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Elevating Communities

HEALTHCARE DESIGN

ELEVATING COMMUNITIES.

MRB Group is an engineering, architecture, and municipal planning company passionately serving those who move our communities forward. Creating inspiring places that simply work. From designing and building the places in which we work, heal, play, and learn, to the infrastructure systems that support it all, the mission of MRB Group is clear: make it work, make it last, and make it match your vision. If you have needs for master planning or facility design, or need consulting services such as economic development or construction administration, we’re here to help fulfill your community’s possibilities.

OUR PLEDGE TO OUR CLIENTS.

A personal representative. MRB Group provides each client a personal representative, who serves as a single point of contact and the central source of information and responsibility.

Effective communication.

A relationship based on trust.

From day one, we keep our clients updated on all aspects of a project. We provide the information needed – clearly and without jargon – to allow our clients to make informed decisions and respond effectively to stakeholders.

MRB Group sees each project through the eyes of our client. We believe that trust is earned and comes from MRB Group’s loyalty and commitment to protecting each client’s interests.

OUR DIFFERENCE? OUR PEOPLE.

MRB Group’s people are focused on listening, learning, sharing, and bringing knowledge to our clients. We bring efficiency, perspective, and possibility to engineering, architecture, and municipal services. We are extensions of our clients — deeply involved with their organizations and their communities. Our commitment is unwavering. And our success is based on the stories we enable.

SERVICES

Rochester Ambulatory Surgery Center Rochester Regional Health

Pre-Design

Laying the foundation for successful projects with thorough planning and analysis. We help with: • • • • • •

Feasibility Studies Site Evaluations Regulatory Requirements Review Programming Project Phasing Project Scheduling

Visualization & Presentation Transforming ideas into visual narratives for clarity and impact. We help with: • • • •

Concept Renderings High-Resolution Renderings Zoning & Planning Board Submissions Animation

New Construction & Structural Design Building the future with innovative and enduring structures. We help with: • •

Structural Design of New Buildings & Expansions/Renovations Pre-Engineered Building Foundation Design

Interior Design & Space Planning Crafting interiors that reflect identity, functionality, and style. We help with: • • • • • • • •

Space Planning Programming Interior Fit-Outs As-Built Documentation Furniture Layout & Selection Material & Finish Selections Relocation Coordination Post Occupancy Services

Sustainability/Resiliency & Wellness Design Designing with a conscience for a sustainable future. We help with: • • • • •

Sustainable Material Selections & Design Solutions LEED Net Zero Design for Resiliency Application of Wellness Design Principles

Landscape Architecture Bridging the built and natural environments by creating memorable experiences through thoughtful and innovative designs that blend functionality and community needs. We help with: • • • •

Site Planning Urban Design Planting & Hardscape Design Sustainable Solutions

THE DESIGN & CONSTRUCTION PROCESS

Concept Design During the concept design the space program for the project is developed: this is typically a spreadsheet that identifies the spaces and functions that are required, along with the their base requirements. At this phase a very basic concept plan may be developed, frequently as a bubble diagram, to identify the rough organization of the project. Note: this phase is a great time to work out any project priorities and establish compromises if there are members of your project team who have competing needs. The more information we can gather from you up front, the more efficient the project design process will be.

East Corning Medical Office Building Guthrie Medical Group

Schematic Design

Bid/Negotiation

During schematic design (SD), we take the concept design and refine it to include spatial relationships, scale, and forms of the spaces. Schematic design also is the research phase of the project, when regulatory requirements are typically outlined. Phasing requirements may start to be explored for complex projects in this phase, and a narrative is typically developed to establish the general infrastrucutre requirements for the design. Depending on the scope of the contract, a simple opinion of cost is often developed at the end of this phase to confirm that the design is within the cients budget.

This is the process of getting pricing for the project and selecting a contractor. We are available to answer any questions during the bidding process and to assist in evaluating the bid results. Once bidding or negotiation is complete and the client has selected a contractor, the construction contract is finalized.

Design Development In the design development phase (DD) we use the initial design documents from the previous phase and take them one step further. This phase lays out mechanical, electrical, plumbing, structural, and architectural details. Not all details will be finailized at this stage, but the goal is to make sure that any major design challenges are identified and that solutions are generally agreed upon before moving forward. We work with our client, consultants, and any vendors to ensure that the critical items are all coordinated. A more detailed opinion of cost is frequently developed at the end of this phase to confirm that the design is still within the client’s budget.

Construction Administration During construction our role is to ensure compliance with the contract documents. We attend regular construction meetings, perform site visits, and review all documents that are submitted by the contractor. At the end of construction, we review all final documents from the contractor to ensure that our client has all the information needed to maintain their building.

Construction Documents During the construction documents phase (CD) our team will add a final level of detail to the documents so that they are ready for pricing (either bidding or final negotiaitons) and permitting. This typically involves both detailed drawings and a written project manual or specifications. Some Projects will include one final update to the opinion of cost before bidding, but many do not.

WE CREATE SOLUTIONS TO ENABLE THE SUCCESS OF OUR CLIENTS, COLLEAGUES, AND COMMUNITY.

For nearly 100 years, MRB Group has been providing design services focused on improving the lives of the people we serve and the communities we help to build. As a multi-disciplinary design firm with a growing staff of 200+ dedicated and talented professionals, we serve clients throughout the East Coast and Texas with architectural and engineering design services. Our team addresses the needs of clients from planning and fundraising through all phases of design and construction.

PROJECTS 16

NAVIGATING THE COMPLEXITIES AND POSSIBILITIES OF HUMAN FOCUSED, COMMUNITY DRIVEN, HEALTHCARE SOLUTIONS.

Medical services have always played an important role in our communities. Accessible healthcare providers are essential to the well-being of any community’s population, helping to prevent illnesses, diagnose new concerns, and treat or manage existing conditions. Healthcare facilities also provide needed employment for local residents and can be a driver of economic development. Thoughtful architectural design can be an important component to achieving these goals, but facility managers today face a multitude of challenges: ever-changing regulations; providing a high standard of care while also maintaining a budget; trying to get maximum value out of existing facilities; dealing with dated infrastructure and tight space constraints; evolving technological requirements; and of

course, maintaining safe building operations while construction is under way. We understand those challenges and work to find the best solution for our client’s needs by balancing creative problem solving with a strong foundational knowledge of how healthcare providers operate. We are very familiar with the national standards for healthcare design, but even more importantly, we understand that every organization and every facility is unique. We pride ourselves on developing strong relationships with our clients so that we can truly understand their needs, and we thrive on providing responsive and adaptable solutions to the specific challenges that they face.

Dental Office Smile at the World

Ithaca City Harbor Medical Office Building Guthrie Medical Group

Urgent Care VA Urgent Care

Dental Office Belton Family Dental

East Corning Medical Office Building Guthrie Medical Group

Mental Health Clinic Central Counties Services

Big Flats Medical Office Building Guthrie Medical Group

Dermatology Office Dr. Greene

Outpatient Care In today’s world, outpatient care facilities make up the vast majority of healthcare buildings.

Lipson Cancer Center Rochester Regional Health

Big Flats Physical Therapy Guthrie Medical Group

Outpatient Care facilities are defined as medical facilities where patient stays are limited to less than 24-hours, and where patients are expected to be capable of selfpreservation in the event of an emergency. Our team has successfully completed many outpatient projects with a wide range of sizes and specialties. From small neighborhood clinics to large multi-specialty medical office buildings, each project plays an important role in the community that they serve. Outpatient Care Sample Project Types: • • • • • • • •

Medical Office Buildings Neighborhood Clinics Federally Qualified Health Centers Imaging Facilities Dialysis Centers Rehab Therapy Dental Offices Outpatient Psychiatric Centers Dermatology Office Rochester Regional Health

Ambulatory Care Ambulatory Care facilities make up a growing sector of the healthcare market. Medical practices have advanced to the point where many procedures are less invasive than they used to be, minimizing the risks during procedures and shortening patient recovery times. Many healthcare organizations are capitalizing on these advances by decentralizing care where inpatient treatment isn’t required, moving services out of hospitals in an effort to limit costs and improve patient satisfaction.

Pittsford Endoscopy Suite Rochester Regional Health

This outward movement birthed the Ambulatory Care category of healthcare facilities. Ambulatory Care facilities are the mid-point between inpatient and outpatient care. These facilities are similar to outpatient care in that they provide services for patients who are expected to stay onsite for less than 24 hours, but they differ in that some patients may not be capable of selfpreservation in the event of an emergency. Because of added level of hazard, these facilities have additional regulatory requirements to ensure the safety of their occupants. Our team is experienced and knowledgeable about the specific challenges that ambulatory care spaces face. Ambulatory Care Sample Project Types: • • • •

Ambulatory Surgery Centers Freestanding Emergency Care Urgent Care Facilities Endoscopy Suites Sleep Clinic Rochester Regional Health

Rochester Ambulatory Surgery Center Rochester Regional Health

Inpatient Care Defined as medical facilities that contain patients who are anticipated to stay for a duration of more than 24-hours, Inpatient Care facilities are designed to serve patients who have the greatest needs for care: the sickest and most injured, as well as many of those who require specialized tests and treatments that simply can’t be provided in an outpatient setting. 24-hour operations pose unique challenges for construction, and our team has extensive experience developing complex phasing and logistics plans to minimize the impact on the building’s operations and occupants. Our team excels at providing creative solutions to the challenges that many hospitals face, and we bring extensive experience to the table at navigating complex regulatory requirements, overcoming limitations of an existing building infrastructure, and maximizing the functionality of any available space to bring returns on your investment. INPATIENT CARE SAMPLE PROJECT TYPES:

• Surgical Suites • Hybrid ORs • Imaging Suites • Emergency Departments • Inpatient Psychiatry • Med-Surg Units • Intensive Care/Critical Care Units • Sterile Processing/Materials Management • Employee Health Services Heart & Vascular Center Hybrid OR SUNY Upstate Medical University Hospital

Psychiatric Med-Surg Unit Strong Memorial Hospital

Nurse’s Station SUNY Upstate Medical University Hospital

Patient Room SUNY Upstate Medical University Hospital

Employee Health Suite Strong Memorial Hospital

Emergency Entrance SUNY Upstate Medical University Hospital

Big Flats Medical Office Building Guthrie Medical Group

Big Flats Physical Therapy Guthrie Medical Group

Lipson Cancer Center Rochester Regional Health

Medical Specialties Healthcare design encompasses a wide range of medical specialties, many of which have very specific requirements. Whether provided in an outpatient, ambulatory care, or inpatient setting, we are prepared to collaborate with you to make sure that your needs are met. Our extended team has the experience, resources, and contacts to ensure that every project is well founded with a knowledge base on any technical specialty.

Vein Care Center of Rochester Rochester Regional Health

SPECIALTY SAMPLE PROJECT TYPES:

• Surgical Suites • Procedure Suites • Imaging Suites • Pharmacies (USP <800>) • Laboratories • Psychiatric Care • Oncology • Cardiology • Dermatology • Endoscopy • Optometry • Physical Therapy • Dentistry • Many more! Operating Room SUNY Upstate Medical University Hospital

Here where and when you need us. With offices in New York, South Carolina, and Texas, plus a reach well beyond, MRB Group is ready for your project. Learn more about locations and our connected culture by visiting our locations page. NEW YORK

SOUTH CAROLINA

TEXAS

Albany Rochester Finger Lakes Syracuse

Charleston Columbia

Temple Austin Waco MRBGroup.com