MEDICAL+ HEALTHCARE PORTFOLIO · Novacare Complex Philadelphia Eagles Long Range Facilities...

M E D I C A L + H E A L T H C A R E P O R T F O L I O

GRAVES + MASSAMEDICAL ARCHITECTURE

1 M I C H A E LG R AVE S .CO M G R AVE S + M A S S A M E D I C A L A R C H I T E C T U R E

TABLE OF CONTENTS

Design ProcessChristus St Michael HospitalHyperpodYale-New Haven Hospital / Center For Restorative CareSt Mary’sExpansion EndoscopyNew Birthing Center and NICUEmergency Department RenovationNeonatal Intensive CareNew & Expanded Diagnostics CenterMadonna Rehabilitation HospitalsRooftop ExpansionEnergy Plant InfrastructureSteadman ClinicAdult Intensive CareMaster Planning Surgical ServicesRenovation Neuro Operating Room

2.4.

10.28.29.34.36.38.40.44.46.48.56.57.58.60.62.64.

68.72.74.78.80.82.84.88.92.94.96.

100.104.106.

111.112.114.

Shore OrthopedicRENOVATION CATH / EP LABNovacare Complex Philadelphia EaglesLong Range Facilities PlanningSt. Joseph’s Hospital, Chandler NeurosciencesSt. Joseph’s ExpansionUniversity Of Gerogia Health CenterCoordinated Registration & AdmissionsLimited Land Master PlanningProcess Driven Ambulatory CareUniversity Medical CenterWounded Warrior Home ProjectDementia & Alzheimers CareStryker Medical DevicesPraiseProject ListOffice Locations / Contact

Michael Graves and MMA have collaborated and delivered on complex projects for over 13 years. The skills and talents between the two firms create a strong platform for design excellence.”

“

2 3 M I C H A E LG R AVE S .CO M G R AVE S + M A S S A M E D I C A L A R C H I T E C T U R E

INTERVIEW ALLSTAKEHOLDERS

BENCHMARK THECOMPETITION

ASK RELEVANTQUESTIONS

CONDUCT RESEARCH

PROVIDE THESOLUTIONS

READ ACADEMICWRITINGS

IDENTIFY THEPROBLEMS

CREATING HUMAN-CENTERED

EXPERIENCES

A DYNAMIC DESIGN PROCESS

DATA-DRIVEN DESIGN


CHRISTUS ST MICHAEL HOSPITALTEXARKANA, TX

MGA&D worked closely with the stakeholders of Christus St. Michael to assess needs, analyze real user data to drive concepts and design, and build consensus to design an optimally functional renovation and addition to the client’s Emergency Department. Improvements involved functional organization, program adjacency, and circulation (both within the building and through the site) to create significantly increased operational efficiency, as well as to optimize user and health care provider experience. This work was undertaken in the light of mounting competitive pressures from a new, closely located, stand-alone emergency services provided facility. The completed work on the facility has allowed Christus St. Michael to remain the desired healthcare destination for emergency services and care in the region.

MICHAEL GRAVES ARCHITECTURE & DESIGN

6 7 M I C H A E LG R AVE S .CO M G R AVE S + M A S S A M E D I C A L A R C H I T E C T U R EPHASE 1 PHASE 2 PHASE 3

8 G R AVE S + M A S S A M E D I C A L A R C H I T E C T U R E 9 M M A-A R C H I T E C T S .CO M

Redefining the ICUGREENVILLE HEALTH SYSTEMGREENVILLE, SC


Evidence Based Design

MMA has set itself apart from all other design firms with its depth, breadth, and critique of evidence-based literature.

As hospitals grow incrementally over time, healthcare needs coupled with site limitations present new and unique challenges for every project. Many large hospital spaces are not designed or used as effectively as they could be. This ineffective design leads to inefficient use of staff time and ultimately decline of patient care.

MMA is skilled at designing technologically complex environments in antiquated spaces and we are configuring optimal solutions under difficult constraints.

MMA’s designs put staff, operational, and economy of scale efficiencies first. This in turn leads to healthier and happier patients.

HYPERPOD®

Redefining the ICUGREENVILLE HEALTH SYSTEMGREENVILLE, SC


HYPERPOD ICU

LIGHTWELLSERVICE SPACES


Revolutionary ConceptIn the ever changing climate of Healthcare design and development, one aspect stands out as a true challenge to any Owner. How do you meet your census needs with ever increasing room size requirements set by industry standards and hospitals while only having a limited amount of space to expand?

MMA was recently tasked with the challenge of designing a new 60 bed ICU in an existing space that conventionally could only support 40 beds. MMA’s design team culled from its vast database of research and evidence based design calculations and came to one conclusion. It was possible.

The design was coined the HYPERPOD™. An MMA Registered Trademark Design.

This design effectively reduced the linear footage requirements along an outside wall by up to 35%, while still meeting the code driven natural light requirements to patients. By using internal “Lightscapes”, a small room designed to pass light to another room, MMA was able to fit 8 rooms in the space that could originally only support 5. The design of this concept additionally allowed for increased staff productivity by allowing a single nurse to comfortably monitor 4 or even 8 rooms with a minimal amount of walking.

Each HYPERPOD™ consists of 4 rooms served by a single access hallway or portal. Patients may be observed either from this portal or from nurse landing stations along the main corridor.


Yale-New Haven Hospital offers one of the oldest and most comprehensive geriatric assessment programs in the United States and the hospital’s geriatric services is ranked #18 in US News and World Report’s 2014 Best Hospital rankings.

Previously housed on an older med/surg patient floor, the new unit incorporates architectural elements and signage specifically designed to support the care of patients 65 and older. As part of the design, MGA&D developed a unique signage system to alert clinicians and visitors of precautions and protocols that needed to be followed. The signage was designed to be easily maintained to reduce risk of infection.

YALE-NEW HAVEN HOSPITAL CENTER FOR RESTORATIVE CARENEW HAVEN, CT



St. Mary’s, Athens, Georgia was voted Georgia Alliance of Community Hospital’s ‘Large Hospital of the Year’ for 2006. In a rapidly growing competitive marketplace, St. Mary’s moved quickly to open up a significant new ambulatory services site on busy Atlanta Highway. MMA complied with the Owner mandate for a 6 month start to finish design-build project including active MRI and CT environments. The 44,000 square foot interior upfit project was delivered on budget, on-time.

ST. MARY’S ATHENS, GA

MMA ARCHITECTS

When asked by St. Mary’s to demon-strate their unique problem solving abilities, MMA responded with an intensive 3 week charette. MMA’s response revitalized a stalled master planning effort launched by another healthcare architect that drug on

for over a year without a consensus being reached. The result was a bold imaginative design that completely revitalized the St. Mary’s image, bol-stered morale and enabled a CEO decision to move forward. MMA’s master plan concept provides for

120,000 new square feet without the loss of a parking spot, reconfigures outpatient traffic patterns for cus-tomer oriented service, and provides the latest in healing healthcare envi-ronments.


EXPANSIONENDOSCOPYATHENS, GA

EXPANSION ENDOSCOPYATHENS, GA

This new unit was initially de-signed as an elevated addition with parking for the GI Docs be-low. The contractor had prepared a design development budget for the project that met the Own-er’s pro forma. Then the oil and gas crisis hit. In 8 weeks MMA and its consultants redesigned the project to sit on the ground floor saving $600,000.00 which equalled the price increase. The project moved forward with the same program elements and fea-tures that the original design had but without the covered parking. The Docs were satisfied howev-er because they were involved all along and understood that marketplace pressures beyond the contractor’s control forced a revision to the design solution. With MMA as your partner, team members, hospital leadership and physicians stay informed and always have options at their disposal.

St. Mary’s chose to consolidate several existing ambulatory service programs located in various facilities throughout the city into one strategic location on busy Atlanta Highway. An opportunity arose for St. Mary’s to lease an entire brand new Class A business site for these services. MMA modified

infrastructure to suit the needs of health care and designed user friendly, private and convenient facilities. Included are diagnostics, registration, lab, neurosciences labs, rehabilita-tion and physical fitness programs

MMA ARCHITECTS


NEW BIRTHING CENTER AND NICU ATHENS, GA

St. Mary’s needed an improved Women’s program and they need-ed it fast. Hospital leadership and privileged physicians stated that whoever applied for the CON first would gain the marketshare ad-vantage. In 21 days MMA prepared detailed conceptual drawings and computer animation on which the CON was based. The first budget ended up being the final budget and the hospital is now the proud owner of a facility that has taken everyone by surprise. OB’s that initially were against moving to single room care are now outspo-ken advocates for family oriented birthing. The design concept made it easy for those physicians who were initially against single room care to endorse the design as it allowed for a transition from LDR to LDRP as practice habits gradually changed. The physicians have also been impressed with how the de-sign supports operational and staff efficiencies. MMA can help create an advantage for you.

MMA ARCHITECTS


The 13,000 SF renovation to the Emergency Department at the St. Raphael Campus of Yale-New Haven hospital will benefit the entire New Haven community. The design was developed in conjunction with clinicians to support a “Split Flow” operational model that streamlines the patient intake, registration and triage process to ensure that higher acuity patients are seen immediately while at the same time reducing the waiting time for lesser acuity level patients.

The layout of the new emergency department allows the space to “flex up” or “flex down” to support clinical operations based on patient volume. The design supports immediate assessment upon check-in resulting in significantly reduced waiting times and patient flow congestion. Additionally, patients not assigned to a bed may wait for test results in a comfortable lounge area intended to free up available exam rooms.

YALE-NEW HAVEN HOSPITAL EMERGENCY DEPARTMENT RENOVATIONNEW HAVEN, CT



YALE NEW-HAVEN HOSPITAL

SCHEMATIC DESIGN PRESENTATION

APRIL 2015

ED PHASE 1 ENVELOPE

AXONOMETRIC: ED PHASE 1 & 2 COMPONENTS

ED PHASE 2 ENVELOPE

FLEX-TRIAGE ROOMS

SECURITY & SCREENING STATION

WAITING AREA (LOUNGE)

VALET STATION

NEW FLEX-EXAM ROOMS

CENTRALIZED CLINICAL HUB

WHEELCHAIR/TRANSPORT CHAIR STORAGE

EXTERIOR REFLECTION GARDEN(NATIVE INDIGENOUS PLANTINGS)

GREETER & TRIAGE“PIVOT” NURSE STATIONS

ED BOUNDARY WALL (DIVIDES PUBLIC VS. PRIVATE SPACES)

(FAST TRACK & HIGH ACUITY)

(CORE)

RESULTS LOUNGE

PROJECT HIGHLIGHTS

“A Streamlined Operational Model...”

HYBRID SPLIT-FLOW MODEL

• CHANGES HOW EMERGENCY MEDICAL CARE IS PROVIDED. THE DESIGNED PROCESS AIMS TO GET HIGHER ACTIVITY PATIENTS SEEN IMMEDIATELY AND FACILITATES THE CARE OF LESS SICK PATIENTS, IN A WELL EXECUTED MANNER.

• SPLIT-FLOW PROVIDES TREATMENT BASED ON EACH PATIENT’S INDIVIDUAL, SPECIFIC NEEDS.

• LAYOUT PROVIDES FLEXIBILITY AND VARIATIONS OF CLINICAL OPERATIONS OVER TIME.

• IMMEDIATE ASSESSMENT UPON CHECK-IN RESULTS IN SIGNIFICANTLY REDUCED WAITING TIMES AND PATIENT FLOW CONGESTION.

• TRIAGE AND REGISTRATION CAN BE ACCOMPLISHED SIMULTANEOUSLY

• CARE IS BASED ON ACUITY LEVEL, RESULTING IN ACCELERATED TREATMENT OF LESS SICK PATIENTS AND FASTER ADMISSION FOR VERY ILL OR INJURED PATIENTS.

• PATIENTS NOT ASSIGNED TO A BED WAIT FOR TEST RESULTS IN A COMFORTABLE DESIGNATED LOUNGE AREA (FREEING UP AVAILABLE EXAM ROOMS).

CENTRALIZED CLINICAL HUB

• CENTRALIZED WORK ZONE AND CONFIGURATION OF EXAM ROOM “PODS” ALLOW FOR OPTIMAL CLINICIAN SIGHTLINES AND SHORTEN WALKING DISTANCES (ACCESS TO MEDICATIONS/EQUIPMENT)

TRIAGE

“ A triage process that seamlessly blends privacy, accessibility, and transparency...”

• PATIENTS ARE GREETED AS THEY ENTER THE EMERGENCY DEPARTMENT, AND IMMEDIATELY “PRESENT” TO A TRIAGE NURSE SHORTLY AFTER THEIR ARRIVAL.

• THE NURSE ASSESSES THE PATIENT’S CONDITION AND THEN DIRECTS THEM TO AN EXAM ROOM RESERVED FOR HIGH ACUITY EMERGENCY CASES, OR FAST-TRACK FLEX EXAM ROOMS FOR PATIENTS WITH LESS SERIOUS CONDITIONS

• THIS PATIENT CIRCULATION PROCESS REDUCES EXTENSIVE WAITS AND IMPROVES THE FLOW OF PATIENTS THROUGH THE EMERGENCY DEPARTMENT

ENLARGED FLOOR PLAN - FRONT END PROGRAMS

ENTRY CANOPY ABOVE

CLINICIAN WORK ZONE(NICHE)

CORRIDOR # 1

CORRIDOR # 2

CAFETERIA

WHEELCHAIR TRANSPORT CHAIR STORAGE

“Welcoming, embracing...and caring.”

CLARITY, CONNECTIVITY, AND TRANSPARENCY

• THE FRONT END PROGRAM ALLOWS FOR A CLEAR VISITOR/PATIENT ENTRY SEQUENCE WITH IDENTIFIABLE VISUAL MARKERS

• THE PLANNING AND OPERATIONAL MODEL ENHANCES VISUAL CONNECTIONS BETWEEN CLINICIANS AND PATIENTS

• THE CURVED “EMBRACE” WALL ACTS AS A CLEAR ORGANIZATIONAL TOOL, DIVIDING PUBLIC AND PRIVATE ZONES

• THE WAITING LOUNGE FOCUSES ON CONNECTIVITY TO THE EXTERIOR WITH DAYLIGHT AND REFLECTIVE GARDENS

• SECURITY STATION PROVIDES PERSONNEL WITH CLEAR SIGHTLINESS OF EMERGENCY DEPARTMENT ACCESS POINTS

• AN INTUITIVE SIGNAGE SYSTEM INTENDED TO ENHANCE PATIENT AWARENESS AND WAYFINDING.


NEONATAL INTENSIVE CARE ATHENS, GA

The latest in neonate healing environment design and how emotions relate to space is incorporated into St. Mary’s new 20 infant NICU unit. The apprehension an expectant mom might have about where her new baby might be cared for if needing help is now gone as NICU and mater-nity are now visually connected. Many new facilities locate NICU remote from Birthing. MMA’s design provides emo-

tional comfort and security. Transverse daylight axis design concept was accomplished in a building only 85 feet wide! Staff epicenter has visual connectivity with all ares of the unit including the staff lounge. Depending on the infants care plan, families have control over a private or a transparent environment. Overnight accommodations are provided for inside and outside the infants room.

MMA ARCHITECTS


MMA completely reoriented and significantly expanded St. Mary’s existing Diagnostics unit to pres-ent a new face in the new 100,000 square foot Phase 1 Women’s /NICU / Diagnostics expansion. A new private high throughput digital Women’s imaging unit was cre-ated, a Toshiba MRI environment was provided, 2 CT scanners were relocated in a back to back config-uration to improve staff efficiency and to directly support ED, a new digital ED support acquisition room was provided and several other key spaces to improve patient through-put and staff operations.

NEW & EXPANDED DIAGNOSTICS CENTERATHENS, GA

MMA ARCHITECTS



MADONNA REHABILITATION HOSPITALSOMAHA, NB

Madonna, which is establishing a new state-of-the-art hospital in Omaha, specializes in acute rehabilitation cases requiring longer-than-typical stays, and therefore the facilities especially the patient rooms, are being specially designed to accommodate the needs of patients and their families. The project contains approximately 255,000 sq.ft. and 110 patient rooms.


Mission Impossible:

-Fit 20 beds in roughly the same square footage and budget as the original architect’s 16 bed scheme and maintain $1.68 M construction cost.

-Meet newly enacted IBC 2000 seismic requirements on an existing 1970’s structure.

-Immediately create a Phase 1 partial 2 bed unit to capture 2003 Medicare reimbursement advantage.

-Construct over an ICU Unit at the front entrance.

-Seven month construction schedule which included a $2.5 million Infrastructure/ utility backbone.

ENERGY PLANTINFRASTRUCTURE ATHENS, GA

ROOFTOP EXPANSION ATHENS, GA

To support 120,000 square feet of long range growth at St. Mary’s and to bring power distribution to current code, MMA implemented a major new rooftop utilities back-bone connecting the Central Energy Plant to the areas of new expansion. The extraordinary technical chal-lenge involved independent struc-tural analysis of 6 previously built additions to confirm the existing structure’s ability to support the 700 pounds per lineal foot of utility / rack weight and support design to accommodate new seismic criteria. Included is a new 4 branch power distribution penthouse with 45,000 pounds of electrical gear con-structed over the existing surgical suite (equivalent to 3.5 MRI magnets)

MMA was awarded Mission Impossi-ble for this rooftop expansion after St. Mary’s dismissed the former Top 10 Healthcare architect for not sticking to budget. The need to implement this program to capture available market place beds was critical. MMA’s mission was not only to put the project back on track but to also increase unit size from 16 to 20 beds with little additional space. MMA configured an efficient net to gross circulatory concept that worked within an extremely limiting exist-ing floor structure that greatly con-strained plumbing and mechanical rough- in placements. MMA utilized all future floor load bearing capac-ity of the existing underlying bed tower to meet new stringent seismic design criteria for this single story addition. Brasfield & Gorrie Contrac-tor and Collins Project Management successfully enabled construction in 7 months during the winter season.

MMA ARCHITECTS



PROJ. NO.

DRAWN:

CHECKED:

DATE:

REVISIONS

© OZ ARCHITECTURE

SCALE:SHEET NUMBER

SHEET TITLE:

ISSUED FOR:

APPROVED:

1805 29th StreetSuite 2054

Boulder, Colorado 80301phone 303.449.8900

VAIL

, CO

L OR

A DO

1/11

/201

2 10

:24:

53 A

MC

:\re v

it lo

cal f

iles\

VMR

MD

\11 0

570.

00- V

MR

MD

_A12

_DD

owlin

g.rv

t

Vail M

edica

l Res

earch

Mun

icipa

l Dev

elopm

ent

111057.00

Author

Checker

JAN 11, 2011

80% SCHEMATIC DESIGN

WEST BUILDING - 3DMASSING

A4.51

Vail Medical ResearchMunicipal Development

Approver

1 3D-VIEW-11

STEADMAN CLINICVAIL, CO

For the Steadman Clinic and Steadman Phillippon Research Institute, world leaders in orthopedic medicine, MGA&D designed a 70,000 SF ambulatory care center that accommodates both clinical care and research. The building, which is connected to the Vail Valley Medical Center by a bridge, also houses the hospital’s Howard Head rehabilitation center.


St. Mary’s challenge to MMA was to cosmetically improve the outdated appearance of the adult ICU unit. MMA initialized the design process by analyzing the functional effectiveness of the support and staff core and proposed both a functional and visual reordering of the unit. The result is a modern unit with greater efficiency and less clutter, improved infection and security control, and increased patient information confidentiality. The design allows for future core expansion under the Women’s Center project as well as future HVAC upgrades.

ADULT INTENSIVE CARE ATHENS, GA

MMA ARCHITECTS


St. Mary’s was experiencing a bed shortage and turning away 800 ED admissions a year. The solution was unclear. Lack of a coherent long range plan caused space that was originally earmarked for surgery to be lost to other needs. When asked by St. Mary’s to solve OR space shortages, plan for growth and combine their remote outpatient site with IP surgery for operational savings, MMA responded with a comprehensive look at all the ‘halo’ conditions surrounding not just the OR but other interventional service lines as well. The result was the refinement of an option that combines AM Admit, extended care and other pre surgical testing beds in one location connected to a comprehensive flexible post anesthesia arena greatly enhancing staff and anesthesia efficiencies as well as patient convenience and privacy. Surgical patients can be discharged without having to go back through the main lobby. The suite is configured for future growth. Improvements include all new electrical and code compliant filtered air distribution to the existing OR’s.

MASTER PLANNINGSURGICAL SERVICES ST MARY’S

MMA ARCHITECTS


Melanie Nash, OR Director was skeptical at first. CSPD was undersized, the anesthesiologists complained about lack of space. The physicians locker rooms were too small, the hallways were used for storage and pre and post op were marginal at best. Sounds familiar? How were we going to fit in a new OR without any additional space. St. Mary’s asked MMA to help. Through long range surgical planning, building relationships with the staff and the Docs, a level of trust was created that allowed the tough inevitabilities to be forged and agreed upon. The result is the launching of a needed marketplace initiative and revenue generating service without having to expand the building. MMA can be your partner for your tough assignments as well.

RENOVATION NEURO OPERATING ROOM 9 ST MARY’S.

Offering the latest in Stryker digital communications and PACS integration, St. Mary’s new neurological operating theatre is part of a comprehensive new neurosciences initiative. MMA assisted the hospital in combining improved stat digital ED diagnostics with a new dedicated NCCU and neurosciences bed unit to launch this strengthened service line. The challenging aspect of this initiative was the reallocation of non surgical space within an already undersized OR to create the room needed for the new operating room.

MMA ARCHITECTS


TRANSFORMING SPACESC R E AT I N G T H E A R T O F S T Y L I S H E N VI R O N M E N T S

ST MARY’S MEDICAL OFFICE BUILDING


In a competitive market for orthopaedic services, Shore Ortho sought a building that would be attractive to patients and communicate the quality of the physicians’ practice. By using lean design principles, MGA&D also streamlined daily operations, and thereby made treatment more cost effective and faster, with obvious benefits for both the medical practice and its patients. MGA&D’s graphic design strengthened Shore Ortho’s brand identity.

MGA&D’s client, the developer Scarborough Properties, paired MGA&D with a contractor early in the design process, resulting in the equivalent of integrated project delivery. Ongoing cost and schedule analysis of systems and materials allowed high-quality but economical development and a construction period of a mere 6 months.

SHORE ORTHOPEDIC SOMERS POINT, NJ



The floor plan is organized by a clear circulation system of 5-foot wide corridors that differentiate the patient and staff zones, and ensure privacy (exceeding HIPAA standards) and efficiency for both. Natural light throughout the building conveys a sense of transparency and openness. Controlled views to the outside, especially to a private semi-enclosed garden, create a sense of wellbeing. Physical therapy facilities feature large windows with a view to the garden and an outdoor therapy terrace.

Shore Orthopaedic Floor Plan identifying the different zones of the facility and clear circulation.


RENOVATIONCATH / EP LABATHENS, GA

MMA is skilled at designing techno-logically complex environments in antiquated space. Accommodating new Phillips Allura bi-plane systems, with overhead rolling weights that of a small car , in low 12 foot floor to floor heights with insufficient structural capacity to carry the load is MMA’s specialty. The final design is not perceived as a renovation at all but instead appropriately as a flagship service line of the hospital. MMA, with its history of accomplish-ing technically challenging initia-tives, had to assure the Owner in the first 2 weeks of the engagement that the new technologies would work in their 1966 era building. Going beyond just meeting the de-manding parameters of this project, MMA also showed Hospital Leader-ship how non-invasive diagnostics could be connected the labs and to the Emergency Department below.

MMA ARCHITECTS



NOVACARE COMPLEX PHILADELPHIA EAGLES PHILADELPHIA, PA

The 110,000 SF NovaCare Complex contains training facilities and offices for the Philadelphia Eagles professional football team, and an outpatient physical therapy center operated by NovaCare. The project pioneered a new approach to professional sports training facilities. The administrative wing contains offices, a 189-seat auditorium, high-tech team meeting rooms, and food service facilities

with a dining terrace and bleachers overlooking the main practice field. The training wing contains extensive strength and conditioning facilities: an 8,000 sq.ft. weight room, aerobic exercise rooms, and a therapy pool with a hydraulic floor. The site includes several outdoor practice fields and a modified pre-fab building used for indoor practice and events.


When asked by St. Mary’s to redesign for a change in opera-tional birthing concepts, MMA responded with an even more vigorous three week effort than the previous LDR (Labor, Delivery, Recovery) effort. The new design yielded greater program advantages than the original design including more square feet without a budget increase. MMA’s contin-ued investigation and understanding of the issues facing St. Mary’s since the original three week master solutions exer-

cise allowed MMA to sharpen their pencils and create an even better benefit for the dollar. The result is a state of the art LDRP (Labor, Delivery, Recovery, Postpartum) Wom-en’s and NICU Center that is destined to gain St. Mary’s a strategic marketplace advantage in those service lines.

From LDR to LDRP/ Putting Families First

Projects resulting from MMA’s Phase 1 and Phase 2 $54 million Master Facilities Plan for St. Mary’s Health Care System inc. Athens, Georgia. Several of these projects were designed and executed simultane-ously by MMA:

• 100,000 square foot Women’s/Diagnos-tics/NICU facility• Adult Intensive Care Unit modernization• ED Pediatric renovations• CT Scanner consolidation • Gift Shop • Physician’s Lounge• Operating room renovations/ new OR• Inpatient Neuro Sciences/ NCCU renova-tions• Central Scheduling Unit• EMS facility planning• Infusion Therapy renovations• $2.5 Million Endoscopy unit• Chapel• $2.4 M rooftop utility infrastructure • Rooftop 20 bed Inpatient Acute Rehab Unit• Inpatient Rehab gym/ therapy area.

LONG RANGE FACILITIES PLANNING ATHENS, GA

MMA ARCHITECTS


ST. JOSEPH’S HOSPITAL, CHANDLER NEUROSCIENCES, TBISAVANNAH, GA

A previous architect master planner devised plans on the assumption that existing facilities were designed for future vertical expansion. The Owner developed project implementation plans and capital expenditure bud-gets based on those recommenda-tions. When MMA was commissioned to design the first phase of a com-plete neurosciences services overhaul they immediately conducted and in depth survey of existing conditions including deep piling investigations that confirmed that the existing 1960 era facilities were not structured for vertical expansion. MMA’s exper-tise in configuring optimal solutions under difficult constraints enabled the Owner to move forward with a rooftop expansion even under strin-gent seismic and hurricane forces. The new NICU design is extremely efficient, flexible and is designed to work integrally with the Phase 2 step down Neuroscience expansion.

MMA ARCHITECTS


ST. JOSEPH’S EXPANSION SAVANNAH, GA

St. Joseph’s/ Candler Health System, Savannah, Georgia is a leading Magnet health care provid-er in a rapidly expanding market. The 2 hospital system contacted MMA to design their new flagship state of the art Neurosciences Intensive Care Unit as the first phase of improvements to the entire neurosurgical service line. The design incorporates all of the leading patient care and family design features and is configured for future growth. Located at the front door to the hospital, the new design will establish an aesthetic platform from which subsequent projects will borrow from to begin the modernization of the 60’s era plant.

MMA ARCHITECTS


UGA’s recently completed $17 million expansion and renovation to their comprehensive student health services facility will make it one the largest in the nation. MMA was commissioned to iden-tify various alternatives to help

meet growing demand and to develop a whole new image for one the most important emerg-ing East Campus gateways. MMA developed detailed conceptual options up to F (any of which would have solved the functional

and space challenges) but Option C best met the University Pres-ident and Administrations iden-tity and corner resolution vision. MMA resynthesized and correct-ed detailed space programming prepared by a previous architect.

UNIVERSITY OF GEROGIA HEALTH CENTER ATHENS, GA

MMA ARCHITECTS


$17 million student center recently completed on time and on budget. 110,000 square foot comprehensive health services facility comprised of office based, ambulatory and outpatient care environments and is JCAHO certified. According to Dr. Jean Chin, MD, MBA, Director: “MMA solved what we thought was an unsolvable problem”. MMA’s scope formulation, budgeting and programming accuracies yielded a final deviation of only 200 sf from the original conceptual phase pro-gram prepared by MMA.


MMA ARCHITECTS


COORDINATED REGISTRATION & ADMISSIONS ATHENS, GA

MMA reconfigured patient intake patterns as part of St. Mary’s largest capital expansion. Outpatient regis-tration had been handled in the ED intake area and for a 40,000 visit ED this was not patient friendly. MMA’s solution consolidated inpa-tient registration and outpatient admissions, same day surgery and inpatient surgery case scheduling, and adjunct scheduling operations to make the patient/ organization interface as transparent , friendly and as organized as possible. The new service is located not more than 75 feet from the patient park-ing deck and just across the main lobby from vehicular drop-off. All coordinators, intake personnel and volunteers are in visual contact with one another and patients/ families are always connected with a person. The new atrium is a calming, organizational feature that is designed to initiate the wayfin-ding process in an understandable way. MMA is expert at distilling key functional flaws within a healthcare setting and proposing creative, cost saving solutions.

MMA ARCHITECTS



Wayfinding clarity, discreet mental health and health promotion set-tings and built in ability to expand are several hallmarks of the new design. New and improved fast track and emergent care function-ality, security, quality control and error reduction objectives in key clinical settings were several core design prerequisites. Environments improve staff morale, utilization and efficiency, customer satisfaction and are great places to work. The Women’s Clinic Nurse Manager said it best: ‘The renovations are func-tionally perfect’.

MMA ARCHITECTS


LIMITED LAND MASTER PLANNINGATHENS, GA

When St. Mary’s Hospital, Athens, Georgia embarked on the largest capital facilities expansion in their history, they needed the confidence they could do so without preempting future growth alternatives. St. Mary’s had limited land on which to expand and MMA developed a plan that allowed them to ultimately replace their entire acute campus component with only 10% additional land. The history of hospital expansion speaks for itself. Just when you think you have enough land, you don’t. MMA treats all master planning exercises as an urban high density land planning challenge. This does not mean that non institutional healing environments, greenspace and clear wayfinding are sacrificed. MMA is expert at showing a client how their campus can achieve a maximum density configuration in an intelligible, attractive way.

MMA ARCHITECTS

The positioning of Medical Office Buildings on a hos-pital campus has significant master planning implica-tions. St. Mary’s new 80,000 sq. ft. MOB and parking deck design was originally devised by the developer’s

non-medical architect. MMA protected St. Mary’s long range growth interests with a different design that even the developer acknowledged was a better design. MMA became part of the design team as a result.

Maximizing Program in Limited Space


31,000 square foot, 8 component, process engineered ambulatory care facility designed for low cost, highest net to gross efficiencies, and optimal staff to physician/care giver ratios. MMA developed the detailed plans you see here and achieved complete buy in from all 8 user groups within 6 weeks from being authorized to commence work. Environments are evidence based driven, peer reviewed, and mock tested so upon opening day no process, whether it be IT or materiel related will be untested. Facility is expandable along major axis with clear intuitive wayfinding. MMA is a member of the collab-orative healthcare research team at NXT and other research driven enterprises advancing thought on the patient experience. MMA’s straightforward design process in-volves all stakeholders in a collab-orative, cross pollination environ-ment where process improvements are the natural outcome. MMA client testimonials document a vast improvement in staff and work-place satisfaction in completed projects.

PROCESS DRIVEN AMBULATORY CAREPROTOTYPE

MMA ARCHITECTS


The Center Pointe ambulatory care center’s primary purpose is to be a community based primary and subspecialty care integrated group practice. Center Pointe is designed to fundamentally alter referral patterns and utilization in a tertia-ry system’s secondary catchment markets. The experience of 500 on-staff physicians, having prac-ticed and continuing to practice in multiple facilities though the up-state, was brought to bear in con-figuring the idealized patient and provider centered environments in the first of its kind group practice model for the states largest tertiary medical system.

UNIVERSITY MEDICAL CENTER PROTOTYPE

MMA ARCHITECTS


TRANSFORMING SPACESC R E AT I N G T H E A R T O F S T Y L I S H E N VI R O N M E N T S

GREENSBORO CRITICAL ACCESS HOSPITALGREENSBORO, NC


WOUNDED WARRIOR HOME PROJECT FORT BELVOIR, VA

In November 2010, MGA&D was commissioned by Clark Realty Capital to design the Wounded Warriors Home Project. The project calls for the design of single family prototype homes intended to serve the needs of wounded soldiers and their families as they continue to serve on active duty at Fort Belvoir, Virginia. The design of these prototypes is intended to provide for the needs of a varied group of people who have been injured and/or adversely affected by their military service.



355 SF

MASTERBEDROOM

B123

147 SF

BEDROOMB117

147 SF

BEDROOMB115 89 SF

MUD ROOMB109

12 SF

CLOSETB116

12 SF

CLOSETB118

116 SF

BATHROOMB122

172 SF

BEDROOM/THERAPYB119

203 SF

HALLB106

37 SF

HALLB105

255 SF

KITCHENB107

51 SF

POWDER ROOMB108

78 SF

LAUNDRYB110

15 SF

CLOSETB128

4 SF

CLOSETB111

37 SF

CLOSETB124

19 SF

CLOSETB125

110 SF

MASTERBATHROOM

B126

233 SF

FAMILY ROOMB104

230 SF

DINING ROOMB103

227 SF

LIVING ROOMB102

58 SF

FOYERB100

12 SF

CLOSETB101

651 SF

GARAGEB113

69 SF

STORAGEB114

5 SF

CLOSETB127

3 SF

LINENB121

FRONTPORCH

Freedom House Ground Floor Plan (below)

Selected Interiors (right)


ST. MARY’S DEMENTIA & ALZHEIMERS CAREATHENS, GA

MMA’s clients and other experts say it best:

“It has been a week since our CEO – Stan Anderson and I visited St. Mary’s Center for Alzheimer’s and Dementia Care. Both of us felt the design and the construction set a new standard for memory care units. We hope to showcase the St Mary’s facility as a center of excel-lence which will bring attention to your design work and our technol-ogy”.

Howard Bradley , SimpleC, LLC

MMA ARCHITECTS



The “X- Frame” Wheelchair from 1933-2013

MICHAEL GRAVES FOR STRYKER PRIME TC TRANSPORT CHAIR &PATIENT ROOM FURNITURE

Hospitals are constantly evolving to improve patient outcomes, yet a key piece of equipment that is ubiquitous has gone unaltered since it was patented in 1933. And it was never designed for use in the hospital. We’re talking about the wheelchair! Prime TC is the result of a thorough product development process undertaken to transform seated patient transport in the hospital. Discoveries have turned into real solutions to problems that go beyond the patient experience.


A Bed Side CabinetB Detail of Height AdjustmentC Overbed Table

C

B

A


PRAISE

“The first project we retained Graves office to participate in was acommingling with one of our seasoned stabled architectural

firms, who had already begun design development. The project was a delicate integration, where Graves’ office acted as the lead conceptual design entity while melding their concepts to the ar-

chitectural firm who was already involved in the project.Graves office innate creative problem solving skills, coupled withtheir graphic and oratory presentation acumen exceed any pre-

sentation I have seen at my tenure at YNHH. The Center For ElderCare Graves offices designed for us continues to be the rave of

our clinical staff.”-Susan F. Chamberland Yale New Haven Hospital

“The facility is absolutely stunning. I was overtaken by it. We are very proud.”

– Cindy Fox Miller, Baptist Easley Foundation Chair

“Our architect, solved what we thought was an unsolvable problem.”

– Dr. Jean Chin, CEO, MD, MBA, Diplomate ABIM, UGA Health Ser-vices Director

“His collaborative approach with our medical staff and employees has resulted in a highly functional and very well accepted facility.

Patient and community response has been overwhelmingly positive.”

– Tom Fitz, President and former CEO of St. Mary’s Healthcare Sys-tem

“MMA are schematic geniuses.”– Kenn Flynn, Project Manager

“The renovations are functionally perfect.”– UGA Women’s Health

Services Director

“I’ve participated in hundreds of architect presentations to hospital boards, MMA’s presentation is the

only one I can recall where the Committee and Physicians ap-plauded upon conclusion.”

– Judy Smith, National Birthing Consultant with Smith Hager Bajo, Boston

“My spirit is uplifted when I come into this space.”– Dr. Middendorf, Intensivist

“Tom Fitz, President and former CEO of St. Mary’s asked MMA to create something ‘uplifting, comfortable, and

really inspiring.’ Mr. Fitz asked the 200 visitors their opinion; guests responded with rousing applause.”

– Athens Banner Herald

“I can think of no way to improve the design.”– Fremont P. Wirth, MD, Past President of American Association of

Neurological Surgeons,Director of American Board of Neurosurgery

“Fantastic facility. Great attention to detail.”– St. Mary’s Health System Anesthesiologist

“The ICU at St. Mary’s ranks in the top 10th percentile.”– NCR Picker

“The design is unbelievable. This is a great day for the Athens community.”

– St. Mary’s Healthcare System Board Member

“The layout is perfect from the patient care workflow perspec-tive.”

– Ronald Forehand, MD, FAAFP, UGA DIrector of Medical Services

“I have agreement that your latest design was brilliant.”– Dr. Jean Chin, CEO, MD, MBA, Diplomate ABIM, UGA Health Ser-

vices Director

“None of our four ophthalmic surgeons could find anything wrong with the design – and that’s scary.”

– Bonnie Butler, Surgery Center Manager

“After a year of operations, I can not think of one thing we would change. I am very very pleased with how

things turned out.”– Diane Hinely, MSN, RN, Neurosciences Manager

with St. Joseph’s / Candler Health System

“We are super, super pleased with the design. Everything is so impressive that even after a year of operation we continue to

receive compliments. The process is evidenced in the design. You can see it.”

– Neurosciences Director

“I’ve completed over 110 surgery centers and Athens Eye Surgery Center was the best project to date.”

– Jennie Simmons, President of Surgery Center Consultants

“It was a blessing working with these guys.”– Will Gaither, PM with Brasfield and Gorrie Contractors

“The architect really captured what I was after. I could not be more pleased.”

– President and CEO of St. Mary’s Healthcare System

“This is a great place to work. It is really fantastic. We are very lucky.”

– Dr. Gary Persons, MD, Obstetrician

“This is the most amazing thing I’ve seen.”– Dr. Dicks, Neurosurgeon Chief of Staff

“Their team’s professionalism was unmatched! Attention and commitment to detail, nothing was left to chance, or unchecked.”

- Christus St. Michael Staff

UNIVERSITY OF GEORGIAUNIVERSITY HEALTH CENTERATHENS, GA


SELECT PROJECT LIST

St. Mary’s

200 Building Tenant Upfit for Oconee Heart and Vascular300 Building Tenant Upfit including MRI/CT2002 Masterplan2005 MasterplanArrhythmiaBroad Street RenovationsCath LabCentral SchedulingChapelColony Square RenovationC- SectionCT ScanDoc LoungeEmergency Department ToiletEmergency PediatricsEmergency Department TriageEndoscopy AdditionEndoscopy RenovationsEP LabExecutive Board RoomExtended RecoveryGift ShopHealth Information ServicesHighland Hills Dementia AdditionICU Core RenovationRooftop InfrastructureInfusion TherapyMammographyNCCUNeuro LabNeuro DiagnosticsOperating Room 9Palliative CareRehab AdditionRehab GymRespiratory TherapyWomen’s Center AdditionPrivate DiningEmergency Department CanopyEmergency Department EMS LoungeCOO OfficeBoard RoomOB Sleep7th Floor Nurse Station1st Floor Hall FinishesFoundation Project

Doc LoungeExtended RecoveryLab Draw AreaKitchen SewerEmergency Department Masterplan200 Building RenovationsFinancial CounsellingBeltran Office RenovationsHospice House SignageEmergency Department ExamDiningMed School6th Floor Patient Room ImprovementsCath Lab RenovationsRespiratory TherapySterile Processing AdditionColony Square Suite 229Xray Dressing RoomFlower SuiteIndustrial Medicine200 Building RenovationsOR Expansion – Threshold Capital7th Floor ICUDementia Fire Safety PlanHighland Hills Masterplan1st Floor GME RenovationsClassic City OBGYNCashiersMission Services – Computer Training Lab7th Floor Patient Shower RenovationSMH Hospice House AdditionCEP Expansion and Renovation2nd Floor OR and Support Spaces Renovation4th Floor ICU Waiting and Staff Areas Renovation7th Floor Patient Bathroom RenovationGood Samaritan Life Safety PlansSacred Heart Life Safety PlansGood Samaritan Workflow AnalysisGood Samaritan Emergency Department RenovationSacred Heart Emergency Department Renovation3rd Floor EP Lab Equipment UpgradeExisting Conditions Plans

University of Georgia

University Health CenterUHC Vision Clinic RenovationGold Clinic RenovationLabInterior Upgrades

St. Joseph’s / Candler

Candler Emergency Department RenovationsNeurosciences ICU AdditionKeller Crymes and DemarcoAthens Eye Surgery CenterBarrow Regional Medical CenterHyperbaric Wound CareMary Black Health SystemMRI Addition

Greenville Health System

USC Pharmacy RenovationBed Scheduling RenovationLDR 6 East RenovationsPeace Hospital 2nd and 3rd Floor Nurse Station Renova-tionsMedical Center PowdersvilleMarshall I. Pickens Classrooms / DE Pharmacy RenovationAu Bon PainOakwood Orthopedics RenovationHSAB Renovations3rd Floor OfficesICU Renovations HYPERPODNorth Greenville Campus MRI Canopy AdditionPediatric Neurology – Patewood ‘A’Heart Education CenterCompounding Pharmacy1st Floor Admin Offices and Medical Library Renovation5th Floor Dialysis Unit RenovationEcho-EKG Unit RenovationRoger C. Peace 2nd Floor Sub-Acute unit patient room shower renovationKidnetics RenovationKitchen Floor Structure Remediation below Proposed MRITelemetry Surveillance RoomChapel RenovationVascular Access RelocationDoor Hardware Standards Development

Caremore

Primary Care FacilityTemporary Care Facility

King Manor Care & Rehabilitation Center

Redesigning a new entry for the facilityRenovating the 2 main nurses stationsPhysical therapy suiteIntroduction of a robust ADL (advanced daily living suite)

New York School Construction Authority

IS 174X School Based Health Center 456 White Plains Road, Bronx, NY 10474 IS 145 School Based Health Center 1000 Teller Avenue, Bronx, NY 10456 MS/HS 272 School Based Health Center 3710 Barnes Avenue, Bronx, NY 10467 PS 391 School Based Health Center 2225 Webster Avenue, Bronx, NY 10458 Susan E. Wagner HS School Based Health Center 1200 Manor Road, Staten Island, NY 10314 IS229 School Based Health Center Roland Patterson School 275 Harlem River Park Bridge, Bronx, NY 10453

Christus St Michael HospitalMadonna Rehabilitation HospitalsSteadman ClinicShore OrthopedicNovacare ComplexWounded Warriors Home ProjectStryker Transport Chair & Patient Room Furniture

OFFICE LOCATIONS

James Wisniewski, AIA, NCARB, LEED AP Principal [email protected] 609 924 6409 x283

114 G R AVE S + M A S S A M E D I C A L A R C H I T E C T U R E

HEADQUARTERSNEPTUNE, NEW JERSEY3297 Route 66 - Neptune, NJ 07753732.918.2300

DC OFFICEWASHINGTON D.C.1054 31st St. NW - Suite 138 Washington DC 20007202.450.5895

SOUTH CAROLINA OFFICEGREENVILLE, SOUTH CAROLINA1002 East Washington St. Greenville, SC 29601864.467.9871

SATELLITE OFFICESTALLAHASSEE, FLORIDA2757 West Hannon Hill Dr. Tallahassee, FL 32309

TAMPA, FLORIDA8524 Tidal Bay Ln. Tampa, FL 33635

HEADQUARTERSPRINCETON, NEW JERSEY341 Nassau St. Princeton, NJ 08540609.924.6409

NYC OFFICENEW YORK, NEW YORK18 West 21st Street Suite 902New York, NY 10010212.941.5890

DC OFFICEWASHINGTON D.C.1015 15th Street NW #600 Washington, DC 20005202.450.5895

GREENSBORO HOSPITAL SURGICAL & TRAUMA ICU

GREENSBORO, NC

GRAVES + MASSAMEDICAL ARCHITECTURE

MEDICAL+ HEALTHCARE PORTFOLIO · Novacare Complex Philadelphia Eagles Long Range Facilities...

Documents

Transcript of MEDICAL+ HEALTHCARE PORTFOLIO · Novacare Complex Philadelphia Eagles Long Range Facilities...