Healthcare

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Consulting
Architecture Engineering Interiors
Healthcare

With roots extending back to a two-person partnership formed in 1898, Page is one of the most prolific and enduring architecture and engineering design practices. Page architects, engineers, interior designers, planners, strategic analysts and technical specialists provide services throughout the United States and abroad. Our diverse, international portfolio includes projects in the healthcare, academic, government and science and technology sectors, as well as civic, corporate and urban housing projects.

The Page portfolio consists largely of complex projects that benefit from our integrated disciplines and that make a significant impact on the communities they serve. We are guided by the three core values of creativity, collaboration, and commitment, and through the force of these ideals, we live up to our promise of design that makes lives better.

Visit our website at pagethink.com

We start with your vision. We design for the future.

At Page, we promise design that makes lives better.

Firm Overview

Page is a one of the nation’s top-ranked integrated design firms, with 1300+ people in 14 offices across the U.S. plus international affiliate offices. We are known for well researched, program driven solutions. Clients tell us we excel at complex projects and exceptional design.

Some of the key characteristics that distinguish Page from other design firms are:

Market/Building Type Expertise

With ten carefully chosen market specialties, Page brings a depth and breadth of project and building-type expertise that few other firms offer. Each of our market sector teams is extremely successful in its own right, working across the U.S. and abroad. Furthermore, our clients benefit from the cross-over expertise from multiple market specialists. For example, academic medical centers benefit from having one firm to handle their clinical, research, academic, workplace, and housing projects. Our Healthcare clients appreciate having designers with true Hospitality experience on the team Senior Living projects benefit from a combined Housing and Healthcare team. Such combinations are part of the Page advantage, and one of the reasons for long list of repeat clients.

Core Markets
Aviation Civic / Community / Culture Corporate / Commercial Government Healthcare
/ Hospitality
Critical Science / Technology
Academic
Housing
Industrial Mission

Creativity

Think curiosity/innovation/ imagination/optimism/originality.

Collaboration

Think sharing/community/ camaraderie/civility/teamwork.

Commitment

Think integrity/respect/giving/ discipline/rigor.

Comprehensive Services

Over our 120-year history, we have developed a comprehensive range of services carefully tailored to meet our clients’ needs. Today, our services include the following specialties:

§ Strategic Consulting, including programming, master planning, and strategic facility planning

§ Predictive Analytics, including simulation modeling and dataintensive analyses

§ Land Planning, including campus planning and city planning

§ Architecture, including design, planning, and construction specialists

§ Landscape Architecture, including hardscape design and outdoor furniture selection

§ Engineering, including civil, structural, mechanical, electrical, plumbing, fire protection, and IT/low voltage

§ Laboratory Planning, including specialized programming, planning and equipment planning

§ Interior Design, including workplace design

§ Sustainable Design, including resilient design

§ Furniture Planning, including procurement

§ Branding & Graphics, including wayfinding and signage

§ Commissioning, including new building commissioning, retrocommissioning, and healthcare facility commissioning

This range of services allows us to provide an integrated “total design” team approach. Our clients benefit from the highest levels of interdisciplinary coordination, quality control and quick response demanded on today’s complex and technically sophisticated projects.

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Children’s Health Andrew’s Institute / Dallas, Texas
This we believe. As agents for positive change, we are driven by the ideals we hold dear. In the delivery of our services, we are guided by three core values:

Healthcare Environments that Foster Quality Care.

Market Area Leadership

Mattia Flabiano III

aia, acha

Senior Principal / Healthcare Board Representative mflabiano@pagethink.com

Kurt Neubek

faia, leed ap, edac

Principal / Market Sector Leader kneubek@pagethink.com

Joan Albert

Principal / Designer jalbert@pagethink.com

Kregg Elsass

aia

Principal / Planner kelsass@pagethink.com

Beth Carroll

aia

Principal / Planner and Designer bcarroll@pagethink.com

Hilary Bales

aia, acha, edac

Principal / Planner and Behavioral Health hbales@pagethink.com

Jennifer Faseler

Associate Principal / Market Sector Manager jfaseler@pagethink.com

Our most valuable resource is our people.

As global healthcare design leaders, our passion for creating adaptive and innovative healing environments extends from small renovations and community clinics to large greenfield hospital campuses and academic medical centers.

What distinguishes Page from other Healthcare design firms?

Our People

Our clients tell us that our Healthcare team is among the best in the industry. We work as one firm, drawing specialized talent from anywhere in the company to benefit our clients’ projects. Our team includes a diverse array of professionals who specialize in various facets of healthcare facility design, including:

§ Strategic Consultants, including an RN, MBA, and PhD

§ Predictive Analytics/Simulation Modeling

§ Medical Programmers/Planners

§ Building Designers

§ Architects

§ Engineers

§

3D Modeling/Visualization Specialists

§ Interior Designers

§ Furniture Planners

§ Branding & Graphics

§ Commissioning Specialists

Our team is well-educated and credentialed in a wide range of areas that benefit our clients, including Registered Nurse, Registered Architects, American College of Healthcare Architects, Professional Engineers, Registered Interior Designers, Evidence-Based Design Accreditation and Certification, Lean Green Belt, Six Sigma Black Belt, Fellow in the Health Facility Institute, MBA, PhD, Leadership in Energy and Environmental Design (LEED) Accredited Professionals, Certified Facility Manager, Certified Healthcare Constructor, and Certified Commissioning Professional. This wealth of talent allows us to draw the expertise needed to serve our clients well.

As recognized Thought Leaders, Page professionals are active in sharing our knowledge, best practices, and lessons learned with our clients and with the profession at large. We write articles and blogs, speak at national and regional conferences, and host industry events. We keep up with trends in healthcare and related facilities, constantly learning from our clients, industry resources such as the Advisory Board Company, fellow Page specialists, and colleagues in the profession. Staying current allows us to bring relevant expertise and up-to-date information to improve our clients’ facilities.

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Our Processes

At Page, we tailor our approach to each client and project, but the following elements embody “the Page way” regardless of the project type or size:

Thorough Predesign Phase

It is widely recognized in the design and construction industry that a thorough predesign phase leads to better project outcomes. Yet few design firms have the rigor and expertise that Page brings to predesign with our Dynamic Listening® approach. Before we begin looking for solutions, we take the time to work with you to fully understand your goals and the challenges you face. Depending on the project circumstances, our approach may include a Vision Session with your key leaders and stakeholders, tours of the site and existing facilities, review of relevant studies and data, review of the proposed operations, exploration of potential facility strategies, and ultimately a succinct summary of the project requirements and decisions, including a statement of the project’s scope, schedule, and budget.

For some healthcare projects, Page can also bring specialists in Lean planning and Predictive Analytics/Simulation Modeling. These specialists help our clients streamline the planned operations, improve flow, reduce turn-around time, and optimize staffing and other resources.

Planning + Design

At Page, we have found that the best healthcare facility solutions are created through the marriage of skilled planners working closely with talented designers. The planners focus on the functional aspects of the patient and family experience, staff efficiency, flow, reducing travel distances and turn-around times, and the myriad building codes and regulations impacting the facility. Simultaneously, the designers also design around the patient, family and staff experiences, but they look at how image, branding, color, light, textures, and materials will achieve the project goals. Both of these perspectives look at Evidence-Based Design and other research to bring case studies and lessons learned to benefit our clients.

Page is not a “style shop” with one particular architectural design style. Instead, our designs respond to our clients’ goals, the neighborhoods, and the communities in which they are built. Our designs reflects our clients’ priorities and decision.

Integrated, Collaborative Decision-making

Page recognizes that the success of a project is a reflection of its entire team. In healthcare design it is imperative that our design experts work integrally with administrators, physicians, nurses, and other hospital staff to bring the skills and knowledge of each individual into a collaborative environment that builds a holistic project team. Healthcare providers a very aware of the clinical skills and operations required to provide care for the patient while our design experts can provide the planning and tools, models, and benchmarks that will speed the process and allow for informative decision making of an optimal design solution.

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Page’s Healthcare facilities are recognized for being: LEAN

Patient & Family-Centered

Evidence-Based Lean Data Informed

Community Oriented Healthy Intuitive Flexible

Sustainable & Resilient

Patient and FamilyCentered

We understand environments need to be supportive of the healing and recovery process, providing patients comfort and empowerment alongside their families to participate and collaborate with healthcare practitioners. Through the four guiding principles of centered care, Page has partnered with clients and community organizations to encourage design that reflects this approach to the planning, delivery, and evaluation of health care.

§ Patient Areas with Choice of Environmental Comforts (i.e. lighting, thermal, noise control)

§ Integrated Technologies of Communication for Sharing Information

§ Family Accommodations and Amenities that Encourage and Support Participation

§

Evidence-Based Lean

Collaborative Spaces that Provide for Continuum of Care

Evidence-based Design (EBD) is a widely recognized approach to gather available research and evidence about a project type in order to evaluate the applicability to a project at hand. For example, there may be applicable research studies about infection control, noise, daylight or color, to name just a few, that might positively influence the use of a space. While architects have always brought their own experiences and lessons learned from previous projects to a client, those schooled in evidence-based design bring an extra level of research and rigor to benefit our clients. A relatively small number of individuals in the industry are certified in this approach and gain the Evidence-based Design Accreditation and Certification (EDAC). Page is proud to have multiple EDAC healthcare specialists throughout our firm.

Lean is a systematic approach to identifying and reducing waste and improving quality that is widely recognized for its application in process-driven healthcare environments. Page’s Lean practitioners, led by a Lean Six Sigma Black Belt, work with our clients prior to design to help streamline and optimize operations. This can be extremely beneficial to a healthcare operation because designing a building around a suboptimal process will only perpetuate inefficiencies. By identifying and reducing multiple forms of waste that creep into processes over the years, our clients may save not only significant construction dollars but also reduce operational costs for years to come.

Using Lean in our design process includes activities such as visioning, observing users as they work, collaborative workshops, mock-ups, including contributors in the process, and helping achieve a better project ahead of schedule and under budget.

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Community Oriented

To find optimal designs for our clients, Page utilizes predictive analytics to detect patterns and predict future outcomes. Using clients’ existing data sets, we apply the science of analytics to test the operational efficiency of existing or proposed facilities. As a result, we bring quantitative, objective, and data-driven focus to the design process. We use event simulation software, statistical analysis tools, and Lean Six Sigma methods to simulate real-world processes and systems over time.

Our Predictive Analytics and Simulation specialists include PhDs, industrial engineers, and healthcare specialists who have conducted studies for everything from small clinics, emergency departments, and entire hospitals, and we are frequent speakers at national healthcare conferences. Healthcare in the community has always been a viable component of society with healthcare facilities commonly being the foundation that shelters the delivery of care. At Page, we understand our clients’ commitment to serving their communities and creating environments for healthy initiatives that nurture the healing and well-being of patients, families, and employees.

Our design style from each project springs from our client’s vision, but is also heavily influenced by branding and the project’s place in the community.

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Data-Informed

The commitment to sustain and respect our environment for future generations has challenged the design and construction industry to critically evaluate materials and methods that are utilized on projects, particularly in healthcare environments. As in the delivery of healthcare, “First Do No Harm,” we strive to have our environments perform to the same standard. At Page, the composition of the design considers the use of materials, products, and systems that promote environmental sustainability and regenerative health. We use industry resources such as the WELL Building Standard and LEED for Healthcare so our buildings help people work, live, perform and feel their best.

Intuitive

Sustainable and Resilient

Awareness of the power of the healing environment has guided Page to focus on providing greater comfort and autonomy for patients and their families. The world within a hospital can be a disorienting experience, with its frequent focus on illness, protocols, and equipment. The most successful healing environments start with clear and thoughtful planning. They provide wayfinding that is easy to follow and nurturing therapeutic spaces that reduce stress. Design considerations include:

§ Access to Daylighting within Corridors and Occupied Spaces

§ Views to Nature and/or Access to Gardens

§ Clear On-Stage / Off-Stage Circulation

§ Building configurations and orientations that promote clear wayfinding, without over-reliance on signage.

Healthcare buildings are designed to remain for decades, yet the interior environment needs to adapt and change at the same pace clinical processes evolve with new technology and operations. At Page, we design for long term flexibility, using concepts such as modular bays, planning for changes and future expansions, building infill spaces and shell space where appropriate and always planning ways to accommodate future changes.

With their “critical facility” designation and emergency generators, hospitals have long been sustainable and resilient to a degree. But today’s standards, these terms have new meaning.

§ Sustainable includes designing buildings that are healthier, better for the environment, and more water and energy-efficient than their predecessors. Page has extensive experience designing sustainable buildings. We have over 100 LEED-accredited professionals, and dozens of LEED-certified and other recognized sustainable buildings, including recent healthcare projects that are LEED Gold and Green Globes certified.

§ Resilient facilities have the capacity to endure and bounce back from disturbance or interruption. Page has significant experience in designing mission-critical facilities that can sustain natural and man-made calamities. Our healthcare clients benefit from our mission critical facilities expertise such as data centers and embassy compounds.

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Healthy

A.O. Fox Memorial Hospital

Advocate Children’s Hospital

Advocate Christ Medical Center

AFLAC Cancer Center at Egleston

AI Dupont for Children

Al Khalidi Hospital (JV)

Albany Medical Center

American Mission Hospital

Amsterdam Memorial Hospital

Anson County Hospital

Arnold Palmer Children’s Hospital

Atlanta Medical Center

Atlantic Health, Morristown Memorial Hospital

Awali Hospital (JV)

Banner Health

Baptist Health, Weaver Tower at Wolfson Children’s Hospital

Baptist Medical Center

Bay Area Regional Medical Center

Baylor All Saints Women’s Hospital

Baylor College of Medicine

Baylor Medical Center

Baylor Scott & White

Billings Clinic

Biomedical Education

Brackenridge Children’s Hospital of Austin

Brackenridge Hospital (JV)

Brazosport Memorial Hospital

Bridgeport Doctors’ Hospital

Camden Medical Park

Central Manchester & Manchester University

Centura Colorado Springs

Centura Health

Charlotte Kimelman Cancer Center

CHI St Joseph Manor, Continuing Care Retirement Community

CHI St. Joseph, New Bed Tower

CHI St. Joseph, St. Joseph Oaks Rehabilitation Hospital

Children’s Healthcare of Atlanta, New Orleans, Philadelphia, San Antonio

Children’s Medical Center Legacy Children’s Medical Center of Dallas

Children’s Hospital at Community Hospital

CHOA, Egleston, Scottish Rite Campus

Chowan Hospital

CHRISTUS System

Collom & Carney Clinic

Columbus Regional Health System

Comanche County Memorial Hospital

Craven Regional Medical Center

CUNY Sophie Davis School of DeBakey-Aliyev Cardiovascular Center

Department of Veterans Affairs

Depelchin Children’s Center

Doctors’ Regional Medical Center

Driscoll Children’s Hospital

Duke University Medical Center

East Texas Physician’s Alliance

ECU Brody School of Medicine

ECU School of Dental Medicine

Ellis Hospital

Emory University, Winship Cancer Institute

Exempla Healthcare

FirstHealth Richmond Memorial Hospital

Fort Bragg Medical Clinic (USACE)

Fort Dix Hospital (USACE)

General Care Centers (JV)

Georgia Regents University Children’s Medical Center

Georgia Regional Hospital Grady Health System

Greenville Hospital Systems

Greenwood Leflore Hospital

Gwinnett Investment Group Cardiology Center

Hackensack-Meridian Health System

Halifax Memorial Hospital

Hamad Medical Corporation Harbor Hospital Center

Harlem Hospital Center

Harris County Hospital District Harris Methodist, Hurst, Fort Worth, Southwest HCA

Health Science Center, Institute for Molecular Medicine Healthcare for the Homeless - Houston Healthcare Realty Trust

Hermann Hospital

Hopkins County Memorial Hospital Hospital de San Juan Bautista, Villahermosa Hospital Interamericano de Medicina Avanzada Houston Methodist Hospital System

Inonu University Teaching Hospital

Intermountain Health Care, Valley View Hospital

Jacksonville Ambulatory Health Center

Jacobi Medical Center

Jinzhou New Area Medical Center

Joe Dimaggio Children’s Hospital

Johns Hopkins Health System

Johnston Memorial Hospital

Kaiser Permanente Eagle and Summit County Kao Hsiung Veterans’ General Hospital KDC

Kennedy Krieger Institute

King Abdul Aziz Royal Naval Hospital

Kosair Children’s Hospitals

Larimer County

Lenoir Memorial Hospital

Littleton Adventist Hospital

Lutheran General Hospital

Lutheran Medical Center

Maria Parham Medical Center

Marquette General Hospital and Cancer Treatment Center

Martin General Hospital

Mary Imogene Bassett Hospital

MD Anderson Cancer Center

Medical Center Hospital

Medical City Khasm Al Aan (JV)

Medical College of Virginia Medical University of South Carolina Memorial / Sisters of Charity Health Network

Memorial College of Georgia, Children’s Medical Center

Memorial Healthcare Systems, Joe DiMaggio Children’s Hospital

Memorial Hermann Cypress Hospital

Memorial Hermann Health System

Mercy Health Center, Walmart Pharmacy

Meridian Health Jersey Shore University

Mission Hospitals

Missouri Department of Mental Health, Fulton State Hospital

Montgomery College

Morristown Memorial Hospital Cancer Center

Nash Health Care System

10 Healthcare Page Select Healthcare Clients

National Naval Medical Center

National Taiwan University (JV)

NC Correctional Institution for Women

Nemours Children’s Hospital

New Hanover Regional Medical Center

New York Medical College at Westchester Medical Ct

North Oaks Medical Center

Northern Health Authority of British Columbia

Northwell Health

NYU Polytechnic

NYU School of Dentistry

NYU School of Nursing

Obstetrical Gynecological Associates (OGA)

Ocean Medical Center

Oklahoma Heart Hospital System

Onslow Memorial Hospital

Orlando Regional Health System

Oschner Cancer Center (Medical Planning)

OSF ST. Francis Medical Center, Children’s Hospital of Illinois

Palmetto Health

Peebles Replacement Hospital

Physiological Training Facility

Piedmont Hospital, Piedmont Spine Center

Pitt County Hospital

Platte Valley Medical Center

Polly Ryon Hospital

Presbyterian Hospital of Dallas

Prince Hamza Medical Center (JV)

Qatar National Health Facility Master Plan

Radiology Complex & Women’s Imaging Center

Randolph Hospital

Region Hovedstaden, Bispebjerg Somatic Hospital

Rex UNC Health Care

Riverview Hospital

Robert Wood Johnson University Hospital

Ronald McDonald House of Charities

Roosevelt Warm Springs Institute for Rehabilitation

Rowan Regional Medical Center

Royal Saudi Naval Base

Saint Elizabeth’s Hospital, DCDMH

Saint Francis Health System

Salmaniya Medical Center (JV)

Sarasota Memorial Hospital Center for Women

Saudi Arabian National Guard Hospital

Scientific Research Center and Liver Hospital (JV)

SCL Health Platte Valley, Community Hospital

Scott & White Hospital

Sherwood Forest Hospital

Sitrin Health Center

Specialty Care Center (JV)

St. Clare’s Hospital

St. Joseph Regional Health System, Bryan, Texas

St. Luke’s Episcopal Hospital

St. Mary’s Hospital for Women

St. Peter’s Hospital

Stamford Health

Stanford University Medical Center

Stanly Regional Medical Center

Suburban Hospital/Johns Hopkins Medicine

SUNY Stonybrook School of Dental Medicine

SUNY Upstate Medical University

Supreme Headquarters Allied Powers Europe (SHAPE) Clinic (JV)

Surgical & Diagnostic Center of Sugar Land

Texas Children’s Hospital

Texoma Medical Center

The Institute for Immunological Disorders

The Institute for Rehabilitation and Research

The University of Iowa Hospitals

The University of Texas Health Science Center

Tidewater Community College

Trinity Medical Center

Trinity Mother Frances Hospitals & Clinics

Tulane Medical Center Hospital

UCHealth

UNC Hospitals

UNC Rex, North Carolina Heart & Vascular Hospital

UNC School of Medicine

United States Army Medical / Dental Clinic (JV)

University at Albany University Hospital System

University Medical Center

University of Chicago Hospitals

University of Chicago Medicine, Comer Children’s Hospital

University of Colorado Health

University of Louisville

University of Maryland Medical Center

University of New England

University of New Mexico Medical Group

University of Pennsylvania

University of Texas

University of Texas Dental Branch

University of Texas Medical Schools

University of Texas Southwestern Medical Center at Dallas

University of Virginia Health System

US Coast Guard

USACE Composite Medical Facilities

USAF USAF - Hawaii Air National Guard

USAF (NATO) Hospital

USAF Dental Clinic

USAF Flight Medicine Clinic

USAF Hospital

USAF Medical Center

USAF Primary Care Clinic

USAF Replacement Clinic

VA Austin Outpatient Clinic

VA Birmingham Primary Care Annex

VA Dallas, Houston, Reno, Tampa

VA Satellite Outpatient Clinic

Valley View Medical Center

Veteran’s Administration

Virginia Commonwealth University

Wake Forest Baptist Health

Wake Forest University

Waterstone Medical Office Building

Watson Army Hospital (USACE)

Wayne Memorial Hospital

Wellstar Health System

West Central Regional Hospital

White Plains Hospital

Wilford Hall USAF Medical Center (JV)

William Beaumont Army Medical Center

Winnie Palmer Woman & Infants NICU Expansion

Winship Cancer Institute

World Health Organization

Yacktman Children’s Pavilion, Lutheran General Hospital

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Planning / Analytics

Every building project starts with a Pre-design or Planning phase to identify the rationale for the facilities we design. These early steps may include:

Strategic Planning

These studies typically involve facilitating meetings with a board or committee to help build consensus. They may include SWOT Analyses (strengths, weaknesses, opportunities and threats), Scenario Planning, exploration of multiple strategies to address alternative futures and the use of other strategic planning techniques.

Strategic Facility Planning

Many clients seek our help to determine their long-term facility demand and capital forecasts. We typically start with a Facility Condition Assessment, translate the business forecasts into facility estimates, then develop block planning options to think through the sequence of upgrades, renovations, expansions, new construction and moves needed. These studies provide important input to an organization’s Capital Plan.

Master Planning

Prior to building a new building, someone must decide how much land is needed and how it will be used. Page can assist by identifying the facility needs, then developing land use studies in order to evaluate options, identifying a logical sequence of growth over time and planning in long-term flexibility.

Facility Programming

Prior to beginning design, owners first need to document their detailed requirements and expectations for the facility. At Page, we assist our clients in this phase with an organized, analytical and inclusive process that we call Dynamic Listening©. It is based on the Problem Seeking methodology and includes Lean tools to help our clients analyze and document their quantitative and qualitative needs, prioritized to fit within their schedule and budget.

Predictive Analytics

Some clients have situations that are very data-intensive or for which they desire independent data-driven analyses. Whether collected through our on-line surveys, gathered from other sources or created through our simulation models, we know how to analyze and summarize data to help our clients make better-informed decisions. Our simulation models can also be used during design to help optimize building layouts.

Haif Hospital Programming and Medical Planning (in Association with WBTL Architects) / Riyadh, Saudi Houston Methodist West Hospital Master Plan / Houston, Texas Phoebe Putney Health System Master Planning / Albany, Georgia Cleveland Medical Center Master Plan / Cleveland, Ohio Norman Regional Health System Master Planning / Norman, Oklahoma The University of Texas at Austin Medical District Master Plan / Austin, Texas Dalian Medical Campus / Dalian, China Greenwood Leflore Hospital, Site & Facility Master Plan / Greenwood, Mississippi

Academic Medical Facilities

Academic Medical Centers have a unique combination of facility design needs that Page is extraordinarily well-equipped to provide. Academic Medical Centers need design teams that can design their:

§ Patient care facilities: both inpatient and outpatient, whether on- or off-campus

§ Academic / teaching spaces: from classrooms and labs to auditoria; understanding the trends and evolution of models of teaching

§ Research space, including: wet labs, dry / computational labs, vivaria and data centers

§ Office / Workplace spaces: understanding both global workplace trends and the customs of academia

§ Student Housing: to stay competitive

§ At Page, we are one of the few firms in the world with in-house groups specializing in each of these facility types

This document focuses on the patient care facilities, but also includes our Schools of Medicine, Schools of Nursing and Schools of Health Professions or Allied Health Professionals. If you are interested in our Research, Workplace, or Student Housing portfolios, we would be happy to provide additional information.

At Schools of Medicine, we have developed outstanding teaching spaces for multiple modes of instruction that include all class sizes, all seating arrangements and all pedagogical methods. Our spaces for teaching science include flexible spaces, like the Multi-Disciplinary Lab at Brown University, that supports both Biosciences and the School of Medicine.

Knowing that research spaces must be flexible to accommodate changing needs, funding demands and unique Principal Investigator requirements, Page has careful designs in flexibility with lighting, temperature, access controls, ventilation and monitoring on the front end of design that allows the program to grow as the medical school matures. We continue to push the boundaries of traditional labs and classrooms and are always seeking ways to expand what is possible in a room and extend the activity of the lab and classroom to the building and the larger university community.

The University of Texas at Dallas Brain Performance Institute / Dallas, Texas The University of Texas at Dell Medical School Phase 1 – D Education and Administration Building / Austin, Texas UNC Rex Healthcare Heath and Vascular Hospital / Raleigh, North Carolina University of Colorado Anschutz Medical Campus / Denver, Colorado Houston Methodist Hospital Texas Medical Center Paula and Joseph C. (Rusty) Walter III Tower / Houston, Texas The University of Texas at El Paso Health Sciences and Nursing Building / El Paso, Texas Texas Tech University Health Sciences Center El Paso Gayle Greve Hunt School of Nursing / El Paso, Texas Advanced Center for Surgical Education / Houston, Texas

Community Hospitals

At Page, we have significant experience designing Community Hospitals of all sizes. We have designed at least a dozen “greenfield” Community Hospitals in as many years, and have hundreds of Community Hospitals where we have worked for decades, designing renovations, expansions and master plans for growth. This experience is a significant benefit to our clients since we bring deep experience in every type of facility commonly found in a Community Hospital— from inpatient units and emergency departments to surgery, imaging, labs, pharmacies and all other support spaces. We bring a wealth of case studies and an understanding of the issues that shape those spaces.

We have designed very large Community Hospital / Medical Centers with hybrid ORs, multiple Medical Office Buildings, parking garages and stand-alone central plants. For these large medical centers, master planning for multiple phases of growth and intuitive wayfinding and designing in expandability, are crucial to having facilities that are easy to operate and easy for patients to navigate for decades to come.

Yet we are also one of the first Architecture/ Engineering firms to have designed multiple Micro-Hospitals across the U.S. for these facilities. We bring a thorough understanding of the staffing ratios and minimum facility requirements allowed by state and national authorities to have a licensed hospital. Some models of Micro-Hospitals focus on being small and efficient on a small parcel of land, without a desire to expand in the future. Other clients wish to start their campus with a compact, highly efficient Micro-Hospital model, but one that can expand over time into a larger Community Hospital or Medical Center.

Page brings the full range of planning and design experience for Community Hospitals of all sizes.

Norman Regional Hospital – Healthplex Campus / Norman, Oklahoma Baylor Scott & White Medical Center – Lakeway / Lakeway, Texas Houston Methodist Hospital, Texas Medical Center, Paula and Joseph C. (Rusty) Walter III Tower / Houston, Texas CHRISTUS Bossier City Emergency Medical Center / Bossier City, Louisiana Phoebe Putney Memorial Hospital Medical Tower II / Albany, Georgia Bay Area Regional Medical Center / Webster, Texas St Francis Health System Yale Campus - TEC Expansion / Tulsa, Oklahoma Platte Valley Medical Center Community Hospital / Brighton, Colorado

Specialty Hospitals

Page’s portfolio and expertise include a wide range of specialty hospitals and outpatient centers. Our design teams have a thorough understanding of the specialized facility regulations and the unique needs and perspectives of these patient groups.

Pediatric / Children

Children’s hospitals and outpatient facilities are uniquely designed to support children’s emotional and physical needs while integrating the needs of their families. Our goals are your goals: providing family-centered care; creating spaces for children from newborn to young adult; supporting the medical staff’s productivity; and accommodating new, emerging and unknown future technologies.

Women and Children

Our Women and Children facilities focus on providing both highly efficient professional care and environments that promote comfort and tranquility. We work closely with our clients to design facilities that support their mission and reinforce their brand.

Cancer Care

Page has extensive experience at nationally recognized Cancer Centers and neighborhood facilities. Special considerations include providing patients options for treatment settings, respite areas and retail areas—all in an environment that provides serenity and comfort. Acknowledging that Cancer Centers rely heavily on large medical equipment, we provide careful coordination, sensitivity to the patient experience and pathways for future changes.

Surgical

In surgical centers—whether inpatient, outpatient or both—we place extra emphasis on designing efficient flows for patients, staff and materials. Providing the right ratios of pre-op, ORs and post-op spaces is critical for successful operations. Maximizing throughput in a beautiful state-of-the-art facility supports positive patient experiences.

Psychiatric / Behavioral / Brain Health

These facilities require a thorough understanding of the special needs and care of these patients. Safety and security are essential considerations, as are small details that reflect our empathy for the patients and families.

Missouri Department of Mental Health, Fulton State Hospital, Nixon Forensic Center / Fulton, Missouri Forest Park Medical Center / Austin, Texas Children’s Medical Center Legacy / Plano, Texas Victory Medical Center - Landmark / San Antonio, Texas Children’s Healthcare of Atlanta / Atlanta, Georgia The Battle Building at UVA Children’s Hospital / Charlottesville, Virginia Austin State Hospital / Austin, Texas Winnie Palmer Hospital for Women and Babies / Orlando, Florida Children’s Health Sports Medicine Health and Wellness Complex / Plano, Texas

Post Acute / Senior Care

Post-acute and senior care facilities require a combination of housing, hospitality and healthcare design expertise. Page’s extensive portfolio in these areas makes us the ideal design team for post-acute care and senior living facilities. More than 70% of our projects in the past five years have involved housing, hospitality or healthcare settings. We see our responsibility as threefold: to enhance patient / resident, visitor and staff experiences; to foster lifestyle and healing in a safe and secure setting; and to design flexible structures that can be maintained and modified efficiently and economically.

Post-acute care, including rehabilitation and long term acute care (LTAC) facilities, are a blend—and often a bridge—between hospitals and senior living facilities. Our designs promote exceptional patient care in a safe, comfortable and reassuring setting. We strive to create environments—from the patients’ rooms, to group spaces and outdoor gardens—that promote wellness and rehabilitation. We design facilities to nurture patients’ recovery and make their stays as delightful as possible.

Senior living facilities and continuing care retirement communities (CCRC) require extra attention to the unique needs of these populations. At Page, we combine functionality and aesthetics, honor resident choice and encourage autonomy. Our housing and hospitality experience are valuable across the full spectrum of CCRCs. Our deep healthcare experience is especially valuable for assisted living, skilled nursing and memory care patients. Assisted living facilities accommodate those who need care in the activities of daily living, such as bathing, eating, dressing, cooking and medical aid. Skilled nursing is for patients requiring rehabilitative care. Memory care / Alzheimer’s patients require a special level of nursing assistance suited for each resident. Physical layout and security are special concerns for those who remain ambulatory. Memory care is regulated differently than assisted living in 23 states.

OnPointe Adora Transitional Healthcare & Assisted Living / Dallas, Texas OnPointe Adora Transitional Healthcare & Assisted Living / Dallas, Texas Adora Creekside / Dallas, Texas Adora Hurst / Hurst, Texas Stamford Hospital / Stamford, Texas High Plains Rehab Hospital / Amarillo, Texas Heritage Specialty Hospital / Abilene, Texas

Ambulatory Care Facilities

As one of the leading providers of healthcare design services in the U.S., Page has designed hundreds of ambulatory care centers across the country and abroad. With experience ranging from large comprehensive outpatient care centers to individual doctors’ suites, we understand clinical operations, medical equipment and subtler issues such as evidence-based design, branding and employee satisfiers.

Outpatient facilities are distinctly different from hospitals, and it is essential that the design team understands the detailed and sometimes subtle differences. With dwindling reimbursement and the continued shift to delivering 90% of lifetime healthcare needs outside of hospitals, ambulatory facilities must meet higher expectations than ever.

Excellent ambulatory care facilities share the following characteristics:

§ Emphasis on providing patients with the right level of care at the right time and place. Concepts such as a patientcentered medical home, team-based care and telemedicine are changing the way ambulatory care is delivered

§ They are easy for patients to find and access

§ The buildings reinforce the provider’s brand in the community

§ Extreme focus on streamlining operations. Being able to accommodate even one more patient per day affects the bottom line. We use Lean design methodologies and can provide simulation modeling to further fine-tune the program or layout

§ Designing modular layouts increases long-term flexibility. Outpatient facilities need flexibility and adaptability. A clinic may be used by one specialty today and another tomorrow. Multiple medical teams may rotate through the same spaces throughout the day. Over-tailoring a design to one specialty or one vocal provider reduces the usability of that space

§ Designing expandability from the beginning. Decades of experienced have reinforced the value of planning for the future today. Later, when changes or additional space is needed, the facility will still be efficient and easy to use for patients and staff

Modern Spine / Sugar Land, Texas

Comanche County Memorial Hospital Drewry Family Emergency Center / Lawton, Oklahoma University Medical Center of El Paso Healthcare Centers / El Paso, Texas VA Austin / Austin, Texas Fulton County Adamsville Regional Health Center / Atlanta, Georgia Healthcare for the Homeless / Houston, Texas Phoebe Putney Memorial Hospital Medical Tower II / Albany, Georgia Houston Methodist Outpatient Center / Houston, Texas Hackensack Meridian Health Ocean Medical Center, Hirair and Anna Hovnanian Emergency Care Center / Brick, New Jersey

Medical Office Buildings & Garages

Page has designed Medical Office Buildings (MOBs) across the country, from master planning and design of the core and shell to the design of countless tenant suites. With this level of experience, Page brings our clients significant best practices and lessons learned.

MOBs should be visible and easy to drive to, with convenient parking. The architecture and signage should reflect and reinforce the brand identity. They must be internally efficient from a rentable area perspective and cost-effective to build. The bay depths and ceiling heights should accommodate a wide range of potential uses, from individual doctor suites to multi-specialty practices, imaging centers and ambulatory surgery centers.

The building layout should allow physicians and staff to access the building and their suites without having to walk past patients in the lobby or waiting rooms. The building must be easy to navigate for patients and families and should provide ample daylight and views to the outdoors. Access to adjacent buildings and garages should be protected from the weather.

To accommodate the possibility of ambulatory surgery, elevators must be appropriately sized, covered drop-off provided and consideration given to a separate discharge area. Ambulance access and emergency generators must also be anticipated.

Parking Garages: Because MOBs require a large number of parking spaces, larger buildings frequently include an adjacent parking garage. There are many types of garages, but those best suited to medical facilities include:

§ As much flat-floor parking as possible. Getting in and out of a vehicle parked on a ramp is difficult for many patients

§ Easy to understand, navigate and exit. Too many parking garages are difficult for firsttime visitors, especially the elderly. Many of the newest garages include electronic systems to guide drivers to available spaces

Houston Methodist The Woodlands Medical Office Building 1 / The Woodlands, Texas Forest Park Medical Center / Austin, Texas Kennedy Krieger Institute, Harry and Jeanette Weinberg Center for Developmental Disabilities / Baltimore, Maryland Cambridge Medical Office Building Phase I / Houston, Texas Spring Valley Medical Plaza / Spring Valley, Texas Platte Valley Medical Center, Medical Office Building No. 2 / Brighton, Colorado Baylor Scott & White Medical Center – Lakeway Medical Plaza Office Building / Lakeway, Texas Piedmont Healthcare, Kennesaw Medical Office Building / Kennesaw, Georgia Baylor Medical Center at Irving Medical Office Building II / Irving, Texas

Government Healthcare

Page’s experience with healthcare facilities for federal and state governments spans the globe. We are accustomed to working with the unique guidelines, criteria and expectations of a wide range of governmental clients.

For almost four decades, Page has maintained a continuous workload of U.S. Department of Defense (DoD) Military Health System projects as an integral part of our healthcare practice. We have been responsible for over 20 planning and design commissions spanning over 3 million square feet on 18 bases in the U.S. and around the world within the last 15 years alone.

Our DoD experience ranges from developing Military Handbook 1191 (UFC 4-510-01), which established the Design Criteria for all Military Health System projects, to our work at the Rhine Ordinance Barracks Medical Center in Landstuhl, Germany. We have worked all across the U.S., including recent work at Elmendorf AFB in Anchorage, Alaska, and the Schofield Barracks Behavioral Health / Dental Clinic in Wahiawa, Hawaii. Through such experience, our team is familiar with the most current Federal Medical Design Criteria and Guidelines.

Our most recent experience with the Veteran’s Administration includes the design of the 220,000 square foot (sf) hospital in Tampa, Florida; outpatient mental health and administration building in Houston, Texas; 180,000 sf VA Reno, Nevada, seismic upgrade and clinical addition; outpatient clinic in Birmingham, Alabama; 275,000 sf Austin Outpatient Clinic; 220,000 sf Fort Worth Outpatient Clinic; 150,000 sf Long Term Spinal Cord Injury Facility; and 275,000 sf Clinical Expansion for Mental Health at the VA Campus in Dallas, Texas.

We pride ourselves in managing these types of projects to successful conclusions. One of the ways we ensure project success is by avoiding team and information hand-offs mid-stream of a project. We commit staff at the beginning of these projects who stay with them throughout their completion, move-in and occupancy.

U.S. Department of Veterans Affairs New Bed Tower James A. Haley Veterans’ Hospital Tampa, Florida Solicitation No. W91278-17-R-0002 A15 Exterior Rendering Main Entrance
Chickasaw Nation Medical Center / Ada, Oklahoma VA Tampa New Bed Tower / Tampa, Florida VA Austin Outpatient Clinic / Austin, Texas Duke Realty Corporation VA Clinic Fort Worth / Fort Worth, Texas Schofield Barracks Behavioral Health Dental Clinic / Wahiawa, Hawaii Birmingham VA Primary Care Annex / Birmingham, Alabama Madigan Army Medical Center Joint Base Lewis-McChord NICU / Tacoma, Washington VA Reno Clinical Expansion / Reno, Nevada Rhine Ordnance Barracks Medical Center Replacement Independent Technical Review / Kaiserslautern, Germany Rendering by HOK

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