Women's Services Design Book

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Women’s Services ARRAY-ARCHITECTS.COM

NOAH TOLSON, AIA, LEED AP BD+C Principal-in-Charge


Table of Contents Firm Profile & Service Line Introduction......................... 4 New York-Presbyterian Sloane Hospital for Women & Children’s Hospital of New York...................................... 10 University Hospitals MacDonald Women’s Hospital & Rainbow Babies & Children’s Hospital......................20 Capital Health Women’s & Children’s Services...... 32 Nemours/Alfred I. duPont Children’s Hospital......... 36 Inspira Health Network................................................................. 41



Firm Profile We are a team of architects and designers with unique backgrounds, but we all have one thing in common – we share a strong desire to use our expertise and knowledge to design solutions that will help people in moments that matter most. The complex, changing world of healthcare requires a team of effective communicators and true collaborators. Our 35+ year history of being dedicated to healthcare holds countless stories of discovering optimal solutions with our clients. Our core mission is the same as that of our clients, improve the quality of our work, increase our efficiency and motivate our staff to reach for success.



Healing Environments

Environments have the power to set our expectations, lift our spirits and inspire hope. This is what motivates me to create spaces which mitigate the challenges faced by all who enter a healthcare facility. Patricia D. Malick, CHID, EDAC, IIDA, Lean Green Belt

Principal and Practice Leader, Interior Design



Women’s Services Breast and ovarian cancer screening, labor, delivery, postpartum and regular gynecological health maintenance are all examples of specialized women’s services. Our clients recognize the benefits of fostering a philosophy of wellness into the daily lives of women and creating inspiring environments that engage women to participate in their health continuum at a greater level. We have an abiding respect for the anxieties and joys associated with pregnancy, labor and delivery, and plan those facilities to provide maximum comfort for patients, newborns and expectant families.

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Click on our Thought Leader below to learn more about designing healthcare facilities for Women:

Some of life’s most p diagnosis –occur in about people and su

- Laura Morris, CHID, LEED AP BD+C


poignant moments –from childbirth to a cancer n the spaces we design. Ultimately, these spaces are upporting them in a quiet and beautiful way.”

C, IIDA, Lean Green Belt



New York-Presbytarian Morgan Stanley Children’s Hospital of New York AntePartum New York, New York Located on New York Presbyterian’s Columbia University Healthcare Campus, Morgan Stanley Children’s Hospital of New York (CHoNY) is comprised of three buildings, ranging in age from 10 to 90 years. Array was retained to conduct feasibility studies and implement expansion and modernization projects for key inpatient, outpatient and diagnostic programs in all three buildings. One of these projects is a 14-bed private room AntePartum Unit in the facility’s Central Building. This Unit is now adjacent to the LDR suite in the Tower Building, with an enhanced monitoring capability in support of the high risk patient population. The new Unit adds maternity bed capacity and is part of several inpatient improvements for women’s and children within the facility.

Private Patient Room Photographer: Halkin Mason Photography


New York-Presbyterian Morgan Stanley Children’s Hospital of New York AntePartum New York, New York


Collaborators: AKF Group LLC Gilbane Building Company Jones Lang LaSalle

Top Left: Private Patient Room Bottom Left: Patient Room Top Right: Paitent Bathroom Top Center: Waiting Above: Nurse Server Bottom Right: Patient Room


New York-Presbytarian Morgan Stanley Children’s Hospital of New York PICU New York, New York Located on New York Presbyterian’s Columbia University Healthcare Campus, Morgan Stanley Children’s Hospital of New York (CHoNY) is comprised of three buildings, ranging in age from 10 to 90 years. Array was retained to conduct feasibility studies and implement expansion and modernization projects for key inpatient, outpatient and diagnostic programs in all three buildings. One of these projects is a 14-bed Pediatric ICU with in-room family amenities including oversized day-bed for two and in-room refrigerator. Other features include family waiting, a consultation suite and exam/interview/prep space. A colorful, whimsical space which appeals to all ages welcomes patients and families. Rooms are light-filled and spacious, and breakaway doors support quick treatment scenarios. The hospital’s literary theme - Learning through Literature - was brought to life in this unit as The Tickle Tree and If You Hold a Seed stories play out across soffits, footwalls and large corridor graphics. This growth and enrichment theme appeals to a large age range and provides positive distractions for patient and family alike. Array works closely with hospital leadership to ensure continuity of the established CHoNY identity and image with the goal of maintaining system-wide parity. Working within the framework of the hospital’s Interior Design standards, the Array team was able to design environments harmonious with the existing vocabulary yet updating the ambiance/imagery by incorporating new elements. Each facility improvement will help CHoNY expand undersized clinical services and allow them to continue to be a leader in pediatric excellence.


Waiting

PICU Nurse Stations Photographer: Halkin Mason Photography


Collaborators: AKF Group LLC Gilbane Building Company Jones Lang LaSalle

Top Left: Patient Room Bottom Left: Nurse Server Top Right: Waiting Bottom Right: Nurse Server Photographer: Halkin Mason Photography


“The Array team working on the CHoNY Bundle projects is doing a terrific job, especially considering the challenges presented by the revised program and schedule that we are accommodating. My only feedback would be that I hope Array will continue to do the same excellent job moving forward, which I know you will.” – Robert Lipson, Senior Project Manager, New York Presbyterian

New York-Presbyterian Morgan Stanley Children’s Hospital of New York New York, New York


Women & Children

After having the privilege of working with heroes who cure, treat and receive care in our healthcare environments, I will never underestimate the importance of creating uplifting, inspiring spaces. Lisa N. Lipschutz, RA, ACHA, EDAC, Lean Green Belt Principal and Practice Leader, Planning



University Hospitals MacDonald Women’s Hospital Patient Unit Cleveland, OH

This patient until includes 82 single-patient rooms with flexibility to allow for semiprivate when required, upgrades to lobby and a state-of-the-art conference room. Array initially provided conceptual designs, along with estimated costs, to allow a potential donor to determine the amount of their donation and its resulting scope. The project approach allows for renovations to the entire bed tower or a floor-byfloor scenario. With the needs of patients, family members, staff and community in mind, the interior upgrades incorporate Evidence-Based Design tenets in this nature-inspired, “Luminosity” design concept. Technology is integrated seamlessly into the clean-lined architecture. Ever mindful of sustainability, stunningly beautiful - yet appropriate - interior finishes were selected for their timelessness, longevity and ease of maintenance. In addition to architectural upgrades, finishes and furniture, the renovation will also include new HVAC, plumbing, fire protection, electrical, lighting, voice and data and security system integration.


Waiting

Patient Room Photographer: Kevin Reeves

PICU Nurse Stations Photographer: Halkin Mason Photography


Top Left: Reception / Waiting Bottom Right: Patient Room Bottom Left: Exam Room Bottom Center: Common Room Bottom Right: Common Room Photographer: Kevin Reeves




University Hospitals Rainbow Babies & Children’s Hospital Neonatal ICU Cleveland, Ohio The neonatal intensive care unit (NICU) at Rainbow Babies and Children’s Hospital — part of Cleveland’s University Hospitals and one of America’s best children’s hospitals as ranked by U.S. News & World Report — was undersized by current space benchmarks. The Hospital recognized the benefits of a singleroom NICU model, but required a design that would not raise operating costs. Array was asked to reflect the Rainbow brand in the interior design as part of a 30,000 SF expansion to provide an all-private room Level 3 NICU. To promote a soothing, hopeful experience for all families, we led a series of visioning workshops culminating in the adoption of a design that extends the Rainbow brand by incorporating the various colors and elements of nature in the nursing units: Flower, Sunshine, Raindrop and Butterfly. All are used as wayfinding icons to provide visual cues to families navigating to their unit. A water ribbon element embedded in the floor flows through each of the four pods.

Connector Bridge Photography: Scott Pease


Collaborators:

University Hospitals Rainbow Babies & Children’s Hospital Cleveland, Ohio

Barber & Hoffman Gilbane Building Company MCM Company Parkin Architects Smith Seckman Reid

Top Left: NICU Patient Room Top Middle: Wayfinding Entrance Bottom left: Waiting Right: Team Meeting Space Photography: Scott Pease


Citing evidence-based research and findings, the Health System and Array agreed on the importance of the private room model. The private rooms, including rooms sized to accommodate multiples, allow for parent sleep and nursing/feeding area (with space for a comfortable chair and breast pump) while also allowing ample space for clinicians to exam the baby. Nurse sub-stations, located between every two rooms, provides charting space and quick access to each room while being respectful of patient/family privacy. A glass enclosed connector bridge to the main hospital provides a dramatic new front door to the expanded unit. Colored tile panels, museum-quality artwork and a glass-surround window seat area, offer a welcome respite for family members.


University Hospitals Rainbow Babies & Children’s Hospital Cleveland, Ohio

Left: Nurse Server/Corridor Middle: In-Room Parent Sleep Area Right: Nurse Station/NICU Patient Room Photography: Scott Pease


“Whenever I walk into the unit, I truly am so grateful for Array’s vision - the finishes, the choices are simply perfect & will stand the test of time.” – Patricia DePompei, President, UH Rainbow Babies & Children’s Hospital


Patient Experience

Some of life’s most poignant moments– from childbirth to a cancer diagnosis– occur in the spaces we design. Ultimately, these spaces are about people and supporting them in a quiet and beautiful way. Diana Louden, LEED GA Interior Designer



Pediatric Waiting Photography: Blake Marvin


Capital Health Hopewell Women’s & Children’s Services Pennington, NJ Array Architects, in association with HKS, Inc. designed a new state-ofthe-art 237-bed Replacement Hospital for Capital Health. Collaborating with Anchor Health Properties (Developer and Owner’s Representative), the design team was tasked with designing a facility that elicits a “Wow, I can’t believe this is a hospital!” To achieve this goal, the new facility features a Concierge Pavilion, a Diagnostic Treatment and Support Building and a Patient Tower all connected by atriums with healing gardens. Array was responsible for interior design as well as planning, design and documentation of several key clinical departments including Women’s and Children’s Services. Patient safety, family-focused care and operational efficiency are the focal points for the design. The design team segregated inpatient and outpatient flow to support an exceptional patient experience. Patient rooms having inboard patient bathrooms/showers located on the headwall to improve patient safety accessing the bathroom, and maximize the opportunity for expansive views. Similar to a hotel, patients can order meals and snacks from a full scale restaurant-style menu through the “At Your Request” room service program. Family zones in each room provide family members their own space for respite while still including them in the patient’s healing process.


Collaborators: AKF Engineers Gilbane Building Company HKS O’Donnell & Naccarato Skanska

Above: Children’s Gift Shop

Target Building Construction

Right: LDR Private Room

The Lighting Practice

Bottom: Bistro Seating Area

Wells Appel

Photography: Blake Marvin/Jeffrey Totaro


“[After I performed hysterectomy surgery], I found [the patient’s] two daughters by the cafe outside the surgical waiting area. [We sat by the fire] and discussed their Mom’s anticipated course and recovery. What a wonderful alternative to the crowded post-op surgical waiting area at the old [hospital]. I feel proud to be a part of this institution. – Capital Health Hopewell Physician

Capital Health Hopewell Women’s & Children’s Services Pennington, NJ

Using the same headwall and room configuration, we collocated the LDR and Ante/Postpartum Unit on the same wing as private room Level II NICU to enhance the patient experience as well as provide increased staff efficiency. In addition, a Maternal Fetal Clinic is located in the adjacent Medical Office Building. Recognizing the potential appeal of an upscale retail environment, Array designed a unique store positioned between the Nursery/PICU and the LDR wing. Beautifully merchandised, it has contributed significantly to patient and visitor satisfaction.


Nemours/Alfred I. duPont Hospital for Children CICU-NICU Wilmington, Delaware

The Nemours/Alfred I. duPont Hospital for Children operates one of the nation’s largest subspecialty group practices devoted to inpatient and outpatient pediatric patient care, teaching, and research. Located just outside of Wilmington, Delaware, this 180-bed hospital on 300 acres of parkland has experienced tremendous growth. Array Architects was engaged to develop a Master Plan to evaluate expansion opportunities, improve campus site utilization and wayfinding and create a more welcoming, safe and child-friendly facility. The NICU replacement was identified as one of the top priority projects. In addition to all the private rooms, an adjacent Cardiac Intensive Care Unit features the latest in cardiovascular care. With no available space for a ground level addition, we expanded the existing NICU on top of an existing building to create room for the new CICU. The 21,000 SF renovation/addition provides Level II and III neonatal services and features a Family Transition room on the unit to educate families about the special care their infant will need at home. We positioned a new Hybrid OR and Cath Lab adjacent to the CICU so that it can be used as a prep and recovery space for cardiac patients. By phasing the expansion, the existing NICU and CICU were able to continue providing service throughout the project.


Cardiac Intensive Care Unit Photography: Jeffrey Totaro


“The planning and construction of the new Neonatal Intensive Care Unit was truly a group effort. Nurses, families, and other support personnel all had input into the design and construction of the unit. Because of this approach, staff and family satisfaction has risen to an all time high.” – Coleen Davis, Nurse Manager, NICU


Nemours/Alfred I. duPont Hospital for Children CICU - NICU Wilmington, Delaware

Collaborators: O’Donnell & Naccarato Pennell &Wiltberger Shoemaker Construction Company

Top Left: CICU Top Middle: NICU Patient Room Top Right: Hybrid Catheterization Laboratory Bottom: Nurse Server Photography: Jeffrey Totaro


Client Advocate

“I believe every design and planning decision can have an impact in supporting the successful operation of a healthcare facility.”

Laura Jensen, RA Principal & Project Architect



Array was selected as part of an integrated team to provide planning and design services for the replacement of Inspira Health’s Woodbury hospital. After selection, Inspira asked Array to lead a rapid assessment phase integrating their strategic plan, financial projections, and operational goals along with site and cost analysis to determine if the replacement hospital should remain on the existing site or move to a new site in the service area. After determining a new site would best serve the health system’s goals, Array began our Process-led Lean Design approach to program and plan the new facility. Cross functional work sessions were held with each team to map the current state flows of every department. Armed with a detailed assessment, we worked with the teams to develop the ideal future state and work flows for the new facility. The facility features a split flow emergency department that includes an integrated pediatrics sub-unit including observation and inpatient beds. The surgical and procedural areas have been combined into a universal interventional platform to promote flexibility and efficiency. All patient care units are designed with staff effectiveness and safety in mind. Family and patient comfort is incorporated through large windows, distributed pockets of waiting and respite, a single point of check-in an registration for all visits and visitors, outdoor dining and garden areas, as well as a technology hub in the lobby to assist patients and families with personal health technology devices and integration.


Inspira Health Network Greenfield Hospital MULLICA HILL, NJ

Collaborators: O’Donnell & Naccarato, Inc. Mitchell Associates Leach Wallace Associates, Inc. Sikora Wells Appel The Lighting Practice


Inspira Health Network Greenfield Hospital MULLICA HILL, NJ

By embarking on a highly-collaborative structure from the outset, the integrated team identified methodologies that have resulted in a significant square footage reduction from the original benchmarked program, as well as defining a schedule that resulted in an operational facility within 33 months from the start of design.

Top Left: Exterior Detail Top Right: Main Lobby Bottom Left: Surgical Waiting Middle: Inpatient Unit Team Station Right: Bistro | Dining Photography: Halkin Mason Photography



Boca Raton / Boston / New York City / Philadelphia / Washington


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