Pediatrics Design Book

PE D I ATRI CS

design portfolio array-architects.com array-architects.com

TA B L E O F C O N T E N T S Firm Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Our Experience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 •

Children’s Hospital of the King’s Daughters . . . . . . . . . . . . . . . . . . . . . . . . . . 18

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Nemours Children’s Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

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Children’s National . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

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NewYork-Presbyterian Morgan Stanley Children’s Hospital . . . . . . . . . . . . . . . . 34

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Inspira Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

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Children’s Hospital of Philadelphia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

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Nicklaus Children’s Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

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Capital Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Knowledge Sharing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

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We are not architects who do healthcare.

We are healthcare architects.

What does this mean?

It means we chose this profession so we can do more than just design buildings.

We chose it to design solutions that can change people’s lives significantly. Because when a transplant patient receives a new heart, or a mental health patient reaches a breakthrough, or a physician develops a medical procedure that improves the lives of thousands, it happens inside a space designed by a healthcare architect. This is why we arrive every morning with our sleeves rolled up and ready to work.

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Our Firm in Brief

With four decades of experience 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% 5

3

40

• Architects • Advisors • Analytics

dedicated to healthcare planning and design

years serving healthcare clients

strategically located offices throughout the country: • • • • •

Philadelphia, PA Charleston, SC Fort Lauderdale, FL New York, NY Washington, DC

unique perspectives for a comprehensive approach:

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ARCHITECTS

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WE ARE DESIGN

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.

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Healthcare thought leaders

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Data-driven decision-making

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Cross-disciplinary teams

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Customer-focused design

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Process-led Lean design

ADVISORS

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WE ARE STRATEGY

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.

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Capacity analysis

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Lab & pharmacy optimization

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Strategic planning

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Lean operational improvement

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Change management

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Transformation

ANALY TICS

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WE ARE TECHNOLOGY

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. To ensure the quality and accuracy of our data, we created a technology incubator within our firm, which has evolved into Pivotal Analytics. Pivotal is a subscription SAAS platform enabling our customers access to a powerful geospatial-based claims-driven demand analytics.

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Data integration

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Real estate strategy

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Market analysis

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Strategic capital allocation

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Predictive analytics

Our Integrated Services STRATEGY We are an innovative think tank of analysts and product developers dedicated to helping healthcare systems identify and contextualize business drivers.

• Market analysis & demand forecasting • Dynamic scenario planning • Consumer segmentation & profiling • Identifying optimal service locations

FACILITIES

OPERATIONS

We are a multidisciplinary team that provides custom

We are committed to improving healthcare outcomes by

solutions to optimize healthcare operations and overcome

providing design solutions informed by integrated insights

business challenges.

from perspectives across the organization.

• Facilities assessments

• Throughput analysis & simulation modeling

• Programming and pre-design

• Process design & value stream mapping

• Feasibility & CON studies

• Clinical practice modeling

• Architecture & interior design

• Design thinking & Lean education

• Patient experience design

• Lab & pharmacy optimization

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Array Architects Array Architects is committed to improving healthcare outcomes by providing solutions informed by integrated insights across the organization.

DESIGN & ARCHITECTURE Our firm develops and implements concepts that emerge as transformative built solutions.

Array remains focused on the healing that will take place within our clients’ facilities and the lives affected by the building’s shape, performance, and functional adjacencies.

As a healthcare-exclusive practice, our focus is singular, and our commitment to a collaborative approach facilitates operational excellence and drives innovation.

PLANNING Array goes to great lengths to substantiate our solutions with hard data. Our pragmatic process, intensified by our unique planning toolkit, enables more-informed decisions to maximize flexibility, efficiency, and return on investment.

INTERIOR DESIGN 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 an environment of collaboration.

PROJECT OPERATIONS Array is committed to project management, acting as center of excellence for this practice.

Our clients are confident in the consistent high-value delivered through their built initiatives.

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Array Advisors Discovering Your Healthcare Solutions Together.

We help clients deliver more efficient and effective care, stake a more competitive position in the market, and plan to ensure facilities embody their operational vision.

STRATEGIC PLANNING Reach consensus around strategy to supercharge your plan for the future. We work with health systems to develop strategies that drive sustainable business models across the continuum of care.

MASTER PLANNING We have learned that while master planning engagements can transform an organization, the outputs of the traditional process are inherently broken. Master planning teams either omit the necessary perspectives, or these roles are siloed or filled by external consultants, creating delays and limiting rapid re-assessments. As Lean planners, we improve the value of master planning by redesigning the process.

Array not only facilitates discussions between key stakeholders representing different perspectives, but our team brings its own functional expertise. The team’s broad experience builds credibility with stakeholders across the organization and advances data-driven discussions of needs and priorities.

PRE-DESIGN PLANNING & OPTIMIZATION Lean is an operational strategy that can be used to achieve specific goals defined by your organization. Our experience extends from strategic decision making, where we help you define organizational goals, to tactical workflow analysis, where we assist in developing countermeasures appropriate to your specific situation. We use this as a foundation to develop a more robust program alongside your leaders setting your project up for success as design begins.

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Visualize the Possibilities, Plan for Reality.

Pivotal is a dynamic business planning and optimization software platform for healthcare capital projects.

But most impressively, it’s simple, instant, and once the inputs are set, changes are as easy as the drop of a pin.

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https://software.co https://pivotal.co/array-health-system

WHAT IS PIVOTAL? Pivotal is healthcare planning transformed. It’s an integrated and collaborative analytics platform for healthcare business planning and strategic optimization. It’s a living tool that helps you visualize the path to success for today, the challenges you should avoid tomorrow, and the opportunities you never saw coming.

Pivotal provides comprehensive market and patient data, operational capacities and financial models all under one unified framework.

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Architecture is about relationships.

Relationships with spaces, objects, and most importantly—people.

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PE DI ATR I C S In many ways, pediatric environments are the lifeblood of family-centered, nurturing environments. They offer an opportunity to combine playfulness, education, and safety to create a positive experience for the children in our communities. Designing a dynamic environment inhabited by well and sick children, children with chronic health challenges, diverse age, and cognitive abilities, as well as parents and siblings, demands a solution that is uplifting, varied, and empowering for all.

Working with cross-functional care teams and patient and family advisory councils to develop an experience map is essential to the creation of exceptional experiences that are patient and family centered.

The design of pediatric healthcare facilities is markedly different than that of their adult counterparts. Today’s healthcare delivery methods can appear threatening, so designs must avoid an institutional feel. After all, a pediatric patient is forming his or her first impressions of healthcare with each care visit, and that child’s formative experience will depend on both the method of healthcare delivery and the physical environment in which it is administered. Reducing anxiety by creating an environment that is inclusive of family members is conducive to a positive impression of health and wellness during patients’ formative years.

Awareness of these issues is paramount to the successful design of a pediatric healthcare facility.

Whether a large urban hospital, rural primary care facility, or a standalone pediatric facility, the same principles apply­—only context changes.

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C H ILDREN’ S HOSPITAL OF THE KING’ S DAU G HTE RS Children’s Pavilion Norfolk, VA

CHKD’s Children’s Pavilion is a new 14-story,

should be convenient and visible to all in

367,000 SF tower built to address a pressing

need—shaped both the program and physical

need for pediatric mental health services in

manifestation of this guiding principle.

the Norfolk community. Opened in July 2022, the colorful, light-filled facility is infused with leading-practice patient, family, and staffcentric design features.

The tower includes 60 pediatric inpatient behavioral health beds as well as shell space to accommodate another 24 beds. In addition to the expected multipurpose dining, activity,

Children’s Pavilion integrates comprehensive

and classroom spaces, the inpatient zones

inpatient, intensive outpatient, and partial

include a large art studio, music therapy, and

hospitalization mental health services with

an attached indoor gymnasium and exercise

primary and specialty physician practices,

therapy room. It is capped off with a rooftop

lab and imaging services, and an innovative

recreation space comprised of basketball

conference and training center. A core

court, soccer zone, and horticultural zone,

principle—that mental healthcare is healthcare,

with interspersed casual play zones.

and that access to mental health services

Learn more about the Children’s Pavilion Click here or scan the QR code to explore Array’s Designs Delivered feature on the Children’s Pavilion, delving further into the strategy behind the facility’s planning and design as well as the extensive art program that was an integral part of the project.

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N EMOUR S C H ILDREN’ S HE ALTH Outpatient & Surgery Center Deptford, NJ

When a national children’s hospital decided

deployment and business/revenue implications

to move into a new market, they needed to

while studying physical configurations and

move quickly. As with all ambulatory projects in

cost structures to support them. All of this was

today’s competitive environment, being first to

achieved without sacrificing commitment to

market with the right product at the right cost

capital budget objectives as well as schedule.

is critical. But it’s tough to move quickly when you are building a project unlike any other in your system.

and engaging approach to quickly define goals and obstacles. Process-before-design

Array Architects and Nemours Children’s

encourages the integrated team to focus on

Health used a process-led design approach to

experience, quality, outcomes and workflow

rapidly define and design a new, fully integrated

before specific spatial configurations begin

multispecialty outpatient center that features

to limit innovation. Process mapping, visual

flexible provider clinics, physical therapy,

programming, virtual and physical mock ups as

diagnostic imaging, wellness and ambulatory

well as rapid prototyping were used in parallel

surgery. Our approach, using Lean as a

during the early design phases to ensure the

foundation, allowed Nemours to work through

optimal solution.

complex questions about integration, resource

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Process-led design employs a rigorous

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C H ILDREN’ S N AT IONAL HOSP ITAL Research & Innovation Campus Redevelopment, Building 52 Renovation Washington, DC

In 2017, Children’s National Hospital (CNH)

standard of care. Programming and design

engaged Array Architects and Elkus Manfredi

strategies that included reclamation of

to lead the planning and redevelopment of

sleeping porches as conditioned interior

the health and science portion of the 12-acre

spaces, planning for on-stage/off-stage

former Walter Reed Army Medical Center

zones, rigorous material selection, and a keen

campus for pediatric health services. The

understanding of the client’s workflow resulted

design team worked closely with the client,

in a facility that enables clinical efficiencies and

the Washington DC Advisory Neighborhood

multi-disciplinary community-focused care.

Commission (ANC 4B), the DCRA, and the DC

An element of “play” is integrated throughout

Historic Preservation Board to develop a plan

to establish an inviting, light-filled, and

that represents the interests of all who will

comfortable care facility.

benefit from this campus redevelopment.

historically-significant pediatric outpatient

Building 52, a former tuberculosis hospital,

center housing 24 exam rooms and staff

was transformed into a clinical care facility.

support spaces at the forefront of Children’s

A fully-renovated interior, energy efficiency

National’s developing new pediatric research

upgrades, and all-new MEP infrastructure

and innovation hub.

helped bring the building up to a modern

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Building 52 is now a whimsical, vibrant, and

In the first phase of the redevelopment,

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C H ILDREN’ S N AT IONAL HOSP ITAL Behavioral Health Unit Washington, DC

Children’s National Hospital (CNH) offers

child side provides seven beds that can also

assessment, diagnosis, and care for children

utilize the five flex beds if census requires. The

and teens with behavioral, emotional and

challenge was to design a space to support a

developmental disorders.

wide range of patients —ages 4 to 17—while

CNH wanted to create a state-of-the-art model of patient care that will be able to treat two distinct patient populations—children and adolescents—while gaining operational efficiencies by co-locating staff support and treatment planning space to take full advantage of a multidisciplinary team model. The unit was designed with a private room model that is most beneficial for patient comfort and safety as well as encourages families to be involved with the treatment process. There are also some semi-private rooms to benefit patients who prefer a roommate.

maintaining a safe and secure environment where durability is paramount. The patient rooms feature private toilets with showers as well as a built-in bed, desk and storage area which has the feeling of a cocoon, furthering the safe and nurturing qualities of the space.

Large spaces which support both quiet and noisy activities as well as dining are dispersed around the unit. Sensory features are included throughout to promote interaction and activity in a meaningful and safe manner. Staff respite areas and offices are located close to the Unit so staff can feel comfortable leaving for a short time to decompress. Exercise activities and

The adolescent population includes 16 beds

interactive games are incorporated into the

with an additional five flex beds, while the

design to give patients much-needed physical activity outlets.

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N EW YO RK-PRE SBY TE RIAN Morgan Stanley Children’s Hospital Cardiac NICU, PICU & Digestive Health Clinic New York, NY

NewYork-Presbyterian Morgan Stanley

refrigerator. Other features include family

Children’s Hospital retained Array to conduct

waiting, a consultation suite and exam/

feasibility studies and implement expansion

interview/prep space. A colorful, whimsical

and modernization projects for key inpatient,

space which appeals to all ages welcomes

outpatient, and diagnostic programs. One of

patients and families. The hospital’s literary

these projects is a 17-bed Neonatal Cardiac

theme—Learning through Literature—was

ICU on the 9th floor. There are three types of

brought to life in both units.

patient care spaces on the Unit: private rooms in support of high acuity equipment intensive cases; airborne infectious isolation rooms; and, two-bassinet rooms enclosed by a glass ICU sliding door. The two-position rooms are designed to be similar to the infant care pod

GI, surgery, endocrinology, and genetics, with an open registration/waiting area and decentralized work areas to accommodate the system’s Lean operations.

positions on the Hospital’s 7th Floor NICU

Array worked closely with hospital leadership

with generous individual kangaroo care zones

to ensure continuity of the established

adjacent to both bassinets. Family space is

CHoNY identity and image with the goal of

provided at all bedsides and all infant positions

maintaining system-wide parity. Working

have access to natural light. Window treatment

within the framework of the hospital’s design

will include both light filtering and room

standards, the Array team was able to design

darkening devices.

environments harmonious with the existing

Additional scope included a 14-bed Pediatric ICU with in-room family amenities including oversized day-bed for two and in-room

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The digestive health clinic incorporates

vocabulary yet updating the ambiance/imagery by incorporating new elements.

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N EW YO RK-PRE SBY TE RIAN Morgan Stanley Children’s Hospital Surgical Master Plan & Implementation New York, NY

In addition to other projects at Morgan

in order to accommodate new operating

Stanley Children’s Hospital, Array

rooms and provide improved patient/

worked with NewYork-Presbyterian to

family flow.

undertake a detailed surgical services conditions assessment and conceptual design for implementation of proposed improvements. Array evaluated select scope areas for life safety, FGI Guidelines, and Article 28 compliance, as well as infrastructure/building system deficiencies.

Array’s final report included recommendations for relocating select surgical intake functions within the PACU,

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Implementation of proposed renovations included developing new family waiting, consultation, and exam/interview/prep rooms, as well as new PACU positions with supporting offices. The reimagined PACU now aligns with existing Stage II Recovery for flexibility and efficiency.

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I NS PIRA HEA LTH Pediatric Emergency Department Mullica Hill, NJ

At Inspira’s new greenfield hospital in Mullica

needs of the child and adolescent population

Hill, NJ, Array developed a plan for a separate

for both emergency and inpatient stays.

waiting room and entrance adjacent to the main ED walk-in entrance with specific childfriendly branding and signage. This unit includes two private inpatient bedrooms, two semiprivate inpatient bedrooms, and family lounge with playroom all co-located within eight private ED bays dedicated for pediatric patients only. This organization of services allows for cross-training of specialized staff for all the

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Design features of the ED include samehanded rooms organized into pods to allow flexibility between acuity zones, sliding glass break-away doors, bedside charting, and dedicated family space with integrated device charging. The ED was strategically located within the facility to allow for expansion without impacting other departments.

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C H ILDREN’ S HOSPITAL O F PHIL ADELP HIA Primary Care Centers Philadelphia Suburbs

Children’s Hospital of Philadelphia (CHOP)

patient populations create a welcoming

engaged Array to design several suburban

entry into each location. The exam rooms

physician practices as their market share

are located around a central core of

continues to increase. The goal of each

clinical spaces to ensure access by staff

project was to update the practices in size

to medications, lab and work spaces. In

as well as create a consistent brand identity

addition, touchdown spaces are located

across clinics. Array created patient-friendly

adjacent to each pod of rooms to encourage

suites which included updated exam rooms

staff interaction close to the point of care.

and clinician work space, comfortable and light-filled waiting rooms, and other amenities for patients and staff.

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The team paid particular attention to creating on- and off-stage spaces. Staff have easy access to their building through a dedicated

Each facility expanded their exam room

entrance with spacious staff lounge.

capacity, allowing for continued growth.

Maintenance personnel and deliveries can

Waiting rooms with a focus on natural light

also be received at this entrance, eliminating

and plenty of seating choices for different

cross traffic with patients.

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N ICKL AUS CHILDRE N’S H O S PITAL Pinecrest Physical Therapy & Urgent Care Center Miami, FL

Array was engaged to provide planning and

patients provided opportunities to design

design services to convert a shopping center

intuitive wayfinding, an inviting elevator lobby,

store and restaurant into an inviting pediatric

and an engaging waiting area.

specialty medical complex. The complex offers urgent care and sports medicine / rehabilitative services.

Hospital brand allowed the design team to celebrate wellness and encourage patients to

This two-story space provided design

return to the playing fields and sports courts

challenges related to proper building egress,

in optimal shape. By incorporating basic

heavy equipment reinforcement and floor-to-

radiology services, the rehabilitation center

ceiling heights. Creating an ideal child-friendly

provides one-stop convenience for patients

space for both scheduled patients (sports

and families alike.

medicine / rehab) and urgent care drop-in

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The well-developed Nicklaus Children’s

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C APITAL HEALTH H O PEWELL Women’s & Children’s Services Pennington, NJ

Array s, in partnership with HKS, Inc., designed

Patient safety, family-focused care and

a new state-of-the-art, 237-bed replacement

operational efficiency were the focal points

hospital for Capital Health. The team was

for the design. The design team segregated

tasked with designing a facility that elicits

inpatient and outpatient flow to support an

the reaction, “Wow, I can’t believe this is a

exceptional patient experience. Patient rooms

hospital!” To achieve this goal, the facility was

having inboard patient bathrooms/showers

designed to feature a concierge pavilion, a

located on the headwall to improve patient

diagnostic treatment and support building, and

safety accessing the bathroom and maximize

a patient tower­—all of which are connected by

the opportunity for expansive views. Similar to

atriums with healing gardens.

a hotel, patients can order meals and snacks

Array was responsible for interior design and the planning, design and documentation of several key clinical departments, including women’s and children’s services.

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from a full restaurant-style menu through the “at your request” room service program. Family zones in each room provide family members with their own space for respite while still including them in the patient’s healing process.

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KNOWLEDGE SHARING Array has built a culture of knowledge sharing that drives innovation and continuous improvement. Our research and public relations initiatives have caught the attention of clients, industry peers, and leading news organizations.

Array in the Press

Contributing to the Conversation in Healthcare Design

The Value of In-Concert Design Planning

by Array Architects President Noah Tolson

Fresh Approach: Planning Pediatric Care in a New Market

by Array Advisors President Jonathan Bykowski

Understanding Integrated Project Delivery from Multiple Industry Lenses

by Array Architects Senior Regional VP and Design Practice Leader, Kent Doss

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Thought Leadership COVID-19 Resource Hub Launched as the pandemic was taking hold, this website offers tools, webinars, and case studies to bolster health system response. The America Hospital Association took notice, including our research in their 2021 report.

Master Planning in Today’s Environment Our master planning approach is catching the attention of industry publications, peers and new clients at a rapid rate.

Discover the value of in-concert design planning in this Healthcare Design article by Array President Noah Tolson.

Behavioral Health: Re-Imagining Care Exterior Design Feature: Children’s Hospital of the King’s Daughters Mental Health Tower

Website Spotlight Designs Delivered: Inspira Health Medical Center Mullica Hill Explore the light-filled, technologically advanced and thoughtfully-designed replacement hospital that is Inspira Medical Center Mullica Hill.

Blog: Empathy and Experiential Approach to Pediatric Behavioral Health Environments Discover the key to creating healing and hopeful pediatric behavioral health environments in collaboration with clients and family advisory groups.

Blog: Eliminating Rework by Taking Advantage of Prefabrication Explore how the Array team closely coordinated prefabrication of the exterior panels that clad Inspira Medical Center Mullica Hill’s 473,000 SF hospital.

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Charleston / Fort Lauderdale / New York City / Philadelphia / Washington