HCD Academy 2015 - Adaptive Reuse

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Array Architects Principal, Adrian Hagerty, shared his knowledge of healthcare design and reuse at the 2015 HCD Academy conference.

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HCD Academy 2015 - Adaptive Reuse

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  2. 2. Presenter ARRAY ; Architects healthcare Adrian Hagerty, AIA, LEED AP Principal, Regional Vice President, National Capital Region ArrayArchitects Adrian is a vice president with ArrayArchitects, responsihlefor operations in the National Capital Region. He is a registered architect who has been leading multidisciplinary project teams on complex healthcare projects for over twenty five years. Prior to joining Array in 2013, Adrian lead the design teams for three of the six recently completed comprehensive amhulatory care centers for Kaiser Permanente in the Mid-Atlantic Region.
  3. 3. Adaptive Reuse - A High Performing Option for Health Care Leammg 1. Learn how adaptive reuse can be a successful option for ohl-ecüves healthcare, and can be deployed at a variety of scales to make high-quality care more convenient and accessible to the community. 2. Describe the technical challenges of converting a building designed for an unrelated purpose to accommodate healthcare delivery and technology. 3. Explore the healthcare planning approaches used to support operational efficiency while still providing for a welcoming, positive and healing experience. 4. identify cost and time savings associated with adaptive reuse. / v healthcare , g rj
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  5. 5. Quick Po/ /ing Question Fhllils* : hn ! TL-il uam ? mma 1th; lshiii &fim; ?um ¡it-lama! ÍIZ! l W151i? ;i iiz-eliiiii : :Ira : ÊIE'|1"ÍÍ, "°Í! li' , viam gli' , vigiiiir*iginiill; ft' 1*. , CFE-l ! Imã-fi Ei. ?Nlíl nlll: :i É. . 'Flãííi nlllêlãl El. Elluglrãlí' nnlllala _- . ,Pgñízã c: : Lufvzioitci iPAQ; l
  6. 6. Ambulatory Care Centers FACILITY DEVELOPMENT MODELS The Flagship ACC ComprehensiveA CC that forms seed of future hospital The Hospital-Based ACC ComprehensiveAmbulatory Care as Secondary Service The Ambulatory Surgery Center Stand-aloneASC as Hub with limited otherAC functions The Primary Care ACC (Clinic Model) Souped-Up Primary Care Clinic Model The Comprehensive Satellite ACC Stand alone ACC operating as a Bed-less Hospital
  7. 7. 51100955 COMPREHENSIVE SATELLITE Acc Factors - Comprehensive Service Offering - Application of Lean Processes - Consolidated Support Network - Standardized Facility Design - Appropriate Location to Serve Market Condition - Consistent with Regional Service Strategy
  8. 8. Success CDMPREHENSIVE SERVICE DFFERING: Facturs PRUVIDES CUNVENIENTACCESS FOR MULTIPLE SERVICES
  9. 9. IJJFWIDII. r g. 1 . › j. ; uk. .u. hnllclúllnix ; '»Í| "ñlHÍhLK 'Inclui-mk : ll "him . ÍllIlKlllIF-F m; , Al a' liilçllzllclqâmmi « Iii-imiíliiair @feita Health ""'“'““' Ca re Iklti : :Z z: : _ ; Ei ! itnilhvnií-Ii-Li- -n 'JFHEIEBFI : Janiammini-i; :hkllvtflr
  10. 10. Success Factors EFFICIENT SUPPORT NETWORK: CUÚRDINATED MANAGEMENT UF MATERIALS AND INFORMATION . = › a e”. ' à? " a i3** L . , f' 14 1;: É " *n 'QE E', s . M g¡ É¡ v, 5. »a : Ay . à
  11. 11. Success Factors STANDAFIDIZED FACILITY DESIGN APPLY GDMMDN FAGILITY DESIGN ELEMEN TS TD EXT EN T PDSSIBLE v= iñHüu: r'ciin L I Luna: 32.. . - _ _ - _ _ e_ MMM. ._. .__. .,- ; i ' 5g_ I : a y , . Í | r a, - Í' › T P? E , I v4 l_ 'f i ; i 9 ' › I l¡ I : ' . ~ , . . i. ,. . . * _ »- ' ~ ' _à site&*liuilding iinishçs tire suppression equipment - “ : _ iv. , . 1"¡ -. . i . 1;' ~. . . :- . «h j. . r. v _. . , m . ,. , . l_ ›, 7; Vu x W' q) f¡ l II : Z , / áa I. A I n I ã 7/ h / /* g/ N ' "Ji 'I aammm'
  12. 12. Success Factors LDCATE FAGILITIES IN GLDSE PRDXIMITY TD CDMMUNITYAGTIVITY _ @eee @eee @eee @ÊÕÕ TRANSPORTATION ' l . SGHOOLS I SHOPPING OFFICE RESIDENTIAL
  13. 13. Success _ _ _ F3 BÍDTS DPTIMAL FA CILITY LocA TioNs To EFFICIENTLY SER VE PDPULA TIQN Eiiscgl ; w l REGIONAL l _ r j; HOSPITAL
  14. 14. AUVHTIÍEIQBS THE ADAPTIVE RE-USE OPTION - Speed of Development - Proximityto Active Community - Proximityto Established Transportation Networks - Lower Construction Cost - Consistent with Sustainable Strategies
  15. 15. °“a"°"9°5 5'* THE ADAPTIVE RE-USE OPTION Considerations - Availability of Real Estate - Access and Parking - Physical Facility Requirements - Regulatory Requirements - Ownership and Management - Local Development Patterns and Customs
  16. 16. LOCATION LOCATION L o c ATI o N L . ii¡ , A mia. - r-Í l . ~" : 2'"'-'-'~§! I*? I JE* "IA ' R' Ç* ' vs ” a¡ 54 . N71, V, i r - . . _ _ vwj' _ . ' . 1,53_ R* r vg»- _ ›_› N › tv¡ _ . 4-_ 1 j . _ ›. ,_ , vw: 1 › 'i . Ã ', ›'s' . ' . - . m' P, Á ¡ _ , , . A . ' * /
  17. 17. °°"5¡d°'a“°"5 AccEss AND PARKING UNDERSTANDING LIMITA TIQNS AND QPPQR TUNITIES É . ..TFIAFSOVD-éooeme - = MAP5 54/5 i/ ouawr ~ « aErmEkEFko/ «rugpgg
  18. 18. °°"“¡d°"'t¡°"“ PHYSICAL FACILITY REOUIREMENTS MOD/ FICA TioNs OFTEN REQ UIRED FCR AMBULA TURY CARE - Entrance and Access Features - Appropriate Elevators - Life Safety for Ambulatory Care - Emergency Power - HVAC and Plumbing
  19. 19. °°"5¡d°'at¡°"5 REGULATORY REQUIREMENTS UNDERSTANDING WHAT DQES/ DQES NQTAPPLYFQR ACC v- f Õ _. Í' _
  20. 20. °°"5¡d°'°t¡°"5 OWNERSHI P AND MANAGEMENT DuE DILIGENCE DEcis¡oNs BA sED DN UNIQUE CIRCUMS TA NcEs
  21. 21. °°"5¡d°'°t¡°"5 LocAL DEVELOPMENT PATTERNS a cusToMs FINDING LocA TioNs CBMPA TIBLE WITH HEA LTHCAFlE usE
  22. 22. .n- . .'___. ~ *I'¡› o 'I I 'i' »r , . l í " . I 'T__" Mid-Atlantic Region
  23. 23. C359 SIWV DRIVERS a sTRATEGiEs g - Consolidate Ambulatory Care Services in a Single Facility. - Locate Facility for Convenient Access. ___ : fg _- - Expand Member Service Footprint in Mid-Atlantic Region. H n T - Capitalize on a Soft Real-estate Market by Reusing Vacant Maryland Medical BanterlMMü) Building for cost efficient expansion. - Accelerate Development by adaptive reuse of existing shell. 733,, _ - Deliver New Facilitiesthatincorporates Facility Standards. A, I . ã I j II” x I T: EÍ, WII' '. l . v a zu_ *ÍÍ 3-- " › Iii 1317.4. m à) za 7 , . Virginia Medical CenterWMC) ° improve Health Care Service for Members in Mid-Atlantic Region.
  24. 24. Case Study ADAPTI VE RE-USE/ NE W CDNSTRUCTIDN CDMPARISDN . Y I Y 2 Y 3 Y 4 New Construction Ear ea" ea" ea" Programming/ Site Acquisition í Site Planning j Site Plan Approvals _ Detailed Design _ Site Preparation 2 Shelland Core Construction _ Interior Construction Mobilization and Opening ú Adaptive Re-Use Programming/ Site Acquisition g Site Planning _ Site Plan Approvals l Detailed Design í site Preparation _ Shelland Core Construction _ Interior Construction _ Mobilization and Opening *
  25. 25. AI WII Case Study MARYLAND MEDICAL CENTER (MMC) PROJECT TEAM MEMBERS
  26. 26. 9359 SIWV MARYLAND MEDICAL CENTER (MMC) BASIC FACTS Maryland, Maryland - Convenient access - Quiet "green" setting - Developing region - Excellent visibility from I-27O Med/ Tech Corridorto promote brand
  27. 27. C359 SIWV MMC: ExisTiNG BUILDING BAsIc FACTS 7:: : Í - Building Designed for Class A Office Space - Built in 2007 (Never Occupied) - 200,000 SF - S stories above grade (no basement) - LEED Silver Rating - Business Park Environment with Additional Growth Potential on Property
  28. 28. C359 CWCV MMC: PROGRAM ELEMENTS BAsIc FACTS - Primary Care and Specialty Clinics - Diagnostic Imaging Center - 24 hour Urgent Care - 23-hour Stay CDU (Clinical Decision Unit) - Ambulatory Surgery - lnfusion Center - 24/7 Pharmacy - Laboratory
  29. 29. Case Study MARYLAND MEDICAL CENTER (MMC) CHALLENGE S & OPPORTUNITIES CHALLENGES o Existing office building configuration not readily adaptable for healthcare layout. lnsufficient MEP Infrastructure and loading dock to support healthcare environment. Structural floor loading lnsufficient for some equipment. Corporate feel of existing building not Consistent with Facility Standards. DPPOR TUNlT/ ES o Creative bIocking/ stacking and adaptation of templates in response to existing conditions. Add elevator/ expand loading dock, new emergency power system, improve AHU'S. Placing Imaging on Level 1, adding ramp for Audio Booth. Develop innovative cost neutral improvements to enhance existing building for compatibility with Facility Standards.
  30. 30. C359 CCC” MARYLAND MEDICAL CENTER (MMC) EXISTING BUILDINC CCNFIGURA TIQN Existing Floor Plate Standard Clinic Module f E. r” “ *T “T “ “” ““ 'H E i l r ESCS! a a l: l: l ll I E T C E i . ' _E , i a. , g : : l : - l x ““ L l Waiting CHALLENGES T T ~ ~~ . . -- _ -- _ -- _ e T” s* - Location of Building Core - Shallow Floor Plate - Curved Front Facads
  31. 31. Case Study BLOCKING AND S TACKING ! Turn-limi' “luana-r ¡If-lilrêilalialgru ! IlI! l!II! l!¡' : ásia-mídia : vinil-ai: ! r'. l'-iiilui: i MARYLAND MEDICAL CENTER (MMC) "IEEIEIIÊÍIÍHTEES Í i'| !l! 'II'-I*= .ll ¡Hieialia-Tlila í kílüulêlull' ? Iiiaia-Ihlifülllilir Ílaallaigrr 'Qlninai ? IL C ! WII I I Mechanical , É ÊÍt-IÍII? ? lnlrlf-FTFTÍIIEI : x-; lnlyin 'iluiiiaj Vlhnuiil Hanna-lala* ! Aliliiiíífilzgg : Ii Ella-aa¡ aiiiallaiiainwhiaaiain" "ÍIllEIl"'! Í'! II§^ 'aaiizilaiãisaiaiii-rnain : lll-iur Iiziniivzluall-icj'
  32. 32. Case Study BLOCKING AND STACK/ NG- LEVEL 7 CLINICAL LAB 8. BLOOD BANK . OP. PHARMACY . IMAGING O O O O O O FACILITIES TELECOM MEMBER SVCS. IMAGING MATERIALS EQUIPMENT BUS OFF, ROOM (TER) HLTH ED/ INFO
  33. 33. URGENT CARE/ CDU , _l _ E _J _ _ Í ' g' ' e , . ' L Ã _ I , . - ' . - . l I-'T z T A” ' _ I 1"” »XI * * , AA t' ' r" E . _. . , _,_ _ V " ' 1 _. * _ . L 'E . L 7 C Ii. f " " A ' . -_ ; J I I C 'Lari ' i 9 , r l T 1 ' - e ~ ~ _ . .J '_" NUCLEARCARDIOLOGY ' CARDIOLOGY ' PULMONARYP URGENT CARE/ CDU
  34. 34. C359 CCICV MARYLAND MEDICAL CENTER (MMC) TEMPLATEADAPTION- ONCOLOGY Standard Reception a-**~~~~~~~« S 7 crime' *s* c _, _ E V .
  35. 35. C359 5M” MARYLAND MEDICAL CENTER (MMC) BLOCKING AND STACKINC- LEVEL 4 PHYSICAL. OCCUPATIONAL. SPEÉCH THÉRAPY VISION SÉPVICÍÉS UNASSIGNÉD . . OPTICAL SERVICES OPIOMFTRV OPHTIIALMOLOGY f_ , -._ -_ y' 'L' , VIVI _ 'H _H_ _¡ ; É L_ m-z r: :_, __a_, ' : :x7 t: : IFÃJI “ : m ¡Tvl-L-í: 1 w : e: _4 'T' "3 ' i. z Tua. “T ll -- *a i E: :R$14 I 1:. : , _ _ 1:; 2:- A', A 3:: - I_ 'à' _L I II I É I I . Í . n.. _.rL. _.rL. _.r' ir 'ENVIRO svcs O O O Ô O O PHYSICAL. OCCUPATIONAL, FACILITIES UNASSIGNEO SPEECH THERAPY
  36. 36. _ asia LÍIIILÍI' STAFF PÍEVOIATRICS e LOUNGE c, ADMINISTRATION g MEDICINE - PRIMARY CARE SECURITY MÁIUCÔPY CONFERENCE FÂCILITIES CENTER CENTER SERVICES -n q: a 5 _ _ 1 ' 'LS = = sil _ g l: “LIC-LIÉÉITÍIÍÉCIIÊÊ : Q2643 'j ¡TITNCCÍIÍrIS-I Egg-g; e; 'E454 , E E _N IES_ . _ IEELI'F'. _Z-LI. 'LJ' L_L'I_I É , l t-: :j i . r E, j. C 4~ r” E: : L1” 'x51 = = c: : : a , _ . a: : 0 0 e OBIGYN CONFERENCE CENTER MEDICINE - PRIMARY CARE 6 a
  37. 37. o SURGERY CLINIC a O PRE-SURGERY O RECOVERY SERVICE (PACU) ( OUTPATIENT SURGERYÉ 3 J BIOMED __ i. : *' . 1,. a , _ _ v É_ írziípzacg_ : :g Ô Ô Ô Ô HEAD 3_ NECK SURGERV URQLOGY UNASSIGNED STERILE PROCESS| NG OPS
  38. 38. 9359 SÍWV MARYLAND MEDICAL CENTER (MMC) TEMPLA TEADAPTIDN -A sc - Located on top floor due to mechanical requirements &1 - Added elevator to access CDU and Imaging - Utilized vertical columns at PACU instead of traditional horizontal headwall to enhance view and allow natural lights
  39. 39. Case Study MEASUHED APPRUA CH TD ADDHESS I-? EUUIHED IMPHD VEMEN TS - Elevator Added to accommodate stretchers. - ASC located at top level to be served by new AHU on Roof. Existing systems re-purposed to extent possible. Medical Gas Delivery System Developed at appropriate size for use. Emergency Power System re-vamped to comply with standards.
  40. 40. “as” 5m"" MARYLAND MEDICAL CENTER (MMC) INTER/ UR
  41. 41. C359 Studi' NCRTHERN VIRGINA MEDICAL CENTER (VMC)
  42. 42. 9359 SÍWV vIRCINIA MEDICAL CENTER BASIC FACTS - Convenient Access - Established Business District - More than 46 million square feet of office and retail space in the vicinity
  43. 43. C355 5m"" vMC: EXISTING BUILDING BASIC FACTS - Building Designed to accommodate 0ffice Space - 240,000 square feet - B stories (plus partial basement) - Originally Constructed in 1981 - Aging Infrastructure - lnsufficient Parking
  44. 44. C359 SÍWV vMC: PROGRAM ELEMENTS BASIC FACTS - Primary Care and Specialty Clinics A - Diagnosticlmaging Center - 24 hour Urgent Care - 23-hour Stay CDU (Clinical Decision Unit) - Ambulatory Surgery - lnfusion Center - 24/7 Pharmacy - Laboratory
  45. 45. Case Study VIRGINIA MEDICAL CENTER (VMC) CHALLENGE S & OPPORTUNITIES CHALLENGES o lnsufficient MEP infrastructure and loading dock to support healthcare environment. lnsufficient parking. Aged exterior envelope deteriorating. Existing office building configuration not readily adaptable for healthcare layout. Corporate feel of existing building not conducive to healing environment. UPPUR TUN/ T/ES New mechanical tower, elevator added, loading dock expanded, new emergency power system added. Additional parking structure added. Floof and window replacement built into cost/ schedule model. Creative bIocking/ stacking and adaptation of templates in response to existing conditions. Develop innovative cost neutral improvements to enhance existing building for compatibility with Branding Standards.
  46. 46. C359 5m” VIRGINIA MEDICAL CENTER (VMC) BLOCKING AND STACK/ NG 5 Ambulatory Surgery E 4 Nuclear Medicine Cardiqlngy HBITIBÍOIDQV/ Dncology 3 Administration Pulmonary ÚFÍhÚPBÕÍCS/ I PhysicalTherapy Podiatry _ 0B/ Surgery Head / Neck Urology ' primary Care pediatric 2 GYN Clinic Clinic Clinic c¡¡n¡c Clinic V¡5¡°" C t L b t Member Pharmacy 1 Services on erence a ora Cry Semmes LL support Diagnostic Imaging I Urgent Care / CDU I SPD / Support
  47. 47. C359 5mm' VIRGINIA MEDICAL CENTER (VMC) BLOCKING AND STACKING- LEVEL LL x * N V ça. .. Im INTERVENTIONAL RAoIoLocv IAA MEDICALIMAGING o “ = = m. :w " a 7 T n lia-a: - Legenrd UT' . u.. ,.. ,.y- &É; u H_ _ _ m. . _ml_ _M r lnlerventlonal Radlology an( "" v-w-c *m* "*'”"'| _°""-i“s' w: :I-n¡ P" "g 1'"" _ V, Department l Staff Support ' 7 7 ' WM . .NI Mammo P) 'DINL Ultrasound ¡Wúxgi ' MRI nu» 'm' CT/ Fluoro m¡ 'N l'“””* e Urgent Care¡ CDU : :m “"' ' _m_ , __ d? “m um) nn ' - m' x General RAD 3.9 ; à -. .u . . z o m. I _ . “M” j 2,. ,m rvvwu u. .. ... mto( m. . m, Ill "n S* Unassigned l Building Support : J : :v1 »m _ ¡ " _h _u_ v o é. _. . - _m_ . m. _a_ . m. , __ . ç. m. ) ? um O l r7- l r-'- 'T5- @é _. _ o 0+ w I I _ . .. › › . ..e é; I I 1 1. 5"¡ . ..a I um '“ m. u. Í' "' -n 0'” 1,: l , E A . ..um u "' "Wii ° OP' ñ T r . .. 4': ' IT"F. ..'= * . . n- " : u_ s** V, .. - [lí _l »à 8°» › _ 'IlAhPl _, X um. .. . ... ' i c: : ~ .11 ___ l m_ , _¡ m» u_ manu
  48. 48. (ISA) HEALTH EDUCATION 3 ° INFORMATION LIBRARY (235) HEALTH MANAGEMENT ; o g (zac) MEMBER SERVICES g¡ . f , . * . . ^ '. ou. OPHTHALMOLOGY nas. OPTOMETRY CARE BUSINESS OFFICE , sf _ *Je* " te”. Legend I m" 'm' g' ' . of Clinical Lab/ Blood Bank T** _N __ 7 °' w ' Staff Lounge l Mail Copy/ Public Í"" m “u” a5:: km7 n _ I v" _l / Conference Center/ IT " "y [A Ophthalmology l Optometry E W m, A Optical Services 1 ° " d _y Pharmacy n u" 'm Health Information/ Member Serv Unassigned / Building Supporl . amam. r m' " 'wie nun» D trul- uuu I kana. ” ¡l-(JY J m j¡ m 1! ›~ *t4* z ___ _I “M” V, _/ v, ¡ t, _ s( w_ ! quam-u “""° u I_ mu: ° ' " y JV . _ I «u . .m *m* 7 'm' L I 15A. CLINICAL LAB u_ CONFERENCE 158. BLOOD BANK ' OPEN TO EELOW 16. PHARMACY CENTER
  49. 49. Legend Urology Head and Neck Surgery Primary Care Surgery 0B/ Gyn. Pediatrics Staff Lounge I Conference Unassigned I Building Suppon 02. OB/ GYN WCWTW? una-ano 01. PRIMARY . r , ¡, __ 'T' . ... . 7 . a. r * . ..cf nur¡ i WN¡ _um_ m. .. l . mov "Em v E' a a “ ' I' m"" D . ... .. una¡ A . e A vm- _ l n a i. t . .u l: | _Num c, ._ mu_ 141:¡ , _ n D “'°' “1“Ê$“" i: EI u, a ll a _m . .w a n < _ . .w _w a w. .. ... _E «m» u E msn-aum vr-cu J . ..N = 'M' "iirf" n u a a . M. 'luto-v m. .., com_ . ... ... __ b ! FE m. - de. .. nun' _W _ t _V g . z a _ __ a _ I; I t). .. 'MW ___ ma. .., »um u , 5.. .», u. -., _www Luciana . E _ E L "W _B rmymm_ E m_ , , _u_ A ; IAAAIL n nun ' r ' I ' a u 07o. UROLOGY MECHANICAL 07h. HEAD›NECK SURGERV _um _em CKJILTKWIW . m. 'v ° “um E URV¡ . ..a u a M, u . m. vw est; :: .11 l nua¡ a . Luz n. .., .. ... :w- ww , em , ._, 'M- _m_ B** m num; a n wNn' : iam do. . 155m qu" m. . “im ° "w WD _m_ _m_ ! D-(l . .. .m o . .._ _ um: : Ú u 'oyuk' a uma¡ a _L r* n “g” 'W' -- u. . uma *ví V . . 4 L L I j “ÍÍIIMWWWW” . LJ »JL 07a. SURGERY t” “ICM”
  50. 50. Legend Medicine Pulmonary Orthopedics -Podiatry Outpatient Physical, Occupati Comprehensive Spine Care I Medical Imaging ~ MOB Admin Staff Lounge l Conference Unassigned / Building Suppor 11. OUTPATIENT PHYSICAL. OCCUFATIONAL, 22. MOB ADMIN 044:. MEDICINE - PULMONARY spgscn 'mERApy i "a 'i i i i” . ..ix u avo» aum DIDV C190¡ our. .. .a »moon . rn L m. . ? '*| "'l"_ M_ ~” _ ____ m. .., mam l , I_ . m. “É wnuiaizi is A ll m. .. g M' vs(- rL-I h a _ NLM. .. «L : l_ ; mz-S * _m_ ILVIWVUZ t. . ven-w") . m. mu: N" " . r : :um . m. . .a W" "Wu M? -m t . m. a_ Lui “W411 u. .. . m. um U . ..im › . ..m i D _ ana. .., ______ü"i'. í'ê2" _m6,_ '$335' T* V' "' ' w- “ç a kn. .. m-. ..i a M. ” m* 'L ' , .m. uma ~ : na: UWCV _ “ = mas, ... a “wir-ri --= - a f" . :_ _. .gw : Em ° : I W' "war um¡ e M_ _m_ 1 (um . n _M_ 7 m. .., u . m. m. .. u “t, *m* . "'“" o "m" . by _ o. ; _, E-Í~»-Í'“IÍ”IL'. " . mifriiñr “notei air' i' J 0Gb. COMPREHENSIVE SPINE CARE CENTER I "i J L JL . f". 06a. ORTHÔPEDICS-PODIÀTRV OPEN TO BELOW
  51. 51. 21. ANESTHESIA Legend Pre-Surgery Clinic OR's E Sterile Core OR Admin & Staff Support Outpatient Procedure Recovery Unassigned I Building Support 1B. OR ADMIN A STAFF SUPPORT *hun- «m ~ _an_ "I É CI 7 'l ii l LI t_ . V I V' ll . m nau : 2"_ m c. . -. . 19. RECOVERV/ PERI OFERATIVE SERVICES 1B. OR'S li STERILE CORE 12. PRE - SURGERY CLINIC 4 * Pv: : ! tmn l')1I n l 1 ¡m! l l K _ No. .. . ..m 571m7.. u D l i 7. ir: : ; Au han r) n . o m _mw D _z mhz. .. m -a. m. .. MIN : no: a m _W w m _w m . ..ti m* AMIKJÍÉ . ..u . -m d** j. m i w. ~ _A_ . › i - n_ IA . L “ami”. , , i u. " »um . ..a "m l g7_ m. .. m mu. .. -um. m h, ... .m. _m_ v . ..n _ -m. av¡- M. ..) w : na: :ao l l num¡ . ... l uma . m. l 17. OUTPATIENT PROCEDURE SUITE
  52. 52. Case Study MEA S URED APPRUA CH T0 ADDHE S S HE [JU/ RE D IMPHD VE MEN TS Added Elevator to accommodate stretchers and SPD/ ASC material management - Added New Mechanical Tower with new AHU's on each level y - Modernized ALL elevators. - ASC located at top level to be served by new AHU on Roof. - Added New Medical Gas Delivery System - Added Steam Generation Plant - Added New Emergency Power System to comply with standards.
  53. 53. C359 SÍWV VIRGINIA MEDICAL CENTER (VMC) EXTERIOR . I, l. . : l f. .. .rf . i, É Folga. . I I , z s_
  54. 54. C353 5m"" VIRGINIA MEDICAL cENTER (VMC) INTER/ GR
  55. 55. Analytics THE ALL IMPORTANT SITE S( FACILITY EVALUATION GREAT/ NG AN EFFECTIVE TUDL T0 ANALYZE DATA C ! M21 Axaêzsox 'JP/ Jin' mbêztooxs com “I want a detailed analysis, your best educated guess, and then round it out with some wild speculation. "
  56. 56. Analytics THE ALL IMPDRTANT SITE S( FACILITY EVALUATIDN GREAT/ NG AN EFFECTIVE TDDL T0 ANALYZE DATA CATEGOR' ' CRlTERlA ' Weight ' LOCATION ' CITY ' STATE ' ZIP ' SCORE ' Weighted ' Comment ' ARCHITECTU Surgery 10 1432 l( St NW Washington DC 20005 2 20 Effective Dep ARCHITECTU Surgery 10 1701 Pennsylvania Ave N Washington DC 20006 2 20 Effective Dep ARCHITECTU Surgery 10 2001 S St NW Washington DC 20009 4 40 Space availak ARCHITECTU Surgery 10 One M St NW Washington DC 20003 5 50 Space for the ARCHITECTU Surgery 10 1212 New York Ave NW Washington DC 20005 0 0 Upper floor¡ ARCHITECTU Surgery 10 111114th St NW Washington DC 20005 5 50 Ample space ARCHITECTU Surgery 10 1250 23rd St NW Washington DC 20037 2 20 Floor plate ai ARCHITECTU available for 10 1432 l( St NW Washington DC 20005 5 50 Other íloors» ARCHITECTU available for 10 1701 Pennsylvania Ave N Washington DC 20006 5 50 Other íloors» ARCHITECTU available for 10 2001 S St NW Washington DC 20009 0 0 No other sen ARCHITECTU available for 10 One M St NW Washington DC 20003 5 50 Other íloors» ARCHITECTU available for 10 1212 New York Ave NW Washington DC 20005 2 20 Program ma; ARCHITECTU available for 10 111114th St NW Washington DC 20005 5 50 Floor plate ai ARCHITECTU available for 10 1250 23rd St NW Washington DC 20037 5 50 Floor plate ai ARCHITECTU ceiling 6 1432 l( St NW Washington DC 20005 4 24 12' 3' floor tc ARCHITECTU ceiling 6 1701 Pennsylvania Ave N Washington DC 20006 2 12 10310". Bear ARCHITECTU ceiling 6 2001 S St NW Washington DC 20009 5 30 20' on first ÍIi ARCHITECTU ceiling 6 One M St NW Washington DC 20003 3 18 10' calling wii ARCHITECTU ceiling 6 1212 New York Ave NW Washington DC 20005 3 18 11' floorto ci ARCHITECTU ceiling 6 111114th St NW Washington DC 20005 5 30 10' ~11' ceilin ARCHITECTU ceiling 6 1250 23ml St NW Washington DC 20037 1 6 10' with : ros: ARCHITECTU grids 6 1432 l( St NW Washington DC 20005 4 24 7,000 SFColuI ARCHITECTU gnds 6 1701 Pennsylvania Ave N Washington DC 20006 3 18 Wide grid at~ ARCHITECTU grids 6 2001 S St NW Washington DC 20009 4 24 20' minimum ARCHITECTU gnds 6 One M St NW Washington DC 20003 S 30 consistem ar ARCHITECTU grids 6 1212 New York Ave NW Washington DC 20005 4 24 No column gi ARCHITECTU grids 5 111114th St NW Washington DC 20005 5 30 30x30 grid a: ARCHITECTU grids 6 1250 23rd St NW Washington DC 20037 2 12 Varied but wi ARCHITECTU Freight/ Eme 5 1432 l( St NW Washington DC 20005 5 25 1 available, A
  57. 57. Analytics THE ALL IMPDRTANT SITE S( FACILITY EVALUATIDN GREAT/ NG AN EFFECTIVE TDDL TD ANALYZE DATA a _Y (Í| )ll¡ sli lí SlíllilÍllliX I. 'I'| i| 231 O 3B D 980 . 125a 106a 130o 1.990 1080 120o . O 115o izao soa 212o a2 a 99o isso 1090 Sao . 175a 57 a 110o
  58. 58. Heiiisiviviiiigríizii; :iii_i; ll1iisi¡i1u; i ; Eislàziti ; ;›: :i= ;i.1fiIJil; -i iiíiiêlrçmsiignigilniigir. iii slfelalelríillala çt-: Iiiiigii: f-_igi iiiiiçilyrsiiiaiíteicil. tentaram: :Institui Ifãiiiiiigii" ; igiiiir-. irsstl Tila iifniêigifr°iis. ifiiçiai! Iii pirsigiaii*“film , . hi5:: n lilleiaiailira 'rviiflcia Íllii Çlilclati Llíliíiãliifçiiigiíiñ 5 _ nniiíeimzni; :iríãiíigiãeiâiilirigêie" _i _, _ “ , s” r _ . r . . circilsic. ,, - ""'_ g g _gi ttallwlaiíüijgliêililailgl: ¡ÉIÊÍELQIÊIÍÍÍEJIIÍÁ ' “ *referia silãíjlâlã: : , ___ Hçlàhiâ e; xi^i'iiieíi_= rii›a, ç¡jrí _ ? site , , iíãlêiiigiiliêiigigi Heteaiêl. 3mm'. ; a _ _Y ' i A lglilail" ÃlililliliiáiiàiglÊiÊisiàlílaililiíãvi , _a ; a i iiiàiieliíil¡ __' - ll eli-ElIÍÊHFgEiÍWJ-; EIWÇIEÉÍ-i-íããâãl site! .íiii . .ui #à E m' W-íini- ! Lxiclxiil 11.3.¡ . . . - . ágio-iii jaT 'iüiii SLL. .. a¡
  59. 59. "iaçiiiincisil Clieiliaiigisi; ;ir gi: inviairç]; igygiiiiiiiliiiliifgitàigigrigiiieidgísinegumiiia ; Iiivgiçiazriiiçi aigiçiciiiinigiçêisiiia iiaaiiiífíiàiie ñ : iliiiarif aiii. . __ iiiigjll2igi§k: :5iaiíil; Í“ _, g ; lilliãilllllillsllllalillaliiip ; #5 r/ "T › ¡ à , i_ . l r _ , n , _ , , , 1 . imiañeiiitiis 'íl: :r'= “ili: iIa? i;i'r; I. giiainiaihigiiçeiii? montana IEJEIQIEÉÍWEIÍFJ ; IÍÍICÍÍEJIIÇJQYIÍlillilllêlieiillll , Çj §; .___ _ , g¡y_y_irgivligf'liiigrsag : áiiiviaiisizliitliigysisisliílíua andiiiaeiliíigiarggiaiiflaiiiçiçiríí; ' 73;; - v c . . ' c¡ . t"" A 7. ? iii-J Ieisifnuísisiifà atraiem? FTiiIàíiiêti-*iíviiiai-I "ñ 'í *fl i ' › . . "a “17.- . 'Tm' Ti “'71” ; x #i I _”_= - . !un gi' Ti 'A . ~.2~_. '.' ñ -x _. _ z-cn-vvííí¡ _ç 3,.
  60. 60. Questions S( Answers n-EI! ARPAY “A arnhitenis ¡u na¡ EI IB'ãá _ ' É x11? r a 52-. .-. ' 4 Iii esta _ ' . «-| ¡ a l' t . :f: :: Às-i -r 'T o _iii_ i-? VÍ É | l I .1ii? '”. "l m_

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