Studio IV Healthcare Design Package by Alessandra Poma

Final Design Package

PRE-DESIGN PRECEDENT & THEORY STUDY............................4 PERSONAL ARTICLE STUDY..............................5 USER ASSOCIATION COLLAGE............................6 STAKEHOLDER ANALYSIS................................8 CLIENT & PROJECT TEAM...............................9 SITE IMPLICATIONS..................................10 SUITE IMPLICATIONS.................................11 PROGRAMMING MATRIX & ADJACENCIES...................12 PROJECT GOALS......................................20 CONCEPT DEVELOPMENT................................21 PRELIMINARY DIAGRAMS...............................22 SUITE CODES & SPECIFICS............................24 PROPOSED PLAN......................................27 VISUAL ANALYSIS DIAGRAMS...........................28 COLOR PALETTE JUSTIFICATION........................30 WAYFINDING PACKAGE.................................32 ART PACKAGE........................................33

FINAL DESIGN RENDERED FLOOR PLAN............................................34 REFLECTED CEILING PLAN.........................................35 FURNITURE KEY PLAN.............................................36 RECEPTION MILLWORK.............................................38 EXTERIOR ELEVATION.............................................40 RECEPTION ELEVATION............................................41 RECEPTION RENDERING............................................42 EXAM FRONT ELEVATION...........................................44 RECEPTION, WAITING ROOM, AND HALLWAY FF+E.......................46 EXAM ROOM RENDERINGS...........................................48 EXAM ROOM FF+E.................................................50 COMMUNITY ROOM RENDERING.......................................52 MEDICAL STAFF AREA ELEVATION....................................54 WORKS CITED....................................................55

Research

Caboolture GP Super Clinic/ Wilson Architects LOCATION: Caboolture QLD 4510, Australia | AREA: 3200.0 m2 (34,445 SF) | YEAR: 2015 PROJECT DESCRIPTION: The clinic’s goal was to stray from the traditional route seen within healthcare design and in turn “foster a feeling of healing and respite” (2017). The interior space can be described as a light- lled space full of organic movement that is surrounded by nature and life. Some of the factors that were considered when designing Caboolture included “light, space, breezes, ergonomics, and most importantly, how it was going to be used” (2017). The architects used a Salutogenic approach which promotes wellbeing in healthcare and focuses on factors that support human health, rather than on factors that cause disease. Another main priority was to make the clinic feel and become known as a community clinic. This design approach was made successful with the inclusion of vertical gardens, sh ponds and an atrium which all foster a strong link between “feeling good and being well” according to the Executive Director, David Hooper (2017).

Figure 1 shows the Caboolture GP Super Clinic ground oor plan which focuses on the experience of its users. As seen above, the plan shows a mixed use of organic forms and linearity, bringing forth naturalistic elements near rooms. Forms like these are able to mark focal points, but also provide a break from the sterile traditional environments that Wilson Architects wanted to stray away from. These focal points also emphasize factors that better health instead of those that focus on disease.

FUNCTIONALISM THEORY: According to Egon Brunswick, a functionalist mindset theorizes that an environment contains cues that people must be able to recognize and make sense of to function properly and effectively (Kopec, 2012). The Functionalism Theory considers the human and environment relationship holistically to analyze subjective interpretations of beauty and usefulness. The theory promotes the idea of spaces that consider and build upon function, tness, and utility are successful and beautiful.

DESIGN IMPLICATIONS: 1. A space should include innovative ways in which to bring forth natural elements while creating a sense of privacy. 2. Though a space may use more organic elements, it is important to maintain recognizable features to emphasize functionalism and familiarity. 3. Air purifying elements should be included throughout the space. 4. The design should bring forth a calming experience for users.

Figure 2 shows the eating area where patients and families are able to visit. The space is designed with a variety of plants to provide an invigorating space within the clinic. Through the use of the functional theory, the designers were able to bring the outside in throughout the clinic.

Figure 3 shows a waiting area within the Caboolture GP Super Clinic in which organic forms were built into a feature wall in order to provide organic seating arrangements, a stimulative environment, and a naturally encompassing and inclusive space. The architects thought this would allow communities to think of clinics and spatial relationships differently.

Research

Five Stages of the Patient Journey READING DESCRIPTION: As recently as the 1990s, healthcare design has been evolving from the sterile environment that it has gotten a reputation for. As patient and physician roles have changed over time, so has the design in which users of the space have come to know. Patients were previously viewed as “individuals who were receiving care rather than as active participants in their own health and wellness” (Guzzo, Vickery, Christine, et al., 2015, p.2). Due to an increase in evidence-based design, there has been an increase in interest in the relationship between design decisions and patient health outcomes. Figure 5 shows a Northern Beaches Hospital rendering which holds orientation considerations along with the creation of landmarks through architectural design features a method to lessen the worry of feeling lost. Having a landmark or focal point to refer to often increases knowledge of place for new patients and visitors

Figure 4 shows the exterior pathway up to the Natalie Of ce Building in Tulsa, Oklahoma. The exterior of the building provides a focal point and view to the interior to guide patients in and out of the building.

Figure 6 shows how online chats and e-visits allow healthcare professionals to chat with patients in real time, often recommending discussion progress and consultation services. Phone triages allow patients to obtain advise before sessions in order to get appropriate care based on symptoms and other concerns.

To approach clinic design as a holistic approach and envision patient arrivals, one must think of the patient’s journey which includes: awareness, entry, assessment, treatment, and transition. AWARENESS encompasses the idea that the patient understands that they need to seek care whether because of “illness, injury, or need for routine appointments” (Guzzo, Vickery, Christine, et al., 2015, p.2). Many clinics use phone triage, online chats, and e-visits as a method to ensure patients get proper information for future visits. ENTRY encompasses and includes orientation, shading, fenestration, location, and reception design. Typically, a recognizable main entry such as one with a landmark provides checkpoints to enable a sense of place. Patients who approach a clinic where they are readily able to look inside also allows for a sense of ease.

DESIGN IMPLICATIONS: 1. Patients coming into a clinic should feel a sense of revitalization, often seen through fenestration. 2. The reception or check-in area should be easy to nd as it is where rst staff contact occurs. 3. Reception desks should have access to light and should be located near sub-entries to allow patients to feel more comfortable when called.

Research

Negative Provider & Patient Association

DESIGN IMPLICATIONS: 1. Create spaces in which acoustics are essential as sound and privacy can often become an issue when discussing patients evaluations and results. 2. Artwork on walls is important and should be considered within a healthcare space in order to provide a positive distraction while waiting on providers. 3. Lighting within a space should be energizing to provide care providers with a space that resembles natural daylight. 4. Material usage should be considered, especially in areas with high potential use.

Research

Positive Provider & Patient Association

DESIGN IMPLICATIONS: 1. The designer should provide spaces in the provider workspace in which there is ample space to make phone calls and review data for patient visits. 2. There should be a variety of lighting used that mimics the daily natural lighting schedule, producing melatonin in patients which can ease sleep and reduce stress. 3. Use color where patients or visitors may be placed in order to provide positive distractions and a sense of progression. 4. Provide space in which providers can speak with patients and families about results with the consideration of acoustics.

Research

Project Stakeholders

DESIGN IMPLICATIONS: 1. Provide seating along the walls for users to rest while moving throughout the facility. 2. Comfortable ooring should be integrated throughout as staff are constantly maneuvering around the clinical space. 3. White noise and other positive distractions should be integrated for the bene t of patients and family members waiting for news after a visit.

PATIENTS AGE: Varies (Infant - Senior) STATE OF MIND: Stressed, worried, & nervous PHYSICAL HEALTH: Ill from a non-threatening ailment CONSIDERATIONS: Privacy, quiet space with ambient white noise, comfortable furniture, artwork, and visual breaks

AGE: Varies (Infant - Senior) STATE OF MIND: Despondent, worried, and/or fatigued PHYSICAL HEALTH: Healthy though fatigued CONSIDERATIONS: Ergonomic furniture, waiting area with artwork, quiet space, and positive distractions

PHYSICIANS (INCLUDING MEDICAL ASSISTANTS) AGE: Late 20s + STATE OF MIND: Stressed, worried, & pressed for time PHYSICAL HEALTH: Healthy though fatigued, sore from walk CONSIDERATIONS: Similar arrangements in each treatment room, ample space, and quiet space

TRAVELING PHYSICIANS, REPRESENTATIVES, & STUDENTS

ADMINISTRATION & CLERICAL STAFF

MAINTENANCE

AGE: Early 20s + STATE OF MIND: Sociable, rushed for time, serviceable PHYSICAL HEALTH: Healthy though fatigued, sore from seat CONSIDERATIONS: Ergonomic furniture, storage space, private space, and desk space with computer and phone

FAMILY (INCLUDES CHILDREN) & CAREGIVERS

AGE: Early 20s + STATE OF MIND: Pressed for time, worried, & fatigued PHYSICAL HEALTH: Healthy though fatigued, sore from walk CONSIDERATIONS: Similar room arrangements in every room and desk space with computer and phone

AGE: Early 20s + STATE OF MIND: Serviceable & fatigued PHYSICAL HEALTH: Healthy though fatigued from standing CONSIDERATIONS: Comfortable ooring throughout, quiet space to relax, storage space, and private space

Research

Client Profile CLIENT: Daniel Van Durme MD, MPH EDUCATION: University of South Florida College of Medicine, Tampa, FL FSU PrimaryHealth, a new primary-care health center that opened in May 2019 strives to meet community health needs in Leon County and other surrounding counties. A main goal for the clinic is to further education and research for the Florida State University College of Medicine, along with providing optimal access to primary health care and referral services. During the meeting with Dr. Van Durme, a recurring factor that other staff team members want to incorporate in the Phase 2 PrimaryHealth Center is ample exam rooms that allow more family members and staff members to participate in interdisciplinary practices.

Project Team MLD ARCHITECTS (ARCHITECTURAL & INTERIOR DESIGN TEAM): The local architectural team offers a variety of services such as tenant build-outs, expansions, exterior envelope repairs, and re-roo ng. In this scope, the interior design team will develop and build upon oor plans. H2ENGINEERING (MEP ENGINEERING): The mechanical, electrical, and plumbing engineering teams contribute to the scope of the design by offering recommendations and analysis based on sound engineering principles. RIPEE CONSTRUCTION (GENERAL CONTRACTOR): The general contractor is responsible for providing services for the construction of the project such as material, labor, and equipment. Depending on the scope, a subcontractor may be hired for more specialized elds of study. ACCENT OFFICE INTERIORS (FURNITURE CONSULTANT): The local Hayworth representative In Tallahassee will offer design services such as providing recommendations on of ce furnishings to create ef cient workspace environments. Though the interior designer will provide space plans, the furniture representatives will provide more in-depth recommendations. SECURCORP (SECURITY CONSULTANT): In cases with separate circulation paths, the local security consultation rm will offer services such as security system selection, training, and supervision of technology and organizational systems. RML ACOUSTICS, LLC (ACOUSTICIAN): The acoustical consultants provide noise studies to determine set acoustics and monitoring requirements.

Research

Site Analysis & Implications

Roberts Avenue

Current Parking

CLINIC: Florida State University PrimaryHealthâ&#x201E;˘ (Phase 2) ADDRESS: 2911 Roberts Ave, Tallahassee, FL 32310 BUILDING ENTRANCE ORIENTATION: South

Current Location

Figure 7 shows the entrance to the existing FSU PrimaryHealth clinic. Behind this building, the site will hold the innovative and interdisciplinary FSU Primary Care Clinic.

Parking New Location

N Ridgeway Avenue

Figure 8 shows a view to the south of the FSU PrimaryHealth Clinic. The building stands behind the clinic and will be seen from exam rooms throughout the clinic.

Figure 9 shows the existing waiting room area upon entering the clinic. Wide seats are used to provide ample space between patients and other visitors.

SURROUNDINGS: The clinic is surrounded by residential areas, Sabal Palm Elementary School located to the SE, and the Big Bend Habitat for Humanity located to the NW. VISITOR APPROACH: A visitor will approach the clinic by taking Eisenhower Street and driving around the clinic to nd parking and a minimally landscaped entrance. SITE CONSIDERATIONS: Though the clinic seems to be in a remote area, noise coming from all directions should be acknowledged in the exam rooms. CLIMATE CONSIDERATIONS: Tallahassee has a subtropical climate consisting of long summers and shorter winters. The high humidity and annual rainfall must be considered. DESIGN IMPLICATIONS: 1. Maximize natural lighting usage in exam rooms to receive Northern light. 2. Provide positive distractions in the waiting room by installing windows. 3. Incorporate varied color usage depending on the building orientation.

Research Figure 10 shows Procedure Room 1 where patients are taken for certain visits. The room holds more than ve people comfortably and has two entrances, one for the physician and the other for the patient. Furniture in the procedure rooms and other exam rooms are adjustable by including adjustable height tables and seating. The room becomes important due to its custom features such as adjustable heights, lighting, and the ability to call staff members for help in cases of an emergency. What makes the procedure room stand out is its adjacency to the “island” or the staff team area where physicians can keep an eye on patients.

Suite Implications HOURS OF OPERATION: Monday - Friday (8:00 AM - 5:00 PM) CLINIC BACKGROUND: After reaching a level of maturity and growth, the Florida State University College of Medicine decided to establish its rst enterprise in Tallahassee, FL. Having opened on May 13, 2019, the FSU PrimaryHealth Clinic is in Southwest Tallahassee, an impoverished area with little to no healthcare facilities and one known as a food desert. Due to the high need for health care in the area, the “21st century healthcare” clinic was established as a means to promote an all-encompassing health facility. This would include integrated care delivered by a team, the integration of behavioral health, and interdisciplinary training. POST-OCCUPANCY EVALUATION: Dr. Van Durme noted very successful usages throughout the clinic, one of which that exam rooms were able to successfully hold ve people comfortably for interdisciplinary purposes. The design of the space allows for patients and visitors to feel comfortable and free to explore more community opportunities. CURRENT STRENGTHS: 1. The reception provides direct connections with patients for security and trust purposes. 2. Exam rooms provide ample space for the full team model. CURRENT WEAKNESSES: 1. Distinct circulation paths for staff and patients would work best. 2. Flexible storage and furniture would work best in private spaces. DESIGN IMPLICATIONS: 1. Provide exible and multi-use furniture by considering usage. 2. Design with natural lighting considerations to bring comfort. 3. Design circulation by keeping the community in mind.

Figure 11 shows an area off of the reception which allows patients and visitors to have access to the internet. If the visitor does not know the program, they are able to elect to have someone help.

Figure 12 shows the children’s play room off of the waiting area. The decision to not separate patients into “sick” and “well” groups allows children to come in while they wait to be attended. The glass windows allow children to play within the room while still staying within a reasonable sightline from their caregivers. The openness of the room allows the receptionist to supervise if needed. A communal feature within the room is the bookshelf in which all visitors are able to take a book with them after their visits for free. Figure 13 shows the lockable storage area where staff members can store their belongings in a new locker everyday. Figure 14 shows the Medical Director’s of ce which is in reality used as a multipurpose space for any team member in the clinic. The space is meant to be a quiet for anyone to share throughout the day.

*SEE CODE STUDY PAGE FOR SITE ANALYSIS AND SUITE IMPLICATION INFORMATION

Pre-Design

Programming Matrix QUANTITY

ROOM

USES

FURNITURE

EQUIPMENT

COMMUNITY ROOM

The community room will have exible seating for community based meetings.

Flexible Tables, Seating, Lockable Storage

Magazine Rack, TV, Speaker System, Cleanable Surfaces

TEACHING KITCHEN

The teaching kitchen will be used adjacently to the community room.

Seating, Counter Space, Recycling, Trash

Refrigerator, Microwave, Sink

ADJACENT CLOSET

The closet will be used for excess storage when furniture in the community room is not in use.

Event and Chair Storage

Double Doors for Easy Access

WAITING ROOM

The waiting room will be a zone for patients to wait prior to appointment or check-in.

Seating for ~ 20, Bariatric Seating, Tables, Ample Space for Wheelchairs

Magazine Rack, TV, Speaker System, Cleanable Surfaces

1-2

CHECK-IN KIOSK

The kiosk will serve as a place where patients and visitors can check in with a receptionist to ask where to go.

Desk, Ergonomic Task Chairs for 3 - 4, Signage, Ample Lockable Storage

Computer, Phone

CONSULTATION ROOMS

The private consultation rooms will serve as spaces where physicians will talk to patients about their history.

Desk, 2 Guest Chairs, Ergonomic Task Chair

Medical Equipment, Cleanable Surfaces

CHILDREN’S PLAY AREA

The children’s play area will serve as a waiting zone to keep children entertained before a session.

Ergonomic Children’s Seating, Tables for Children, Game Pieces, Artwork, Interactive Games, Bookshelf

Toys for Children, Cleanable Surfaces

CHECK-OUT DESK

The check out desk will serve as a transaction counter after sessions are completed.

Desk, Ergonomic Task Chairs for 3 - 4, Signage, Ample Lockable Storage

Computer, Phone

BUSINESS WORK AREA

The business area will serve as a space that visitors can use while they are waiting to be seen by a physician.

Ergonomic Of ce Chairs, Tables, Storage

Copier, Printer, Of ce Supplies

FAMILY RESTROOM

The restrooms should be full-accessible for families to use while waiting to be seen.

Diaper Changing Station

ADA Lavatories, ADA Sinks, Counter Space, ADA Mirrors, Appliances

32 - 34

EXAM ROOMS

The exam rooms will serve as spaces where physicians are able to check in on and observe patients.

Ample Space for 5, Ergonomic Seating, Storage, Cot, Stool, Ergonomic Rolling Chair

Sink, Medical Equipment, Sphygnomanometer, Cleanable Surfaces

BEHAVIORAL COUNSELING

The counseling rooms will serve as areas where psychologists may privately speak with patients about their history.

Ample Space for 6 People, Ergonomic Seating, Storage, Desk, Tables

Computer, Phone

Pre-Design PROGRAMMING MATRIX KEY: COMMUNITY ROOM AREA

CLINICAL AREA

WAITING ROOM AREA

BUILDING SERVICES & STAFF AREA

ELECTRICAL

LIGHTING

SQ.FT.REQ. SQ.FT.PRO.

OTHER

Child-Proof Convenience Outlets, Outlet for Television and Speakers

25 FC, Energy Ef cient Recessed Can Lighting, Energy Ef cient Cove Lighting, Emergency Lighting

900 SF

782 SF

Should Include Moveable Furniture, Wipeable Surfaces

GFCI Outlets, Dedicated Outlets, Outlet for Television and Speakers

30 FC, High CRI, Energy Ef cient Ambient Lighting, Energy Ef cient Under Cabinet Lighting, Emergency Lighting

500 SF

275 SF

Must Include Classroom Layout and Moveable Furniture

Child-Proof Convenience Outlets

15 FC, Energy Ef cient Can Lighting

100 SF

80 SF

Incorporate Ample Space for Extra Storage

Child-Proof Convenience Outlets, Outlets for Television and Speakers

30 FC, Energy Ef cient Recessed Lighting, Energy Ef cient Ambient Lighting, Energy Ef cient Sconces, Emergency Lighting

1000 SF

1060 SF

Incorporate Positive Distractions, Include Wipeable Surfaces, Consider Acoustics

Dedicated Outlet for Kiosk

20 FC, Energy Ef cient Recessed Lighting, Energy Ef cient Ambient Lighting, Energy Ef cient Sconces, Emergency Lighting

60 SF

75 SF

Mitigates Wait Times for Patients (Ef ciency)

Child-Proof Convenience Outlets, Outlet for Television and Speakers

30 FC, Energy Ef cient Recessed Lighting, Energy Ef cient Dimmable Ambient Lighting, Emergency Lighting

150 SF

100 SF

Should Be Off of Waiting Room

Child-Proof Convenience Outlets, Outlet for Television and Speakers

20 FC, Energy Ef cient Recessed Lighting, Energy Ef cient Ambient Lighting, Emergency Lighting

200 SF

202 SF

Incorporate Positive Distractions, Include Wipeable Surfaces

Dedicated Outlet for Desk

20 FC, Energy Ef cient Recessed Lighting, Energy Ef cient Ambient Lighting, Energy Ef cient Sconces, Emergency Lighting

100 SF

75 SF

Needs Clear Sightlines for Receptionist

Dedicated Outlet for Computers, Child-Proof Convenience Outlets

20 FC, Energy Ef cient Recessed Lighting, Energy Ef cient Ambient Lighting, Energy Ef cient Sconces, Emergency Lighting

100 SF

50 SF

Should Be Off of Waiting Room

GFCI Outlets

30 FC, Energy Ef cient Ambient Lighting, Emergency Lighting

80 SF

82 SF

Must Be Unisex Bathrooms

Dedicated Outlets, Child-Proof Convenience Outlets, Outlet for Computer

100 FC, High CRI, Energy Ef cient Recessed Lighting, Energy Ef cient Ambient and Under Cabinet Lighting, Emergency Lighting

120 SF

125 SF

Exam Room 1 Must Be Off of Reception and On Separate Vent. System, Table System May Serve Multiple Purposes

Child-Proof Convenience Outlets, Outlet for Television and Speakers

30 FC, High CRI, Energy Ef cient Recessed Lighting, Energy Ef cient Dimmable Ambient Lighting, Emergency Lighting

120 SF

215 SF

Should Include Living Room Style Layout

Pre-Design

Programming Matrix QUANTITY

ROOM

USES

FURNITURE

EQUIPMENT

PROCEDURAL ROOMS

The rooms do not require an aseptic eld but may require use of sterile instruments or supplies for procedures.

Ergonomic Seating, Storage, Cot, Stool, Ergonomic Rolling Chair

Sink, Medical Equipment, Cleanable Surfaces

1-2

CLEAN SUPPLY ROOMS

The clean supply rooms allow physicians to easily nd equipment necessary for seeing patients.

Shelving, Storage

Medical Equipment, Medical Supplies, Chux, Sink, Shower Drain

1-2

SOILED SUPPLY

The soiled supply rooms serve as a repository for equipment that has already been used on patients.

Shelving, Storage

Sink, Shower Drain, Biohazard Waste Disposal, Centrifuge

MEDICAL TEAM STAFF AREA

The medical staff area will serve as a public space where physicians and students can take a break in or eat.

Ergonomic Seating for 20, Tables, Shelving, Central Island for Team Meetings

Refrigerator, Microwave, Sink, Counter Space

LAB

The lab will serve as a space where physicians can analyze specimen for the adjacent restroom where a wall is shared.

Specimen Collection Storage

Microscope, Biohazard Waste Disposal, Centrifuge

RESTROOM

The restroom will serve as an adjacent space to the lab where patients can use the restroom to put samples in.

Specimen Collection Storage, Specimen Cabinet, Diaper Changing Station

Lavatory, Sink, Mirror

CUSTODIAL ROOM

The custodial room will serve as an area for custodial storage for the rst level of the clinic.

Seating, Supply Storage, Carts

Mop Sink

SERVER ROOM

The server room will store the clinic server and should be kept away from the outer perimeter.

Server Rack, Seating, Table

Clinical Server

ELECTRICAL ROOM

The electrical room will store electrical equipment and should be kept away from the outer perimeter.

Seating, Table

Electrical Equipment

OPERATIONS DIRECTOR OFFICE

The operation director’s of ce will serve as a space where the director can observe and organize the clinic.

Ergonomic Executive Chair, Movable Desk, Shelving, Lockable Storage, Meeting Table & Ergonomic Seating for 4

Computer, Phone, Screen

MEDICAL DIRECTOR OFFICE

The operation director’s of ce will serve as a space where the director can review the clinic’s medical services.

Ergonomic Executive Chair, Movable Desk, Shelving, Lockable Storage, Meeting Table & Ergonomic Seating for 4

Computer, Phone, Screen

PORTABLE EQUIPMENT AREA

The portable equipment area will serve as a space where supplies are stored that may need to be transported.

Shelving, Lockable Storage, Lockable Doors

Carts, Medical Equipment, Supplies

Pre-Design PROGRAMMING MATRIX KEY: COMMUNITY ROOM AREA

CLINICAL AREA

WAITING ROOM AREA

BUILDING SERVICES & STAFF AREA

ELECTRICAL

LIGHTING

SQ.FT.REQ SQ.FT.PRO.

OTHER

Dedicated Outlets, Child-Proof Convenience Outlets, Outlet for Television

100 FC, High CRI, Energy Ef cient Recessed Lighting, Energy Ef cient Dimmable Ambient and Under Cabinet Lighting, Em. Lighting

150 SF

Room Must Include Adjusable Table System, Should be Adjacent to Team Area

GFCI Outlets, Child-Proof Convenience Outlets

50 FC, High CRI, Energy Ef cient Recessed Lighting, Emergency Lighting

60 SF

Should Be In Centralized Area

GFCI Outlets, Child-Proof Convenience Outlets

50 FC, High CRI, Energy Ef cient Recessed Lighting, Emergency Lighting

60 SF

Should Be In Centralized Area

Child-Proof Convenience Outlets, Outlet for Computers, Television and Speakers

30 FC, Energy Ef cient Recessed Lighting, Energy Ef cient Dimmable Ambient Lighting, Emergency Lighting

600 SF

700 SF

Island Epitomizes Team Care, Should be Placed Adjacent to a Procedural Room

Dedicated Outlet, GFCI Outlets, Convenience Outlets, Outlet for Computer

100 FC, High CRI, Energy Ef cient Recessed Lighting, Energy Ef cient Dimmable Ambient Lighting, Emergency Lighting

200 SF

170 SF

Lab Must Be Adjacent to Restoom with Specimen Collection

GFCI Outlets

30 FC, Energy Ef cient Ambient Lighting, Emergency Lighting

80 SF

75 SF

Must Be Unisex Bathrooms

Child-Proof Convenience Outlets

15 FC, Energy Ef cient Recessed Lighting, Emergency Lighting

60 SF

65 SF

Consult with Engineer

Dedicated Outlet, GFCI Outlets, Child-Proof Convenience Outlets

15 FC, Energy Ef cient Recessed Lighting, Emergency Lighting

50 SF

65 SF

Consult with Engineer

Dedicated Outlet, Child-Proof Convenience Outlets

15 FC, Energy Ef cient Recessed Lighting, Emergency Lighting

50 SF

65 SF

Consult with Engineer

Child-Proof Convenience Outlets, Outlet for Computer and Speakers

50 FC, Energy Ef cient Recessed Lighting, Emergency Lighting

150 SF

110 SF

Will Be Used As Multi-Purpose Room for Other Staff

Child-Proof Convenience Outlets, Outlet for Computer and Speakers

50 FC, Energy Ef cient Recessed Lighting, Emergency Lighting

150 SF

125 SF

Will Be Used As Multi-Purpose Room for Other Staff

Child-Proof Convenience Outlets

50 FC, High CRI, Energy Ef cient Recessed Lighting, Emergency Lighting

150 SF

60 SF

Consult with Engineer

Pre-Design

Programming Matrix QUANTITY

ROOM

USES

FURNITURE

EQUIPMENT

CONFERENCE ROOM

The conference room will serve as a meeting space for 8 to 10 people to discuss clinic issues and topics.

Conference Table, Ergonomic Seating for 8 - 10, Artwork

Computer, Monitor, Phone, Integrated Speaker System

STAFF BREAK ROOM

The staff break area will serve as a public space where physicians and students can take a break in or eat.

Ergonomic Seating for 20, Tables, Shelving, Trash, Recycle

Large Refrigerator, 2 Microwaves, Sink, Ample Counter Space

STAFF LOCKER ROOM

The locker room will serve as a space where staff can change their attire, store their belongings, and occasionally sleep.

Lockable Locker Storage, Bench Seating

TV, Cleanable Surfaces

STAFF RESTROOMS

The restrooms should be full-accessible for staff to use while on break or in-between sessions.

Stool

ADA Lavatories, ADA Sinks, Counter Space, ADA Mirrors, Appliances

HALLWAYS / CIRCULATION

The circulation path (separate for physicians and patients) will allow for ease of access to exam rooms.

Occasional Seating Throughout

Emergency Equipment

DESIGN IMPLICATIONS: 1. Provide a centralized location for physician staff to access the clean supply and soiled supply closets to mitigate time and distance spent getting to the equipment. This can be created by providing separate but centralized nursing stations on both ends of the building to have designated closets per wing.

2. Create rooms with suf cient acoustic control per HIPAA standards by choosing materials and nishes with high NRC levels, space planning to separate rooms that include private conversations, and designing separate circulation paths.

3. Design rooms with adequate lighting throughout by including ambient, task, and decorative lighting. Lighting must provide a suf cient amount of foot-candles, especially in areas of high usage such as procedural rooms.

Pre-Design PROGRAMMING MATRIX KEY: COMMUNITY ROOM AREA

CLINICAL AREA

WAITING ROOM AREA

BUILDING SERVICES & STAFF AREA

ELECTRICAL

LIGHTING

SQ.FT.REQ. SQ.FT.PRO.

OTHER

Child-Proof Convenience Outlets, Outlets for Television and Speakers

50 FC, Energy Ef cient Recessed Can Lighting, Energy Ef cient Cove Lighting, Emergency Lighting

900 SF

400 SF

Should Include Moveable Furniture, Wipeable Surfaces

Dedicated Outlets, GFCI Outlets, Child-Proof Convenience Outlets

30 FC, High CRI, Energy Ef cient Recessed Lighting, Energy Ef cient Dimmable Ambient Lighting, Emergency Lighting

700 SF

400 SF

Should Include Comfortable Furniture for Relaxation, Wipeable Surfaces

GFCI Outlets, Child-Proof Convenience Outlets

25 FC, Energy Ef cient Recessed Lighting, Emergency Lighting

500 SF

220 SF

Incorporate Ample Storage Space for Staff

GFCI Outlets

30 FC, Energy Ef cient Ambient Lighting, Emergency Lighting

80 SF

Must Be Unisex Bathrooms

Child-Proof Convenience Outlets

15 FC, Emergency Lighting as Required on Path of Egress

7448 SF (35.7% CIRCULATION)

9370 SF (45% CIRCULATION)

Include Separate Circulation Paths and Exits for Physicians and Patients

TOTAL: 20,848 SF

Pre-Design

Adjacency Matrices Overall Adjacency: Quantity Sq.Ft. 1 1 1 1

Room

Community Room Adjacency: Quantity Sq.Ft.

Room

1500

Community Room

900

Community Room

2060

Waiting Room

500

Teaching Kitchen

6480

Clinical Area

100

Closet

2980

Building Services & Staff Area

DESIGN IMPLICATIONS:

Waiting Room Adjacency: Quantity

Sq.Ft.

1000 SF

Waiting Room

1-2

60 SF

Check-In Kiosk

150 SF

Consultation Rooms

200 SF

Childrenâ&#x20AC;&#x2122;s Play Area

100 SF

Check-Out Kiosk

100 SF

Business Work Area

80 SF

Family Restroom

Room

1. Provide a centralized location for medical staff to access the clean supply and soiled supply closets to mitigate time and distance spent getting to the equipment. This can be created by providing separate but centralized staff stations on both ends of the building in order to have designated closets per wing.

2. Create rooms with suf cient acoustic control per HIPAA standards by choosing materials with high NRC levels, space planning to separate rooms that include private conversations, and design separate but similar circulation paths.

3. Design a set amount of rooms adjacent to lab or medical staff areas in order to provide optional direct views into procedural rooms for clear sightlines and care purposes. Bathrooms should also be near these areas for patient and staff ease.

Pre-Design

Clinical Area Adjacency: Quantity

Sq.Ft.

32 - 34

120 SF

Room

Building Services Adjacency: Quantity

Sq.Ft.

Exam Rooms

60 SF

Custodial Room

120 SF

Behavioral Counseling

50 SF

Server Room

60 SF

Procedural Rooms

50 SF

Electrical Room

1-2

150 SF

Clean Supply Rooms

150 SF

Operations Director Of ce

1-2

200 SF

Soiled Supply Rooms

150 SF

Medical Director Of ce

100 SF

Medial Team Staff Area

150 SF

Portable Equipment Area

100 SF

Lab

900 SF

Conference Room

80 SF

Restroom

700 SF

Staff Break Room

500 SF

Staff Locker Rooms

80 SF

Staff Restrooms

DESIGNATION:

Room

LEGEND:

COMMUNITY ROOM AREA

CRITICAL ADJACENCY

WAITING ROOM AREA

DESIRABLE ADJACENCY

CLINICAL AREA

MINIMAL ADJACENCY

BUILDING SERVICES & STAFF AREA

UNDESIRABLE ADJACENCY

Pre-Design

Project Goals Based on continuing research, the goals below were compiled based on stakeholder, provider, and patient interviews, case studies, and article studies throughout the course of the pre-design phase.

1. Provide an innovative healthcare design solution t for and that epitomizes team care and interdisciplinary practices.

2. Create a rejuvenating space in which patients feel welcome, revitalized, and a part of the community.

3. Design a clinic in which sensory cues are considered used as positive distractions.

4. Create a space in which natural elements are brought forth while maintaining a sense of privacy. 20

Pre-Design Figure 15 shows a proposal, Close to Home, for creating more mental health facilities in Beijing to alleviate the mental crisis in China. A proposal like this looks at communities to see where aid is needed. Instituting these structures would allow health care to be more accessible to the more impoverished.

Building Blocks & Supporting Strategies CONCEPT DESCRIPTION: In a world where our knowledge of the built environment is expanding, building elements need to constantly bear weight and support from adjacent building blocks. Similar to this, the mental health stigma is getting broken down, allowing people to discover and think of support treatment as more of a longterm bene t over a present negative situation. Providing care in a community that has lacked access to adequate healthcare in the past brings forth a building block strategy to set communities, people, and medical staff up for success.

Figure 17 shows an illustration of therapy where a behavioral specialist is able to aid a patient through ongoing issues. Though becoming more prevalent, it is a good and bene cial option to realize that in seeking help is a good foundation for better health.

With this in mind, the concept of building blocks and support strategies comes into play as healthcare integration along with the need for quality access is at the core of the new FSU clinical facility construction. The emphasis on team-based collaboration, behavioral health help, and interdisciplinary teaching promotes the support and betterment of the community, self, and future of healthcare. The concept is meant to show and emphasize how when working together and building off of one another, all parties can bene t from learning from and supporting one another. Users will experience a collaborative and open design to facilitate communication between healthcare providers and patients but within a community as well. Adjacencies, furniture arrangements, and room placement will work with one another to provide a more functional and promote one-on-one communication. To promote functionality, separate circulation paths for both providers and patients will ease traf c patterns. The color palette will include more natural and soothing colors, bringing forth nature towards the inside for a revitalizing effect and connection, playing off of the colors found in natural building elements such as soil, clay, and water. The concept is meant to show a synthesis of team building and individual motivation to promote the health of

the body, community, and healthcare discipline.

Figure 16 shows a cantilevered house in Spain. The architecture of the house builds off of one another as the top element could not be successful without the bottom.

Figure 18 shows an illustration of how a good rst step to better health is acceptance that oneâ&#x20AC;&#x2122;s mental health may not be a stable stage. Having the right resources and support would better help communities.

Pre-Design

Space Planning: Bubble Flow

J. I.

K. I.

ROOM LABELS: A.Waiting Room B. Children’s Play Area C.Consultation Rooms (2) D.Family Restrooms (2) E. Business Area for Staff F. Community Room G.Teaching Kitchen w/ Adjacent Storage H.Custodial Room I. Exam Rooms(32) J. Restroom w/ Specimen Collection (2) K. Laboratory w/ Blood Draw Room (2) L. Women’s Locker Room M.Clean Supply Room (3) N.Soiled Supply Room (3) O.Men’s Locker Room P. Procedural Room (5) Q.Behavioral Counseling (4) R. Operations Director Of ce S. Staff Restroom (2) T. Portable Equipment Area U. Medical Staff Team Area V.Conference Room W.Staff Break Room X.Medical Director Of ce Y. Electrical Room Z. Server Room

BUBBLE FLOW DESIGNATION:

U. V.

COMMUNITY ROOM AREA

WAITING ROOM AREA

I. CLINICAL AREA

S. I.

BUILDING SERVICES & STAFF AREA

I. P. I.

O. L.

N. K. I.

I. Z.

D. A.

C. D.

C. I.

M. N.

Pre-Design

Space Planning: Blocking Diagram

J. K.

K. I.

ROOM LABELS: A. Waiting Room B. Children’s Play Area C. Consultation Rooms (2) D. Family Restrooms (2) E. Business Area for Staff F. Community Room G. Teaching Kitchen w/ Adjacent Storage H. Custodial Room I. Exam Rooms(32) J. Restroom w/ Specimen Collection (2) K. Laboratory w/ Blood Draw Room (2) L. Women’s Locker Room M.Clean Supply Room (3) N. Soiled Supply Room (3) O. Men’s Locker Room P. Procedural Room (5) Q. Behavioral Counseling (4) R. Operations Director Of ce S. Staff Restroom (2) T. Portable Equipment Area U. Medical Staff Team Area V. Conference Room W.Staff Break Room X. Medical Director Of ce Y. Electrical Room Z. Server Room

BUBBLE FLOW DESIGNATION:

COMMUNITY ROOM AREA I.

WAITING ROOM AREA

CLINICAL AREA

S. I.

BUILDING SERVICES & STAFF AREA

I. P. I.

O. L.

N. M.

K. K.

N. H.

C. D.

C. I.

Y. Z. N. M.

D. A.

Pre-Design

Suite Codes & Specifics

KEY PLAN: EXISTING EXITS TOT. DIAGONAL DISTANCE = 254’ - 6 45/64” 1/3 DIAGONAL DISTANCE

SQUARE FOOTAGE: 20,928 SF

= ~ 85’ - 0”

FLOOR-TO-FLOOR HEIGHT: 14’ - 0” CONSTRUCTION TYPE: Type 1 Construction with Automatic Sprinkler System HIPAA CONSIDERATIONS: Source: Department of Health & Human Services Website The HIPAA Privacy Rule will affect interior planning decisions as design choices must include circulation and material choices that support acoustic and visual privacy. Designing a space in which patients are allowed to walk without supervision may call for patient information to be hidden from pathways. The NRC rating of many of the materials within the rooms and corridors must also be considered. JOINT COMMISSION STANDARDS: Source: Joint Commission Website APPLICABLE CODES: Source: City of Tallahassee Website Florida Building Code, Mechanical (FBC-M), 6th Edition (2017) Florida Building Code, Plumbing (FBC-P), 6th Edition (2017) Florida Building Code Accessibility (FBC-A)6th Edition (2017) Florida Fire Prevention Code (FFPC), 6th Edition National Electrical Code (NEC), 2014 Edition SUMMARY: The clinic that is to be designed will consist of a Type 1 building construction, meaning that the structure is built from concrete and steel. This will, in turn, impact the re ratings and interior nishes to be used. The three-story building will house clinical and interdisciplinary areas, though the rst oor will be the only one in the scope. The applicable codes according to the City of Tallahassee website will permit circulation, nishes, and egress to be heavily taken into consideration for users.

The Joint Commission is a non-pro t organization whose mission is to improve health care for the public by working, accrediting, and certifying health care organizations that meet high performance standards in the United States. OCCUPANCY TYPE: Source: Florida Building Code, Building: Chapter 3, Section 302.1 Business (see Section 304): Group B, Clinic Outpatient NUMBER OF OCCUPANTS: Source: Florida Building Code, Building: Chapter 10, Section 1004.1.2 Business Areas: 100 gross 20928 SF / 100 gross = 209.28 = 210 Occupants REQUIRED EXIT COUNT: Source: Florida Building Code, Building: Chapter 10, Section 1006.2 & 1006.3.1 Minimum 2 Exits

Pre-Design

Suite Codes & Specifics MINIMUM REQUIRED WATER CLOSETS: Source (all): Florida Building Code, Plumbing: Chapter 29, Section 2902.1

MAXIMUM TRAVEL DISTANCE: Source: Florida Building Code, Building: Chapter 10, Section 1029.7

Code: 1 per 25 for the rst 50 and 1 per 50 for the remainder exceeding 50 210 - 50 = 160 (2 WC) 160 / 50 = 3.2 (4 WC) = 6 Water Closets MINIMUM REQUIRED LAVATORIES: Code: 1 per 40 for the rst 80 and 1 per 80 for the remainder exceeding 80 210 - 80 = 130 (2 WC) 130 / 80 = 1.625 (2 WC) = 4 Lavatories (6 in Clinic Based on Programming) MINIMUM REQUIRED DRINKING FOUNTAINS: Code: 1 per 100 210/100 = 2.1 = 3 Drinking Fountains

“Travel distance shall be not more than 250 feet in sprinklered buildings.” MAXIMUM LENGTH OF DEAD-END CORRIDOR: Source: Florida Building Code, Building: Chapter 10, Section 1020.4 “where the building is equipped throughout with an automatic sprinkler system...the length of the dead-end corridors shall not exceed 50 feet (15 240 mm). REQUIRED EXIT RULE: Source: Florida Building Code, Building: Chapter 10, Section 1007.1.1

REQUIRED EGRESS WIDTH: Source: Florida Building Code, Building: Chapter 10, Section 1001.3.2 “means of egress components other than stairways shall be calculated by multiplying the occupant load served by such component by a means of egress capacity factor of 0.15 in. (3.8 mm) per occupant in buildings equipped throughout with an automatic sprinkler system installed in accordance with Section 903.3.1.1”

Where a building is equipped throughout with an automatic sprinkler system...separation distance shall be not less than one-third of the length of the maximum overall diagonal. 254’ - 6 45/64” (diagonal length) /3 = ~ 85 feet

210 x .15 = 31.5 in. wide corridor per code (44 in. Minimum for Accessibility) DOOR SWING EGRESS: Source: Florida Building Code, Building: Chapter 10, Section 1005.7.1

INTERIOR WALL FINISH: Source: Florida Building Code, Building: Chapter 8, Section 803.11

“Doors, when fully opened, shall not reduce the required width by more than 7 in. (178 mm). Doors in any position shall not reduce the required width by more than one-half.”

Class B (Interior exit stairways and ramps and exit passageways): = Flame spread index 26-75; smoke developed index 0-450.

MAXIMUM COMMON PATH OF TRAVEL: Source: Florida Building Code, Building: Chapter 10, Section 1006.2.1

Class C (Corridors and enclosure for exit access stairways and ramps + Rooms and enclosed spaces): = Flame spread index 76-200; smoke developed index 0-450.

With Sprinkler System (feet) for B = 100 feet

Pre-Design

Code Plan Study ROOM LABELS: A. Waiting Room B. Children’s Play Area C. Consultation Rooms (2) D. Family Restrooms (2) E. Business Area for Staff F. Community Room G. Teaching Kitchen w/ Adjacent Storage H. Custodial Room I. Exam Rooms(32) J. Restroom w/ Specimen Collection (2) K. Laboratory w/ Blood Draw Room (2) L. Women’s Locker Room M.Clean Supply Room (3) N. Soiled Supply Room (3) O. Men’s Locker Room P. Procedural Room (5) Q. Behavioral Counseling (4) R. Operations Director Of ce S. Staff Restroom (2) T. Portable Equipment Area U. Medical Staff Team Area V. Conference Room W.Staff Break Room X. Medical Director Of ce Y. Electrical Room Z. Server Room

DESIGNATION: DISTANCE FOR COMMON PATH OF TRAVEL DISTANCE FOR GENERAL TRAVEL DISTANCE CORRIDOR LENGTH

I. I.

GENERAL TRAVEL DISTANCE: The maximum general travel distance based from the most remote location would be 191’ - 0”, marking a general travel distance less than the maximum of 250’ for a sprinklered building.

I. S.

COMMON PATH OF TRAVEL: The maximum common path of travel based from the most remote location would be 72’ - 3”, marking a travel distance less than the maximum 100’.

TURNING CIRCLES: Each room used by patients has a 60” turning radius within.

WIDTH OF CORRIDOR: The smallest corridor width within the space consists of 4’ - 10” which exceeds the minimum of 44 inches.

TYPICAL DOOR CLEARANCE: Standard Guidelines call for the approach perspective when referencing door clearances throughout the space, marking a 1’ - 6” clearance to the side of the latch and a 5’ - 0” depth clearance from the wall.

M. N.

I. I.

L. I.

P. S.

N. M.

K. J. K.

C. C.

O. H.

R. T.

I. P.

DEAD ENDS: There are no dead end corridors within the space.

Y. Z.

N. M.

D. A. B.

SCALE: 3/64” = 1’ - 0”

Pre-Design

Annotated Space Plan

EVIDENCE-BASED CONSIDERATIONS: The proposed annotated space plan builds upon healthcare research that was considered throughout the space planning and diagramming process. Through the use of strategic goals, design implications, and theories, the designer was able to conceptualize a space that implemented these ndings throughout.

ROOM LABELS: A. Waiting Room B. Children’s Play Area C. Consultation Rooms (2) D. Family Restrooms (2) E. Business Area for Staff F. Community Room G. Teaching Kitchen w/ Adjacent Storage H. Custodial Room I. Exam Rooms(32) J. Restroom w/ Specimen Collection (2) K. Laboratory w/ Blood Draw Room (2) L. Women’s Locker Room M.Clean Supply Room (3) N. Soiled Supply Room (3) O. Men’s Locker Room P. Procedural Room (5) Q. Behavioral Counseling (4) R. Operations Director Of ce S. Staff Restroom (2) T. Portable Equipment Area U. Medical Staff Team Area V. Conference Room W.Staff Break Room X. Medical Director Of ce Y. Electrical Room Z. Server Room

STAKEHOLDER NEEDS: To provide an open and encouraging atmosphere, the reception was kept open for patients and visitors to feel more welcome and to maintain sightlines to the main entry. Laboratories, restrooms, medical staff areas, and procedural rooms were strategically clustered for medical staff to monitor patients that may not be ready to leave the clinic immediately. Ample space was provided in community areas for more visitors to t and be a part of community events throughout the year. CIRCULATION: Separate pathways for patients and staff were created to promote more functional and simple circulation paths throughout the clinic. Patient circulation was placed near the exterior of the building to leverage positive distractions to come in (including community views, ora, and fauna). » Treatment areas were kept adjacent to each other in both wings, along with similar room layouts throughout as a method to minimize anxiety and confusion for staff. SIGHTLINES: » Exam rooms will include artwork and clerestory windows to let natural light in and offer positive distractions. » Pathways were kept clear to provide more simple and logical movements within the clinic. » Whether the patient is sitting on the left or right side of the waiting area, entrances to the wings are near enough for patients and staff to communicate that the exam rooms are ready. FURNITURE ARRANGEMENTS: » Ample space was given within exam and procedural rooms for F. 5 members to reside within a Q. G. single exam room. I. I. I. I. » Furniture was arranged dynamically to move beyond O. H. uniform design that may I. P. leave patients feeling F. that the space is too U. institutional. S. N. M. I. L. RELEVANT THEORIES: E. The functionalism theory informed the space A. I. I. I. I. plan as corridors were designed K. J. to provide straight pathways into K. each wing of the clinic. Exam rooms were also speci cally placed near the perimeter to allow patients to walk near nature before they enter their room. Rooms were also designed to mimic each other for the function of maintaining similar workspaces throughout.

I. U.

I. I.

I. S. I.

M. N.

I. P.

R. T.

C. C.

Y. Z.

N. M.

D. B.

SCALE: 3/64” = 1’ - 0”

Pre-Design

User Needs Analysis

DESIGNATION: LOW ACOUSTIC PRIVACY MODERATE ACOUSIC PRIVACY

HIGH ACOUSTIC PRIVACY

ROOM LABELS:

A. Waiting Room B. Children’s Play Area C. Consultation Rooms (2) D. Family Restrooms (2) E. Business Area for Staff F. Community Room G. Teaching Kitchen w/ Adjacent Storage H. Custodial Room I. Exam Rooms(32) J. Restroom w/ Specimen Collection (2) K. Laboratory w/ Blood Draw Room (2) L. Women’s Locker Room M.Clean Supply Room (3) N. Soiled Supply Room (3) O. Men’s Locker Room P. Procedural Room (5) Q. Behavioral Counseling (4) R. Operations Director Of ce S. Staff Restroom (2) T. Portable Equipment Area U. Medical Staff Team Area V. Conference Room W.Staff Break Room X. Medical Director Of ce Y. Electrical Room Z. Server Room

COLLABORATIVE, LOUD, COMMUNAL: Rooms in this zone call for more collaborative efforts among patients. Areas such as the Community Room call for communal interactions alongside the teaching kitchen and adjacent reception where users are encouraged to interact with one another. No security access is required in any of these areas.

SEMI-PRIVATE, SEMI-QUIET, WORK ZONE: Rooms in this zone call for more one-on-one focus work such as the medical staff discussing results with patients. Exam rooms and procedural rooms will have dimmable lighting and ergonomic furniture to make patients feel more at ease within the space with user control.

S. I.

M. N.

L. I.

C. C.

O. H.

R. T.

I. P.

PRIVATE, QUIET, WORK ZONE: Rooms in this Q. zone call for more focus work with the exception of I. high use medical staff areas. In I. accordance with HIPAA codes. I. These quieter zones allow for the use of sliding doors throughout exam rooms.

P. S.

N. M.

K. J. K.

D. E.

Y. Z.

N. M.

D. A. B.

SCALE: 3/64” = 1’ - 0”

Pre-Design

Zoning With Atmospherics

DESIGNATION: NON-ENCLOSED EMPLOYEE ACCESS (Higher Noise Level) PATIENT/USER ACCESS (Moderate Noise Level)

PATIENT CIRCULATION EMPLOYEE CIRCULATION

For patient/user corridors to be kept at a lower noise level, wooden baf es with a high NRC rating will be used to lower the ceiling and imply a lower noise level zone.

The separate corridors for physicians and guests allow for privacy as per the Joint Commission and HIPAA Standards call for.

I. S.

The exam rooms stationed alongside the perimeter of the building allow patients to easily access their exam rooms for the day and allow for positive distractions.

M. N.

I. I.

L. I.

C. C.

O. H.

R. T.

I. P.

EMPLOYEE ONLY ACCESS (Low to Moderate Noise Level)

ROOM LABELS:

P. S.

N. M.

K. J. K.

D. E.

Y. Z.

N. M.

D. A. B.

SCALE: 3/64” = 1’ - 0”

Pre-Design

Palette Identification

PALETTE DESCRIPTION: The design palette for the Florida State University PrimaryHealth Clinic will include neutral and muted bright colors to balance high capacity areas such as waiting areas, circulation paths, and treatment areas. The overall design implications that call for way nding features and natural elements, along with the concept of building blocks call for the less saturated and more natural versions of typical colors. The manner in which color affects human behaviors calls for neutral colors in larger space with accent colors that would enable spaces to be broken up from the traditional monotony and sterile environment seen in clinical settings.

BEIGE: The inclusion of beige within the clinic would psychologically affect visitors by breaking up the monotony of a plain white wall. Though not a white and clean color, the beige color would provide neutral emotions compared to the more colorful and energizing colors being used throughout. TEAL: Evidence suggests that teal or an off-blue/green color within the space can decrease stress, lower blood pressure, and lower respiration rates. In high intensity areas (for both physicians and patients) this would bene t all parties in high-pressure situations. ORANGE: Studies suggest of orange within the clinic could be energizing, a happiness stimulator, and warm color. Though orange is associated with stimulating the appetite, hints of orange can be used around the clinic, especially in areas where patients may be waiting to be attended. GREEN: The inclusion of green within the clinic would psychologically affect visitors by providing a soothing environment that both mentally and physically relaxes. In cases where news or personal situations can be very stressful, green can help mitigate depression and anxiety. This can be especially helpful in treatment areas. DARK CORAL: The inclusion of coral within the clinic would psychologically affect visitors by stimulating brain wave activity while also relaxing the muscles and providing a soothing sensation. Though coral is not quite red, it takes on the color pinkâ&#x20AC;&#x2122;s associations which do not increase blood pressure or heart rate quite like red. This color would be successful in a circulation path prior to entering exam rooms to provide some soothing factors.

Pre-Design

BEIGE

ORANGE

TEAL

DARK CORAL

GREEN

Pre-Design

Wayfinding Inspiration

1. The image will be used as inspiration for the wall-mounted (at 4’ - 0”) room name plates. The use of tone on tone wooden plates with a high contrast text color and font will be used to dictate the name and number of the room. The plate will be mounted at 4’ for clear sightlines.

2. The ceiling design in the image shows an implicit use of way nding. The curved and lowered ceiling allows visitors to know that the pathway to a treatment room can be found by following the direction of the ceiling material. The lowered ceiling also proposes the idea that the voice level must be lowered as one enters the clinical areas.

2. 3.

3. The ooring design offers a more explicit use of way nding, clearly marking the pathway that patients and visitors may need to take to the correct room in the clinical area or community area. 4. The image shows the use of lighting as a way nding feature. Though large numbers may work well in guiding visitors through a space, the use of lighting in a more implicit way, such as through a cove ceiling may help guide patients with the use of the name plates, ceiling and ooring changes. 5. The use of multiple colors throughout different circulation paths may help guide visitors and staff between distinct clinical areas. The north, south, east, and west corridors may transition between colors to provide visitors with simple cues to redirect them to the correct rooms within clinical pathways.

Pre-Design

Art Package 1. The use of Designtexâ&#x20AC;&#x2122;s PolyVision Ceramic Steel Panels throughout the major focal point areas (ex. waiting area, community room, and teaching kitchen) within the clinic would allow local artists to come together to highlight major areas within Tallahassee, along with people from the community through a multi-panel collage. 2. The use of Liz Lind Edition (a native Floridian artist) art pieces throughout exam rooms will provide positive distractions for patients. The coral color of the art piece will provide an energizing but soothing effect for patients waiting to be seen by the medical staff.

1. 2.

3. The use of customizable white boards will be used within medical staff centers as a method to provide staff members with writable and customizable areas, especially in moments when impromptu meetings take place. The Tallahassee skyline could be used as a reference for the nal art installation. 4. Using nature as an art piece in corridors that do not receive direct views to the exterior will allow for positive distractions for both patients and staff members. Depending on the area within the clinic, the art piece will show distinct natural elements.

3. 4.

5. An exterior multi-panel design could also be used to guide patients towards the entrance of the building and would allow for pictures to be taken within the community itself. 6. Using other Liz Lind Edition art pieces in procedure rooms would provide positive distractions as well. More speci cally, the use of violet will provide a peaceful environment while also helping alleviate migraines. This will become useful in procedure rooms where some patients may have to be looked after for a few hours after being attended to.

Final Design Phase STAIRS

Rendered Floor Plan

K. I.

ROOM LABELS: A. Waiting Room B. Children’s Play Area C. Consultation Rooms (2) D. Family Restrooms (2) E. Business Area for Staff F. Community Room G. Teaching Kitchen w/ Adjacent Storage H. Custodial Room I. Exam Rooms(32) J. Restroom w/ Specimen Collection (2) K. Laboratory w/ Blood Draw Room (2) L. Women’s Locker Room M.Clean Supply Room (3) N. Soiled Supply Room (3) O. Men’s Locker Room P. Procedural Room (5) Q. Behavioral Counseling (4) R. Operations Director Of ce S. Staff Restroom (2) T. Portable Equipment Area U. Medical Staff Team Area V. Conference Room W.Staff Break Room X. Medical Director Of ce Y. Electrical Room Z. Server Room

The Medical Staff Areas have windows into adjacent procedure rooms in order to monitor patients after surgery and/or any dif cult symptoms.

The green LVT planks around the clinic serve as a way nding feature along the patient corridors to direct visitors to the reception and exits.

There is an ambulance pick-up area that is positioned in the middle of a corridor, pick up, and delivery much more ef cient.

I. M.

The Community Room has an integrated teaching kitchen and storage area. In efforts to make a more relaxing space, a grand ceiling will be installed.

H. I.

I. R.

P. Q.

C. C.

O. H.

STAIRS

F. E.

Y. Z.

N. M.

ELEV. ELEV.

PrimaryHealth Floor Plan STAIRS

SCALE: 3/64” = 1’ - 0”

Final Design Phase ENT.

Reflected Ceiling Plan

CEILING HEIGHTS KEY: WOODEN CEILING HEIGHT - 11’ - 9” AFF An Armstrong WOODWORKS tegular wooden ceiling was chosen throughout the hallways. The wooden ceiling with an NRC of .9 is also a suitable choice, for absorbing noise in high traf c patient walkways.

FIXTURE KEY: HUBBELL LIGHTING - LED 4L - R - D - 03’ The 4” wide lighting was chosen as a method to elongate the hallways to not allow space to feel con ned. These LED lights were also chosen for its high CRI of 90, suitable for rendering colors accurately. The lamp also provides a diffused light, limiting glare in patient and physician walkways.

ACOUSTICAL CEILING HEIGHT - 12’ - 8” AFF A grey acoustical ceiling tile was chosen for the majority of the spaces for its NRC rating of .7 and above. This is a more cost effective choice for areas not typically used by patients.

DELRAY LIGHTING KONE3 - LARGE CLEAR LED PENDANT The pendant lighting was chosen for statement and decorative purposes in areas such as the reception and kitchen. These LED lights were also chosen for its high CRI of 92, suitable for rendering colors truthfully for branding.

GYPSUM BOARD HEIGHT - 11’ - 9” AFF

EUREKA LIGHTING LED STEM 2047 - 12IN

Gypsum board in Sherwin Williams Spatial White was used throughout the clinic for its clean appearance. However, it is kept away from more humid areas.

The pendant lighting was chosen as a wall washer and accent piece in areas with art on the wall. These LED xtures were also chosen for their high CRI of 83 and dimmable capabilities. The lamp also has a warranty of ve years, suitable for high usage purposes such as the clinic.

EUREKA LIGHTING LED SLANT 3413

ALL CEILINGS ARE 12’ - 8” UNLESS NOTED OTHERWISE

The sconce lighting was chosen for its ADA compliance qualities. These LED lights were also chosen for its high CRI of 80 and dimmable capabilities. The lamp also has a warranty of ve years, suitable for high usage purposes such as the clinic.

HUBBELL LIGHTING -LITESTRY 4” DL The sconce lighting was chosen for its lasting over 50,000 hours. These LED lights were also chosen for its high CRI of 90 and dimmable capabilities in areas such as procedure and exam rooms. The lamp also has a warranty of ve years, suitable for high usage purposes such as the clinic.

ENT.

PHILIPS PENTURA MINI LED The millwork lighting was chosen for its energy-ef cient capabilities and diffused appearance. These LED lights were also chosen for its high CRI of 89+ and dimmable capabilities within the reception. The lamp also has a warranty of ve years, suitable for high usage purposes such as the clinic.

AIR TERMINAL - SUPPLY 24” X 24” AIR TERMINAL - RETURN 24” X 24” SETON LED EXIT SIGN 2-STORY VOLUME

PrimaryHealth RCP SCALE: 3/64” = 1’ - 0”

WHITE NOISE AMBIENT FIXTURE WALL AIR TERMINAL - SUPPLY 24” X 24” WALL AIR TERMINAL - RETURN 24” X 24”

Final Design Phase

Furniture Key Plan LEGEND:

STEELCASE Name: Embold Multiple Seat 66W Location: Reception

BERNHARDT DESIGN Name: Occasional Table Location: Reception

ALLSTEEL Name: Recharge Modular Lounge Location: Community Room

ALLSTEEL Name: Townhall Peak - Double Location: Reception

ALLSTEEL Name: Stride Benching Storage Location: Children’s Area

ALLSTEEL Name: Recharge Modular Sing. Location: Community Room

KIMBALL Name: Villa Health Loveseat Location: Reception

NEMSCHOFF Name: Junior200 Children’s Chair Location: Children’s Area

ALLSTEEL Name: Vicinity Bar Stool Location: Community Room

KIMBALL Name: Tucker Chairs Location: Reception

NEMSCHOFF Name: Junior200 Children’s Table Location: Children’s Area

STEELCASE Name: Universal Worksurface Location: Consultation/Behavior.

STEELCASE Name: Embold Loveseat Location: Reception

RICOH Name: Copier 311 Location: Business Area

KIMBALL Name: 222 Lounge Seating Location: Consultation/Behavior.

KIMBALL Name: Spruce Lounge Chair Location: Reception

KIMBALL Name: Sprocket Table Location: Community Room

KIMBALL Name: Stool MedLab Location: Cons./Behavior./Exam

BERNHARDT DESIGN Name: Cardan Swivel Chair Location: Reception/Staff/Conference

ALLSTEEL Name: Inspire Chair Location: Community Room

BERNHARDT DESIGN Name: Charlotte Guest Chair Location: Behavioral Counseling

STEELCASE Name: Elective Elements Shelf Location: Behavioral Counseling KIMBALL Name: 222 Lounge Single Location: Behavioral Counseling

Final Design Phase STEELCASE Name: Camp re Shelving Location: Storage Areas

STEELCASE Name: Enea Lotus Cafe Table Location: Staff Breakroom BERNHARDT DESIGN Name: Clue Table Location: Staff Break Room

BERNHARDT DESIGN Name: Quiet Occasional Table Location: Behavioral Counseling

KIMBALL Name: Connection Zone Table Location: Laboratory

ALLSTEEL Name: Gather Seating Location: Conference Room

STEELCASE Name: Steelcase Health Folio Location: Exam Room

MIDMARK Name: Blood Drawing Chair Location: Blood Draw Area

BERNHARDT DESIGN Name: Blurprint Design Table Location: Conference Room

STEELCASE Name: Pocket Worksurface Location: Exam Room

STEELCASE Name: Umami Booth Seating Location: Medical Staff Area

STEELCASE Name: FlexFrame Cantilever Location: Of ces

MIDMARK Name: Ritter 204 Exam. Table Location: Exam Room

STEELCASE Name: Mackinac Worksurface Location: Medical Staff Area

SCRANTON PRODUCTS Name: Tuftec Locker Room Bench Location: M/F Locker Rooms

KIMBALL Name: Oak Staff Chair Location: Medical Staff Area

SCRANTON PRODUCTS Name: Tuftec Lockers Location: M/F Locker Rooms

HERMAN MILLER Name: Exclave Whiteboard Location: Medical Staff Area

STEELCASE Name: Camp re Shelving Unit Location: Storage Areas

BERNHARDT DESIGN Name: Occasional Table A42 Location: Staff Breakroom

STEELCASE Name: FlexFrame Of ce System Location: Of ces

Final Design Phase

Reception Millwork The lower counter serves as a space for the digital check-out kiosk for patients after their visits.

The reception desk includes a cork pin-up board on the interior side of the transaction for storage and reminder purposes.

MILLWORK FRONT AXON NOT TO SCALE The transaction top serves as a privacy threshold for the medical staff receptionists behind it and further houses cork boards.

MILLWORK BACK AXON NOT TO SCALE

The reception desk houses under millwork lighting to direct visitors to the desk and check-in and check-out kiosks. The lighting also redirects visitors towards the community room.

Final Design Phase

WILSONART GREY BEOLA SOLID SURFACE

Reception Millwork Plan SCALE: 3/8” = 1’ - 0”

WILSONART FRISTON ASH LAMINATE

WILSONART SATIN BRUSHED PALLADIUM

MILLWORK DETAIL SECTION SCALE: 1 1/2” = 1’ - 0”

Final Design Phase

Clinic Exterior Entrance Elevation The clinic’s exterior showcases graphics that are inspired by the city of Tallahassee and its citizens. The PolyVision Ceramic Steel Panels can easily be changed out every few months to keep the exterior ever-changing.

FSU Primary Health Exterior Elevation SCALE: 3/64” = 1’ - 0”

The entry into the clinic provides shaded areas that provide grounding features and way nding.

The exterior of the clinic also provides a newly designed logo that highlights the intersection of education and modern medicine.

Final Design Phase

Reception Accent Wall

The reception ceiling provides a variety of materials including wood, acoustical ceiling tiles, and gypsum board. The ceiling provides a grounding features that anchors the waiting room. Eureka Lighting in LED Slant allows for artwork to be showcased, providing an evenly spread direct source. The exterior is tied in as the PolyVision Ceramic Steel panel system is used to create an interior customizable panel graphic. These pieces will change every month as the children from Sabal Palm Elementary School get to design its content. The reception area includes two doors into the East and West wings, one established as the entrance (left door) and the other for exiting purposes (right door) in order to alleviate traf c ows throughout the day.

Reception Wall West Elevation SCALE: 1/4” = 1’ - 0”

Final Design Phase

Reception Area

THE CAMBIUM: WAITING ROOM CENTRE Named after the layer inside the bark of a tree, or protective layer, the FSU PrimaryHealth reception/ waiting room area is modeled after natural building blocks found in nature. The experience of users throughout the space begins within this implied hearth that begins a path to growth and betterment in patientsâ&#x20AC;&#x2122; lives. The reception area houses a variety of seating options including bariatric and individual or family seating options. Users are encouraged to begin conversations with others, making use of socio-petal furniture groupings. Users have a direct grounding feature through the ceiling consisting of wood, gypsum board, and acoustical ceiling tiles. Maps of Tallahassee can be seen imprinted on the glass curtain walls throughout the reception, paying an ode to the city itself. The artwork to the left of the rendering also shows a custom graphic that ties in Tallahassee with the local community.

Final Design Phase

Exam Room & Wayfinding Elevation Custom Class A vinyl wall graphic.

Each treatment area has a resin plate outside of the patient entrance for way nding purposes.

Exam Hallway Elevation SCALE: 1/4” = 1’ - 0”

Wall base

The Richa Graphics ADA signage consists of a wooden plaque with integrated glass. The glass further includes etched signage and raised braille.

The hallways include stainless steel hand railings at 36” above the nished oor.

Each exam room has an ADA compliant room signage plate next to it at 44 inches above the nished oor for guiding purposes.

The exam rooms include a sidelight in order to let natural light into the space.

The patient corridors have a wooden ceiling that is able to guide them back to the reception.

The entry into each hallway has a sign with the clinic oorplan and current position.

Hallways include a directory that consists of a wooden plaque with etched signage on glass. The glass is then held together by metal standoffs falling less than four inches from wall.

Final Design Phase

Wayfinding Design Diagram

LEGEND: MEDICAL STAFF CORRIDOR

PATIENT CORRIDOR

MEDICAL STAFF ZONES Main Entry SHARED PATIENT/STAFF ZONES

COMMUNITY-CENTERED ZONES

Final Design Phase

Reception, Waiting Room & Hallway FF+E RECEPTION FFE: Manufacturer: Polyvision Product: Ceramic Steel PG MR-1000 Name: PG MR-1000 (Custom) Justi cation: The custom use of steel paneling will come into play as the panels will showcase an ode to the Tallahassee community by including imagery of architecture, famous landmarks, street signs, and famous citizens. Manufacturer: Armstrong Ceiling & Wall Solutions Product: WOODWORKS Tegular Finish: Natural Variations Walnut Fire Rating: Class A NRC: 0.7 Justi cation: In efforts to apply some acoustical materials, the wooden ceilings will be used in the waiting area in order to alleviate some noise to areas and serve as a grounding feature. Manufacturer: Armstrong Ceiling & Wall Solutions Product: LYRA Plant Based (PB) Finish: Black Fire Rating: Class A NRC: 0.95 Justi cation: The ACT will be used in the waiting area to alleviate some noise to areas such as the community room and children’s area. This will serve as a grounding feature in addition to the wooden ceiling. The ceiling is also humidity resistant which will become helpful during warmer months. Manufacturer: DecoCraft Product: Ceiling Finish: White Justi cation: In order to hide mechanical features in the plenum, a gypsum ceiling will be used to make the ceiling look more consistent throughout the clinic. Manufacturer: Terrazzo & Marble Supply Companies Product: Terroxy Resinous Flooring Name: 14-086 Justi cation: The use of terrazzo as a mode of way nding will be used throughout the reception area. This speci c piece was chosen as the resin aggregates highlight the clinic’s color scheme through upholstery.

Manufacturer: Interface Product: Textured Woodgrains LVT Name: A00406 Antique Light Oak Size: 9.845” x 39.38” Slip-Resistance: Dry .55, ADA Compliant Justi cation: The use of LVT throughout the space will bring forth a calming appearance as the planks are made to look like real wood. The wood has a solid sound control and slip resistance as well. Manufacturer: Bernhardt Design Product: Seating - Swivel Name: Cardan Manufacturer: Designtex Product: Journey Name: Bluegrass 2684-401 Cleanability: Water-based/Solvent (WS) Durability: 100, 000 Wyzenbeek double rubs (WS) Justi cation: The use of the Bernhardt swivel chair for the receptionists was chosen for its home-like of ce appearance. The removable cushion further allows easy cleaning throughout the day. Manufacturer: Kimball Product: Kimball Health Seating Name: Villa Health Manufacturer: Designtex Product: Jacquard II Name: Red 3033-301 Cleanability: W-based/Solvent (WS), Bleach Cleanable (4:1) Durability: 100, 000 Wyzenbeek double rubs (CD) Justi cation: The use of the Kimball chair is being used for its larger seating area, clean out slot and more comfortable seating appearance. The wooden arms also allow for preservation of the upholstery. Manufacturer: Steelcase Product: Steelcase Health Name: Embold Manufacturer: Designtex Product: Linnen Name: Seraph 3921-802 Cleanability: W-based/Solvent (WS), Bleach Cleanable (4:1) Durability: 500, 000 Wyzenbeek double rubs (CD) Justi cation: The use of the Steelcase guest chair was chosen for its modern appearance. However, this also includes its bariatric compliance and movable glides.

Manufacturer: Kimball Product: Kimball Health Seating Name: Spruce Manufacturer: Designtex (Seat Back) Product: Linnen Name: Seraph 3921-802 Cleanability: W-based/Solvent (WS), Bleach Cleanable Durability: 500, 000 Wyzenbeek double rubs (CD) Manufacturer: Designtex (Seat Cushion) Product: Journey Name: Bluegrass 2684-401 Cleanability: Water-based/Solvent (WS) Durability: 100, 000 Wyzenbeek double rubs (WS) Justi cation: The use of the Kimball guest chair was chosen for its modern appearance. However, this also includes its bariatric compliance and cleanout area on the sides and back seat area.

Manufacturer: Allsteel Product: Collaborative Seating Name: Peak Manufacturer: Designtex Product: Journey Name: Saddle 2684-701 Cleanability: Water-based/Solvent (WS) Durability: 100, 000 Wyzenbeek double rubs (WS) Manufacturer: Designtex Product: Linnen Name: Wildwood 3921-104 Cleanability: W-based/Solvent (WS), Bleach Cleanable Durability: 500, 000 Wyzenbeek double rubs Justi cation: The use of the Allsteel Collaborative Seating brings forth a modern look with more of a community feel for families or friends who are coming into the clinic together. The taller backs also provide a sense of privacy in the waiting room and a variety of seating options within the space.

Manufacturer: Bernhardt Design Product: Tables - Occasional Name: Area in Walnut Justi cation: The use of the Bernhardt side and coffee table were chosen for their modern and simplistic appearance with curved edges to avoid any sharp elements that could possibly harm a patient. The laminate on the tops and sides allow for a durable and long-lasting nish.

Manufacturer: Hubbel Lighting Product: LITEISTRY™ 4” Round Downlight Classi cation: LED Certi cation: cCSAus certi ed to UL 1598 CRI: 90+CRI Justi cation: The use of LED lighting will bring forth sustainable and long-lasting lighting usage. The CRI will also provide a realistic coloring index throughout the day.

Manufacturer: GlassFilm Enterprises, Inc. Name: Custom (will have Tallahassee map on Community Room glass) Justi cation: In efforts to tie in some communal aspects, the glass lm will go on the reception wall which is in front of the community room. This will serve as a dividing piece between the two areas and an ode to Tallahassee as the graphic will include the Tallahassee city map.

Manufacturer: Delray Product: Kone3 Pendant: KLP34 Classi cation: LED Certi cation: cUL rated for dry locations CRI: 92 Justi cation: The use of LED lighting will bring forth sustainable and decorative lighting usage. The CRI will also provide a realistic coloring index throughout the day in staff and kitchen areas.

Manufacturer: MDC Wall Product: Acoustic Pattern Name: Padmesh (will go on reception back wall) Justi cation: In efforts to apply some acoustical materials, the MDC wall panels will be used on the reception back wall in order to alleviate some noise to areas such as the community room and children’s area. The easy moveability of these panels also allows for easy installation and upkeep in cases of cleaning or updates.

Manufacturer: Eureka Lighting Product: Focus Classi cation: LED Certi cation: Constant Current 700mA, UL Recognized CRI: 83 Justi cation: The use of LED lighting will bring forth sustainable and long-lasting lighting usage. The CRI will also provide a solid coloring index for the artwork that the light will be directed at.

Manufacturer: Tarkett Product: Masquerade® Wall Finishing Borders Name: Classic and Quarter Round Justi cation: In efforts to make the clinic feel more homelike and comfortable, the wall base used will re ect a more residential look. The quarter round will make cleaning easier for the clinic’s cleaning staff as the quarter round will allow easy sweeping instead of collecting dust and other particles.

Manufacturer: Wilsonart Product: Wilsonart Solid Surface (Counter Piece) Name: Flint Rock 9207CS Justi cation: The solid surface counter piece was chosen as a method to use antimicrobial surfaces while also providing sturdy, long-lasting, and heavy duty materials in high-traf c areas such as the reception that is being used by three staff members at once.

Manufacturer: Nemschoff Product: Junior 200 Children’s Furniture Name: JR/200 Junior side chair Size: W: 14.5, D: 15, H: 24 Includes: Healthcare wood nish Justi cation: The use of this children’s chair is speci cally for the children’s area in the reception/waiting room. The pieces are meant to liven up the space while also providing suitable seating for children in terms of seat height and depth.

Manufacturer: Wilsonart Product: Wilsonart High Pressure Laminate (Millwork Laminate) Name: Pinnacle Walnut 7992 Justi cation: The use of laminate with a scratch resistant coating will allow for heavy use without heavy wear and tear throughout the time of use. This is also cost-effective and low maintenance for the custodial staff. Manufacturer: Sherwin Williams Coating: Paint Shield® Interior Latex Microbicidal Paint Name: SW 6259 Spatial White Justi cation: This speci c coating is used as it EPAregistered microbicidal paint that kills greater than 99.9% of Staph (Staphylococcus aureus), MRSA (Methicillinresistant Staphylococcus aureus), E. coli (Escherichia coli), VRE (Vancomycin-resistant Enterococcus faecalis), and Enterobacter aerogenes within 2 hours of exposure on a painted surface. The color itself was chosen as it seems to be a calming neutral that will allow for pops of color through upholstery. This will be used with a chair rail for cleaning purposes and furniture precautions.

Manufacturer: Nemschoff Product: Junior 200 Children’s Furniture Name: JR/200-5Junior table Size: Dia: 36, H: 21.75 Includes: Healthcare wood nish Justi cation: The use of this children’s table is purposefully for the children’s area in the reception/waiting room. The pieces are meant to liven up the space while also providing suitable table heights for children and users of the space.

HALLWAY FFE: Manufacturer: GlassFilm Enterprises, Inc. Name: Custom (will have opaque outline of trees on walls as art) Justi cation: In efforts to tie in some biophilic elements, the vinyl graphic will be used throughout the walls. This will work with the natural lighting coming in through the patient corridors to make the experience more comfortable.

Final Design Phase

Manufacturer: Armstrong Ceiling & Wall Solutions Product: WOODWORKS Tegular Finish: Natural Variations Walnut Fire Rating: Class A NRC: 0.7 Justi cation: In efforts to apply some acoustical materials, the wooden ceilings will be used in the waiting area in order to alleviate some noise to areas and serve as a grounding feature.

Manufacturer: Interface Product: Textured Woodgrains LVT Name: A00406 Antique Light Oak Size: 9.845” x 39.38” Slip-Resistance: Dry .55, ADA Compliant Justi cation: The use of LVT throughout the space will bring forth a calming appearance as the planks are made to look like real wood. The wood has a solid sound control and slip resistance as well. Manufacturer: Inpro Architectural Products Name: 900sso oval stainless steel handrail Justi cation: In order to provide a durable method of travel, the eco-friendly handrail will be used throughout the hallways with compliance with ADA. Its being type 304 stainless steel also allows for suitable durability. Manufacturer: Hubbel Lighting Product: MOD™ 4L LED Recessed Slot Classi cation: LED Certi cation: CSA listed for damp locations. IBEW. AF of L. IC Rated. UL924. CRI: 90 CRI Justi cation: The use of LED lighting will bring forth sustainable lighting usage. The CRI will also provide a solid coloring index throughout the hallways which will help with way nding and navigation. Manufacturer: Sherwin Williams Coating: Paint Shield® Interior Latex Microbicidal Paint Name: SW 6259 Spatial White Justi cation: This speci c coating is used as it EPAregistered microbicidal paint that kills greater than 99.9% of Staph (Staphylococcus aureus), MRSA (Methicillinresistant Staphylococcus aureus), E. coli (Escherichia coli), VRE (Vancomycin-resistant Enterococcus faecalis), and Enterobacter aerogenes within 2 hours of exposure on a painted surface. The color itself was chosen as it seems to be a calming neutral that will allow for pops of color through upholstery. This will be used with a chair rail for cleaning purposes and furniture precautions. Manufacturer: Tarkett Product: Masquerade® Wall Finishing Borders Name: Classic and Quarter Round Justi cation: In efforts to make the clinic feel more homelike and comfortable, the wall base used will re ect a more residential look. The quarter round will allow for easier cleaning and sweeping.

Final Design Phase

Exam Rooms LEGEND: FAMILY ZONE

CAREGIVER ZONE

PATIENT ZONE

ARMSTRONG CEILING IN WOODWORKS TEGULAR SIDE WINDOW WITH FROSTED GLASS FOR PRIVACY LIZ LIND ARTWORK AS A POSITIVE DISTRACTION STEELCASE FOLIO HEALTHCARE SYSTEM WELCH ALLYN CONNEX INTEGRATED WALL SYSTEM SHARPS DISPOSAL KIMBALL SPRUCE LOUNGE CHAIR HAND SANITIZER CONCEALED TRASH RECEPTICLE STEELCASE MOVEABLE SURFACE W/ SCREEN DIAGNOSTIC EQUIPMENT

Exam Room Plan SCALE: 3/8” = 1’ - 0”

Exam Room Axonometric NOT TO SCALE

Final Design Phase

STEELCASE FOLIO HEALTHCARE SYSTEM FOR STORAGE AND REDUCTION OF PATIENT ANXIETY

WALNUT WOOD CEILING W/ GREY 2X4 ACT

NOTE: The vertical cabinet was chosen to use more vertical space for medical and technological storage, giving more room for family seating and walking space. ACCESSIBLE INTEGRATED WALL SYSTEM FOR MEDICAL EQUIPMENT

SOAP DISPENSER NEAR SINK AND FAMILY ZONE DESIGNTEX LINNEN IN SERAPH AND JOURNEY IN BLUEGRASS

COUNTER SURFACE AT 28” AFF WITH A SOLID SURFACE COUNTER AND BACKSPLASH FOR ANTIBACTERIAL PURPOSES

KIMBALL SPRUCE SEATING IN FAMILY ZONE FOR ITS EASY CLEANABILITY BETWEEN SEAT AND BACK DESIGNTEX JOURNEY IN SADDLE

TARKETT COVE WALL BASE

NOTE: 10 PERCENT OF EXAM ROOMS WILL HAVE ADA COMPLIANT ACCESSIBLE SINK AREAS DESIGNTEX LINNEN IN STONE

Exam Room Elevation SCALE: 1/2” = 1’ - 0”

Final Design Phase

Examination Room FF+E

Manufacturer: Liz Lind Editions Name: Purple Hydrangeas Justi cation: The artwork is being used throughout the exam rooms as a method to bring in pops of color through playful forms of expression. The Floridian artist can bring forth images of nature. These will serve as a positive distraction and fun imagery for patients and staff.

Manufacturer: Liz Lind Editions Name: Oriental Lily Justi cation: The artwork is being used throughout the exam rooms as a method to bring in pops of color through playful forms of expression. The Floridian artist can bring forth images of nature. These will serve as a positive distraction and fun imagery for patients and staff.

Manufacturer: Liz Lind Editions Name: Flower Power Justi cation: The artwork is being used throughout the exam rooms as a method to bring in pops of color through playful forms of expression. The Floridian artist can bring forth images of nature. These will serve as a positive distraction and fun imagery for patients and staff.

Manufacturer: Armstrong Ceiling & Wall Solutions Product: LYRA Plant Based (PB) Finish: Black Fire Rating: Class A NRC: 0.95 Justi cation: The ACT will be used in the waiting area to alleviate some noise to areas such as the community room and children’s area. This will serve as a grounding feature in addition to the wooden ceiling. The ceiling is also humidity resistant which will become helpful during warmer months. Manufacturer: DecoCraft Product: Ceiling Finish: White Justi cation: In order to hide mechanical features in the plenum, a gypsum ceiling will be used to make the ceiling look more consistent throughout the clinic. Manufacturer: Interface Product: Textured Woodgrains LVT Name: A00406 Antique Light Oak Size: 9.845” x 39.38” Slip-Resistance: Dry .55, ADA Compliant Justi cation: The use of LVT throughout the space will bring forth a calming appearance as the planks are made to look like real wood. The wood has a solid sound control and slip resistance as well. Manufacturer: Kimball Product: Kimball Health Seating Name: Spruce Manufacturer: Designtex (Seat Back) Product: Linnen Name: Seraph 3921-802 Cleanability: W-based/Solvent (WS), Bleach Cleanable (4:1) Durability: 500, 000 Wyzenbeek double rubs (CD) Content: 100% Polyurethane (Polycarbonate Based) Manufacturer: Designtex (Seat Cushion) Product: Journey Name: Bluegrass 2684-401 Cleanability: Water-based/Solvent (WS) Durability: 100, 000 Wyzenbeek double rubs (WS) Content: 5% Polyester, 5% Polyurethane, 90% Nylon Micro ber Justi cation: The use of the Kimball guest chair was chosen for its modern and simplistic appearance. However, this also includes its bariatric compliance and movable glides. The Designtex upholstery was chosen for its durability, especially for a high traf c area such as the reception.

Manufacturer: Steelcase Product: Steelcase Health Name: Verge Stool Manufacturer: Designtex Product: Journey Name: Saddle 2684-701 Cleanability: Water-based/Solvent (WS) Durability: 100, 000 Wyzenbeek double rubs (WS) Justi cation: The use of the clinician’s stool will allow easy transitions around the exam room with the inclusion of casters. Its included seat back will also allow the physicians and staff a nice resting point during the session.

Manufacturer: Midmark Product: RITTER® 204 MANUAL EXAMINATION TABLE Manufacturer: Designtex Product: Linnen Name: Stone 3921-804 Cleanability: W-based/Solvent (WS), Bleach Cleanable (4:1) Durability: 500, 000 Wyzenbeek double rubs (CD) Justi cation: The use of the Midmark exam table is going to be used throughout the clinic because of its enlarged foot sections and seamless drawers for easy of cleanability.

Final Design Phase Manufacturer: Steelcase Product: Steelcase Health Name: Folio Manufacturer: Wilsonart Product: Wilsonart Solid Surface (Counter Piece) Name: Green Slate 8793 Justi cation: The solid surface counter piece was chosen as a method to use antimicrobial surfaces while also providing sturdy, long-lasting, and heavy duty materials in high-traf c areas such as the exam rooms.

Manufacturer: Steelcase Product: Steelcase Health Name: Folio Manufacturer: Wilsonart Product: Wilsonart High Pressure Laminate (Millwork Laminate) Name: Earth 5342 Justi cation: The use of laminate with a scratch resistant coating will allow for heavy use without heavy wear and tear throughout the time of use. This is also cost-effective and low maintenance for the custodial staff.

Manufacturer: Steelcase Product: Steelcase Health Pocket Worksurface Finish: Green Slate Justi cation: In order for the medical staff to maneuver around the exam room and show patients vital information, the Pocket worksurface will be used for easy mobility and cleanable purposes.

Manufacturer: Wolf Gordon Product: Westminster Wallpaper Name: Grey Fire Rating: Class A, as per ASTM E84 (Adhered) Sustainability: Low emitting—passes Cal 01350 standard (LEED EQ 4.2) Justi cation: The use of the Wolf Gordon wallpaper is to provide a non-glare wall within the exam rooms. The Class A wallpaper will allow patients and staff to see a variety of textiles within the space and not just a plain wall. The wallpaper will be treated to avoid stains throughout its span of use.

Manufacturer: Hubbel Lighting Product: LITEISTRY™ 4” Round Downlight Classi cation: LED Certi cation: cCSAus certi ed to UL 1598 CRI: 90+CRI Justi cation: The use of LED lighting will bring forth sustainable and longlasting lighting usage. The CRI will also provide a realistic coloring index throughout the day.

Final Design Phase

Community Room w/ Teaching Kitchen

Final Design Phase

THE PITH: COMMUNAL AREA Named after the area on the interior of a tree trunk, the Pith or community room with adjacent teaching kitchen plays off of the idea that nutrients are carried through the pith just as knowledge and food provide nutrients to our own bodies. The community room is meant to be used throughout the day and after hours, making its location right off of the reception an ideal place in order to keep the treatment areas and pathways clear after hours. The community room provides ample seating options and areas for teaching including whiteboards and smart televisions. The teaching kitchen will allow users to take classes throughout the month to learn healthy ways to cook and interesting recipes to take home with them. The furniture used can easily be moved around to create a variety of seating arrangements and provides easy cleaning as well. The space is meant to be calm and relaxing, but invigorating to users.

Final Design Phase

The Branch: Medical Staff Area The Medical Staff Area includes window views into procedural rooms in order to monitor patients during treatment and scheduled visits.

Medical Staff Area North Elevation SCALE: 1/4” = 1’ - 0”

The staff area includes an inroom laboratory area used to take vitals and have adjacent access to blood-draw areas.

The area includes moveable whiteboard surfaces for the purpose of establishing customizable meeting areas to discuss work material.

Each staff member and intern has their own established work area with collaborative and moveable furniture pieces in the center. A smaller staff area is provided in the West wing for over ow while the staff break room offers booth seating.

Final Design Phase

Works Cited â&#x20AC;&#x153;Caboolture GP Super Clinic / Wilson Architectsâ&#x20AC;? (24 Mar 2017). ArchDaily. Accessed 26 Aug 2019. Retrieved from https://www.archdaily.com/805631/caboolture-gp-super-clinicwilson-architects/ ISSN 0719-8884 Guzzo, Vickery, Christine, et al. Modern Clinic Design: Strategies for an Era of Change, John Wiley & Sons, Incorporated. (2015). ProQuest Ebook Central, http://ebookcentral.proquest. lib/fsu/detail.action?docID=189558 Headley, M. (2018). How healthcare artwork can strengthen connections between patients, providers, and community. (2018). Retrieved from https://www.psqh.com/analysis/ howhealthcare-artwork-can-strengthen-connections-between-patients-providers-and-community/ Hirsch, K.Designing for health: Investing in a branded way nding program. Accessed 21 Sep 2019. Retrieved from https://www.contractdesign.com/practice/healthcare/ designing-for-health-investing-in-a-branded-way nding-program/ Kopec, Dak. (2012) Environmental Psychology for Design (2nd Edition). New York, NY. Fairchild Books. Luoma, H. (2010). Way nding in the healthcare environment. Accessed 21 Sep 2019. Retrieved from https://www.healthcaredesignmagazine.com/architecture/way ndinghealthcare-environment/ Zeit, K. D. (2014). Hospital way nding and the anxiety factor. Accessed 21 Sep 2019. Retrieved from https://www.healthcaredesignmagazine.com/architecture/hospitalway nding-and-anxiety-factor/