Interior Standards Guidelines by Array Architects

Interior Guidelines ARRAY-ARCHITECTS.COM

Table of Contents

Firm Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Interior Guideline Expertise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Signage & Wayfinding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 NewYork-Presbyterian Health Network . . . . . . . . . . . . . . . . . . . . 14 One Brooklyn Health System . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 University Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 St. Elizabeth Healthcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Capital Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Montefiore Medical Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

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Architecture is about relationships. Relationships with spaces, objects, and most importantly—people. PAGE 5

Our Firm in Brief

After 35 years serving healthcare clients, we’ve learned that it’s never just about the building. Every problem and challenge our clients face are unique opportunities to adapt, improve or transform—and they all require something different. That’s why we are so much more than just healthcare architects. Our integrated services align analysts, advisors, and architects to provide a complete continuum of project exploration and execution. Guided by process, powered by collaboration and built around an innovative culture.

100%

DEDICATED TO HEALTHCARE

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FIVE LOCATIONS NATIONWIDE We’re strategically located throughout the country to engage with clients on site, to optimize results. • Boca Raton, FL • Boston, MA • New York, NY

• Philadelphia, PA • Washington, DC

A R C H I T E C T S

W E

A R E

D E S I G N

Array Architects is committed to improving healthcare outcomes by providing design solutions informed by integrated insights from perspectives across the organization. No brick is placed without considering its placement. No wall is raised without determining its integrity. No systems are installed, no colors are applied, no impact is made without a careful reasoning for doing so. We don’t address needs—we address your needs—taking into account the context of a project and assembling a roster of experts whose combined strengths align to give your project life, value and spirit beyond its basic function. •

Healthcare Thought Leaders

•

Data-Driven Decision-Making

•

Cross-Disciplinary Teams

•

Customer-Focused Design

•

Process-Led Lean Design

A D V I S O R S

W E

A R E

S T R A T E G Y

Array Advisors is a multi‑disciplinary team providing custom solutions to optimize healthcare operations and solve business challenges. When addressing the distinct needs of any healthcare business, there is no solution without informed preparation and consideration. It requires a nuanced approach of dedicated professionals with a variety of viewpoints. We uncover the opportunities buried within your challenges by untangling the complexities of those problems, and then engineering a solution using industry-leading tools and techniques. •

Capacity Analysis

•

Lab & Pharmacy Optimization

•

Strategic Planning

•

Lean Operational Improvement

•

Change Management

•

Transformation

A N A L Y T I C S

W E

A R E

T E C H N O L O G Y

Array Analytics is an innovative think tank of analysts and product developers dedicated to helping healthcare systems identify and contextualize business drivers. These days, big data is critical to making informed decisions, but information must be distilled and interpreted to truly be valuable. We developed the platform you need to dynamically draw upon real-time industry data, combine it with your own, and leverage it so you can visualize relevant business drivers and opportunities. Array Analytics is the foundation upon which targeted solutions drive transformation in healthcare business. •

Data Integration

•

Real Estate Strategy

•

Market Analysis

•

Strategic Capital Allocation

•

Predictive Analytics

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Interior Guideline Expertise Designing for Healthcare Environments

Simplified Maintenance

What a Stan

There has been a sea change in the way we shape healthcare environments. Beyond creating beautiful spaces influenced by hospitality, we have a responsibility to bring the latest evidence, benchmark data, lean thinking and examples of successful projects into the design process. By doing so, we help our clients realize their full potential to drive a change in culture, improve patient outcomes, increase patient satisfaction, and foster a collaborative environment.

By framing the number of furniture and finish choices, facility standards also decrease the number of unique repairs. Maintenance staff can perform recurring repairs within a manageable group of materials and parts. They can also construct systems furniture or perform preventive maintenance with the use of a simplified user guide, rather than an endless library of instructions. Economies of scale also provide increased purchasing power in procurement, potentially resulting in deep quantity discounts.

Successful f brand imag healthcare s of areas inc as well as ill and pre-app

Simplified Decision Making Achieving consensus between key stakeholders around the interior environment often involves extensive compromise; interior finishes are experienced by everyone and subject to varying perspectives. Establishing a well-conceived design vocabulary in tandem with pre-determined color and material palettes and furniture standards minimizes a substantial amount of the guesswork associated with these decisions.

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Flexibility / Adaptability Planning exercises result in standardized rooms that go beyond basic interior material consistency. Through prototyping and rapid testing exercises, room layouts —everything from the light switch, to the casework orientation, to the placement of sharps containers — are standardized, allowing staff to maximize their efficiency and effectiveness.

BROWSE O

Click on the d and insight o

ndards Package Features

facilities standards easily convey the ge and support the mission of the system. They also feature a simple outline cluded in the overall standardization plan, lustrate options and variations in selected proved finish / furniture selections.

Our Thoughts

design book above for our thoughts on the Healing Power of Art.

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Healing Environments

“Biophilic design is a powerful tool to reduce stress in our environment by tapping into our biological and physiological response to nature and our surroundings. It’s why I am passionate about incorporating light and natural elements in all behavioral health settings.” Patricia D. Malick, CHID, EDAC, IIDA, Lean Green Belt Principal & Practice Leader, Interior Design

Some of life’s most poignant moments – from childbirth to a cancer diagnosis – occur in the spaces we design.

Patricia Malick

Signage & Wayfinding

CHID, EDAC, IIDA, Lean Green Belt Principal & Practice Leader, Interior Design

As a founding principal of the firm, Pat has been an integral

A thoughtfully designed interior can support therapeutic

part of the firm’s evolution. She has been at the forefront of

outcomes. Elements such as color, imagery and

advancing the role of interior design in creating psychologically

architectural detail reinforce established “brand name

supportive environments. Pat’s approach to design is holistic, focused on patient safety, empowerment, culture change and

recognition”. Elements that are repeated throughout a

solutions that improve the overall experience for all stakeholders

facility, campus or system through signage and wayfinding

in a human-centered, sustainable manner.

programs reassure patients and their families that they have made the right care decision.

click here to read Pat’s blog.

Incorporating a strong visual presence that is thoughtfully and accurately repeated at the right junctures throughout the facility impact both staff and patient satisfaction. Presenting directional cues with clear, concise signage and intuitive wayfinding can also add beautiful flooring and art elements to the facility. Flooring options and designs can provide distinguishing landmarks and complement a space’s theme. Bringing art into a facility provides positive distractions and can create memorable meet-up zones for family members coming from different directions on their way to visit a PAGE 12

loved one. If local art is chosen, the public areas might take on a gallery feel, attracting community members to experience the facility prior to a healthcare need. Signage graphics and wayfinding elements often become an extension of the community where the hospital is located. A patient may take comfort in their patient unit being ‘named’ in honor of a local landmark. Wayfinding with local ties also aids patients dealing with cognitive challenges and related illnesses by providing a pleasant reminder of familiar environments. Donor recognition opportunities can be seamlessly integrated into signage and wayfinding initiatives in a variety of mediums. Potential donors and the community enjoy seeing financial support publicly acknowledged through a beautiful sculpture at a hospital’s main lobby or a healing garden featuring local artists’ work. One health system might express their brand with art that evokes gardens. Another may prefer art that, while contemporary, is more representational. A waiting area’s art might be calm and serene with Zen-like gardens that work well with a salt-water aquarium, which can be universally appealing to a diverse range of patients and families. In an outpatient treatment area, art provides a splash of color and welcome relief for patients and family members alike. PAGE 13

NewYork-Presbyterian Health Network NewYork-Presbyterian Hospital NEW YORK, NY

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With a tight, urban campus spread across three New York City blocks, New York Presbyterian Hospital needed to modernize and upgrade their 10-story Milstein inpatient tower to support clinical efficiency and improve wayfinding to ensure a patient experience and environment in sync with their world-class reputation. Recognizing the need to work within their budget and maintain system-wide parity, visioning sessions with key hospital leaders and personnel from both the Columbia and Cornell Campuses were conducted to allow the team to form a consensus with their peers around perceived priorities. Workshop Sessions were held with key personnel to develop consensus regarding clinical scope, infrastructure investment and wayfinding elements. This $120 M renovation will positively impact clinical care, nursing efficiencies, staff collaboration and patient satisfaction. Improvements include a decentralized nursing model, upgrades to patient bedrooms and fully renovated patient toilet rooms. Revitalized elevator lobbies at each inpatient floor set the tone and expectation of a superior experience for each arriving visitor. Dramatic and vibrant art will complement strong wayfinding elements, helping visitors and staff navigate each distinct patient unit. Left: Nurse Station Photography: Jeffrey Totaro

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specialty

vinyl sheet - homogeneous

vinyl sheet - heterogeneous

vinyl compostition tile

terrazzo tile

terrazzo

poured epoxy

porcelain floor tile

natural stone

luxury vinyl tile/plank

FLOORING

specialty

tile or stone

solid surface material

rubber 7"

rubber 6"

BASE

integral

specialty

handrail

crash rail

corner guard - stainless steel

corner guard - plastic

chair rail

specialty

bumper rail

WALL PROTECTION solid surface material sheet

porcelain tile

porcelain sheet (3mm)

plastic sheet

phenolic panel

paint

specialty

gypsum

acoustical ceiling tile

base

✓

enhanced

WALLS

base

✓

base

✓

enhanced

✓

enhanced

✓

WALL PROTECTION

base

✓ ✓

base

enhanced

✓ ✓

enhanced

BASE

✓ ✓ ✓

✓ ✓

BASE

base

✓

enhanced

✓

FLOORING

✓

MATERIALS & FINISH GUIDELINES

VOLUME 2

base FURNITURE STANDARDS MANUAL

VOLUME 3

DESIGN CONSIDERATIONS PAINT & FINISH APPLICATIONS MANUAL

VOLUME 4

MAINTENANCE & SAFET Y MANUAL

enhanced

✓ ✓

✓ ✓ ✓

base

✓ ✓

✓ ✓ ✓

✓ ✓

✓ ✓ ✓

enhanced

✓ ✓

✓ ✓ ✓

DESIGN CONSIDERATIONS

1. Counters, side, and full height backsplash to be solid surface material with Karran stainless steel sink, refer to standards.

2. Cabinets - phenolic panel or thermal-fused laminate with 3mm edge; moisture resistant substrate. Provide closed bulkhead at cabinets, refer to detail.

3. Cubicle Curtain required for privacy/sizes will vary.

4. Window Shade: 1% openness

5. Create defined charting and equipment zones.

6. Coordinate and elevate device mounting heights.

7. Provide rub rail or wall protection at guest chair location.

REVISIONS

ISSUE 1

✔ 4/10/2014

60 EXAM ROOM

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WALLS

Specialty, Diagnostic + Treatment Areas

CEILING ✓

enhanced

WALL PROTECTION

VOLUME 1

specialty

vinyl sheet - homogeneous

vinyl sheet - heterogeneous

vinyl compostition tile

terrazzo tile

terrazzo

poured epoxy

porcelain floor tile

natural stone

luxury vinyl tile/plank

linoleum sheet

CEILING

CEILING base

ONCOLOGY TREATMENT ROOM

FLOORING

specialty

tile or stone

solid surface material

rubber 7"

rubber 6"

BASE

integral

specialty

handrail

crash rail

corner guard - stainless steel

corner guard - plastic

chair rail

specialty

bumper rail

WALL PROTECTION solid surface material sheet

porcelain tile

porcelain sheet (3mm)

plastic sheet

phenolic panel

WALLS

paint

specialty

gypsum

INTERIOR GUIDELINES

acoustical ceiling tile

CEILING

3.3

Material Application Matrix - Specialty, Diagnostic + Treatment Areas Specialty, Diagnostic + Treatment Areas

linoleum sheet

3.3

Material Application Matrix - Specialty, Diagnostic + Treatment Areas

EXAM ROOM

ISSUE 2 XX/XX/XX

ISSUE 3 XX/XX/XX

ISSUE 4 XX/XX/XX

ISSUE 5 XX/XX/XX

REVISIONS

ISSUE 1

✔ 4/10/2014

ISSUE 2 XX/XX/XX

ISSUE 3 XX/XX/XX

ISSUE 4 XX/XX/XX

ISSUE 5 XX/XX/XX

ONCOLOGY TREATMENT ROOM

Benefits of Patient Tower Renovations Patient tower renovations continue to be a necessary and viable option for health systems to consider. Whether land-locked, fiscally-constrained or limited by licensed bed allowances, upgrading patient units can increase market share, improve staff efficiencies and retention, and optimize workflow for improved patient care delivery. NewYork-Presbyterian (NYP) has more than 2,600 inpatient beds across their system, and sought Array’s assistance renovating their 10-story Milstein bed tower located on their Columbia campus in Manhattan. Over a seven-year period, the team is upgrading five floors, which account for 360 beds across 10 patient units. As a world-renowned academic medical center, NYP is often at near-capacity patient census, which requires creative phasing solutions and a collaborative and responsive design (Array) and construction management team (LendLease) on hand during construction. Well before the design took shape, our team set out to capture the System’s vision and understand their mission and goals for this modernization project. Top Left: Interior Guidelines Package Developed by Array Bottom Left: Elevator Lobby Top: Inpatient Room Photography: Jeffrey Totaro

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NewYork-Presbyterian Health Network Morgan Stanley Children’s Hospital of New York NEW YORK, NY

NewYork–Presbyterian (NYP) engaged Array to develop a planning and implementation plan to evaluate and assess their existing inpatient facilities; identify infrastructure upgrades; prepare programming data to support best practice medicine; and develop phasing and implementation scenarios to minimize disruption to ongoing clinical operations. Working with the Construction Management team, Array prioritized program elements and prepared detailed cost estimates to align project scope with available budget dollars. Array was retained to conduct feasibility studies and implement modernization projects in four key areas of the two older buildings and one location in the newest building. Inpatient spaces on floors 9, 10 and 11 include improvements to the PICU, NICU and AntePartum units. Outpatient space on the 7th floor include subspecialty clinics, including gastroenterology and digestion; and, a new 3T MRI space will be designed on the 3rd floor to accommodate Imaging volume increases. Array developed comprehensive interior environment concepts, including thematic messages, which accommodate Wayfinding and Donor Recognition elements. Using current NYP Guidelines as a foundation, Array solicited feedback from the Patient and Family Advisory Council to select playful imagery from a wide selection of popular children’s authors. Top: Pediatric ICU Check-In Top Right: PICU Nurse Station Bottom Right: PICU Nurse Station Bottom Left: PICU Sleep Room Photohgraphy: Halkin Mason Photography PAGE 18

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One Brooklyn Health System Interior Design Standards BROOKLYN, NY

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Array Architects was engaged by One Brooklyn Health System (OBHS) to develop a standardized approach to interior design concepts, material selection and installation details as OBHS embarks on facility improvement initiatives across all holdings, which include both inpatient and ambulatory facilities at Brookdale University Medical Center, Interfaith Medical Center, and Kingsbrook Jewish Medical Center. The guidelines will serve as a roadmap for a cohesive image and branding approach which will inform all capital improvements and will be a resource to make informed, well-founded decisions in the selection and specification of materials which will help transform patient and staff experience, system-wide.

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Voices of Staff & Community One Brooklyn Health System leaders were resolute in their desire that the new design standards reflected the voices of their staff and the communities they serve. Array led a series of interactive workshops at each facility which included a series of design thinking activities including empathy mapping and visioning. Prioritization exercises captured and organized the wide-ranging feedback. These activities facilitated conversations that led to a standardized design approach to: • Design vocabulary/image/brand • Material selection criteria • Material performance: first cost vs. life cycle • Patient safety/infection control • Installation details

The final palette incorporated our expert recommendations for finish application based on durability, maintainability, appearance, cost and sustainability. With budget in mind, the Interior Guidelines were defined both Base and Enhanced options, since no two project profiles are the same. And to develop the furniture guidelines, an over 75 participant fair was held that invited staff, patients and community board members to give their opinion on comfort, cleanability and style.

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The final deliverable included a robust, online toolkit which will serve OBHS’ efforts to create parity across their holdings. The Design Toolkit includes interior finish selections and design guidelines representative of the branding criteria established through working meetings with OBHS staff. Material Elements 2 .5 Creating Touch Points Touch Points are key areas

Creating Touch Points - General Notes »

which require signage to assist

at floor

the hospital campus . Typical

Quality

Compassion

Connected

Community Based

floor plans signify the existing

patient floors and highlight »

should be applied to assist in

The One Brooklyn Health System mission is to provide greater access to high quality medical care and keep its communities healthy through an integrated care system that respects the diversity of their communities and addresses both the health needs and the unique factors

Terminus points require department signage or additional directional signage to indicate family zones or restricted areas

public wayfinding and signage

placement .

TYPICAL FLOOR PLAN TOUCH POINTS KEY

Decision points require additional directional signage and department wayfinding

key points that accent colors

Our Mission

Navigational origin points should be coordinated with wayfinding and signage strategy and use designated color and image graphics

visitors and patients navigating

Refer to section 2 .4 Accent Color Application Strategy for color information

1st Floor Lobby »

Use bright accent paint from Groups B , C or D at feature walls,

Navigational Origin

high impact locations, and welcoming spaces to guide patients

Building Entrance

and visitors

Public Elevators

Decision Point »

that shape them.

Main elevator lobby will include an overall campus directory

Signage should indicate the relationship of colors and images per

Material Matrix

floor - refer to 2 .6 Patient Floor Entry

Requires directional signage

Touch Point »

Requires recognizable features

Terminus

20 | OBHS Interior Guidelines

Material Matrix | 43

6 | OBHS Interior Guidelines

The toolkit allows OBHS to create touch points, or visual markers, that allow patients to easily navigate the campuses. The improved patient and staff experience is key to building and maintaining a consistent visual look, with room for personalization by campus and department.

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University Hospitals

Rainbow Babies & Children’s Hospital CLEVELAND, OH

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The neonatal intensive care unit (NICU) at Rainbow Babies and Children’s Hospital — part of Cleveland’s University Hospitals and one of America’s premier children’s hospitals as ranked by U.S. News & World Report — was undersized by current space benchmarks. The Hospital recognized the benefits of a single-room NICU model, but required a design that would not raise operating costs. Array welcomed the opportunity to integrate the Rainbow brand into the interior design and environmental graphics as part of a 30,000 SF expansion to provide an all-private-room, Level III 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 interpreting color through light. Flower, Sunshine, Raindrop and Butterfly icons serve as visual cues unique to each of the four care units. A water ribbon element embedded in the floor flows through each of the four pods. These wayfinding icons to provide a whimsical relief to families spending extended time in the NICU.

NICU Corridoor Photography: Scott Pease PAGE 25

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Nagivating the Space 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 glasssurround window seat area offer a welcome respite for family members. University Hospitals chose to adopt the private room model, citing evidence-based research and best practice benchmarks. The private rooms, including rooms sized to accommodate multiples, allow for a parent sleep and nursing / feeding area (with space for a comfortable chair and breast pump) while also allowing ample space for clinicians to examine the baby. Nurse sub-stations, located between every two rooms, provide charting space and quick access to each room while being respectful of patient / family privacy. Colorful icons and floor inlays distinguish the four pods within the unit, making the large space easy to navigate.

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University Hospitals Seidman Cancer Center CLEVELAND, OH

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University Hospitals (UH) Seidman Cancer Center, a 375,000 SF freestanding cancer facility, is one of only 10 such facilities in the US. UH tasked the design team with creating a modern environment that would be the embodiment of the exemplary care provided in an inviting, warm, nurturing setting that inspires hope in all who enter. Working with senior leadership, physicians, nurses, past and current patients and their family members, Array, in association with Cannon Design, explored their perspectives, vision and aspirations through design workshops, focus group sessions and room mock-ups. Feedback gathered informed each and every programming, planning and design decision. Immediately upon entering the building, one recognizes that they have arrived at a world-class Cancer Center. The soaring, light-filled lobby and atrium lift the spirits of patients and visitors. The diverse art collection, healing gardens and water features engage patients and caregivers alike. Well-conceived floor plans and attention to detail in the clinical zones afford efficient, optimal work environments for caregivers. Careful selection of colors and finishes contribute to a calming, quiet and healing environment.

Main Lobby Photography: Brad Feinknopf PAGE 29

The Healing Power of Art By giving each patient floor a distinct color-way, the information screen and nurse station intersection becomes a landmark and reference point. At each patient room entry, the room number is accompanied by a floor-specific, nature-themed resin panel. The panel provides an additional wayfinding element for each Unit, while also adding dimension to the corridor. Much of the art in the building embodies nature themes consistent with patient input and with the Hospital’s intention to focus on the healing qualities of nature. World-class, original, abstract art was also carefully selected and placed to provide patients and visitors opportunities to engage in a very real and personal way and to stimulate imagination, escape and even whimsy. This collection resulted in 325 original pieces of art featuring local, national and international artists of renown. “The variety of media is intended to provide warmth, texture and depth to the healing environment,” Trudy Wiesenberger, UH’s art curator, explained. “We strive to make the Hospital a welcoming place. The art at University Hospitals is meant to engage the head and the heart, the body and the brain.” The Ambulatory lobby features a variety of seating configurations designed to offer choice to gather in sun-drenched social circles or tuck into a subdued place of quiet and respite. The adjacent atrium is enhanced by a four-story mobile by Brad Howe entitled “Sea Rhythm” that can be appreciated from many locations throughout the floors. The Radiation Oncology Department is located in the sub-basement to accommodate shielding requirements. The water feature in the waiting area reflects light from the skylight and provides a soothing backdrop for patients and their families. Signage directs those waiting to escort a patient home after treatment to a quiet area where they can work or access resource material. PAGE 30

Noted landscape designer, Virginia Burt, used nature and art to connect patients with the healing power of nature in the Schneider Healing Garden. Adjacent to the Seidman Cancer Hospital, the healing garden offers a place of rejuvenation and restfulness. This intricate granite labyrinth, an 11-circuit Chartres pattern made of 955 pieces of hand-cut stone, is the garden’s centerpiece and was designed for walking meditation. The 13,000 SF garden features sculptures, sloping walkways and more than 75 plant species. The garden focuses on the four elements of Earth, Wind, Fire and Water through various rock walls, sculptures and artwork installations. A snowmelt system keeps the pattern free of ice and snow, ensuring year-round accessibility. Much of the Cancer Center faces the expansive garden, and its beauty enhances the views from patient rooms and treatment areas alike.

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Patient Experience

“Knowing that the environment can affect the healing process, I strive to create comfortable, inspiring and supportive spaces for patient, family and staff.”

Stephanie Story, LEED AP BD+C, NCIDQ Principal & Senior Interior Designer

St. Elizabeth Healthcare Ft. Thomas Hospital FORT THOMAS, KY

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After the successful completion of the 120,000 SF St. Elizabeth Ambulatory and Urgent-Care Center, Array was retained to provide design services that would improve the Health System’s recently acquired campuses. At the Ft. Thomas campus, Array completed a new Women’s Center that includes primary and specialty care exam and procedure rooms, physician offices, designated sub-waiting for each modality and private toilet rooms. St. Elizabeth’s Healthcare goal was to rejuvenate their brand and create a more engaging patient experience. Seeking to create an upscale atmosphere for their patients, St. Elizabeth combined all women’s healthcare services from several campuses into one location. Array accomplished this goal by developing a palette of rich earth tones and textures combined with comfortable furnishings and uplifting art to create an inviting environment. The patient-centered, centralized location enables all services to be streamlined, easing the stress of patients.

Women’s Center Reception Desk Photography: J. Miles Wolf PAGE 35

Public Lobbies

2.1

the

Design Tool Kit

Lobby Amenities

Lobbies Since the lobby is the first point of contact for a facility it is most STANDARDS & GUIDELINES important to make visitors feel welcome and safe.

•  Ensure values are communicated. •  Reinforce the brand

St. Elizabeth Healthcare | Reissued: July 2013

•  Use wayfinding devices. •  Use rich, warm materials •  Aesthetics should be consistent through all campuses and buildings

•  Use architectural details (.i.e. soﬃts, lighting and changes in materials) to help define amenities. •  Provide amenities that will add interest for the patrons and will give the area a Hospitality feel: (Bistro, Chapel, Gift Shop) •  Design a Resource Center into a quiet alcove adjacent to the main lobby. •  Incorporate positive distractions to decrease patient and family stress.

•  Area should be welcoming and feel comfortable and non -institutional •  Provide positive distractions & amenities •  When possible provide views of the outdoors & access to natural light

St. Elizabeth Healthcare | Reissued: July 2013

For more than 150 years, St. Elizabeth has been the heart and soul of healthcare in Northern Kentucky, proudly fulfilling the wish of the Sisters of the Poor: “So that the new hospital may not only be an ornament for Covington, but a blessing for centuries.” The healthcare organization, founded with one small hospital in 1861, now operates six facilities throughout Northern Kentucky and Greater Cincinnati Area. There is power in good design as a way to establish a positive and meaningful impression for the St. Elizabeth Healthcare Organization. When applied to the many facilities, the image will warm and attract while supporting the latest technology and innovations within each facility.

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St. Elizabeth Healthcare | The Design Tool Kit| Standards & Guidelines

Looking for an actionable plan, the Roadmap created for St. Elizabeth provided the tools for rapid project implementation. Within 120 days, the Roadmap created a brand identity and related service line development strategy for each campus, which aligned services for each market demographic and quantified project budget to support the necessary investment. At their Florence facility, the hospital brand concept embodied a family-focused community hospital. The Roadmap helped management identify the goal of minimizing duplicity of inpatient services while increasing market share and focusing on “wellness healthcare” in response to this young, growing demographic. At their Ft. Thomas campus, the recommendation was to maintain this facility as a community hospital but elevate and enhance outpatient service offerings and update the overall appearance including desirable retail amenities. Based upon market analysis, project dollars were allocated to improve and expand oncology and women’s services at this campus. Now complete, these services are thriving in support of a well justified community need.

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Decision Points In public circulation, every intersection is a decision point for the visitor. These locations should include the following:

Decision Point Checklist

• Defined boundaries to create a sense of place.

þ Integrated signage

• Thoughtfully integrated signage as outlined in the St. E Distinctive Features Guidelines.

þ Boundaries

• Design elements that create memorable landmarks.

þ Design elements create memorable landmarks

• Critical decision points are strengthened by landmarks. Landmarks help to orient visitors, create a sense of place and enhance wayfinding

• Defined boundaries with use of carpet selection • Wayfinding and Signage • Landmark(s) support decision or points either by defining element or contrast of materials/color • Critical decision point defined by the soffit, material change and lighting

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Department Guidelines Waiting & Amenities • Provide smaller seating zones where possible. Avoid large, impersonal seating areas. • Provide more focal, ambient lighting by utilizing focal accent fixtures. • Provide refreshments / hospitality amenity areas where possible. • Provide positive distractions and art work. • Use materials that support a quiet environment.

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Capital Health – Hopewell Greenfield Hospital PENNINGTON, NJ

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Array Architects, in association with HKS, Inc., designed a state-of-the-art 237-bed Replacement Hospital for Capital Health. The design team was tasked with designing a facility that elicits a “Wow, I can’t believe this is a hospital!” response. To bring the delivery of healthcare hospitality to a new level, the new facility features a patient tower, diagnostic and treatment services, cancer center and ambulatory building – all organized around a four-story atrium and two-story pedestrian avenue. Patient safety, family-focused care, and operational efficiency are the design drivers. Concierge services, retail boutiques and a comprehensive Spa are well-received amenities. Concurrently, Array developed a family of materials, colors and details, which served as a roadmap for expansive renovation of the Capital Health Regional Medical Center, ensuring brand parity between the original and new facilities.

Lobby / Atrium Stairs Photography: Blake Marvin PAGE 41

Art as Wayfinding A strong element of this healing environment theme was art. For the interior spaces, Array worked in tandem with art and environmental graphics consultants - Lin Swenson and Kent Design - developing a call-to-artists to support Capital Health’s philosophy that the art should be ‘of the community’. The team worked with local artists and Judith Brodsky at Rutgers University’s Brodsky Center for Innovative Editions (where the printmaking also occurred), to ensure all art was locally-sourced. More than 800 permanent pieces are on display at the Hopewell campus, with rotating exhibits adding new works throughout the year. The heritage recognition installations, which included large murals depicting the hospital’s bucolic setting; rich history; nursing legacy; strong ties to the community; and artifacts, provide a place to stop along the connecting corridors and soak in the local history. Also on each inpatient floor is an informal lobby with fireplace. Each lobby has distinct art and color accents. Wayfinding is further enhanced with elevator lobbies detailed with rich colors and descriptive signage, allowing visitors to associate each lobby color with their destination.

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In addition to artwork commissioned specifically for the replacement hospital, world-renowned architect, Michael Graves, a Princeton, NJ resident, created a series of one-of-a-kind paintings and designed a pergola installation on hospital grounds, which integrates the original hospital’s bronze entry doors. The paintings enhance the wi-fi lounge, a popular gathering spot located at the crossroads of the inpatient tower, outpatient pavilion and emergency department.

Each of the heritage walls, large installations providing a sense of connection as well as an easily found meet up location, detail an important feature of the System’s legacy: philanthropy, community outreach, nursing education and location. Using best practice design principles, all rooms are same-handed and have inboard patient bathrooms located on the patient headwall helping improve patient safety accessing the bathroom while maximizing the window area. The large exterior windows provide scenic views and optimize natural light. To promote a calming, therapeutic environment, the hospital features bright, airy common areas, healing gardens, rooftop gardens, a water wall and outdoor walking paths. PAGE 43

Montefiore Medical Center

Hutchinson Ambulatory Care Center BRONX, NY

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Array recently completed planning and design services for the complete fitout of 12 stories at the newly developed Hutch 2 Tower – part of a Class A office complex convenient to the Medical Center, which was occupied in late 2014. Ambulatory surgery and support services are split between three floors and as well as waiting, prep/ recovery, physician lockers and CSP. The ORs are distributed between several floors with great care taken to properly connect them to achieve maximum efficiency and patient safety. All seven upper clinical floors are based on modules and pods so that space can easily be increased or decreased between groups as needed. Rooms can easily swing from office to consult to exam rooms due to rough ins. Multiple points of entry were also carefully monitored due to patients who self-park, patients who take mass transit, and patients who are dropped off. With these conditions, came additional requirements for security and emergency preparedness.

Ambulatory Surgery Waiting / Lobby Photography: Halkin Mason Photography PAGE 45

Furniture as Placemaker Inpatient and family gathering zones, thoughtful selection of furniture style, scale and performance will greatly enhance perceptions around quality and empathy. A generative space will encourage movement, interaction, connection to resource, education and entertainment opportunities as well as refreshment offerings. Considerations for scheduled cleaning methodologies and routine maintenance should inform decisions relating to wood vs. metal and fabric vs. vinyl upholsteries.

• Bistro-style seating with charging and wi-fi access • Curved and linear seating variety define clear pathways • Distinct zones afford choice for quiet reflection or social interaction • Lighting variety and controls afford light level adjustment for day to evening transitions

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Furniture Guidelines Considerations • Pre-negotiated discount structure with trusted dealer network can streamline procurement, staging and installation. • Pre-selecting trusted manufacturers and furniture groups conserves stakeholder time during vetting process • Engaging caregivers, and patient and family advisory groups can provide valuable insight.

Property Checklist þ Bariatric Accommodation þ Clean-out between seat and back þ Resilient, cleanable arm caps þ Firm seat, durable coverings

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