PDT Health Care Brochure

BEDROOM 107 SF LIVING / DINING 139 SF

Health Care CL. 8 SF Ambulatory Care

REF.

CL. 10 SF

Ambulatory

KITCHEN 104 SF

Surgery Centers

ENTRY 94 SF

Acute Care

CL. 4 SF

Diagnostics

TLT. 54 SF

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PDT Architects

PDT Architects PDT Architects, a CHA company, is a full service architectural and interior design firm based in Portland, Maine, specializing in sustainable, highperformance design for healthcare, education, corporate, and municipal clients. CHA Consulting, a multi-disciplinary engineering firm based in Albany, New York, has 40 offices located in the eastern United States.

49 Dartmouth Street, Portland, Maine 04101 207.775.1059, pdtarchs.com, contact fisher@pdtarchs.com

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PDT Architects

ARCHITECTURE Full-Service Design Programming Design/Build Sustainable Design Historic Renovations Adaptive Re-Use of Existing Buildings Energy Conservation Upgrades INTERIOR DESIGN Space Planning Furniture & Office Systems Workflow Analysis Finish Selection PLANNING Educational Planning Health Care Planning Facilities Studies Campus Planning Feasibility Studies Master Planning Land Use/Permit Study Zoning/Code Analysis Existing Building Analysis

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PDT Architects

Ann Fontaine-Fisher, AIA, LEED AP BD+C has led PDT’s healthcare team since 2003, completing numerous specialty project types within acute and ambulatory care. As a LEED accredited architect, Ann supports effective solutions in the design of healthcare environments.

Pamela V. Anderson’s work illustrates a strong understanding and sensitivity to a client’s vision, needs, and budget. These become the foundation for strong design solutions as they are woven with forward thinking approaches resulting in a cohesive and thoughtful design. Her talent, grasp of trends, knowledge of product performance, and interest in light, color, and pattern as powerful design tools offer great value to PDT’s clients.

Maine Eye Center + Retina Surgery PORTLAND, MAINE

Like many ophthalmology practices, Maine Eye Center has experienced growth as the population ages. To accommodate the growth, they decided to relocate and expand both the surgery center and the retina practice to a new facility, freeing up space to expand the other parts of the practice. They explored both new building and renovation options and chose a two story, 25,000-sf renovation.

The design places the surgery center on the first floor and the retina practice on the second. Each floor has its own check in and waiting. The surgical center includes five operating rooms, a Lasik surgical suite, pre-op and post-op areas, and other support spaces. The retinal floor includes exam rooms, offices, staff areas, and other support spaces.

Maine Eye Center’s design process paralleled a gastroenterology practice fit-up on the building’s remaining two floors. The opportunity of sharing common services and spaces was explored, with the design of each practice incorporating common elements.

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Portland Gastroenterology + Endoscopy Center PORTLAND, MAINE

The new Portland Gastroenterology Center replaces and nearly doubles the square footage of their former facility. The large group practice has 12 physicians and 4 mid-level providers with a total staff count reaching close to 100. An eighteen-month planning and design process began with a study to determine whether their existing space could be expanded and reworked to meet the demands of the growing practice.

The study concluded that finding a new location and starting fresh rather than making further investment in their existing facility was the way to move forward. When they found a building that addressed both location and parking, PDT tested the program against the building’s plan. In the following months, PDT worked closely with a variety of PGC stakeholders to complete the design.

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Guiding principles carried through the design process include: • Provide patients with a private, quiet, dignified experience.

• Improve patient and staff flow; limit travel distances • Separate front and back stage functions • Improve operations through design • Improve the flow of shipping and receiving and make it invisible to patients • Design in flexibility for expansion • Design staff areas that promote collaboration • Incorporate sustainable products and finishes that support a healthy environment

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Androscoggin Valley Medical Arts Center Franklin Community Health Network Developers Collaborative, LIVERMORE FALLS, MAINE

Franklin Memorial Hospital wanted to expand its outpatient clinic, support the community, and contribute to the revitalization of this historic Maine downtown. Developer Kevin Bunker of Developers Collaborative handled site selection, permitting, design, and construction for the hospital.

A collaborative process with the client and this largely rural community produced an efficient plan that:

• provides a wide range of health care services

• shortens trips to the doctor

• anchors a prominent downtown site

• encourages pedestrian traffic to local businesses

• adds convenient, off-street parking

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The new clinic is part of Franklin Memorial’s shift toward a primary-care-centered model that is intended to lower costs while bringing primary and specialty care closer to patients.

The building houses primary care, orthopedics, women’s health, physical therapy, behavioral health, and a breast care center and imaging suite (radiography, mammography, densitometry & ultrasound).

All the specialties share front desk support, the central nurse hub, the lab, and the procedure room.

For wayfinding within, feature walls and accent colors orient and guide patients. In offices and treatment areas, a calm, natural palette with wood-grain flooring sets off custom light fixtures and cubicle curtains by a local designer.

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Health Care Center Martin’s Point Health Care BRUNSWICK, MAINE

This prototype design was developed with input from health care professionals, administrators, and staff. Family practice and pediatrics offices open directly to the sunny, shared reception/ waiting area, with staff and diagnostic functions centrally located.

Both ends of the building were designed to accommodate future expansion.

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Health Care Center Martin’s Point Health Care PEASE TRADEPORT, PORTSMOUTH, NEW HAMPSHIRE

The design for this building is a refinement and expansion of a prototype facility built two years earlier. Extensive interviews and planning with the staff led to improvements in patient flow, plus the addition of a centralized core that houses diagnostic services, a conference room, and specialized treatment areas.

A convenient full-service pharmacy has its own entrance. The central rotunda provides an orienting circulation axis as well as natural light for waiting and medical records areas. The plan can accommodate future changes and expansion.

“The new Portsmouth facility was built with all the latest advancements in outpatient medical technology specifically with patients’ interests in mind.”

—Mark Henshcke, M.D.

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OA Performance Center OA Centers for Orthopaedics SACO, MAINE

As part of the growth of its specialized services, Orthopaedic Associates recycled a section of a deteriorating industrial building into a sports medicine/PT/performance center.

The center is comprised of a 5,000-sf clinic, a 4,000-s.f. physical therapy center, a 7,000-s.f. sports medicine and performance center, a retail store, a reception and waiting area, locker rooms, and other support spaces. The interior fit-up includes spaces for orthopaedic services and performance evaluation and testing staffed by the University of New England’s School of Medicine.

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The Orthopaedic Associates interior renovation is part of a larger project that turned a 1960s industrial building into a stateof-the-art training facility.

A few years later the Michael Phelps Skill Center was added to the complex, with a swim school for all levels, from beginners to competitive swimmers through triathletes. Swimmers train in ergonomic spa pools with adjustable current and video monitoring for coaching sessions.

BEFORE

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Specialty Clinics VA Medical Center WHITE RIVER JUNCTION, VERMONT

The new high-performance addition houses six specialty clinics, so clear way-finding, adjacencies, and efficent patient waiting and travel routes were crucial. Support areas are centrally located so the clinics can share support staff. The central waiting area is subdivided into three areas that help orient patients toward the right clinic.

PDT’s feasibility study documented gaps between the structural system and current seismic codes, so new shear walls had to be installed through the existing floors in order to ensure stability of the building with the additional third floor. Mechanical and electrical systems and elevators were also upgraded throughout the building.

Audiology Staff/Support Neurology Vascular Lab Ear, Nose, & Throat Waiting/Reception HEALTH CARE

PDT Architects

As this clinic houses a variety of ambulatory services for VA patients in limited space, each room was customized for specific equipment, procedures., and storage. Lighting is highly specialized, and wall and flooring color palettes are used throughout to facilitate wayfinding.

The audiology suite includes several soundproof testing rooms with adjacent control rooms for the technician. These are placed on a raised floor engineered to dampen sound and vibration.

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University Health Care + VA Community-Based Outpatient Clinic SACO, MAINE

Neighbors on the quiet road that emerges onto busy Route 1 in Saco valued the buffer provided by this site and the existing Colonial Revival house. In response, PDT renovated the house and tucked the new 21,800-sf medical office building behind it.

The house is used for administrative offices and patient education. The two-story MOB is shared by SMHC Physicians on the first floor and the Veterans Administration CBOC on the second.

In addition to exam rooms, procedure rooms, labs, and support spaces, the first floor was designed with conference/seminar areas and resident/intern work areas to support the UNE teaching program.

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clinical administration diagnostic support

By visually integrating the character of the old house with the new building, the design strives for patient-friendly spaces without an institutional feel.

PDT kept the building low, stretching it out along the Route 1 side to mimize its presence from the road. New landscaping and the retention of the lot’s tree line and rock walls help preserve the residential character of the neighborhood.

“This patient-friendly center, along with our unique, whole-person approach to health care, dramatically distinguishes us from other medical facilities in the area.”

—Paul Loiselle, Administrative Director, University Health Care

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Women’s Primary Care Clinic VA Medical Center TOGUS, MAINE

Part of a VHA initiative to help improve the quality of care for women veterans, this project was designed to provide comprehensive primary care that is private, safe, dignified, and sensitive to the needs of women veterans. The convenient, fully accessible first floor space can be accessed from a choice of building entry points and is close to parking.

The clinic floorplan is organized into two distinct areas to protect privacy: counseling service On the exam side, each of the four large exam rooms has its own private bathroom.

One of the exam rooms is sized for bariatric patients and has a built-in lift system. Patient spaces are filled with natural light throughout to reinforce a positive and supportive environment.

Finishes follow a calming natural theme with some feminine touches. s are on one side with clinical exam services on the other.

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Central Maine ENT and Neck Surgery Central Maine Healthcare LEWISTON, MAINE

• Consistent aesthetic, using vibrant seaside colors against light wood tones, appeals to younger patients • Six exam rooms and one treatment room • Sterilization workroom

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Emergency Department Bridgton Hospital BRIDGTON, MAINE

Although newly built in 2000, it wasn’t long before Bridgton Hospital’s Emergency Department volumes outpaced its capacity.

The Lakes Region is a popular vacation destination, and visits to the ED swell during the summer months. A thoughtful patient who frequented the ED came forward with a significant donation and a challenge to improve conditions at what looked like a dark 1960s-era bus station.

The project is the first of several phases that will increase patient throughput and improve handicap accessibility. The new entrance and landscaping replaced what resembled a concrete loading dock, and the waiting room is filled with natural light and at least doubles its former size. Staff visibility has greatly improved, and navigating the space is much easier for wheelchair-bound patients.

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Hybrid Operating Room VA Medical Center WEST ROXBURY, MASSACHUSETTS

This design for a new 1,250-sf hybrid operating room and adjoining control room merges the surgical capability of a largescale OR with the imaging advantages of a catheterization lab. It allows for less invasive, safer procedures, leading to an increase in positive outcomes and faster patient recovery.

The room incorporates the most current integrated OR technologies available, including a Huntair Cleansuite ceiling diffuser system designed to structurally support nine boom mounts, along with a Philips FlexMove imaging system. The OR walls will be sheathed in Maquet’s Variop, a modular system of stainless-steel-clad panels, doors, and windows that requires minimal downtime for utility changes.

The project also included partial renovation of the adjacent Surgical Intensive Care Unit.

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Sleep Lab Central Maine Medical Center LEWISTON, MAINE

An increasing need for sleep studies prompted the hospital to develop this more comprehensive facility on the lower level of the building. The available space, although ample in size, presented challenges due to a mass of utilities and shafts running through it.

PDT, along with the client, evaluated planning options and agreed on a solution that met program and adjacency needs. Since patients arrive in the late evening, PDT retained an existing entrance with nearby parking and used that as a point of departure for the floor plan.

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The Sleep Lab has eight sleep rooms and a large control room that flank a central corridor. Support spaces include a kitchen, offices, a file room, a conference room, and laundry, storage, and utility rooms.

Hotel-like accents create a warm, quiet, and comfortable environment. Each room entry is punctuated by natural wood paneling and a sconce fixture. The earthy color scheme includes a palette of greens, browns, and tans. Decorative lighting in each of the rooms is hand-forged with a bronze finish.

Acoustical separation between individual rooms and the floor above were a very high priority for the client. PDT brought in an acoustical consultant to design detailing that would assure the highest level of sound isolation, including full height walls, a double ceiling system, and gasketed doors. Each room is well appointed, with a double-sized bed, a comfortable chair, and storage for personal items. An adjoining bath, with shower, is fully accessible.

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Capt. Jonathan H. Harwood Center PROVIDENCE, RHODE ISLAND

An unusual VA project that is not sited on a VAMC campus, this is an adaptive reuse of a historic 1951 US Army Reserve center being converted into a state-of-the-art research facility. The original 2-story building, an early Reisner and Urbahn design, arranged administrative functions around a central double-height drill hall that apparently was so noisy that the firm corrected the layout in subsequent designs for reserve centers around the country.

The new research facility requires the insertion of a new floor within the 2-story open assembly space for researchers into prosthetic limb technology. The research center consists of a mix of interview rooms and private offices with open-plan computer stations, conference rooms, and administrative spaces.

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Neuroscience Research Addition VA Medical Center JAMAICA PLAIN, MASSACHUSETTS

The design of the new Neuroscience Research Addition is largely informed by the need for flexibility. Changing research groups, missions, and technology require adaptation of floor plans and technology. The 20,000-sf four-story addition includes flexible lab and office spaces, an MRI suite, support spaces, and conference rooms designed to be converted into labs if needed.

The architectural aesthetic of the addition derives from its neuroscience function, its prominent siting on the VA campus, and the stated goal that it provide a compelling image as the “face� of the research program.

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Orthopedic Institute of Central Maine Central Maine Medical Center LEWISTON, MAINE

The Orthopedic Institute of Central Maine offers patients a comprehensive range of services in an freshly renovated setting.

Sixteen patient rooms that once held two beds each are now private rooms with accessible bathrooms.

The headwalls are covered in a panel system that is washed with soft light by a recessed linear fixture above. Staff can enter information on a wall-mounted PC while interacting with patients.

The patient bathrooms also have a hospitality aesthetic. The floors are finished with a light-colored porcelain tile, while the walls are covered in a glossy brick-sized tile with a jewel tile accent band. The wood-framed mirror sits above a stylish lavatory.

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Physical therapy will be available to patients on the unit in a new therapy services area that is close to patients’ rooms. The space is washed with natural light through a window wall. The room can be divided by cubicle curtains around each therapy area to provide a desired level of privacy.

The nurses’ station is surrounded by glass to allow full visibility in the corridors while providing acoustical separation from the patient rooms and corridor traffic. Several staff work stations are available as well as a separate area for telemetry monitoring.

The traditional wall-mounted census board has been eliminated and will be accessed by computer.

BEFORE

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Same-Day Surgery Unit Central Maine Medical Center LEWISTON, MAINE

This former ICU underwent a dramatic transformation during its renovation into a 20-bed day surgery suite. The unit, originally built in the 1970s, was re-tooled for new program needs and brought up to current codes and health care guidelines. The project also included a 5-bay pre-op holding unit adjacent to the hospital’s ORs. The desire to reduce stress on patients and their families prompted PDT to work closely with staff to streamline the arrival process and make waiting and patient areas more attractive and comfortable. Finishes in soft colors with wood accents help to enhance the patient experience.

The new layout provides staff with multiple locations to work while maintaining a close visual of patients. There are two primary nursing stations along with small sub-nurse stations in the central core. Computers on wheels provide convenience for documenting at bedside.

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The lighting design offers multiple options for illumination. Wallmounted sconces accent and reinforce the rhythm of patient bays as they march along the length of the space.

The primary challenge during construction was to minimize disruption on occupied patient floors above and below. The discovery of undocumented utilities prompted responsive creative solutions and contributed to the project’s overall success.

To help address equipment clutter, the new floor plan includes a central core with sub-nurse stations and equipment alcoves.

AFTER

BEFORE

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MRI Center OA Centers for Orthopaedics PORTLAND, MAINE

The new MRI center at OA is a renovation and expansion on a tight site, accommodating a new MRI machine as well as the first specialized MRI machine for extremities in the state. The reception desk is planned with a clear view of the new dedicated patient entrance, the entrance from the existing clinics, and the door into the controlled zone.

Taking advantage of natural light wherever possible, every room in the suite has some connection to the exterior–with outdoor views from the MRI, reception, waiting room, and corridor. A soft palette with bright, cheerful accents is used to create a relaxed atmosphere. These strategies, along with close attention to acoustics, help to minimize the anxiety and claustrophobic feelings many patients associate with MRI.

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CT Rooms Central Maine Medical Center LEWISTON, MAINE

Medical imaging plays an integral role in the diagnosis of disease. It continues to change and evolve, requiring healthcare institutions to evaluate equipment regularly and reinvest in the latest technology to better serve their patients.

Imaging rooms require a high degree of coordination among architect and client, imaging vendor, and consulting engineers. The equipment is typically heavy, creates significiant heat, and requires high levels of power. The rooms often need lead shielding, structural upgrades for overhead components, floor reinforcing, and many required clearances.

Interior design and finish selection play an important role in calming patients’ fears and softening the technology. Indirect lighting with multiple controls, color, and built-in artwork help improve the patient experience.

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R+F and Radiography Central Maine Medical Center LEWISTON, MAINE

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Bone Density + Mammography Women’s Imaging Center VAMC JAMAICA PLAIN, MASSACHUSETTS

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Ultrasound Women’s Imaging Center VAMC JAMAICA PLAIN, MASSACHUSETTS

Central Maine Medical Center LEWISTON, MAINE

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BEDROOM 107 SF LIVING / DINING 139 SF

CL. 8 SF REF.

CL. 10 SF KITCHEN 104 SF ENTRY 94 SF

CL. 4 SF TLT. 54 SF

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