Patch Adams Free Health Clinic of Philadelphia by Logan Dry

Patch Adams

PROGRAM

Patch Adams Free Health Clinic of Philadelphia 1729 West Allegheny Avenue

An all-encompassing proposal listing both the necessary and desired spaces needed to create a functioning and sustainable health care co-op in the West Allegheny Neighborhood. Great care was taken in developing a plan that places emphasis on inviting and assembling the community as well as creating an interactive environment.

Logan Dry - Kevin Peters - Mike Opdahl - Design VIII - Brian Johnston - Philadelphia University - Fall 2012

Patch Adams

TABLE OF CONTENTS I. Project Narrative - Introduction - Executive Summary II. Project Description & Scope - Project Description - Project Scope III. Client & Users - Client - Users IV. Project Objectives & Design Goals - Objectives - Design Goals V. Program- Space Needs Analysis - Typological research - Components & Specific Space Needs - Functional Relationships / Space Movement Systems VI. Site & Context Documentation - Inventory / History - Analysis - Attitudes VII. Site & Program Testing VIII. Historiography - Precedent Study - Project Historiography IX. Project Limits X. Construction & Operating Budgets XI. Final Design Proposal XI. Reference Appendix - Design Process Documentation - Site Documentation - References

Patch Adams

PROJECT NARRATIVE Introduction

“The purpose of a doctor or any human in general should not be to simply

delay the death of the patient, but to increase the person’s quality of life. ” -Hunter Doherty “Patch” Adams

Healthcare is one of the world’s greatest commodities; yet for so many it is either financially out of reach or simply not available. This may not come as a surprise in a Capitalist economic model-- albeit the case if one doesn’t have the money, one doesn’t receive healthcare-- but when did the physical well being of human beings become a mathematical function of the economy? As a result of financial burden in 2007, nearly 50 million Americans did not have health insurance, while another 25 million were under-insured. 1 Costs for health insurance increased 30 percent from 2001 to 2005, while income for the same period of time only increased 3 percent. 2The total annual premium for a typical family health insurance plan offered by employers was $12,680 in 2008. 3 In short, the current model for healthcare is severely flawed. Now, take a moment and try to imagine a system in which healthcare isn’t just a commodity to be purchased-- a luxury or attainable product whose availability is based solely on money. Picture a healthcare model in which the general health and well being of an individual is not an option, but a human right. Of course this would be a revolutionary model in regards to healthcare; the removal of financial constraints all together immediately causes the skeptic to scoff and write off such a concept as “wild fantasy”, for how can a commodity such as healthcare be provided without some sort of monetary compensation? Enter: Dr. Hunter Doherty “Patch” Adams-- American physician, social activist, citizen diplomat, clown and author. For more than 40 years, Patch Adams has been working to disprove the notion that quality healthcare is ultimately the result of money. With his founding of the Gesundheit! Institute in 1971-- an ultimately free community hospital he ran from his house in West Virginia-- he has successfully demonstrated that the “wild fantasy” of free healthcare is in fact not as fictitious as some might think. The Gesundheit! Institute, on a small scale has provided free healthcare to thousands in its initial 12 year span of operation. On a larger scale however, the institute has proved that such a model of healthcare can be successful, given the right staff and facility.

Based upon 8 simple concepts, the Patch Adams model of healthcare seeks to redefine the notion of health, to incorporate intrinsic values such as culture, community, friendship, and nature as a means for overall human well being: 1) No charge 2) No health insurance reimbursement 3) No malpractice insurance 4) 3 to 4 hour initial interview with the patient 5) Home as hospital 6) Integration of all the healing arts 7) Integration of medicine with performance arts, arts and crafts, nature, agriculture, education, recreation and social service 8) The health of the staff is as important as the health of the patient The widespread success of the Gesundheit! Institute in West Virginia has blossomed into a new system of social values and beliefs in regards to healthcare; a type of thinking and planning that has spread both nationally and globally. The Patch Adams name has become synonymous with good will, respect, and dignity when it comes to the healthcare front. The Patch Adams Foundation is constantly looking for ways to broaden its horizons and provide a general sense of health and well being to as many communities as possible. Given the entire nation to choose, The Patch Adams Foundation has set it sights on Philadelphia as the location for an innovative and first of its kind Free Health Clinic. Located in the lowincome neighborhood of West Allegheny, the clinic seeks to provide community-based health care that is genuinely non-profit, preventive, humane and fun. “It is a refuge for patients who want to be treated with dignity.”4 Rather than the flawed corporate run health clinic that most of the nation has come to expect, community members will ultimately “own” this clinic. Services include gaining diagnosis and referral, dentistry, optical, chronic and urgent care, counseling, pediatrics, birthing, massage, family planning, chiropractic, acupuncture, and other therapies. Slated to be much more than a health facility, the clinic will be designed to improve the health and welfare of the community through direct social interaction, and bring a sense of pride and ownership to the community through the healing powers of the arts and medicine. Whereas existing medical facilities are overcrowded and underfunded, this innovative clinic will be designed from a sustainable and low budget standpoint; passive and sustainable design strategies will keep the annual operating budgets low, allowing the clinic to function based on the concept of “sweat labor” and good will from within the community. Finally, the Patch Adams Free Clinic of Philadelphia is meant to be more than just a statement of innovative design and sustainable planning; more importantly, it is meant to pave the way for the widespread adoption of the Patch Adams Healthcare Model. With this in mind, the project seeks to advocate the Patch Adams social agenda necessary to make community based healthcare a universal entity both nationally and globally.

Patch Adams

PROJECT NARRATIVE Executive Summary

The Patch Adams initiative, in regards to healthcare, is like no other. As such the design of a facility to house the clinic’s needs would also need to be like no other. In accordance with the clients’ unique approach to healthcare and the desired atmosphere that such a clinic would have, it was readily evident that the Patch Adams Free Clinic of Philadelphia was neither a case of Institutional or Healthcare oriented design. It was therefore necessary to create a new, hybrid building type; one that combines elements of community, heath, agriculture, and business, into an all-encompassing symbol of well-being. Through the careful analysis of health and institutional architecture, along with inventive and practical design intuition, the developed program is meant not only to serve the immediate and future needs of the surrounding Philadelphia community, but as a precedent for free health clinics under Patch Adams directives. Designed to meet the needs of the under-served community of Tioga in Northern Philadelphia, the project is located on a 4.82 acre plot at 1729 West Allegheny Avenue. The site, boasting over 200,000 square feet is located in what has been determined to be a food and healthcare desert (a region in which residents do not readily have convenient access to basic nutritious food, or diagnostic healthcare). To remedy the situation as Patch Adams sees fit, the project seeks to create an urban Free Health Clinic with an agricultural/food producing component. Based upon the immediate surrounding community, and the extents of providing healthcare to those community members that need it most, the health clinic has been sized to serve approximately 500 users at a given time. The building, approximately 18,000 square feet in size will include several major programmatic components including:  General / Diagnostic Healthcare  Dental / Optical Services  Fitness / Preventative Healthcare  Education & Nutrition / Job Training  Agricultural Production / Retail  Multifunction / Community Outreach space  Administration The project also encompasses the notion of a “community owned” health clinic; the end objective being that through ownership of the physical health clinic, the community will essentially take ownership of their personal wellbeing. Because of budgetary restrictions, namely due to the nonprofit nature of the project, and the fact that community members will run day to day functions and maintenance of the clinic, the building will serve as a model of architecture that is both user friendly and self-sustainable.

The idea of user friendly refers to sensible program layout and adjacencies, clear signage, and an atmosphere that suggests comfort, and the more human/personal aspects of medicine. A self-sustaining architecture in this case then refers to the building making optimal use of the earth and environment in a way that is responsible to the community, and surrounding ecosystems. Ultimately, the charge is to design a net zero building, that is, one in which the building produces the same amount of energy that it uses. This is achievable only when sustainable design practices are used, including: solar orientation, passive heating and cooling strategies, wind analysis, and rainwater collection and distribution practices. The Patch Adams Free Clinic of Philadelphia is unique in its charge in that once built, it will be the organization’s first urban health clinic—one that is capable of moderate to large-scale agricultural production. Given an otherwise rural site in an urban context, the design intent relies heavily on site and agricultural integration into the free clinic. Looking at the existing site context of the Westmoreland Avenue neighborhood, 18th street was a main vehicular and pedestrian circulation path. By extending this notion of path into the site, and creating a pedestrian street that connects Allegheny and Westmoreland, the site and building become one cohesive device that facilitates the notion of bringing two different user groups from different ends of the site to the center. From that point there emerges social interaction and exploration of the clinic and entities within the site. The design stresses the importance of “de-institutionalizing” the conventional health oriented architecture. In many respects the project uses the idea of “positive distractions” which manifest themselves in the form of strategically placed “nature moments” and grand site gestures to move the user to and from the clinic itself as well as the rest of the site. The pergola implemented into this design is a prime example of a grand site gesture, as it not only creates a sense of enclosure along the main path, but serves as a device that creates moments along the path. It is from the pergola that people enter the clinic building, walking paths, gardens, greenhouses, and recreation areas—it is the main axis of site circulation. The way in which the building is placed on the site in regards to view corridors define the notion of positive distractions. Every exam, waiting, fitness, consultation and dining space is oriented so that it looks onto a specific site feature whether it is orchards, gardens, water features or the public plaza; the connection between exterior and interior program always exists. In conclusion the proposed program and design seek to make the clinic one that is deeply rooted within the community and the surrounding urban fabric and landscape. The strong connection that exists between the site and clinic is key to making the experience at this health clinic relaxing, tranquil and far from institutional.

Patch Adams

PROJECT DESCRIPTION & SCOPE Description

PROJECT NAME: Patch Adams Free Clinic of Philadelphia TYPE: Healthcare/ Community / Agricultural PROJECTED SIZE: 18,000 SF LOCATION: 1729 West Allegheny Avenue, Philadelphia PA 19140 SITE: 4.82 Acres, approx 200,000 SF SITE DEFINITION: (North) Westmoreland Avenue (South) West Allegheny Avenue (East) Mixed use space & Property along 17th Street (West) Elevated Septa Passenger train route

Proposed site 1729 West Allegheny Ave.

SITE CONTEXT: Primarily residential with small areas of Mixed / Commercial The project seeks to create an urban Free Health Clinic within the bounds of a 4.82 acre site at 1729 West Allegheny Avenue. The building, approximately 18,000 square feet in size will include several major components including: General Health Education & Nutrition / Job Training Multifunction / Community Outreach Administration Necessary Service & Support In addition, full-scale development of the surrounding site will include programmatic areas that work codependently with interior spaces. This outdoor program will include: Edible Garden(s), Landscape(s) Orchards, Greenhouse(s) Water Feature(s) Hardscaped community gathering / recreational space(s) Walking / Bike / Nature Path(s) Dining Space Relaxation Space

Site proposal by Patch Adams Organization

Patch Adams

PROJECT DESCRIPTION & SCOPE Scope

After the research, analysis and documentation of current built health clinic models, the designers are henceforth responsible for the design of a community owned and operated health clinic to serve the roughly 200,000 uninsured members of the community. Based upon site, demographic, and population research, the extent of the design will be to get community members actively involved with the day to day functions of the clinic. This involvement, or â&#x20AC;&#x153;sweat labor / volunteerismâ&#x20AC;? in the form of, but not limited to, working and maintaining the orchards, gardens, greenhouses, and exterior space at the facility will give community members a sense of pride and ownership. In essence, by the community taking ownership of the brick-andmortar Patch Adams Clinic, they are in fact taking ownership of their own health and well being. The Clinic and surrounding landscape therefore, needs to be designed in such a way as to be easily accessible, identifiable, usable, and maintainable by the unassuming public.

Medical Services to be provided by the Patch Adams Free Clinic of Philadelphia

= Sweat Labor at the Free Clinic

= Redeemable Medicash

Healthcare Services

Patch Adams

CLIENT & USERS Client

The client is The Patch Adams Foundation of Philadelphia, a nonprofit, social and health care activist group. Primary responsibilities of the group include providing free preventative and primary health care. The overall goal of the group is to create a community owned healthcare institute. The clinic will serve as a model for a community based health care co-op, of which members can receive health related care and services in exchange for a small membership fee and/or volunteer and “sweat labor” time spent maintaining and running the clinic.

Hunter Doherty “Patch Adams”- Founder of The Patch Adams Foundation

Defining Initiatives of The Patch Adams Foundation

Total Crime Risk

Personal Crime Risk

Patch Adams

Allegheny West

Murder Risk

Rape Risk

Robbery Risk

Assualt Risk

Property Crime Risk

Burglary Risk

Larceny Risk

Means Of Transportation to Work

CLIENT & USERS

Crime Index Total Population of West Allegheny

Total Households

Users

i ed

= 2,000 People 17,711

The Users for this project will be the surrounding Tioga and West Allegheny neighborhoods, including toddlers, middle aged residents, and seniors. Many 245 of these users live in poverty, thus, the environment needs to11,417 feel nurturing, comfortable, and humane. The design shall improve the quality of100life within With Children the immediate community in the hopes that the sense of general health and Without Children welfare extend further throughout the surrounding communities.

26%

$23,497

30%

344

273 6,294 100

100

153

100

Average People = 2.97 Per Household Median Age

195

166 100

100

142

128

9% 100

100

=30.45

In addition to community users, the clinic would host a client Total base Crimeincluding, Risk Personal Crime Risk Murder Risk Rape Risk Robbery Risk Assualt Risk Property Crime Risk but not limited to: Allegheny West National Average Total Households - Physicians - Attorneys - Philly orchards Means Of Transportation to Work 17,711 - Philly Compost 505 Non-Family Family - Greens Grow Households Households 7% 344 - City Planning 245 - David Ortiz 166 11,417 6,294 - Earthship Philadelphia 100 100 100 100 - Job Corps Apprenticeship 6,618

eh us

647 505

Non-Family Households

Family Households

Automotive Th

National Average

11,092

26%

Based upon demographic research, including population size, economic earnings, household sizes, transportation methods, and crime statistics for the area, it was clear that the clinic needs to be designed as a secure and enriching space for the youth and seniors of the immediate Tioga community. The 8% specific need for a local clinic in the area was based upon average household incomes and more specifically the high use of public transportation and walking as a means of egress.

Without Children 30%

With Children

Total Crime Risk

11,092

Personal Crime Risk

Allegheny West

Larceny Risk

Automotive Theft Risk

Crime Index

Total Population of West Allegheny = 2,000 People

647

i ed

eh us

Average People = 2.97 Per Household Median Age

6,618

Burglary Risk

195 153 100

100

$23,497

128 100

=30.45

Murder Risk

Rape Risk

Robbery Risk

Assualt Risk

Property Crime Risk

Burglary Risk

National Average

Means Of Transportation to Work

Total Households

Total Population of West Allegheny

Crime Index

= 2,000 People 17,711

647

Non-Family Households

Family Households

505 344

26%

i ed

30%

273

245

195

166 100

100

153 100

100

142

128 100

100

11,417

With Children Total Crime Risk

Personal Crime Risk

Murder Risk

Allegheny West

Rape Risk

Robbery Risk

Assualt Risk

Property Crime Risk

Burglary Risk

Larceny Risk

6,294

Without Children Automotive Theft Risk

Average People = 2.97 Per Household Median Age

National Average

6,618 Means Of Transportation to Work

l ho

ia ed

=30.45

11,092

Total Households

17,711

Total Pop

Patch Adams

PROJECT OBJECTIVES & DESIGN GOALS Project Objectives

Core project objectives in the design of the Patch Adams Free Health Clinic of Philadelphia include: -Develop a precedent for a Community owned Health Care Co-op.

-Improve the Physical and Mental health of the community.

-Create a center that emphasizes social / cultural equity removed from economics, rather than social stratification through economic stereotypes.

-Eliminate the notion of â&#x20AC;&#x153;Free Healthcareâ&#x20AC;? as being an act of charity.

-Create a project that in turn gives the community a sense of ownership and pride, allowing them to, in theory, take an active role in their personal health and well being. -Advocate preventative medical practices, particularly in the realms of healthy eating, cooking and physical exercise.

The current programmatic proposal from the Patch Adams Foundation places emphasis on a clinic that is fully integrated within the context of an agriculturally developed site. The interior of the clinic features recreational and health oriented spaces. Related to health are dental, optical and general health exam rooms and support spaces. Related to recreation include workout spaces, restaurants, and community gathering / relaxation spaces. Full agricultural development of the surrounding site is an integral part of Patch Adams vision: mainly an edible landscape that will not only provide food to support the clinic, but also the surrounding community. The project seeks to define and further develop the diagrammatic proposal from Patch Adams Foundation into a tangible architecture that embraces the initiatives of the Patch Adams Foundation.

Site and Clinic Programmatic proposal from Patch Adams Foundation

Patch Adams

PROJECT OBJECTIVES & DESIGN GOALS Design Goals

Core Design Goals for the Patch Adams Free Health Clinic of Philadelphia include: -Create an easily identifiable, usable, and maintainable health clinic.

-Orientation the building(s) and outdoor program(s) to make optimal use of southern sun and wind for passive design.

-Transition between Westmoreland neighborhood and site will be designed as an “extension of the neighborhood”.

-Separate major program elements into somewhat detached spaces that are unified by exterior greenspace.

-When designing interior medical / health related spaces, use views unto greenspace and color palettes to create a series of “positive distractions” for the patient.

-Within the bounds of the site, designate a public zone that speaks to Allegheny Ave. and a private zone that speaks to the intimacy of Westmoreland Ave.

COMMUNITY PLAZA

ORCHARDS

ORCHARDS ADMIN

OUTDOOR COMMUNITY DINING GATHERING

GENERAL HEALTH

FITNESS CENTER PEDIATRICS

Taking cues from the vision that Patch Adams has for the Free Clinic of Philadelphia, the goal is to further develop and fully integrate a health clinic and agricultural site within an urban Philadelphia context.

OPTICAL

PLAYGROUND FRUITS

GREENHOUSES

VEGGIES

EARTHSHIP EMBASSY PUBLIC MARKETS

Parti- Programmatic pieces plug into centralized gathering space

GRASSY QUAD

OE-24 Site and Clinic Programmatic Proposal

Patch Adams

SPACE NEEDS ANALYSIS

Typological Research- Examination Rooms An exam room contains very basic necessity items to perform diagnostic and general checkups. Every exam room needs seating, writing surface, storage, lighting, privacy curtain, and exam table. An exam table will be necessary in both General and Pediatric care, while exam chair options will be different for optical and dental.

Patch Adams

and security screening areas at or near the entrance to ome and direct tenants and visitors, control access, and SPACE NEEDS en designed with both secure andANALYSIS nonsecure areas. The ilding lobbies Typological often serve asResearchthe “publicWaiting face” of building Area

Secure / Safe

•In higher-risk facilities, separate secure and nonsecure areas with turnstiles, metal detectors or other devices used to control access to secure areas. A control desk and bag checking area should be located within the secure area. Mechanical SECURITY / SAFETY ductwork, piping and main electrical conduit runs should not extend from one area to the other.Trafc separation devices - In higher-risk facilities, separate secure and non-secure areas with turnstiles, metal detectors should be exible andor portable to allow for changing trafc patterns. other devices used to control access to secure areas. A control desk and bag checking area •Design control pointsshould suchbe that secure areas be bypassed. Ensure that security personnel located within the cannot secure area. Mechanical duct work, piping and main electrical can properly observe all areas of control points. conduit runs should not extend from one area to the other. Traffic separation devices shouldareas be flexible and be portable to allow for changing with trafficart patterns. •Larger security screening should located in conjunction installations, visitor seating and exterior en- Design control secureIfareas cannot beoccur, bypassed. that security trances. Adequate space should be setpoints asidesuch forthat queuing. queuing will theEnsure area should be enclosed in blast resistant personnel can properly observe all areas of control points. construction. OVERVIEW - Larger security screening areas should be located in conjunction with art installations, visitor ence a visitor’s rst impression entering a building. •Avoidscreening installing features such as trash receptacles or mailboxes that can be used to hide devices in nonsecure areas. The lobby space typeupon includes foyers, entries to halls, and security seating and exterior entrances. Adequate space should be set aside for queuing. If queuing will cing aesthetics, security, andthe operational •Avoid using systems nonsecure areas.in blast resistant construction. areas at or near entrance toconsiderations. a building or demarcated space, and are raised oor occur, the areainshould be enclosed meantobjectives to welcome and directastenants and below. visitors, control •Location access, and of re command applicable design elements outlined center and emergency controlorpanel requires integration - Avoid installing features such aselevator trash receptacles mailboxes that design can be used to hide with lobby wall nish, provide exit ways from buildings. This space type is often designed with both devices in non-secure areas. ctives within the context of whole building design, click BAS systems, re protection systems, and building communications systems. secure and non-secure areas. The lobby space type does not include elevator - Avoid using raised systems non-secure •Design of lobby doors to street must floor account for inegress fromareas. higher oors if stairs exit into lobby, and not directly to lobbies. Building lobbies often serve as the “public face” of building interiors. Location of fire command center and emergency elevator control panel requires design the outside. integration with lobby wall finish, BAS systems, fire protection systems, and building Sustainable SPACE ATTRIBUTES communications systems. lobbyfirst spaces at the exterior of adoors building, utilize daylighting reduce electric lighting needs. The character and function of a lobby space often influence•For a visitor’s - Design of lobby to street must account fortoegress from higher floors if stairs exit into impression upon entering a building. Key design concerns for this space air typelock or lobby, •Consider vestibules at entrance doors to prevent loss of heating/cooling and not directly to the outside. include balancing aesthetics, security, and operational considerations. o spaces. Typical features of lobby space types include the list of applicable design

objectives elements as outlined below. For a complete list and definitions of be of a low pro variety and consolidated withofother the le design objectives within the context whole building design, click on the titles below.

gn to mitigate stack effect at tall building entrance and

FUNCTIONAL / OPERATIONAL - Consider combining employee and visitor entrance to spaces. edestrian traf c. - Design space to accommodate peak loads. - Equipment that must be installed in lobbies should be of a low profile variety and consolidated with other equipment to minimize bulk. - Consider air pressurization and entrance door design to mitigate stack effect at tall building entrance and elevator lobbies. provided with- Specify a dedicated durableHVAC finishessystem. to accommodate maximum pedestrian traffic.

icated air-handling unit should be provided to maintain PRODUCTIVE

- Lobby spaces requiring 24-hour operation should be provided with a a relief opportunity—such as breaks—from more con-

dedicated HVAC system. - For lobby spaces at the exterior of a building, a dedicated air-handling unit should be provided to maintain positive pressurization. - Design lobbies to provide workers/occupants with a relief opportunity—such as breaks—from more confined spaces.

SUSTAINABILITY - For lobby spaces at the exterior of a building, utilize daylighting to reduce electric lighting needs. - Consider air lock or vestibules at entrance doors to prevent loss of heating/cooling

Patch Adams

Research Research SPACE NEEDS ANALYSIS

WAITING ROOM MISCELLANEOUS ROOMS -The size is dependent on the -Extra rooms available help when busy practitionerâ&#x20AC;&#x2122;s style -Treatment, Fields, and minor surgery can be done in aExam room about 100-300 SF. -Usually must accommodate many Rooms Waiting Room children & large groups - Can also be multipurpose - The size is dependent on the practitioner's style

Dental & Typological Optical Program ResearchDental & Optical Components

ements of a Dental Office

- Usually must accommodate many children & large - More efficient to make rooms act as EXAM ROOMS STORAGE -Refraction, field, and others groups

Reception Hygienist Room -A very important factor in the office -Can also be multipurpose PRIVATE OFFICE -Place for the multitude of supplies -More efficient to make rooms act - Approx. 150 Sq. Ft. RECEPTION - Room equipped similar to treatment Refraction Room -Approx. 150 Sq. Ft. -Private Consultation room -Can be small cabinets in exam rooms as: Refraction, field, and others - Incandescent & diffuse lighting room - Usually only one is necessary -Incandescent & diffuse lighting -Arrangement at discretion of doctor Storage - Should contain recessed and below-ceiling lighting - Two is desired in busy office -Should contain recessed and below-Sterilizing Area - A veryREFRACTION important factor in the office Exam Rooms Waiting Room ROOM ceiling lighting TREATMENT ROOM -Size is usually a 15ft to lane Place for the multitude of supplies -Usually only one is necessary - Can also be20ft multipurpose - The size is dependent on the practitioner's style - Location determined by dental proceElements of a Dental Office -This is the heart of the dental practice - Can be-Two is desired in busy office small cabinets in exam rooms - Usually must accommodate many children & large - More efficient to make roo dures, space, & image doctor wants Business Office BUSINESS OFFICE -Must be a stress-less & comfortable -Size is usually -Refraction, field, and groupsa 15ft to 20ft lane -Needs adequate storage - Key control pointReception for office management Hygienist Room -Key control point for office management environment - Adjacent to waiting room -Adjacent waiting -Fair amount of storage required for - Approx. 150toSq. Ft. room - Room equipped similar to treatment Refraction Refraction Room Storage -All traffic and flow- Incandescent control is regulated through -All traffic and control is regulated supplies & flow diffuse lighting room Room - Usually only one is necessar Treatment here Storage through here recessed and below-ceiling lighting-Emphasis of treatment room: - Should contain - Two is desired in busy -Efficiency, easeArea of maintenance, & a - A very important factor in the office Sterilizing pleasant atmosphere -Size is - Place for the multitude of supplies HYGIENIST ROOM Exam Examusually a 15ft to 20ft l - Location determined by dental proceRooms Rooms - Can be small cabinets in exam rooms -Room equipped dures, space, & image doctor wants Business Office similar to treatment

Dental & Optical Program Components

Sterilization -Needs adequate storage Lab & Dark Room

Refraction Room Private Office

Treatment

-Needs adequate storage Staff Room

Private Office

Business Offices

Public Corridor

room

Presentation - Key control pointBusiness for office management Offices - Adjacent to waiting room STERILIZATION AREA -All-Location traffic and flow control is regulated through determined by dental Reception here procedures, space, & image doctor wants

Private Office Reception Private Consultation room Arrangement at discretion of doctor

Exam Rooms

OPTICAL MODEL

Sterilization Lab & Dark Room Consultation Room

Treatment

Staff Treatment Room Room This is the heart of the dental practice Must be a stress-less & comfortable environment Fair amount of storage required for supplies Emphasis of treatment room: DENTAL MODEL Private Office - Efficiency, ease of maintenance, & a pleasant atmosphere- Private Consultation room - Arrangement at discretion of doctor

Treatment Room - This is the heart of the dental practice - Must be a stress-less & comfortable environment

Misc. Rooms Exam Rooms

Hygienist

Presentation

Storage

Private Office File Room

Misc. Rooms

Private Office

Hygienist

Treatment

Misc. Rooms - Extra rooms available help when busy -Treatment, Fields, and minor surgery can be done in a room about 100-300sq. Ft.

Reception & Waiting Room Consultation

Room

Elements of a Optical Off File Room

Public Corridor

Misc. Rooms - Extra rooms available help when busy

Reception

BIRTHING CENTER

Patch Adams

BIRTHING CENTER

The birth center is a home-like facility existing within a healthcare system providing family-centered care for healthy women birth center is a home-like facility existing within a before, during, and afterThe normal pregnancy, labor, and birth. They are healthcare system providing family-centered care for healthy women SPACE NEEDS ANALYSIS guided by principles of prevention, sensitivity, safety, appropriate before, during, and after normal pregnancy, labor, and birth. They are Typological ResearchBirthing Center medical intervention, and cost guided byeffectiveness. principles of prevention, sensitivity, safety, appropriate medical intervention, and cost effectiveness.

EDUCATION

home-like facility

SPATIAL REQUIREM

EDUCATION

SPATIAL REQUIREM

existing within a

Thehealthcare birth center is a providing home-likefamily-centered facility existingcare within healthcare system system for ahealthy women PRENATAL providing for pregnancy, healthy women before, during, and afterCAREPRENATAL CARE before,family-centered during, and after care normal labor, and birth. They are guided by principles ofand prevention, sensitivity, safety, normal pregnancy, labor, birth. They are guided byappropriate principles of prevention, medical intervention, and cost effectiveness. PLANNING PLANNING sensitivity, safety, appropriate medical intervention, and cost effectiveness. EDUCATION

BIRTHING CENTER WELLNESS

The birth center is a home-like PRENATAL CARE

PLANNING

POSTPARTUM CARE

INTRAPARTUM CARE

Charlotte,VA

A 7000 square feet w providing services th A 7000 square feetinwe

providing services in th

BIRTHING CENTER The birth center is a

NOVA BIRTH Charlotte, VA C NOVA BIRTH

facility existing within a healthcare system providing family-centered care for healthy women before, during, and after normal pregnancy, labor, and birth. They are guided by principles of prevention, sensitivity, safety, appropriate medical intervention, and cost effectiveness.

WELLNESS

INTRAPARTUM CARE

WELLNESS

EDUCATION

NOVA BIRTH CENTER

Charlotte, VAPRENATAL CARE Founded in 2009, WOMENCARE is a local organization established in POSTPARTUM Northeast Philadelphia to provide health care options and maternity PLANNING CARE care choices for women and their families in the Philadelphia area.A A7000 square feet well lit and Founded in 2009, WOMENCAREINTRAPARTUM is a local organization established in key objective of our non-profit organization is to establish a health ventilated facility providing services Northeast Philadelphia to provide health care options and maternity CARE care facility, which is a FQHC, within Philadelphia to providein the region of Northern Virginia. care choices for womenquality and their families in the Philadelphia area. Aand related health services for organization women’s health, maternity care WELLNESS Founded in 2009, WOMENCARE is a local established in key objective of our non-profit is to establish a health and socialorganization service needs. Founded in 2009, WOMENCARE is a local organization established in

Northeast Philadelphia to provide health care Pregnant options Women and maternity care in Tioga POSTPARTUM Northeast Philadelphia to provide within health care options andto maternity which a FQHC, Philadelphia care facility, CAREobjective choices for women and istheir in the in Philadelphia area.provide A key SPATIAL REQUIREMENTS care choices for women andfamilies their families the Philadelphia area. A INTRAPARTUM servicesorganization for women’sishealth, maternity carecare and facility, relatedwhich healthis of quality our non-profit to establish aishealth Lobby/ waiting area 900 sq ft - 915 sq ft CARE of our non-profit organization to establish a health key objective WOMEN PREGNANCY IN TIOGA and service needs.FQHC, a FQHC, within Philadelphia to provide quality services to forprovide women’s health, which is aPregnant within caresocial facility, Birthing room with restrooms 450 sq ft - 700 sq ft WomenPhiladelphia in Tioga quality services women’s health, care and relatedFounded health maternity care andfor related health andmaternity social service needs. in 2009, WOMENCARE is aPlayroom local organization established 125 sq ftin Northeast Philadelphia to provide health care options and maternity and social service needs. Restrooms 70 area. - 125 Pregnant Women in Tioga 19% care choices for women and their families in the Philadelphia A sq ft WOMEN PREGNANCY IN TIOGA key objective Healthy of our non-profit organization establish a health Smallis to classroom 255 sq ft and Ready which is a FQHC, within Philadelphia to provide WOMEN PREGNANCY IN TIOGA16% care facility,Late/ Large classroom 600 sq ft No Prenatal Carecare quality services for women’s health, maternity and related health 55% and social service Exercise room 430 sq ft < 18needs. Years old Pregnant Women in Tioga Internet cafe 290 sq ft 19% Obese before Pregnancy 19% WOMEN PREGNANCY IN TIOGA Storage 80 sq ft Healthy Ready Healthy andand Ready 10% Library 165 sq ft 16% 16% Late/ NoNo Prenatal CareCare Late/ Prenatal 55% 55% 19% Kitchen 165 sq ft < 18 Years old Healthy and Ready < 18 Years old Utility 45 sq ft 16% Obese before Pregnancy Late/ No Prenatal Care 55% Large offices - 200 sq ft Obese before Pregnancy < 18 Years165 old 10% Workroom 160Pregnancy sq ft Obese before 10% Midwife Lounge 225 sq ft 10%

NOVALobby/ BIRTH CENTE Lobby/waiting waiting area area Charlotte, VAroom with Birthing Birthing room with

Playroom Playroom A 7000 square feet well lit an providing services in the region of Restrooms

Restrooms Smallclassroom classroom Small Large classroom SPATIAL Large REQUIREMENTS classroom Exercise room Exercise room Lobby/ waiting area Internet cafe NOVA BIRTH CENTER Birthing room with restrooms Internet cafe Storage Charlotte, VA Playroom Library Storage A 7000Restrooms square feet well lit and ventilated facility Kitchen providing servicesclassroom in theLibrary region of Northern Virginia. Small Utility Kitchen Large classroom Large offices SPATIAL REQUIREMENTS Exercise room Utility Workroom Internet cafe Lobby/ waiting area Large 900 sq ft - 915 sq ft offices Midwife Lounge Storage Birthing room with restrooms 450 sq ft - 700 sq ft Workroom Library Playroom 125 sq ft ADDITIONAL Restrooms 70 -Lounge 125 sq ft SPAC Kitchen Midwife

Small classroom ft Area 255 for sqemegenecy Utility Large classroom 600 sq ft Large offices Sanitary Storage and Exercise room 430 sq ft Workroom Internet cafe 290 Facility sq ft Laundy Storage Midwife Lounge80 sq ft Library 165 sq ft Kitchen 165 sq ft ADDITIONAL SPACES Utility 45 sq ft Area for emegenecy care Large offices 165 - 200 sq ft Sanitary Storage160 and Workroom sq ftBiomedic Midwife Lounge Facility 225 sq ft Laundy

ADDITIONAL SPAC Area for emegenecy Sanitary Storage and Laundy Facility

ADDITIONAL SPACES Area for emegenecy care Sanitary Storage and Biomedical Waste Disposal Laundy Facility

NENTS

Standard Size Room Designed for 25 to 30 people with a standard seating arrangement.

Patch Adams

Patch Adams PROGRAM COMPONENTS

25’-0”

SPACE NEEDS ANALYSIS

Typological Research- Classrooms

STANDARD SIZE ROOM -Designed for 25 to 30 people with a standard seating arrangement. Rows and columns of desks and chairs, or desk/chair combinations. Usually facing some sort of media or writing board- chalk, dry erase.

32’-0”

24’-0”

Small Class Designed for ten to fteen pupils. Rooms of this size can be used for a variety of purposes, such as conference room, student council room, or for small class groups.

24’-0”

SMALL CLASS -Designed for ten to fifteen pupils. -Rooms of this size can be used for a variety of purposes, such as conference room, student council room, or for small class groups. -Intimate setting, seating arrangement is located very close to a centralized or designated portion of the room for instruction

Patch Adams

LARGE ROOM PROGRAM COMPONENTS -Designed for group lecture and demonstration -Stadium style seating if desired, usually in the form of flip up desktops attached to folding seats. Seating located on tiers or some sort of grade. 26’-0”

25’-0”

CLASSRO Small Class Designed for ten to fte Rooms of this size can b for a variety of purpose as conference room, s council room, or for s groups.

StandardSTANDARD Size Room Designed for 25 to 30 people with a standard seating arrangement.

Other Design Considerations -Ceilings should be a maximum of 9’-6” high. -Light from the windows should, if possible, come over the pupil’s left shoulder. 40’-0”

25’-0”

LARGE

Standard Size Room Designed for 25 to 30 people with a standard seating arrangement.

40’-0”

26’-0”

CLASSROOMS

29’-0”

Large Room Designed for group lecture and demonstration

32’-0”

Other Design Considerations 24’-0”be a maximum of 9’-6” high. Ceilings should Light from the windows should, if possible, come over the pupil’s left shoulder.

29’-0”

SMALL

Small Class Designed for ten to fteen pupils. Rooms of this size can be used for a variety of purposes, such as conference room, student

Large Room Designed for gr demonstration

Exciting Cafeteria Rog

CafeteriaSpecifi Specifi Cafeteria cs cs

Patch Adams

fics

Cafeteria Component Analysis

Dry Storage 200sf Cook Refrigeration 200sf Cook Food prep 300sf Cook Cooking 200sf Cook Exciting Cafeteria Rog Exciting Cafeteria Rog Exciting Cafeteria Rog Serving Station 200sf Client Interaction Cafeteria Component Analysis 300sf Dish Cleaning Dishwasher Cafeteria Component Analysis Office 100sf Manager Exciting Cafeteria Rog Seating Area 1500sf Client Interaction Dry Storage 200sf Cook Dry Storage 200sf Cook Cafeteria Component Analysis Refrigeration 200sf Cook Refrigeration 200sf Cook Total300sf Cook3000sf Food prepFood prep 300sf Cook Dry Storage 200sf Cook Cooking 200sf Cook Cooking 200sf Cook Refrigeration 200sf Cook Serving Station200sf 200sf Client Interaction Serving Station Client Food prep 300sf CookInteraction Cafeteria Component Analysis Dish Cleaning Dishwasher Dish Cleaning 300sf 300sf Dishwasher Cooking 200sf Cook ce Offi 100sf Manager cClient Adjacencies and Connection Exciting Cafeteria Rog Offi ce 100sf Manager Serving Station 200sf Specifi Interaction SPACE SIZE (SF) USER / PURPOSE Dry Storage 200sf Cook Seating Area 1500sf Client Interaction Dish Cleaning 300sf Dishwasher Seating Area 1500sf Client Interaction Cafeteria Component Analysis Dry Storage Refrigeration 200 200sfCook Cook Office 100sf Manager 300sfCook Cook Refrigeration Food prep 200 Total 3000sf Seating Area 1500sf 3000sf Client Interaction Total Dry Storage 200sf Cook Cooking 200sf Cook Food prep 300 Cook Refrigeration 200sf Cook Serving Station 200sf Client Interaction Total 3000sf Cooking 200 Food prep 300sf Cook Dish Cleaning 300sfCook Dishwasher Serving StationOffi ce 200 Cooking 200sf Cook 100sfClient Interaction Manager Specific Adjacencies and Connection Serving Station 200sf Client Interaction Area 1500sf Client Interaction Dish Cleaning Seating300 Dishwasher Specific Adjacencies and Connection Dish Cleaning 300sf Dishwasher - personal scale, small and programmatically efficient, detailed in environment Office 100 Manager Specific Adjacencies andOffi Connection ce 100sf Manager Total 3000sf Seating Area 1500 Client Interaction Seating Area 1500sf Client Interaction

Cafeteria Specifics

SPACE NEEDS ANALYSIS

Cafeteria Component Analysi

Typological Research- Cafeteria

Cafeteria Specifics

Total

3000

Dry Storage Refrigeration Food prep Cooking Serving Station Dish Cleaning Office Seating Area

200sf 200sf 300sf 200sf 200sf 300sf 100sf 1500sf

Total

3000sf

Cafeteria Seating Area / 100 people

Total Area = 1421 ft ^and 2 Specific Adjacencies Conn

Total Area = 1331 ft ^ 2

Waiphiu Intermediate School

Total

3000sf

Specific Adjacencies and Connection - personal scale, small and programmatically efficient, detailed in environment

- personal scale, small and programmatically efficient, detailed in environment

Waiphiu Intermediate School

Cafeteria Seating Area / 100 people

Cafeteria Seating Area / 100 people Total Area = 1421 ft ^ 2 Total Area = 1331 ft ^ 2 Specific Adjacencies and Connection Total Area = 1331 ft ^ 2

- personal scale, small and programmatically efficient, detailed in environment

Total Area = 1331 ft ^ 2

- personal scale, small and programmatically efficient, detailed in environment

Total Area = 1331 ft ^ 2

Total Area = 936. 3 ft ^2

Total Area = 1421 ft ^ 2

Total Area = 1331 ft ^ 2

Waiphiu Intermediate School

Total Area = 936. 3 ft ^2

Total Area = 1421 ft ^ 2

Total Area = 1320 ft ^2

Total ft ^2Area = 1320 ft ^2 Total Area = 936. ft ^2 = 936. Total Total3 Area 3 ftArea ^2 = 1320

- open plan, cross ventilation, natural lighting, utilization of passive tech.

Total Area = 936. 3 ft ^2

Total Area = 1320 ft ^2 Total Area = 936. 3 ft ^2

- open plan, cross ventilation, natural lighting, utilization of passive tech. - open plan, cross ventilation, natural lighting, utilization of passive tech.

- open plan, cross ventilation, natural lighting, utilization of passive tech.

Total Area = 1320 ft ^2

Cafeteria Seating Area / 100 people

- personal scale, small and programmatically efficient, detailed in environment

n of passive tech.

Total Area = 1421 ft ^ 2

Cafeteria Seating Area / 100 people

Waiphiu Intermediate School

ed in environment

ool

Cafeteria Specifics

Total Area = 1320 ft ^2

Health Clinic

Patch Adams

SPACE NEEDS ANALYSIS Typological Research- Storage

ype includes subgrade, attic, or other spaces with minimal nishes that are desigdise, materials, or equipment that is not hazardous in nature nor requires special ss, or utility needs. Supply areas, storerooms, and le rooms not nished to typionly perimeter partitions and doors are included in this space type.

OVERVIEW -The General Storage space type includes sub-grade, attic, or other spaces with minimal finishes that are designated for storage of merchandise, materials, or equipment that is not ons for the General Storage type efcient useHVAC, of space, energy cost hazardousspace in nature norare requires special security, machine access, or utility needs. equirements. Typical features of general storage include the list of finish level, but with -Supply areas, storerooms, and filespace roomstypes not finished to typical office only perimeter partitions list and and doorsde arenitions includedofin the this design space type. lements as outlined below. For a complete ob-

whole building design, click on the titles below.

SPACE ATTRIBUTES -Important design considerations for the General Storage space type are efficient use of space, energy cost savings, and minimal HVAC requirements. Typical features of general storage space types include the list of applicable design objectives elements as outlined al below. Storage space types fall into Storage Group S Incidental Use in Group A, B, E, I,

tions, assuming sprinklered construction and one-hour partition separation from FUNCTIONAL / OPERATIONAL -Occupancy Group: General Storage space types fall into Storage Group S Incidental Use in

space is maximized while providing adequate circulation paths forassuming personnel and construction and Group A, B, E, I, M, or R Occupancy Classifications, sprinklered one-hour partition separation from other occupancies. ent such as hand trucks.

-Efficient Use of Space: Open space is maximized while providing adequate circulation paths for personnel and merchandise handling equipment such as hand trucks. SUSTAINABLE

-Energy Costand Savings: Distinguish between areasplan for storage and circulation in the lighting uish between areas for storage circulation in the lighting to reduce unplan to reduce unnecessary fixtures. Consider using energy-efficient lighting fixtures. using energy-efcient lighting xtures. -Minimal HVAC: Exposed HVAC ductwork with suite thermostat control and ducted air AC ductwork with suite thermostat control and ducted air return is sufcient in return is sufficient in the General Storage space type, however separate zones can be pe, however separate designated zones canfor belarger designated for larger storage areas. storage areas.

Patch Adams

SPACE NEEDS ANALYSIS

Project Components & Space Specific Needs

OE-24- 10/3 REVISION

PATCH ADAMS FREE CLINIC OF PHILADELPHIA AREA / SPACE 1 GENERAL HEALTH Waiting Room / Atrium A Check- in / Check-out Exam Rooms Office / private consultation

SF Quantity

Size 25 10 10 10

x x x x

94 20 12 10

2350 200 120 100

SF 1 1 6 4

Group consultation

10 x

150

Tech / Medical machine room / back of house

20 x

700

Support / Storage

15 x

270

Pharmacy Private Exam Restroom Public Restroom

19 x 6 x 10 x

23 8 15

437 48 150

1 2 2

437 96 300

SUBTOTAL 2 OPTICAL AND DENTAL Dental / Optical Waiting Space Check- in / Check-out

Qualitative notes

Includes designated waiting space for optical & dental, and pediatrics Space to include specialized reception areas; desk, computers, files. To include exam table, sink/kitchenette with cabinet storage, seating Offices act as consultation rooms in addition to doctor's private study Comfortable lounge chairs/ sofas in addition to a small scale re-configurable conference table and chairs

Relaxing, comfortable, secure. Filled with windows to allow for views and ample natural light Easy to use, find, and transition into appropriate adjacent waiting area Relaxing, sterile, comfortable. Windows and soothing colors to act as "positive distractions" Relaxing, functional, windows to allow for ample natural light Larger area located adjacent to offices/ provate consultation rooms to act as supplementary space for group counseling/ doctor collaboration

Computer|Media equipment for lab testing, sample analysis, medical machines Sterile, spaces for both group and individual work related to testing, analysis, and diagnosis Medical supply storage, adjacent to both tech and pharmacy areas. Includes space for machine electric / mechanical support Similar to a CVS model- space includes a waiting counter and drug supply shelving with space for technicians to count and bottle medication Easy to use, find, and pickup/ drop off perscriptions, accessible from main waiting area / atrium Unisex, 1 watercloset and sink per space Male / Female 3-4 waterclosets and sinks per space

5623

* x 10 x

* 8

* 80

1 1

* 80

Dental Exam Rooms Dental Office / Consultation Optical consult / display

9 x 10 x * x

10 9 *

90 90 *

2 1 1

180 90 *

Optical Exam Rooms Optical Office Optical Lab

9 x 10 x 10 x

8 11 10

72 110 100

2 1 1

144 110 100

*Space included in Atrium A Spaces to include specialized reception areas; desk, computers, files. To include exam chair with onboard dental tools, sink/kitchenette with cabinet storage Offices act as consultation rooms in addition to dentist's private study *Space included in Atrium A To include exam chair, overhead optical analysis equipment, sink/kitchenette with cabinet storage Offices act as consultation rooms in addition to doctor's private study Includes space for larger optical machinery / equipment

Support / Storage

10 x

100

Open shelving to include space for both dental and optical supplies / support

SUBTOTAL 3 PEDIATRICS Pediatric Waiting Space Check- in / Check-out BUILDING COMPONENTS

2350 200 720 400

NOTES (Programmatic / Equipment)

Relaxing, sterile, comfortable. Windows and soothing colors to act as "positive distractions"

Relaxing, sterile, comfortable. Windows and soothing colors to act as "positive distractions" Dark for optimal optical enhancement / diagnosis processes.

804

* x 10 x

* 10

* 100

1 1

* 100

Exam Rooms Office / private consultation

10 x 10 x

13 12

130 120

2 2

260 240

Daycare Restroom

20 x 6 x

22 8

440 48

1 3

440 144

SUBTOTAL 4 FITNESS Lobby Athletic Office Exercise Room Fitness / Multipurpose / Physical Therapy Space Locker / Restroom Mechanical Storage

Relaxing, comfortable. Light filled social atmosphere Easy to use, find, and transition into appropriate adjacent waiting area

*Space included in Atrium A Relaxing, comfortable. Light filled social atmosphere, playful design with kids in mind Spaces to include specialized reception areas; desk, computers, files. Easy to use, find, and transition into appropriate adjacent waiting area To include exam chair with onboard dental tools, sink/kitchenette with cabinet storage Playful, sterile, comfortable. Windows and bright kid friendly colors to act as "positive distractions" Offices act as consultation rooms in addition to doctor's private study Light filled and open to allow for optimal supervision and playspace. Access to outdoors, Childrens tables, chairs, shelving with toys, games media. Open space for play adjacency to to fitness and general care Unisex, 1 watercloset and sink per space. Space scaled to children with space for assistance if needed.

1184

* 0 20 16 19 7 8

x x x x x x x

* 0 25 16 20 10 10

* 0 500 256 380 70 80

1 0 1 2 2 1 1

SUBTOTAL

* 0 500 512 760 70 80

*Space Included in Atrium B Rooms dedicated for one on one fitness via athletic specialist Contains larger fitness equipment, bikes, tradmills, weights, ellipticals Bright, open with views onto the grounds. Opens to exterior for outdoor exercise Mat room / Yoga area / small group exercise & instruction Intimate, naturally light with immediate access to equipment storage 3-4 waterclosets and sinks. Showers and locker / changing facilities provided HVAC systems and necessary support Open shelving and space for various indoor / outdoor fitness equipment

1922

5 ADMINISTRATION Lobby/Reception

* x

Office(s)

8 x

320

*Space to be included in Atrium B Patch Adams / volunteer staff- offices are flexible to accommodate multiple users and functions

Inviting and productive. Business and fuction oriented with Patch Adams ideals. Desk job oriented, naturally lit, close to conference room.

BUILDING COMPONENTS

Patch Adams

Exam Rooms Office / private consultation

10 x 10 x

13 12

130 120

2 2

260 240

Daycare Restroom

20 x 6 x

22 8

440 48

1 3

440 144

SUBTOTAL 4 FITNESS

Lobby SPACE NEEDS ANALYSIS Athletic Office

1184

* 0 20 16 19 7 8

x x x x x x x

* 0 25 16 20 10 10

Exercise Room Project Components & Space Specific Needs Fitness / Multipurpose / Physical Therapy Space Locker / Restroom Mechanical Storage

To include exam chair with onboard dental tools, sink/kitchenette with cabinet storage Playful, sterile, comfortable. Windows and bright kid friendly colors to act as "positive distractions" Offices act as consultation rooms in addition to doctor's private study Light filled and open to allow for optimal supervision and playspace. Access to outdoors, Childrens tables, chairs, shelving with toys, games media. Open space for play adjacency to to fitness and general care Unisex, 1 watercloset and sink per space. Space scaled to children with space for assistance if needed.

* 0 500 256 380 70 80

1 0 1 2 2 1 1

SUBTOTAL

* 0 500 512 760 70 80

1922

5 ADMINISTRATION Lobby/Reception

* x

Office(s)

8 x

320

Conference Room(s)

15 x

270

540

Classroom(s) Restrooms

20 x 10 x

29 10

580 100

1 2

580 200

SUBTOTAL

*Space to be included in Atrium B Patch Adams / volunteer staff- offices are flexible to accommodate multiple users and functions Board Meetings and suitable furniture with Media capabilities- flex space for larger meetings with demos and volunteers- include kitchenette Food/Job specific space to be subdived and reconfigured with partitions based on need Male/Female 2-3 waterclosets and sinks per space

Flexible and naturally lit spaces. Comfortable to be in, yet still functional and focused on learning.

1640

6 CAFÉ/ FOOD STORE Café (Kitchen) Café (Dining) Atrium B Fresh & Healthy Food Store

Inviting and productive. Business and fuction oriented with Patch Adams ideals. Desk job oriented, naturally lit, close to conference room. Inviting and productive. Business and fuction related to meetings and presentations. Naturally lit with user controllable light and seating configurations.

18 x 40 x 11 x

10 46 20

180 1840 220

1 1 1

SUBTOTAL

180 1840 220

Alla carte style with space for fresh food prep and heating Atrium Space to serve as Café seating and program waiting areas / lobby Open shelving and bin display for produce. Cashier booth and register

Casual dining, open,airy, light. Public and busy with pockets of space for individual or group dining both inside and outside.

2240

7 OUTDOOR BUILT PROGRAM / SUPPORT Greenhouses

20 x

800

4000

Loading / recieveing- Food & Other

20 x

1000

Drop-off / vehicular access / parking Exterior tool / equipment storage

30 x 10 x

50 40

1500 400

1 1

1500 400

Composting & recycling

50 x

1000

SUBTOTAL TOTAL OUTDOOR PROGRAM INDOOR PROGRAM CIRCULATION @ 30% assumption

7900 7900 13413 4023.9

TOTAL INDOOR PROGRAM

17436.9

PROJECTED BUILT TOTAL (INDOOR & OUTBUILDINGS)

25336.9

Medium to large sized box trucks to deliver and haul away food, waste and miscellaneous items. Curb Cut, grouped with parking spaces Goods would be shuttled via small transport to actual clinic Patch Adams / volunteer staff- ADA spaces, and temporary vehicular loading/unloading. Also included is vehicular access to loading areas. Minimal frontage and view from clinic Supplementary space located near loading docks Private Includes space for basic recycling of glass, cardboard and paper. Composting to be separate and located outside in relationship to specific outdoor agriculture-defined program elements

Patch Adams

Programming g g Size, Interrelationships & Description SPACE NEEDS ANALYSIS

Functional Relationship / Space Movement System Diagram

Patch Adams Free Health Clinic of Philadelphia, 1729 West Allegheny Ave. Logan Dry - Kevin Peters - Mike Opdahl

DEN

TAL

Storage & Delivery

OPT

Ofce

Kitchen

Exterior Dining

Lav

Cafe

ICAL

Lav PEDI

ATRI C

Exam

Exam Waiting Room

Locker Room

Lobby & Info

INIST

PACE

Lav

Exam

2 19

Storage FITN

ESS

GREENS

New Born Nursery

Lav

GREENS

PACE

Birthing Room

FOO

Trainer Ofce

RATI

Exam

Lav Trainer Ofce

Lav

ADM

Waiting room

Exam

D/ED

Medical Machine Room

Storage

Exercise Room

Lav

Medical Storage Room

Ofce

Lav Waiting Room

Ofce

Exam Multipurpose

Waiting Room

Exam

Medical Storage Room

Lav

Ofce & Labs

UCA TION

GREENS

PACE

Exam

Medical Machine Room Medical Machine Room

Labs

GEN

56 ERAL

HEA

LTH

Patch Adams

Programming g g SPACE NEEDS ANALYSIS

Functional Relationship / Space Movement System Diagram

Size, Interrelationships & Description

Patch Adams Free Health Clinic of Philadelphia, 1729 West Allegheny Ave. Logan Dry - Kevin Peters - Mike Opdahl Dining area - 1200 sq ft (subdivided into 2 spaces) - Exterior Dining areas - Cafe Area (alla carte bar & deli Style) - 300-400 sq ft (18-20 sq ft/person) - Exterior Sit-Down Area - 800 sq ft (tables, chairs, casual setting, booths) (15-18 sq ft/person)

Storage & Delivery - 500 sq ft - Walk-in fridge/freezer - Dry storage - Loading Dock/Equipment storage

-Service Areas (counters, islands, storage)

(3-4 Doctors)

(3-5 Trainers)

Locker Rooms 2 @ 380 sq ft ea. (includes restroom, showers, locker room/storage, changing) Ofces 1 @ 100 sq ft ea. (desk & chairs for trainers) (stool for patient, minor exercise equipment) Exercise Room 524 sq ft (subdivided for mats & private spaces within) (treadmills, weights, bikes, free weights, ellipticals, bench press) - TV/Media Area for instruction - General Instruction Multi-Purpose/ Physical therapy 2 @ 250 sq ft ea. (mats, movable partitions) (hand equipment - rackets, balls, outdoor items) Storage 200 sq ft (for all unused small-scale & large-scale equipment & supplies) (includes both indoor & outdoor) Reception/Lobby Area - Desk and Info Center - Activity Board (interactive)

300 sq ft

ICAL

PEDI

5623 sq ft

Waiting Room 2350 sq ft - Reception, Seating (includes dental, optical and pediatric) (tables, media, games, desk, chair, indoor planters)

1922 sq ft

OPT

ATRI C

General Care

Fitness Center

TAL

Cafe/ Food Education 2240 sq ft

Kitchen - 300 - Sanitation Area (sinks, counters, storage) - Prep Areas (cooking appliances)

DEN

Restrooms 2 @ 150 sq ft ea. - Male/Female w/multiple stalls & sinks Exam Rooms 6 @ 100 sq ft ea. (sink, kitchenette, & storage, exam table, patient chairs) Machine/ back of House Rooms (subdivide based on equipment)

500 sq ft

Consultation (subdivide based on equipment)

500 sq ft

Storage 270 sq ft - Medical Storage (medication, disposables, sterilization supplies, small equipment, blood in coolers) (shelving, cabinets, le boxes,

Dental

(1-2 Dentists)

400 sq ft

Reception 100 sq ft (records, freebees, desk, chair) (toys, mags, tv, aquarium) Exam Rooms 2 @ 80 sq ft ea (sink, kitchenette, storage, overhead light, onboard equip.) Supply 200 sq ft (medical storage, dry storage) Ofces 1 @ 100 sq ft ea. (desk & chair setup)

Pediatrics

Waiting Room 700-800 sq ft (child oriented w/ room to play) - Toy Area, small scale playground -Aquarium w/ clown sh

ADM

INIST

Restrooms 2 @ 50 sq ft ea. - Unisex, & Family Nursery & Immediate Birth 500 sq ft - Bath Facility, Sterilization Station - Feeding/Monitoring Area/Testing Storage 200 sq ft (baby specic supplies, open & closed shelving)

Optical

400 sq ft

Reception 100 sq ft - “Catch-All” Area - Eyeglass Display, Reception, Contact Learning Area, Sales Desk, Conference Stations (2-3) Consult/ glass display 1 @ 200-300 sq ft - 2 Unisex, & ADA

4 16

PACE 22

19 FITN

ESS

GREENS

PACE 40

FOO

D/ED

UCA TION

GREENS

PACE

Exam Rooms 2 @ 80 sq ft ea. (exam room chairs, eye exam machine, desk stool, projector) -Storage Closet (kitchenette) Ofces 1 @ 100 sq ft -Doctor, Technician, Optician, Contacts Lab 1 @ 100 sq ft Refraction Room

RATI

GREENS

Birthing Room 3-4 @ 150 sq ft ea. - Exam/Hospital Rooms - Consultation/Education Room (beds, chairs, storage) Ofces/Consultation 2-3 @ 100 sq ft ea. (consult w/desks & chairs) (literature & storage)

(1-2 Doctors)

2500 sq ft

GEN

56 ERAL

HEA

LTH

Patch Adams

SITE & CONTEXT DOCUMENTATION Inventory- History

History (1900 - Present) 1729 W Allegheny Ave History (1900 - Present) Early 1900’s

1910

In the early 1900’s the plot at 1729 W Allegheny Ave was still occupied by George V. Cresson Co. Foundry and Workshop. The area, similar to the present, consisted mainly of businesses and row housing. Train tracks cut through the site in the same place that today’s electric Amtrak trains pass through. The site’s location would soon become more important given its proximity to what would become a large, social shopping district.

1942

The North 22nd Street Shopping Corridor (30’s & 40’s) During the mid 1900’s the Allegheny site was occupied by Bunting Glider, a company that manufactured and sold metal furniture. During this time, the site was located on the outskirts of what was known as the North 22nd Street Shopping Corridor. This was an area of about five blocks that operated as a large, and popular, shopping district.

Patch Adams

SITE & CONTEXT DOCUMENTATION Inventory- History

Benjamin Brothers Terminal and Warehousing (70â&#x20AC;&#x2122;s)

1972

During this period of time, the Allegheny neighborhood was largely in decline. The introduction of shopping malls took its toll on the shopping corridor, and forced many shop owners from the area. The neighborhood was in decline, yet a new company bought the site. This was a trucking company called Benjamin Brothers Terminal and Warehousing. It was built in 1972 and was the last building to be located on the plot at 1729 W Allegheny Ave.

2012

1729 W Allegheny Ave (Present Day) Today the neighborhood is in continued decline. The main portion of the site is covered by the remaining foundation of the Benjamin Brothers building. There are large slabs of concrete and fragments of the old structural steel. A large pile of tires sits among the overgrowth, a remnant of the building that used to occupy the space. The area is largely covered by weeds and brush, but also large quantities of garbage and discarded items.

Patch Adams

SITE & CONTEXT DOCUMENTATION Inventory- Noli Map

treet

17th Stre et

N. 18th S

N. Gratz

Street

19th Stre et

Logan Dry - Kevin Peters - Mike Opdahl

P T A S E

Westmo rela

nd Ave.

E L I N

SITE

West All eg

heny Ave

Patch Adams

SITE & CONTEXT DOCUMENTATION

17th Stre et

N. 18th S treet

19th Stre et

N. Gratz Street

Inventory- Noli Map

Westmo rela A P T S E

nd Ave.

E L I N

SITE

West All eg

heny Ave

Patch Adams

SITE & CONTEXT DOCUMENTATION Inventory- Topography Map

1729 W ALLEGHENY AVE - district use diagram

Patch Adams

SITE & CONTEXT DOCUMENTATION Inventory- District Use Map

site Site groceryStores stores Grocery healthFacilities facilities Health schools Schools daycare Daycare

Patch Adams

1729 W ALLEGHENY AVE - zoning

SITE & CONTEXT DOCUMENTATION Inventory- Zoning Map

12 FT

50 FT

1729 W ALLEGHENY AVE - zoning Max. Occupiable Area 12% FTof Lot 75 50 FT

Max. Occupiable Area 75 % of Lot

50 FT

Unlimited

60 Ft. if abutting a residential district

Allowable Uses Not Allowed Educational Facilities Multi-Family Living The I-1, Light Industrial district is Group Living Allowable Uses Safety Services Not Allowed I-1 Light Industrial primarily intended to accommodate Educational Facilities Living Medical, Dental, HealthMulti-Family Practitioner Active Recreation The I-1,low-impact Light Industrial district is employment-generating Safety land Services Group Living Sole & Group Practitioner Day Care primarily uses, intended such toas accommodate light industrial, Medical, assembly, Dental, Health Practitioner Community Garden Active Recreation Food, Beverage, & Grocery Retail low-impact employment-generating land & Group Practitioner Day Care fabrication, offices, research Soleand Market or Community-Supported Farm uses, such as light industrial, assembly, Community Garden Food, Beverage, & Grocery Retail development, small-scale fabrication, offices, research and wholesaling, Horticulture Nurseries & Greenhouses Market or Community-Supported Farm local distribution, and similar activities development, small-scale wholesaling, Horticulture Nurseries & Greenhouses that generate few activities adverse operational local distribution, and similar that generate few adverse operational impacts (e.g., noise, traffic).

Neighborhood Commercial Mixed Use-2 Residential Multi-Family-1 Neighborhood Commercial Mixed Use-2 Residential Single Family Attached-5 Residential Multi-Family-1 Residential Singleand Family Attached-5 Active Parks Open Space Active Parks and Open Space

I-2 Medium Industrial

Site Boundaries

I-1 Light Industrial

impacts (e.g., noise, traffic).

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SITE & CONTEXT DOCUMENTATION Inventory- Traffic & Circulation

Train/Bus Routes

Bus Stops 33 Bus

Train/Bus Routes

Bus Stops

60 33 Bus

Bus

60 Bus 2

Bus

2 Bus

SEPTA Rail

5 Minutes Between Trains

setuoR suB/niarT

5 Minutes Between Trains

setuniM 5 sniarT neewteB

Patch Adams

SITE & CONTEXT DOCUMENTATION Inventory- Climate & Solar Study

SUMMER PREVAILING WIND

JUNE 21

APRIL 1

OCTOBER 31

DECEMBER 21

WINTER PREVAILING WIND

Scale= 1”-0“ = 107’-0”

Patch Adams Patch Adams SITE & CONTEXT

DOCUMENTATION

Inventory- Panoramic Photos

Panoramic Views of Site Various panoramas are necessary for this site due to its overgrown vegetation and deceptive topography. The panoramas also provide immediate site context such as existing buildings, edge conditions, and earth / topography conditions. Panoramas that capture the site from the streets provide visual information of how the design will be perceived aesthetically from thedue community. Various Panoramas are necessary for this site to its overgrown

vegetation and topography. The Panoramas also provide immediate site context such as existing buildings, existing edge conditions, and existing earth conditions. Panoramas that capture the site from the streets provide visual information of how the design will be perceived aesthetically from the community.

2 1 3

Patch Adams

SITE & CONTEXT DOCUMENTATION Inventory- Site Elevations

Elevation looking East from N. 19th Street

Elevation looking South across W. Allegheny Ave.

Elevation looking North from W. Allegheny Ave.

Elevation looking West from N. 17th Street

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East- West Section Looking North

SITE & CONTEXT DOCUMENTATION Inventory- Site Sections

East-West looking North North East- West Section Section Looking

East-West Section looking South East- West Section Looking South

Section looking East on Site East- West Section Looking South

Section looking West on Site

Patch Adams

SITE & CONTEXT DOCUMENTATION

Patch Adams Vegetation Inventory-

QUANTITATIVE SITE ANALYSIS Vegetation Species The site is located in HARDINESS ZONE 7. Vegetation species in this zone are able to withstand average annual low temperatures between 10 degrees and 0 degrees Fahrenheit. Common species include:

American Hazelnut (Corylus americana) Early Harvest Apple (Malus x domestica) Early Golden Apricot (Prunus armeniaca) Black Tartarian Cherry (Prunus avium) Arapaho Blackberry (Rubus spp. ‘Arapaho’)

Flowering Dogwood Cornus Florida

It is a small deciduous tree growing to 33 feet high, with a trunk diameter of up to 1 ft. The fruit is a cluster of two to ten drupes, each 10–15 mm long and about 8 mm wide. They are an important food source for dozens of species of birds, which then distribute the seeds.

The soil type: of the site is Class 8 and therefore making not suitable for commercial production and restricting use to recreation, wildflife preservation, water suppply or aesthetic purposes.

Green Ash Fraxinus pennsylvanica

Green Ash is one of the most widely planted ornamental trees throughout the United States and much of Canada. It is a medium-sized deciduous tree reaching 40 - 80 feet tall with a trunk up to 2 feet in diameter.

Empress Tree

Paulownia tomentosa

Empress is the most dominant species on the site . Often confused with the “Catalpa”, it is deciduous tree, native to central and western China, but invasive in the eastern of US, which grows to 32 feet – 80 feet tall, with large heart-shaped to five-lobed leaves 6 in to 16 in across. Ecologically, it functions as pioneer plant because it can survive wildfire, tolerant to pollution and not selective about soil type. The fruit is a dry egg-shaped capsule 3–4 cm long, containing tiny seeds, which were commonly used as a packing material by Chinese porcelain exporters in the 19th century, before the development of polystyrene packaging.

Patch Adams

SITE & CONTEXT DOCUMENTATION Inventory- Wildlife

h se

7% Index Crime

i ed

Patch Adams

SITE & CONTEXT DOCUMENTATION

273

344

100

Total Crime Risk Personal

Total Crime Risk

153

166

100

195

166

245

100

$23,497

30%

505

245

100

153

100

Crime Risk Murder Risk Crime Personal Risk Murder Risk

Allegheny West

The quantitative analysis was carried out simultaneously with the qualitative analysis. The Crime Index quantitative analysis focused on the specific demographics and the realistic resources of the site.

647

344

Analysis

647

26%

4%100

100

RapeRape RiskRisk

Robbery RobberyRisk Risk

National Average

195

100

Risk Crime Risk Burglary Risk Risk Property Crime Property

BurglaryLarceny Risk Risk

100

Personal Crime Risk

y West

100

Murder Risk

100

Rape Risk

Robbery Risk

100

Assualt Risk

100

Property Crime Risk

Means Of Transportation to Work

Total Households

d ol

h se

Non-Family Households

Family Households

ia ed

n ia

h se ou

273

30%

142

128 100

26%

100

11,417

M $23,497

6,294

With Children

100

8% Burglary Risk

Larceny Risk

i ed

h se ou

$23,497

24,925 Men

Streets

= 2,000 People

17,711

$23,497

Family Total Households

Households

Non-Family Households

= 2,000 People

W 11,417

With Children

Family Households

17,711 Without Children

Total Population of West Allegheny = 2,000 People

CMX-2-- Commercial Mixed-Use

I-1-- Light Industrial

6,294

I-2-- Medium Industrial

Average People = 2.97 Non-Family Per Household

Households

Median Age

6,618

Non-Family Households

11,417

6,294

With Children

RSA-5-- Residential Single-Family Attached

=30.45

11,092

11,417

Nodes

6,294

Without Children

Elevated Pedestrain & Traffic activity

Average People = 2.97 Per Household Median Age

6,618 With Children

Without Children

6,618

11,092

Topography*

=30.45

Highest @ W. Westmoreland Ave.

11,092

13’- 7”

Crime Index

Average People = 2.97 Per Household Median Age

One Way Two Way

Zoning

Total Population of West Allegheny

17,711 Family Households

29,011 Women

Legend

Total Population of West Allegheny

Total Households

=30.45

4% In

Median Age

11,092

Means of Transportation

Average People = 2.97 Per Household

6,618

Automotive Theft Risk

Without Children

30%

Automotive Theft Risk

Total Population of West Allegheny

17,711

National Average

26%

Automotive Theft Risk Larceny Risk

Total Households

195

153

100

= 2,000 People

26% 166

100

Means Of Transportation to Work

344

The quantitative study of the site revealed many of the finer details of the site, and provided us with a close look at the neighborhood’s demographics. Theto Workplot is located in a Means Of Transportation Light Industrial zone and 7% encompasses roughly 220,000 sq. ft. The neighborhood is 7% home to about 30% 25,000 men and 29,000 women whose average household9% income is only around 23,500 per year. This 4% neighborhood is also plagued by elevated crime rates, the highest being robbery and murder.

142

128 9% 100 142

128 100

100

AssualtAssualt Risk

National Average

Allegheny West

273

647

505

Crime Index

505

8’- 0” 4’- 0”

=30.45

0’- 0”

Lowest @ W. Allegheny Ave.

647 505

*Approximation using map and overpass sinage

344 273

245

195

166 100

Total Crime Risk

100

Personal Crime Risk

Murder Risk

Allegheny West

100

Rape Risk

National Average

153 100

Robbery Risk

100

Assualt Risk

100

Property Crime Risk

142

128 100

100

Burglary Risk

100

Larceny Risk

Automotive Theft Risk

Crime Index

Means Of Transportation to Work

h se

ia ed

26%

30%

$23,497

Patch Adams This board represents all encompassing aspects of the existing site including vegetation and foundation conditions. Upon the initial visit, the site was completely overgrown with vegetation; the only exception being where existing concrete foundation pads were left, preventing vegetation from growing. This effects created a series of defined spaces or naturally occurring â&#x20AC;&#x153;roomsâ&#x20AC;? within the site.This information influenced our initial programming strategy.

SITE & CONTEXT DOCUMENTATION Attitudes

1729 West Allegheny Logan Dry - Design 8 - Johnston - Philadelphia University - Fall 2012

GAN RY

Patch Adams

SITE & CONTEXT DOCUMENTATION Attitudes

This board represents an initial study of our thoughts and feelings about the site. Pictures of important site features are represented above. Also featured is a photography study using mirrors to juxtapose the different sides of the sight. The overall picture represents the decay of the site with the mirror highlighting the beautiful vegetation on the site. The sketch studies explore the meshing of architecture and vegetation as well as the idea of creating a campus like series of zones connected by green space.

Patch Adams

unit y

Activ

hood

Historic

Neighbor

ity N ode

Attitudes

This board is meant to represent the historic aspects of the site in connection with the neighborhood. To emphasize the historic nature of the site images that show the historic pieces left behind on the site from previous owners were chosen for the board. The reflective images chosen are supposed to be representative of the old historic past of the site in connection with the present surrounding neighborhood. The goal of this board was to evaluate the site first at the historic level and relate it back to the current community of the site.

Comm

SITE & CONTEXT DOCUMENTATION

Patch Adams Patch Adams

SITE & PROGRAM TESTING Scheme I- Campus Layout Program Site Placement

Legend

1729 W Allegheny Ave.

General Care

Retain the open and unobstructed condition currently present within the site by fracturing the overall clinic into a series of interconnected pieces unified by condition developed Retain the open and unobstructed exterior greenspace. currently present within the site, by fracturing

1. Waiting Room 2. Exam Rooms 3. Machine Room 4. Storage 5. Restrooms

Emergency

the overall clinic into a series of interconnected Our site strategy around the concept pieces unied revolves by developed exterior greenspace. of creating a health clinic through a “Network of

Buildings.” Rather than create a large massing of Ourinsite strategyspot revolves around the program a singular in the site, spreading concept of creating a health clinic through out programmatic elements over a 5-acre site of buildings”. Rather than proveda “Network to be minimally invasive and did not create a large massing of program in a obstruct views. This fragmented approach to singular spot on the site, spreading out programming may seem to be counteractive programmatic elements over a 5-acre to a unified health system, but the unification site proved to be minimally invasive and between program pieces in developed did not obstruct views.exists This fragmented greenspaces. Orchards, greenhouses, and approach to programming may seem to be developed outdoor areas create connections counteractive to a unied health system, between indoor and other exterior but the unication between programspaces. pieces The greenspace also seeks to create a visual exists in developed greenspaces. Orchards, greenhouses, and connection developed outdoor areas and possible physical between the create connections between indoor and Allegheny and Westmoreland neighborhoods.

other exterior spaces. The greenspace also seeks to create a visual, and possibly physical connection between the Allegheny and Westmoreland neighborhoods.

1. Triage 2. Medical/Machine 3. Sanitation 4 3

6 5

1 1

5 7

1 2

Optical

4 2

Dental 1. Waiting Room 2. Exam Rooms 3. Ofces 4. Medical Supply 5. Restrooms

1. Waiting Room 2. Birth Rooms 3. Ofces 4. Storage 5. Restrooms 6. Nursery

1. Waiting Room 2. Exam Rooms 3. Ofces 4. Machine Rooms 5. Restrooms

5 1 4

Fitness

3 1

ACCESS CE

1. Lobby 2. Exercise Room 3. Multipurpose Room 4. Pool 5. Locker Rooms 6. Ofces 7. Storage

Restaurant 1. Dining Area 2. Cafe 3. Kitchen 4. Dry Storage 5. Restrooms 6. Ofce

Scale 100 50

4 2

100

Pediatrics

200

Outdoor Space

Patch Adams

SITE & PROGRAM TESTING Scheme II- Health Gallery This scheme was intended to bridge the existing gap between the neighborhoods bordering Allegheny Ave. and Westmoreland. 18th street would be extended across the site forming an over-sized, public pedestrian path. This would be used to direct users as well as encourage social Legend interaction. General Care -Waiting Room - 500 ft2 -Exam Rooms - 6 @ 100 ft2 -Offices - 4 @ 100 ft2 -Administrarion - 400 ft2 -Check-In - 100 ft2 -Tech Room - 300 ft2 -Supplies/Storage - 250 ft2 -Pharmacy - 500 ft2 -Circulation - 915 ft2

Our health gallery scheme for the arrangement of buildings on the site was based on the creation of a centralized pedestrian path that functioned as a connector between the two neighborhoods bordering our site. This path Dental was envisioned as &anOptical extension of 18th street -Waitingfrom Room - 500 ft that would turn a vehicular road into an -Exam Rooms - 4 @ 100 ft -2@ 100 ft extra wide, -Offices public pedestrian path. This new -Check-In - 100 ft path would serve as- 300 a means of directing users -Tech Room ft -Support/Storage - 125 ft while encouraging the short, spontaneous -Circulation - 488 ft social interactions that are characteristic of an Pediatrics urban environment. The buildings would then -Waiting Room - 500 ft be arranged -Check-In along -this 100 ftpath on both sides. They -Exam Rooms - 2 @ 100 ft would be positioned in a way that created a -Storage - 125 ft - 500 ft each other, but the users dialogue not-Daycare only with -Circulation - 428 ft walking through. This arrangement allowed each buildingFitness/Education to utilize something similar to Area building - 2000 ft a storefront.-Exercise Each would have the -Meeting Room - 2 @ 200 ft ft opportunity -Public to Restroom relate- 300its most important features through its path-facing faรงade. All Food Related -Cafe - on 600 ftsite would be used as green remaining space -Fresh Food - 200 ft space for gardens, etc. -Classroomorchards, - 650 ft

GENERAL HEALTH

- Waiting room- 500 sq ft - Exam Rooms- 6@ 100 sq ft ea. - Offices- 4@ 100 sq ft ea. - Administration- 400 sq ft - Check In- 100 sq ft - Tech Room- 300 sq ft - Supplies/Storage- 250 sq ft - Pharmacy- 500 sq ft -Circulation- 915 sq ft

DENTAL & OPTICAL - Waiting room- 500 sq ft - Exam Rooms- 4@ 100 sq ft ea. - Offices- 2@ 100 sq ft ea. - Check In- 100 sq ft - Tech Room- 300 sq ft - Supplies/Storage-125sq ft -Circulation- 488 sq ft Orchard

PEDIATRICS

Greenhouses

Vegetables

FITNESS

- Waiting room- 500 sq ft - Exam Rooms- 2@ 100 sq ft ea. - Check In- 100 sq ft - Daycare- 500 sq ft - Supplies/Storage-125sq ft - Circulation- 428 sq ft

Vegetables

- Exercise Area- 2000 sq ft - Meeting Room- 2@200 sq ft ea. - Public Restroom- 300 sq ft

FOOD RELATED

- Cafe- 600 sq ft - Fresh Food Store- 200 sq ft - Classroom - 650 sq ft - Circulation (Entire Wing)- 1250 sq ft

Outdoor Fitness

OUTDOOR SPACE

Greenhouses & Raised planting beds

Orchard

Access, Parking & Delivery

-Circulation (Entire Wing) - 1250 ft2

Outdoor Space -Greenhouses

Outdoor Dining

Scale 0

25 10

100 50

200

Patch Adams

SITE & PROGRAM TESTING Scheme III- Centralized Court This scheme retained the concept of the extended pedestrian path but included a large centralized courtyard that would increase sociability and further organize building arrangement. The centralized court scheme is closely related Legend to the health gallery scheme. It continues to use General Care the centralized pedestrian path, but also utilizes -Waiting Room - 500 ft a large central entertains social -Examcourtyard Rooms - 6 @ 100that ft ces - 4 @ 100 ft interactions-Of between users. This scheme, while -Administrarion - 400 ft -Check-In - 100 ft community interaction, attempting to reinforce -Tech Room - 300 ft also allowed-Supplies/Storage the building to become - 250placement ft -Pharmacy - 500 ft more specific. Buildings -Circulation - 915 ft were pushed back by the central court into a circular arrangement, Dental & Optical rather than -Waiting the previous line. This arrangement Room - 500 ft 4 @ 100shifting ft would allow-Exam usRooms to -start and skewing -Ofces - 2 @ 100 ft the building-Check-In locations - 100 ft in order to maximize Room - 300 ft daylight and-Tech better organize green spaces. The -Support/Storage - 125 ft -Circulation - 488 ft become more defined vegetation areas could and greenhouse locations more grounded. Pediatrics

GENERAL HEALTH

DENTAL & OPTICAL

- Waiting room- 500 sq ft - Exam Rooms- 4@ 100 sq ft ea. - Offices- 2@ 100 sq ft ea. - Check In- 100 sq ft - Tech Room- 300 sq ft - Supplies/Storage-125sq ft -Circulation- 488 sq ft

Greenhouses

Community Gardens

PEDIATRICS Orchards

- Waiting room- 500 sq ft - Exam Rooms- 2@ 100 sq ft ea. - Check In- 100 sq ft - Daycare- 500 sq ft - Supplies/Storage-125sq ft - Circulation- 428 sq ft

Playground

FITNESS

- Exercise Area- 2000 sq ft - Meeting Room- 2@200 sq ft ea. - Public Restroom- 300 sq ft

-Waiting Room - 500 ft -Check-In - 100 ft2 -Exam Rooms - 2 @ 100 ft2 -Storage - 125 ft2 -Daycare - 500 ft2 -Circulation - 428 ft2 2

Access, Parking & Delivery

Fitness/Education -Exercise Area - 2000 ft2 -Meeting Room - 2 @ 200 ft2 -Public Restroom - 300 ft2

Greenhouses & Raised planting beds Orchards Playgrounds

-Cafe - 600 ft2 -Fresh Food - 200 ft2 -Classroom - 650 ft2 -Circulation (Entire Wing) - 1250 ft2

Orchards

Outdoor Space

Administration Scale

100 50

Outdoor Recreation

Orchards

-Greenhouses -Playground -Orchard

- Cafe- 600 sq ft - Fresh Food Store- 200 sq ft - Classroom - 650 sq ft - Circulation (Entire Wing)- 1250 sq ft

OUTDOOR SPACE

Food Related

FOOD RELATED

200

ADMINISTRATION

Patch Adams

SITE & PROGRAM TESTING Scheme IV- Enclosed Central Court An early idea examining the integration of greenhouses and the main atrium space via the stack effect. By locating the greenhouse, a hot space, on top of the circulation atrium, a space desiring to be cool, the greenhouse would benefit from any rising heat exhausted from the atrium space. Because cool air falls, the atrium would remain cool, and little heat would traverse downward from the greenhouse. In addition, the plant cover on the 2nd level would act as passive shading device allowing indirect light to filter into the lower atrium space. This scheme examines the idea that the center court is both an interior and exterior condition. The interior court space is formed by carving out a void in the health program and enclosing this dedicated social space. On the exterior, the other half of the court space is defined by manicured planting beds and trees.

Patch Adams

SITE & PROGRAM TESTING Scheme V- Hybrid- Enclosed Central Court & Radial Sun Pattern

Building and program placement defined by solar conditions, resulting geometry takes full advantage of the heat and light received from the sun on site. In addition, the same “center court” feeling is maintained by the resulting building geometry in the center. This programming exercise led to a building with angles and orientations that didn’t really have any relationship to each other.

Patch Adams

SITE & PROGRAM TESTING Scheme VI- Dual Atria Central Court This scheme was intended to bridge the gap between the Westmoreland and Allegheny neighborhoods through the use of a pedestrian path cutting directly through the site, and essentially extending 18th street. The semi-permeable path brings users to the â&#x20AC;&#x153;center courtâ&#x20AC;? which consists of 2 conditioned atria as well as an unconditioned space in the middle. The Dual atria Central Court scheme is a result of refinement of schemes III, IV, and V. By combining the geometries established by sun angles and maintaining the feel of a centralized court, the resulting form of the building begins to become more radial, with program pieces plugging into two central atrium spaces. The resulting site development also takes a radial form, reinforcing the strong concept of the center court. Vehicular access has remained minimal on the site, with a drop off and few parking spots added to the lower right corner of the site. Overall, the experience a user has in this scheme is a scenic walk from each street edge to the center of the health clinic, from which point they can enter the left atrium (which has recreational program pieces such as fitness, cafe, and administration) or the right atrium (which has all health related program components such as general health, pediatrics, dental and optical services). While the scheme was successful for organizing the interior program pieces, the site still lacked a direct connection to the clinic building itself. The radial nature of the site components placed on an angular site left awkward and left over spaces in which wasted space was prevalent.

Patch Adams

BUILDING & CENTRAL GEOMETRY, OR RESULTANT SPACE ESTABLISHED BY ORIENTATION

Our group’s parti diagram has guided our design through various site arrangements and site strategies. It focuses on the creation of a centralized path and a centralized public hub. All of the program pieces essentially “plug in” to this hub creating an ultimately safe and social environment.

Patch Adams

SITE & PROGRAM TESTING Scheme VI- Dual Atria Central Court TOP RIGHT The orientation of enclosed buildings, denoted in black, create a courtyard in the middle of the complex. The blue lines denote the possibility of fully or partially enclosing this courtyard in order to make more conditioned spaces. BOTTOM RIGHT Solar and wind diagram that shows optimal solar orientation, and the resultant form to let light into exam rooms. BELOW Overall site circulation. Refers to the idea that user come from both the north and south ends of the site, and head towards the center of the complex. From the center, they are free to explore all elements of the program, as well as the site.

PROGRAMMATIC CIRCULATION

CENTER COURT RESULTANT OF BUILDINGS

PASSIVE/ SOLAR ORIENTATION

Patch Adams

SITE & PROGRAM TESTING Scheme VII- Patchâ&#x20AC;&#x2122;s Pergola

Taking cues from the previous scheme Patchâ&#x20AC;&#x2122;s Pergola seeks to redefine the notion of the pedestrian path with the addition of a wooden pergola that creates a partial enclosure. The idea behind the pergola was to create a link between the two enclosed atriums and extend this link to the path cutting through the rest of the site. The pergola itself becomes a spatial device in which the user experiences various moments related to nature as they make their way to the health clinic. The pergola, as a space making device did two things for the project, it emphasized an otherwise flat pedestrian path but it also added to the character we wanted to establish for our health clinic. The use of heavy timber and wood for the shading devices on the pergola, truly make the path and pergola seem quite different from the other urban gestures present on the site such as concrete sidewalks, non-pourous concrete foundations and brick. For all intents and purposes, the pergola covered path introduces a very rural language into a strictly urban environment. Massaging this fine line between urbanism and suburbanism became the challenge as the site was once again not as connected to the clinic as it could be.

Patch Adams

SITE STRATEGY The main idea was to create a link or bridge between the communities of West Allegheny and Westmoreland Ave. In this approach, the link takes on the form of a pedestrian foot path that acts as an extension of 18th street (street aligning with the model patch at the top). The street is redefined as a pedestrian condition, and reinforced by a pergola structure that leads one from footpath to interior atrium spaces. In this sense, the pergola is a way finding device, of which interior and exterior pieces of program and circulation paths plug into.

TOP Parti model in which the pergola emerges as a way finding device taking the notion of â&#x20AC;&#x153;streetâ&#x20AC;? an otherwise flat condition, and turning it into a 3 dimensional sense of enclosure. BOTTOM Model expressing ideas about view corridors within each element of program, and how it related back to the central atria and path.

Patch Adams

SITE & PROGRAM TESTING

Scheme VII- Patch’s Pergola WESTMORELAND PLAZA

The scheme also breaks all of the major components of the free health clinic into a series of 5 buildings, connected by 2 atrium spaces. The central court idea is still maintained in that the atrium spaces have a certain dialect with each other and are visually and physically connected by the pergola. Along the way, the pergola deconstructs itself to create defined moments along the path.

OPTICAL OFFICE

DENTAL OFFICE

OPTICAL LAB

OFFICE OPTICAL CONSULT / EYEGLASS DISPLAY

LOUNGE / BREAK

OFFICE

OPTICAL EXAM

STORAGE

DENTAL EXAM

CHECK IN / OUT

DENTAL EXAM

FLEX

TOP The patch terminates as a large plaza at Westmoreland Ave with seating areas, plantings, and plenty of open space for social interaction and physical play.

RR RR

OFFICE

CLASSROOM / PUBLIC MEETING FAMILY WAITING AREA

CONFERENCE PHARMACY

MECHANICAL / STORAGE

PUBLIC MEETING

GROUP CONSULT

WAITING AREA

MACHINE / LAB / BACK OF HOUSE

OFFICE / CONSULT

MIDDLE The moment that is created between the two atriums at the center of the complex is an open air seating and socializing spot. Having lush beds of plants and a water feature this space acts as both a transitionally area between the two atriums, but also as a fully inhabitable outdoor relaxation space.

STORAGE / MECHANICAL OUTDOOR DINING

CAFE SERVICE

FOOD STORE

PRIVATE RR

MAIN CHECK IN / OUT

CENTER COURT

EXAM EXAM

EXAM EXAM EXAM

WAITING AREA

LOCKER / RR

LOBBY / INFO PEDIATRIC WAITING

EXERCISE ROOM

CHECK IN / OUT

OFFICE / CONSULT RR MECHANICAL / STORAGE

RR RR

MULTIPURPOSE / PHYSICAL THERAPY

OFFICE / CONSULT

MULTIPURPOSE / PHYSICAL THERAPY

EXAM DAYCARE / PLAYROOM

BOTTOM Along the path from Allegheny Ave, the pergola structure starts to peel away and become less about shading, but instead more about creating intimate seating moments. The areas are defined by a sub shading structure, whereas the path is still defined by the main pergola structure.

PRIVATE RR

EXAM

LOCKER / RR

EXAM

OUTDOOR FITNESS

OFFICE / CONSULT

VESTIBULE

PLAYGROUND

BOTANICAL GARDEN

Patch Adams

PEDESTRIAN PATH & PERGOLA The path and pergola begin to develop a language of circulation and a sense of inhabitable space. Not only does the pergola partially cover the path, it takes the notion of path, a conventionally 2D object, and amplifies its overall effect by making it a 3D spatial device. Areas in which the pergola is peeled away are areas in which seating moments occur along the path, with the possibility of these areas to become portals for the secondary walking paths that ambulate the site to plug into. A userâ&#x20AC;&#x2122;s journey both starts and ends on the pergola covered path.

TOP Parti model in which the pergola and atria were a double height condition, with the integrated greenhouses above lower level atriums. BOTTOM Initial pergola and path idea in which the pergola extended fully into the atrium spaces and remained consistent throughout. No seating areas, moments, or path portals existed in this version of the design.

Patch Adams

Section 2 1/8" = 1'-0"

Section 1 1/8" = 1'-0"

Section 4 1/8" = 1'-0"

entry perspective

1-30 section 1" = 30'-0" 1

1-30 section 1" = 30'-0"

Patch Adams

allegheny view

center court 4 3

entering from wmoreland

center court 4

entering from wmoreland

Primary Services: Dental, Behavioral, Medical, Pediatrics, Family Medicine Patch Adams Additional Services: Nutrition and obesity services, Prenatal and Ultrasound, Pharmacy, Optometry, Human Trafcking, Domestic Violence, Vision, Housing HISTORIOGRAPHY assistance, Literacy training, Laboratory, Precedent AnalysisLa Maestra HealthSubstance Clinic Abuse, Food pantry, Economic development

FIGURE I

PROJECT CONCEPTS Number of Exam Rooms: 24

La Maestra is committed to the health and well-being of the individual. La Maestra was already socially responsible, seeking to be environmentally responsible.of The charge to “Bring 3 green into well-being” became the project’s Number Floors: guiding principle.

Average Daily Patient Encounters: 300 PROJECT INTENT Promote a general sense of well being through the use of strategically placed “Positive distractions” integrated into the overall design. Number of Care Providers: 29 physicians PROJECT STATS

Encounters per Provider: Size: 36,440 sq ft-- Approximate footprint 12,000 2 sq ft, urban setting.

Primary services: Dental, Behavioral, Medical, Pediatrics, Family Medicine Additional Services: Nutrition and obesity services, Prenatal and Ultrasound, Encounters per Clinic Hour: 35 Pharmacy, Optometry, Human Trafficking, Domestic Violence,Vision, Housing assistance, Literacy training, Laboratory, Substance Abuse, Food pantry, Economic development Number of Staff: 130 Number of Exam Rooms: 24 of Floors: 3 - HMC Architects/ R. Yen & Associates 2011 - San Number Diego, California Average ry - Kevin Peters - Daily Mike Patient OpdahlEncounters: 300 Number of Care Providers: 29 physicians ECT CONCEPTS Encounters per Provider: 2 tra is committed to the health and well-being of the Encounters per Clinic Hour: 35 FIGURE II al. La Maestra was already socially responsible, seeking to Number of Staff: 130 onmentally responsible. The charge to “Bring green into ng” became the project’s guiding principle.

Precedent

Maestra Community Health Clinic

FIGURE III

ECT INTENT e a general sense of well being through the use of ally placed “Positive distractions” integrated into the design.

ECT STATS

q ft-- Approximate footprint 12,000 sq ft, urban setting

ary Services: Behavioral, Medical, Pediatrics, Family Medicine

tional Services: n and obesity services, Prenatal and Ultrasound, Pharmacy, try, Human Trafcking, Domestic Violence,Vision, Housing ce, Literacy training, Laboratory, Substance Abuse, Food conomic development FIGURE III

FIGURE I

FIGURE IV

FIGURE II

Patch Adams

ecedent

HISTORIOGRAPHY

Precedent Analysis- La Maestra Health Clinic ra Community Health Clinic Diego, California - HMC Architects/ R.Yen & Associates

uding bamboo, grass “trees” with letter, gnets and books for arn, a sh tank for ing area, televisions alternated with health

range, Teal, Green, Tan, URE I

s represent hope, osperity and wellness al groups and reect stainable living.

Recyclable, Low-VOC e, etc. from companies ly and socially ustainable Bamboo Counters & Nurse FSC-certied Wood

and Signage create g that empowers navigate in a new proving efciency and amples: Family Practice boo ring pattern d cabinets; Pediatrics orm; Administration ccents. FIGURE IV

Tenant Usable Exam Rooms Fitness Center Consultation Rooms Optical/Dental Exam Rooms Emergency/Triage Waiting Room Relaxation Room Restaurant Outdoor Relaxation Childcare/Birthing Nursery Retail spaces

“CORE” AREA Reception Ofces Private Doctor Ofces Medical machine rooms Records/personnel Storage Sanitation Rooms Medical/drug supply Testing Supplies Storage Delivery/Disposal

Reception Rece Re cept p io pt i n

Waiting Room

a series of clustered and interconnected homes that function to establish Patch Adams unity. Connected by an outdoor courtyard, the hollow core spaces are s and make them feel at home in an inviting and soothing environment. symbol that act as a community-inviting health facility while establishing HISTORIOGRAPHY e that appears as a series of smaller scale homes. Precedent Analysis- Copenhagen Health Center

PROGRAM ard spaces NORD ARCHITECTS, 2008-2011 -Comfortable Reception/lounge space pital, Center City, and Panum -Outdoor Coutyard space PROJECT CONCEPTS -Exercise Health Health Care Care Center Center in in Copenhagen, Copenhagen, Denmark Denmark “An “An architecture architecture that that heals” heals” Areas NORD NORD Architects Architects 2009-2011 2009-2011 a series of clustered and The Health Care’s architectural form resembles STATEMENT STATEMENT interconnected homes that-Meeting function toRooms establish a community of its own within The The Health Health Care’s Care’s architectural architectural form form resembles resembles a series a series of of clustered clustered and and interconnected interconnected homes homes that that function function toto establish establish -Common Kitchen Cafe an existing community. Connected by an courtyard, the hollow corecourtyard, a community a community of of itsoutdoor its own own within within anand an existing existing community. community. Connected Connected byby anan outdoor outdoor courtyard, thethe hollow hollow core core spaces spaces areare designed designed toto increase increase thethe hopes hopes of of cancer cancer patients patients and and make make them them feel feel at at home home in in anan inviting inviting and and soothing soothing environment. environment. spaces are designed to increase the hopes ofshaped cancer patients and make them feel health The The origami-like origami-like shaped roofs roofs serve serve as as anan iconic iconic symbol symbol that that actact as as a community-inviting a community-inviting health facility facility while while establishing establishing -Patient Rooms a strong a strong interconnected interconnected community community infrastructure that that appears appears series a series of of smaller smaller scale scale homes. homes. Denmark Health Care Center inas asaCopenhagen, at home in an inviting and soothing environment. Theinfrastructure origami-like shaped roofs SIMILIAR SIMILIAR ELEMENTS PROGRAM serve as an iconic symbol that act asNORD aELEMENTS community-inviting health facility whilePROGRAM Architects 2009-2011 -Small -Small scale scale center center featuring featuring outdoor outdoor and and courtyard courtyard spaces spaces -Comfortable -Comfortable Reception/lounge Reception/lounge space space

“An architecture that heals”

establishing a strong interconnected community infrastructure that appears as a-Outdoor -Close -Close proximity proximity toto Copenhagen Copenhagen University University Hospital, Hospital, Center Center City, City, and and Panum Panum -Outdoor Coutyard Coutyard space space Institute Institute of of Medicine Medicine -Exercise -Exercise Areas Areas series of smaller scale homes. -Independent -Independent institution institution manned manned byby volunteers volunteers -Meeting -Meeting Rooms Rooms STATEMENT -Surrounded -Surrounded byby terraces terraces and and garden garden spaces spaces -Adjacency -Adjacency toto neighboring neighboring residential residential area area

-Common -Common Kitchen Kitchen and and Cafe Cafe

-Patient -Patient Rooms Rooms The Health PROJECT PARALLELS TO PATCH ADAMS CLINIC Care’s architectural form resembles a series of clustered and interconnected homes that function to establish community of its own within an existing community. Connected by an outdoor courtyard, the hollow core spaces are -Small scale center featuring outdooraand courtyard spaces -Close proximity to Copenhagen University Hospital, Center Panumof cancer patients and make them feel at home in an inviting and soothing environment. designed to increaseCity, theand hopes Institute of Medicine The origami-like shaped roofs serve as an iconic symbol that act as a community-inviting health facility while establishing -Independent institution manned by volunteers a strong interconnected community infrastructure that appears as a series of smaller scale homes. -Surrounded by terraces and garden spaces

-Adjacency to neighboring residential area

SIMILIAR ELEMENTS

PROGRAM -Comfortable Reception/lounge space-Small scale center featuring outdoor and courtyard spaces -Close proximity to Copenhagen University Hospital, Center -Outdoor Courtyard space -Exercise Areas Institute of Medicine -Meeting Rooms -Independent institution manned by volunteers -Common Kitchen and Cafe -Surrounded by terraces and garden spaces -Patient Rooms

-Adjacency to neighboring residential area

City, and Panum

PROGRAM -Comfortable Reception/lounge space -Outdoor Coutyard space -Exercise Areas -Meeting Rooms -Common Kitchen and Cafe -Patient Rooms

Patch Adams

HISTORIOGRAPHY Precedent Analysis- Copenhagen Health Center

LEVEL 1

LEVEL 2

1. Jacobson. “Healthcare Center by Nord Architects.” I Like Architecture. N.p., n.d. Web. 01 Sept. 2012. <http://www.ilikearchitecture.net/2012/05/healthcare-center-nord-architects/>. 2. Jordana , Sebastian . “NORD Architects wins new healthcare center competition” 13 Oct 2009. ArchDaily. Accessed 05 Sep 2012. <http://www.archdaily.com/37658>

Study on

Free Clinic of Philadelphia

Number of beds: 96 Cost: $275 million Opening Date: March 2011 Architect: TK&A Architects

Patch Adams 2

m Brostowicz, Daniel Rich, Lauren Arrington

versity tal

of The Amplatz Children’s Hospital is a vitally needed addition to the University of Amplatz Children’s Hospital snesota bringing Minnesota. Proposed was a six story building on the Riverside campus bringing Arrington very” was nnesota pediatric care to the Minneapolis area. The idea of “Passport to Discovery” was Hospital and ages chosen as a holistic interior process bringing children of all cultures and ages yout was Precedent Analysis- University oftogether Minnesota Children’s while Amplatz helping them to recover.Hospital For adults, the building’s layout was room was 2 h 2011 adjusted to reduce walking from nine miles down to five during shifts. Each room was yhitects for staff. also designed as a “right handed” layout to promote repetition and familiarity for staff. 2 ion rooms 2 Nurses, doctors, and staff are located directly across from many of the examination rooms TK&A ARCHITECTS, 2011 ren’s Hospital is a vitally needed addition to the University of providing individual service as needed.1 ed was a to six the storyUniversity building on of the Riverside campus bringing ddition STATS 1 PROJECT the Minneapolis area. The bringing idea of “Passport 2to Discovery” was e Riverside campus City: Minneapolis, Minnesota tic interior process bringing children of all cultures and ages eeded addition to the University of “Passport to Discovery” was96 the lping them to recover. For adults, Number of beds: onoftheall Riverside campus bringing building’s layout was en and ages BROSTO RICH TON to walking from cultures nine miles$275 down five during shifts. Each room was 2 Cost: million ea of “Passport to Discovery” was and familiarity for staff. handed” layout Precedent tolayout promote repetition s,rightthe building’s was Case Study children of directly all Brostorichton: cultures and ages staff are located across from many of Hospital the Daniel examination rooms William Brostowicz, Rich, Arrington during shifts.The Each room was 2 Amplatz Children’s is Lauren a vitally needed addition to the r adults, the 1building’s was Amplatz service as needed. Universitylayout of Minnesota Children’s Hospital University of Minnesota. Proposed was a six story building on the etition and familiarity for staff. n to five during shifts. room was 2 City: Each Minneapolis, Minnesota

HISTORIOGRAPHY

Free Clinic of Philadelphia

1 Minneapolis area. The Riverside campus bringing pediatric care to the many of the examination rooms ote repetition and Number familiarity for of beds: 96 staff. 1

idea of “Passport Discovery” was chosen as a holistic interior process $275 millionto s from many of the Cost: examination rooms Opening Date: March 2011 bringing children of all cultures and ages together while helping them to Architect: Architects recover. ForTK&A adults, the building’s layout was adjusted to reduce walking 1 fromThe nine milesChildren’s down toHospital five during shifts.needed Each room was alsoUniversity designed 4 Amplatz is a vitally addition to the of 1 as a Minnesota. “right handed” layout promote repetition familiarity staff. Proposed was atosix story building on theand Riverside campusforbringing pediatric care toand the staff Minneapolis area. The idea ofacross “Passport to Discovery” was Nurses, doctors, are located directly from many of the chosen as a holistic interior process bringing children of all cultures and ages examination rooms providing individual service as needed. together while helping them to recover. For adults, the building’s layout was

adjusted to reduce walking from nine miles down to five during shifts. Each room was also designed as a “right handed” layout to promote repetition and familiarity for staff. Nurses, doctors, and staff are located directly across from many of the examination rooms providing individual service as needed.1

3 1

2 3

Patch Adams

North Mediterranean Health Center

HISTORIOGRAPHY

North Mediterranean Health Center

Precedent Analysis- North Mediterranean Health Center

The North Mediterranean Health center was designed by Ferrer Arquitectos in Almeria Spain in 2010. The client for the project was the Andalusian Government and the projects overall are was 1352.38 sq meters. The center has 2 floors of program and a basement is some areas, as well as a roof that is accessible by maintenance. What is interesting about the design is that it has several internal courtyards, allowing natural light and ventilation into many of the rooms. The skin opens up in certain places to allow more natural light into specific programmatic spaces than others.

The North Mediterranean Health center was designed by Ferrer

and a basement is some areas, as well a

What is interesting about the design

The outer skin is not only varied in specific places, but the slats of marble are maneuverable. This allows for the administrators to adjust the facade accordingly to the climactic conditions which is important for energy conservation The marble slats are set on a substructural exoskeleton that attaches to the concrete skin.This facade was designed for the intent of having a sustainable approach to the design.

The skin opens up in certain plac

programatic spaces than others.

projects overall are was 1352.38 sq meters. The center has 2 floors of program

North Mediterranean Health Center and a basement is some areas, as well as a roof that is accessible by maintinence. What is interesting about the design is that it has several internal courtyards,

1st Floor

allowing natural light and ventilarion into many of the rooms.

programatic spaces than others.

The First floor contains the reception area, an adult clinic, a pediatric clinic, minor The Double skin allows for light to penetrate into the spaces even on the first floor.

Also, the small courtyards allow a significant amount of light into the first level.

projec

and a

surgery clinic, as well as support services and administration.

1st Floor

Arquit

The skin opens up in certain places to allow more natural light into specific

The second floor is where the patient rooms are located.The patient rooms are paired 2nd Floor

up with the small courtyards to allow for natural light and ventilation.

What

allowin

progra

1st Floor

The First floor contains the reception area, an adult clinic, a pediatric clinic, minor

The inner skin is made from prefabricated concrete units, and the outer skin is surgery clinic, as well as support services and administration. made of marble slats that diffuse light into the building . The double skin lowers The Double skin allows for light to penetrate into the spaces even on the first floor. the energy usage by separating the point of thermal absorption and the buildings Also, the small courtyards allow a significant amount of light into the first level. actual envelope. This also lowers the electric bill by a decent amount. And it provides natural light and by blocking direct light from the sun decreasing The second floor is where the patient rooms are located.The patient rooms are paired thermal gain.up with the small courtyards to allow for natural light and ventilation.

allowing natural light and ventilarion in

The client for the project was the Andalusian Government and the

The First floor contains the reception area, an adult clinic, a pediatric clinic, minor surgery clinic, as well as support services and administration. The Double skin allows for light to penetrate into the spaces even on the first floor. Also, the small courtyards allow a significant amount of light into the first level. The second floor is where the patient rooms are located. The patient rooms are paired up with the small courtyards to allow for natural light and ventilation.

The client for the project wa

projects overall are was 1352.38 sq me

Arquitectos in Almeria Spain in 2010.

ARQUITECTOS 2010

The North Mediterranean H

Arquitectos in Almeria Spain in 2010.

The First floor contains the reception area, an adult clinic, a pediatric clinic, minor

surgery clinic, as well as support services and administration.

The Double skin allows for light to penetrate into the spaces even on the first floor.

Also, the small courtyards allow a significant amount of light into the first level.

The second floor is where the patient rooms are located.The patient rooms are paired

up with the small courtyards to allow for natural light and ventilation.

Light Wells Community Area

Image credit: Archdaily.com

Patch Adams

1729 W ALLEGHENY AVE - zoning PROJECT LIMITS 12 FT

50 FT

Max. Occupiable Area 75 % of Lot

50 FT

Unlimited

60 Ft. if abutting a residential district

Neighborhood Commercial Mixed Use-2 Residential Multi-Family-1 Residential Single Family Attached-5 Active Parks and Open Space I-2 Medium Industrial Site Boundaries

I-1 Light Industrial The I-1, Light Industrial district is primarily intended to accommodate low-impact employment-generating land uses, such as light industrial, assembly, fabrication, offices, research and development, small-scale wholesaling, local distribution, and similar activities that generate few adverse operational impacts (e.g., noise, traffic).

Allowable Uses Educational Facilities Safety Services Medical, Dental, Health Practitioner Sole & Group Practitioner Community Garden Market or Community-Supported Farm Horticulture Nurseries & Greenhouses

Not Allowed Multi-Family Living Group Living Active Recreation Day Care Food, Beverage, & Grocery Retail

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FINAL DESIGN PROPOSAL The Patch Adams Free Clinic of Philadelphia Design Intent: Bridge the gap between Westmoreland and West Allegheny Neighborhoods through an experiential procession through nature. Design Character: Create a health clinic atmosphere that is warm and inviting in which the surrounding landscape is an integral part. The Final design proposal is the culmination of ideas and cues from the past seven schemes. This proposal fully integrates the health clinic into the agricultural context of the site through several means; primarily through the pergola and path. The interior program still emphasizes the central court, as the pieces each plug into a respective atrium, however, in this final arrangement, interior spaces are setup to maintain optimal views to natural landscape moments occurring throughout the site. The landscape therefore, becomes a part of the architecture itself, as the language of wood and soothing natural materials, compliments the carefully composed landscape programming to become a part of the interior character. Site arrangement has always been a challenge as the physical building footprint of 17,500 sq ft is rather small compared to the nearly 5 acre site footprint. This site strategy keeps the building in the center of the site, as it is then â&#x20AC;&#x153;dually approachableâ&#x20AC;? from either neighborhood, and the pergola path becomes the ordering device for the rest of the site. Meandering foot paths pushed to the exterior perimeter of the site allow users to have a scenic and physically active walk and workout, but linear paths, acting as extensions of the linear ordering of the pergola, help to define planting bed size, greenhouse arrangement, and orchard composition. Greenhouses, beds, and farmers markets, combined with the newly established pedestrian path, create a village like atmosphere along the path, reinforcing the idea that this health clinic is nothing like other institutional precedents.

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FINAL DESIGN PROPOSAL Site Model

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FINAL DESIGN PROPOSAL Floor Plan The floor plan exemplifies the notion of personalized care in an intimate atmosphere by breaking down program components into individual wings. By doing so, the user is not wandering through a large institutional setting to find a specific place such as fitness, or dental services, but instead is able to go into smaller, more specialized areas in which they receive the best personalized care possible. By breaking the program into separate wings, interconnected by 2 large atriums, various programs within the clinic can function at different times of the day, for example the atriums could remain open and various wings attached to said atrium could remain or be closed depending on the time of the day.

ABOVE: Seperation of Program denotation: Red- Fitness Yellow- Administration Purple- Optical & Dental Blue- General Health Green- Pediatrics

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FINAL DESIGN PROPOSAL Structural Plan The structure establishes a distinct language between each atrium and the program pieces that plug into each. Heavy timber framing is used in both atrium space, and is continued throughout each of the wings in the main corridor (denoted by sub structural grids A, F, P, G, and D). The heavy timber is fully exposed in both atrium spaces, but partially exposed in the wing corridors, The purpose of this language is to establish a connection between the wings and the atrium by means of heavy timer and ceiling treatment. The main structural grid of the heavy timber follows the same grid as the pergola that runs along the main path, relating the pergola to the overall structure of the clinic building. The wings and other support spaces are constructed using basic wood framing, as the sizes of each of the wings was appropriately scaled to accommodate a more economical framing method. The structure also allows for the individual wings to maintain an almost domestic scale and feel with the possibility of interior and exterior finishing options.

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FINAL DESIGN PROPOSAL HVAC Plan & Sections NOTE: MAIN SUPPLY AND RETURN TRUNKS ARE STACKED AND EMBEDDED WITHIN WALL -SEE SECTION-

The HVAC and structure were developed simultaneously, as the notion of a warm and inviting clinic atmosphere included the concealing of HVAC ductwork and registers. By concealing the ducts and registers, all connotations of an institutional health machine were instantly removed. As a result, the duct work became part of the heavy timber framing system. In the wings, the duct work was concealed within a series of wooden drop ceiling systems or within the heavy timber framing itself. Areas in which duct work needed to cross a corridor to supply fresh air or return, the ducts were framed out in wood and finished like the heavy timer framing members, creating a seamless integration of HVAC and structure with interior finishings.

NOTE: MAIN SUPPLY AND RETURN TRUNKS ARE STACKED AND EMBEDDED WITHIN WALL -SEE SECTION-

Logan Dry, Kevin Peters, Mike Opdahl

NOTE: MAIN SUPPLY AND RETURN TRUNKS ARE STACKED AND EMBEDDED WITHIN WALL -SEE SECTION-

Logan Dry, Kevin Peters, Mike Opdahl

Philadelphia University

Samples of the character of the interior spaces and materiality established by heavy timber framing, integrated duct work, and “domestic” finishings.

NOTE: MAIN SUPPLY AND RETURN TRUNKS ARE STACKED AND EMBEDDED WITHIN WALL -SEE SECTION-

Patch Adams Free Health Clinic of Philadelphia Material Pallete Roof/Structure Plan Project Number Issue Date Author Checker

Project number Date Drawn by Checked by

A146 Scale

1/16" = 1'-0"

11/1/2012 9:29:22 PM

Philadelphia University

NOTE: MAIN SUPPLY AND RETURN TRUNKS ARE STACKED AND EMBEDDED WITHIN WALL -SEE SECTION-

Patch Adams

FINAL DESIGN PROPOSAL Ceiling Plan The ceiling treatment takes cues from the structure of the health clinic. In areas that the heavy timber framing is exposed, a light colored acoustical ceiling treatment is used to create a contrast between the heavy timber beams- emphasizing the warm and rich qualities of the heavy timber framing. Areas in which the timber framing in concealed, an acoustical wood drop ceiling is used, both to define the spaces on either side of the main corridor, but also to tie the wood used in the drop ceiling treatment back to the wood used in the heavy timber framing.

Logan Dry, Kevin Peters, Mike Opdahl

LEFT: A light colored acoustical ceiling treatment compliments the heavy timber framing and highlights the structural and aesthetic qualities of heavy timber, which is used in this case to highlight public or community spaces. 7.5”

RIGHT: A dark acoustical ceiling treatment is used in private or more intimate areas of program. The dark colors help to define and reinforce the intimacy of the private spaces. While the use of this ceiling system actually 6.75” conceals the heavy timber framing, the materiality still coordinates to the warmth and character of the wood used for areas of exposed heavy timber framing.

Project Number Issue Date Author Checker

Project number Date Drawn by Checked by

A146 Scale

1/16" = 1'-0"

11/1/2012 9:29:22 PM

7.5”

Patch Adams Free Health Clinic of Philadelphia Material Pallete Roof/Structure Plan

hiladelphia University

Philadelphia University

6.75”

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FINAL DESIGN PROPOSAL Materials & Character A sampling of materials and HVAC components for both the interior and exterior of the building. In both cases wood is the main material, with other base colors such as white and black being used to once again offset the warm aesthetic of the wood. The exterior consists of a wooden rain screen with glazing insets. In the interior, a dark floor and stark white walls help to draw attention to the wood used in the timber framing and drop ceiling systems while still visually grounding the space. Large areas of glazing in the atrium, and smaller more defined glazing portals in the wings of program open up to allow the user defined views of the surrounding site.

Logan Dry, K

6.75â&#x20AC;?

7.5â&#x20AC;?

Strip supply and return registers (Left & Below) are used in a concealed way, as show in the image with orange and green chairs, to deliver air needs to each space.

Patch Hea Ph Ma Roof/S Project number Date Drawn by Checked by

A Scale

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FINAL DESIGN PROPOSAL Ceiling Plan RIGHT: Section through atrium HVAC system and exposed ducts. RIGHT BOTTOM: Wood framing structure and subsequent metal roof sheathing. Solar panels and air handling unit are modeled as well. BOTTOM LEFT: Perspective of the cafe bar and atrium, including heavy timber framing, cloud with HVAC equipment, exposed duct work, and cafe seating area. Shows interplay of light and shadow throughout atrium. BELOW: Perspective of fitness exercise area showing exposed concrete, wood acoustical ceiling, and windows into hallway corridor.

Patch Adams

FINAL DESIGN PROPOSAL Perpectives- Nature Vignettes

By creating a series of Nature Vignettes, through the use of site walls and carefully articulated landscape, each wing has some sort of “extension” of interior program into an exterior condition. RIGHT: A tranquility garden is located right next to a private waiting room for consultation and examinations. The garden acts as a backdrop and provides people in the waiting room with an opportunity to physically and visually engage nature rather than a TV whilst they wait.

1 2

BELOW: Located right off the exam rooms in the general health wing is a therapy garden. Including a water feature and ornamental plantings, the garden is meant for personal meditation and therapeutic purposes. It also provides a “positive distraction” for each of the exam rooms.

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3 FINAL DESIGN PROPOSAL Perspectives- Nature Vignettes TOP RIGHT: Located right off the pediatrics wing is a playground for children coming to visit the doctor, or also using the day-care services. This playground has controlled edges for security, but it opens up onto a larger grassy quad for open play. BOTTOM RIGHT: The fitness wing puts particular emphasis on preventative care by means of physical activity; it is appropriate then that the vignette in this area is a yoga / fitness retreat. This area is tranquil with space for group exercise, which leads into the main nature walking path. BELOW: Located directly off the administration wing amongst the orchard is a park ideal for employees to take breaks and interact with the community. It also offers a unique experience to watch the inter workings and day to day tasks associated with a productive orchard.

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FINAL DESIGN PROPOSAL Plaza & Color Denotation

TOP: Perspective from West Allegheny Plaza and farmerâ&#x20AC;&#x2122;s markets. View captures building and raised beds, greenhouses, and the Earthship embassy. RIGHT: Birds eye view of West Allegheny Plaza with greenhouse / farmers market stand. Integrated along this edge is a fence for security purposes. FAR RIGHT: The paths and geometric ordering of site moments reinforces the grid established by the pergola in the background.

Patch Adams

FINAL DESIGN PROPOSAL Plaza & Color Denotation The addition of color to the project solved not only the economical issues faced by having a pergola made entirely of wood (including shading louvers on top) but became a fun way of adding an element of whimsy to the project. The colored fabric used as a covering creates not only shelter from the hot sun and other elements, but different colors denote different moments along the pergola: Red- Market Orange- Educational moment Yellow- Threshold condition Purple- Seating moment Green- Path to site / garden moment Blue- Framed view to interior

Patch Adams

CONSTRUCTION & OPERATION BUDGETS $5 million at $300 per / SF = 17,500 SF The projected square footage of the health clinic is based off of the budget of $5 million and calculated using data for typical health care buildings. A typical dollar per square foot cost of a health care building is approximately $300 per square foot, dividing the $5 million budget provided by Patch Adams Foundation by the typical per-square-foot cost leaves the approximate building footprint at 17,500 SF.

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DESIGN PROCESS DOCUMENTATION

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DESIGN PROCESS DOCUMENTATION

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SITE DOCUMENTATION

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REFERENCES 1 (Source: Commonwealth Fund Biennial Health Insurance Survey 2007) 2 (Source: Robert Wood Johnson Foundation) 3 (Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2008) 4 Site Photo Credit: Logan Dry, Kevin Peters, Mike Opdahl 5 Patch Adams images courtesy: http://www.patchadams.org// All references within Historiography sections are footnoted and cited according to the individual group from which it came.