Polytrauma Rehabilitation Center Book

ARCH 572: Behavior + Environment 3

The HOSPITAL journal is the annual, student-produced publication of the works from the University of Illinois at Urbana-Champaign vertical graduate studio program. The studio seeks to investigate the current trends of healthcare architecture with the aid of renowned professionals in the field. The intention of this publication is to share the work produced by the students with the rest of the community both academic and professional.

CREDITS

ABOUT HOSPITAL // ISSUE 03

PRODUCTION NOTES

CONTRIBUTORSKenneth DorobaXiaoran DuAllison GloudeTim RankEthan RattrayJulia RingsTyler SchwedeAqeel ShhaibMeggan StantonTyler StephensElyse TownleyJordan TrippXiaoyu WangMulugeta WoldgeorgisRuoqi ZhongDavid Zielinski

HOSPITAL, Issue 03Copyright 2013All rights reserved

No part of this publication may be used or reproduced in any manner without written permission from the University of Illinois at Urbana-Champaign

School of ArchitectureCollege of Fine + Applied Arts

TYPESETCentury Gothic, Century Gothic Bold

PUBLISHERwww.lulu.com

UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGNwww.arch.illinois.edu117 Temple Hoyne Buell Hall611 Lorado Taft Drvie, MC-621Champaign, Illinois 61820tel 217.333.1330fax 217.244.2900

FACULTY ADVISORWilliam Worn, AIA, LEED APAssociate Professor

ARCH 572: Behavior + Environment 5Project Introduction4

ForwardThe intent of this project is to design a Polytrauma Rehabilitation Center (PRC) for returning veterans in higher education on the campus of Carle Hospital in Urbana, Illinois. The PRC will become the entry point for wounded veterans into the proposed University of Illinois Continuum of Care for Wounded Veterans in Higher Education. This system, the first of its kind, would provide continuous care for wounded veterans who will transition from the PRC to the new UIUC Center for Wound Veterans in Higher Education and eventually into independent living, matriculation, and graduation.

Professor William Worn,was the Director: Master of Architecture in Health Design at the University of Illinois at Chicago. In 2010, he joined the University of Illinois at Urbana-Champaign as an Associate Professor, while simultaneously continuing his role as President of Worn Jerabek Architects P.C. in Chicago.


Table oF ConTenTs

siTe analysis 8

16

26

92

110

128

150

168

186

Program analysis

Carle CliniC, PolyTrauma rehabiliTaTion CanTer // allison gloude + Julia rings

Clearview PolyTrauma Care CenTer // KenneTh doroba + eThan raTTray

Clearview PolyTrauma rehabiliTaTion CenTer // TimoThy ranK + Tyler sTePhens

ColleCTive healing // Tyler sChwede + mulugeTa woldgeorgis

Carle PolyTrauma rehabiliTaTion CenTer // meggan sTanTon + elyse Townley

PolyTrauma rehabiliTaTion CenTer // Xiaoran du + Xiaoyu wang + ruoqi Zhong

inTegraTed rehabiliTaTion and PolyTrauma CenTer // Jordan TriPP + david ZielinsKi


siTe analysis

The twin cites of Urbana-Champaign are located in central Illinois, 140 miles south of Chicago. They serve a population of over 230,000 and are home to the University of Illinois at Urbana-Champaign. In addition to the university, Urbana-Champaign is host to the Carle Foundation Hospital, a Level I Trauma Center. The cities unique relationship with the university and Carle Hospital make them a perfect location to advance the study of Traumatic Brain Injury (TBI).

Urbana-Champaign, illinois

Image Courtesy of www.google.com


BRADLEY AVE

I-74

I-74

I-57 130

I-57 130

CHURCH STREET

DUNC

AN R

D

MAT

TIS A

VE

NEILL

ST

LINCO

LN A

VE

WRI

GHT S

T.

WIN

E ST

PROS

PECT

AVE

UNIVERSITY AVE

SPRINGFIELD AVE

GREEN ST

KIRBY AVE FLORIDA AVE

WINDSOR RD

CURTIS RDSurgery

1

2

34

5

67

8

9

10

11

12

Carle Foundation Hospital Main Campus, Image Courtesy of Carle Foundation Hospital

New 9-Story Bed Tower, Rendering Courtesy of Carle Foundation Hospital and HDR

Carle FoUndation hospitalThe 345-bed regional care hospital has achieved Magnet designation, the nations highest honor for nursing care and was recently named to the 100 Top Hospitals by Thomson Reuters. It offers a more advanced level of clinical expertise and technology than any area hospital, housing the areas only Level I Trauma Center as well as Level III perinatal services. The Hospital admitted more than 22,000 patients and treated more than 70,500 patients in the emergency room during 2012. The Mills Breast Cancer Institute, Carle Cancer Center, Carle Spine Institute and Carle Heart and Vascular Institute bring additional advanced diagnostic and treatment options(via www.carle.org).

A new nine story bed tower (lower left) is currently under construction and marks the end of the Campus Modernization Project at Carles main campus in Urbana. The new tower will house 136 new private rooms and provide expanded services to cardiovascular, neurological, and intensive care patients. It is also the new home of the Carle Heart and Vascular Institute.

Due to the completion of the Campus Modernization Project, Carle is exploring new opportunities for future planning. Some of the future areas of interest include expanding neurological research and services and consolidating resources among campuses.

Carle FoUndation hospital loCations in Urbana-Champaign

1 - Main Campus - Level 1 Trauma Center - Heart & Vascular Institute - Cancer Center - Womens Services - General Surgery - Neurosciences

2 - Medical Supply 3 - North Annex 4 - Home Health Services 5 - Health Information Management 6 - Surgi Center 7 - Specialty Clinic

8 - Pain Clinic 9 - Therapy Services10 - Convenient Care Clinic11 - Convenient Care Clinic12 - Clearview Land


Center For WoUnded Veterans in higher edUCation

Injury Polytrauma Rehab Center (PRC)Polytrauma

Network Site (PNS)

Residential Transitional

Rehabilitation Program

Independent Living

Va polytraUma system oF Care

Located near Lincoln and Nevada in Urbana, the Center for Wounded Veterans in Higher Education will provide comprehensive, integrated educational services to veterans with severe and multiple disabilities as they pursue degrees at the University of Illinois at Urbana-Champaign. The Centers architectural design will provide transitional residential accommodations for 12 to 14 veterans at a time, and non-residential services for up to 150 veterans and their families (via www.illinois.edu).

The addition of a PRC to the Center for Wounded Veterans in Higher Education would allow Urbana-Champaign to offer the first full continuum of care for veterans with TBI and polytrauma. Veterans would have the proper rehabilitation and therapy facilities to move from injury to independent living.

Rendering Courtesy of LCM Architects

potential site seleCtions

mileskm

23

ClearVieW - i-72 & i-54The 74 acre land development in northwest Champaign is owned by Carle for future expansion.

Image Courtesy of www.google.com



Kirby & mattisThe southern Champaign location borders two Carle Clinics and the Surgi Center.


main CampUsOpen lots to the east and west offer opportunities to build on the existing Main Carle Campus

feetmeters

1000500

Image Courtesy of www.google.comImage Courtesy of www.google.com


Program analysis

rehabilitation institUte oF ChiCago (riC), image courtesy of Feinberg School of Medicine

national intrepid Center oF exCellenCe (niCoe), image courtesy of www.dexigner.com


Family

Caregivers,Support,Relationships

Friends

Support,Relationships,social contact,function in this environment

Work

social and working environment,professional competence

Brain Stem

Cerebellum

Frontal Lobe

Parietal Lobe

Occipital Lobes

Temporal Lobes

Breathing, Heart Rate, Swallowing, Reexes for seeing and hearing, Controls sweating, blood pressure, temperature, Sense of balance

Coordination of voluntary movement, Balance and equilibrium

Controls our expressive language, Assigns meaning to the words we choose, Involves word associations, Memory for habits and motor activities, Flexibility of thought, planning and organizing

Visual attention, Touch perception, Goal directed voluntary movements, Manipula-tion of objects, Integration of dierent senses

Vision

Hearing ability, Memory acquisition, Categorization of objects, Understanding or processing verbal information, Emotion

SOCIAL ENVIRONMENT

traUmatiC brain injUry (tbi)

PTSD

POLYPHARMACY

PAIN

TBI

FlashbacksAvoidance

HypervigilianceNightmares

Re-Experiencing

Cognitive Deficits

IrritabilityInsomnia

DepressionsFatigueAnxiety

HeadacheSensitivity of light

or noiseNausea & Vomitting

Vision ProblemsDizziness

patient proFile

Polytrauma patients are particularly unique because they are facing multiple injuries across multiple disciplines. Injuries can include loss of limbs, TBI, and PTSD. Because of this unique patient profile, spaces must be specially designed to

accommodate a variety of needs and patients.


Audio Environment

ShorterPatient Length

of Stay

Less Useof Pain

Medication

VisualEnvironment

Less Stress

LessDepression

Less Pain

MedicationUsage

BetterSleep

SafetyEnhancement

LowerNosocomial

Infection

MedicalErrors

PatientFalls

StaffInjuries

WayfindingSystem

LowerPatient and

FamilyFrustrations

LessStress

Sustainability

ReduceBuilding

OperatingExpense

ReduceEnviormental

Impact

Building Function

Patient Health

PatientRoom

LowerInfection

Rates

ImproveSleep Quality

LowerStress Levels

Building Spaces

Family SupportSpaces

AlleviatingPain

IncreasePatient

Satisfaction

ShorterLength of Stay

Staff SupportSpaces

ImproveQualityof Care

Physician SupportSpaces

LowerStress Levels

IncreaseEfficency

EBD in Relation to TBI

LessPerceived

Pain

Audio Environment


of Stay

Less Useof Pain

Medication

VisualEnvironment

Less Stress

LessDepression

Less Pain

MedicationUsage

BetterSleep

SafetyEnhancement

LowerNosocomial

Infection

MedicalErrors

PatientFalls

StaffInjuries

WayfindingSystem

LowerPatient and

FamilyFrustrations

LessStress

Sustainability

ReduceBuilding

OperatingExpense

ReduceEnviormental

Impact

Building Function

Patient Health

PatientRoom

LowerInfection

Rates


LowerStress Levels

Building Spaces


AlleviatingPain

IncreasePatient

Satisfaction


Staff SupportSpaces



LowerStress Levels

IncreaseEfficency


LessPerceived

Pain

eVidenCe based design FaCtors eVidenCe based design FaCtors

Audio Environment


of Stay

Less Useof Pain

Medication

VisualEnvironment

Less Stress

LessDepression

Less Pain

MedicationUsage

BetterSleep

SafetyEnhancement

LowerNosocomial

Infection

MedicalErrors

PatientFalls

StaffInjuries

WayfindingSystem

LowerPatient and

FamilyFrustrations

LessStress

Sustainability

ReduceBuilding

OperatingExpense

ReduceEnviormental

Impact

Building Function

Patient Health

PatientRoom

LowerInfection

Rates


LowerStress Levels

Building Spaces


AlleviatingPain

IncreasePatient

Satisfaction


Staff SupportSpaces



LowerStress Levels

IncreaseEfficency


LessPerceived

Pain

Patient Health

Building Function

Building Spaces

Roger S. Ulrich and a number of other experts in Evidenced Based Design have complied a study through the Georgia Tech College of Architecture and the Center for Health Design to analyze how the hospital environment can be improved. It is important to look at the way healthcare spaces are designed in order to create a better environment for everyone that experiences these spaces. Some key strategies derived for Evidence Based Design are helping to improve patient safety, patient outcomes, and staff outcomes. The research shows that some of the most successful strategies include single-bed rooms, reduction of noise, visual and physical access to nature, clear wayfinding, and improved ventilation systems. These strategies not only benefit patients, but also promote a better work environment for nurses and physicians which leads to a reduction in medical errors. The following diagrams map the important relationships and design strategies associated with Evidence Based Design.

It Is now wIdely recognIzed that well-desIgned physIcal settIngs play an Important role In makIng hospItals less rIsky and stressful, promotIng more healIng for patIents, and provIdIng better places for staff to work.

(ulrIch et al., a revIew of the research lIterature on evIdenced-base healthcare desIgn, 2008)


PRC Patients Served252

Active Duty162

Veterans90

Polytrauma Rehbilitation Centers5

Palo Alto

San AntonioTampa

Richmond

Minneapolis

Average Days of Inpatient Care44

Beds 18

Maximum Years of Inpatient Care2

Polytrauma Traumatic Brain Injury Orthopedic

polytraUma rehabilitation Centers

12 Bed PRC

18 Bed PRC

Patient Areas

Diagnostics & Treatment

Administrative Services

Support Areas

BGSF41,431 ft

DGSF31,870 ft

26%

34%

35%

5%

BGSF52,820 ft

DGSF40,631 ft

35%

30%

35%

29%

6%

TIME

physical

cultural

social

END of ACUTE MEDICAL CARETIME OF FASTEST IMPROVEMENT

loosing track to cultural envirnment within the clinic

fastest improvement in physical recovery within the rst six months

issues with reintegration into cultural environment

AVERAGE TIME IN PRC

INPATIENT OUTPATIENT

6 M

ONTH

S of R

ECOV

ERY

44 D

AYS o

f PCR

1 YEA

R of

REC

OVER

Y

2 YEA

RS o

f REC

OVER

Y

PROG

RESS

general Va program

In designing the five existing PRCs, the VA developed a design guide that includes program recommendations, example patient rooms, and technical considerations. Based on recommendations from the VA, it was determined that either a 12 or 18 bed PRC would be the optimum size. These numbers are based on a nurse to patient ratio of 1:6 and the amount of patients being treated at the five existing PRCs.

Using the VA Program as a base, each team designed their own program based on their own research and observations. As precedent studies, the programs of the National Intrepid Center of Excellence in Bethesda, MD and the Rehabilitation Institute of Chicago were analyzed and drawn from.


CommunityParking

TransitionalUnit

InpatientUnit

OutpatientUnit

Hospital

Fisher House

University of Illinois at Urbana-

Champaign

Center For Wounded

Veterans in Higher

Education

InpatientUnit

OutpatientUnit

Fisher House

Carle Foundation Hospital

the polytraUma ContinUUm: Va model the polytraUma ContinUUm: UiUC model

Allison Gloude and Julia Rings 27Carle Clinic Polytrauma Rehabilitation Center at Kirby and Mattis26

ALLISON GLOUDE, JULIA RINGS

CARLE CLINIC POLYTRAUMA REHABILITATION CENTER

AT KIRBY AND MATTIS


LOBBY - RECEPTION

STRATEGIC PLANVISIONA rehabilitation center which unites superior patient care with an academic environment.

MISSIONTo create a cohesive building which maximizes patient welfare and encourages clinical research and education.

CLINICALTo create a renovated, interdependent facility with melds the two current Carle clinics to make one large cooperative facility. The coordination of the current Carle clinics with the new PRC would provide a range of treatments with the highest quality of care for the pa-tient.

RESEARCHThe new facility will offer a variety of opportunities to advance research and improve tech-nologies used to treat TBI patients. The interdisciplinary research will benefit patient care, Carle Foundation, and the University of Illinois.

EDUCATIONThe goal of the PRC would be to collaborate with the University of Illinois to provide a place for students to practice and research. The patients of the hospital will also learn how to retrain their bodies and can begin on an educational track related to the University. The patient will profit from the interaction between the University and Carle by getting the most recent, ad-vanced treatment possible while reacclimating to society.


PAVILIONS

CARLE CLINIC

RETAIL

RESIDENTIAL

KIRBY AVE

PARKDALE DR

BROADMOOR DR

CYPRESS DR

CARLE CONVINIENT CARE

CLO

VER

LN

PAR

KSID

E TE

RR

ACE

LAKE

SID

E D

R

LAKESIDE DR

GEO

RG

ETO

WN

DR

RID

GEL

AND

DR

CARLE SURGI CENTER

CARLE PAIN CLINIC

MAT

TIS

AV

E

CARLE SPECIALTY CLINIC

KIRBY AND MATTISThe location on Kirby and Mattis Avenue features a variety of medical specialities within the existing locations of Carle Clinic in the area. The Surgi-Center and the Pain Clinic are providing surgical suites and a focus on Orthopedics, Interventional Pain Therapy and the Treatment of Diabetics. The specialty clinic is oriented to the fields of Allergology, Endocrinol-ogy, Oral and Maxillofacial Surgery, Psychology and Rheumatology.

SITE ANALYSIS


SURGI CENTERSurgical Operations for several fields of specification

Plastic Surgery, without anesthesiaonly stable patients

4 Surgery Suites7 Recovery Beds (Phase I, Phase II)

Imaging: X-Ray

PAIN CLINICConvenient Care / Family Practice

Orthopedics:Knees for age 40+

Hips for age 50+Specialists for Hands and Feet

Interventional Pain TherapyDiabetics Treatment


CARLE CLINIC

PARK

SCHOOL

RETAIL

RESIDENTIAL

MAT

TIS

AV

E

KIRBY AVE

PARKDALE DR

BROADMOOR DR

CYPRESS DR

CARLE CONVINIENT CARE

CLO

VER

LN

LEVE

LS O

F AC

UIT

Y

PAR

KSID

E TE

RR

ACE

LAKE

SID

E D

R

LAKESIDE DR

GEO

RG

ETO

WN

DR

RID

GEL

AND

DR

CARLE SPECIALTY CLINIC

CARLE SURGI CENTER

CARLE PAIN

CLINIC+

PROPOSALThe proposal for the site intends to create a connecting link between the existing structures and increase their collaboration. Furthermore it will provide complementary facilities for the proposed Polytrauma Rehabilitation Center. The consolidation and purposed collaboration also includes a new address for this structure along Mattis Avenue.

CONCEPT


STAFF / ADMININPATIENT

OfficesNurse StationMedication RoomReport RoomConference RoomTeam RoomLoungeLocker RoomToilet StaffShower

OUTPATIENT

OfficesMedication RoomConference RoomLocker RoomToilet

THERAPIES / SERVICES

Physical TherapySpeech TherapyHearing TherapyOccupational TherapyFamily TherapyRecreational TherapyPsychologyNutritional ServicesADDITIONAL

ClassroomsOfficesIncreased LobbySecurityCoffee ShopHealth Sciences LibraryUniversity Offices

BLOCKING AND STACKING IN CONTEXT

PROPOSED PROGRAM

BEDDED CAREINPATIENT

Sub waitingPatient RoomBathroomShowerIsolation RoomIsolation Room BathroomAnteroomDining RoomFamily SupportComputer ActivitiesLaundry RoomStorageQuiet RoomMultipurpose RoomGym, Rehab TherapyApartment Living SkillsExam / Treatment RoomRecreation Therapy RoomTesting LabBROS TreatmentTherapy RoomKitchenTherapy RoomToilet

D & TMRICTX-RayOperating RoomsResearch - OrthopedicsResearch - Speech TherapyResearch - Hearing TherapyResearch - ProstheticsLaboratory

SUPPORTINPATIENT

Nourishment RoomAlcove Food CartsLinen RoomClean UtilitySoiled UtilityStorageHousekeeping

OUTPATIENT

Linen RoomClean UtilitySoiled UtilityStorageHousekeeping

ADDITIONAL

StorageMechanical

OUTPATIENT

Sub waitingPatient LoungeExam RoomCognitive TherapyCounselingProcedure RoomGroup RoomDriver Training RoomLiving Skills TrainingGait Study TrackGym, Patient RehabilitationGym OfficesSpeech Therapy LabAssistive Technology LabRecreation Therapy RoomBROS Treatment

ADDITIONAL

Increased GymIncreased Gait Track


SITE PLAN

MEDICAL TRANSPORT

SUPPORT /SUPPLY

MAINENTRANCE


INPATIENT

SURGI CENTER

MEDICAL TRANSPORT

SUPPORT / SUPPLY

PAIN CLINIC

OUTPATIENT

ADMIN

LIBRARY

MAT

TIS

AV

E

PUBLIC, PATIENTS

INPATIENT

SURGI CENTER

PAIN CLINIC

OUTPATIENT

ADMIN

LIBRARY

MAT

TIS

AV

E

EXTERNAL AND INTERNAL CIRCULATION

HEALING GARDENS

LIGHTING

VIEWS

VERTICAL CIRCULATION

SERVICE

PUBLIC

CLINICAL


430SF

OR6

433SF

OR7

1421SF

RecreationalTherapy

20

3107 SF

Gym21

635SF

MultipurposeRoom

26

653SF

BROS27

824SF

MRI28

571SF

X-Ray29

571SF

CT30

504SF

Lounge32

1159SF

Staff Lounge33

1908SF

Courtyard34

540SF

Storage41

2604 SF

Kitchen42

329SF

Storage43

2812 SF

Dining Room44

688SF

Apt Living Skills45

243SF

Testing46243

SF

Exam47

2829SF

Courtyard55

434SF

Cafe60

242SF

Storage61

141SF

Security62

338SF

Gift Shop63

525SF

Nurses Station65

1070SF

Assistive TechLab66

401SF

Storage67

515SF

Exam Room68

598SF

RecreationTherapy

69673SF

BROS Treatment70

237SF

Kitchenette87

459SF

Lunch/Conference

88 155SF

Univ. Office89

157SF

Univ. Office90

156SF

Office91

151SF

Univ. Office92

569SF

Lounge93

439SF

Classroom94

440SF

Classroom95

440SF

Classroom96

198SF

Office97

197SF

Office98

179SF

Office99

249SF

Office100

66SF

J.C.122

404SF

MedicalTransport

123

523SF

Computer Lab125

6386SF

Library126

120SF

Vending127

SUPPORT /SUPPLY

MAIN ENTRANCE

MEDICALTRANSPORT

FIRST FLOOR

243SF

Therapy13

243SF

Therapy14

268SF

Room15

555SF

Quiet Room36

216SF

Soiled Util.37

302SF

Clean Util.38

300SF

Storage39

191SF

Linen40

1359SF

Family Support48

123SF

J.C.49

548SF

Computer Lab50

390SF

ComputerActivities

51

155SF

Therapy52

163SF

Therapy53

372SF

Team Room54

798SF

Speech Therapy56

791SF

Hearing Therapy57

967SF

Ortho/Prosthetics

59

154SF

Med.64

262SF

CognitiveTherapy

71

446SF

Research -Prosthetics/

Ortho72

233SF

Speech Therapy73

237SF

Hearing Therapy74

69SF

J.C.75

259SF

Procedure76

504SF

Group Room77

453SF

Living Skills78

515SF

Driver Training79

64SF

Storage80

119SF

Office81

119SF

Office82

119SF

Office83

169SF

Office84

719SF

Kitchenette/Lounge

85

237SF

Kitchenette101

459SF

Lunch/Conference

102

158SF

Office103

158SF

Office104

158SF

Office105

158SF

Office106

158SF

Office107

569SF

Conference109

158SF

Office110

158SF

Office111

158SF

Office112

155SF

Office113

157SF

Office114

151SF

Office115

156SF

Office116

249SF

Office117

179SF

Office118

197SF

Office119

198SF

Office120

66SF

J.C.121

464SF

Family Waiting124

1159SF

Staff Lounge129

250SF

J.C.130

SECOND FLOOR


430SF

OR6

433SF

OR7

1421SF

RecreationalTherapy

20

3107 SF

Gym21

635SF

MultipurposeRoom

26

653SF

BROS27

824SF

MRI28

571SF

X-Ray29

571SF

CT30

504SF

Lounge32

1159SF

Staff Lounge33

1908SF

Courtyard34

540SF

Storage41

2604 SF

Kitchen42

329SF

Storage43

2812 SF

Dining Room44

688SF

Apt Living Skills45

243SF

Testing46243

SF

Exam47

2829SF

Courtyard55

434SF

Cafe60

242SF

Storage61

141SF

Security62

338SF

Gift Shop63

525SF

Nurses Station65

1070SF

Assistive TechLab66

401SF

Storage67

515SF

Exam Room68

598SF

RecreationTherapy

69673SF

BROS Treatment70

237SF

Kitchenette87

459SF

Lunch/Conference

88 155SF

Univ. Office89

157SF

Univ. Office90

156SF

Office91

151SF

Univ. Office92

569SF

Lounge93

439SF

Classroom94

440SF

Classroom95

440SF

Classroom96

198SF

Office97

197SF

Office98

179SF

Office99

249SF

Office100

66SF

J.C.122

404SF

MedicalTransport

123

523SF

Computer Lab125

6386SF

Library126

120SF

Vending127

SUPPORT /SUPPLY

MAIN ENTRANCE

MEDICALTRANSPORT

ADMINISTRATION - FIRST FLOOR

243SF

Therapy13

243SF

Therapy14

268SF

Room15

555SF

Quiet Room36

216SF

Soiled Util.37

302SF

Clean Util.38

300SF

Storage39

191SF

Linen40

1359SF

Family Support48

123SF

J.C.49

548SF

Computer Lab50

390SF

ComputerActivities

51

155SF

Therapy52

163SF

Therapy53

372SF

Team Room54

798SF

Speech Therapy56

791SF

Hearing Therapy57

967SF

Ortho/Prosthetics

59

154SF

Med.64

262SF

CognitiveTherapy

71

446SF


Ortho72

233SF

Speech Therapy73

237SF

Hearing Therapy74

69SF

J.C.75

259SF

Procedure76

504SF

Group Room77

453SF

Living Skills78

515SF

Driver Training79

64SF

Storage80

119SF

Office81

119SF

Office82

119SF

Office83

169SF

Office84

719SF

Kitchenette/Lounge

85

237SF

Kitchenette101

459SF

Lunch/Conference

102

158SF

Office103

158SF

Office104

158SF

Office105

158SF

Office106

158SF

Office107

569SF

Conference109

158SF

Office110

158SF

Office111

158SF

Office112

155SF

Office113

157SF

Office114

151SF

Office115

156SF

Office116

249SF

Office117

179SF

Office118

197SF

Office119

198SF

Office120

66SF

J.C.121

464SF

Family Waiting124

1159SF

Staff Lounge129

250SF

J.C.130

ADMINISTRATION - SECOND FLOOR


PAIN CLINIC

ADMINISTRATIONThe administration pavilion is the most southern part of this arrangement and it is located right next to the pain clinic. It contains offices and conference rooms for the administration of the hospital, but furthermore for the veterans association too. The open courtyard in the middle of the building provides the building with natural lighting in every room and gives the employes a separate place to meet outside.


430SF

OR6

433SF

OR7

1421SF

RecreationalTherapy

20

3107 SF

Gym21

635SF

MultipurposeRoom

26

653SF

BROS27

824SF

MRI28

571SF

X-Ray29

571SF

CT30

504SF

Lounge32

1159SF

Staff Lounge33

1908SF

Courtyard34

540SF

Storage41

2604 SF

Kitchen42

329SF

Storage43

2812 SF

Dining Room44

688SF

Apt Living Skills45

243SF

Testing46243

SF

Exam47

2829SF

Courtyard55

434SF

Cafe60

242SF

Storage61

141SF

Security62

338SF

Gift Shop63

525SF

Nurses Station65

1070SF

Assistive TechLab66

401SF

Storage67

515SF

Exam Room68

598SF

RecreationTherapy

69673SF

BROS Treatment70

237SF

Kitchenette87

459SF

Lunch/Conference

88 155SF

Univ. Office89

157SF

Univ. Office90

156SF

Office91

151SF

Univ. Office92

569SF

Lounge93

439SF

Classroom94

440SF

Classroom95

440SF

Classroom96

198SF

Office97

197SF

Office98

179SF

Office99

249SF

Office100

66SF

J.C.122

404SF

MedicalTransport

123

523SF

Computer Lab125

6386SF

Library126

120SF

Vending127

SUPPORT /SUPPLY

MAIN ENTRANCE

MEDICALTRANSPORT

OUTPATIENT - FIRST FLOOR

243SF

Therapy13

243SF

Therapy14

268SF

Room15

555SF

Quiet Room36

216SF

Soiled Util.37

302SF

Clean Util.38

300SF

Storage39

191SF

Linen40

1359SF

Family Support48

123SF

J.C.49

548SF

Computer Lab50

390SF

ComputerActivities

51

155SF

Therapy52

163SF

Therapy53

372SF

Team Room54

798SF

Speech Therapy56

791SF

Hearing Therapy57

967SF

Ortho/Prosthetics

59

154SF

Med.64

262SF

CognitiveTherapy

71

446SF


Ortho72

233SF

Speech Therapy73

237SF

Hearing Therapy74

69SF

J.C.75

259SF

Procedure76

504SF

Group Room77

453SF

Living Skills78

515SF

Driver Training79

64SF

Storage80

119SF

Office81

119SF

Office82

119SF

Office83

169SF

Office84

719SF

Kitchenette/Lounge

85

237SF

Kitchenette101

459SF

Lunch/Conference

102

158SF

Office103

158SF

Office104

158SF

Office105

158SF

Office106

158SF

Office107

569SF

Conference109

158SF

Office110

158SF

Office111

158SF

Office112

155SF

Office113

157SF

Office114

151SF

Office115

156SF

Office116

249SF

Office117

179SF

Office118

197SF

Office119

198SF

Office120

66SF

J.C.121

464SF

Family Waiting124

1159SF

Staff Lounge129

250SF

J.C.130

OUTPATIENT - SECOND FLOOR


OUTPATIENTThe Outpatient pavilion is to be used as an expansion of the orthopedic clinic currently on site . An expansive gym and gait lab provide rehabilitation services to the outpatients and speciality patients. The first and second floor also have rooms for a variety of therapy servic-es.


430SF

OR6

433SF

OR7

1421SF

RecreationalTherapy

20

3107 SF

Gym21

635SF

MultipurposeRoom

26

653SF

BROS27

824SF

MRI28

571SF

X-Ray29

571SF

CT30

504SF

Lounge32

1159SF

Staff Lounge33

1908SF

Courtyard34

540SF

Storage41

2604 SF

Kitchen42

329SF

Storage43

2812 SF

Dining Room44

688SF

Apt Living Skills45

243SF

Testing46243

SF

Exam47

2829SF

Courtyard55

434SF

Cafe60

242SF

Storage61

141SF

Security62

338SF

Gift Shop63

525SF

Nurses Station65

1070SF

Assistive TechLab66

401SF

Storage67

515SF

Exam Room68

598SF

RecreationTherapy

69673SF

BROS Treatment70

237SF

Kitchenette87

459SF

Lunch/Conference

88 155SF

Univ. Office89

157SF

Univ. Office90

156SF

Office91

151SF

Univ. Office92

569SF

Lounge93

439SF

Classroom94

440SF

Classroom95

440SF

Classroom96

198SF

Office97

197SF

Office98

179SF

Office99

249SF

Office100

66SF

J.C.122

404SF

MedicalTransport

123

523SF

Computer Lab125

6386SF

Library126

120SF

Vending127

SUPPORT /SUPPLY

MAIN ENTRANCE

MEDICALTRANSPORT

LIBRARY - FIRST FLOOR

243SF

Therapy13

243SF

Therapy14

268SF

Room15

555SF

Quiet Room36

216SF

Soiled Util.37

302SF

Clean Util.38

300SF

Storage39

191SF

Linen40

1359SF

Family Support48

123SF

J.C.49

548SF

Computer Lab50

390SF

ComputerActivities

51

155SF

Therapy52

163SF

Therapy53

372SF

Team Room54

798SF

Speech Therapy56

791SF

Hearing Therapy57

967SF

Ortho/Prosthetics

59

154SF

Med.64

262SF

CognitiveTherapy

71

446SF


Ortho72

233SF

Speech Therapy73

237SF

Hearing Therapy74

69SF

J.C.75

259SF

Procedure76

504SF

Group Room77

453SF

Living Skills78

515SF

Driver Training79

64SF

Storage80

119SF

Office81

119SF

Office82

119SF

Office83

169SF

Office84

719SF

Kitchenette/Lounge

85

237SF

Kitchenette101

459SF

Lunch/Conference

102

158SF

Office103

158SF

Office104

158SF

Office105

158SF

Office106

158SF

Office107

569SF

Conference109

158SF

Office110

158SF

Office111

158SF

Office112

155SF

Office113

157SF

Office114

151SF

Office115

156SF

Office116

249SF

Office117

179SF

Office118

197SF

Office119

198SF

Office120

66SF

J.C.121

464SF

Family Waiting124

1159SF

Staff Lounge129

250SF

J.C.130

LIBRARY - SECOND FLOOR


LIBRARYThe library gives patients, physicians and visitors the possibility to look up things of interest and also provides the patients with entertaining literature. The research offices on the upper floor can be entered from the clinical balcony. Furthermore the Library pavilion contains a vend-ing area, a coffee shop and also a gift shop. Because of its location right next to the entry it is a very public space.


430SF

OR6

433SF

OR7

1421SF

RecreationalTherapy

20

3107 SF

Gym21

635SF

MultipurposeRoom

26

653SF

BROS27

824SF

MRI28

571SF

X-Ray29

571SF

CT30

504SF

Lounge32

1159SF

Staff Lounge33

1908SF

Courtyard34

540SF

Storage41

2604 SF

Kitchen42

329SF

Storage43

2812 SF

Dining Room44

688SF

Apt Living Skills45

243SF

Testing46243

SF

Exam47

2829SF

Courtyard55

434SF

Cafe60

242SF

Storage61

141SF

Security62

338SF

Gift Shop63

525SF

Nurses Station65

1070SF

Assistive TechLab66

401SF

Storage67

515SF

Exam Room68

598SF

RecreationTherapy

69673SF

BROS Treatment70

237SF

Kitchenette87

459SF

Lunch/Conference

88 155SF

Univ. Office89

157SF

Univ. Office90

156SF

Office91

151SF

Univ. Office92

569SF

Lounge93

439SF

Classroom94

440SF

Classroom95

440SF

Classroom96

198SF

Office97

197SF

Office98

179SF

Office99

249SF

Office100

66SF

J.C.122

404SF

MedicalTransport

123

523SF

Computer Lab125

6386SF

Library126

120SF

Vending127

SUPPORT /SUPPLY

MAIN ENTRANCE

MEDICALTRANSPORT

ADDITIONSUBTRACTIONPOSITIVE-NEGATIVE

VIEWS

LIGHTING

VETERANS MEMORIALThe proposal for the memorial is to remind visi-tors of the existence and the importance of the military in the country. This space is de-signed to emphasize the individual solider as well as their military groups. The subtractions VOIDS represent the fallen soldiers, one for each category of military. The addition next to it symbolizes the troops which are still serving. These two elements are connected by a two and a half story black granite wall which is vis-ible from every floor and is accessible from the front of the building.

The voids of the memorial serve a secondary purpose of creating natural light and venti-lation in the parking garage below grade. The punctures in the earth create an inviting space within the two garage levels and allow visitors to view the memorial from every level.


430SF

OR6

433SF

OR7

1421SF

RecreationalTherapy

20

3107 SF

Gym21

635SF

MultipurposeRoom

26

653SF

BROS27

824SF

MRI28

571SF

X-Ray29

571SF

CT30

504SF

Lounge32

1159SF

Staff Lounge33

1908SF

Courtyard34

540SF

Storage41

2604 SF

Kitchen42

329SF

Storage43

2812 SF

Dining Room44

688SF

Apt Living Skills45

243SF

Testing46243

SF

Exam47

404SF

MedicalTransport

123

MEDICALTRANSPORT

INPATIENT - FIRST FLOOR

243SF

Therapy13

243SF

Therapy14

268SF

Room15

555SF

Quiet Room36

216SF

Soiled Util.37

302SF

Clean Util.38

300SF

Storage39

191SF

Linen40

1359SF

Family Support48

123SF

J.C.49

548SF

Computer Lab50

390SF

ComputerActivities

51

155SF

Therapy52

163SF

Therapy53

372SF

Team Room54

154SF

Med.64

464SF

Family Waiting124

1159SF

Staff Lounge129

250SF

J.C.130

INPATIENT - SECOND FLOOR


INPATIENTThe Inpatient pavilion features a bedded care unit with 12 beds and a state of the art gym. Many therapy rooms line the exterior of the inpatient gym making it a convenient and easily accessible location for inpatient rehabilitation sessions.


PATIENT ROOM


AREASThe patient room is divided into three zones: The clinical zone at the entrance, the patient zone in and around the bed and the family space facing the patient at the other end of the room.

VIEWSThe layout of the room allows the maxi-mum views for both the patient and the caretakers. The patient has the full view out of the window into nature, over to the family space, to the bathroom, to door and the nursing window.

HEAD WALLThe head wall behind the patient is serv-ing the physicians and the nurses with all the necessary utensils and gases. They are well hidden behind panels which open with a single touch by a magnetic lock.

THERAPY WINDOW / FRAMEThe therapy window / frame provides the patient with light therapy and differ-ent forms of shading and patterns on the window itself.


TIME

physical

cultural

social

END of ACUTE MEDICAL CARETIME OF FASTEST IMPROVEMENT

loosing track to cultural envirnment within the clinic

fastest improvement in physical recovery within the first six months

issues with reintegration into cultural environment

AVERAGE TIME IN PCR

INPATIENT OUTPATIENT

6 M

ON

THS

of R

EC

OV

ER

Y

44 D

AYS

of P

CR

1 Y

EA

R o

f RE

CO

VE

RY

2 Y

EA

RS

of R

EC

OV

ER

Y

PR

OG

RE

SS

PATIENT PROFILE

INPATIENT

- TBI- PTSD

OUTPATIENT

- TBI- PTSD- Orthopedics- Speech Therapy- Hearing Therapy- Occupational Therapy- Therapy

The rehabilitation center will be used to treat mild to severe TBI and psycho-logical health conditions. Veterans, car crash victims and general TBI patients will be treated in the inpatient facility.

PTSD

POLYPHARMACY

PAIN

TBI

FlashbacksAvoidance

HypervigilianceNightmares

Re-Experiencing

Cognitive Deficits

IrritabilityInsomnia

DepressionsFatigueAnxiety

HeadacheSensitivity of light

or noiseNausea & Vomitting

Vision ProblemsDizziness


PATIENT ROOM

Same handed

Patient left

Full nature views

Inboard, head wall bathroom

Decentralized nursing with central team spaces

Philips Daylighting window concert, light therapy corner for circadian rhythm

Cabinet available to load from nurse station, ac-cess to patient room media wall


SECTION FOOT WALL SECTION HEAD WALL


THERAPY MODE


PHILIPS DAYLIGHTING WINDOW CONCEPT


GARDEN CONTINUATION PATHWAY SYSTEM

HEALING GARDENS

Healing gardens are a crucial el-ement to the pavilion scheme of the hospital. Each garden provides a specific service for a different group of hospital occupants.


EXTERIOR VIEW HEALING GARDENS


INPATIENT GARDEN

QUIET, SILENCE

ACCESSIBILITY

REHABILITATION ACTIVITIES

PSYCHOLOGICAL REHABILITATION ACTIVITIES

PRIVATE LOOP FROM THE OTHERS

STRESS RELIEF

INPATIENT PAVILION

LIBRARY

WATER GARDEN

BEGINNERSPRIVATE / PUBLICINPATIENT / STAFF / PUBLIC

STRESS RELIEF AND REDUCTION

ENGAGES PHYSICAL ACTIVITY

INTERACTIVE WATER SCULPTURES

INTERACTION WITH THE ELEMENT

CREATES WHITE NOISE

ONE PRIVATE / PUBLIC LOOP, SEPA-RATED


OUTPATIENT

LIBRARY

OPEN EXTERIOR AREA WITH PLENTY OF SEATING

PUBLIC SPACE

INTERCONNECTED WITH PATHWAY SYSTEM

VISIBLE FROM LIBRARY

STONE GARDEN

INTERMEDIATEPUBLIC ACCESSIBLE TO EVERYONE

STRESS RELIEF AND REDUC-TION


INTERACTIVE

BALANCE

OUTPATIENT

REHABILITATION ACTIVITIES

ACCESSIBILITY

SEMI-PRIVATE

OPTION FOR PRIVATE SPACE

INTERCONNECTED WITH PATHWAY SYSTEM

VEGETATION GARDEN

INTERMEDIATESEMI-PUBLIC ACCESSIBLE OUTPATIENT AND STAFF

STRESS RELIEF AND REDUC-TION


INTERACTIVE

PRIVATE SPACES

ZONES TO SPEND BREAKS


EXTERIOR VIEW HEALING GARDENS


SUPPORT building services,

infrastruture, goods

SUPPLYSTORAGE

FASTgeneral circulation,

physicians, staff, patients, family, visitors

VERY SLOWmeeting points

rest areas

CLIN

ICAL

PUBL

ICSE

RVIC

E

SLOWmeeting pointsentrance areas

HEALING GARDENrecreation areasmeeting points

CLINICALclinical circulationphysician & staff

HEALTHCARE BOULEVARDThe central axis of the polytrauma rehabilitation center acts as the col-laborative and active epicenter of the hospital. The axis provides divided pathways for clinical, public, and service circulation. Given the segmented nature of the hospital additions, the centralized street will provoke informal meetings between physicians, staff, and families alike. Different areas within the width of the street are provided for multiple rates of ambulation. There are also areas for lounging, research and retail. A gift shop, library, computer lab, and coffee shop are among the variety of amenities offered along the length of the street.


100

ft.

600

ft.

100

ft.10

0 ft.

100

ft.10

0 ft.

100

ft.

HEALTHCARE BLVD

LIBRARY

PAIN CLINIC / GALLERY SPACE

CLINICAL BALCONY

OUTPATIENT PAVILION


INTERIOR PERSPECTIVE HEALTHCARE BLVD

Kenneth Doroba and Ethan Rattray 93Clearview Polytrauma Care Center92

INITIALLY SELECTED FOR ITS MASSIVE BUILDING PO-TENTIAL, THE CLEARVIEW SITE HAS BECOME THE SET-TING FOR A VISIONARY RETREAT CAMPUS TO BUILD UPON THE DREAMS OF CARLE FOUNDATION HOSPI-TAL. ENCOMPASSING ROUGHLY 70 ACRES OF LAND, THE CAMPUS INCLUDES THREE MAJOR DIVISIONS: A RECOVERY PARK, A CENTER FOR HOSPITALITIES, AND A RESEARCH PARK.

WITHIN CLEARVIEWS RECOVERY PARK, A POLYTRAU-MA REHABILITATION CENTER FOR VETERANS & CIVIL-IANS SUFFERING FROM TRAUMATIC BRAIN INJURIES IS DESIGNED ABOUT THE THERAPEUTIC POTENTIAL OF ONES NATURAL ENVIRONMENT. THE PRC EMBRACES ITS NATURAL SURROUNDINGS WHILE PROVIDING A PRIME DESTINATION FOR HOLISTIC HEALING.

KENNETH DOROBA AND ETHAN RATTRAY

CLEARVIEW POLYTRAUMA CARE CENTER

AT CLEARVIEW


C A R L E M I D W E S T E R NR E G I O N A L P R C

KENNETH DOROBA + ETHAN RATTRAYARCH 572, PROFESSOR WILLIAM WORN

Vision Statement: The overall development of a retreat campus thatcapitalizes on the potential for

long-term patient recovery and research development initiatives.

Mission Statement: The Carle Midwestern Regional PRC is a specialized medical center

responding to the heightened aware-ness of victims suffering from multiple traumatic brain injuries. With respect to Carle Federation Hospital's 2011

strategic plan, the facility will provide the "Polytrauma System of Care" in the form of rehabilitation

services, diagnostics, and continued mental and health care to both

members of our military and civilians alike. Clinical research and

evidence-based practice will be employed to provide optimum

holisticpatient care within the context of the newly proposed campus.

RESEARCH PARK: A1 ORTHOPEDICS A2 ORTHODICS/ PROSTHETICS A3 MENTAL & HEALTH CLINIC A4 NEUROSCIENCE RESEARCH CENTER A5 ORTHOPEDIC SPINAL RESEARCH CENTER A6 PROSTHETICS RESEARCH

HOSPITALITIES: B1 HOTEL B2 CONVENTION CENTER B3 FITNESS CENTER

RECOVERY PARK: C1 ORTHOPEDICS C2 POLYTRAUMA REHABILITATION CENTER C3 LONG-TERM CARE CENTER


CONTEXTUAL SITE PLAN:[CROPPED] RECOVERY PARK BUILDING / SITE PERSPECTIVE:


HYGIENE ZONE

CLINICIAN ZONE

PATIENT ZONE

FAMILY ZONE

13'-0"

5'-0"

4'-0"

5-0

EXTERIOR VIEWPORT

NURSE PEAK VIEWPORT

THERAPY CORRIDOR (ADJACENT ACTIVITY LAB)

INPATIENT FLOOR (CENTRAL NURSE STATION)

MAIN ENTRY

TERRAZZO SHEET FLOORING

RUBBER FLOORING STRIP

FROSTED GLASS

PATIENT LIFT GAIT TRACK

TERRAZZO COUNTERTOPS

PAINTED GYPSUM DROP PANEL CEILING

CHROME SHADING DEVICE

ROUND SKYLIGHT

SERRATED ALUMINUM PEDISYSTEM

WARM TRANSITION FLOORING

OFF-WHITE STEEL MULLION

56- DIAM.WHEELCHAIR TURNABOUT

56 x 60PERIMETERAROUND TOILET

OAK LAMINATE UNDERFINISH

AMBIENT FLUORESCENT LIGHTING

ROOM CHARACTERISTICS:

+ 490 S.F. TOTAL ROOM AREA+ 6 SAME-HANDED ROOM DESIGNS, 6 OPPOSITE-HANDED ROOM DESIGNS (12 TOTAL)+ PROMOTES NATURAL VISIBILITY+ DESIGNED FOR PATIENT COMFORT (ECU)+ ACCUITY ADAPTABLE SPACE- CURRENTLY DESIGNED TO ACCOMODATE INTENSIVE CARE UNIT (ICU) BED+ BED PIVOTS TO ACCESS WATER CLOSET+ CONTINUOUS HANDRAIL WITHIN WATER CLOSET+ OUTBOARD TOILETS ENABLE DECENTRALIZED NURSING STATION ALCOVE+ ACCOMODATES FAMILY VISITATIONS

MATERIAL PALETTE:

PATIENT ROOM


UPUP

UP

DN

DN

3655 SFGym, Patient Rehab Therapy

871 SFInterventional Radiology Lab

599 SFCT

564 SFAqua Therapy

822 SFMRI

276 SFX-Ray

120 SF

RecreationalTherapist

145 SF

OccupationalTherapist

150 SF

PhysicalTherapist

268 SFOT Therapy

140 SF

CounselingRoom

100 SFStaff Change68 SF

Women'sBathroom

53 SF

Men'sBathroom

1980 SF

Recreational Therapy Room,Group

48 SF

Staff Change,Womens

44 SF

Staff Change,

Mens58 SF

Staff Bathroom

5

6

7

8

9

10

11

12

13

14

15

16

G H IC.1 D.1 E.1 F.1

UP

UP

UP

UP

DN

DN

UP

DN

UP

Therapy Garden

- Open to Below

Rehabilitation Gym -Open to Below

450 SFPatient Waiting Room

152 SF

PhysicalTherapist

150 SF


122 SF

Recreational Therapist

202 SFTherapy Room

2002 SFActivity Lab

1055 SF

360 Room

84 SFLab Storage

151 SF

Exam Room, Outpatient

139 SF

Exam Room,Outpatient

129 SF


130 SF

Exam Room, Outpatient297 SF

Procedure Room

234 SF

Cognitive CounselingRoom

998 SFAssistive Technology Lab

101 SF

Utility Room,Soiled

368 SFStaff Lounge

94 SFLinen

153 SF

Storage,Hazardous Waste

254 SF

Conference Room,Outpatient

461 SFGroup Room

362 SFGroup Room

156 SFSubwaiting

311 SFLiving Skills Training

244 SFNurse Case Manager

167 SFVestibule

553 SFPrivate Research





181 SFInteraction Space

453 SFPatient Lounge

470 SFBROS Treatment

490 SFDriver Training

283 SFSpeech Therapy Lab

97 SF

Bathroom, Outpatient

Staff

167 SF

Storage, Medical

Equipment

121 SF

Small Private

Counseling Room 65 SF

HVAC Closet

121 SFMedication Room

148 SFPatient Waiting

64 SFBuilding MGMT

150 SF

Large PrivateConference Room

151 SF

Locker Room, Outpatient Staff

874 SFGaitlab Study

1539 SF

Simulation Room

700 SFSimulation Room

1

A B C D E F G

D.1 E.1 F.1 G.1

H I

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

UP

UP

UP

UP

DN

DN

UP

DN

UP

Therapy Garden

- Open to Below

Rehabilitation Gym -Open to Below

450 SFPatient Waiting Room

152 SF

PhysicalTherapist

150 SF


122 SF

Recreational Therapist

202 SFTherapy Room

2002 SFActivity Lab

1055 SF

360 Room

84 SFLab Storage

151 SF


139 SF

Exam Room,Outpatient

129 SF


130 SF

Exam Room, Outpatient297 SF

Procedure Room

234 SF

Cognitive CounselingRoom

998 SFAssistive Technology Lab

101 SF

Utility Room,Soiled

368 SFStaff Lounge

94 SFLinen

153 SF

Storage,Hazardous Waste

254 SF

Conference Room,Outpatient

461 SFGroup Room

362 SFGroup Room

156 SFSubwaiting

311 SFLiving Skills Training

244 SFNurse Case Manager

167 SFVestibule






181 SFInteraction Space

453 SFPatient Lounge

470 SFBROS Treatment

490 SFDriver Training

283 SFSpeech Therapy Lab

97 SF

Bathroom, Outpatient

Staff

167 SF

Storage, Medical

Equipment

121 SF

Small Private

Counseling Room 65 SF

HVAC Closet

121 SFMedication Room

148 SFPatient Waiting

64 SFBuilding MGMT

150 SF

Large PrivateConference Room

151 SF

Locker Room, Outpatient Staff

874 SFGaitlab Study

1539 SF

Simulation Room

700 SFSimulation Room

1

A B C D E F G

D.1 E.1 F.1 G.1

H I

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

ADMIN + RESEARCH

INPATIENT

OUTPATIENT

RADIOLOGY (D&T)

THERAPY

PUBLIC

SUPPORTBLOCKING + STACKING

DEPARTMENTS:SPACIAL ARRANGEMENT

-1 BASEMENT FLOOR PLAN +1 GROUND FLOOR PLAN +2 SECOND FLOOR PLAN +3 THIRD FLOOR PLAN


SOUTH ELEVATION

CROSS-SECTION: SOUTH TO NORTH

INPATIENT ENTRY

CLINICAL ELEVATORS (2)

CLINICAL ELEVATORS (2)

PUBLIC ENTRY

PUBLIC ELEVATORS (2)

REHAB THERAPY MEETING

MRIAPPOINTMENT

MRIAPPOINTMENT

PATIENT CHECKUP

INPATIENT FLOW

OUTPATIENT FLOW

PATIENT FLOW DIAGRAM

Public & Administrative Areas


PROPORTIONAL DIAGRAM:UC PRC Space Criteria

Combined Outpatient & Inpatient Services

General & Patient Support Services


Nursing Unit & Living Areas


Diagnostic & Treatment


NSF

DGSF (NSF * 1.65)

BGSF (DGSF * 1.21)

= 9,395 s.f.

= 14 Units

= 17 Units

= 11 Units

= 31 Units

= 11,030 s.f.

= 6,900 s.f.

= 20,120 s.f.

= 47,445 s.f.

= 78,285 s.f.

= 94,725 s.f.

23.2 %

19.8 % 14.5 %

42.5 %

MODULAR DIAGRAM:Combined Units:

78,285 s.f. DGSF

/ 1,089 s.f.

72 planning units



PROPORTIONAL DIAGRAM:UC PRC Space Criteria

Combined Outpatient & Inpatient Services







NSF

DGSF (NSF * 1.65)

BGSF (DGSF * 1.21)

= 9,395 s.f.

= 14 Units

= 17 Units

= 11 Units

= 31 Units

= 11,030 s.f.

= 6,900 s.f.

= 20,120 s.f.

= 47,445 s.f.

= 78,285 s.f.

= 94,725 s.f.

23.2 %

19.8 % 14.5 %

42.5 %

MODULAR DIAGRAM:Combined Units:

78,285 s.f. DGSF

/ 1,089 s.f.

72 planning units

PROGRAMATIC CALCULATIONS


EAST ELEVATION

NORTH ELEVATIONPRELIMINARY DEPARTMENTAL SECTION


LONGITUDINAL SECTION CUT: WEST TO EAST

WEST ELEVATION


MAIN ENTRY LOBBY COMMON THERAPY GARDEN

Timothy Rank and Tyler Stephens 111Clearview Polytrauma Rehabilitation Center110

Clearview Polytrauma Rehabilitation CenterTimothy Rank & Tyler Stephens


PARKIN

G

PARKIN

GPA

RKING

PARKIN

G

PARKIN

G

PARKIN

G

PARKIN

G

PARKIN

G

PARKIN

G

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

Future Carle Foundation Hospital

Research Park

RehabilitationPark

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

PA

RK

ING

Research Park

Zone LocationsThe site is divided into three vertical sections. The section on the far right encompases the Rehab Quad. The middle zone is designated for a future research park. The final zone, on the far left is the site for the future Carle Foundation Hospital.

Quad Locationsmaller quad areas so that companies of differ-ent sizes can rent space and still have a green area connected to their building. Connecting the different quads is a green belt that loops through the site and can be used as a walking or running track.

COURTYARD

Program ConceptThe program is wrapped around central court-yards, then surrounded by nature, with plants and green walls dispersed throughout the program.


Patient Rooms&

Rehab

Admin&

Research

FamilySupport

Spin

e

SpanView

Patient Rooms&

Rehab

Admin&

Research

FamilySupport

Patient Rooms&

Rehab

Family/PatientGarden

AdminGarden

Site Patient-Nature Relationship Patient-Suport Relationship Healing Garden Insertion

Restora-tion

View

View

Lobby

Patient Rooms&

Rehab

Admin&

Research

FamilySupport

Spin

e

SpanView

Patient Rooms&

Rehab

Admin&

Research

FamilySupport

Patient Rooms&

Rehab

Family/PatientGarden

AdminGarden

Site Patient-Nature Relationship Patient-Suport Relationship Healing Garden Insertion

Restora-tion

View

View

Lobby

Employee and Patient

Entrance

Medical Transport Drop-off

Family/Fisher House

Entrance

Garbage and Equipment

Drop-off

Community

Program Layout Diagram Building Site Plan


Mechanical

Living SkillsTraining

Driving Training

Room

Recreation

Therapy Room

Therapy Pool Rehab Fitness

124 SF

Recr. Therapist

Pool Mech. R

ecreationTherapy R

oom

OT Training

Data C

enter

Living SkillsTraining

BR

OS Treatm

ent

Simulation R

oom

CA

REN

Lab

Exam R

oomExam

Room

Ther. Room

Ther. Room

Procedure Room

Storage

PhysicalTherapist

Office


Office

SpeechTherapist

Office

ProgramA

ssistantO

ffice

Med Equip.Storage

MedicationR

oom

Speech TherapyLab

Group R

oom

Library

Family Support

1293 SF

Mechanical

Dinning R

oom

Cafe

Auditorium

Building Support

Radiography

Room

Control R

oom

MR

I Exam R

oom

Equip.R

m.

Supply

Dirty R

oom

Clean R

oom

Building

Managem

entStorage

Radiography

Room

Building

Managem

entStorage

Recreation

Equipment

Storage

Neuro-

psychologyStorage

House-

Keeping

Closet

Simulation Lab

RehabilitationR

eception

Office

Reception

755 SF

Mech.

CT Scan R

oom

Secondary Gym

&G

ait Study Track

Kitchen

First Floor: Key PlanD &

T Services

ResearchFam

ily Supp

ort

Support

Office

Bedd

ed

Ca

re

Research

Office

Second Floor: Key Pla

n

AA

B

North-South Section

First Floor Plan


Patient Care Equip.

Storage

Nourishm

entR

oom

CN

RR

Case

Manager

Nurse

EducatorO

ffice

Counseling

PsychologistO

ffice

Family

TherapistO

ffice

PhysiatristO

ffice

PhysicalTherapist

Office

RecreationalTherapist

Office

Research Lab

Research Lab

Ward C

lerkO

ffice

Social Worker

Office

Storage

Storage

Theraputic Garden

Classroom

Classroom

Activity R

oom

PM &

RS

Storage

Nurse Station

Activity R

oom

Staff Break R

oomN

urse Station

Rehab Fitness

RR

Patient Room

Patient Room

Patient Room

Patient Room

Patient Room

Patient Room

RR

RR

RR

RR

RR

Team R

oom

Shower

Patient LaundryR

oom

Medication R

oomReportR

oom

Locker Room

Food Cart Storage

RR

Linen Room

Restoritive G

arden

Utility R

oom -

Soiled

Utility R

oom -

Clean

Staff Break R

oom

RR

Patient Room

Patient Room

Patient Room

Patient Room

Patient Room

Patient Room

RR

RR RR

RR

RR

Team R

oom

TherapyStation

PatientB

aggageStorage

AA

B

East-West Section

Second Floor Plan


Patient

Family

Clinical

Hygiene

Room: 270 sfToilet: 55 sf Total: 325 sf

View

Daylight

Utility RoomSoiled

Medication Room

ReportRoom

PM & RSStorage

Team RoomNurse Station

462 sf

Shower

RR

Locker

Patient LaundryRoom

55 ft55 ft

Patient Room Ceiling Plan

Patient Room zones

Patient Room views

Patient Room

Tyler Schwede and Mulugeta Woldgeorgis 129Collective Healing128

VISION: The Carle Polytrauma Rehabilitation Center is dedicated to providing the highest-quality patient care through community involvement, integrated research, scientific discov-ery, and education for the purpose of maximizing the recovery of the individuals in our care.

Our core values are represented in the Carle Strategic Plan, which in compliment with our research and collective healing spaces, establish a foundation for

how we advance the ability of the people we serve.

MISSION: To advance human ability, the CPRC will not only serve as a landmark and educational

hub for the awareness of veterans in the immediate Champaign-Urbana area, but the CPRC will also

serve as the leading Midwest TBI rehabilitation center for the innovation and application of new and more

promising treatments to improve and eliminate the effects of injury and debilitating health conditions,

which will inevitably foster the wounded warriors back into our community.

Provice Value to Patients

Benefi t the Community

Focus on our People

Make Care More Accessible

Grow and Partner Regionally

Deliver Integrated Care

Use Financial Resources Wisely

v

c

p

a

r

i

f

CARLEs STRATEGIC PLAN

collective healing CARLE polytrauma reha-bilitation center

Community and Private Garden Space

Tyler Schwede and Mulugeta Woldgeorgis 131Collective Healing130SeparationBuilding BGSF View Set Back Public vs Services Walkable Facade Building Gardens Southern Protection Mechanical Cover

After designing the program, our team came up with the allowable perimetersfor our building if it were to become a 5 story, mid-rise rectangle

The team seperated the inpatient aspects with the outpatient and cameup with the core space

The overall concept incorporatesa large campus design. In order to maximizeviews for the occupants, the building is setback in a ying/yang principle

In order to accomidate for the large exteriorpublic spaces, a small program is introduced to not only house bathrooms, bike shelters and cafes, but it also serves as a barrier between the services space to the east and the public campus to the West

A balcony system stems throughout the buildingsfacade as a way of creating easy-to-reach exteriorspaces for occupants for optimal views to the events occuring on the boardwalk and campus

Cut-outs and various gardens are introducedto the building for ease of access for inpatients, and also to give private spaces for clinicians, outpatients,students and families

A MECCO shading system is placed on the southfacade to protect the occupants from the harsh southern exposure from the sun, to promote balconyexploration and interaction

The building cover continues to wrap aroundto not only provide shading for the roof healinggardens, but also to cover the roof mechanical operations

Linco

ln A

venu

e

Church Street

Buse

y Av

enue

Park Street

Col

er A

venu

e

11. Gardens Vestibule

12. War Memorial

13. Garden Cafe

14. Bicycle Lockers

15. Public Gathering

16. Exterior Healing Gardens

17. Community Gardens

18. Private Breakout Space

c p

v c r i

c p

c p i f

v c p a i

v a i

v c a r i f

v c a

21. Park Street Boulevard

22. Carle Satellite Connection

23. Front Yard Gardens

24. Church Street Bus

25. VA Tree Memorial

26. Parking Living Wall

27. Carle Spine Institute

19. Long Term Care

20. Parking Garage

v p a i f

c p a f

v c p a r i f

v p a

v c i

c p a

c i

i

v p a r i28. Day Care

29. ECHO Childrens Hearing Institute

30. Materials Management

31. Carle Labs

c p a r

v p a r i

p a i

v p a i

1. UIUC Department

2. Creative Centers

3. Imaging Department

4. Living Skills Center

5. Redevelopment Center

6. TBI Research Center

7. Building Healing Garden

8. Hybrid Labs

9. Inpatient Care Facilities

c a r

v c i

v p i

v p a i f

v p a i f

p r f

v c a i

v p a i

v p a i f

10. Outdoor Ampitheaterv c i

a

i

0 360

10

11

12

13

1415

16

17

18

19

20

21

22

23

24

25

26

27

2829

30

31

12 15 25 12

Vehicular traffic reduced to east-bound one-way lane

New flexible public space for Carle and VA based events with rain gardens & infiltration basin below boardwalk.

Easy connection to the community gardens and private sectors of the site

LED olde fashioned lamps

Temporary event space

Heat lamps for cold weather

Treated Brazilian walnut boardwalk

Pervious concrete

Campus Relationship


Boardwalk Approach


North Entrance


UIUC Department

Linen and Storage

Redevelopment Center

Living Skills Center

Imaging Department

Inpatient Care Facilities

Major Points of Egress

Creative Centers

TBI Research Center

Fifth Floor Plan

Fourth Floor Plan

Third Floor Plan

Second Floor Plan

Ground Floor Plan

0 20 40 80

Students

Families

Service

Inpatients

Clinical/ Researchers

Outpatients

2 ROOF DETAIL

SPANDREL DETAIL

1

23

4 5678

9

1011

12

13

1 ROOF FLASHING 2 MECHO SHADING SYSTEM3 CONNECTING PLATE4 PAVEMENT COVERING 5 GROWING MEDIUM6 FILTER FABRIC7 WATERPROOFING MEMBRANE8 DRAINAGE LAYER 9 METAL DECKING10 SUPPORTING I BEAM11 FRAMING MEMBRANE (I BEAM)12 ALLUMINIUM MULLION13 FRITTED DOUBLE GLAZING14 CONNECTING BOLTS15 CONNECTING C CHANNEL16 EXTERIOR METAL SHEET17 INSULATION 18 CONCRETE FLOOR SLAB

14

1516

17

18

Circulation DiagramStacking Diagram Patient Room/ Shading Devide Connection

Patient Room Wall Section


A

AA

A

A

AA

A

Ground Floor Plan

Second Floor Plan

Third Floor Plan

Fourth Floor Plan


A

A

0 1 2 4 6 0 1 2 4 6

0 20 40 80

20 40 800

A 3 foot slot is designed within each building floor to not only maximize the amount of floor to floor height, but also to create a more quiet and adaptable hospi-tal. The slot runs all the plumbing, HVAC and electrical equipment to keep all floors free of wires and large un-movable objects. Carle Foundation Hospital also wanted to be sure the building was adaptable for fu-ture expansion and renovation, so the change of floor plans are easily done. Views were also an important part of our design, so the slot brings 15 foot height exterior walls for maximum views and optimal day-lighting. Because of the amount of material between floors, there is minimal noise from floor to floor, which is a huge healing coorelation to TBI patients.

The design of the patient room was inspired through maximizing view points for both nurses and patients. This move was done due to our research of TBI victims. It was observed that patients with TBI had a faster and easier healing process when they were given the ability for larger exterior viewpoints to vegitation and the community. We prioritized the patients inability to see the clinitian over the patients safe transition to the bathroom. However, we designed a ceiling track system that would allow the patients to easily moveu-ver throughout the room. As a veteran, the patient usually has a tough minded opinion of themselves, and so they accept unwinnable challenges (like their physi-cal ability during intensive care). Thus, the track allows them to safely challenge themselves. Due to the urban fabric of the site, each patient room includes in-dividual garden spaces to provide horticultural therapy and views.

Second Floor Plan

Longitudinal Section A-A

Transverse Section B-B

Patient Floor Plan Reflected Ceiling Plan


Inpatient and Outpatient Entrance


Upper Level Outpatient Lounge


Inpatient Care Nursing Station


Rooftop Healing Gardens

Xiaoran Du, Xiaoyu Wang, and Ruoqi Zhong 151Polytrauma Rehabilitation Center 150

XIAORAN DU, XIAOYU WANG, AND RUOQI ZHONG

POLYTRAUMA REHABILITATION CENTER

AT CARLE FOUNDATION HOSPITAL


CHAMPAIGN

CHAMPAIGN

CARLE HOSPITAL

CHAMPAIGN URBANA

UIUC

NEW BED TOWERa

CARLE CAMPUS

SITE

Inpatient Unit: Patient Areas Sub Waiting Patient Room-One Bed *11 Patient Bathroom *11 825NSF Isolation Patient Room-One Bed *1 Isolation Patient Bathroom Room *1 Isolation Anteroom Dining Room Living Room, Family Support Computer Activities Room Laundry Room Storage Quiet Room *2 Multi-purpose Room Gym, Rehabilitation Therapy Apartment, Living Skills Training Exam/Treatment Room Recreation Therapy Room Testing Lab, Neuropsychology BROS Treatment / Office Video gaming lab Therapy Room, Group Kitchen, OT Training Therapy Room, PT/OT/Speech Quiet Treatment *2 Toilet, Patient *2 Nourishment Room Alcove, Food Carts Linen Room Utility Room, Clean Utility Room, Soiled Storage, Medical Equipment Storage, Patient Care Equipment Storage, Building Management Storage, Recreation Equipment Storage, PM&RS(Physical Medicine and Rehabilitation Services) Storage, Neuropsychology Testing Housekeeping Aides Closet HAC

Impatient Units: Staff and Administrative Areas Office, Medical Director Office, Administrative Officer Office, Program Assistant Office, Ward Clerk Office, Nurse Manager Office, Social Worker Office, CCRN Case Manager Office, Nurse Educator Office, Counseling Psychologist Office, Neuropsychologist Office, Family Therapist Office, Blind Rehabilitation Specialist Office, Physical Therapist

Office, Recreational Therapist Office, Occupational Therapist Office, Speech Therapist Office, Military Liaison Nurse Station, Inpatient Medication Room Report Room, Nurse Office, Military Liaison Conference Room, Interdisciplinary Treatment Team Conference Room, Inpatient Care Plan-ning Team Room, Interns / Residents Lounge, Staff Locker Room, Staff Toilet, Staff*2 Shower, Inpatient Unit Staff

Outpatient Units: Patient Care Sub Waiting Patient Lounge / Homeroom Exam Room, Outpatient Cognitive Therapy / Counseling Room *2 Procedure Room, Outpatient Group Room Driver Training Room Living Skills Training Gait Study Track and Instrumentation Room Gym, Patient Rehabilitation Therapy Speech Therapy Lab Assistive Technology Lab Recreation Therapy Room, Group BROS Treatment / Office Pain ManagementOutpatient Units: Support Areas Reception Toilet*2 Linen Room Utility Room, Clean Utility Room, Soiled Storage, Medical Equipment Storage, Building Management Housekeeping Aides Closet HAC Office, Physiatrist Office, Neuropsychologist Office, Physical Therapist Office, Recreational Therapist Office, Occupational Therapist Office, Military Liaison Office, Speech Language Pathologist Office, Physical Therapist Office, Nurse Case Manager

Office, Social Worker Office, Counseling Psychologist Office, Vocational Rehabilitation Counselor Office, Vocational Rehabilitation Psychologist Medication Room Conference Room, Outpatient Locker Room, Outpatient Unit Staff Toilet, Outpatient Unit Staff *2

VISIONTo be a world-class rehabilitation center for TBI and PTSD patients that provides high quality medi-cal care.

MISSIONTo create effective and acces-sible healing environment with the strategies of the integration of architecture and landscape, provide pleasant environment for patients as well as staffs. Enhance the connection with ex-isting resources and community, foster regional partnership with the University of Illinois at Urbana- Champaign and local medical services.

CARLE FOUNDATION HOSPITAL SEVEN PILLARS:1. Provide Value to Patients 2. Benefit the Community 3. Focus on our People 4. Make Care More Accessible5. Grow and Partner Regionally 6. Deliver Integrated Care7. Use Financial Resources Wisely

Our proposal of the new polytrauma rehabilitation center chooses the Carle main campus as our site to utilize the existing resources from both Carle and the University. It also provides the opportunity to foster a connection amongst patient, the hospital, the university and the community. We share with Carle the dedication to provide high quality and assessable healthcare. The main objective of our proposal is to create an effe ctive healing environment for the patient and a less stressful working environment for the staff. To achieve that, we develop the idea of the integration of architecture and landscape. Once built it also provides the new bed tower a better natural environment outside of its patient rooms windows.


1st Floor PLan


-2 FLOOR

-1 FLOOR

1st FLOOR

2nd FLOOR

3rd FLOOR

4th FLOOR

5th-14th FLOOR

PATIENT UNITS

DIAGNOSTIC & THERAPY

ADMINISTRATION & OFFICES

RESEACH

EDUCATION

SERVICE & MECHANICAL

PUBLIC AREA

PUBLIC VERTICAL TRANSOIRTATION

CLINICAL VERTICAL TRANSPOTATION

STAFF VERTICAL TRANSPORTATION

HORIZONTAL TRANSPORTATION

-2 FLOOR

-1 FLOOR

1st FLOOR

2nd FLOOR

3rd FLOOR

4th FLOOR

5th-14th FLOOR

2nd Floor PLan 3rd Floor PLan


4th Floor PLan


East Elevation West ElevationNorth Elevation South Elevation

Meggan Stanton and Elyse Townley 169Carle Polytrauma Rehabilitation Center 168

carle polytrauma rehabilitation centercarle foundation hospital

urbana, il

0 100 200 400 800N

meggan stanton elyse townley


outpatient: physical outpatient: mental lobby inpatient: physical

inpatient: mental mechanical bedded care parking

+blocking and stacking diagram+program

PROGRAM (DGSF)

INPATIENT OUTPATIENT AUXILIARYBEDS: 12,342 D+T: 21,334 D+T:6,567D+T: 22,968 STAFF: 3,333 RECEPTION: 2,194STAFF: 9,660 SUPPORT: 4,879 OUTDOOR: 4,125SUPPORT: 16,727

TOTAL DGSF: 104,129 SFTOTAL BGSF: 124, 954 SF

INPATIENT OUTPATIENT AUXILIARY

=1089 SF

+visionThe Carle Foundation Hospital Polytrauma Rehabilitation Center is rooted in the values of community, quality of care, and growth.

+missionTo create a holistic healing environment that will serve the growing number of veterans with polytrauma through progressive medical treatment and integration into the Champaign-Urbana community.

+holistic healing

+program square footage

Holistic healing involves creating environments that benefit the mind, body, and soul of patients, their families, and hospital staff as well as the implementation of alternative therapies, such as:

Healing Gardens

Horticultural Therapy

Art Therapy

Snoezelen Rooms

Warrior Canine Connection


1

2

3

site movement: key entries: public traffic medical transport traffic & drop off 1. public entry 2. staff entry public drop off emergency department tunnel 3. medical transport entry patient tower addition drop off materials & management tunnel parking garage traffic

+site

site adjacencies: key carle polytrauma rehabilitation center patient tower addition

emergency department addition existing lab facilities

existing support services the forum at carle

carle guest house (fisher house)


level 0

level 1

level 2

level 3

level 4

level 5

roof

N

vertical circulation: key inpatient: public outpatient: public

inpatient: clinical outpatient: clinical

+circulation

1

2

3

horizontal circulation: key entries: public traffic 1. public entry 2. staff entry clinical traffic 3. medical transport entry service traffic


a

b

c c

b

a

+north elevation

+plan: level 10 10 20 40 80N

+plan: level 00 10 20 40 80N

floor plans: key lobby

outpatient: physical

inpatient: physical

general offices

outpatient: mental

inpatient: mental

bedded care

shell space

mechanical

parking

+north elevation


+plan: level 30 10 20 40 80N

+plan: level 40 10 20 40 80N

+therapy pool +veterans memorial

+plan: level 20 10 20 40 80N

+main lobby +outpatient gym


0 1 2 4

Polytrauma Rehabilitation Center Book

Documents

Transcript of Polytrauma Rehabilitation Center Book