Sanford Imagenetics

The first facility of its kind in the nation.

IMAGENETICS

ABSTRACT Sanford Health engaged the design team to create a new model for a translational design solution that supports Sanford’s excellence in patient care, treatment and research, while also providing a facility that furthers important work in the ground-breaking field of genomics. Additionally, the facility would need to accommodate space for general internal medicine, dialysis, genetic counseling, medical genetic laboratories (cytogenetic and molecular genetics), and radiology.

Programmatically, the Imagenetics facility would also need to provide a teaching space for internal medicine residents, future medical genetics residents, and students involved in the newly formed genetic counseling graduate program, created in partnership with nearby Augustana University.

CONTEXT Imagenetics is located south of the Sanford USD Medical Center in Sioux Falls, SD. Sanford Health has developed a signature style over the past decade and the design team sought to refine the architectural design language. Traditional elements of Sanford’s, “collegiate gothic,” architecture are blended with expanses of aluminum-framed curtainwall and integrated digital displays. This provides a sense of familiarity and comfort for the older patients while hinting at the cutting-edge medical concepts being pioneered within, to attract a younger generation and encourage earlier preventive care.

1

2

IMAGENETICS BUILDING

3

SANFORD CHILDREN’S HOSPITAL

4

CANCER CENTER

HEART & VASCULAR HOSPITAL

2

3 1 4

SANFORD CAMPUS

PROGRAM The facility houses general internal medicine, dialysis, medical genetics, genetic counseling, medical-genetics laboratories (cytogeneticcs and molecular genetics), clinical labs and radiology.

EAST ELEVATION

0’

10’ 20’

40’

SOUTH ELEVATION

0’

10’ 20’

40’

WEST 22ND STREET

SOUTH GRANGE AVENUE

N

SITE PLAN

0’

30’

60’

120’

EXAMS LABS PUBLIC CIRCULATION SUPPORT & MEP

N

LOWER LEVEL PLAN 1” = 60’

N

FIRST LEVEL PLAN 1” = 60’

SECOND LEVEL

Adult medicine Executive office suite Classroom Future growth space

FIRST LEVEL

Main entry / Registration Atrium Adult medicine clinic Clinical lab

LOWER LEVEL

Cyto-molecular lab Social stair / Lecture space Dialysis Support Space

N

SECOND LEVEL PLAN 1” = 60’

EFFICIENCY On the staff side, work areas are interconnected by naturally lit off-stage hallways and open stairs to encourage communication and collaboration between teams.

Students and specialist touchdown spaces are distributed throughout to fully integrate teaching, research and genetic counseling into daily adult medicine practice.

The design team sought to minimize both patient and staff travel time. All waiting areas are visible at a glance from the atrium, and decentralized nurse stations and physician offices allow immediate communication between staff.

Staff circulation is lined with storage to maximize efficiency.

Lower Level Dialysis: The dialysis suite is the largest in the region with up to 28 stations available, arranged for maximum sightlines from three centralized nursing stations.

W 22ND ST. IMAGENETICS S GRANGE AVE

CONCOURSE

W 25TH ST W 24TH ST

S COVELL AVE W 26TH ST

N

S EUCLID AVE

EXPANSION CONCEPT

CAMPUS EXPANSION As the first phase of a developing campus adjacent to the main hospital, this project establishes one terminus of a planned four-block development linked by a linear skylit concourse.

Atrium: In the multipurpose central atrium, a 7,000 SF skylight provides pleasant space for patients and their families, or as host to various community and educational events or fundraisers.

LIGHT SCULPTURE An interactive digital feature was developed with a speciality firm, which evokes the physical structure of DNA when viewed from below. The lighting reacts to the inputs from users at interactive kiosks on the atrium floor, encouraging visitors to learn more about genetic medicine, and how it can improve their healthcare. The sculpture remains lit at night, a dynamic beacon that invites curious passers-by to visit the building.

USER EXPERIENCE Extensive user group meetings started at the executive level of the healthcare team to establish vision and major goals, then continued down to physicians, nurses, technicians, and support staff to gather input from all users. The owner conducted internal surveys of current patients and facilities to capture best practices and right-size the waiting, exam and staff work spaces that make up the bulk of the building’s program.

SOCIAL STAIR The social stair, which seats up to 200 guests, is a reaction to the natural grade that falls one floor level, from north to south, offering space for Sanford’s genetics lecture series, student presentations, and informal gatherings.

INTEGRATED DIAGNOSTICS The state-of-the-art onsite cytogenetic molecular lab allows for same-day processing of genetic samples to inform patient care, from planning for future risk factors to immediate prescriptions of pharmaceuticals and recommended lifestyle changes.

1

2

3

4

(1) Cytogenetics Molecular Lab (2) Staircase and collaborative workspace (3) Workstations (4) Private dialysis room