Design for Health Sciences

DESIGN FOR HEALTH SCIENCES Ayers Saint Gross

INTRODUCTION TO THE FIRM 6 INTERPROFESSIONAL EDUCATION AND RESEARCH 8 SIMULATION 10 COMMUNITY WELLNESS 12 FEATURED PROJECTS 14

FOREWORD Colleges and universities are thinking intently about their path forward and making significant changes amid the COVID-19 pandemic. Many questions remain and the future is unclear. But through this time, we see the resilience and creativity of the human spirit in the ways that institutions are adapting, along with the empathy and accommodation that they display as they seek the safest way to protect their communities.

The projects in this publication represent how health sciences education, the interdisciplinary innovations it fosters, and the research conducted by students and instructors are ever more vital as the pandemic continues and beyond. The world has seen the extraordinary sacrifices healthcare professionals make.

Now, more than ever, the mission to reflect the values of schools of nursing and health professions in the built environment, to create learning environments to push students to become the best providers they can be, resonates with a deeper focus.

Ayers Saint Gross designs

LEARNING SPACES FOR THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS HEALTH SCIENCES EDUCATION BUILDING UNIVERSITY OF ARIZONA

Introduction to the Firm Ayers Saint Gross is an employee-owned design firm with expertise in architecture, planning, landscape architecture, space analytics, interiors, and graphic design. We are unique in that all of our work is for mission-driven clients such as colleges, universities, and cultural institutions. Since the founding of our practice in 1912, Ayers Saint Gross has built a reputation for designing environments of enduring value. Our design is driven by a critical and analytical discourse, a respect for past wisdom, a mind to future potential, and a belief that we have an obligation to leave places better than we found them.

AYERS SAINT GROSS QUICK FACTS

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FO UND E D

C L IEN TELE

1912

All of our work is for mission-driven clients.

FI R M P HI LOS O P H Y

“ We engage people and places to create designs that enrich the world.”

S E RVI C E S ARCHITECTURE PLANNING GRAPHIC DESIGN LANDSCAPE ARCHITECTURE INTERIORS SPACE ANALYTICS

80% 10% 10% Higher Education

Cultural Institutions

INTER N ATIO N AL R EACH

K-12 and Private Sector

Interprofessional Education and Research Ayers Saint Gross designs environments that support interprofessional education and research for schools of nursing and health sciences that prepare the next generation of health professionals for enhanced team-based patient care. Clinical learning environments need to adapt to evolving pedagogy, technology, and methodologies while responding to healthcare demand, specialized care needs, and research partnerships, which may include non-health professions. We design innovative buildings driven by programmatic needs and functional relationships that allow programs to endure changes and remain at the forefront of research and education. In interprofessional education, adaptable spaces provide a multitude of functions to serve various disciplines, scales, and modes of learning. More than ever, spaces that foster meaningful collaboration are critical to interprofessional learning experiences.

INTERDISCIPLINARY PROGRAMS PRESENT NEW PEDAGOGICAL OPPORTUNITIES THAT LEAD TO INNOVATION

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Simulation Simulation has become integral to modern health sciences education, transforming it from content delivery to contextual learning, and requires a realistic physical environment with supplies and equipment to replicate realworld settings. Simulation environments are often designed as a suite that facilitates a predetermined sequence. Student groups meet in a pre-brief area, then filter into simulated clinical spaces designed to teach competencies across different cases such as labor and delivery, operatory, in-patient, home care, pediatric, or primary care. The student group reconvenes after the scenario in a debriefing room for discussion or to view the recorded scenario.

Quality debriefing is critical to optimizing learning outcomes.

Ayers Saint Gross programs and designs thoughtful and adaptable simulated environments tailored to each pedagogy and program. Planning for flexibility and adaptability in the simulation environment allows for modifications in response to new challenges in preparing students for the workforce. The ability for students and faculty to navigate and operate these spaces, to enter a scenario, control and respond to changing conditions, give and receive feedback, and repeat the process, is crucial to student success.

SIMULATION SPACES REQUIRE CHOREOGRAPHED ORGANIZATION

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Community Wellness Health sciences schools can promote health literacy and reflect the core values of its programs and the profession through building design. Schools are engaged in community health and gear curricula towards the regions they serve. To meet ever-greater public health challenges, students work hard to learn the challenges they will face and new ways to reach more people.

Thoughtfully planned, programmed, and designed health-learning spaces allow schools to actively serve specific community needs such as reaching patients in remote areas, offering community screening clinics, telehealth, and providing health services to students to prepare agile, responsive, and collaborative health professionals.

THE CULTURE OF WELLNESS IN HEALTH SCIENCES EDUCATION EXTENDS BEYOND CLASSROOM WALLS

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Featured Projects INTERDISCIPLINARY RESEARCH & EDUCATION BUILDING University of North Texas ALIX SCHOOL OF MEDICINE Mayo Clinic DUKE SCHOOL OF NURSING Duke University DUKE HEALTH INTERPROFESSIONAL EDUCATION CENTER Duke University HEALTH SCIENCES EDUCATION BUILDING University of Arizona BIOMEDICAL SCIENCES PARTNERSHIP BUILDING University of Arizona CMSC RENOVATION & NORTH TOWER ADDITION Johns Hopkins Health System

INTERDISCIPLINARY RESEARCH & EDUCATION BUILDING UNIVERSITY OF NORTH TEXAS

SCHOOL OF NURSING Auburn University HEALTH PROFESSIONS EDUCATION BUILDING University of Pikeville MILKEN INSTITUTE SCHOOL OF PUBLIC HEALTH George Washington University HEALTH SCIENCES BUILDING University of Alaska HEALTH SCIENCES BUILDING Howard Community College EDUCATION AND HEALTH SCIENCES CENTER Frostburg State University

Interdisciplinary Research & Education Building University of North Texas Denton, Texas The Interdisciplinary Research & Education Building (IREB) provides 172,000 SF of new space to support the growth of clinical and translational research and the associated training programs. The IREB supports academic and research initiatives for the University of North Texas System College of Pharmacy, the North Texas Eye Research Institute (NTERI) and the Texas Christian University / University of North Texas Health Science Center (UNTHSC) School of Medicine.

Home to one of the nation’s top 50 medical primary care schools and associated training programs in pharmacy and vision research, the building is a catalyst for interprofessional education and team-based research and learning in a translational science environment.

The new IREB focuses on the synergies created by co-locating the pharmacy, health, and educational programs within a collaborative, flexible, and adaptable facility that fully supports the vision, mission, and values of the UNTHSC. Ayers Saint Gross is the design and planning consultant to TreanorHL.

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Alix School of Medicine Mayo Clinic Scottsdale, Arizona Mayo Clinic expanded its prestigious medical school, Mayo Clinic Alix School of Medicine to Scottsdale, Arizona, welcoming the location’s first class in 2017. The project, totaling 18,000 GSF, is located in the existing Administrative Support Building (ASB) with additional renovations to the adjacent Johnson Research Building (JRB), providing an additional 2,700 square feet of library and collaborative study space, and a fully renovated, 1,000 square foot, tiered lecture hall.

The 1990s ASB office building is reimagined to support an engaging and inspiring academic experience. The facility synthesizes clinical experience with team-based learning. The program includes an advanced active learning classroom, video-enhanced simulation rooms, a learning and procedural skills anatomy lab, medical library, 50-seat tiered lecture hall, student support spaces, and faculty and administrative office suite. Also included in the project is exterior renovation, expansion and site enhancements of the ASB, creating new connectivity between the building and site.

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Duke School of Nursing Duke University Durham, North Carolina This LEED-certified instructional facility consolidates essential programs into a single location and includes a range of tiered fixed-seat and flat-floored flexible learning classrooms for teaching and collaboration, faculty offices, clinical learning spaces, simulation, and meeting spaces. Providing a welcome respite and serving as a ‘living room’ for the School of Nursing, a two-story glass commons engages an adjacent wooded

area and provides meaningful space for students, faculty, and staff to collaborate and share experiences. Adjoining outdoor patios extend the space and blur the distinction between interior and exterior. The building accommodates an expansion of academic, research, and outreach programs, and affirms Duke’s place as a national leader in nursing education.

Duke Health Interprofessional Education Center Duke University Durham, North Carolina Connected to the School of Nursing, this building brings together three different programs within the medical center—Physical Therapy / Occupational Therapy, School of Nursing, and the Department of Orthopedic Surgery. The unique design process for the building included a search for similarities in teaching styles and needs among programs, resulting in flexible spaces that work across disciplines. The building contains active learning classrooms, collaborative tiered lecture halls, skills labs, a standardized patient suite, an interprofessional education lab, and research space. Common spaces for students to gather, collaborate, and study are designed to nurture learning, build community, and encourage interprofessional dialogue.

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Health Sciences Education Building University of Arizona Phoenix, Arizona Ayers Saint Gross teamed with CO Architects to deliver a new 268,000 GSF facility that includes a library and learning resource center, large lecture halls, classrooms, clinical training suites, a state-of-the-art simulation center, a large gross anatomy lab, and faculty and staff offices. The building is home to multiple health and medicine programs for the University of Arizona and Northern Arizona University. Together, these institutions are creating a new model for an integrated and interdisciplinary approach to health sciences education and research under the roof of a world-class facility.

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The Health Sciences Education Building houses components of the College of Medicine — Phoenix and the University of Arizona College of Pharmacy and College of Public Health.

It supports the growth of the Colleges to 120 first-year medical students and 80 advanced pharmacy students. Additionally, it supports the new Health Professionals program at Northern Arizona University. Overall, the facility provides a unique opportunity to train healthcare professionals in an integrated environment, empowering them to become national leaders in interprofessional education and delivery of healthcare.

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Biomedical Sciences Partnership Building University of Arizona Phoenix, Arizona The Biomedical Sciences Partnership Building (BSPB) is the second major phase of development of the University of Arizona College of Medicine – Phoenix. The facility addresses the need for additional research space on the Phoenix Biomedical Campus, located in downtown Phoenix, by supporting the collaborative efforts of the medical school and its interdisciplinary partners in the public and private sectors.

The BSPB is a 10-story, 244,650 GSF urban biomedical research faculty supporting the University of Arizona research initiatives.

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It provides wet and dry research labs, computational labs, seminar spaces, faculty offices, collaborative spaces, and various support spaces. Designed to promote collaboration among disciplines, it connects to the north of the existing Health Sciences Education Building through a public mixing bar and below to Phase I of an underground research facility. This project is LEED Silver certified and was delivered through the continued partnership between CO Architects and Ayers Saint Gross.

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Existing view of former Children’s Medical Surgical Center (CMSC) and Brady Building (demolished)

Proposed interdepartmental research building and new front door on the north side of campus along Monument Street

The CMSC Renovation & North Tower Addition respects the Historic Billings Building and its iconic dome

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CMSC Renovation & North Tower Addition Johns Hopkins Health System Baltimore, Maryland An outcome of master planning efforts conducted by Ayers Saint Gross for the Johns Hopkins Health System, the former Children’s Medical Surgical Center (CMSC) building was determined to be an underutilized building in the heart of the clinical core of the medical campus. To address this and other campus needs, the existing CMSC building is being redeveloped with an additional wing to repurpose the building from clinical use to research use. Redevelopment includes a new high-performance exterior envelope for the entire building, along with infrastructure upgrades to support world-class research

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for the School of Medicine. The additional wing doubles the site capacity and unifies interdepartmental research, providing a building with seamless connections to the clinical core and facilitating stronger “bench to bed” connections. In addition to providing much needed clinical research space and an enhanced materials handling facility to service the northwest quadrant for the clinical core, the CMSC Renovation & North Tower Addition creates a new visual presence for Johns Hopkins Hospital and the School of Medicine on the northwest side of campus.

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School of Nursing Auburn University Auburn, Alabama The new School of Nursing fosters interprofessional collaboration by uniting academics, clinical learning, faculty, and administrative entities under one roof.

Adaptable classrooms support collaborative learning and traditional lectures, and provide alternative seating arrangements to test new pedagogies. The building creates opportunities to host community outreach and wellness programs, allowing the school cohort to serve the ever-growing needs of the Auburn community and regions beyond.

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Housed in the building are technologyrich clinical learning spaces including introductory skills and assessment labs, clinical skills, a standardized patient suite, and a comprehensive state-of-the-art simulation suite furnished for specialties, including Medical Surgery, Labor and Delivery, ICU / Trauma, and Community Health. This project was completed with Stacy Norman Architects.

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Health Professions Education Building University of Pikeville Pikeville, Kentucky The Health Professions Education Building (HPEB) is emblematic of the University of Pikeville’s future and a showcase for modern education. Its iconic design reflects its Appalachian coal country context, and connects students to the community they serve. The building includes active-learning classrooms, ophthalmic optics, geometric optics, methods labs, surgery suites, practice testing lanes, and a special procedures suite housing lasers, visual field, ocular photography, and ultrasound diagnostic instrumentation. Prioritizing community connections and providing support for the specialization in rural optometry, many graduates are expected to practice in medically underserved areas of Appalachia.

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Additionally, the HPEB physically connects to the adjacent building to facilitate student migration and enhance interprofessional education with the nearby Kentucky College of Osteopathic Medicine. To further encourage cross-disciplinary interaction, it also accommodates campus service spaces including food service and a multi-purpose hall seating 900. This project was completed in association with Trivers Associates.

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Milken Institute School of Public Health George Washington University Washington, DC The Milken Institute School of Public Health provides a centralized home for multidisciplinary public health research and education and exemplifies health values by using smart design to encourage healthy behavior. A seven-story atrium allows natural light to permeate through shifting planes of bridging, lounges, and open workspaces.

The atrium’s central feature stair encourages walking and interaction between students and faculty. Other wellness features include standing desks, a yoga studio, two gym areas, multiple kitchenettes in lieu of vending machines, and student teaching labs for the Department of Exercise and Nutrition Sciences.

The building is certified LEED Platinum and features a green roof, high-performance ultra-clear glazing, energy-efficient chilled beam distribution, energy recovery, and innovative storm water management strategies.

This project was completed with Payette.

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Health Sciences Building University of Alaska Anchorage, Alaska As a center for interdisciplinary education and research, the new facility is a resource for health science education, with specific focus on nurse training in rural communities, interdisciplinary simulation, continuing education, and distance learning. The building design promotes the health of building occupants, responds to the harsh climate conditions, and minimizes environmental impacts. Distance learning facilities were designed with state-of-the-art technologies to connect to outposts in remote areas to facilitate health care, instruction, and coordination with medical professionals. This project was completed in association with Livingston Slone, Inc.

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Health Sciences Building Howard Community College Columbia, Maryland The 113,000 GSF Health Sciences Building provides a home for Howard Community College’s nursing and allied health programs.

The nursing courses are delivered using state-of-the-art simulation and instructional lab settings. The instructional spaces for the health sciences support advanced hands-on methodologies. Health sciences disciplines include: cardiovascular technology, emergency medical technician, exercise science, nursing, radiologic technology, dental hygienist, physical therapy, and medical lab technician.

Program elements are organized on three floors in building blocks connected by “activity zones” or hubs. The primary hub is a public gathering space joining the classrooms and administrative spaces to the lab and seminar spaces. This glazed vertical space presents the building’s main entries on the ground floor, connected to the upper levels by a floating stair and bridges.

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Education and Health Sciences Center Frostburg State University Frostburg, Maryland Responding to a growing workforce and regional demand for health care professionals, Frostburg State University selected Ayers Saint Gross to design its new Education and Health Sciences Center. The interdisciplinary and wellness-centric building houses programs in nursing, health professions, kinesiology, recreation, and education.

Open skills labs can also function as four dedicated simulation labs. Key adjacency to a flexible classroom essentially acts as a

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flex space to serve three functions: a fully functional classroom, a clinical learning class lab facilitating skills instruction and demonstration on the classroom side and hands-on implementation on the adjacent bays, and a generous footprint for future simulation lab growth and program expansion.

Providing a heightened level of flexibility with operable walls and mobile equipment gives instructors the freedom to be creative in imagining scenarios.

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Select Clients Auburn University Arizona State University Boise State University Bowling Green State University California State Polytechnic University, Pomona Case Western Reserve University Clemson University Colgate University College of Charleston Drexel University Duke University Eckerd College Emory University Frostburg State University Gallaudet University George Mason University George Washington University Georgetown University Gettysburg College Goucher College Harvard University Harvard Medical School Haverford College Howard Community College Johns Hopkins Health System Johns Hopkins University Kent State University Loyola University Maryland Marymount University Mayo Clinic Minnesota State University Morgan State University

Mount Saint Mary’s University Northern Arizona University Radford University Rutgers University Salisbury University St. Mary’s College of Maryland Swarthmore College Texas A&M University Texas Tech University Thomas Jefferson Foundation Towson University University of Alaska University of Arizona University of Baltimore University of Delaware University of Kentucky University of Maryland University of Miami University of North Carolina University of North Texas University of Pikeville University of Rochester University of Southern California University of South Carolina University of South Florida University of Virginia University of West Georgia Virginia Commonwealth University Washington College Washington University in St. Louis Wexford Science & Technology, LLC

SEE SOMETHING YOU LIKE? Ayers Saint Gross is always on the look out for new and interesting collaborations.

PLEASE CONTACT: Laura Hall, AIA, LEED AP BD+C, WELL AP phone 410 347 8500 email lhall@asg-architects.com

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