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2 8 10 14 The Big Four-OW 16 19 A Passage to India 20 26 whos counting? 32 Not just new experiences, authentic experiences.

Designing Your Own

Fountain Of Youth

Can architecture make you live longer?.

WHAT WEVE LEARNED FROM TV

MEDICAL DRAMAS

Lights Camera AUDIENCE Surroundings as an Actor

Celebrating 40 years of Orcutt | Winslow

EDUCATION’S FUTURE

Forward thinking schools

Harnessing India’s Growing Economic Strength

One Designer’s adventure

[UNTITLED We are all guilty. Let’s just admit it right now... people can, and will, judge a book, or in our case, a magazine, by its cover. It’s just human nature to have a reaction to what we see. [untitled] is our way of saying we don’t label our work, and more importantly, our identity, as architects. The visual acuity that stimulates the brain is what instantly connects us to design and architecture but, our ability to imagine is what opens the floodgates to creativity and design. Think about it this way, when you see a blank (_______), white space (

) or even dot, dot,

dot (...), you have no choice, your mind’s eye takes over and fills in the void to complete the idea. Designing architecture is a lot like that for us too. A blank sheet of paper, a cocktail napkin, or the blinking cursor on our computer screens all become the design canvas of the architect waiting to be filled.

Our ideas are fueled by

our collective imagination, the participation of anyone as interested in the solutions as we are, and the hope that our design will impact the world in a positive, sustainable way. Orcutt | Winslow’s design manifesto is to “give the world a design experience they didn’t even know they were missing.” What are you missing? Let us help you find it.... We like to think the book is still being written on our work, so, until its finished, and we hope it never is... enjoy this portfolio, muses and ramblings contained in this, as of yet [untitled] publication.

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GREAT EXPECTATIONS

How coffee, taxi cabs and a Mouse influence design

Good Morning, Bob!” mimics a synthesized almost-human voice from the bedside alarm clock….Bob is an average guy waking up to an overcast morning in San Francisco. He’s in town from Phoenix for business, but decided to use some frequent flier miles to stay over an extra day and enjoy the city by the bay. He considers himself a tech savy guy, but doesn’t really think much about that as he punches the buttons on his tv remote to check the weather. He rolls a table over to the side of his bed to finish a puzzle from last night while he scans thru his complimentary copy of the Wall Street Journal, a morning ritual. He grabs his iphone and heads out of the lobby for a morning run and some coffee. Running down the street he passes a new Dunkin Donuts, remembering happy childhood visits with his father as he continues on to his newly found “favorite” Starbuck’s a few blocks away. Just as he has for the past three days, he gets his same cup of coffee with a personalized sharpie-written “Bob”on the cup and the knowledge that this corner store will connect him back to all that is familiar. As if on cue, the drizzle of rain begins, as San Francisco stays true to its unique personality. Not wanting to gunk up his new Nike’s by running in the rain, Bob tells his smart phone what he needs and immediately a message pops up to notify him of the closest cab and its ETA In this brief 60 minutes of his life, our friend, Bob has been engaged in a series of experiences that, for him, have evoked very personalized encounters, influencing (possibly without him even knowing) financial, physical, emotional, professional and the personal decisions in his future. Whether it was an airline’s reward program, adaptability, theming or personalized technology, how our products and environments engage us weighs heavily on their success in the marketplace. We live in a world that is in the business of creating not only destination experiences but, ones that fill in the gap between experiences that are not just new and engaging, but more importantly, are authentic ones. We want personalization and a customized platform in a world of sameness... and we want it to be meaningful! Generations before us have lived their whole lives expecting greatness, nothing less. New projects and industry innovation is continuing to feed this emerging economy of personalization and pushing designers to find competitive solutions

We live in a world that is in the business of creating not only destination experiences but, ones that fill in the gap between experiences that are not just new and engaging, but more authentic ones.

in each and every marketplace. Books like The Experience Economy or Authenticity by Joe Pine and Jim Gilmore, or If Disney Ran Your Hospital (Fred Lee) or Gary Adamson’s Starizon retreat, and myriads of others have acknowledged experience as the forefront of our choices and economies. And, we have! As designers and idea movers in the dawn of our century, we want to make a difference and create environments that will help our businesses grow. Consider how architecture takes a broad view of the economic and experiential successes of varying industries across the world to help solve the challenges that we all face every day.

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Architectural solutions must cross-pollinate and jump past their own typical boundaries. It is no longer “just” a healthcare issue or “only” an education issue. Hospitals don’t just want “hospitality” design, they want high tech “boutiques” that have the ROI of retail giants, while their patients (rightly so) demand “healing.” The educational field is competing for student retention more than ever in both K-12 and higher ed markets --and their students want “memories” as much as they need knowledge. Charter schools have personalized their curriculum to provide differentials that were non-existent in prior decades. We know that modern brand-building is as much about the customer experience as it is about the actual product, it is our job to design the physical construct that will offer those great experiences. Here’s how we took the “greats” from market leaders that we know and love and applied them to design that works...sometimes by intuition, but mostly, on purpose. 3


It’s EXCEPTIONAL: Ritz Carlton: Companies like Ritz Carlton exemplify the “of course” of excellence and an experience that goes beyond premium service. Our business schools have shown us, we have read the cases and even experienced it ourselves…and there is a reason that Ritz has been featured as a company who lives a promise, wholeheartedly. Their retail counterparts like Neiman Marcus, Saks Fifth Avenue or the Waldorf have reached out just as far to find the overlooked indulgences that could be offered to their customers. On that note, John C. Linclon’s Breast Health Center in Phoenix (1) captures important marketshare and the buying power of its patients to achieve excellence through Women’s health services - an issue that has positioned itself into a top-of-our-mind category in recent years .

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It’s NOSTALGIC: Dunkin’ Donuts and Gourmet Ice Cream Trucks: “Time to make the Donuts” brings a nostalgic ere to what we see and what we want from this re-invented donut chain. Founded in the 1950’s this company originally focused on making donuts, but over half of Dunkin’ Donuts business today is in coffee sales making them a major competitor to other well known coffee “shops.” The smell of coffee in the morning has become strategically inserted into our morning routine and rituals whether we like the warm brown beverages, or not. Likewise in a similar fashion, gourmet ice cream trucks roll thru urban neighborhoods with music chiming, with the objective of bringing back thoughts of childhood happiness. It becomes the proposition of taking something “old or nostalgic” and reinventing it into something fashionable and new. Architecture is constantly responding to these types of cultural swings. Located in a historic area of southern Phoenix, the architecture of TG Barr Elementary School (5) is rooted in the past life of the site. Influenced by the gardens used by Japanese Flower growers that once populated the area in the mid 1900’s, classroom buildings are organized in rows that mimic the furrows of the fields. Spaces between buildings are designed as patches of land ready for cultivation. Students (and parents) learn as much outside the classroom as they do inside. Every classroom has a strong visual connection to the outside garden learning spaces. Contemporary panelized metal walls remind us of the simplicity of those used in southwestern farming communities.

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It’s MEANINGFUL: Alex’s Lemonade We all want to be part of something much larger and important than just ourselves. Purpose in life, meaningful relationships, a cause, and experience create stories! We were moved by the story of Alex’s lemonade stand. Alex, a 6-year-old with terminal brain cancer actually didn’t sell us lemonade; she sold us on her cause--and raised over a $1million before she died. She was selling something people wanted to be a part of…change. Designers in particular, look for those moments, projects or people that we can connect with to make the world a better place. Often overlooked are the men and women that served our country in military service. Many veterans come home from war with illness and special needs. The Veteran Home of Tucson (2) was a project that gave Orcutt | Winslow an opportunity to translate our passion to make the world a better place into meaningful design. Tucson’s new Veteran Home uses community resort living to provide living and social spaces for Veteran’s to re-habilitate, get back on their feet, or live at the end of life.

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It feels AUTHENTIC: Disneyland When people talk about experiential design they often associate it with authenticity. Or maybe, faux authenticity. . Disneyland is the ultimate example, it’s real but its not. Sleeping Beauty’s Disneyland castle is not 4

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the actual Neuschwanstein castle in Germany and New Orleans Place is not really Bourbon Street, but they seem real, they have aspects of what we know is real and they make us feel like we are in a place that we know and love. They evoke emotion and thus, positive experiences. Las Vegas is the same way: the Venetian takes us, briefly to Italy, and casinos like New York New York give us that “we can make it anywhere” feeling. Master planned developments like Ryerson Senior Communities are designed around themes that transport residents to a world that feels comfortable. At Ryerson Indian Wells, California, (6) shaded landscaped gardens, balconies that face the San Jacinto Mountain range and expansive windows are designed to connect residents to the desert, creating a sense of place and community—a village of their own personality.

It FILLS the GAPS: UberCab Ubercab changed the way you can hail a cab in San Francisco, with a simple application. A traveler signs up for the service and downloads the client phone app, they’re ready to catch their next ride. Using the phone’s GPS, the app knows where they are. Pressing a single button sends out a message to nearby cab drivers (who have their own phone apps), asking who wants the fare. With a single press of the driver’s buttons, the cab is on its way to the traveler’s location. While the traveler is waiting, they can enter their destination, which creates a map for both the traveler and the driver. This helps estimate the fare and ensures a speedy trip without confusion. Now the real experience comes. The GPS of the driver’s phone sends updates to the traveler, letting them know how close they are. If the traveler changes location (to get out of the weather, for example), the driver is immediately notified. How often have we made an appointment to see our doctor at a set time only to sit around a waiting room for and extra ½ hour before seeing the physician? Arizona State University’s new Student Health (10 & 3) center uses a technology called “Care Pass” to minimize waiting time. Students sign up for appointments ahead of time and are alerted minutes prior to when the doctor is available to see them. This simple change allowed us to dedicate more space to valuable clinical space rather than waiting rooms. As a side benefit more students are choosing to wait/study in outside garden spaces in the fresh air and sunshine - a much healthier environment than waiting indoors.

It’s PERSONAL: Starbuck’s Personalization on a Starbuck’s cup---It has happened to all of us, you accidentally pick up “Bob’s” drink! Panic attacks as you realize that your name is not the one on the cup. You can’t drink Bob’s blend! Your coffee was made just the way you like it by the barista that greets you

everyday. We don’t need a psychologist to tell us that we all like to feel special, even when it may not even logically translate to uniqueness. Architecture reflects the personality of its users and sometimes even impersonates another “unique” idea. At Blue Cross Blue Shield of Arizona’s new Townley Campus (7 & 8) the employees view their workspace as an extension of home. It became a place with comfortable furniture, a work out room and a lounge that reflected the persona of its inhabitants.

It’s SUPRISING: “Just Feed Me” at Louisiana Bistro In New Orleans there’s a restaurant for adventurers that lets the chef to get to know you and then customize a meal that he thinks you will enjoy. It can only be described as a series of “what next” moments. Similar to personalization, designing for a client is partially manifested in what the designer sees in you as the Owner. What if you gave your architect the same liberties as the Chef in Louisiana? … There are few projects where this kind of trust exists but at the Reproductive Medical Institute (4 & 9) a fertility clinic in Tempe, Arizona, it happened. The lead architect for Orcutt | Winslow on the project had just gone thru fertility treatments and was very in-tune with how they worked. He recognized how the experience could be made better – less stressful. He recognized that it was critical that patients feel comfortable and at ease in what is a very high stress environment where stress reduces the odds of a successful treatment. Warm wood, colors in soft hues of greens and grays along with adjustable lighting create an atmosphere of comfort. The high quality of the environment suggests a high quality of patient care.

It’s REFERENTIAL: Joie de Vivre Hotels The Joie de Vivre Hotel chain reflects the personalities of their guests with unique themes and amenities. They want their guests to find their own personalities in the style ---Joie de Vivre hotels also feature some unconventional, specialized amenities more in line with boutique properties. For instance, guests of the cinemainspired Hotel Bijou are invited to view free San Francisco-based movies in a screening room just off the lobby. The in-house psychologist at the Hotel Acqua offers therapy sessions to relieve

stress from the anxious traveler, and the Nob Hill Lambourne offers a homeopathic remedy bar, free vitamins, yoga videos, and algae shakes for breakfast. Theming offers a subtle comfort, it livens the senses and allows for positive distractions and communicates what could be mundane to “memorable.” The Ryan House, (11) a pediatric palliative respite center in downtown Phoenix is modeled after a home, with spaces designed for kids to create memorable impressions to its guests (many with terminal illness). In this case our designers knew their clients well, understood their uniqueness of their operations and remembered their preferences. The design wanted to be individualized, yet at times interactive, with the ability to form a bond with each visiting resident. The lines between patient care, social interaction, technology and inhibition are blurred.

It’s SIMPLE: Apple Apple products are revolutionary because of they’re simplicity, their ease of use. As an example the user manuals for apple products have progressively gotten thinner and thinner and are now to a point where they don’t exist. When you by a Mac or iphone you simply plug it in and start using it. The genius of Steve Jobs was that he saw the importance of the man/machine interface years before anyone else did. As a result, this notion of simplicity of use influenced the outward design of the products. Clean lines, durable materials, glass & stainless steel are trademarks of all Apple products. At the Chandler Unified School District, we sought to create a District Office building that was easy to use, one with clean lines and a simple yet elegant palate of materials and color. Because of its public nature it was important that it appear transparent an open with a clarity of entry. Offices are logical in their layout and organization. Natural light invigorates the interior with energy. We are constantly inspired by so many of these “out-of-industry” examples of life changing ideas and we challenge you as our clients and friends to look at the successes of these innovations to look at how they might apply to your next project. What kinds of leaps can you take? Why be caretakers of old ideas, let’s see where the new ones take us!

People who are saying things are ‘impossible,’ should not interrupt people who are doing it 11

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If you ask most people what the secret to living longer is, most would be at a loss to tell you…but don’t worry there are lots of “experts” that are more than willing to let this “secret” out. Is it Diet? Do we listen to Dr. Andrew Wiel?... Or, dieting, and we should be listening to Dr. Robert Atkins? Maybe its neither, maybe its Vitamins or Supplements? Is it exercise of Fitness? (Jack La Lane died at 96) is it the type of exercise? Yoga, Weightlifting, Running or just plain old walking? Maybe it is really about the less quantitative or abstract concepts of; Socialization: Having Family and friends aound to make us feel connected to the world around us.;Having a sense of Purpose: Feeling like we are still useful and have value through out our lives; Continued Learning: Keeping our minds alive and engaged by continuing to challenge ourselves; Spirituality: Having a purpose and a calling that is bigger than our physical world.

The truth of the matter is, according to Dan Buettner in his book “The Blue Zones,” we are not genetically predisposed for long life. We are programmed for Procreative Success-a biological term that is defined as the age where you have children plus a generation – when your children have children. This is true for most species – if you’re a dog or cat, a whale, or a human being. Your odds of living to be 100 are less than 2%! Teamed with National Geographic and the National Institute on Aging, Ted Buettner found six societies where people lived longer than the norm. He called these societies--where longevity is much higher than those in the rest of the world-“The Blue Zones”. His group performed research that analytically synthesized what makes these communities beat the odds and live longer than others.

As architects, anthropologists and interior designers we questioned how the architectural façade might relate to a more engaging, long-living life. We looked specifically at these three of the six and considered what we, think we can do to impact positive social change, by building on this research: Sardinia: 10x more Centenarians live here than in the rest of the world Okinawa: Live 7x longer than the average American Loma Linda California: Women live 10 years longer than the Average American Female

Only 10% of how long we live is determined by our genetics . The other 90% is dictated by environmental factors.....

DESIGNING YOUR OWN

FOUNTAIN

YOUTH

Actuarial tables tell us that life expectancy in the U.S. is about 78. Science tells us our bodies are good for about 90 years of life. This means that We leave almost 12 years of life on the table. How do we tap into that fountain of youth?


Sardinia

Loma Linda, CA

9communities Common Lifest yle Habits of Centinarian

Okinowa

These Blue Zone communities had some unique but many common lifestyle habits. We identified nine of these habits that extend longevity and then considered how we could change the Architectural DNA of a Senior Living Community to encourage passive advancement of these healthy living habits

No E xercise Make things a little less convenient!

Pathways around your facility can create a topography for pedestrians, through organic-shaped walking paths. These pathways can also be lit for nighttime strolls. By locating common services, such as mail, food service, and personal care retail around these pathways, you can create a “Town Center” for your community.

E at Drink and Be Merry How can you encourage Healthy Eating?

The use of outside space to create gardens to grow vegetables or herbs and hold famers markets will encourage these healthy habits. The kitchen, or using empty or seldom-used spaces for a wine cellar, could also be used as a demonstration kitchen to highlight healthy solutions.

Find your Passion What’s your reason to wake up in the morning?

The key is to provide flexible space for residents to practice what they love doing, gardening, martial arts, dance, or music. By changing out a floor surface to a portable wood material, many of the performing or movement arts can be accommodated.

Connections How can you create “touch point” opportunities?

The front porch concept of opening up homes or outdoor patio space onto interior green space creates a touch point for residents and visitors. Other touch points could include designating shaded outdoor space for chess tournaments or weatherfriendly games or setting up umbrellas in open areas to create “conversation courtyards”.

Family First What can we do to keep families close by?

We want to create the “Grandmother effect” where the younger generations are drawn close to the elderly population. This helps the elderly population live longer. Drawing families by designating specific residential units that are currently vacant as “hotel rooms” for visiting families is key. In addition, the design breakout rooms within Dining Service areas that can be used for private family functions during holidays will aid in drawing them close.

Activate the Senses Engaging all five senses heightens the experience of life. How can we design an environment that makes it happen?

Engaging sight, sound, touch, and smell can be as simple as creating gardens with seasonal color, highlighting the movement of water, creating tactile walking surfaces to identify changes in use, or branding the scent of your facility. Something as simple as baking bread or sweets during off peak kitchen hours to serve to residents and visitors will create a heightened experience.

Belong to the Right Tribe Spirituality, activities and similar values in life are vital to longevity. What are your resident’s common life goals?

Everyone needs something to belong to and believe in. Creating places of worship inside and outside, such as prayer gardens, using existing space in maintenance shops for residents that enjoy woodworking or automotive tinkering, and dedicating buildings where residents can co-locate with others with similar interests, will encourage this. It could be a common interest such as dogs, sports, or artists. Dog parks or runs in more active areas of the community can bring residents together.

Mix it Up How do you create a multi-generational environment?

A sense of community allows residents to feel as though they are a part of something. From the idea of residents as caregivers for a Daycare for employee kids, to creating playgrounds near resident recreation areas, this community can expand from just residents. Student interns could also work with residents to learn new technology skills, while residents teach students “the old ways” of craft and pass on life lessons that come with age. Another concept would be to create art patios or places with “street artists” on paved areas to display their work.

Stimulate Your Mind What do residents need to stay mentally alert?

Continual learning is key to stimulating the mind. This could be as simple as providing remote learning college classes by creating multi-use rooms that can serve as both meeting and lecture rooms.

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Emergency Room visits can involve trauma and often, drama as well. Primetime TV portrays fast-paced excitement and immediate solutions in this 24 hour, non-stop healing depot, and somehow they always seem to neatly tie up all of the loose ends in less than hour (including commercials). Physicians and Nurses alike will tell you that ED Medicine is not likely to resemble Grey’s Anatomy, ER, House or Scrubs …But, it may be true that many of the problems, oddly, offer some similarities.

LEARNED F

whaT weVE ’

This analysis of Emergency Medicine focuses on a generation of consumers who not only want solutions to operational, clinical and efficiency issues, but demand (as they have come accustomed to in all areas of their lives) great experiences and exceptional outcomes. Whether it is an aged hospital looking for an upgrade to retain and capture marketshare by giving high level patient experiences and care to the under-served (for the costs even lower than you can imagine) or brand new multi-million dollar expansions, the ED has been the hospital’s “new front door” for a long time now. It offers a high revenue stream and brings in up to 70% of hospital admissions, in some cases. The recent recession has forced large populations of people to ignore health issues and doctor visits to save money…until its too late. This has added to the traditional emergent patients and non-emergent “primary care “ patients that have lined up for ED care and increased volumes in recent years. Reality tells us that best practice includes both evidencebased design and best practice common sense. Drama TV entertains us while it tells us what to expect. The parallels are uncanny. What did we learn from Grey’s Anatomy, ER, Scrubs and House? We learned that no matter which side you are on, the patient or the medical care provider, the Emergency Room is a fast-paced, action packed hub of very strategically designed patterns and protocols.


FROM TV

medical dramas

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1: Unless they arrive by ambulance, 4: Expect the unexpected No one knows 6: Residents get tired. We all know no one ever knows where to go what the next case may be, a broken arm or a rare that hospital staff, physicians and nurses work It is true, the drama associated with a medical crisis adds to the confusion and uncertainty that surrounds entering the ED, or any other medical facility for that matter. Ease of wayfinding becomes essential in the design. Since the ED is the point of entry for patients, constituting their first experience in the hospital environment, separation of the ED entrance from the main entrance (if at all possible) can help lessen wayfinding anxiety. A straight driveway minimizes the number of decision points and distractions like crosswalks or stop signs that become subtle obstacles in the progression. The use of other clear visual cues like low level landscaping or forced pathways, streetscape, lighting, drop off canopies or architectural features that draw attention to the ED entry will allow for signage to do its job. Also, see apps like the Help I’m Hurt Emergency Room Locator or remote check-in options. Some pilot programs have even offered drive up services, valets or parking hosts to minimize the situation.

2: There’s always Clutter. Even in Seattle Grace’s fictional ED (which is actually quite small as an actual ED) where there seems to be endless space for any number of doctors to gather, we still see the carts in the hallways and long corridors that require staff to run from one room to the next. In reality, space is at a premium, clinical space is never large enough and there is never enough real estate to do be frivolous. Even when hospital staff move into a new space, they always need more room for something. To solve this issue, think cruise ship design. It is all about making the most of limited space via niches for crash and equipment carts, combo dispensers for gloves, masks and trash, and getting equipment, like computers and monitors up to an ergonomic level, off of the surfaces that tend to clutter, while making them HIPAA compliant. This not only minimizes clutter, it offers shorter walking distances and other efficiencies proven to result in better outcomes. Providing a space for everything, with everything in its space is ideal.

worm that has infested a man’s entire body or a couple bound together by a pole that fell from a truck piercing their bodies. This active workspace must be prepared for anything from immediate surgery to isolation. Patient and staff flow and adjacencies for ambulances and EMS personnel, Trauma Rooms and ORs are especially important. Adaptability is key. Ie. radiology/imaging and OR adjacencies (or close by), elevators that are properly sized for gurneys and a cast of thousands of medical care staff, the ability to open on room to another, moveable equipment and carts, ceiling/ overhead technology and equipment.

grueling and stressful hours. Sleep rooms and supply closets disguise themselves as more than just places for rest on our favorite sex-infused dramas, but in real life designated lounges, healing gardens and other “off-stage” spaces serve as respite spots, even if only for a quick breather or a bite of a sandwich. Ideally, space within the nurses station that is not necessarily off-stage, but more “stage right”— with the ability to be in close proximity of the action, but unseen by others except co-workers—is good idea. ie. a counter with frosted glass walls in a u-shape or a centralized nook.

5: The Swine Flu isn’t enough… TV

7: Privacy.

digs deep to introduce us to the rarest of contagious diseases and makes us think more about infection control. Isolation is also on the rise: Most EDs have an HVAC system separate from the rest of the hospital to prevent highly infectious diseases from spreading. Within the ED, some individual rooms have an independent air-control system to allow for negative or positive pressure to keep contaminants either in or out (whichever the case may be). Infection control slithers into every nook and cranny of our hospitals from the frequency of changing light fixtures to ease of maintenance or cleaning of flooring to soiled garments or instruments. The design must focus on even the smallest threat.

Despite the fact that everyone on TV seems to know about everyone else’s private life, Privacy is an issue...HIPAA drives the requirements for privacy, communication and display of secure information. Good design can help this issue, but not always solve it. Private patient rooms are becoming the norm. Many hospitals are choosing walls over potentially infectious curtains and finding other ways to allow for flexibility and privacy. Nursing stations are the hub and therefore full of potential for privacy breaches. Be it electronic, oral or written, the “Cone of Silence” when it comes to private information must always switched “on”.

3: Someone is always waiting somewhere. Waiting rooms, patient rooms, and nursing stations are nearly always crowded with people waiting for something. They are waiting to see someone, waiting for a test result, waiting for admit, waiting for discharge. Gone are the cavernous waiting areas, replaced by more intimate spaces scattered throughout the department, where family members can wait, eat, or consult with physicians in more controlled zones for audio and visual privacy. Even clinical spaces have been redesigned to allow for higher volumes by adding smaller fast track treatment or holding areas to keep wait times down and patient flow.

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8: Patient Safety. Security is ALWAYS important. Yes, its true that gangs sometimes enter the ED to “finish of the job”. Although that is and extreme example, paranoia and hysteria often enter through the main entrance and it is up to the Waiting Room staff to manage the situation. Not only should the reception area be designed to be secure, but the staff must be properly trained and the inclusion of a separate security office or room is advised. Ideally, the security station should be immediately adjacent to the entry and Waiting Room, with direct visibility to each along with the exterior to monitor parking and activities outside. A careful balance between a welcoming image and security must be struck without sacrificing the benefits to either one. Then there is the potential (although low) that a major catastrophic event takes places that causes a flood of casualties to converge upon the Emergency Department. Emergency disaster preparedness and planning must be in place to handle such an event. More often than not, addressing such a crises will begin outside since building interior space would be cost-prohibitive and imprudent. Adequate space and facilities for temporary decontamination structures and vehicles must be provided in a way that maximizes administration of care while minimizing first costs.

9: No one on TV ever comes to the ED with a sore throat. In real life reimbursements and space matter. It is important to get patients in and out... (triage/ urgent care/fast track/drive up ed) There is a tremendous burden on ED’s to diagnose, stabilize and heal patients at rapid rates so that beds are free for the most severe cases. For example, someone who thinks they are getting a migraine, traditionally might triage, give vitals, then be taken to a room. This person is taking up valuable space for a potentially more acute patient. A FAST TRACK or TREAD (treat, render….), system allows a less acute patient to be placed in a modified fast track (triage) to assess/diagnose for treatment or dispense/prescribe medication to get less critical patients out of there so they are not taking up a room. Holding bays, which can be expensive (and expansive) may take up more space, but can offer high volume ED’s alternatives for observation or overflow

9: Chaos is not really chaos ED operations need to be extremely efficient. Accessibility from one central hub to other departments streamlines the process from entry to release. 40-70% (and higher) of inpatients are coming through the ED--The emergency department actually serves as one of the primary entry points into the health system. When treatment rooms are assembled around one center nursing hub, greater control, visibility and efficiencies are achieved. Nursing stations also serve as traffic control towers. Therefore, when chaos erupts, having them in close proximity to the source can mitigate disruption and confusion.

10: There is a bar across the street. This might be a coincidence, but we think not. Smart businesses realize that hospitals and their users need services outside of their own walls. Medical office buildings with physician offices, rehabilitation, imaging or related services make a lot of sense…so do restaurants, hotels, mailing and copy services and, yes, a bar may be just one of those places.

7 1 8

3 10

6 9

5 2 13


Lights,Camera The power of a dramatic or musical performance lies in its ability The lights fade‌the curtain opens‌ an audience finds itself in medieval Denmark, watching Hamlet tragically avenge his father; or at the Russian defense of Moscow against Napoleon in 1812, listening to Tchaikovsky’s Overture; or in the bowels of the Paris Opera House, hauntingly serenaded by its Phantom. Captivated, the audience and their setting is completely transformed by the performance unfolding before them.

14

to


era,AUDIENCE

to transport the audience to the alternate reality of another time and place.

Such is the power of a dramatic or musical performance: its ability to transport an audience to another time and place, to carry imagination, intellect, and emotions away from the present and into the alternative reality of the performance. This power to enchant an audience must be served by it environment, the space in which the performance demands its presence. The seating chamber, often referred to as the “houseâ€?, must isolate, even if for only a series of minutes. It must be visually, acoustically, and environmentally distraction-free so that the attention of the audience is uninterrupted. There can be no errant light, no impertinent noise, no distracting draft, no uncomfortable material. Indeed, the space that offers the most stimuli is the space that asserts itself least into the experience of the audience, content to fade into the background with the dimming of the lights so that it is little noticed. Likewise, if the house is best designed to fade away during the performance, then the spaces preceding it ought to be preparatory, anticipating the forthcoming drama and gradually isolating the audience from the world outside. As in the house, the performance remains of first importance, and every space along the journey into the building serves to ensure its success  cont page 18Âť 15


16


celebrating 40 years of design excellence

17


Lights Camera AUDIENCE [cont from page 15]

At the Youngker Performing Arts Center, this journey is carefully orchestrated to prepare the audience for emersion in the performance. Part of a campus, situated alone in fields of maize, the building itself initiates the journey by acting as a beacon of light, signaling the presence of a performance in the landscape. As one draws closer, this light resolves into a soaring three-story lobby space behind a screen of perforated metal panels. With heightened anticipation, the journey into the performance continues below a dramatic cantilevered roof and into an intimate entry courtyard. The audience is welcomed by the cooling effect of both natural and constructed shade. Floor-to-ceiling glass blurs the distinction between inside and outside, and invites the audience to proceed into the lobby. Here begins a purposeful series of compression and expansion meant to accentuate the journey for the audience. This series takes the audience into an intentionally long, low vestibule before opening into the expansive and elegant space of the house. Leaving the 21st century far behind, the audience is prepared to be transported by the performance - to medieval Denmark, 19th century Russia or France, or any other setting offered, no matter how remote or fantastic it might be. The lights fade, and the curtain opens...

18


EDUCATIONS Do you remember the rotary dial telephone and the party line?

That was before your phone had a built in GPS system, web access or the ability to record a movie with sound. If you said yes, just think, you are not really that old, are you? If you said no, likely you don’t even remember Pong, which was released to the public in 1975. The first available commercial mobile phones were not available until the mid 1980’s. That means that any school administrator that is older than 34 years old was born before video games and if they are more than 26 years old, they were born before anyone had a cell phone. What does this history have to do with education and the design of educational space? Just think of the amount of information that is now available on line. With Google working to put most major books online and with professors at universities, such as Harvard and Stanford, having their class lectures online and accessible to anyone at any time, the world of education must recognize and accommodate these changes. Another factor to consider as a basic fact is that virtually all students today have access to video games. This means that the competition for attention is the commercially driven and interactive video game. Students are coming to school today with a level of expectation for things that will hold their attention to be at the same level of excitement, suspense or stimulation that current video games provides. These include action games or something as potentially educational as SimCity. Whatever the level of potential educational viability, the action or suspense is well thought out by the designers. What can we expect to happen in the next 5-10 years, the time in which we will build thousands of schools around our country? Will these anticipated changes impact the way we design educational space or develop curriculum? It would seem that they certainly should. For example, if an educational program were to be developed around the concept of the Wii games, how would that impact any educational setting that expects to be relevant for the next 20-30 years? What can we anticipate will be the impacts of holographic projection in the teaching of science or art?

F U T U R E

Because not all students have the luxury of being able to travel and see the world, what resources should you provide to level the playing field for those less likely to travel? Even if one is able to travel, to remember the feeling or the specific detail of a place is difficult at best unless it is immediate. Could you provide a total visual immersion where at least three walls of a space have projected images so that you could feel what the Shakespeare Theater would be like if you were studying the plays of Shakespeare or as if you were on the battlefield of Gettysburg when studying the Civil War? Even greater potential might be the utilization of avatars, such as Benjamin Franklin, John Adams and Thomas Jefferson and students were given the responsibility to create the Declaration of Independence. These alternative learning models are very possible today but they are not in common use. The even greater question is, what resources will be available to students even five to ten years from now? Assuming that it takes approximately two to three years from inception to completion, are there things that you should be anticipating in your next new school? How do you begin to plan for these and other unimagined opportunities? The willingness to stretch and think outside the box is difficult in our current social climate but with assistance, an overall strategy can be developed and presented to the community so that they can understand that their district is preparing their students for the world that lies ahead for them. 19


Passage

20

TO


India The year was 1492. The rise of the Ottoman Empire in Asia had cut off traditional land routes to the East, and the single most valuable commodity that Europeans in the middle ages depended on, black pepper, had become so scarce and expensive that it was sold by the corn and was used to pay rent, even taxes. European traders had to circumvent the Ottomans, and Christopher Columbus for one was certain that he would find a way to the land of spice, India going west. Though he never landed in the East Indies, the consequence of this sea faring tradition: navigating the unknown and assuming real risks in search of reward as a response to a predicament paved the way for the eventual exploration and flourishing of the New World as we know it.

»

The last few years have been very trying, to put it mildly, and have dealt us our own predicament. We seem to be mired in an endless stream of bad news: frozen credit, exploding debt, unprecedented liquidity adding to fears of the dollar’s decline and higher inflation, stagnating or declining growth in real wages, weak or lack of GDP growth, and worst of all damaged consumer & business confidence, so critical to an economy that relies heavily on the confidence of the consumer to spend and business to hire. Some argue that we are in a gradual, generational deleveraging and redefinition of our economy where high-unemployment and low growth is more the norm until the workforce reinvents itself to a highly educated, high-tech workforce that is better able to compete in a World full of players unfettered from many of the historical barriers to growth. Others argue that this may be part of a macro-economic trend, that we are witnessing the early stages of the decline of the US and Europe, the 20th century economic powers, and with the rise of countries like India and China, the return of the global economic center of gravity to South and South East Asia away from the Atlantic.

Orcutt | Winslow has been very successful stateside over the last 40 years. But the economic decline in the last few years seems to pose a new, far more sinister challenge, the permanency of which is still a matter of debate among the intelligentsia. Given such uncertainty, should we simply double down and retrench in recessionary markets as we always do, or tap into our inner ‘sea farer’ and explore markets such as India and China that may be within our reach in an increasingly flatter world? These countries were as recently as the mid 1800s, the two largest economies in the World accounting for well over 50% of global output. A century and a half of colonialism and exploitation, British in the case of India & Japan in the case of China had systematically stripped wealth out of these countries and relegated them to the third world status we find them in now. The last few decades however have seen these two historical giants return to a path towards development, and stronger growth. While we were languishing in a recession, China and India grew at >8%. According to the IMF, China is set to overtake the US in GDP measured on purchasing power parity (PPP) terms as early as 2016, and India, currently with the fourth largest GDP in PPP terms is expected to be as big as the US as early as 2025-2030.

The Indian Opportunity Why India? China has captured the minds of global thinkers in the last few decades due to its explosive growth and amazing development. But a lot of that quick growth comes under a system where there are curbs on freedoms, and authoritative decisionmaking is unencumbered by will of the common people. While famously encumbered by its bureaucracy, India is an intriguing growth story on to itself poised to break out of its ill’s. Tom Friedman once equated China’s authoritarian growth to a shiny new freeway that has a wall size speed bump

»

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Rowland Constructors congratulates Orcutt Winslow on 40 years of being a “Great Partner in Construction” www.rowlandconstructors.com SCOT TSDALE

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representing democratization in the distant future that you can’t just see yet, and India to a road full of potholes being mended; while the going is tough, the problems are visible and can being fixed relatively easily. India is the largest democracy in the World with 1.2 billion people and a vibrant parliamentary political structure. It was the fastest growing economy in the World last calendar year @ 10.4%, eclipsing China when compared on an apples to apples GDP reporting basis. It is a very young country with an average age of 29 years, and a middle class larger than the population of the US. It is the second largest mobile phone market with 700 million connections. It is a rapidly industrializing country that is also the largest manufacturer and exporter of small cars in the world. Added to this a consumerist society boosted by per capita income that doubles every roughly every 10 years, and a newly developing sensibility and value placement on the trappings of a better life. There is also tremendous government spending in infrastructure and amenities to try to keep up with this growth. Much of the spending is also matched by foreign direct investment in India from across the globe as the return on investment or (ROI) for this venture capital is significantly higher than the

single digit returns current being obtained in the conventional banking sector or the stock markets around the world. In the next 5 years, India is going to invest $5 billion in Hospitality, $15 billion in Healthcare, $10 billion in Education, and several more billions in Clean Energy. With the burgeoning middle class, the need for housing in congested cities is yet another exploding market. So much so that 86% of all non-infrastructure construction in urban centers is high density residential.

How we fit in… While there may be ups and downs, the Indian growth story is real and has legs. A lot of our competition has taken notice and the top 50 US Architectural/Engineering firms that have international offices in Asia, Europe and Middle East have also developed strong business plans around the unique growth transitions within this transforming culture. Regardless, there is an acute labor shortage, even in the soon to be most populous country in the world for qualified Architects, Engineers and Contractors who can deliver world-class projects. Also, the value proposition for cutting edge design & delivery technology and professionalism is changing, and people are beginning to accept and appreciate paying a premium for a well crafted, well delivered product or experience. Orcutt | Winslow is a firm capable and prepared to meet these needs and time to put roots to benefit from India’s long term growth was now. Orcutt | Winslow incorporated in Mumbai, the commercial and financial center of India last January. Mumbai is an island off the west coast of India, a teeming metropolis of about 20 million sitting on land mostly reclaimed from the sea. Real estate values are astronomical, costing thousands of dollars/sf in prime parts of the city, and there is extreme demand for new real estate owing to the booming middle class. Builders and developers who have historically focused mainly on maximizing returns have been meeting this demand. But of late, focus has turned to creative design, marketing, excellent finishing, and rapid turnkey design and construction delivery as a means to differentiate themselves from the crowd. Sahana Pride @ Sion is one such project that came to Oructt | Winslow as a competition with three other firms competing to be the designer of one of if not the tallest residential tower in Mumbai. Sahana Developers is currently constructing a tower designed by KPF in Worli, Mumbai, and wanted to develop a truly iconic and one of a kind project. Orcutt | Winslow was able to leverage our ‘turnkey’ design skills and present a phase one deliverable that also highlighted our marketing and graphic design skills.

The firm is also working on one other mid-rise residential tower of 12 stories height, and another high rise residential building aiming to be as tall as 25-30 stories at 300,000 sf. These projects are being delivered utilizing our unique skills, using state-of-the art methods, from early conceptual skin models built using Sketch up, to detailed, modularized BIM models of the finished units. Project presentations are being conducted through live videoconference and Web Ex presentations to bridge the physical divide between our clients. We will also soon begin work on the first precast residential high rise project in all of India in the southern port city of Chennai. This project is currently designed to be cast-in situ concrete frame construction for a 800,000 sf residential complex of 14-18 story towers. Orcutt | Winslow in association with TRC worldwide engineering will work out of TRC’s Chennai office and provide design details and drawings for the precast conversion of this project. This structural conversion is expected to knock 4-6 months off the construction schedule, and guarantee a higher, consistent quality of construction, which is a big deal in a country experiencing severe labor shortages. Once successful, this method of project delivery is expected to be a patented process that we can offer to many more clients. Orcutt | Winslow has also started partnering with other large E/A/PM firms in India and going after large scale higher education projects. Just recently, an expression of Interest was submitted to enter a competition for the master planning design of a university in central India spanning 64 acres, with educational facilities to be built over 20 years. Such current and future opportunities presented in India are very intriguing and promising.

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HESS - ROUNTREE, INC.

Civil Engineers & Land Surveyors 9831 South 51st Street, Suite C110 Phoenix, Arizona 85044 Phone: 480-496-0244 Fax: 480-496-0094 www.hessrountree.com

HESS - ROUNTREE, INC.

Civil Engineers & Land Surveyors 9831 South 51st Street, Suite C110 Phoenix, Arizona 85044 Phone: 480-496-0244 - ROUNTREE, INC. Fax:HESS 480-496-0094 Civil Engineers & Land Surveyors www.hessrountree.com 9831 South 51st Street, Suite C110 Phoenix, Arizona 85044 Phone: 480-496-0244 Fax: 480-496-0094 www.hessrountree.com

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Pre-Arrival: De-stress patient arrival

One of Orcutt | Winslow’s interior designers

First, patient experiences start long before a patient arrives at the facility. Go back to the basics of presentation, consistency, trust, value, choice and continuity. Think about how a consumer chooses just about anything. It all revolves around these base factors. As the Owner, administrator or architect how can the pre-arrival or selection process of the patient be “de-stressed?”

boarded a gurney as a patient for a minor procedure, and documented 9 major touchpoints (out of hundreds) in a facility she designed, to determine what was necessary to create a great patient, family and staff experience. As a result, designers and marketing professionals outlined

Many facilities offer online registration or pre-registration materials [one-on-one help for the cyber-challenged], private tours, or design that encourages family member participation. Designing clear entryways, wayfinding, stress-free parking, a valet or other brand identity offers familiarity and curb appeal.

some simple changes that a facility could make to gain better “experience outcomes.” This is only one test case and is overly simplified to display the steps in an experience map but points out some of the experiences that call for the most attention.

Arrival: Personalize the encounter FAMILY MEMBER

PATIENT

FACILITY

BEST IN CLASS

SEARCH

PREARRIVAL

“CONNECT & ATTRACT”

SUPPORT FEAR OF THE

NAVIGATE

REGISTRATION SURGERY

ASSURANCE

ANXIETY ASSURANCE

RELAX

“ORIENTATION”

RECOVERY

WELLNESS

“RE-ORIENTATION”

Journey Events DEPARTURE “ADVOCATE”

COMMUNITY LOYALIST

ENGAGE THE SENSES

“INTERACTION”

26

ASSURANCE COMPETENCY

Walking into an unfamiliar environment can be intimidating. Many people question what to do next or where to go and healthcare facilities tend to exaggerate this anxiety. When we look at models from other industries we can see solutions that might apply to a healthcare facility and help alleviate the fear of the unknown. For Example, Wal-mart offers a “greeter.” At Starbuck’s a barista asks your name and writes it on the cup. Try personalizing the encounter: A concierge can greet patients and lead the way to the next phase or present a packet of ‘things to do’ and ‘what to expect’ to family members. Stations that present food/drink, yet, restrict smells for those who cannot eat might begin to develop zones for family members.

Registration: Streamline registration Hotels and airports are learning how to use technology and efficiency in their registration processes. Hospitals can use kiosks or small supportive stations to tie personalization into registration and arrival by allowing options for communication. This allows for the lobby to become smaller and more intimate, and square footage can be saved for other spaces that generate revenue or greater intangible value.


Assessment: Create a “No Fanny Zone” Privacy is key in all healthcare environments. Create a “no fanny zone” with a living room/country club locker room feel, soothing lighting, ease of access to restrooms, robes/slippers, private bags or lockers for garments. If it is viable, provide carpet underfoot for less clinical feel. Artwork, music, water features, and real or imitation plant life also soothe and comfort patients. Privacy is always an important part of comfort and trust of an environment.

Pre Op: De-stress the patient environment One of the key factors in decreasing stress levels is information. A visit from the doctor and/or visual access to a nurses station(s) while maintaining privacy from patient to patient can be reassuring. Warm personal contact goes a long way – the patient will remember quality of nursing staff the most, family members will remember it even more…don’t forget them, allow them to support the patient. Pre-Op is the most stressful place – pay attention to ceiling, music, lighting, and color. Keep surroundings organized and clutter-free. Maintain acoustical privacy. A front yard/back yard concept in an outpatient surgery environment can also help flow, communication and overall efficiency.

Surgery: Focus on the Family Research has been indicating that patients with supportive family/friend care and advocacy have better outcomes, ultimately saving healthcare providers substantial amounts of money in the long term. Yet, over and over again family amenities are discounted due to budget restraints, space requirements or lack of attention. Communication and minimal amenities can make a family experience rise above their expectations. After all, the patient is often asleep or not able to remember the procedures; their family members are the reminders of whether the stay was a positive or negative one. Some ideas might include providing a surgery waiting lounge with positive distractions: internet café, books/magazines, meditation gardens, DVD players with a choice of movies, healthy snacks and beverages, variety of seating for all sizes of person and levels of comfort, and personal services (massage, facials, and manicures/ pedicures). Give frequent updates to family member regardless of progress/lack of news via traditional or new technologies like tracking boards, pagers or texts.

Recovery: Stimulate the Senses Waking up after anesthesia is disorienting and confusing. Time seems to have stopped and the patient slowly awakens wondering, “What happened”? “Am I ok?” Specify finishes that are recognizably different than those of Pre-Op. The change in physical environment helps the patient understand that they are in a different place. Make sure the family member is there while waking the patient so they feel comforted by the sight of a familiar face. Also, provide audio and visual privacy for this space. The patient will not only have to redress for departure, but may have private questions/comments to share with the nursing staff. Offer a variety of lighting. If possible, daylight is highly recommended for the most natural, efficient light source. However, a supplemental exam light and soft, indirect lighting, such as a decorative wall sconce, allow the ability to adjust the light levels to each patient’s particular need.

Departure: Leave with memorabilia Give your patients and their families a positive way to remember their experience while in your care. CD’s or pictures of the surgery, scrapbooks or postcards can all be reminders, written recovery instructions, and pre-filled prescriptions for the patient. Some facilities round off the experience with a personal thank you note or flowers to the patient as a follow-up and token of gratitude (marketing strategy) for choosing your facility. Whatever the memorabilia is, tangible or intangible, this touch point is a strong one for many “customers” and will help in obtaining them as a return client.

Follow up Take your own journey! Jump on a gurney and see what touch points you notice and how it affects the role you play in healthcare transformation. Whether, the physician or director of facilities, a new perspective will offer vital information to the design of a facility that results in positive outcomes.

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It was NINETEEN SEVENTY-ONE, Louis Kahn had just won the AIA Gold Medal and two long haired creative type entrepreneurs working out of their garage decided it was time to go legit and start a real business that would change the world – no not Steve Jobs and Steven Wozniak of Apple Fame, Herman Orcutt and Paul Winslow! Architects with a dream and a few (very few) dollars in their pockets.

½ DAY Friday

& P i n g P o n g

Ping Pong, Foosball , Festivus, Killer Sand Volleyball teams and ½ day Friday, it makes sense. Studies show that happiness is the #1 productivity booster. Happy people: 1 work better with others. 2 are more creative 3 fix problems instead of complaining about them 4 have more energy 5 are more optimistic 6 are way more motivated 7 get sick less often 8 learn faster 9 make less mistakes 10 make better decisions

FORTY P a r t i c i p a t E

I

b

M e

P c

A

C

o

m

T

e

To create consistency in our work (and the experience) A simple three-word statement with its not so subtle subtext has become the firms mantra. We PARTICIPATE and see architecture as art, we are all creators of the places in which we work, live and play...by participating in the creation of architecture we inspire the experiences that we, ourselves, and others have around us. We IMPACT our world by taking action...building a culture of empowerment...a place where balance meets hard work...and fun meets the bottom line. Sharing our lives...our talents and our ideas within our communities... We BECOME stronger by working together with a common vision and mind. The world comes one open door at a time...new faces, new ideas... new frontiers....when they all come together, they sustain us.

Community Commitment

Volunteering comes in all shapes and forms: building a Habitat House, pro bono work for a women’s shelter or the YMCA, planting trees, donating dollars for education, teaching a class, promoting a charity, serving at a soup kitchen…over 7000 hours per year are given back to our Southwest Communities by using individual design (and some time just good old fashioned elbow grease) skills in the places we work, live and want to thrive.

Disco Carl Carl Nelson, Director of Healthcare, started off at Orcutt | Winslow’s 40th birthday party, but since has been touring some of the best Arizona has to offer…who knows where he will pop up next! Bon Voyage, Carl!

52° 30' 57" | 13° 22' 37"

42° 43' 47" | 25° 29' 29"

29° 25' 28" | -98° 29' 40"

36° 35' 52” | 2° 11' 27"

42° 6' 4” | -72° 35' 21"

41° 1' 52” | -71° 57' 13"

36° 4' 8” | -79° 47' 40"

6" | 77° 12' 17"

36° 35' 52” | 2° 11' 27"

44° 58' 44" | -93° 15' 53" 44° 4' 52" | -103° 13' 51"

19° 19' 36" | -99° 1' 9"

28

29° 4' 51" | -110° 57' 7"

33° 26' 53” | -112° 4' 35”

40 years later...

those two Phoenix architects along with a global staff of architects, designers and AEC professionals have changed the world one building at a time – and we’ve all had fun doing it. Yes, we are known for designing within some very specific markets but, we like to think most people that have worked with us and for us, will remember the experience as much as the building.


Experience, Teamwork and Personal Commitment • Specializing in construction of Educational Facilities in Arizona for 31 years • Quality Construction Management • Completed 72 projects with Orcutt|Winlsow Partnership • USGBC & LEED AP Certified

(602) 216-6200 COMMErCiAL LiCEnSE nO. rOC 070479

PO Box 31490 Phoenix, AZ 85046 (602) 216-7760 FAX

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4/19/11 11:54


hos counting

147

49

projected percentage increase

projected percentage increase

in population of people 65 &

in total US population over the

over between 2000 and 2050

same period.

In 1995, approximately 50% of American schools had Internet access. Today, that number is 100%.

A doctor ca n bur y his mis ta k e s bu t a n a rchi t ect ca n only a dv ise his cl ien t s to pl a n t v ine s - Frank Lloyd Wright (1868-1959) most stressful jobs

10

10 Real estate agent 5 Newscaster

9 EMT

8 Stockbroker

4 Photo Journalist

7 Architect

6 Advertising Account Executive

3 Sr Corporate Executive

2 Public Relations Officer

1 Commercial Pilot

78.8 million

10 20 OUT OF

The number of students enrolled in American schools from kindergarten through college

fastest growing occupations are healthcare related. Healthcare will generate 3.2 million new wage and salary jobs between 2008 and 2018, more than any other industry, largely in response to rapid growth in the elderly population.

46% 25% 24%

Percentage of Medicare patients that had at least one readmission within one year

Percentage of privately insured patients that had at least one readmission within one year

Percentage of self-paying patients that had at least one readmission within one year

6Âź 12% ONE KILOGRAM/day The average number of Kilowatt Hours a 1 meter square solar panel can generate in 1 day in the southwestern U.S.

percentage of roof needed to be covered with solar panels to generate power for the average U.S. residence for 1 day

amount of waste an average hotel guest produces. Roughly 30% of waste in hotels can be reused or recycled

32

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Americans, that

are

uninsured or underinsured

80

percentage underinsured or

are

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uninsured

or

that are workers

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Complex Engineering Solutions Through Advanced Composite Innovation

Happy Anniversary The Orcutt Winslow Partnership Thank you for your support throughout the years

Structural, Civil, and Composite Engineering Services KPFF Consulting Engineers 2800 North Central Avenue, Suite 1010 Phoenix, AZ 85004

602-264-1010 www.kpff.com

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