwichtenberg, ASID, CID, LEED AP, Interior Designer Assistant (c|a ARCHITECTS); Michael Gilmore, LEED AP, Mechanical. Plumbing. Electrical Engineering (Donn C. Gilmore & Associates, Inc.)

Photography: 2013 Paul Turang Photography

Total building area (sq.ft.): 16,300

Construction cost/sq.ft.: $147

Total construction cost (excluding land): $2,400,000

MULTIPLE SCLEROSIS CENTER

The Multiple Sclerosis Center at Swedish Neuroscience Institute Seattle, WA

Callison Seattle, WA

"The Center has a very relaxing effect when you walk in, as you are greeted by a wall of plants." MS Center patient.

Callison's goal was to create a space which would meet the physical and emotional needs of people with multiple sclerosis (MS) and allow them to more easily interact with their environment. The design incorporated a special wayfinding program to guide patients through the clinic. A living "green wall" serves as a unique visual reference, greeting patients as they step from the elevator.

Materials were selected for ease of movement, with transitions between materials carefully contrasted and placed to reduce the potential of trips and falls. Handrails offer needed support and the opportunity for respite. Sliding doors and automatic door operators improve accessibility.

The Patient and Family Waiting Area was designed as a centralized, comfortable place for patients and their families to rest between appointments. Features include abundant natural light, floor-to-ceiling windows, and access to an outdoor terrace. Operable curtains offer various levels of privacy. Patients or family members can adjust the curtains to meet their needs.

One of the more unusual spaces in the MS Center is the Outdoor Therapy Terrace, where patients can practice walking on a variety of surfaces without the risk of falling. An overhead patient lift system incorporated into the terrace's garden trellis allows patients, who are connected via a safety harness, to walk safely over irregular paving, gravel and sod.

Project category: Remodel/Renovation (completed April 2012)

Chief administrator: Dr. James Bowen, Medical Director, (206) 320-2200

Firm: Callison, (206) 623-4646

Design team: John Jex, Principal-in-Charge; Theresa Wood, Director of Interior Design; Chia Ling Khoo, Senior Interior Designer; Gil Jaffe, Project Manager

Photography: [c]2012 Callison LLC/Chris Eden

Total building area (sq.ft.): 14,500

Construction cost/sq.ft.: $228

Total construction cost (excluding land): $3,300,000

NEUROSCIENCE CENTER

Indiana University Health, Neuroscience Center of Excellence Indianapolis, IN

Cannon Design Chicago, IL

The ever-expanding science of the brain and the treatment of its disorders offered a platform for exploration of imagery and formal manipulations of the project. Utilizing scale and memory, the project builds an architectural language that translates these graphic conventions of neuroscience into built form.

Translating cutting-edge neuroscience research into advanced patient care, the Center's design takes inspiration from the bicameral organization of the human brain--the north side housing the more "rational" clinical functions; the south side, the more "emotional" functions of patient care; and the west side, collaborative functions so vital to translational research.

Bent to resemble electroencephalograms, the north facade is adorned with architectural fins, broadcasting a striking presence to a nearby highway while providing privacy. The west facade presents a sculptural form inspired by the shape of neurons.

Interiors also incorporate geometry, color, and imagery from neuroscience research, including patterns mimicking cellular forms, and blocks of color inspired by the vibrancy of PET and IM RI brain scans. Colortinted windows arranged in a visually engaging pattern at the ground floor, create an inviting pedestrian-level presence.

Clinical floors are equipped with collaborative niches for quick impromptu meetings; larger meeting areas encourage collaboration among researchers and clinicians, and a large auditorium facilitates formal presentations on research findings and their clinical applications.

Physicians and staff have outstanding access to natural light, collaborative spaces, and patients. The high level of patient-to-researcher connectivity supports and encourages professional collaboration and showcases the commitment of the institution to patient care and research.

Project category: New construction (completed June 2012)

Chief administrator Anthony Lampasona, President, Landmark Healthcare Facilities, (444) 277-0500

Firm: Cannon Design, (312) 332-9600

Design team: M. Kent Turner, AIA, MRAIC, Project Principal; Randolph E. Guillot, AIA, LEED AP, Design Principal; Michael Pukszta, AIA, Planning Principal; Mark Roeser, AIA, Project Manager (Building); Michael D. Jackson, AIA, Project Manager (Fit Out); Jocelyn Stroupe, AAHID, EDAC, IIDA, Interior Design Principal

Photography: [c]2012 James Steinkamp Photography

Total building area (sq.ft.): 270,000

Construction cost/sq.ft.: Not available

Total construction cost (excluding land): Not available

ORTHOPEDIC AND SPINE CENTER

The Christ Hospital Cincinnati, OH

SOM Ohio LLC Chicago, IL

The Christ Hospital (TCH) in Cincinnati, Ohio, is a 555-bed acute care hospital, recognized as the leader in adult care in Greater Cincinnati, and ranked among the top 50 hospitals in the country. At 1.5 million square feet, the institution was outgrowing its Mt. Auburn campus. The team developed a master plan that identifies growth needs; prioritizes sites for future expansion; aligns the campus to create the best patient, physician and staff experience; and differentiates TCH in the marketplace. Initial projects include new streets and entries, a parking garage, relocation of the materials handling operations, central utility plant improvements, a new public circulation concourse and the 251,500-square-foot Orthopaedic and Spine Center (OSC).

The OSC is organized as a bed tower above a diagnostic and treatment podium The tower contains 60 beds; a shelled floor will allow for an additional future 30 beds. The podium contains 12 operating rooms, surgery prep and recovery, a pain center, imaging, preadmission testing, rehabilitation, service line administration, satellite food service and central sterile processing--all dedicated to the OSC service line. A three-story public circulation concourse connects the new podium to the existing hospital, while providing a materials movement highway on the lower level. A new public circulation loop was created linking the various existing hospital wings, the new OSC, and the Parking Garage. Landscape spaces provide respite and aid wayfinding; in addition to the landscape court along the loop, the building mechanical penthouse was located at the middle of the building to allow for a roof top garden. A contemporary architectural vocabulary was created by reinterpreting the red brick character of the hospital's existing buildings in a contemporary manner that respects Cincinnati's historic Mt. Auburn neighborhood. The asymmetric facade continues a theme of light established by the iconic cupola.

The patient unit is designed around a structure of light. Patient rooms maximize light and views to promote recovery. The core is dematerialized by narrowing its width, eliminating the central nurses' station and transforming traditionally "solid" elements into open, transparent/translucent areas. This results in better visibility, enhanced caregiving by keeping nurses closer to patients, and increased staff morale by bringing natural light into the center of the unit. Every part of the design promotes a tranquil and therapeutic environment. Warm, sustainable materials, including wood finishes, create a comfortable place for patients, visitors, and staff. The OSC is designed to meet LEED for Healthcare certification.

Project category: Project in progress (July 2015)

Chief administrator: Deborah Hayes, VP & Chief Hospital Officer/CNO, (513) 585-0557

Firm: SOM Ohio LLC, (312) 554-9090

Design team: Local Associate (Champlin Architecture); MEP/Fire Protection Engineering Consultant (Fosdick & Hilmar)

Total building area (sq.ft.): 386,600 (new); 58,800 (renovation)

Construction cost/sq.ft.: Not available

Total construction cost (excluding land): Not available

ORTHOPEDIC AND SPINE CENTER

Stamford Hospital Orthopedic and Spine Institute Chelsea Piers, Stamford, CT

John Marinelli Architects and Planners Stamford, CT

A Timeless Planetree Design:

The Stamford Hospital Orthopedic and Spine Institute is a 15,325-square-foot facility developed to consolidate several orthopedic practices--including Stamford Health Integrated Practices as well as other Hospital-affiliated private practices--into one larger, more convenient facility representing multiple orthopedic specialties. Due to varying physician schedules and days of operation, the space was designed around a "time share" concept. A pod layout was created to fulfill the specific needs of multiple physicians using the space on different days of the week. The pods consist of one office, three exam rooms, medical storage, and a bathroom.

In response to the numerous challenges of the existing building, including the rectangular-shaped floor plan, a major corridor was designed to guide patients to the appropriate pod. Three-dimensional materials, multilayered ceiling cove details, varying light levels, and textural patterns were used to create visual interest along this journey in order to provide a supportive, patient-centered environment. Wall sconces, backlit acrylic panels, pendant light clouds and millwork pilasters between the main corridor and the perpendicular corridors guide patients through the space to the ante areas and exam rooms.

The main objective of the project was to create a welcoming Planetree environment that provides opportunities for one-on-one, physician-patient interaction while maintaining HIPAA requirements. The design solution balances the functional needs of the space--the needs of the physicians, administrative staff and patients--and provides a timeless design solution in a tranquil environment that supports the patients' emotional and physical state while waiting to be examined.

Project category: New construction (completed March 2013)

Chief administrator: William Heist, Executive Director, Ambulatory Services

Firm: John Marinelli Architects and Planners, (203) 329-0521

Design team: John Marinelli, AIA, Architect/Designer (John Marinelli Architects + Planners); Mark Principi, General Contractor (Caldwell & Walsh Building Construction, Inc.); Joseph R. Bartels, MEP Engineer (Edwards and Zuck, PC); Lawrence Berman, Lighting Manufacturer (Feng Shui Lighting); Lesley Zitone, Lighting and Acrylic Panels @ Millwork (3form); Steven Gatto, Furniture Supplier (Stamford Office Furniture); Kevin 0' Bryan, Carpeting (Mannington Commercial)

Photography: Becca Nell

Total building area (sq.ft.): 15,325

Construction cost/sq.ft.: $163

Total construction cost (excluding land): $2,500,000

ORTHOPEDIC CENTER

Orthopaedic Institute of Western Kentucky Paducah, KY

ERDMAN Madison, WI

Southern Orthopedic Associates held a design contest to choose the best firm to design and build The Orthopaedic Institute of Western Kentucky. The client's vision was to build a high-tech orthopedic center of excellence in the Paducah market. ERDMAN won the design competition with a high-tech, forward-thinking design that incorporated local design elements.

The building was inspired by vernacular features of the area. The firm drew inspiration from the dry laid stone walls found throughout Kentucky. Utilitarian features in the landscape, such as covered bridges, also provided inspiration and led to the stacked stone walls, highlighted by the fireplaces in the reception areas. A colonnade out front is reminiscent of old Southern buildings.

The local geography, specifically the river, inspired the meandering curves that define the main circulation in the lobby. Floor-to-ceiling windows and the warm, yellow-orange color palette in the imaging areas draw inspiration from the rising and setting sun over the hills of the surrounding area.

Another major design goal for the owner was to make the facility visible from the highway. Visibility was a challenge with 1,121 feet separating the face of the one-story building from the center of 1-24. Therefore, ERDMAN designed a 1.5-story (or 21-foot) front facade, topped by a Hollywood-inspired letter sign that reads: "Orthopaedic Institute' This gave the building the prominence the owner needed, while offering visibility from the major highway.

Project category: New construction (completed March 2012)

Chief administrator: Greg Thompson, Chief Executive Officer

Firm: ERDMAN, (608) 410-8000

Design team: Phil Pricer, Design Architect; Richard Slayton, Senior Site Planner/Landscape Architect; Aaron White, Senior Interior Designer; Bob Gilboy, Civil Engineer; Chuck Meoska, Mechanical Engineer; David Meinholz, Electrical Engineer

Photography: [c]Mike Rixon, Rixon Photography

Total building area (sq.ft.): 41,585

Construction cost/sq.ft.: Not available

Total construction cost (excluding land): Not available

OUTPATIENT/CHEMICAL DEPENDENCY CENTER

The Betty Ford Center--Residential Day Treatment Center Rancho Mirage, CA

Moon Mayoras Architects, Inc. San Diego, CA

The Betty Ford Center (BFC) is located approximately 90 miles east of Los Angeles in the desert community of Rancho Mirage, California. A world class facility, the BFC offers a complete program for comprehensive chemical dependency treatment services. Those services include the Residential Day Treatment (RDT) program, which offers transitional follow-up outpatient care for those who have recently completed the intensive BFC inpatient program and still wish to participate in an additional 30-90 day stay at nearby BFC-owned off-campus housing prior to returning to their routine environments. The RDT program provides available outpatient counseling and educational services for those patients living in the aforementioned housing. The new RDT complex, consisting of six separate buildings each encompassing distinct components of the program, is self-contained at the east end of the BFC campus. Outpatients are transported directly to and from their provided housing. The project is designed with an internalized "village" concept, where each individual building acts as an integrated component of the BFC neighborhood. The buildings with frontage along the primary access, Vista del Sol, are all single story in height to preserve the residential scale and visual relationship with the adjacent neighborhood. A contextual response to adjacently established strategic vocabulary, the exterior design interconnects each RDT building through the use of covered pedestrian walkways, trellises and landscaped courtyards. By integrating each building in this manner, much needed shade is provided, which is invaluable in this region's extreme summer temperatures. Its design blends the complex into the surrounding Rancho Mirage residential community, while maintaining the vernacular desert-style look prevalent throughout the surrounding desert communities.

Project category: Project in progress (Phase 1: est. 2016; Phase 2: TBD)

Chief administrator: John Schwarzlose, President/CEO, (760) 773-4101

Firm: Moon Mayoras Architects, Inc., (619) 235-9780

Design team: Structural Engineering (KPFF Consulting Engineers); MEP Engineering (MRC Engineering, Inc.); Civil Engineering (RBF Consulting); Landscape Architects (RGA Landscape Architects, Inc.)

Total building area (sq.ft.): 67,380

Construction cost/sq.ft.: $382

Total construction cost (excluding land): $25,740,000

OUTPATIENT/WELLNESS CENTER

Central Health, North Central Health Center Austin, TX

Lawrence Group Austin, TX

Central Health's new North Central Health Center provides quality and accessible healthcare through a facility that promotes a sense of place and civic pride within the local community. The new 53,500-square-foot facility is operated by CommUnityCare, a Federally Qualified Health Center system.

The clinic provides pediatric, family practice, dental, OB/GYN, radiology, and internal medicine services to medically underserved members of the community. The facility also includes a pharmacy, areas for nutrition education services, and administrative and support areas.

The six separate medical disciplines are organized around a central two-story medical mall. Each clinic has its own color theme and waiting area, along with full height glass opening onto the central medical mall. Clerestory windows allow daylight into the medical mall and waiting areas while the blue hue of the two-story ceiling, the mutli-color browns of the floor tile, and the bright sun colored walls evoke the blue skies, rich soils, and bright sun of central Texas.

Although each of the individual clinics are physically separate from each other for patients, a secure private corridor provides a means for common facilities to be shared between clinics and a way for Physicians and Staff to share resources and consultations between clinics without disturbing patients and families in the waiting areas.

The building was sited to maximize the preservation of existing trees with local stone and native drought tolerant vegetation used as exterior elements. The design-build project received LEED Silver certification in 2012.

Project category: New construction (completed February 2012)

Chief administrator: Kellie Thames, Practice Administrator, (512) 978-9353

Firm: Lawrence Group, (512) 391-1932

Design team: Raymond Chan, Civil (Chan & Partners); Jerry Garcia, Structural (Structures); Rick Guerra, MEP (Jose I. Guerra Inc.); Marla Bommarito, Interior Design (The Bommarito Group); Eleanor McKinney, Landscape Design (McKinney Studio)

Photography: [c]2013 Paul Bardagjy Photography

Total building area (sq.ft.): 53,500

Construction cost/sq.ft.: $205

Total construction cost (excluding land): $11,000,000

OUTPATIENT/WELLNESS CENTER

Kaye Edmonton Clinic Edmonton, Alberta, Canada

RTKL Associates Inc. Washington, DC, and Dialog Edmonton, Alberta, Canada

RTKL, in partnership with Dialog, designed the Edmonton Clinic, a partnership between the University of Alberta and Alberta Health Services. The building was designed in conjunction with the Edmonton Clinic Health Academy with the intent that the Academy and the Edmonton Clinic would support an interdisciplinary model of clinical, educational and research facilities. The clinic serves more than 30 separate medical specialties and patients ranging from infants to seniors. The nine-level, 687,300-square-foot tower is on track to achieve LEED Silver. The clinic is comprised of modules which are similar in layout, allowing them the flexibility to chain together or be used individually. A module can be taken off-line and renovated without affecting other modules.

The Clinic building is on the south end of the site, pinched between a major roadway, a light rail system and an existing campus structure. The challenge was to develop a design that was easily recognizable, allowed for pedestrian and vehicular access in an intuitive manner. The design needed to blend with the Academy, while also supporting its own patient environment. It was critical to orient the front of the building to the main drive for recognition, while also having a separate and distinct patient arrival zone that connected internally to a 1200-car garage. The building also integrated into its design the support of nonvehicular traffic patterns such as an above grade pedway that will link Edmonton Clinic, the Health Academy, University of Alberta Hospital and the light rail station.

Project category: New construction (completed June 2012)

Chief administrator: Elizabeth Seib, Director, Ambulatory Care, Edmonton Clinic, (780) 407-2748

Firms: RTKL Associates Inc., (202) 833-4400; Dialog, (780) 429-1580

Design team: Associate Architect and MEP (Dialog,); Scott Rawlings, Exterior Designer; Meredith Heffner-Schilling, Interior Designer; David Spahr, Medical Planner; Karen Pottebaum, Project Manager; Mark Palmer, Designer (RTKL Associates Inc.)

Photography: [c]Tom Arban; [c]Jason Ness

Total building area (sq.ft.): 687,450

Construction cost/sq.ft.: $339

Total construction cost (excluding land): $233,280,000

PRIMARY AND SPECIALTY CARE CLINIC

Chief Andrew Isaac Health Center Fairbanks, AK

NBBJ Seattle, WA; Bettisworth North Fairbanks, AS; Jones and Jones

Architects Seattle, WA; and Martha Hanlon Architects Fairbanks, AK

Chief Andrew Isaac Health Center (CAIHC) is a culturally sophisticated, state-of-the-art "Super Clinic" that celebrates the history and culture of the Athabascan people. It serves 42 villages within a 235,000-square-mile region along the Tanana and Yukon rivers. The CAIHC's most innovative design aspect is its integrated-care model, which emphasizes positive lifestyle changes and wellness. In this model, a highly collaborative team of providers works together in an open space. These teams care for entire families and learn about both medical and nonmedical issues, which ensures comprehensive prenatal to end-of-life care on each patient's journey to optimal wellness.

The building planning and design provides appropriate, effective space for such a partnership and encourages collaborative care at the clinic's edges. There, providers give care at an appropriate level of intensity in exam, procedure and "talking rooms." The nonclinical setting of talking rooms breaks down the doctor-patient hierarchical relationship to ease conversation between partners. Such collaboration shifts the focus from interventional procedures, medication and acute care towards a more healthful lifestyle.

A visit to CAIHC often provides an opportunity to socialize with family and friends: it is one of few large indoor gathering spaces in the Alaskan interior. The main lobby and waiting area serves as a gathering area that encourages social interaction. Its circular shape, designed to resemble a woven basket, emphasizes the Native way of life and connecting people in spirit. Smaller waiting rooms, all with southern exposure and views, allow for more intimate gatherings. The sinuous shape of the building maximizes daylighting, minimizes shadows, and captures as much sunlight as possible--a necessity in a place that sees only 4-5 hours of daily sunlight during winter months. It is also one of few buildings in Alaska to attain LEED Gold certification.

To infuse cultural relevance in the overall design, a cultural advisory committee comprised of elders and regional tribal members worked alongside planners and architects. Natural forms and Native culture imbue the facility's interiors with a sense of place and of calm. Clinic walls bear subtle seasonal shades of that indicate different areas for wayfinding, and pathways to specific clinics mimic the winding, braided rivers of the Alaskan Interior. The interiors also showcase a substantial art collection that represents all 42 villages.

Like the winding, intertwining rivers that inspired its design, CAIHC's care model, medical planning and culturally relevant design elements come together to create a truly unique healing environment.

Project category: New construction (completed October 2012)

Chief administrator Victor Joseph, Health Director, (907) 452 8254

Firms: NBBJ, (206) 223-5555; Bettisworth North, (907) 456-5780; Jones and Jones Architects, (206) 624-5702; Martha Hanlon Architects [(907) 458-7225

Design team: Design Architect (NBBJ); Prime Consultant and Project Manager (Bettisworth North); Associate Architect (Jones and Jones Architects); Associate Architect (Martha Hanlon Architects)

Photography: [c]Sean Airhart/ NBBJ; [c] Kevin Smith Photography

Total building area (sq.ft.): 96,000

Construction cost/sq.ft.: $458

Total construction cost (excluding land): $44,000,000

REHABILITATION CENTER

Louis and Phyllis Friedman Neurological Rehabilitation Center at Sinai Baltimore, MD

Hord Coplan Macht Baltimore, MD

This 28-bed inpatient rehabilitation center provides recovery treatment for brain injury, stroke, and other neurological disorders. Along with private rooms and an extensive state-of-the-art rehab gym, the unit features "Greater Heights", a recreated small town center that simulates a community setting and enables patients to become independent once again. This "Streetscape" includes a replicated ATM, grocery store, bus stop, street light with sidewalk curb and crosswalk, as well as residential mail boxes. The unit also includes a Home Transition Apartment where patients can try out their newly learned adaptive skills while under staff observation before being discharged. The Center includes a zero-gravity robotic system that allows for gait, balance, and safety training with computerized tracking and trending. No matter where you go in the Center, the design look and feel remain focused on the comfort of the patient and their families. There are resource rooms available as well as spaces for families to gather and share their experiences. This unit is another component of the owner's Brain and Spine Institute which includes a full continuum of care of inpatient, outpatient, and rehabilitation facilities.

Project category: New construction (completed October 2012)

Chief administrator: Peter Am, Vice President, Enterprise Development & Support, (410) 601-9000

Firm: Hord Coplan Macht, (410) 837-7311

Design team: Scott Robison, AIA, Principal-in-Charge; Mark Angielski, AIA, Project Manager; Leah Wettstein, CID, IIDA, Interior Designer; Ko Kuwabara, Project Designer; Jim Albert, AIA, ACHA, Programming

Photography: Nick Collura: Alain Jaramillo

Total building area (sq.ft.): 27,787

Construction cost/sq.ft.: $177

Total construction cost (excluding land): $4,906,834

REHABILITATION CENTER

The Retreat at Buffalo Hill Kalispell, MT

AG Architecture Wauwatosa, WI, and Studio 121 Nashville, TN

Immanuel Lutheran Communities has served the senior living marketplace in scenic Kalispell, Mont., for more than 50 years. This project is the first step toward implementing a new master plan to reinvent long-term care on this campus while providing the community at-large with a resource for best practices in therapies for short-term or outpatient rehabilitation.

This 16-resident Rehabilitation Cottage and 2,500 square-foot Therapy Pavilion combines cutting-edge practices in both rehabilitation and person-centered care to create an extraordinary facility--a real architectural experience amidst the breathtaking backdrop of Glacier National Park. Voluminous spaces and finishes inspired by the natural surroundings blend both a residential and hospitality appeal that make this experience the antithesis of the typical rehab facility.

The Rehabilitation Cottage includes smaller scale, intimate spaces that offer guests choices--a variety of gathering spaces to promote independence and encourage socialization. Creating connections to the outdoors and integrating unobtrusive support areas were priorities. Each guest room includes a ceiling-lift system to facilitate transporting nonambulatory guests.

For the Therapy Pavilion, voluminous spaces and abundant natural light become the new standard. The design takes cues from the surrounding scenery to add warmth and create a unique rehabilitation experience. A variety of small rooms provide guests more privacy during treatments, while the large, more public physical therapy gym creates a fitness center atmosphere. An ADL apartment along with state-of-the-art equipment, such as the ceiling lift and harness over the treadmill and parallel bars, and an aquatic therapy pool were also incorporated into the design.

Project category: New construction (completed January 2012)

Chief administrator: Jason Cronk, Chief Executive Officer, (406) 752-9622

Firms: AG Architecture, (414) 431-3131; Studio 121, (615) 469-4121

Design team: Architecture (AG Architecture); Interior Design (Studio 121); Marco DePalma, Owner's Representative (The Belaire Group, LLC)

Photography: Gideon Photography

Total building area (sq.ft.): 18,120

Construction cost/sq.ft.: $193

Total construction cost (excluding land): $3,500,000

RESEARCH HOSPITAL

Hainan Cancer Research Hospital Haikou, China

Cannon Design Shanghai, China

A cutting-edge center of healing and research, the Hospital incorporates a combination of Eastern and Western sensibility in every aspect of its design--from programming, design logic and construction to the user experience. This synergy manifests most notably in a vast central healing garden, shielded from the rapidly developing Haikou urban center by significant building masses--including a 170,000-square-meter main hospital in phase one and a cancer center, rehabilitation center, staff residence hall, and visitor hotel in phase two.

An open-air courtyard garden provides patients and families with a natural environment that encourages inward focus. Various Chinese and aromatherapy plants known for their healing qualities, and distinctive vegetation studied for their medicinal applications, complement the surroundings. Elevated walkways provide ease of access between buildings and operational visibility is minimized by restricting vehicular traffic to a perimeter road and placing parking options underground. Garden views from building interiors are maximized.

The first major Chinese hospital to achieve LEED Gold certification, the design employs both proven local building strategies and Western climate expertise for a comprehensive approach to green design and user comfort. Shading devices are kept low-tech, and passive ventilation is achieved by raising the bed tower and much of the hotel, rehabilitation center, and residence hall on pilotis.

In the gardens, a network of streams and ponds collects rainwater--providing evaporative cooling to gardens and certain building sections. Region-specific materials, including native basalt stone at the urban edge and internal facades of locally produced, sustainable woods, establish a warm familiarity while supporting the local economy and reducing environmental impact.

Project category: Project in progress (December 2015)

Firm: Cannon Design, (716) 774-3252

Design team: Andre Aoun, AIA. Project Principal; Michael S. Tunkey, Project Principal; Chan Byun, AIA, LEED AP Design Principal; James Rayburg, Senior Project Designer; John J. McCarthy, RA, LEED AP, Healthcare Planner; Hui fang Hu, Healthcare Planner

Total building area (sq.ft.): 2,523,700

Construction cost/sq.ft.: $97

Total construction cost (excluding land): $245,643,800

SURGERY AND REHABILITATION HOSPITAL

WellSpan Surgery and Rehabilitation Hospital York, PA

Wilmot Sanz, Inc. Gaithersburg, MD

The WellSpan Surgery and Rehabilitation Hospital is a new freestanding facility designed to take advantage of the relationship between orthopedic surgery and patient rehabilitation to create a more efficient process for care. Bringing both programs together in the same location allows caregivers serving both functions to work more efficiently, sharing resources and knowledge and easily tracking those patients who transition from one area to the other.

The hospital features 48 rehabilitation beds and 25 orthopedic beds, as well as a large therapy gym shared by both programs. State-of-the-art rehabilitation equipment includes a driving simulator and a robotic-driven gait training system to help patients regain walking movements after a stroke or traumatic brain or spinal cord injury. Taking advantage of the steep grade of the site, the patient rooms on the upper level of the hospital have easy access to outdoor therapy gardens and rehabilitative spaces. On the first floor, a two-story concourse, warmly illuminated by clerestory lighting, links the main entrance with the visitors' elevators and the dining room. Also on the first floor is a 4-OR orthopedic surgical suite.

Although codes for rehabilitation hospitals do not require private patient rooms, the design features them because of their measurable positive impact on patient outcomes and satisfaction. With large patient rooms with ample space for patient mobility and family accommodations and large accessible toilets with sliding doors, the new facility elevates the standard of care for a rehabilitation hospital with a state-of-the-art environment for healing.

Project category: New construction (completed March 2012)

Chief administrator Barbara Yarrish, RN, Vice President of Operations, (717) 812-6100

Firm: Wilmot Sanz, Inc., (301) 590-2900

Design team: Craig Moskowitz, AIA, Principal-in-Charge (Wilmot Sanz); Craig Long, Director of Facility Planning & Construction (WellSpan Health); MEP Engineer (Barton Associates); Structural Engineer (Cagley & Associates); Civil Engineer (LSC Design)

Photography: [c]Paul Burk

Total building area (sq.ft.): 142,000

Construction cost/sq.ft.: Not available

Total construction cost (excluding land): Not available

SURGERY HOSPITAL

Forest Park Medical Center Frisco Frisco, TX

BOKA Powell, LLC, Dallas, TX

Developed by Dallas-based Neal Richards Group, Forest Park Medical Center in Frisco, Texas, embodies a new standard in healthcare delivery. The four-story, 128,000-square-foot hospital features 30 luxurious patient rooms, 10 ICU patient rooms, and 14 VIP suites. Patient rooms serve 12 naturally lit operating rooms, featuring minimally invasive daVinci robotic surgery machines, and two procedure rooms. Sustainable green roof systems outside patient room windows enhance the energy efficiency of the facility and provide a calming visual screen to the outside. Directed by a trained chef de cuisine, the upscale dietary unit offers fresh, healthful in-room fare for patients and high-quality meals for guests and staff.

Each aspect of the facility's design, from the motor court and lobbies, to natural light infiltration and patient room finishes, has been designed to stimulate the senses in a "five-star, hospitality-enriched" environment. The exterior of the hospital celebrates the drama of the art deco period with eclectic and contemporary styling that befits Frisco Square's urban character. The project includes an additional 57,000 square feet of medical office space, and more than 34,000 square feet of restaurant and retail enhanced by pedestrian-scaled arcades and al fresco dining options. Enfolded into the complex is a 600-vehicle parking structure that services the hospital, medical office building (MOB), and the surrounding Frisco Square development. A pedestrian bridge connects the garage and MOB to the hospital.

Patient care floors are designed to support exceptional patient care while reducing demands on staff. To ensure a high level of attention for each patient, the required 30 beds were divided into pods of 10 beds each. A centrally located nurses station, clods area and clean/soiled utility are no more than 40 feet from each patient room. An "onstage/offstage" approach to deliveries was desired so that public spaces and corridors remain unencumbered by service functions. All public spaces were pushed to the exterior to track the circumference of the circular entry drive, providing unobstructed views of the dramatic entry fountain.

Communication is key for guests peace of mind. Touch points throughout the hospital allow family and guests to remain connected to patients and aware of their status during procedures.

Forest Park Medical Center Frisco delights and inspires, exceeding expectations through thoughtful design that supports an extraordinary level of comfort and care in a state-of-the-art medical facility.

Project category: New construction (completed July 2012)

Chief administrator Joy Dennis, Chief Operating Officer, (214) 618-0500

Firm: BOKA Powell, LLC, (972) 701-9000

Design team: Don Powell, Principal-in-Charge; Tom Dwyer, Principal--Healthcare; Sean Kirton, Project Designer (BOKA Powell, LLC); General Contractor (Balfour Beatty Construction); Engineer of Record; Mechanical and Plumbing Subcontractor (Brandt); Electrical Subcontractor (Cummings Electrical)

Photography: [c]2013 Mark Trew; [c]2013 Bryan Campbell

Total building area (sq.ft.): 128,000

Construction cost/sq.ft.: $315

Total construction cost (excluding land): $40,320,000

SURGERY HOSPITAL

Forest Park Medical Center San Antonio San Antonio, TX

BOKA Powell, LLC Dallas, TX

Forest Park Medical Center San Antonio, a specialty surgical hospital, is the economic engine driving a master planned, mixed-use campus envisioned by Dallas-based medical developer Neal Richards Group. Inspired by five-star resorts, the physician-owned medical center's patient care and amenity offerings are designed to support comfort and healing. The four-story, 150,000-square-foot hospital will have 54 beds--including 16 VIP patient suites-12 operating rooms, two procedure rooms, and state-of-the-art diagnostic imaging and in-house pharmacy services. The upscale ambiance extends to the chef-run dining facility, coffee bar, and peaceful outdoor spaces with self-sustaining green roof systems. The design of the grand lobby is reflective of a boutique hotel, with rich woods, metals, stone and glass throughout to complete the immersive luxury experience. To enhance the patient experience, medical support technology including patient monitoring devices and intravenous connection systems are integrated into an attractive upholstered headboard and hidden when not in use. For guest comfort, couches in each patient room convert to queen-size beds, and VIP suites feature a separate family room equipped with a kitchenette, entertainment options, and a sleeping area. The building's design reflects the South Texas vernacular, where the building is broken down into scalable pieces and has a more simplified structure as it rises to the sky. Interesting, locally-sourced materials bring the rugged, natural Rill Country palette into the site, rooting the building into the landscape while emphasizing a refined, sophisticated style.

Project category: Project in progress (May 2014)

Chief administrator: Joy M. Dennis, Chief Operating Officer, (469) 330-1943

Firm: BOKA Powell, LLC, (972) 701-9000

Design team: Sean Kirton, Project Designer; Larry McKillop, Project Manager; Michelle Vandermeulen, Interior Designer (BOKA Powell, LLC); General Contractor (Rogers-O'Brien Construction); Engineer of Record; Mechanical and Plumbing Subcontractor (Brandt); Electrical Subcontractor (Cummings Electrical)

Total building area (sq.ft.): 150,000

Construction cost/sq.ft.: $315

Total construction cost (excluding land): $47,250,000

SURGERY HOSPITAL

Reading Hospital, 7th Avenue Building West Reading, PA

Ballinger Philadelphia, PA

Focused on the patient/family experience and integration with the existing Hospital campus, the design of Reading Hospital's new 465,000-square-foot 7th Avenue building turns the site and program challenges into opportunities for connectivity, enhanced green space, and advanced medical care. Fully 72 percent of the project footprint is covered by an accessible green roof and part of a two-acre public garden. The change in grade of the sloping site provides a perfect opportunity to integrate the lower levels of the building with the topography. The large footprint-110,000 square feet dedicated to surgical services--is partially contained beneath the vast network of green spaces accessible to patients, visitors and staff. A patient tower rises from this landscaped plinth and connects to existing adjacent buildings to complete a major public circulation axis extending across the campus.

The building is a catalyst for the Hospital's continued advancement in modern care. This technologically advanced facility pushes the boundaries of medical care, consolidating campus-wide surgical services including PAT, an eight-room procedural suite and the general OR suite. Co-locating all surgical services on one ground floor level provides a more efficient patient drop-off and check-in. The big box platform that is created by the 110,000-square-foot surgery platform accommodates the integration of advanced technologies to serve both the surgeries and the patient tower above. The 150 new patient rooms are equipped with sophisticated smart room technologies that will improve the quality of patient care.

Project category: Project in progress (November 2015)

Chief administrator: Clint Matthews, President & CEO, (484) 628-8000

Firm: Ballinger, (215) 446-0900

Design team: Louis A. Meilink, Jr., AIA, ACHA, Principal-in-Charge; Eric Swanson, AIA, Design Principal; Tom Parr, AIA, Project Manager; Barry Finkelstein, PE, Engineering Principal

Total building area (sq.ft.): 465,000

Construction cost/sq.ft.: $495

Total construction cost (excluding land): $230,000,000

TEACHING HOSPITAL

Specialty Hospital Bucharest, Romano

Francis Cauffman New York, NY

Romanian and Swiss Medical Teams have partnered to create a state-of-the-art specialty hospital in Bucharest, Romania. The private hospital will be designed to combine cutting-edge healthcare and medical research with education opportunities for medical professionals. Additionally, the hospital will provide space for administration, materials management, and support functions related to clinical programs. This "hybrid" hospital concept is unique. It possesses both the technological sophistication and programmatic diversity of a teaching hospital, but 74 on a smaller scale--it requires outpatient treatment and laboratory space appropriately sized for teaching. The hospital's plan similarly reflects this focus: all beds relating to a single department are on one floor. This layout helps doctors physically show their students what happens as patients transfer between the different stages of care. It also helps residents track patients and observe their healing process.

Aesthetically, the team wanted a hospital that provided a user experience more in-line with a spa than a traditional medical facility. Patient rooms feel like upscale hotel accommodations, in order create an atmosphere of relaxation and comfort.

The designers incorporated a brick screen facade on the building to respond to the local architecture, but paired it with modern design choices that reflect the hospital's innovative internal planning concepts. The brick facade appears to "float" beside a minimalist glass curtain wall, playing on a narrative in which state-of-the-art medical technologies partner with prestigious domestic resources to create a unique, world-class medical institution.

Project category: Unbuilt/Conceptual design only

Firm: Francis Cauffman, (646) 315-7000

Design team: James Crispino, Principal, Harry Hummel, Principal

Total building area (sq.ft.): 275,000

Construction cost/sq.ft.: $534

Total construction cost (excluding land): $147,000,000

VASCULAR INSTITUTE/RESEARCH CENTER

Kaleida Health Gates Vascular Institute/SUNY at Buffalo Clinical Translational Research Center Buffalo, NY

Cannon Design Buffalo, NY

The spirit of collaboration was the driving force uniting Kaleida Health and the University at Buffalo within a single structure, and the building unites several disciplines and its patients, surgeons and researchers, to exchange knowledge and ignite innovation.

The 476,000-square-foot, 10-story vertical campus achieves this by stacking a translational research building over a clinical vascular institute. The Gates Vascular Institute (GVI) houses the bottom half, while the Clinical and Translational Research Center (CTRC) occupies the top. Sandwiched between the two, is a "collaborative core"--the "binder" that connects doctors and researchers from varying specialties to meet in a variety of dynamic encounters--moving science from bench to bedside.

Comprised of 62 private patient rooms arranged into four nursing pods, the GVI's "hotel" creates a calmer environment distinct from the treatment areas. The Institute also accommodates 59 exam rooms, five admissions offices, 16 intensive care beds and seven surgeries, as well as patient and family amenities. Entered through a spacious waiting room, a state-of-the-art emergency department accommodates 60,000 patient visits annually.

With 170,000 square feet of dedicated laboratory space, advanced imaging facilities; a bio-repository and a clinical research center, the CTRC's labs are connected to offices by wide bridges across a light-infused atrium--enabling "collisions" among researches. Open-planned laboratories place researchers side-by-side, breaking down the "silos" that typically divide researchers from different disciplines.

To create visual interest to the building's boxy, yet striking modern exterior, curved edges and corners are introduced to soften its appearance. A metal ribbon of the building's "wrapper" is folded inside and out to echo the interior distribution of spaces and to symbolize the fluidity among the collaborative teams. The material character of the superstructure is evidenced in the interiors as an underlying fabric, throughout which threads of individuality emerged.

Specialty colored glass panels, mosaics, paint colors, solid surfacing and furniture--set against the timeless white and gray of the structure--create an identity and brand for each of the spaces. The terrazzo and color-matched resinous flooring systems create durable, seamless movement from space to space, while providing a finish appropriate to specific uses. Lighting fixtures and architectural elements are thoughtfully positioned to provide pattern, form, and function. Glowing color at the face of the nurses' and reception stations assists with wayfinding and sense of arrival. In interior spaces with limited daylight, lighting systems subtly change colors and move slowly over the course of a day, reminding occupants of the passage of time.

Project category: New construction (completed May 2012)

Chief administrator L. Nelson "Nick" Hopkins III, MD, Professor and Chairman of Neurosurgery, (716) 887-5200

Firm: Cannon Design, (716) 774-3252

Design team: Mehrdad Yazdani, Design Principal; John P. Hall, AIA, MRAIC, OAA, Project Principal; Mark Whiteley, RIBA, Principal, Research & Technology; Dale Greenwald, Assoc. IIDA, Interior Design Principal; Frank V. Sica, AIA, Project Manager; David C. Sass, RA, LEED AP Healthcare Planner

Photography: [c]K C Kratt Photography; Tim Wilkes Photography; [c]Bjorg Magnea Architectural & Interior Photography; [c] Thomas Mayer Photography

Total building area (sq.ft.): 476,000

Construction cost/sq.ft.: $611

Total construction cost (excluding land): $291,000,000

WOMEN'S CENTER

CIBC Breast Assessment Centre, Juravinski Hospital Hamilton, Ontario, Canada

Zeidler Partnership Architects Toronto. Ontario, Canada

CIBC Breast Assessment Centre at the Juravinski Hospital, Hamilton. When faced with a breast abnormality, women and their families are thrust into a process ridden with stress and confusion. In response, the five million dollar CIBC Breast Assessment Centre at the Juravinski Hospital in Hamilton, Ontario, will revolutionize this process. The Breast Assessment Centre is currently slated for completion later this year. The centre exemplifies the union of environment, humanity, and sustain-ability to reduce anxiety in a holistic manner: through physical integration with the city and the existing hospital, and its programming--community activity and education. Water, natural light and landscape work with the health centre's interior design to create an oasis-like, dignified environment for arrival and waiting. The design is a prototype for community-centred care that may be applied universally.

The CIBC Breast Assessment Centre is a landmark symbol of advanced care for breast health. Designed to be the most comprehensive assessment centre in the region for women with a breast abnormality; or for those at a high risk of developing breast cancer, the centre will:

* Bring together a multidisciplinary team of breast health experts

* Provide access to genetic testing

* Provide patients with a complete diagnostic assessment in a single visit, with a final diagnosis and, if needed, a treatment plan in five days

* Minimize the anxiety felt by patients and their families by reducing wait times for appointments and test results

* Serve as an Ontario Breast Screening Program affiliated site.

Project category: Remodel/Renovation (completed Fall 2013)

Chief administrator: Brenda Flaherty, Executive Vice President and Chief Operating Officer, (905) 521-2100

Firm: Zeidler Partnership Architects, (416) 596-8300

Design team: Tarok El-Khatib, Partner-in-Charge of Design; Jurgen Henze, Healthcare Design Team; Amos Caspi, Healthcare Design Team

Total building area (sq.ft.): 9,110 (new); 1,348 (renovation)

Construction cost/sq.ft.: Not available

Total construction cost (excluding land): Not available

WOMEN'S HOSPITAL

KFMC Women's Specialist Hospital Riyadh, Saudi Arabia

HKS, Inc. Dallas, TX

The design team for KFMC women's specialist hospital faced the challenges of designing a facility dedicated to women's-only services in a culture whose views and attitudes towards women are both particular and often misunderstood. The integration, at every turn, of modern global sensibilities into the crucial customs and practices of the Saudi culture created an environment aimed at attracting and catering specifically to the women and families of today's Saudi Arabia.

As this project is part of an overall campus renovation, the design maintained a strong self-identity while remaining sympathetic and cohesive to the imagery, materiality, and brand of the medical campus as a whole.

Maximization of natural light inside the building was a known desire. All patient areas have access to natural light which involved design solutions respective of both privacy concerns and a harsh Saudi environment. Privacy, critical shading, and building identity were all ensured through the employ of screens and fritted glazing. Integrated spaces and elements that foster privacy are abundant throughout, and are a guiding principal in the whole of the design. Nuclear to this pursuit is a two-story lobby atrium that not only emphasizes the "wow factor" as patients and their families enter the building.

This is a high-quality nurturing environment with hospitality flare and comfort, replete with custom finishes and features as well as intuitive wayfinding elements of patterns, lighting and art. A "spa-like" environment was sought by incorporating rich finishes and custom features, primarily in public and patient areas.

Project category: Unbuilt/Conceptual design only (December 2015)

Chief administrator: Eng, Ibrahim Saleh Alkhelaifi, Executive Director of Operations

Firm: HKS, Inc., (214) 969-5599

Design team: Preston Bennett, Design Architect; Leocadie Ahmes, Senior Interior Designer; Robert Piatek, Project Manager; Andrew Jaeger, Medical Planner; Emily Solomon, Interior Designer

Photography: [c]2012 M2 Studio Inc.

Total building area (sq.ft.): 157,766

Construction cost/sq.ft.: $275

Total construction cost (excluding land): $43,300,000

WOMEN'S/INFANTS' CENTER

Colorado Fetal Care Center at Children's Hospital Colorado Denver, CO

ZGF Architects LLP Portland, OR

The location of a high-risk maternal fetal program providing fetal surgery and high-risk birthing services at a children's hospital is unique nationally--offering unparalleled multidisciplinary care and treatment before, during and after high-risk pregnancies. A key driver of the design was to keep mothers and babies together under one roof. Other similar programs elsewhere rely on various departments or disparate locations.

The Colorado Fetal Care Center offers families unparalleled multidisciplinary care and treatment before, during and after low- or high-risk pregnancies. It has 12 labor, delivery, recovery and postpartum rooms equipped for full maternal care, as well as care of the baby. Also included is a maternal operating room, a fetal intervention suite and two infant stabilization rooms.

For the Center, located on the 4th floor of the Children's Hospital Colorado East Wing Addition, the design team took its inspiration from spa environments. It wanted to provide the same sense of well-being and focused attention and care--where comfort and a sense of peace is the objective. The use of natural materials was a key element, along with the use of textures and color tones in finishes that met the stringent requirements of healthcare environments.

Project category: Addition (completed September 2012)

Firm: ZGF Architects LLP, (503) 224-3860

Design team: Design Architect and Interior Design (ZGF Architects LLP); Architect of Record (H L Architecture); MEP (Cator Ruma & Associates); Structural (S.A. Miro, Inc.); Construction (Phipps/McCarthy)

Photography: [c]Stephen Cridland; [c]Eckert & Eckert

Total building area (sq.ft.): 27,000

Construction cost/sq.ft.: Not available

Total construction cost (excluding land): Not available

WOMEN'S/INFANTS' CENTER

The Mother Baby Center at Abbott Northwestern Hospital & Children's Hospitals and Clinics Minneapolis, MN

HDR Architecture, Inc. St. Paul, MN

The flagship Mother Baby Center allows mothers and babies to stay together with the highest level of coordinated care. This new facility embodies a joint venture of two distinguished providers within one distinctively sculpted building inserted into an existing complex. The challenges of combining two different hospital cultures, while maintaining outstanding patient care, were managed by a complex project team using innovative communication tools. The team worked with numerous patient user groups to extract the ultimate patient experience. Family and provider focus groups provided critical input to create a financially sustainable, yet personalized family experience in a very urban setting. The design palette incorporated super-graphics and local artwork, serving as key focal points to create a healing, celebratory environment with easy-to-navigate wayfinding.

Supergraphic artwork in a vivid flower theme identifies rooms that are grouped by hue to create "neighborhoods." The brand, with its vibrant backlit color images, and sleek sustainable finishes, has been so well received that the client is now expanding this new identity throughout the system.

The Mother Baby Center is dedicated to the most fragile patients, with one of the only five operating rooms in the U.S. designed for fetal surgery. The 96,000-square-foot, four-story building includes 31 Special Care Nursery beds of which 24 are private patient rooms; a 20-bed antepartum/postpartum unit; 13 labor and delivery rooms; and three operating rooms. Incorporating the latest technologies such as birthing tubs and infant resuscitation rooms, this birthing center is innovative, yet welcomingly spa-like.

Project category: New construction & Remodel/Renovation (completed January 2013)

Chief administrator: Jennifer Olson, Executive Director and Vice President of Operations Mother Baby Clinical Service Line, (612) 813-6423

Firm: HDR Architecture, Inc., (612) 524-6039

Design team: Jim Thomson, AIA, Managing Principal; Mike Rodriguez, AIA, Senior Project Designer; Don Rolf, AIA, Senior Project Manager; Cole Johnson, AIA, Designer; Julie Robertson, Project Interior Designer; Alena Sakalouski, Construction Administration

Photography: [c]2013 Forms + Surfaces; HDR Architecture, Inc.

Total building area (sq.ft.): 75,000 (new); 21,000 (renovation)

Construction cost/sq.ft.: $384 (new and renovation)

Total construction cost (excluding land): $36,942,335 (new and renovation)

WOMEN'S/INFANTS CENTER

Shawnee Mission Birth Center Merriam, KS

Hoefer Wysocki Architecture Leawood, KS

Shawnee Mission Medical Center (SMMC) has long been a leader in caring for women, children and families. With the addition of the new 108,614-square-foot Birth Center, SMMC is able to showcase their commitment to patient-centered care and provide state-of-the art healthcare in a warm, hospitable environment.

On the outside, the Birth Center will stand as an icon on the campus, with a towering and undulating glass and stone facade. Inside, the design and finishes of each floor will create a healthcare environment filled with natural light and comfortable finishes, caring for the person as well as the family.

The 26 Labor, Delivery and Recovery suites on the second floor are all designed to comfort the woman, encourage the family's involvement and allow the medical staff to provide unparalleled care when the time comes. Spacious rooms and warm finish accents of wood, glass and tile create an environment more like a hotel than a traditional hospital and conceal the medical equipment until it's needed.

On the third floor, 28 Post-Partum rooms continue the same commitment to comfort, involvement and care. Nurses' stations will be located close to the patient rooms to maximize staff attention and efficiency while comfortable furniture makes plenty of room for the family to stay together.

The state-of-the-art Neonatal Intensive Care Unit (NICU) occupies the fourth floor. Each of the 24 NICU rooms will be a private room, except for the rooms designed to accommodate twins, with the same level of attention to detail, comfort and medical technology provided throughout the Women and Infant Center design. These rooms are also designed to allow for a great deal of privacy while also making it easy for the medical staff to observe the patient. The NICU unit also features a Respite Lounge at the top of the glass entry tower that includes a kitchen and lounge area for families to recharge.

Project category: Addition (completed February 2013)

Chief administrator Ken Bacon. President and CEO. (913) 676-2000

Firm: Hoefer Wysocki Architecture. (913) 307-3700

Design team: Architect (Hoofer Wysocki Architecture); MEP Engineer (Henderson Engineers); Structural Engineer (Bob D. Campbell & Co.); Civil Engineer (George Butler Associates); Landscape Architect (Land3 Studio); Fire Protection Engineer (CMG Fire Protection)

Photography: [c]2013 Eric Bowers Photo/Hoefer Wysocki Architecture

Total building area (sq. ft.): 108.614

Construction cost/sq. ft.: $296

Total construction cost (excluding land): $32,206,667
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