Case Study: Children’s Services Moves & Improvements

Case Study: Children’s Services Moves & Improvements A Deeper Look In addition to experiences, quality and safety, adjacencies and future space requirements need to be considered when Pediatric spaces are being moved and improved. The completeness of planning scenarios and phasing is of the utmost importance when the projects will affect many departments across several floors of more than one bed tower.

Five Floors of Pediatric Improvements PEDIATRIC PLANNING

CHILDREN’S HOSPITAL OF NEW YORK OVERVIEW

CHALLENGE

Located at New York Presbyterian’s (NYP) Columbia Campus, the Morgan Stanley Children’s Hospital of New York (CHoNY) is comprised of three buildings, ranging in age

Aging infrastructure, increased demand and important adjacencies require meticulous planning and systematic implementation.

from 10 to 90 years. The owner chose to embark on a series of feasibility studies to map out the most effective plan to implement modernization projects in four key areas of the two older buildings and one location in the newest tower building.

Critical care bed demand and surgical services growth were key drivers along with maternity capacity and the creation of single family rooms. The projects were donorfunded with defined funding schedules. Each department’s improvement plan was phased

SOLUTION

to accommodate the domino-effect of planning multiple moves within occupied spaces.

Phased project delivery and a knowledge of infrastructure priorities allowed for long-overdue upgrades to essential diagnostics, inpatient and clinic spaces.

Feasibility studies were prepared with input from a diverse group of stakeholders and user

Implementation was also dependent on timing of new infrastructure installation.

groups to confirm volumes, census levels and operations. A program of requirements was prepared and test fits developed to ensure tat each unit would meet codes, incorporate evidence-based design tenets and respond to volume projections. The team worked closely with hospital personnel to ensure continuity of identity and wayfinding with the goal of maintaining system-wide parity and compatibility with the Hospital’s design of interior finishes and construction standards.

NYP provided equipment budgets and institutional approvals at the end of the Analysis and Creation phases. At the conclusion of the feasibility studies, a construction management firm provided pre-design and pre-construction services to ensure accurate, detailed cost estimating.

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FEASIBILITY STUDIES YIELD AN EFFECTIVE PLAN With the feasibility studies complete and approved, the projects were scheduled for complementary completion.

The inpatient unit on the 10th and 11th floors of the Central building provide much needed expansion for Pediatrics Intensive Care Units and Antepartum services.

The new cardiac NICU was placed on the 9th floor of the North Building, adjacent to the current PICU and Tower Building’s Cardiac ICU. The planning drivers for these essential service lines revolved around the need for all-private rooms, with family space accommodating two-person day beds; decentralized nursing units with central team communication spaces; integrated child life support; and, deliberately-sized support spaces reflective of the hospital’s lean operations.

The Central Building’s Antepartum Unit is located adjacent to the Labor-Delivery-Recovery suite in the Tower Building, with enhanced monitoring capability in support of the high-risk patient population. The new Unit has provided 16 additional beds to the maternity bed capacity in NYP Sloane Hospital for Women.

Specialty outpatient space on the 7th floor of the North Building, houses a multi-disciplinary Digestive Health clinic, incorporating GI, surgery, endocrinology

Array’s entire team has exhibited an exemplary knowledge of Healthcare Design. Array and their consultants have

and genetics. The projects round out with a new 3T MRI space for the Tower Build-

done a professional job of sticking with

ing’s 3rd floor to accommodate Imaging volume increases.

the problem and providing workable solutions.

View a simulation video of the sub-specialty clinic spaces.

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- Francis Vecchione, AIA, Jones Lang LaSalle

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Implementation

SURGICAL SUITE AND PACU IMPROVEMENTS Array also worked with CHoNY on a surgical services expansion

The project began with a detailed condi tions assessment

project. This multi-phase project required the relocation of

survey before the te am embarked on a feasibility study

family waiting, surgery intake and PACU to create space for the

requiring conceptual design. They also participated in the

construction of two general ORs to accommodate projected

development of construction cost and total project budget

demands.

estimating. The entire surgical services dep artment was

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Who We Are ARRAY-ARCHITECTS.COM evaluated for compliance with the FGI 2010 Guidelines for the Design and Construction of Healthcare Facilities, New York State Public Health Law – Article 28 and overall lifesafety standards. Infrastructure deficiencies, as well as the current system’s useful life, were identified.

Now complete, the project features new family waiting, a consultation suite, an exam/interview/prep space and new PACU positions with privacy and bedside family space.

The new PACU aligns with the Stage II Recovery Suite for flexibility and efficiency. In addition to program development, an physical conditions and infrastructure life safety analysis was conducted for the entire Surgical Services Department.

The projects completed over several years due to project complexity, decants, infrastructure improvements, project phasing, regulatory requirements and donor/funding sequencing. These projects were eam efforts requiring significant commitment, communication and collaboration by all parties involved.

Consistent oversight by CHoNY administrative and NYP facilities project management teams, supported by the NYP

We Are Healthcare Architects We are a team of architects and designers with unique backgrounds, but we all have one thing in common - we share a strong desire to use our expertise and knowledge to design solutions that will help people in moments that matter most.

This focus makes us leaders in our field. There’s a degree of compassion, empathy, and sensitivity that goes into every project that we touch. It’s designing a nurse station with sight lines to every patient. It’s building a Behavioral Health facility without corners, so that patients are safe. It’s translating the operational needs through the technical details to fine tune the lighting system in a neonatal unit so caregivers can match the lighting to each baby’s stage of development. It is a deeper understanding, honed through relationships spanning decades..

Together, we discover optimal solutions with our clients. It is our three decades of specialization that allows for effective communication, collaboration and precision in the complex, changing world of healthcare.

Regulatory, Clinical Technology and Information Technology divisions, ensured conformance to NYP requirements and standards. Substantial user group contributions by nurses, physicians and support departments contributed to idealized clinical environments in support of best-practice pediatric healthcare.

Array’s Knowledge Communities We strongly believe in sharing our expertise and knowledge with others. We invite you to explore each of our thought leaders and share your thoughts with the healthcare design community.

Click here to visit our Thoughts page.

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to sign up for Lisa’s webinar on NICU Redesign

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