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Healthcare

Founded in 1896 as Tourtellotte and Hummel, Hummel Architects boasts 130 years of extensive design expertise. Our commitment to precision and excellence, established by our founders, remains steadfast. Over the years, Hummel has forged a strong reputation in designing a variety of facilities, including healthcare, multifamily, educational, university, government, municipal, and corporate buildings. Notably, our portfolio includes the iconic Idaho State Capitol Building, and our ongoing projects continue to contribute to the architectural landscape of communities in Idaho and the northwest region. As responsible leaders with a focus on the future, our functional and high-performance buildings set the example for operational and technologically advanced construction.

205 N. 10th Street, Suite 300 Boise ID 83702 P (208) 343–7523 645 W. 25th Street Idaho Falls, ID 83402 P (208) 343-7523 www.hummelarch.com

5 13 25 39 49

TEAM EXPERIENCE PHILOSOPHY OF HEALTHCARE DESIGN HOSPITALS CLINICS/MEDICAL OFFICE BUILDINGS

117

MEDICAL IMAGING

125

EMERGENCY DEPARTMENTS

133 141

PHYSICAL THERAPY/REHABILITATION/ OCCUPATIONAL THERAPY PHLEBOTOMY/DRAW LABS/ MEDICAL LABORATORIES

149

PHARMACY

155

DENTAL FACILITIES

161

LABOR AND DELIVERY

167

INFUSION/ONCOLOGY

ROOM DATA SHEETS/MEDICAL EQUIPMENT LAYOUT

173

RESPIRATORY/CARDIOPULMONARY

HEALTH EDUCATION FACILITIES

179

LOBBIES/RECEPTION/ADMITTING

INPATIENT

187

MEDICAL PLANNING

103

ENTITLEMENTS

65 73 79

107

INTERIOR DESIGN LIFE SAFETY PLANS/FGI/ NFPA CODE PLANNING SPACE PROGRAMMING/ CONCEPTUAL PLANNING

SURGERY/PRE-POST OP/ CENTRAL STERILE PROCESSING

197

STAFF SUPPORT/ BREAK ROOMS/OFFICES PROJECT EXAMPLES

TEAM EXPERIENCE

The Hummel Healthcare Team LEADERSHIP ZAC H L E ST E R , AIA, NC ARB

MANDY B OAM , N CIDQ, A IA

P R I NC I PAL

PRINCIPAL

H E ALT H C A R E P L ANNE R

INT E RIO R ARCH ITECT

28 Years of Healthcare Experience

20 Years of Healthcare Experience Expert in functional space planning and healthcare

Healthcare design expert

High quality designs based on patient centered care

Expert in hospital, surgery center, and clinic

Registered Architect and certified Interior Designer

project types

Provides high-level leadership for interior design team

Skilled in healthcare programming, healthcare

Specialties include community outreach, master

» »

interior design

planning, NFPA life safety, FGI codes

planning, programming, space planning adaptive

Excels in finding creative solutions of higher quality

reuse, interior finishes, furniture, and artwork

and greater value »

With three decades of experience, has completed 70+ healthcare projects across the Northwest

B R I AN CO L E MAN , AIA, NCA R B

S COT T ST RAUB H A R , A IA , N CA RB

P R I NC I PAL

PART NE R

11 Years of Healthcare Experience

21 Years of Healthcare Experience

Skilled in healthcare programming and planning

Oversees Hummel’s healthcare studio

Specializes in clinics, central sterile processing, surgery

Assures projects are properly scheduled, adequately

Leads and coordinates the work of our internal team

Specializes in healthcare entitlements

Leads project detailing and quality control of our

Responsible party for owner/architect agreements

construction documents

staffed and meeting our client’s expectations

and all consultants

EXPERTS IN HEALTHCARE Hummel’s Healthcare Team includes a bench of R O B B E U SAN , AIA, NCARB P R I N C I PA L 13 Years of Healthcare Experience

a dozen staff dedicated to the healthcare market sector, whose focus is to assist our healthcare clients in planning, designing, and building medical facilities based on a design philosophy of patientcentered care. Our healthcare team brings multiple

Leads overall design direction and architectural vision for each project

Translates client and clinical needs into practical planning and design solutions

Specializes in conceptual design, community engagement, and master planning

decades of experience in designing medical facilities. The team has expertise across a broad range of department types and facility occupancy types. The Hummel healthcare team includes staff in architecture, interiors, as well as project coordinator staff.

The Hummel Healthcare Team PROJECT MANAGERS & JOB CAPTAINS R E N É E ART I S

SAMIA AMINA

P R OJ E C T MANAGE R

PROJ E CT MANAG ER

B I M DI R E C TO R

7 Years of Healthcare Experience

11 Years of Healthcare Experience »

Specializes in clinics, imaging, surgery, central sterile

surgery, central sterile processing

processing, physical therapy, outpatient pharmacy » »

Provides leadership and BIM management for many of

Brings expertise in environmental services,

our healthcare projects

conveying equipment, and supply chain distribution

Manager of medical equipment models, plans, and

and logistics »

schedules »

Skilled in life safety & IBC codes, clinics, imaging,

Manages document procurement from schematic design through construction administration

Leads and coordinates the work of our internal team and all consultants

ME GA N B E DK E , AIA ASS O CI ATE

LINDS E Y E G B E RT , A IA

P R OJ E C T MANAGE R

PROJ E CT MANAG ER

10 Years of Healthcare Experience

9 Years of Healthcare Experience

Focuses on clinics, imaging, dental, life safety

Leads and coordinates the work of our internal team

Skilled in the design of surgery and pre/post PACU, clinics, imaging

and all consultants

Leads small-scale healthcare projects

Manages projects from schematic design through

Supports staff leadership on projects

construction administration

Manages document procurement from schematic design through construction documents

K R I ST E N PAT TANI , NC ID Q I NT E R I O R DE S I GNE R 5 Years of Healthcare Experience

+ A DEEP BENCH OF 40 PROFESSIONALS »

30 Architectural Staff

12 Licensed Architects

6 Project Managers

15 Architectural Designers 6 Interior Designers

Certified Interior Designer

Specialties include clinics, imaging, pre/post PACU, dental

1 Project Coordinator

Coordinates design with healthcare best practices

1 Job Captain

incorporating FGI regulations, infection prevention,

5 Operations and Administration

material maintenance, and durability considerations

1 Technology Specialist

Leads interior design on projects from schematic design through construction administration

Coordinates branding, furniture, appliances, & signage

More than 4 years of experience working with large,

Many of our staff work in multiple disciplines

institutional clients

I SSAC P R ADO P R OJ E C T CO O R DI NATO R 7 Years of Healthcare Experience

Manages the construction administration phase of healthcare projects

Competent with all construction delivery methods, including CM/GC, competitive (hard) bid, CM as advisor, and design/build

Verifies quality completion and delivery to client

Well-versed in cloud-based construction software such as Procore and Newforma

Ped i

atri cs Uro log y Hos pita l 1-2 Mas ter P la n Urg ning ent Car e Nur sing Edu Spe cati cific on atio Clin ns ics/ Doc Ima tor’ sO gin ffic g es Lab /Ph leb oto Em my erg enc yD Acu e par te/I tme npa nts tien Sur ger t y Cen tral Ste r ile Reh Pro abil ces itat sing io n Pha /PT rma cy Infu sion Obs tetr i c s/ LDR Car dio log y/R Den esp tal irat or y Life Saf ety Cod Hea e Pl lthc ans are Inte Com rior mu Des nity ign Pre Hea Pos lt h t Pha sed Con Infr stru astr ctio uct n ure Am bul anc e Ent itle men ts

Healthcare Experience

St. Luk

St. Luke’s Health System Boise Surgery Center

Boise, ID

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Temporary MRI

Boise, ID

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Medical Office Plaza

Fruitland, ID

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Cardiac Rehabilitation Facility

Boise, ID

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Downtown Campus Master Plan

Boise, ID

Downtown Medical Center Campus Phase 2 DCIP

Boise, ID

Idaho Elks Children’s Pavilion

Boise, ID

Center for Orthopedics & Sports Medicine

Boise, ID

Critical Access Hospital Replacement Facility

McCall, ID

Allen Nokes

McCall, ID

Ambulance Shelter

McCall, ID

Rehab Relocation

McCall, ID

South Meridian Medical Office Building

Meridian ID

Park Blvd Medical Office Building

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Adm Impr

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Gast Endo

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Boise, ID

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PET CT Displacement

Boise, ID

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CTL Displacement

Boise, ID

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Shipping & Receiving

Boise, ID

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3TMRI

Boise, ID

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Denver Way Lab Renovation

Boise, ID

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Urolo

Inpat (IRU

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Education, Ancillary and Support Services Tenant Improvements

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OBGYN Clinic

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Desert Sage Health Center

St. Luk

Facil Desig

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St. Luke's Magic Valley Regional Medical Center - Twin Falls, ID 

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Shell and Core Architect-of-Record

Pulm

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Idaho

Heal

Merid

Mast

Mountain Home, ID

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Treasure Valley Community College Nursing Building

Ontario, OR

River City Urology

Post Falls, ID

Silk Touch Med Spa

Meridian, ID

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FMRI Boise

Boise, ID

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St. Luke's Meadowlake MOB PET CT Renovation

Meridian, ID

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Life S ASC

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St. Luk

INL Me

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Ped iatr ics Uro log y Hos pita l 1-2 Mas ter Plan Urg ning ent Car e Nur sing Edu Spe cati cific on atio Clin ns ics/ Doc Ima tor’ sO gin ffic g es Lab /Ph leb o Em tom erg y enc yD Acu epa te/I rtm npa ent tien Sur s ger t y Cen tral Ste rile Reh Pro abil ces itat sing ion Pha /PT rma cy Infu sion Obs tetr ics/ LDR Car dio log y/R Den esp tal irat ory Life S af ety Cod Hea e Pl lthc ans are Inte Com rior mu Des nity ign Pre Hea Pos lth t Pha sed Con Infr stru astr ctio uct n ure Am bul anc e Ent itle men ts

St. Luke's Magic Valley Regional Medical Center Medical Office Building - Twin Falls, ID Administration Tenant Improvement

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Surgeon Clinic

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Gastrointestinal Clinic and Endoscopy Suite

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SLIERS Tenant Improvement

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Pulmonologist Clinic

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Family Practice Clinic Pediatrician Clinic

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Cardiologists Clinic Occupational Health and Urgent Care Clinic

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Internal Medicine Clinic Urologist Clinic

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Inpatient Rehabilitation Unit (IRU) St. Luke's Magic Valley PT Rehab TI Twin Falls, ID

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St. Luke's Wood River Medical Center - Hailey, ID Facility Assessment/Interior Design Master Plan

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Emergency Department Finish and Furniture Refresh

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Surgery Finish Refresh

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Infusion Remodel Finishes and FFE

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St. Luke's Wood River POA 2nd Floor Expansion Design

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Hailey, ID

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Idaho State University - Meridian, Idaho Health Sciences Building

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Meridian Clinics

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Master Plan

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West Valley Medical Center - Caldwell, ID Refresh

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Life Safety Documents

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ASC Safety Documents

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Physician's Lounge Renovation

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St. Luke's Portico PT TI

Meridian, ID

St. Luke's Behavioral Health Clinic

Meridian, ID

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INL Medical Clinic

Idaho Falls, ID

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For Motion Prosthetics

Idaho Falls, ID

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PHILOSOPHY OF HEALTHCARE DESIGN

Philosophy of Healthcare Design Healthcare facilities are the lifeblood of communities. They are instrumental in providing essential medical services and promoting healthy living. Healthcare environments involve sophisticated architecture, complicated engineering systems, complex medical equipment, and a multitude of code requirements, demanding design professionals who have a profound understanding of the intricacies involved in these spaces. The Hummel healthcare team’s resume runs deep, dating back more than two decades. In the last 10 years alone, we’ve completed over 1.3 million SF of healthcare projects, including hospitals, surgery centers, small clinics, and large medical office buildings in Idaho and the Northwest region. Over the years, our design team has gained significant experience working on a diverse range of projects, from small medical clinics to large hospital campuses. This experience has allowed us to refine the specialized skills and knowledge necessary for the programming, planning, entitlements, and design of medical facilities. Our design experts are at the forefront of current healthcare design trends and best practices. While each healthcare space necessitates a unique approach, there are certain guiding philosophies our team applies across our projects. We incorporate past project experience with industry trends and best practices, combining this with input from facility users in a collaborative process to produce an integrated, high-value design tailored specifically to the client.

INF ECT I O N A N D I N J U RY P R E V E N T I O N

ACCE SS IB ILIT Y

Preventing the spread of infection and risk of injury

A core part of healthcare design is accessibility.

is paramount in healthcare facilities. The people

Healthcare facilities must be designed to serve

utilizing these spaces are often vulnerable and at a

everyone, regardless of size, age, or ability. To

higher risk of illness or injury. Design considerations

provide accessibility, comfort, and safety, these

for infection and injury prevention include dirty-to-

buildings must be able to accommodate people

clean and clean-to-dirty workflows, air filtration and

with disabilities, as well as bariatric, pediatric, and

circulation, and the use of certain infection-resistant

geriatric populations.

materials and finishes throughout the building.

For example, bariatric rooms include features such

In our design process, we consider the sequential

as wider doors, reinforced furniture, gurneys, lifts,

nature of dirty-to-clean and clean-to-dirty flow by

appropriate clearances, and special fixtures. Pediatric

incorporating plenty of sterile processing spaces.

rooms are designed to accommodate small-sized

We also integrate strong air filtration and circulation

patients and their parents or guardians. Features to

systems to consistently maintain fresh, clean air

support people with disabilities include automatic

throughout the building.

doors, ramps, elevators, handrails, inclusive

Our interior design team is also proficient with

wayfinding, and wide doorways and hallways.

interior design best practices for healthcare

When it comes to interior design, our team puts

environments. Every material and furniture selection

considerable effort into selecting and arranging

they make prioritizes infection and injury prevention.

furniture in an accessible manner. Furniture

This includes materials that are durable, slip-resistant,

configurations must be easily used and adjusted for

and able to withstand harsh cleaning chemicals.

large families, strollers, wheelchairs, etc.

ADJAC EN CY A N D F LOW Throughout the healthcare design process, we are particularly mindful of adjacency and flow. Adjacency planning includes departmental adjacency so different departments can easily coordinate patient care, as well as room adjacency to streamline the staff and patient workflow. As an example, operating rooms are adjacent to pre/post-op bays and central sterile processing to promote an efficient surgical experience. It’s also important to minimize the travel distance of staff, patients, and materials to facilitate a smooth and efficient flow throughout the building. STAF F W EL L N ESS Healthcare staff are consistently working long hours and experiencing high-stress situations. To maximize patient outcomes, staff health and wellness must be a priority. This includes considerations such as safe working conditions, privacy, comfortable break areas, and biophilic design principles. The St. Luke’s Center for Orthopedic and Sports Medicine is a premier example of this, as the building includes a top floor dedicated to staff wellness, complete with a mini-market and plenty of comfortable seating. The building is also designed with biophilic elements such as large windows for daylight, greenery, nature-inspired wall art, wood accents, and calming colors. EQUIP M E N T P L A N N I NG The medical equipment required for healthcare facilities dominates the space program more than any other factor. Across all healthcare projects, we focus on equipment planning at the start of the process to enable adequate space utilization. This powerful equipment requires significant space for advanced electrical, mechanical, and plumbing systems, making it a crucial factor in equipment planning.

Leveraging our extensive experience, deep understanding of medical equipment complexities, and space planning knowledge, we design high-performance healthcare spaces that empower medical professionals to provide exceptional patient care.

HOSPITALS

Hospitals Hospitals play a pivotal role in delivering high-caliber medical care and fostering healthy, thriving communities. Every aspect of hospital design requires meticulous planning, purposeful design decisions, and careful coordination. Hummel’s healthcare team has significant experience in hospital and critical access hospital design. Whether it’s a small community hospital or an extensive hospital campus, Hummel applies similar principles to design and build facilities of this nature.

OUR CO RE G UI D I NG P H I LOS O P H I E S FO R H OS PITAL D ES IG N A RE BAS E D A R O U N D T H E S E 6 P RINCIPLE S : 01. Patient-Centered Design & the Occupant’s Journey 02. Infection Control & Prevention 03. Operational Efficiency & Flexible Spaces 04. Medical Equipment Layout 05. Life Safety Code Planning & Design 06. Hospital Engineering Systems

OUR CO RE G UI D I NG P H I LOS O P H I E S FO R H OS PITAL DE S IG N

01.

PATIENT-CENTERED DESIGN AND THE OCCUPANT’S JOURNEY A hospital’s design should reinforce the idea of patient-centered care. Physical environments can significantly impact the mental and physical state of patients, contributing to their health and healing process. Hummel designs patient-centered spaces that are calming, comforting, accessible, and easy to navigate. Components of patient-centered design include: »

Wayfinding/Navigation: We believe healthcare facilities should be intuitive for patients, providers, staff, and visitors. This includes logical and straightforward layouts, signage, and pathways. Our goal is to create a journey for all occupants that feels natural with minimal confusion and anxiety. Key architectural and interior elements naturally guide patients, staff, and visitors through the facility, alleviating the need for excessive signage, check-in desks, and waiting areas.

Comforting Environments: We apply a warm design aesthetic that evokes a sense of comfort and healing. This aesthetic is particularly important in waiting rooms and lobbies, which can often be stressful areas for patients and visitors. Features such as expansive views, large windows, calming art, accessible furniture, and comforting material palettes are important in these spaces. We apply similar principles to clinical areas as well to create a soothing and healing environment for patients.

Safety and Accessibility: To promote a safe and accessible hospital for patients, staff, and visitors, we incorporate features such as wide corridors, handrails, non-slip flooring, and clear signage.

Staff Health and Wellness: Healthcare staff are consistently working long hours and experiencing high-stress situations. To maximize patient outcomes, staff health and wellness must be a priority. This includes considerations such as safe working conditions, privacy, comfortable break areas, and biophilic design principles such as large windows for daylight, greenery, nature-inspired wall art, wood accents, and calming colors.

02.

INFECTION CONTROL AND PREVENTION Hospital occupants often have compromised or vulnerable immune systems and are extremely sensitive to infection. Architectural and interior design can play a pivotal role in preventing the spread of infection in hospitals. The primary strategies we utilize for effective infection control and prevention include: »

Optimized Layout: The hospital layout can make a huge difference when it comes to infection prevention. An optimized hospital layout should include outpatient areas that are separate from inpatient zones, clear pathways for patients with contagious diseases, specially designed rooms for patients with airborne illnesses, and high-risk areas, such as operating rooms or intensive care units, that are insulated from general traffic.

Clean, Durable Materials: The surfaces throughout a hospital must be durable, easy to clean, non-porous, and able to withstand harsh cleaning chemicals. We specify materials and furniture that meet all of these requirements to prevent the spread of pathogens.

Airflow and Hygiene Practices: To promote proper airflow and filtration, design considerations include the integration of strong air circulation/filtration systems, negative pressure rooms for certain contagious conditions, HEPA filters to trap tiny particles, and regular air exchanges in patient rooms. Central Sterile Processing spaces are incorporated throughout the hospital to control the dirty-to-clean and clean-to-dirty workflows. Hand hygiene facilities are also strategically placed, including handwashing stations and hand sanitizer dispensers. 31

03.

OPERATIONAL EFFICIENCY AND FLEXIBLE SPACES Operational efficiency in healthcare is about delivering optimal patient care with minimal waste, whether in terms of time, resources, or human effort. Adjacency and flow play a vital role in optimizing the efficiency of healthcare spaces. Throughout the healthcare design process, we are particularly mindful of adjacency and flow. Adjacency planning includes departmental adjacency so different departments can easily coordinate patient care, as well as room adjacency to streamline the staff-to-patient workflow. As an example, operating rooms are adjacent to pre/post bays and central sterile processing to promote an efficient surgical experience. It’s also important to minimize the travel distance of staff, patients, and materials to facilitate a smooth and efficient flow throughout the building. Flexibility and adaptability are another component of operational efficiency as healthcare needs continue to evolve. Hospital spaces need to adapt to the changing healthcare needs, technology, and equipment. Rooms must be designed for easy reconfiguration so the facility can quickly adapt without undergoing extensive renovations.

H.5

H.7 SAN WIPE A106

PHONE T002 CLOCK Q368

GLOVES Q105 GEL Q101

INSTRMNT Q053

SOLUTION Q088 BAIR HUG Q438

INSTRMNT Q057

MONITOR Q362

STARSYS Q073

STOOL Q202

SURG TBL Q599

SURG LIGHT Q627 WARMER Q427

IV STAND Q064

WORKSTN T101 MONITOR Q362

PHONE T001

STOOL Q202 SURG LIGHT Q627 STOOL Q202

MAYO Q036 WOW T107

04.

STEP Q203 ELECTROSURGICAL Q267 PREP Q607 PREP CRT Q606

IV STAND Q064

NEPTUNE Q814 SHARPS BIN Q809

MAYO INCIDENT Q036 Q608 HAMPER Q812 HAMPER Q812

EQ BOOM Q613

ANES BOOM Q701

KICK Q623 KICK Q623

ANES CRT Q031 OMNI CRT Q032

9.8

COMPRESSION Q062 MONITOR Q359

APRON GEL Q101 Q215

STARSYS Q074

TRANSFER Q298

Medical Equipment Layout The medical equipment required for healthcare facilities is significantly influenced by the space planning and engineering systems of a facility. In some of the equipment-heavy departments, the building is almost completely designed around the equipment. Across all healthcare projects, we focus on equipment planning at the start of the process and place those equipment footprints into the plans as early as possible to enable adequate space utilization. Medical equipment typically requires significant electrical, mechanical, and plumbing connections, that are also crucial factors in equipment planning. By utilizing our comprehensive experience, incorporating our knowledge about the complexities of medical equipment, and prioritizing efficient space planning, Hummel designs high-performing healthcare spaces that empower healthcare professionals to provide exceptional care to their patients. Along with the four primary guiding healthcare design philosophies in hospital design, there are two additional requirements to navigate that come along with the I-2 building code requirements and the more robust engineering systems that serve these facilities. 35

05.

LIFE SAFETY CODE PLANNING AND DESIGN Hospitals are designated as an I-2 occupancy type by the International Building Code (IBC) and the National Fire Protection Agency (NFPA). Hospitals include additional state licensing and inspections, which are based on the NFPA101 Life Safety Code, as well as the FGI HEALTHCARE FACILITIES GUIDELINES INSTITUTE CODES. Hummel’s healthcare team is well-versed in the specific healthcare code regulations for hospital facilities. We apply this unique knowledge and engage in careful life safety code planning to make sure hospitals meet all IBC and NFPA regulatory requirements. Life Safety Code planning includes elements such as critical power backup, piped medical gases, emergency preparedness, protect-in-place smoke compartment refuge, restrictive exiting requirements, and fire protection/more robust fire alarm systems.

06.

Hospital Engineering Systems Hospitals involve more sophisticated architecture and robust building systems compared to other occupancy and building types. They are designated essential facilities, which require more significant structural systems, redundant water supplies, and back-up emergency power and fuel sources. Because they need 24/7, 365 operations, the pumps, fans, chillers, boilers, and air handlers are typically replicated for redundancy and for cycling to extend their longevity. Clinical areas within the facility require higher airflow and increased filtration, more critical and significant temperature controls, and humidity controls/monitoring. More robust and redundant engineering systems require increased footprint space in hospital program areas, which must be planned, budgeted, and designed accordingly. 36

CLINICS/MEDICAL OFFICE BUILDINGS

Clinics/Medical Office Buildings From family practice and urgent care clinics to dentist’s offices and med-spas, Hummel designs healthcare environments that address all medical facility needs. With every clinic project, we design dynamic and appropriate spaces that successfully provide care for patients and a healthy, vital, and functional work environment for healthcare providers and staff. Both small healthcare clinics and large medical office buildings (MOBs) provide a variety of vital outpatient healthcare services to communities and often house multiple clinics within a single building or multiple specialties within a single clinic. For example, the Desert Sage Health Clinic in Mountain Home, Idaho contains general practice medical, pharmacy, behavioral health, dentistry, and drive-through clinics within a single facility.

While each clinic is unique in its services and target populations, Hummel applies a similar healthcare design philosophy across all our healthcare clinic projects. Our primary guiding design principles for clinic/MOB projects include: »

Space Allocation: It’s important to differentiate between public, private, and semi-private spaces in a clinic, as well as differentiate between clinical and non-clinical spaces. The design approach will differ for each in terms of look, feel, and materiality. »

On-Stage” vs. “Off-Stage” – One philosophy we’ve successfully applied to our clinic projects is the idea of establishing “on-stage” and “off-stage” areas in clinics. Traditional clinic models typically don’t have a clear separation between the patient and staff areas, which can lead to less privacy and more disruptions for staff. An alternate model is a clear distinction between “on-stage” and “off-stage” areas, such as the dual-access exam room design in which the providers have a private area separate from the patient spaces. This approach can provide more collaboration, fewer interruptions, and more productivity for staff, as well as a more controlled experience for the patients so they don’t’ have to travel through backstage staff-only work areas.

Staff-to-Patient Ratios – Staff-to-patient ratios are also a main driver behind determining exam room and procedure room counts. The typical rule of thumb is two to four exam rooms per provider, but it will vary depending on the type of medical practice. Procedure rooms are necessary program elements but are infrequently used and can typically be shared.

Clinical, Patient, and Staff Support Areas – A medical facility’s programmed areas require space allocations that support facility function. Determining these spaces begins with referencing the FGI requirements as the initial basis for programming. For some facilities associated with particular accreditation agencies, these are definite requirements. For other facilities not associated with any agencies, these are simply starting points as best practice recommendations that can be tailored to meet specific facility needs.

Adjacency and Flow: The layout of a clinic is instrumental to its success. Adjacency and flow apply to multiple components, including the movement of patients, staff, materials, medical equipment, medications, and more. Clinic facilities that provide a space for particular processes to occur mandate that the layout fosters an efficient and lean configuration to increase speed, reduce staffing and redundancy, improve patient outcomes, and enhance staff experience. Strategic adjacency of the lobby/reception, exam rooms, procedure rooms, staff areas, and storage can facilitate a smooth patient and staff workflow. Departmental adjacencies are also important, especially in larger clinics, so different departments can easily collaborate to provide the best care to patients.

Patient Journey: From arrival through checkout, the patient journey is heavily influenced by the design and layout of the clinic. Maintaining a simple and short pathway between the lobby and exam room is critical for patient accessibility and wellness by reducing the stress of navigating through an obscure maze of hallways. A strategic use of finish materials and landmark elements along the pathway can also improve the patient journey. Patients should experience a logical, seamless sequence as they move through the lobby, exam room, imaging, procedure room, pharmacy, etc.

Staff Wellness: Evidence demonstrates a built environment can have positive performance impacts on its occupants, which in healthcare translates to healthy medical staff performance and contributes to better patient outcomes. In our healthcare projects, fostering a healthy, positive, and supportive environment for staff is a top priority. We apply wellness best practices to staff spaces in clinics, such as acoustical privacy, views of nature, calming colors, access to natural daylight, and programming in comfortable break areas and respite spaces.

O ve r th e past five years, we’ve co mp l e te d mo re tha n 5 0 he al thcare cl i ni c s , m a k i n g u p 472,000 square feet, incl ud i ng 438 to t a l exa m ro o m s . Exa m ples o f o ur healt hcare team’s c l i ni c exp e r ti se i ncl ud e :

Family Medicine

Dental

Physical Therapy/Occupational Therapy

Orthopedic

Urgent Care

Behavioral Health

Imaging

Urology

Phlebotomy Draw

Pediatrics

Outpatient Retail Pharmacy

Rehabilitation/PT/OT

Drive-Through Clinic

Infusion

INTERIOR DESIGN

Interior Design Designing interior environments for healthcare settings requires a high level of experience, knowledge, and skill. Medical environments have far more intricacies to consider beyond the standard interior design best practices, as these facilities must accommodate a spectrum of vulnerable populations and complex equipment. From new builds to small retrofits, we understand each healthcare project demands a nuanced approach based on the client’s needs, goals, constraints, demographics, and current processes. Through decades of comprehensive experience, our healthcare interior design team has developed in-depth expertise to create code-compliant interior healthcare environments that improve patient outcomes.

A strategic balance of functionality, aesthetics, and code requirements drives successful interior design in healthcare. Every finish, material, and furniture selection made must provide value to the user and the owner regarding infection prevention, accessibility, ergonomics, and overall aesthetic.

OUR IN T ERI OR D E S I GN P R INC I P L E S FO R H E ALT H CARE FACILIT IE S

Supporting patient healing through patient-centered design.

Balancing patient/staff comfort with infection and injury prevention.

Consistently finding opportunities to increase staff safety and wellness.

Applying our expertise in complex healthcare codes to design code-compliant facilities.

Meeting the needs of every patient and visitor through accessible materials and furniture.

Creating an intuitive and holistic wayfinding experience.

Designing durable interiors that are built to last.

Implementing facility design standards while incorporating innovation.

PAT IE NT-CE NT E RE D DE S IG N When a patient steps foot inside a healthcare facility, they are likely to feel some level of uneasiness. Whether someone is attending a routine checkup or undergoing a major operation, their surroundings can have a substantial impact on their mindset. Elements such as color, furniture, signage, and materials can work together to create an intuitive, safe environment that welcomes patients and alleviates their stress in an already distressing situation. At the start of our interior design process for healthcare, we center our research and client engagement around patient populations. It’s imperative to understand the “who” behind the facility before we design the “what.” Next, we consider the current needs and processes of the client and customize our approach to address those important pieces. Patient-centered design is a philosophy we use when making design decisions for healthcare facilities. For example, the colors we choose for finishes can have a profound impact on a patient using the space. We focus on soothing, comforting colors that take cues from local surroundings, so patients feel at ease. Biophilic elements such as natural light, views of nature, proper air circulation, and natural materials create a healing environment and reduce stress for patients when they are often in a state of anxiety. Proper acoustic design is also important for preserving patient comfort. We deliberately design spaces to limit echoes and reduce noise, such as through soundabsorbing materials and surfaces The new Desert Sage Health Center in Mountain Home is an excellent example of patient-centered design. The design echoes the surrounding mountains and open plains, connecting occupants with nature through ample natural light and familiar materials such as concrete masonry and warm wood‑like accents.

INF ECT I O N A N D I N J U RY P R E V E N T I O N The prevention of infection and injury influences every single material, finish, and furniture selection we make in medical facilities. The populations using these spaces are often vulnerable or carrying infections, making it crucial to minimize hazards and the spread of illnesses. Examples of this in practice include selecting slip-resistant materials, surface transition details that eliminate seams where infection could get trapped, minimal height difference between floor materials to prevent tripping, and finishes/materials that can be easily cleaned and withstand harsh cleaning chemicals.

STAF F SA F E T Y A N D WE L L N E SS Just as patient comfort and safety are a priority in healthcare environments, similar principles apply when designing for staff safety and wellness. Biophilic design elements such as natural light, views of nature, and calming colors can create a more positive, soothing environment for staff. We also integrate staff break areas and lounges throughout to provide respite and help alleviate personnel from caregiver stress. By prioritizing their safety and wellness, staff can more effectively show up for their job, which ultimately leads to improved patient outcomes.

COMP L E X HEA LT H C A R E CO DE S Due to the sensitive, high-risk nature of healthcare environments and patient safety, medical facilities must adhere to Life Safety Code and FGI regulations defined by state jurisdictions, CMS Federal Requirements, and/or various accrediting agencies associated with their individual healthcare systems. Our design team is fluent in the code knowledge required to design and build safe, secure, and durable healthcare interior environments.

ACCE SS IB ILIT Y Healthcare facilities serve anyone seeking medical care, meaning they must be equipped to accommodate people of all ages, sizes, and abilities. This includes bariatric, geriatric, pediatric, and infant populations. Accessibility is an essential consideration throughout the entire interior design process and can be seen through features such as universal application furniture with adjustable height/width and modular furniture configurations that can be easily rearranged. Casework is designed to meet ADA requirements, including the height of countertops to sloped sink approaches. Accessibility is also crucial for wayfinding and signage, ensuring that people of all abilities and languages can find their desired destination with minimal confusion or difficulty.

WAYFINDING The patient and visitor journey from entering to exiting a healthcare facility can sometimes be stressful, confusing, and disorienting. This is especially true in large hospitals with multiple levels and specialties. Our interior design team takes a holistic approach to wayfinding in healthcare facilities by focusing on more than just the signage throughout the building. While signage is important for navigation, we have also found visual cues to be very beneficial to patients, visitors, and even staff. For example, in our design for the new St. Luke’s North Tower, we thoughtfully designed a specific floor pattern and ceiling element that help guide occupants through the space. We also incorporated various “landmarks” such as feature walls and lighted columns that can be used when describing wayfinding to visitors. Finding opportunities to design for natural wayfinding elements supports a more intuitive, inclusive, and seamless experience for those navigating complex medical environments.

B R ANDE D E NVIRO NME NTS Our team understands the importance of creating healthcare environments that effectively convey a client’s brand, mission, and values. Branded environments go beyond the simple use of brand colors and logos. A client’s brand can be communicated in a variety of creative ways, such as through architectural elements, textures, visual cues, spatial layouts, and curated experiences. These elements often serve a dual purpose by supporting wayfinding. We are adept at working with clients to implement their design and brand standards through the selection of finishes, materials, lighting, furniture, and signage. DU R A BILIT Y AND MAINT E NANCE We care about the long-term success of our clients and want their facilities to be resilient for decades to come. The materials we select are durable and require minimal maintenance over time. For example, we select heavy-duty wall materials and protection that can withstand damage from the movement of beds and large equipment. Furniture is chosen from commercial manufacturers who conduct rigorous testing on their pieces, resulting in excellent warranties. The decision is easy for clients when comparing the benefits of warrantied furniture, which offers greater longevity, against the appeal of cheaper online alternatives. We also consult client maintenance teams to better understand how the materials we specify perform after substantial completion, and how certain products are a challenge to stock, replace, fix, renew, etc. We want the life of the building to extend far beyond the timeframe we are handling the design. FAC I L I T Y DE S IG N STANDARDS AND INNOVAT IO N As a team, we are always looking for better ways to serve our clients and stay up to date with the latest materials, furniture, construction, and industry trends. We frequently host manufacturer reps, maintaining positive relationships and open lines of communication with them. We also attend conferences specific to healthcare design that offer continuing education credits. We have been fortunate to be invited by some reps to visit installations across the country and observe manufacturing methods at healthcare furniture plants and facilities, enabling us to confidently specify their products.

LIFE SAFETY PLANS/FGI/ NFPA CODE PLANNING

Life Safety Plans/FGI/ NFPA Code Planning As architects, we are fluent in the code knowledge required to design and build safe, secure, and durable facilities. When it comes to healthcare buildings, there are many additional factors to consider beyond the traditional requirements outlined in the International Building Code. Due to the sensitive, high-risk nature of healthcare environments and patient safety, medical facilities must also adhere to Life Safety Code and FGI regulations defined by state jurisdictions, CMS Federal Requirements, and/or various accrediting agencies associated with their individual healthcare systems. Hospitals, surgery centers, skilled nursing facilities, and other classifications of healthcare facilities are required by the state jurisdictions and accrediting agencies to comply with the Life Safety and FGI Codes. Hummel provides comprehensive healthcare code planning to help facilities protect human life, adhere to established protocols, protect against liability, maintain a safe property, create long-term building resilience, and incorporate the numerous applicable codes. Life safety plans are required for periodic inspections by states, CMS, and various accrediting agencies. In addition to providing full code plans on new and renovation builds, Hummel provides maintenance updates and evaluations of existing life safety plans. Hummel’s code plans for medical facilities include documentation of both traditional IBC code information and applicable NFPA volumes. Hummel’s healthcare team brings specialized knowledge in Life Safety Code Planning to assist medical facilities in navigating the complexities of healthcare building code regulations. With our experience and understanding of various healthcare codes, we can translate this knowledge into accurate, compliant designs. This healthcare code expertise allows us to increase efficiency, save costs, reduce errors, and create a higher-quality product throughout the design process.

Our team has helped multiple healthcare organizations create comprehensive life safety drawings, obtain and maintain licensing, and consistently pass inspections.

KEY ASP E C TS O F O U R L I F E SA F E T Y CO D E PLANNING

Hospital suite organization and the limiting rated corridor partitions, door openings, and HVAC dampening

Occupancy classification

Critical power/backup power

Exiting requirements

Smoke compartment and ‘protect in place’ refuge calculations

Emergency planning/preparedness

Special hazards/incidental use fire barrier locations

Piped medical gas, including manifolded bottle and bulk tanks

LIFE SAFETY PLAN EXAMPLE

SPACE PROGRAMMING/ CONCEPTUAL PLANNING

Space Programming/ Conceptual Planning

04/25/18

McCall Hospital Expansion - Renovation Project

Space programming and conceptual planning are

Heli Pad with Elevator access

essential first steps in designing healthcare facilities that meet the needs of both patients and healthcare providers. These processes involve detailed analysis and thoughtful design to ensure that every square foot of a healthcare facility is utilized efficiently, supports optimal patient care, and enhances the

1 Stairs / 2 Elevators Mechanical Penthouse Air Handlers 4 Units Boilers Chillers Pumps Compressors Vacuum

Secure OB Floor

Rooftop Generator Chillers Fans

Staff only corridor areas Public corridor areas 3 Stairs / 3 Elevator

overall experience for both patients and staff. Space programming focuses on understanding the specific requirements of each department or service area, such as patient flow, medical equipment needs, and staff workflows. It involves identifying the number of rooms, their size, and their relationship to each other, ensuring that each area is tailored to its function. This phase also considers patient privacy,

Second Floor Plan Blocks Surgery - 4 ORs/ 10 Pre Post Obstetrics - 3 LDRP + 23 HR Exam Acute Inpatient - 14 Bed + 3 Future Shared Support - Inpatient + OB Staff Areas Pharmacy Inpatient PT Social Services Day Room Waiting IT Comm Elect

Mechanical Penthouse South Wing Air Handler

safety, and comfort, as well as how the space will

Public corridor areas

adapt to future needs.

Staff only corridor areas

Conceptual planning takes this a step further by establishing the overarching design vision.

Second Floor Plan Blocks Emergency Department - 8 Bays Infusion -4 Bays Imaging MR CT XRay 2 Mamo Ultra Dexa

This phase includes developing layout options, establishing architectural and functional themes, and incorporating the unique goals and values of the healthcare provider. The goal is to create a cohesive, flexible design that not only addresses immediate operational needs but also adapts to future growth and changes in healthcare delivery.

Upper Roof Penthouse

Rt/ Cardio/ Sleep Laboratory HIM Admin Voulunteers Lobby PAS PFS Conference 3 FNS Materials Mangement IHT IT/ Com CLinical Engineering Facilities EVS Chapel Gift

Upper Roof

Patio / Garden area Penthouse South Wing Utility Yard Lower Roof

BLOCKING AND STACKING PLAN

PROGRAMMING AND PREDESIGN - MCCALL HOSPITAL

SPACE PROGRAMMING

BLOCKING AND STACKING 04/25/18

McCall Hospital Expansion - Renovation Project Infusion/Oncology - 4-5 Positions 12.5 2017 Draft Could be located next to Surgery or Emergency Department Current Location: Hospital Desired Location: Hospital WIPFLi: 2013 Master Plan: Located on 2nd floor of 3-story expansion 3 staff lockers

Nurse station w sink Reception/Waiting/Education Room Nourishment Alcove Crash Cart Alcove (Share with ED) staff lockers

150 140 20 30 20

1 0 0 0 0

150 0 0 0 0

1, 2

Clean Workroom/ Medication room Soiled Holding Room (Could share with ED) Equipment Storage Room Environmental Services Closet (Could share with ED) Staff toilet

80 80 80 50 56

1 0 0 0 0

80 0 0 0 0

IMAGING

1, 5 1, 5,7

EMERG

RDIO HIS RT/CA

EV S

UIPMENT

MECHA

ROOF TOP EQ

NICAL ICE

SERV

IPMENT OP EQU ROOF T

ITY

UTIL

Prefers to be adjacent to ED for Physician coverage Infusions in in ED on weekends Space used by Surgery for Pre-Operative Clinic in the afternoon. EKG, Social Worker, and Physical Therapist will meet with surgical patient in this space ED overflow? 1) sink included this space 2) NS accomodates 2 staff + equipment 3) shared/ located in adjacent ED suite 4) if possible with layout could be combined with ED med room & ED clean supply room 5) charting computer each patient/ at group area can be single computer between 2 patients 6) large dose vials will be used in this dept, requires med room for prep 7) used for infectious patients ( is this intended to be an issolation room w/ full HVAC system???) 8) confirm staff locker count - common locker room 90 blanket warmer, pnumatic tube, recliners bariatric sized

FACILITIES

UIPMENT

ROOF TOP EQ

IO PAT DEN R GA

Notes:

990 950

STAI

WIPFli Benchmark 2013 MP

ATOR ELEV

736 Circulation SF @ 20% (Net) 147 74 Structural SF @ 10% (Net + Circ) 957

FNAST MAN

TOTAL DEPARTMENT GROSS SF AREA (DGSF)

HELIPAD

CONF

MECHANIC

TOTAL DEPARTMENT NET SF AREA (DNSF)

1, 4, 6,

First Floor Plan Blocks

WAIT PAS

300 150 56

1 1 1

T INPA

USE

300 150 56

S IENT

Second Floor Plan Blocks

WAIT

INF

4-5 bays Patient Chemotherapy Infusion Room (3-4 spaces in group room) 1 - Private Room Toilet, Patient

Notes

INP ATI EN

Total Net SF Existing

SOC V SER

LAB

# of spaces

ADMI

Net SF/Space

Space Designation

T UPPORT I P

ERY

STAFF

SURG

PHARM WAIT

BLOCKING AND STACKING PLAN PROGRAMMING AND PREDESIGN - MCCALL HOSPITAL

PROGRAMMING AND PREDESIGN - MCCALL HOSPITAL

W1 W1

T 66

A311 A311

__ _ W11 W11

3' 3' -- 0" 0"

6' 6' -- 0" 0"

W1 W1

3' 3' -- 0" 0"

6' 6' -- 0" 0"

W1 W1

3' 3' -- 0" 0"

W1 W1

3' 3' -- 0" 0"

40' 40' -- 0" 0"

120' 120' -- 0" 0"

6' 6' -- 0" 0"

A301 A301

__ _

26' -- 0" 0" 26'

STAKEHOLDER GAMEBOARD PLANNING

NORTH

W10 W10

44 A502 A502

14' 14' -- 0" 0"

EXAM W1 W1

SIM. SIM.

7' 7' -- 9" 9"

6' 6' -- 0" 0"

EXAM

A311 A311

__ _

BREAK

44 A502 A502

101C 101C

3' 3' -- 0" 0" 2' 2' -- 9" 9" 3' 3' -- 4" 4"

3' 3' -- 0" 0"

STAFF

W1 W1

6' 6' -- 0" 0"

W1 W1

STAFF

3' 3' -- 3" 3"

3' 3' -- 0" 0"

W1 W1

PROVDR

W1 W1

6' 6' -- 0" 0"

40' 40' -- 0" 0"

9' 9' -- 0" 0"

W1 W1

12' 12' -- 2" 2"

101B 101B

3' 3' -- 4" 4"

6' 6' -- 0" 0"

W1 W1

EXAM

A301 A301

W1 W1

CLEAN

__ _

A301 A301

211' -- 0" 0" 211'

1' -- 8" 8" 1'

26' -- 0" 0" 26' 26' -- 0" 0" 26' 133' -- 0" 0" 133'

W3 W3

6' -- 0" 0" 6'

40' 40' -- 0" 0"

149' 149' -- 11" 11"

30' 30' -- 0" 0"

104 104

3' 3' -- 2" 2"

11 11

6' 6' -- 1" 1"

A621 A401 A401 A621

11' 11' -- 11" 11"

13 5 13 5

AA 6 aa 6

121 121 SF SF

INTERIOR INTERIOR CLEAR CLEAR -- FINISH FINISH TO TO FINISH FINISH

A6 A6 aa

ELECTRICAL ELECTRICAL 104 104

2' 2' -- 2" 2" 5' 5' -- 6" 6"

101A 101A

26' 26' -- 4" 4"

1' -- 7" 7" 1'

34' -- 0" 0" 34'

9' 9' -- 2" 2"

SHARED PROCD CARE COORD OFF 3' -- 0" 0" 3'

__ _

52' -- 0" 0" 52' 45' -- 0" 0" 45'

LAC

6' -- 0" 0" 6'

3' -- 4" 4" 3'

EXAM EXAM

14' -- 8" 8" 14'

EXAM

3' -- 0" 0" 3'

EXAM

6' -- 0" 0" 6'

EXAM

2' -- 4" 4" 2'

17' -- 11" 11" 17'

2" 2" 17' -- 6" 6" 17' 16' -- 5" 5" 16' 10' -- 9" 9" 10' 6' -- 0" 0" 6' 4' -- 11" 11" 4' 6' -- 0" 0" 6' 3' -- 0" 0" 3' 6' -- 0" 0" 6' 3' -- 0" 0" 3'

SHARED

6' -- 0" 0" 6'

MECH CONF

3' -- 0" 0" 3'

SHARED EXAM

3' -- 0" 0" 3'

EVS T EXAM

POCT

56' -- 5" 5" 56'

ACC STAFF

EXAM

6' -- 0" 0" 6'

EXAM

3' -- 0" 0" 3'

EXAM EXAM

6' -- 0" 0" 6'

EXAM

2' -- 10" 10" 2'

BHV HLTH OFF EXAM PROVDR

EXAM

3' -- 0" 0" 3'

STAFF EXAM

EXAM

6' -- 0" 0" 6'

EXAM EXAM STAFF

EXAM

2' -- 4" 4" 2'

PROVDR WM

20' -- 5" 5" 20'

PROVDR EXAM

POCT

TDR

7" 7"

SHARE EXAM

WM T

INTERIOR CLEAR CLEAR -- FINISH FINISH TO TO FINISH FINISH INTERIOR

T SOIL

14' -- 8" 8" 14'

STAFF EXAM

INTERIOR CLEAR CLEAR -- FINISH FINISH TO TO FINISH FINISH INTERIOR

EXAM

153' -- 11" 11" 153'

EXAM ACC

EXAM

LAB 7' -- 1" 1" 7'

CLEAN

EXAM T T 8' -- 6" 6" 8'

EXAM WM EXAM T 11" 11"

6' -- 0" 0" 6'

T 8' -- 5" 5" 8'

SOIL POCT

WAITING A6 A6 a a

WM T

27' -- 11" 11" 27'

26' -- 0" 0" 26'

EXAM

REGISTRATION 0" 0"

76 MANG OFF

A6 A6 a a

MED DIR OFF 24' -- 0" 0" 24'

6 AA6 aa

12 12

706 706 SF SF

3" 3"

"" --66 22' '

W13 W13

44' ' --1 1""

13 13

102A 102A

4455° °

14 14

FUTU FUTU

"" 1100 ' '-1111

1166 ' '-55" "

2' 2' -- 2" 2"

W13 W13

1155 ' '-44" "

106 106

00"" ' '-3355

77' ' --1 1""

VESTIBULE VESTIBULE 106 106

30' 30' -- 0" 0"

AA 6 aa 6

A301 A301

__ _

197.5 197.5 SF SF

77 A502 A502

2"" 11//2 00 ' '-2244

A401 A401

103 3300 103 ' '-11 11// 44""

"" --88 99' '

W4 W4

W3 W3

LOBBY LOBBY 103 103

TEST FIT CONCEPTUAL PLANNING Park Boulevard MOB Concept Studies 03.02.17

EXAM

ADJACENCY AND FLOW

STAFF

Building Organization

SERVICE

Program Review

ADMIN/ STAFF SUPPORT

PROGRAMS/ ADMIN

VISITORS

PROGRAMS

BLDG SUPP

FOOD SERVICE & LAUNDRY

SEC VISITING

PATIENT RESIDENTS SERVICES

OUTPATIENT SERVICES RESIDENT HOUSING

GRAPHIC SPACE PROGRAM SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF

SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP SLEEP ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF 171 SF

BUILDING MASSING

2500 SF

DAYROOM 600 SF

J-PAY

600 SF

CLASSROOM 400 SF

400 SF

TOILET / SHOWER 350 SF

DAYROOM

600 SF

CLASSROOM 400 SF

TOILET / SHOWER 350 SF

DAYROOM

VISITATION

BARBER 400 SF

TOILET / SHOWER 350 SF

PROGRAM PROGRAM 400 SF

400 SF

310 SF

600 SF

PROGRAM 600 SF

2500 SF

350 SF

ADMIN 750 SF

DINING 1700 SF

MECH. / MECH. / STOR. STOR.

RECREATION

TOILET / SHOWER

MECH. / MECH. / STOR. STOR. 310 SF

590 SF

1000 SF

600 SF

2500 SF

SECURITY

KITCHEN 2000 SF

ADMIN 750 SF

ROOM DATA SHEETS/ MEDICAL EQUIPMENT LAYOUT

Room Data Sheets/Medical Equipment Layout

PANORAMIC VISUALIZATIONS S can or cl i ck the QR co de fo r pan orami c renderi ngs o f the McCall H ospi tal o perati ng ro o m.

Room Data Sheets and medical equipment layout are critical for designing healthcare spaces that meet both operational and technical requirements. These tools provide detailed specifications for room sizes, infrastructure, and the optimal placement of medical equipment, facilitating efficient workflows and safe patient care. Our team develops solutions that provide healthcare providers efficient, well-coordinated treatment spaces, enhancing care delivery while supporting both current and future medical needs.

H.5

H.7 SAN WIPE A106

PHONE T002 CLOCK Q368

GLOVES Q105 GEL Q101

INSTRMNT Q053

SOLUTION Q088 BAIR HUG Q438

INSTRMNT Q057

MONITOR Q362

STARSYS Q073

STOOL Q202

SURG TBL Q599

SURG LIGHT Q627 WARMER Q427

IV STAND Q064

WORKSTN T101 MONITOR Q362

PHONE T001

STEP Q203 ELECTROSURGICAL Q267 PREP Q607 PREP CRT Q606

STOOL Q202 SURG LIGHT Q627 STOOL Q202

MAYO Q036 WOW T107

IV STAND Q064

EQUIPMENT PLANS 80

NEPTUNE Q814 SHARPS BIN Q809

MAYO INCIDENT Q036 Q608 HAMPER Q812 HAMPER Q812

EQ BOOM Q613

ANES BOOM Q701

KICK Q623 KICK Q623

ANES CRT Q031 OMNI CRT Q032

9.8

COMPRESSION Q062 MONITOR Q359

APRON GEL Q101 Q215

TRANSFER Q298

STARSYS Q074

INCIDENT INCIDENT INCIDENT

INTERIOR ELEVATIONS

WALL WALL PROTECTION PROTECTION

CLOCK CLOCK

WALL PROTECTION

CLOCK

WALL WALL PROTECTION PROTECTION

MONITOR MONITOR

SHARPS SHARPS

WALL PROTECTION POWER POWER @ @ 3' O.C. 3' O.C. POWER @ 3' O.C.

MONITOR

APRON APRON SHARPS APRON STARSYS STARSYS STARSYS SOLUTION SOLUTION SOLUTION

PHONE PHONE

POWER POWER HAMPER HAMPER

PREPPREP CRT CRT

HAMPER HAMPER HAMPER

PREPPREP CRT CRT PREP CRT

MAYO MAYO

HAMPER

PREP CRT

MAYO

NORTH NORTH ELEVATION ELEVATION 1 1 1/4" 1/4" = 1'-0" = 1'-0" NORTH ELEVATION

INSTRMNT INSTRMNT

1/4" = 1'-0"

INSTRMNT

INSTRMNT INSTRMNT

SOLUTION SOLUTION

INSTRMNT

SOLUTION

FIREFIRE EXTINGUISHER EXTINGUISHER

GEL GEL PHONE GLOVES GLOVES GEL

BAIR HUG

FIRE EXTINGUISHER

GLOVES

EAST EAST ELEVATION ELEVATION

22 EAST ELEVATION 2 1/4" 1/4" = 1'-0" = 1'-0"

1/4" = 1'-0"

326 326 48" 48" 14" 14" 30" 30" 326

WALL WALL PROTECTION PROTECTION

POWER

BAIRBAIR HUGHUG

48"

14"

30"

WALL PROTECTION

WALL WALL PROTECTION PROTECTION

GLOVES GLOVES

WALL PROTECTION

GEL GEL GLOVES GEL

WHITEBOARD WHITEBOARD

WORKSTN WORKSTN

WHITEBOARD

PHONE PHONE WORKSTN

MONITOR MONITOR MONITOR

CASECASE CRT CRT CASE CRT

FLUID FLUID

ISOLATION ISOLATION PANEL PANEL

FLUID

ISOLATION PANEL

400 400 24" 24" 24" 24" 84" 84" 400 24" 24" 84"

2' - 6"

2' - 6" 2' - 6"

POWER POWER POWER

2' - 6"

2' - 6" 2' - 6"

PHONE

223 223 17" 17" 24" 24" 30" 30" 223 17" 24" 30"

POWER & DATA POWER & DATA

POWER POWER

POWER & DATA

POWER

SOUTH SOUTH ELEVATION ELEVATION

STEP

SHARPS SHARPS SAN SAN WIPEWIPE SHARPS SAN WIPE

WOWWOW WOW

WEST WEST ELEVATION ELEVATION

33 SOUTH ELEVATION 3

44 WEST ELEVATION 4

1/4" 1/4" = 1'-0" = 1'-0"

1/4" = 1'-0"

HUMMEL HUMMEL HUMMEL

STEPSTEP

1/4" = 1'-0"

EE E

TYP TYP OROR TYP OR

PANORAMIC VISUALIZATIONS S can o r cl i ck the QR co de for pano rami c renderi ngs of the McCal l Ho spi tal pre/po st bay ro o m.

PRE/POST BAY

ROOM DATA SHEETS

12' - 0" EME BAG VITALS MONITOR

HEADWALL GASES / VACUUM / POWER

BED LOCATOR

THERMOMETER

WALL MOUNTED BASKET

CORDLESS WALL PHONE

WALL MOUNTED BASKET

MOBILE NURSE SERVER STRETCHER

IV HOOK CHAIR HAMPER

10' - 0"

4 FT CLR (3FT MIN)

4 FT CLR (3FT MIN) PLASTIC PANEL WAINSCOT PROTECTION (3) WALLS

SHARPS

OVER BED TABLE

SHEET FLOORING TYPICAL

PROGRAMMING AND PREDESIGN - MCCALL HOSPITAL

PRIVACY CURTAIN

3 FT MIN CLR

TRASH CAN ALCHOHOL GEL

SHARPS GLOVE DISPENSER

TYPICAL POWER OUTLETS AT 18" (2) WALLS

GLOVE DISPENSER

WORKSTATION ON WHEELS (OR WALL MOUNTED WORKSTATION)

ALCHOHOL GEL

PAPER TOWELS HAND SINK W/ HANDS FREE FAUCET SOAP

WALL BUMPER RAIL (CONTINUOUS)

120 SF

SLIDING ICU DOUBLE GLASS DOOR 4'-0" CLEAR

ALCHOHOL GEL

CORRIDOR

Room Data Sheet

HEALTH EDUCATION FACILITIES

150 SF TYPICAL

CONTROL ROOM

Health Education Facilities

TABLE FRONT

HOME

MEDICAL

X-RAY

20' - 5"

STORAGE 240 SF

MEDICAL

STORAGE 210 SF

CONTROL ROOM 216 SF

MEDICAL

STORAGE

NURSE STATION

OBSERVATION

4' - 0"

NURSE STATION

Health education facilities are essential for training future

MEDICAL

4' - 0"

healthcare professionals and advancing medical knowledge. These facilities include classrooms, labs, and simulation centers, provide students with the hands-on experience and specialized training necessary to succeed in a wide range of healthcare fields. Well-designed educational environments foster collaboration, innovation, and practical learning, ensuring that students are fully prepared for their careers in healthcare and

OBSERVATION

TABLE FRONT

CONTROL ROOM

X-RAY

STORAGE 212 SF

STORAGE

able to meet the ever-evolving demands of the industry.

ELECTRICAL

MEDICAL ASSISTANT AND PHLEBOTOMY

X-RAY TECH

NURSING LAB

PHYSICAL THERAPY

ELEVATOR

STUDY STUDY

STUDY STUDY DN

HOME

MEDICAL

DOUBLE LOCKED STORAGE

RESOURCE ROOM

DEBRIEFING

MEDICAL

NURSE STATION

SIM LABS STORAGE 72 SF

CONTROL ROOM 128 SF

OCCUPATIONAL THERAPY

CONFERENCE ROOM

150 SF TYPICAL

JANITOR RESTROOMS HOME HEALTH

CONTROL ROOM 128 SF

FACULTY LOUNGE

REF.

HEALTHCARE EDUCATION FACILITY SPACE PLANNING 1/8" = 1'-0"

CONCEPTUAL BELOW

REF.

9 OFFICES

LEVEL 02 - PROGRAM DIAGRAM

PERSPECTIVE VISUALIZATION NURSING EDUCATION LAB

NURSING LAB/CLASSROOM (RENDERING)

ANATOMY LAB

SURGERY TECHNICIAN LAB CLASSROOM (RENDERING)

NURSING LAB

CADAVER LAB (RENDERING)

INPATIENT

Inpatient Inpatient care is imperative for patients experiencing more serious illness or injury, involving hospital stays 24 hours or longer for additional monitoring, treatment, and recovery time. For hospitals and inpatient facilities to provide exceptional care, they need inpatient spaces designed around staff safety and patient wellbeing.

PATIEN T ROO M S A core part of inpatient design is patient rooms. Hummel designs inpatient rooms that are driven by the following: »

Code Compliance: Licensed inpatient rooms must adhere to stringent code requirements to protect patients, staff, and family members/visitors. This involves factors such as room sizes, bed clearances, and accessibility features. Bariatric inpatient rooms are an integral part of the design and include components such as large clearances, special fixtures, and lifts in the ceiling.

Supporting Infrastructure: The design of inpatient rooms must factor in the considerable technology and infrastructure necessary to support operations. This includes medical equipment, plumbing, headwalls with medical gases, power outlets, emergency power outlets, and nurse call devices.

Establishing Zones: Inpatient rooms should be adequately zoned to promote efficiency and prevent congestion. The family/visitor zone is placed deep into the room to minimize interference with patient care. The center of the room and the bathroom are patient zones. The area surrounding the patient zone and the front of the room are designed as healthcare provider zones, giving them ample space to efficiently navigate and access the patient and equipment.

Patient Safety and Wellbeing: Whether patients are admitted to an inpatient room for two days or two months, their safety and comfort are crucial to the healing process. In hospital environments, patient falls most commonly occur during movement from a patient’s bed to the toilet room. To prevent accidents, we design rooms with non-slip surface materials, grab bars, proper lighting, and minimal to nonexistent transitions between rooms. Windows placed at patient height provide natural light and exterior views, helping with the regulation of circadian rhythms. We also focus on the reduction of sounds and harsh lights, to reduce additional patient stress.

PATIEN T W I N G S Patient rooms are one piece of the larger patient wing. In addition to the above guiding principles for inpatient rooms, we apply the following strategies when designing patient wings: »

Staff-to-Patient Ratios: Required staff-to-patient ratios for inpatient settings dictate the number of patient rooms and staff areas in an inpatient wing.

Geometry Exercises: During the design process, we conduct geometry exercises with hospitals to determine an ideal configuration of patient rooms and staff spaces. Current staffing models and patient needs heavily drive this discussion. Configurations which include centralized nursing stations, satellite nursing stations, and touch-down charting stations.

Flex Wings: Flex wings can be implemented to provide additional space in the case of patient overflow. These areas are especially beneficial in hospital environments when unexpected emergency events occur.

Room Layouts: Throughout a patient wing, inpatient rooms must be designed with consistency so healthcare providers know exactly where to find what they need. This creates a straightforward and consistent experience as providers quickly move between rooms, helping to reduce the occurrence of human error.

These principles guide our approach to inpatient design. We collaborate with hospitals and inpatient facilities to carefully balance practicality and staff needs with patient comfort and wellbeing, ultimately improving patient outcomes.

MEDICAL PLANNING

Medical Planning The process of designing and building a healthcare facility takes immense thought and skill, requiring a deep understanding of medical planning best practices, building and healthcare codes, and engineering principles. Medical planning is the first and most valuable step in designing any healthcare facility. Our team of healthcare planners has successfully completed dozens of medical plans, ranging from small clinics to expansive hospital campuses. While each healthcare project is unique, we apply a similar medical planning and programming process that prioritizes stakeholder input, space needs, and budget. This thorough medical planning process has proven to be successful throughout our experience working with healthcare clients. G ATH ERI N G STA K E H O L DE R I N P U T Every medical programming process starts with gathering information from critical project stakeholders. This input sets the stage for how the project will take shape, as we analyze the needs and goals of everyone involved. Stakeholders typically involved in this process include: »

Hospital leadership

Hospital administration

Department leadership

Department staff

Facilities teams

Accreditation teams

Infection prevention team

Architecture/planning team

For example, in the medical planning stage of the new St. Luke’s McCall Hospital Expansion, we met with 20 different user groups across departments to gain a holistic understanding of their needs and expectations.

S PAC E N EE DS Based on the information gathered, we begin to develop a spreadsheet of spaces that addresses the needs of all departments, consisting of the following: »

Room Uses and Sizes: Hospitals contain multiple departments that serve a variety of patient needs. Based on stakeholder input, we identify initial room uses and sizes within each department, including rooms for patients, staff, materials management, storage, and administration.

Medical Equipment Requirements: Equipment-heavy departments like imaging and surgery play a significant role in the space program. The equipment alone requires substantial real estate, making it important to place them early in the programming process.

Infrastructure Space Program: In this spreadsheet, we incorporate a list of the necessary support spaces, such as electrical penthouses, utility closets, boilers, air handler generators, shafts for pipes, etc. Considering nearly 60% of the space program is needed for supporting infrastructure, we begin these discussions early in the process.

Grossing Factors: Beyond the room, equipment, and infrastructure space needs, we also consider grossing factors that can often be overlooked. Areas surrounding these spaces, such as circulation, hallways, stairways, and wall thickness can heavily impact square footage.

Establishing initial estimates for these spaces early in the programming process is vital for preventing scope creep and unexpected budget increases. Once this comprehensive spreadsheet is developed, we review the initial program through multiple meetings with the client to clarify room uses and any special attributes.

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TYP OR - FLOOR PLAN

OR #3

GEL

GLOVES

POWER

EAST ELEVATION

BAIR HUG

MONITOR

PHONE

WALL PROTECTION

FIRE EXTINGUISHER

1/4" = 1'-0"

REF.

OMNI

Next, we transition to gameboard exercises to provide a more visual experience for the clients. The primary goal of these

1/4" = 1'-0"

INSTRMNT

ADJAC EN CY A N D F LOW

SOLUTION

STARSYS

APRON

SHARPS

workshops is to determine departmental adjacencies. In this step, we facilitate important discussions around the relationships between departments that focus on flow and adjacency. For example, the imaging department must be adjacent to emergency POWER @ 3' O.C.

departments to support quick emergency response and medical diagnoses. The gameboard will then translate into bubble diagrams as we further solidify an initial floor plan, continuing to emphasize

PREP CRT

CLOCK

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LEVATION

PREP CRT

MAYO

maintain a straightforward wayfinding experience, and create an overall lean design that optimizes the client’s budget.

SOLUTION

As a floor plan becomes more concrete, we continue looking for opportunities to minimize footsteps for patients and staff,

INSTRMNT

WALL PROTECTION

adjacency and flow. From this diagram, components such as walls, doors, and equipment footprints begin to take shape.

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ENTITLEMENTS

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Entitlements Every development, including healthcare facilities, requires a team of experienced professionals to investigate, engage, guide, and collaborate with the owner and public entities to secure thorough and complete project entitlements.

TOIL ET

CT EQUIPMENT CLOSET

Our leadership group, along with their supporting project

EQUIPMENT

XRAY

STORAGE DECON

READING

ED BAY 7

VESTIBULE

MAIN ELEC

TRAUMA BAY 1

TRAUMA BAY 2

managers and architectural designers, have the capabilities to

FIRE RISER

SOILED

CONTROL ROOM

BARIATRIC BAY 4

OFFICE

CORRIDOR

attain public body agreements including:

OFFICE

NURSE STATION

DICTATION PRIVATE

PATIENT

WORK

OFFICE

CORRIDOR

EVS

STAFF TOILET

CONTROL TECH HOLDING

INFUSION

CORRIDOR

BREAK ROOM

CLEAN SUPPLY

MEDS

NURSE STATION

PATIENT TOILET / SHOWER

STAFF TOILET

OFFICE

NOURISH

INFUSION

SOILED CORRIDOR

Planning and zoning certificates

CORRIDOR

MRI

HALL

Variances

Design review approvals

Construction permits

Final building occupancies

INFUSION

ANTE

PHYSICIAN

TOIL ET

MEDS

BARIATRIC PATIENT TOILET

XRAY

MRI CONTROL

ED BAY 6

ED BAY 5

STAFF ELEV

CONTROL ROOM

CONSUL T

ISOL ATION BAY 8

SECURE BAY 3

LAB RECEIVING

PATIENT TOILET WHL CHR

ANTE ROOM

STAFF STAIR

MRI EQUIP HALL

CORRIDOR CLEAN SUPPLY

CONFERENCE

TOIL ET

STOR

SLEEP ROOM

TRIAGE EXAM

IT SPEC SERV

CHAPEL CORRIDOR EMERG / STAFF STAIR

TOIL ET

CHANGING

ULTRASOUND

LAB WAITING

MORGUE

RT STORAGE

MNGR OFFICE

CHANGING

MED GAS

SUPR OFFICE CORRIDOR

MAMMO

IHT SERVER

BL OOD DRAW DEXA

FUEL OIL PUMP

CLEAN SUPPLY

PRIVATE DRAW SCHED

SHELL

We engage local civil engineers, landscape architects, and

MICRO

PAT TLT

TOIL ET WORK

SPEC TOILET

CHECK-IN

VESTIBULE

HIM

WAITING

CONSULT

FAMILY TOILET

P NAV OFFICE

VESTIBULE

planners who are equally adept at the entitlement procedures

HALL MENS RESTROOM

PFS

PUBL IC STAIR PUBL IC ELEV

ACCESS MGR SAFE STORAGE

OFFICE

ROOM

required by the cities and counties of southern Idaho. When

OFFICE

WOMENS

SHARED OFFICE

VENDING

RESTROOM

MAIL ROOM

necessary, we often work with outside legal counsel and

HALL

subject matter experts to thoughtfully navigate public

CARDIO / STRESS

EXAM

TEST

PATIENT TOILET FNS STOR

statutes, codes, and divergent public sentiment. All of our

DINING

partners and principals have represented clients at public

OFFICE

KITCHEN

WORK

workshops, neighborhood meetings, and hearings and are

FREEZER VOL WORK

skilled at jurisdictional online applications and supplemental

DISH WASHING

DRY STORAGE

COLD STORAGE

form work, letters of explanation, and project exhibits.

EVS

TABLE / CHAIR

TOIL ET

STORAGE

MEETING RM 1

MEETING RM 3

LACTATION

MEETING RM 2

TOIL ET

IT SPEC SERV

MM OFFICE

ELEC

IHT TDR

MM STAFF

STAIR

MATERIALS MANAGEMENT MM RECEIVING

VESTIBULE

FOUNDATION

CONFERENCE

BIO WASTE

CE WORK

FOUNDATION

ADMIN

ROOM

STAFF SHARED

IHT WORK /

ASSISTANT

OFFICE

ADMIN OFFICE

STORAGE

HALL

CORRIDOR

CNO OFFICE EVS CLEAN SUPPLY

12/06/18

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LEVEL 01 1" = 40'-0"

EVS STAFF

FNC DIR OFFICE DIR OPP OFFICE

EVS STORAGE

ST. LUKE’S MCCALL HOSPITAL EXPANSION DESIGN REVIEW APPLICATION FLOOR PLAN

Metal window surround. Surround encroaching into setback. Brick veneer encroaching into setback.

Columns supporting the MOP as it spans over the street are in the setback.

ST. LUKE’S BOISE CAMPUS

NEIGHBORHOOD MEETING & DESIGN REVIEW PERSPECTIVE VIEW R/W

The exterior wall of the 1st floor is 14' back from the face of the colonnade.

R/W

BEGIN

R/W

TYP. OF 5 14 SD

R/W

TYP. OF 3 1

R/W

6.5'

EXISTING ROUNDABOUT

TYP. OF 2 25

R/W R/W

LEGEND R/W

R/W

8.4

R/W

3 TYP. OF 6 R/W

Columns supporting the MOP as it spans over the street are in the setback.

R/W

150'-0"

R/W

TYP. OF 2 5.4 5.3

R/W

MTR

R/W

R/W R/W R/W

R/W

The columns work in architectural congruence with other columns supporting the medical office plaza and leading up to the main entry to the north tower.

R/W

25 TYP. OF 5

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5.1 8.3

SCALE: 1" = 20'

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BEGIN 9

E AV

7.2

1st Street

H-S Zone 78’-0”

20'

EXISTING FIRE HYDRANT

SCALE: 1" = 20' 40'

34'

8.3

RIGHT-OF-WAY SETBACKS 7b

The MOP itself, at the third floor and up, sits over the setback.

END 9

nd Street

PERSPECTIVE LOCATION AND DIRECTION

R/W

10'

RIGHT OF WAY 1

20' SETBACK

80' RIGHT OF WAY

Per our Detailed Letter of Understanding accompanying this application, St. Luke's requests setback encroachment zones along both sides of 1st Street. The zones will be 20'-0" wide (east to west) and 150'-0" long (north to south).

R/W

MEDICAL OFFICE PLAZA OVERHANG EXTENTS BEGIN 9

SETBACK ENCROACHMENT

R/W

There is an architectural element on the facade from the third through the ninth floor in the form of a metal window "surround." The surround is 31' in horizontal length with approximately 5.3 square feet (at each floor plate) setting anywhere from 1" to 1'-6" into the setback. The depth of the surround from the primary wall plane is 2'-4". To the west of the surround another 14.5 square feet (at each floor plate) of brick facade sits into the setback from 1" to 1'-6". The balance of the exterior walls either side of these two areas are not in the setback. The windows and exterior wall inside the window surround are not in the setback.

R/W

20'-0"

St. Luke's will work with ACHD to secure the necessary air-rights over the roadway.

R/W

N. 1ST STREET

R/W

END

R/W

EXISTING PARKING GARAGE

The structure does not impede public sidewalks or vehicle access points.

R/W

R/W SD

ST. LUKES, BOISE CAMPUS, NORTH TOWER AND 1ST STREET MEDICAL OFFICE PLAZA

ST. LUKE’S BOISE CAMPUS EXPANSION RIGHT-OF-WAY SETBACKS

August 2, 2023

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SURGERY/PRE-POST OP/ CENTRAL STERILE PROCESSING

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Surgery/Pre-Post Op/ Central Sterile Processing Efficient surgery centers are vital to treating medical conditions, improving quality of life, preventing future health problems, and saving lives. To conduct successful and safe surgeries, healthcare professionals need surgical environments designed for cleanliness, functionality, and flexibility. At Hummel, we specialize in designing dynamic surgical facilities for hospitals and outpatient surgery centers that are sensitive to the needs of medical professionals and patients alike. Our healthcare design experts have over two decades of experience crafting all types of surgical departments, including pre/post-op, PACU bays, operating rooms, endoscopy procedure rooms, and central sterile processing areas. Creating modern surgical environments requires in-depth knowledge of the advanced medical equipment involved. From standard procedures like appendectomies to more complicated operations like an organ transplant, surgery centers must be equipped to support an array of needs.

OUR E X T E N SI V E S U R GE RY DE PA R T ME N T DE S IG N EXPERI EN C E I N T H E L AST F I V E Y E AR S I NCLU DE S : »

Design of 53 Operating rooms/Construction of 20

Design of 178 Pre/Post/PACU Bays &/Construction of 71

25,020 SF of Central Sterile Processing space across four separate projects

Designed and completion of multiple types of Operating Rooms including; Standard ORs/Orthopedic ORs/OB Cesarean Section ORs/Endoscopy Procedure rooms/ECRP Procedure rooms/Hybrid ORs–Biplane & Monoplane

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PRE/P OST PAC U B AYS The experience before and after surgery is a crucial element of surgery center design. With 178 pre/post PACU bays in our portfolio, Hummel’s team is adept in designing pre/post-operative areas that facilitate efficient procedure preparation, continuous patient monitoring, and optimal patient recovery. We’ve also designed more than 53 post-anesthesia critical care units (PACUs), which require additional design considerations for patient safety, including provisions for more medical devices, additional head wall outlets, increased clearance, and enhanced visibility of patients. The layout of a pre/post-op department should provide optimal adjacencies and flow of patients, materials, and staff to minimize footsteps and provide for a lean functioning facility. The layout should also be optimized for infection prevention, security, and traffic control of patients, visitors, and staff.

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OPERAT I N G RO OM S All surgery department projects consist of complex equipment planning, especially when it comes to operating rooms (ORs). Surgical procedures of any kind are often fast-paced and complicated, requiring an OR layout that is efficient and adaptable for a variety of procedures. When designing ORs, ceiling-mounted booms are used for equipment, anesthesia, and power gas/data outlets to keep equipment off the floor, increasing accessibility to medical instruments and reducing obstacles during the surgical process. Additionally, wall-mounted monitors, gas/electrical/data outlets, and other medical accessories and supplies are strategically placed on each wall in the room to provide easy access, maintain patient safety, and optimize the overall surgery experience. To implement infection control, we also judiciously select certain materials, finishes, and surface transition details that can be easily disinfected in operating rooms. Limiting flooring to wall, wall to millwork and ceiling seams is critical to eliminating potential locations where infectious materials could build up. Durability and protection of floor, walls, and millwork surfaces are critical to preventing potential damage to surfaces that would be difficult to keep sterile. For some OR projects, we include an above-ceiling plenum diffuser in the operating room design. This special system is a manifold located above the OR ceiling, designed to suspend equipment and light booms, provide HVAC diffusers with ideal laminar airflow, and house ceiling lighting, while minimizing the traditional above-ceiling MEP in the space above the OR’s hard ceiling. W E HAV E D ESI G N E D VAR I O U S T Y P E S O F O PE RAT ING ROOM S, I N C LUD I NG: »

General Surgery Operating Rooms

Orthopedic Operating Rooms

Endoscopy Suites

Obstetric and Cesarean Operating Rooms

Hybrid Cardiovascular Operating Rooms 111

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CE NT RAL ST E RILE PRO CE SS ING Fundamental to preventing the spread of infection is the central sterile processing area that supports surgery departments and instrument processing for other clinic and hospital departments. These spaces must be designed to promote clean and productive workflows as medical instruments are cleaned, disinfected, and sterilized for future use. The three primary spaces in a successful central sterile processing area are decontamination, preparation/packaging, and sterilization. These three spaces must be designed to integrate seamlessly while preventing contamination and maintaining a consistent clean-to-dirty and dirty-to-clean workflow.

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By leveraging our equipment planning experience, implementing healthcare guidelines, and following best practices for infection prevention, Hummel designs central sterile processing spaces that are effective, clean, and durable.

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MEDICAL IMAGING

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Medical Imaging Medical imaging is an essential part of a healthcare provider’s ability to diagnose, treat, and monitor their patients. As medical technology continues to change, hospitals and clinics need to continually modernize and update imaging spaces so medical professionals can provide exceptional healthcare to patients, recruit top talent, and distinguish themselves from competitors. Hummel specializes in designing complex imaging spaces that enable hospitals and clinics to analyze, diagnose, and treat medical conditions with ease. Our depth of imaging design experience encompasses a wide range of modalities. IN TH E L AST F I V E Y E AR S WE ’V E CO MP L ET E D:

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Design of 6 & Construction of 4 MRI spaces (Magnetic Resonance Imaging)

Design of 3 & Construction of 1 Fluoroscope spaces

Design of 19 & Construction of 13 Orthographic X-ray spaces

Design of 7 & Construction of 2 CT spaces (Computed Tomography)

Design & Construction of 1 Mammography spaces

Design & Construction of 1 Biplanar X-ray spaces

Design & Construction of 2 DEXA scan spaces

Design & Construction of 1 Stand-Up CT space

Design of 8 & Construction of 3 Ultrasound spaces

This breadth of direct experience in creating and renovating imaging spaces for healthcare institutions has made our team skilled in efficient space planning and programming for a variety of modalities. Each modality is distinctive in its purpose and requirements, demanding a unique strategy and approach for each one. For example, because MRIs require special shielding and security separations to protect healthcare workers and patients, the security for MRIs requires zones 1-5 as a precautionary method of restricting individuals from the magnetic field. MRIs sometimes include magnetic shielding when the magnetic field extends beyond the controlled area where unsupervised personnel travel and/ or moving metals are present. Additionally, all MRIs include radio frequency shielding of the exam room that must be accounted for in the layout, as well as the room’s envelope and associated mechanical and electrical installation. In our approach to MRI design, we are careful to consider magnetic field shielding, radio frequency shielding, safety features, and zoning. Our designs often include steel wall reinforcements, copper enclosures, and special venting in the event the magnet purges its supercooled liquid helium. 119

Over the past five years, we’ve designed more than 50 imaging rooms. With four medical imaging design experts on staff, our team is well-versed in the specific knowledge required to design high-quality imaging departments.

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Since imaging technology is rapidly changing, hospitals and clinics must be agile and stay on top of the latest advancements. Hummel’s healthcare design experts plan these spaces for easy removal and re-installation of MRI equipment. As an example, when we worked on the MRI and CT rooms in the St. Luke’s McCall Hospital, part of the design included a large opening in the wall that could be used for future removal and re-installation of the equipment. This included thoughtful phasing and setting up temporary utilities and medical equipment to prevent disruptions to patient care, as well as carefully planning the MRI and CT equipment changeover with temporary mobile units to minimize disruption to hospital operations. Designing spaces for this imaging technology demands meticulous planning and a thorough understanding of the advanced equipment involved. When it comes to imaging, we know the importance of designing the architecture and engineering systems around the equipment. It’s crucial to understand the technical aspects of medical imaging spaces, including the equipment, mechanical, electrical, structural, and other infrastructure components. For example, the shielding and power requirements are a substantial factor in the design. Overlooking components in the design can lead to significant change order costs because the preliminary equipment cut sheets did not include all the site-specific connections.

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EMERGENCY DEPARTMENTS

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Emergency Departments Healthcare emergencies are an inevitable part of life and can range from an unexpected cut that requires stitches to a life-threatening event. Hospital emergency departments must be responsive, agile, and well-equipped to provide immediate access to medical care, no matter the severity of the illness or injury. To provide effective access to care, an emergency department (ED) must be thoughtfully planned and configured so medical providers can adapt and react swiftly to healthcare emergencies 24/7, whether fully staffed or during swing shifts with only a skeleton staff. Hummel’s healthcare design team has considerable experience designing emergency departments that are safe, efficient, accessible, and dynamic. In our approach to these spaces, the layout is designed to facilitate a logical flow of emergency room patients from arriving at the hospital through the triage and treatment process. In the design of emergency units, the department adjacency and flow to other departments, as well as the internal flow within the department, are heavily considered. Primary areas and departments relevant to an emergency unit layout include the ambulance entry, the ED and/or main hospital lobbies, and the radiology department. These adjacencies are imperative both in large urban hospitals, as well as in small rural critical access facilities. In small critical access facilities, these adjacencies become even more crucial due to the limited staff who are required to monitor and manage multiple areas and multiple patients at the same time. Each area within an ED is intentionally programmed into the department to serve a specific purpose, with some of those including check-in, bariatric rooms, secure rooms, decontamination rooms, and isolation rooms, as well as clean supply, med room, and patient and staff toilets. The types and quantities of rooms and spaces within the department are determined by what is functionally necessary and what is required by the facility’s guideline “FGI” code.

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C HEC K- I N The check-in area of an emergency department must be efficient and straightforward. Separate entrances for ambulance patients and walk-in patients must be managed by ED admitting staff during normal hours, as well as by the ED nursing staff during nighttime hours when the admitting station is not always staffed. Emergency check-in spaces include large windows and minimal view obstructions to establish sight lines of all entrances, waiting areas, and parking lots. When windows with direct sight lines are

S CAN O R CLICK THESE QR CO DE S FO R PANOR AMIC RE NDE RING S O F THE MCCALL H OS PITAL E ME RG E NCY DEPAR TMENT

not possible from either ED check-in or ED nurses’ stations, then cameras and monitors at the nursing stations are used to provide

TRAUM A BAYS Trauma bays are a core part of any emergency department, providing a place for patients with serious injuries or conditions to receive immediate treatment. Designated trauma bays are larger

NURSE STATION

full viewing coverage.

than typical ED bays, include more equipment, have additional of staff to work within the space. We design trauma bays with efficiency and adaptability in mind, enabling staff to rapidly provide the necessary care. Typically, all ED bays are arranged to encircle the nurses’ station in a panopticon configuration to allow direct observation from the nursing station into each bay or room. Designated trauma bays are also placed adjacent to each other with openings in between to minimize footsteps and save critical time, allowing medical staff to treat multiple patients at once without having to travel into the corridor. Trauma bays are also designed to

EMERGENCY DEPARTMENT

headwall outlets, and require adequate space for a larger number

SECURE - HO L D RO O MS Secure-hold rooms in an emergency department are specially designed for patients who are at risk of harming themselves or others. These rooms contain increased security measures, such as door windows that are laminated and shatterproof, non-ligature type fixtures and cabinetry, roll-down doors to secure cabinetry and supplies, and headwall medical gas and other outlets. 128

WAITING ROOM

support a robust amount of medical equipment and supplies.

TRAUMA BAY SKETCH

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STAF F SE C URI T Y AND SAF E T Y Staff security and patient safety in an ED unit are central to our considerations when designing ED layouts. Protecting staff from harm, allowing them to lock down units, and providing elements such as internal alternate exit routes from rooms and spaces are best practices in ED design. Additional safeguards we implement include designing support spaces within the department that can double as staff safe rooms, equipped with hardwired panic buttons and telephones.

D ECO N TA M I N AT I O N R O O MS Decontamination rooms are required in an ED to treat individuals who experience any level of contamination from toxic chemicals, biological toxins, and other contaminants. These rooms are designed with interior and exterior doors to allow direct entry from outside the building and prevent unwanted crosscontamination. Decon rooms are typically finished similar to a walk-in shower room with washable and drainable surfaces. These rooms are equipped with full emergency showers, eye wash stations, and specific drainage in the floor that empties into an exterior underground decontamination tank. This tank can then be pumped into a truck and disposed of elsewhere, according to health and environmental requirements. To protect other patients and staff, these rooms are also negatively pressurized and fully exhausted to isolate any potential airborne contaminants from contaminating adjacent spaces.

AIR BORN E I N F EC T I O N I S O L AT I O N R O O M S Patients with airborne illnesses, such as tuberculosis, require their own isolation room in an emergency department to protect other patients from infection. These rooms are designed to be negatively pressurized and fully exhausted with special HVAC systems and air filtration systems, as required by FGI and ASHRAE requirements. These rooms have associated ante rooms for staff to enter and exit from when a contagious patient is present. Ante rooms are utilized for staff to wear the correct PPE attire, provide handwashing, and further protect adjacent areas by functioning as an airlock for staff to pass through. 130

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PHYSICAL THERAPY/ REHABILITATION/ OCCUPATIONAL THERAPY

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Physical Therapy/ Rehabilitation/ Occupational Therapy Physical therapy and rehabilitation are crucial services that enable neuromuscular healing, injury and/or surgery recovery, and prevention of long-term health challenges. Physical therapy services are a huge asset to hospitals and clinics by promoting prevention and healing, thus improving short-term and long-term patient outcomes. The success of someone’s physical rehabilitation journey is heavily influenced by their environment during the recovery process. Hummel’s healthcare design team specializes in designing rehabilitation facilities that optimize the healing process, support customized treatment plans, and enhance the overall recovery experience for patients and providers.

HUM M EL’ S E X P E R I E NC E I N R E H A B I L I TAT IO N AND PH YS I C A L T HE RA PY DE S I GN I N C LU DE S A VAST ARRAY OF FAC I L I T Y T YP E S , I N C LU DI N G:

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Basic Rehabilitation Clinics

Sports Rehabilitation Facilities

Occupational Therapy Suites

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Each type of rehabilitation facility serves its own purpose and clientele, requiring a unique approach for each project. For example, the St. Luke’s Center for Orthopedic and Sports Medicine is a premier, high-performance rehabilitation facility that accommodates everything from preventative physical therapy services to professional athletes looking to optimize their physical performance. The design for this facility has a stronger focus on performance enhancement and sports medicine with an athletic facility feel. Conversely, we designed a small-scale rehab gym in the St. Luke’s South Meridian Medical Office Building that is tailored to basic physical therapy services for families. F UNDA M E N TA L P R I NC I P L E S O U R H E A LT HCARE DE S IG N T E AM E MPLOYS TO G U IDE E ACH REH A BI L I TAT I ON FAC I L I T Y »

Functionality and Versatility: For facilities to cater to a variety of rehabilitation methods and techniques, it’s important to craft a space that is both functional and versatile. Ample room for a range of equipment and durable, shock-absorbent sports flooring are examples of necessary elements we incorporate into our rehab design. Adjacency to other healthcare services is also important to promote collaboration between physicians, physical therapists, and other providers for treatment plans.

Wellness and Aesthetics: The rehabilitation process can feel difficult, frustrating, and slow. Establishing a therapeutic atmosphere that is both positive and stimulating can make a huge difference in someone’s overall recovery experience. Elements such as calming colors and materials, significant daylight exposure, views of nature, and engaging visuals are incorporated throughout Hummel’s rehabilitation designs.

Infection Prevention: Although these spaces differ from more clinical, high-risk medical environments, it’s still crucial to maintain healthcare hygiene standards. For example, surfaces that can be easily disinfected, sports flooring that is less porous, and robust air circulation systems are important features of our rehab designs.

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PHLEBOTOMY/DRAW LABS/MEDICAL LABORATORIES

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Phlebotomy/Draw Labs/ Medical Laboratories Diagnostic and blood draw laboratories are critical when it comes to measuring patient health markers and diagnosing medical conditions. Hospitals and clinics rely on phlebotomy clinics and labs to provide the best care to their patients, allowing them to collect blood and urine for analyzing tissue, urine, and fecal specimens. To perform their best work, phlebotomists, medical lab technologists, and other healthcare professionals require a clean, functional, and efficiently configured environment to accommodate the necessary analyzers, microscopes, centrifuges, refrigerators, and freezers. Hummel designs medical lab spaces that prioritize adjacency, flow, and cleanliness to prevent errors and optimize laboratory procedures, data collection, and documentation. Over the past five years, we’ve designed more than 6,625 square feet of phlebotomy and medical lab spaces.

W E HAV E D ESI G N E D VAR I O U S T Y P E S O F ME DICAL L AB S PAC ES, I N C LU DI N G:

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Private Draw Rooms

Phlebotomy Draw Stations

Laboratory Workstations

Urinalysis, Analyzer, Microscope, Micro-Hood Room

Blood Bank Areas

Receiving Storage and Supplies Area

Specimen Collection Toilet Rooms

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There are multiple factors to consider in phlebotomy and medical laboratory design. The most necessary factors we’ve found include: »

Streamlined Layout: The rapid rate of samples moving through these areas can lead to accidental errors or confusion. This warrants a simple and efficient layout to support a consistent, reliable workflow for patients and medical professionals throughout the day.

Infection Control and Contamination Prevention: Due to the high volume of samples containing bodily fluids, controlling the risk of infection transmission is particularly important in phlebotomy and medical lab environments. Our medical lab spaces are designed with detail to accommodate lab equipment and laboratory work supplies.

Accessibility: All types of patients should be able to access phlebotomy and lab spaces in hospitals and clinics. Our medical lab spaces are designed to accommodate patients of all sizes, ages, and abilities, including wheelchair users, bariatric patients, geriatric patients, pediatrics, and infants.

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A prime example of our lab design is the lab and phlebotomy department in St. Luke’s McCall Hospital. We designed these diagnostic and draw laboratories with functionality in mind, allowing hospital personnel to efficiently adapt to the high churn rate typical in these spaces while maintaining optimal staff counts.

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PHARMACY

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Pharmacy We design pharmacies that enable healthcare professionals to reliably and safely provide medications that help patients recover, heal, and manage health conditions. Whether it’s a robust inpatient pharmacy within a hospital or a small outpatient retail pharmacy, we apply the following design features to create high-quality pharmaceutical spaces: »

Hood Compounding Cleanrooms: Hood compounding cleanrooms contain sophisticated equipment for pharmacists to prepare safe, quality compounding medications for patients. We design cleanrooms to prevent contamination through protective hoods, complex mechanical systems, special surfaces, and proper ventilation. We understand the code requirements when designing these cleanrooms to keep medications safe and sterile.

United States Pharmacopeia Regulations: Following specific codes and requirements from the United States Pharmacopeia (USP) is critical to adequately protect healthcare workers and patients.

Storage Solutions: In a pharmacy, every square foot matters. Pharmacies must minimize their footprint, especially within a hospital, while providing ample storage for a variety of medications and products. We design pharmacies with innovative storage solutions, such as mechanized carousels and dense shelving to support a highdensity system that maximizes capacity within a space.

Automation: To facilitate efficient processes in a pharmacy, we apply automation in certain pharmacy designs. Special technology and automated systems help speed up the process of filling prescriptions. For example, automatic vial dispensers can be implemented to fill and label pill bottles, freeing up time for pharmacists to focus on other important tasks.

Infection Prevention: Pharmacies must emphasize flow, adjacency, and flexibility to prevent the spread of infections. We always incorporate infection-resistant surfaces throughout the pharmacy.

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INPAT I E N T P HA RMAC I E S Typically found within hospital environments, inpatient pharmacies are heavily relied on to provide patients with the necessary medications they need for successful treatment or recovery. For example, inpatient pharmacies play an essential role in oncology departments by providing vital chemotherapy drugs to patients. The medicines used for oncology patients are particularly delicate with short expiration timelines, requiring special equipment and procedures to prepare and administer. OUTPAT I E N T P HA R MAC I E S Outpatient pharmacies offer an accessible, convenient option for patients to obtain prescriptions and other medical goods outside the hospital environment. Some hospitals and medical facilities choose to include an outpatient retail pharmacy within their own facility. This service creates additional convenience for patients by eliminating additional stops once they leave the facility. For example, St. Luke’s Health System integrated an outpatient retail pharmacy within their new Center for Orthopedic and Sports Medicine. Patients can obtain their prescriptions, over-the-counter medications, and durable medical goods without leaving the facility, which reduces stress and improves patient outcomes. Drive-through pharmacies can also provide additional convenience to patients, such as the one we designed for Desert Sage Health Center in Mountain Home, Idaho. Patients can drive up to a window, speak with a pharmacist, obtain their prescriptions, and leave the facility without stepping foot outside their vehicle.

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DENTAL FACILITIES

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Dental Facilities Dental facilities provide dentists, oral surgeons, and hygienists with the necessary facilities to practice, supporting dental hygiene and overall oral health in our communities. At Hummel, we understand that a patient’s perceived experience with dental care will be influenced by the environment in which they receive care, and we excel at creating clinics that facilitate positive experiences for patients and medical professionals alike. We have experience designing a wide range of dental facilities including family dental clinics as well as dental program education facilities for dental assisting and dental hygiene programs. Our professional design services include planning, medical equipment coordination, preparation of contract documents, construction, and administration.

HUM M EL’ S E X P E R I E NC E I N DE NTA L FAC I LIT Y D ES IGN I N C LUD E S :

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7 dental clinics completed in the last 5 years

Totaling 37,545 square feet of dental facilities

Including 52 operatory treatment/exam dental bays

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From family dental clinics to oral surgery centers, Hummel

SPACE PLANNING

designs patient-centered healthcare environments to address all dental concerns. We recognize that every facility—whether it specializes in Endodontics, Orthodontics, Pediatrics, or Oral Surgery—has unique requirements, and we strategically tailor design goals to form optimally functional spaces. Our efficient clinic layouts prioritize both patient and staff flow, while also accounting for the placement of medical gas, medical air, and vacuum systems. We give careful consideration to each clinic’s finishing touches, and our interior design choices facilitate ergonomics and create a final product that is both a functional and pleasant place to work. Additionally, we design with the future in mind, creating modern, flexible spaces that can be easily upgraded as new technologies emerge. PR EVI O US D EN TA L C L I E NTS I NC LU DE : »

ISU Meridian Dental Clinic Meridian, Idaho

Sunny Smiles Pediatric Dentistry Idaho Falls, Idaho

Eagle Park Dental Clinic Idaho Falls, Idaho

Machen Family Dentistry Idaho Falls, Idaho

Alligator Pediatric Dentistry and Orthodontics Idaho Falls, Idaho

Desert Sage Dental Clinic Mountain Home, Idaho

Excellence in Dentistry Clinic Idaho Falls, Idaho

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LABOR AND DELIVERY

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Labor and Delivery PRIVACY CURTAIN

TOILET ACCESSORIES

HAMPER

HAND SOAP & PAPER TOWELS

LDRP 390 SF

LDRP

BENCH

BASINETT

390 SF

MONITOR CART

BENCH

BASINETT

MONITOR CART

3'-6" DOOR

23' - 6"

CABINET W/ CONCEALED GASES

STOOL

BED

CABINET W/ CONCEALED GASES

WARDROBE

TABLE

WORKSTATION WARDROBE

60" CLEAR

3'-6" DOOR

BED

HAMPER HAND SOAP & PAPER TOWELS

STOOL

PRIVACY CURTAIN

SHARPS, GLOVES, EMESIS

WORKSTATION

TOILET ACCESSORIES

SUPPLY CART

SHARPS, GLOVES, EMESIS SUPPLY CART

RECLINER

RECLINER PRIVACY CURTAIN

PRIVACY CURTAIN

4'-0" DOOR GEL DISPENSER (BOTH SIDES)

DOCUMENTATION ALCOVE

HAND WASHING HAND SOAP & PAPER TOWELS

16' - 8"

4'-0" DOOR GEL DISPENSER (BOTH SIDES) HAND WASHING

CORRIDOR

7' - 6"

HAND SOAP & PAPER TOWELS WORKSTATION

ROOM DATA SHEET

Labor and delivery services are crucial for the health and safety of both 12/05-07/2017

TYPICAL LDRP ROOM

mothers and newborns during childbirth. These services provide a controlled environment where skilled medical professionals can perform the necessary PROGRAMMING AND PREDESIGN - MCCALL HOSPITAL

procedures for a safe delivery, while also supporting the emotional well-being of families during this significant event. At Hummel, we specialize in designing labor and delivery environments that balance functionality with care. Our approach focuses on creating spaces that support both medical teams and families, with attention to room layouts, sterile areas, and integration of necessary equipment. This creates a safe, efficient, and supportive environment for childbirth, promoting the health of the mother and newborn.

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DRAWING SCALE : 1/4" = 1'-0"

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PANORAMIC VISUALIZATIONS S can or c lic k t h e Q R co d e for pan o ra m ic ren d e ri ng s o f t h e M cC a ll Hos p it a l L ab o r, D el i ve ry, Recover y, and Postpar t u m (L D RP ) Ro o m .

LDRP 1

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INFUSION/ONCOLOGY

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Infusion/Oncology Infusion and oncology treatments are essential for patients battling cancer and other serious conditions, offering life-saving therapies such as chemotherapy, immunotherapy, and intravenous medications. These treatments play a critical role in managing diseases, improving patient outcomes, and offering hope for recovery. The environment in which infusion and oncology treatments are delivered greatly impacts the comfort, safety, and overall experience of the patient. Hummel’s healthcare design team specializes in designing infusion and oncology rooms that support efficient treatment delivery, enhance patient comfort, and foster a calming, effective atmosphere for both patients and providers.

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RESPIRATORY/ CARDIOPULMONARY

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Respiratory/ Cardiopulmonary Respiratory and cardiopulmonary care are essential to diagnosing, treating, and managing patients with heart and lung conditions. As medical advancements continue to evolve, healthcare facilities must also update and optimize respiratory and cardiopulmonary spaces to support efficient, high-quality patient care. Hummel has experience designing specialized spaces that allow hospitals and clinics to deliver critical care, improve patient outcomes, and support the latest in respiratory and cardiopulmonary treatments. Our expertise in designing these vital spaces ensures that both patients and healthcare professionals have the resources they need to succeed.

PLETHYSMOGRAPH

RACK CYL STOOL

IE-2b

SHARPS

1 PPR TWL SOAP

WORKSTN

PHONE LABEL WASTE PRIVACY CURTAIN

EXAM COAT HOOKS

GEL GEL

PFT EXAM

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STRESS EXAM COAT HOOKS

GEL STRESS TEST

PRIVACY CURTAIN

STOOL

PWD EXAM

WORKSTN LABEL PHONE

IE-2a

GLOVES

SHARPS WASTE GEL WARMER GLOVES PPR TWL SOAP

SOAP PPR TWL GEL WARMER

HAMPER

15"

STRES

10/14-15/18 04/10/19

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IE-2a

CARDIO - ECHO & STRESS

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LOBBIES/RECEPTION/ ADMITTING

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Lobbies/Reception/ Admitting Lobbies, reception areas, and admitting spaces serve as the first point of contact for patients and visitors entering a healthcare facility. These spaces are not only essential for creating a welcoming and professional atmosphere but also play a key role in the operational efficiency of the facility. From streamlining patient check-ins to providing clear directions and resources, well-designed lobbies and reception areas set the tone for the entire patient experience. As healthcare facilities continue to grow and adapt to changing needs, the design of these areas must balance patient comfort with operational effectiveness. Whether in a large hospital or a specialized clinic, these spaces must support high volumes of patient traffic, allow for smooth registration processes, and offer easy access to waiting areas or treatment spaces. At Hummel, we specialize in designing lobbies, reception areas, and admitting spaces, from small clinics to large hospitals. These spaces are crucial for creating a welcoming atmosphere and ensuring operational efficiency, whether in healthcare facilities, corporate offices, or community centers. Our broad experience across various sectors has made us experts in crafting functional, comfortable, and professional environments that meet both patient and visitor needs, while supporting smooth operations and high traffic flow. No matter the project type, we understand the importance of these key spaces and bring our versatility and expertise to each design.

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STAFF SUPPORT/ BREAK ROOMS/OFFICES

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Staff Support/Break Rooms/Offices Staff support spaces, including breakrooms and offices, are essential in fostering a positive and productive work environment for healthcare professionals. These areas provide a much-needed respite for staff, offering them a comfortable space to recharge, collaborate, and reflect during their demanding shifts. Well-designed breakrooms and staff areas contribute to employee satisfaction, helping to reduce stress and prevent burnout by offering a designated space for relaxation and informal interactions. In addition to breakrooms, staff offices and workstations are integral to ensuring that healthcare professionals have the privacy and functionality they need to perform administrative tasks, engage in patient documentation, and collaborate with colleagues. These spaces are designed with a focus on efficiency, comfort, and accessibility, allowing staff to work effectively while maintaining a balance between patient care and administrative responsibilities.

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PROJECT EXAMPLES 198 206

DOWNTOWN CAPITAL IMPROVEMENT PLAN CENTER FOR ORTHOPEDIC AND SPORTS MEDICINE

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DESERT SAGE HEALTH CENTER

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MCCALL HOSPITAL EXPANSION

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IDAHO STATE UNIVERSITY HEALTH CLINICS

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IDAHO ELKS CHILDREN’S PAVILION

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RIVER CITY UROLOGY DEVELOPMENT

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PARK BOULEVARD MEDICAL OFFICE

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GYNECOLOGICAL ONCOLOGY CLINIC

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PEDIATRIC BEHAVIORAL HEALTH CLINIC

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SHIPPING & RECEIVING

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CENTRAL PLANT FACILITY

WEST VALLEY MEDICAL CENTER PHYSICIANS LOUNGE SOUTH MERIDIAN MEDICAL OFFICE BUILDING BOISE SURGERY CENTER

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Downtown Capital Improvement Plan In Association with Arch Nexus

The Hummel and Arch Nexus team is facilitating a 20-year master plan for St. Luke’s Health System on their 9-block Downtown Boise campus, helping to expand their footprint and better meet the healthcare needs of the Treasure Valley community. This Downtown Capital Improvement Plan (DCIP) consists of two phases, with the first phase completed and the second phase in progress. ✓ Interior Design ✓ Medical Planning and Programming ✓ Life Safety Code ✓ Clinics ✓ Pharmacy ✓ Medical Imaging ✓ Labs/Phlebotomy ✓ Emergency Department ✓ Medical Imaging ✓ Rehabilitation ✓ Surgery ✓ Inpatient

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The extensive process for this phased project includes fundraising support, public/administrative presentations, entitlements, design and bid documents, negotiation of public street vacation and air rights, and careful planning of site, systems, and construction phasing. Hummel and the team have worked diligently to keep both phases of this project on schedule and within budget without compromising quality. We’ve successfully collaborated with the projects’ CM/GC to make value-based design decisions and maintain a budget and schedule that continues to align with the client’s goals.

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Phase 1 Downtown Capital Improvement Plan

The first phase of this plan included the relocation and expansion of the campus’s central plant building with an attached shipping and receiving building, as well as the addition of a new 1,124-stall parking garage.

The new central plant building services the entire Downtown St. Luke’s Campus This includes a future Medical Office Building and North Bed Tower (Phase 2). Functional and support spaces include offices, shops, numerous mechanical and electrical rooms, emergency power electrical rooms, boiler and chiller rooms, fire riser rooms, mail service, bed storage, lockers, and restrooms, along with one freight and three passenger elevators. Powering the entire St. Luke’s Downtown Campus, the building features robust infrastructure equipment to support the hospital’s large-scale operations.

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The new eight-story parking garage contains two tiers below grade and six tiers above grade with a parking capacity of 1,124 stalls. Each parking deck is about 50,000 SF equaling a building size of 405,000 SF. Hummel designed several concepts to meet the City of Boise’s design standards for parking garages. After multiple collaborative meetings with City officials and St. Luke’s, the final design and material selections were made to meet the goals of everyone involved. The garage is accessible for vehicles from both First and Second Streets, increasing parking availability for St. Luke’s staff and patients. The design approach to this project focused on its identity as the “heart” of St. Luke’s campus. Large windows in key mechanical spaces aim to showcase the complex inner workings of the building. This “heart concept” also influenced the brick design, with custom bricks in the St. Luke’s blend that create the undulating brick pattern on the facades. The heart concept is evident in both the Central Plant and Shipping and Receiving, as both these buildings serve as the center of St. Luke’s Campus. The Central Plant provides heating and cooling for the entire St. Luke’s Campus, and Shipping and Receiving houses, receives, and distributes goods for the whole campus. The new parking garage is a huge asset to St. Luke’s patients, providing convenient parking right next to the hospital and expanding access for future phases. All three projects enable the next phase of construction for a nine-story north tower and seven-story MOB, allowing St. Luke’s to better support the growing needs of the Treasure Valley.

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Phase 2 Downtown Capital Improvement Plan

The second phase involves the addition of a nine-story north tower and a seven-story medical office building. This addition will include more than 200 inpatient beds, inpatient and outpatient surgery expansion, emergency room relocation, additional clinic space, renovation and retasking of existing beds, and relocation of ancillary support and imaging. This project is one of the first in the City of Boise to implement the Boise Green sustainability initiative. Boise Green is an initiative aimed at reducing the impact made by construction focusing on both raw material sourcing and the site of the project.

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Center for Orthopedic and Sports Medicine LOC AT I ON : BOI SE , ID SQUA RE FOOTAGE : 2 30,0 0 0 S F The new St. Luke’s Center for Orthopedic and Sports Medicine (COSM) is a “one-stop shop” for all orthopedic needs, featuring a fully-equipped rehabilitation gym and an all-inclusive surgery center. The 230,000 SF building addresses the growing demand for medical care as the Treasure Valley expands. By bringing comprehensive orthopedic services together, healthcare providers can seamlessly coordinate patient care. COSM is composed of two wings, with one housing the Surgery Center and another serving as a Medical Office Building. The facility is accompanied by a separate five-story parking garage structure.

✓ Medical Planning and Programming ✓ Life Safety Code ✓ 12 Separate Clinics ✓ Labs/Phlebotomy ✓ Medical Imaging ✓ Surgery/Pre-Post-PACU/Central Sterile Processing ✓ Rehabilitation/Physical Therapy ✓ Outpatient Pharmacy ✓ 5 Level Parking Structure ✓ Staff Gym ✓ Staff Offices

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The surgery side of the building is three stories, providing outpatient specialty surgeries and care. Major departments include Medical Imaging, Administration Suite, Lab, Surgery, Sterile Processing, Pre-Op/Post-Op, and an Outpatient Pharmacy. The Medical Office Building side of the facility is a fourstory outpatient area housing three stories of clinics and one story of staff offices, staff work areas, and conference rooms. Other areas include seven separate clinic suites and one sports medicine therapy suite with an exterior exercise yard. Campus improvements include on-grade parking, patient drop-off/pick-up areas, drop‑off entry canopies, an outdoor rehab therapy yard, multiple bicycle racks, a screened receiving lot and entrance, and a screened utility and trash yard.

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Desert Sage Health Center

LOC AT I ON : M O UN TAIN H O ME , I D SQUA RE FOOTAGE : 31 , 675 S F

Nestled amidst Mountain Home’s rural landscape, the new Desert Sage Health Center supports an underserved community by providing essential medical services under one roof. This comprehensive healthcare hub houses a pharmacy, medical clinics, behavioral health resources, dentistry services, administrative spaces, and Idaho’s first permanent drive-through clinic. ✓ Medical Planning & Programming ✓ Life Safety Code ✓ Clinics ✓ Pharmacy ✓ Dental Services ✓ Drive-Through Clinic ✓ Lobby/Admitting ✓ Labs/Phlebotomy

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The facility creates healing environments that connect occupants with nature, fostering a sense of relief and comfort by incorporating familiar materials from the surrounding scenery and ample natural light into patient and staff areas. Inspired by local scenery, Hummel’s design echoes the surrounding mountains and open plains. Familiar materials such as concrete masonry and warm wood accents add a touch of comfort and familiarity for patients. Instead of a sterile environment, the design establishes a safe, homelike feeling. Since the site location isn’t particularly prominent, a large, central lantern element was incorporated into the lobby and glass walls allow this lantern to glow. This supports wayfinding and helps to define the entry space. The drive-through health clinic is an innovative response to the need for more accessible, efficient medical care in Mountain Home. By providing a spectrum of healthcare services in a convenient location, Desert Sage empowers a healthier Mountain Home community to thrive for decades to come.

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McCall Hospital Expansion

LOC AT I ON : M CC A L L , I D SQUA RE FOOTAGE : 70, 534 S F (55,193 SF A D D I T IO N A N D 1 5, 341 S F R E MO DE L) Hummel is working with St. Luke’s Health System to substantially expand and renovate their hospital nestled in the mountainous environment of McCall, Idaho. This project is being built over several years through four separate bid packages across four major construction phases. The three-story hospital addition is now complete, and work has begun on the renovation portion of the project.

✓ Interior Design ✓ Medical Planning and Programming ✓ Life Safety Code ✓ Hospitals ✓ Clinics ✓ Pharmacy ✓ Labs/Phlebotomy ✓ Emergency Department ✓ Medical Imaging ✓ Rehabilitation ✓ Surgery ✓ Inpatient

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The significant expansion provides enhanced facilities, so St. Luke’s is better equipped to meet the medical needs of McCall’s growing community. The new facility features advanced healthcare technology and spaces, including a 24-hour emergency department, new triage area, modern exam rooms and trauma bays, comprehensive surgical services, upgraded labs, medical imaging, labor and delivery rooms, and waiting areas. This project’s design incorporates St. Luke’s branding while taking cues from McCall’s scenery, with elements of mountain architecture such as a pitched roof and wood-like, natural materials incorporated at key points such as entryways and under soffits. Reflective surfaces on the exterior also allow the local scenery to become a part of the architecture. The building’s design also responds to the harsh mountain climate, with strong and complex structural systems designed to handle the intense snow load in the winter. In addition to structural sustainability, social sustainability was also an important component of the overall design strategy.

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Idaho State University Health Clinics

LOC AT I ON : M ERI DI AN, ID SQUA RE FOOTAGE : 2 3,0 0 0 S F Hummel helped Idaho State University modernize and expand clinical services at their Meridian Campus. Located on the west end of the ground floor of the Sam and Aline Skaggs Health Science Building, these upgraded skills labs improve overall efficiency and provide appropriate adjacency. The design created new and expanded clinics such as counseling, speech-language pathology, physical therapy/occupational therapy, nutrition, medication management, audiology, and language pathology. This promotes for workforce development, interprofessional education, and hands-on patient experience for students, all of which are highly encouraged by accreditation bodies.

✓ Interior Design ✓ Medical Planning and Programming ✓ Clinics ✓ Physical therapy/Occupational Therapy

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Our team worked closely with ISU to develop a list of priorities based on the cost model provided by the CM/GC. We also reviewed the campus Master Plan and developed a project that meets the clinical needs of today while providing for the expansion of services in the future. The team successfully executed a majority of the bid alternates. The project was constructed in two major phases. Phase I included remodeling the area for Communication Sciences and Disorders. Work for this phase commenced December 2019 and was substantially completed and ready for occupancy by June 2020. Phase II involved remodeling the areas for physical therapy, occupational therapy, and counseling. The existing counseling area remained occupied until the new counseling clinic area became available. Work for this was substantially completed and ready for occupancy by January 2021.

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Idaho Elks Children’s Pavilion

LOC AT I ON : BOI SE , ID SQUA RE FOOTAGE : 2 30,0 0 0 S F This four-story children’s specialty medical office building is the first addition of the St. Luke’s Downtown Capital Improvement Plan. The medical facility houses multi-use spaces on the first floor and standardized clinics on the remaining three floors, in addition to a 105,000 SF below-grade parking garage.

✓ Medical Planning and Programming ✓ Life Safety Code ✓ Clinics ✓ Labs/Phlebotomy ✓ Medical Imaging ✓ Rehabilitation

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The first-floor programming includes a fully functional teaching kitchen with an attached training room, a family resource center, and a sibling care center. Clinics on the upper three floors include General Pediatrics, Pediatrics Research, Pulmonology, Infectious Disease and Endocrinology, Neurosurgery and Psychology, Ophthalmology, Ear Nose and Throat, Gastrointestinal, Cardiology, and Urology. Spanning over 125 feet above an active road, the Idaho Elks Children’s Pavilion Skybridge facilitates direct access for doctors from the Pavilion to the pediatric ICU and inpatient units within the hospital. Hummel led a series of workshops with the design team, owner, and key trade partners to develop a plan for the sky bridge that minimized disruptions to the adjacent hospital and streamlined the construction process. Our team also led the owner and design team through a complicated entitlements process with local and county stakeholders.

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River City Urology Development

LOC AT I ON : P OST FAL L S , I D SQUA RE FOOTAGE : 1 4 , 8 0 0 S F The project features a new two-story building on a one-acre brownfield site in Post Falls, Idaho. The second floor houses a 7,400-square-foot urology clinic, while the ground floor offers a 7,400-squarefoot grey shell space available for future tenants. Site enhancements include hardscaping, landscaping, and utility upgrades on a lot that fronts three public streets within a newly developed area along the Spokane River, near downtown Post Falls.

✓ Programming ✓ Conceptual Design ✓ Design Development ✓ Construction Documents ✓ Bidding ✓ Construction Administration

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Designed for efficiency and patient care, the urology clinic includes six exam rooms, four procedure rooms, a point-of-care wet lab, sterile processing facilities, dedicated patient care areas, staff support spaces, and a welcoming reception lobby. Social sustainability was also a driving force behind Hummel’s design in this project. By providing a spectrum of healthcare services in a comfortable and accessible location, Desert Sage empowers a healthier Mountain Home community to thrive for decades to come.

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West Valley Medical Center Physicians Lounge LOC AT I ON : C A L DWE L L , ID SQUA RE FOOTAGE : 1 , 6 50 S F Hummel is working with West Valley Medical Center to provide a new physician’s lounge renovation at their hospital located in Caldwell Idaho. The existing facility is a building constructed in the 1970’s which lacks a proper physicians lounge that can adequately accommodate the facilities physician group. The new physician lounge project will provide much-needed space. The lounge will provide a respite space for staff and contribute as an element towards staff recruitment and retention of physicians.

✓ Interior Design ✓ Architectural Planning ✓ Project Management ✓ Food Service Equipment Coordination ✓ IT Equipment Coordination

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The design of the project incorporates finishes from the established facility finish standards while adding additional finish colors and patterns to provide a warmer feel and create a unique and special space for the staff. The design uses floor to ceiling glass in the dictation spaces to enhance the design of areas deeper in the building footprint by leveraging existing exterior windows to borrow views and natural light deep into the lounge. Use of accent wall tile, accent lighting, fabric wall covering, and wood tones create a cohesive warm atmosphere where staff can get away from the clinical and public areas of their day to day work giving them a chance to recharge in a calmer setting.

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South Meridian Medical Office Building

LOC AT I ON : BOI SE , ID SQUA RE FOOTAGE : 1 6 , 50 0 S F Hummel designed a new family-oriented Medical Office Building (MOB) in South Meridian to serve the growing Meridian community. The single-story 16,500 SF MOB provides clinic space for pediatrics, family practice, and physical therapy practices. The facility also includes provider and nurse work areas, an imaging and reception area, a waiting room, exam rooms, procedure rooms, a rehab gym, offices, and staff ancillary services. The building design utilizes traditional St. Luke’s materials while incorporating cues from the surrounding development to provide a cohesive feel to the area. Hummel worked with the client from programming and design development through construction documentation and construction administration. Hummel was also the interior designer, selecting finishes, and coordinating existing furniture placement. ✓ Interior Design ✓ Medical Planning and Programming ✓ Life Safety Code ✓ Clinics ✓ Medical imaging ✓ Rehabilitation

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Boise Surgery Center LOC AT I ON : BOI SE , ID SQUA RE FOOTAGE : 1 4 , 30 0 S F Hummel designed the reconfiguration and renovation of an existing surgery and clinical space on the first floor of the St. Luke’s Medical Office Plaza, located adjacent to their Boise hospital campus. The project renovation includes four operating rooms, clean supply, and central sterile facilities, an anesthesiology work room, pre-op/post-op (PACU/ POHA) bays, 23-hour observation rooms, nurse stations, nourishment/med stations, a waiting room and reception, locker rooms with showers, and other supporting functional spaces. Additionally, the scope includes a new entry to First Street, a mechanical platform at the third-floor roof deck, upgrades in the basement mechanical rooms, and minor improvements to the rooftop parking deck. The work includes seismic upgrades and HVAC necessary to support the Surgery Center. ✓ Interior Design ✓ Medical Planning and Programming ✓ Life Safety Code ✓ Clinics ✓ Labs/Phlebotomy ✓ Medical imaging ✓ Surgery ✓ Central Sterile Processing ✓ Pre/Post/PACU

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Park Boulevard Medical Office

LOC AT I ON : BOI SE , ID SQUA RE FOOTAGE : 1 8 ,0 0 0 S F Hummel completed a new Ambulatory Clinic Facility for St. Luke’s Health System, which provides a consolidated clinic environment for practitioners who were scattered throughout older existing buildings. The new facility creates an optimized configuration supporting improved staff working conditions. The layout encourages staff collaboration, provides standardized patient treatment spaces, and offers reduced redundancy through an efficient suite layout. The program boasts an open, welcoming lobby, easy and intuitive wayfinding for patients and visitors, and improved traffic control for staff. The facility includes a diagnostic X-ray, a small lab, an anticoagulation clinic, behavioral health, and point-of-care testing areas.

✓ Interior Design ✓ Medical Planning and Programming ✓ Life Safety Code ✓ Clinics ✓ Labs/Phlebotomy ✓ Medical imaging

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Gynecological Oncology Clinic

LOC AT I ON : BOI SE , ID SQUA RE FOOTAGE : 5,0 4 3 S F Hummel is working with St. Luke’s to renovate an existing space within the exiting south tower located at 100E Idaho Street at the downtown St. Luke’s campus in Boise Idaho. The renovation will provide a much-needed gynecological oncology clinic suite to serve the local treasure valley patient population. The renovation is part of the required displacements and make ready phased projects that are being built out as part of the overall St. Luke’s DCIP hospital expansion project. ✓ Project Management ✓ Architectural Planning ✓ Interior Design ✓ Medical and IT Equipment Coordination ✓ Contract Documents ✓ Medical imaging ✓ Construction Administration

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The project’s program consists of nine exam rooms, one procedure room, two patient consult rooms, three private MD offices, multiple shared provider nursing staff work areas as well as various patient and staff support areas. The scope of the project includes demolition and modification of an existing dated clinic suite space. The construction scope included architectural, plumbing, mechanical as well as electrical trades. The renovated project boasts a new configuration with added collaborative shared staff work areas, use of glass to maximize transparency while providing acoustical privacy, and creating a robust check-in process through redesign of the patient waiting area. The renovated project provides a refreshed space bringing an updated current finish palate, updated fixtures, and new medical and IT equipment.

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Pediatric Behavioral Health Clinic

LOC AT I ON : N A M PA, ID SQUA RE FOOTAGE : 4 , 5 5 0 S F This project included the renovation of approximately 4,550 square feet within the existing Pediatric Behavioral Clinic on the ground floor of the MSTI Nampa Building. The renovation focused on improving the functionality, flow, and finishes of the existing clinic while supporting the needs of pediatric behavioral health patients, families, and staff.

✓ Architectural Planning ✓ Interior Design ✓ Space Planning ✓ Finish Selection ✓ Mechanical Coordination ✓ Exam Spaces ✓ Reception & Waiting

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The scope included selective interior reconfiguration and finish improvements throughout the clinic, addressing a range of patient and staff spaces, including group therapy and exam spaces, private and open office areas, reception and waiting areas, and staff/patient support spaces. Additional improvements included door hardware upgrades and modifications to the mechanical systems. Mechanical work included removal of unused equipment and replacement of the existing boiler, along with associated piping, supports, and connections. The project balanced targeted improvements to the existing facility with the operational and technical requirements of a pediatric behavioral health environment.

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Shipping & Receiving

LOC AT I ON : BOI SE , ID SQUA RE FOOTAGE : 2 8 , 50 0 S F The Shipping and Receiving building is a threestory structure with two stories above grade and one story below grade. The new facility combines architectural and equipment upgrades that will substantially improve operational efficiency. This building stores, receives, and distributes goods for the entire Downtown Boise St. Luke’s campus. The facility houses shipping and receiving docks, a mail room, the environmental services team, the building services team, and additional parking. ✓ Interior Design ✓ Equipment Planning and Programming ✓ Life Safety Code ✓ Hospital Campus Infrastructure

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The structure includes steel columns and beams with composite concrete over metal deck floors. The facades features brick with a curtain wall and storefront on the street sides and smooth-faced CMU, metal panels, and louvers on the alley side. The Shipping/Receiving building is connected to the new Central Plant building through a service tunnel that crosses under Jefferson Street. This system of underground tunnels facilitate the transportation of essential building utilities and logistics to travel to and from the hospital, preventing clutter on public sidewalks.

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Central Plant Facility

LOC AT I ON : BOI SE , ID SQUA RE FOOTAGE : 6 8 ,70 0 S F St. Luke’s Health System’s new Central Plant serves their entire Downtown Campus, including a future Medical Office Building and North Bed Tower. Functional and support spaces include offices, shops, numerous mechanical and electrical rooms, emergency power electrical rooms, boiler and chiller rooms, fire riser rooms, and more.

✓ Interior Design ✓ Equipment Planning and Programming ✓ Life Safety Code ✓ Hospital Campus Infrastructure

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Powering the entire St. Luke’s Downtown Campus, the building features robust infrastructure equipment to support the hospital’s large-scale operations. The design approach to this project focused on its identity as the “heart” of St. Luke’s campus. Large windows in key mechanical spaces aim to showcase the complex inner workings of the building. This “heart concept” also influenced the brick design, with custom bricks in the St. Luke’s blend that create the undulating brick pattern on the facades. The facility is adjacent to a six-story parking garage and a future Medical Office Building. The Central Plant is connected to the Shipping/ Receiving and Hospital Buildings with underground tunnels. The tunnels allow essential building utilities and logistics to travel to and from the hospital.

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205 N 10th St #300 Boise, Idaho 83702 645 W 25th St Idaho Falls, Idaho 83402 208.343.7523 www.hummelarch.com

Healthcare Design Specialists