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Healthcare Department of Veterans Affairs


With roots extending back to a two-person partnership formed in 1898 in Austin, Texas, Page is one of the most prolific and enduring architecture and engineering design practices. From offices in Houston, Austin, Dallas, Denver, San Francisco and Washington DC—as well as international affiliate offices—over 400 Page architects, engineers, interior designers, planners, strategic analysts and technical specialists provide services throughout the United States and in over 50 countries. 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.

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

Page Serves The Following Core Markets:

Academic Civic/Government Corporate/Commercial Healthcare Housing/Hospitality Science/Technology

Design is the crux of what we do. Throughout the generations, Page has promised, and delivered, design that makes lives better. We believe buildings are important for what they do and for the positive impact they make on individual lives. That’s why we have a solution-driven project focus that results in life-enhancing buildings and places. Our multidisciplinary services allow complete integration from conceptualization to engineering to interiors and more, resulting in an improved client experience and final product. We recognize that good talent can be applied to complex projects regardless of industry. And good talent becomes great when it gains experience in a variety of situations. We create crossover teams so that individuals can work on different projects and share their own expertise and insights with other team members. Our collective commitment to visionary design is reflected in our portfolio of successful, complex projects. Our work spans the globe, from more than 25 U.S. diplomatic compounds to mission critical facilities in the Middle East to five-star resorts in Africa and beyond. Since Page has multiple offices in the US and affiliates abroad, we have the capability to staff projects onsite as well as set up “follow the sun” workflows to increase efficiency. While Page is distinguished by our portfolio of successes, we also are distinguished by our full spectrum of architectural and engineering design services. This allows us to provide an integrated “total design” single team approach. Our clients benefit from the highest levels of interdisciplinary coordination, quality control and quick response demanded on today’s highly complex and technically sophisticated projects.

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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: Creativity

Think curiosity/innovation/ imagination/optimism/originality.

Collaboration

Think sharing/community/ camaraderie/civility/teamwork.

Commitment

Think integrity/respect/giving/ discipline/rigor.

Architecture Page is known for their well-researched program-driven solutions aided by integrated multidisciplinary expertise and a strategic mindset. We bring global thinking and experience to bear on projects that build communities. Our portfolio reflects a commitment to visionary design, a record of innovation and fresh ideas and most importantly, demonstrated success with complex projects. We develop a uniquely created design for every project that reflects the building type, client, need and location. We take pride in knowing that a Page project is one of the best possible solutions to the needs of its multiple stakeholders from owner to operator to neighbor. Engineering Engineering is a historical part of Page’s services, and a critical part. In the mid-1900s, we were one of the first architectural firms in the nation to integrate in-house engineering design services, which was an innovative approach for a single design organization. Today, our engineers are responsible for designing interdependent mechanical, electrical, plumbing, civil and structural systems for a wide range of projects. These vary in complexity and innovation from office buildings and corporate interiors, to academic institutions to technology and healthcare facilities.

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Interiors Page believes that well-designed interiors can be a critical force. They help clients accomplish their mission, and improve the quality of people’s lives. Just like our interiors in our own offices, our clients’ interiors serve as positive, consistent visual reinforcements of their own cultural identity. By combining the skills of our interior designers with those of our architects, planners, engineers, and visualization specialists, we offer our clients a range and quality of single point responsibility found in few other places. Our interiors services range from programming, space-planning and officing studies to the selection of furnishings, finishes and artwork. Planning Our portfolio of work includes more than just buildings. It also includes complexes, campuses and cities. Our Page planning staff develop master plans that are innovative and that include detailed strategies for implementation and development. From university campuses to resorts to city revitalization plans, each project gives us the opportunity to employ our exploratory and research-focused methodology. The manifestations of our plans are destinations that build upon unique qualities and spirit of place – places where people can grow and prosper. Programming Before we design physical spaces, our Page Programming team members lead a strategic planning process with our specialists, designers and clients to crystallize both the vision and objective for a project. They understand business dynamics and organizational complexities, which allows them to facilitate productive discussions. We generate a robust understanding of the problem at hand prior to design in order to facilitate, support and in some cases guide clients’ organizational change and growth decisions. We have proven that throughout design, construction and move-in, the clearly communicated project definition developed in the pre-design phase supports effective organizational and/or operational change management even after project completion. Informed client decisions position our entire team to develop optimal solutions throughout every step of the design process. Laboratory Planning Page specializes in challenging projects for demanding clients throughout the globe. Laboratory facilities are among the most intricate and complex projects. The unique challenges posed by highly toxic petrochemical corrosion labs, sterile environments for pharmaceutical manufacturing, biohazard high-containment suites, precise environmental control of animal laboratories are commonplace obstacles overcome by our dedicated technical team of architects and engineers every day. Page has specialists equipped with a thorough understanding of the safety standards and scientific equipment requirements foundational to the success of all laboratories.

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LEED gold

Sustainability Page has long recognized the need to design sustainably to conserve construction and operational resources and to ensure buildings continue to function efficiently into the future. Our Consulting suite of services includes sustainable consulting ranging from green building education sessions to full documentation for rating systems used in different parts of the world from LEED to BREEAM, Green Globes and Estidama. Our approach to design presupposes sustainability. In fact, it is integral to all of our architecture and engineering solutions, whether or not the project seeks certification from a green building rating system. Commissioning Page recognizes the level of investment and importance of facilities that function as designed from the day they open. Our Commissioning service provides this assurance to owners and operators as well as minimizing costly construction rework. This is accomplished through a collaborative process that includes the building owner, design professionals and the general contractor under the guiding hand of the Commissioning Authority. Our Commissioning staff has developed a solid track record for Page as a Certified Commissioning Firm (CCF). The exacting standards of our teams of professional engineers, architects and field technicians in service of our clients support delivery of construction quality.

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Veterans’ Healthcare Environments for Quality Care.

For nearly four decades, Page has maintained a continuous workload of DoD Medical Health System projects as an integral part of its healthcare practice. During this time frame, 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 MIL-HDBK-1191 (UFC 4-510-01) which established the Design Criteria for all Military Health System projects to our recent Design-Build Submittal with Turner Construction for the 1 MSF Carl R. Darnall Army Medical Center at Fort Hood, Texas. Through such experience, our team is familiar with the most current Federal Medical Design Criteria and Guidelines. Recently, we have designed hospitals and clinics for the Department of Veterans Affairs nationwide - from a Primary Care Annex in Birmingham, Alabama, to a Clinical Expansion and Seismic Upgrades in Reno, Nevada.

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Combining large firm capabilities, depth of resources and technical expertise with the individual talents and perceptions of an established voice in American architecture, Page has built a national reputation for design excellence. Our projects have been recognized with over 75 local, regional and national design awards and recognitions within the last 10 years alone – including Modern Healthcare magazine’s prestigious design award for the expansions to Seton Medical Center’s main campus in Austin, Texas.

Healthcare


“Throughout the design and construction processes, Page’s project oversight was absolutely outstanding in every regard.” Greg Vrentas, Director, Department of Veterans Affairs, Austin VA Clinic

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Community Oriented Intuitive Centered Care Healthy Collaborative Flexible Evidence Based Lean

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Community

Intuitive Wayfinding

Community Oriented 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 in serving their communities and creating environments for healthy initiatives that nurture the physical and well-being of patients, families, and employees.

Intuitive 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 is a disorienting experience, with its focus on illness, protocols, and equipment. The most successful healing environments start with clear and thoughtful planning, and 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

Partners in Care

Patient-and Family-Centered Care We understand environments need to be supportive of the healing and recovery process, providing patients comfort and empowerment alongside with their families to participate and collaborate with healthcare practitioners in their care. 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 §§ Collaborative Spaces that Provide for Continuum of Care

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Environmental Health

Collaboration

Flexibility

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Healthy Environments 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 the healthcare environment. As in the delivery of healthcare “First Do No Harm,” our environments should perform to the same standard. A person cannot be expected to heal if their surrounding environment is a contributing factor. At Page, the composition of the design considers the use of materials, products, and systems that promote environmental sustainability and regenerative health. Collaborative 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. Flexible Healthcare buildings are designed to remain for decades, yet the interior environment needs to adapt and change at the same pace our processes evolve with new technology and operations. A consideration is integrating an “Adaptable Core” which locates major fixed elements along a perimeter edge of the primary functional areas, elements such as stairs, elevators, mechanical shafts and electrical / telecommunication spaces. This concept permits future configuration of new spaces within the core to accommodate needed functions without having to work around major obstacles.

Healthcare


Evidence Based

Evidence Based Design EBD finds its roots in the analysis of the way a facility operates and the effect that a facility has on the people who use it and that it serves. This examination of performance and improvement in operations is a very similar approach to that which Page utilizes in its unique Problem SeekingTM approach to facility programming and planning. EBD design processes first begin by reviewing and gathering pertinent evidence on both global and local levels. The global relates to studies involving numerous facilities and research efforts. The local addresses the way a particular healthcare organization functions. Both have significant impact on what a building should be in order to improve patient outcomes, staff satisfaction and the perception of the healthcare institution. Page approaches EBD by considering both global and local evidence and then developing project specific responses.

Lean

Predictive Analytics & Simulation

Lean All organizations have a series of processes intended to create value. Lean Thinking is not just a manufacturing strategy, but a management strategy of improvement. Lean in the Healthcare sector has many similarities to Lean in Manufacturing and can be applied in a variety of ways. Several principles, including eliminating wastes, standardizing work, just-intime delivery and storage, and building in quality, can be executed in myriad ways through the operations of the facility, the functional relationships between departments or services, program components and architectural solutions. The incorporation of Lean Thinking can result in cost reduction, fewer errors, throughput increase, inventory reduction, space reduction, lead time reduction, increase in labor productivity, and improved staff morale. By examining ways to introduce or improve Lean Thinking in the design process, Page is providing the client with the tools to improve the patient process and patient care. Predictive Analytics & Simulation Predictive analytics is used to find optimal solutions—ultimately saving clients’ time, resources, space and money. We believe that architecture, at its best, is the result of a creative, problem-solving process. 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 entire design process. We use event simulation software, statistical analysis tools, and lean Six Sigma methods to simulate real-world processes and systems over time.

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Project Details Project Size 257,255 Square Feet Services Provided Architecture / Interiors / Structural Engineering / MEP Engineering / Civil Engineer / Furniture Planning

VA Austin Outpatient Clinic Austin, Texas Designed “to care for those who have borne the battle,” the Austin VA Outpatient Clinic embodies the mission of the U.S. Department of Veterans Affairs. Patient-centric philosophies have been incorporated with architectural concepts that reflect the unique geological characteristics of Central Texas. The building’s exterior and public interior spaces feature horizontal bands of masonry and native leuders limestone, which allude to rock formations at nearby McKinney Falls State Park, located just two miles away. Designed to achieve LEED Silver certification, the 260,000-square-foot facility is the largest freestanding VA outpatient clinic in the U.S. The facility’s future users, both patients and staff, helped guide the design process, and their input is manifested in several ways. Interiors are designed to enhance the care given to patients and their loved ones, as well as inspire the caregivers by providing a workplace that gives staff members a sense of pride, which in turn encourages a better quality of care. The design also maximizes energy efficiency while creating light-filled public spaces and corridors illuminated by floor-to-ceiling windows that offer occupants visual connections to the outdoors. The horizontal configuration demonstrates a connection to the natural environment, which is intended to be a calming influence for users undergoing stressful situations. Outpatient services offered at the facility include primary care, urgent care, diagnostic imaging, behavioral health, pharmacy and specialty services such as cardiology, nephrology, neurology, oncology, endoscopy, cytology, urology, minor surgery, ENT, dental, ophthalmology, audiology and a self-contained women’s clinic.

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Project Details Project Size 68,000 Square Feet (Annex) 2,300 Spaces (Parking Garage) Services Provided Architecture / Engineering / Interiors / Consulting / Planning / Programming / Sustainability

Department of Veterans Affairs Birmingham Birmingham, Alabama Page designed this three story 68,000-square-foot Primary Care Annex and 2,300-car parking garage. The Annex will provide non-critical primary care to Alabama Veterans. It will house ambulatory care, a pharmacy, radiology, physical therapy, audiology, prosthetics and a blood draw lab. The facility will be uniquely connected to its surroundings, have an efficient layout, and act as a positive and therapeutic environment for the patients it will serve. The three-story structure will make a visual statement that embodies its function as a build-to-suit modern medical facility. The proposed design for the Primary Care Annex serves as an example of architecture that is aesthetically pleasing and that blends with the area but has many features that distinguishes it from its surroundings. The Primary Care Annex is sited on the north part of the site, the flatter part of the site, to facilitate easy service access with a level loading dock off 7th Avenue. Consequently, the parking garage is located on the south of the site, its lower two levels buried below street level, resulting in the lower bulk of the eight-story garage on University Boulevard. The area between the clinic and the parking garage is conceived as a special courtyard—an oasis— onto which the main circulation of the building is oriented. The amount of shading and sunlight the courtyard will be receiving will function both as an orientation device as well as a quiet healing garden, away from the noise, hustle and bustle of city streets.

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Project Details Project Size 280,000 Square Foot Services Provided Architecture / Master Planning / Design / Programming / MEP Engineering / Interiors

Dallas VA Medical Center Clinical Expansion for Mental Health Dallas, Texas The Dallas VA Clinical Expansion for Mental Health will consolidate all the mental health outpatient clinics, domiciliary and residential rehabilitation treatment programs into one building, creating a campus zone with its own entry, image and presence. The building includes approximately 273,000 SF of programmed space, including 120 residential beds. The building is oriented with the main circulation spine running in the north-south direction, allowing large expanses of glass to face north. Therapy, public and recreation spaces are oriented to maximize access to natural light. Residential courtyards are incorporated on the east side of the building to provide daylighting for recreational and dining spaces. Embracing mental health recovery as a journey of healing and transformation, the facility provides a variety of environments giving veterans a choice regarding which type of activity they would like to participate in, promoting empowerment and easing their transition back into the community.

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Project Details Project Size 120,000 Square Feet Services Provided Master Planning / Programming / Architecture / Design

Department of Veterans Affairs Dallas Long-Term Care Spinal Cord Facility Dallas, Texas When a patient becomes a long-term resident on a hospital campus, how the physical environment is designed can help ease the patient’s transition, while also creating a home and fostering a community among the residents. The Long-Term Care Spinal Cord Injury Facility at the VA Dallas campus has been planned and designed to provide a home for multiple generations of veterans with spinal cord injuries (SCI) of varying degrees of severity. A collaborative team comprising design professionals, SCI clinical specialists, physicians and staff, along with engagement from representatives of the Paralyzed Veterans of America (PVA) and future campus residents, was heavily involved from programming through design of this new facility. Reflecting Eden concepts, the VA Dallas LT-SCI was designed to empower residents to play an active role in their healing process. The primary goal for the LT-SCI is to create an environment which promotes privacy, dignity, independence and mobility for its residents in order to improve the quality of life for Veterans living with spinal cord injuries. The project team evaluated and compared the elements within the healthcare environment, the neighboring community and individual homes to create a design that merges the best of all paradigms. The result is a physical environment that can contribute to positive experiences and a better quality of life for a person with spinal cord injury. The 120,000-square-foot facility will eventually house up to 60 SCI residents. The design of the LT-SCI facility interprets a house/town planning model that supports improved individual and community living.

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Project Details Project Size 158,746 Square Feet New Construction 98,395 Square Feet Renovations Services Provided Architecture / Engineering / Interiors / Planning

Department of Veterans Affairs Reno Clinical Expansion Reno, Nevada The VASNHCS Reno Hospital has a long-standing history of serving our veterans. However, like many VA campuses, the original buildings have aged beyond accommodating patient care functions and the availability of land for expansion is scarce. Through the course of this project, many studies were completed in order to best align services, organize the campus into appropriate zones, simplify way-finding and maximize future flexibility. A new clinical expansion building will be constructed adjacent to the old in order to simplify wayfinding and achieve the facility’s goals of creating a new and transformative main entrance to the campus. Great care was taken to incorporate natural light into the dense clinical chassis, as one of the design guidelines. During the course of this project, the VA is implementing the Patient Aligned Care Team (PACT) model, which embeds ancillary service providers within the clinic and separates veteran and staff circulation, within all primary care clinics. This new model of care drives the typical clinic module, which is followed in the Eye, Audiology/Speech and Dental clinics, as well. In addition, support services such as Lab, Materials Management, and Kitchen will be located within the new building.

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Project Details Project Size 50,000 Square Feet Services Provided Architecture / MEP Engineering / Programming / Planning

Michael E. DeBakey VA Medical Center Mental Health Clinic and Parking Garage Houston, Texas The Michael E. DeBakey VA Medical Center Building 108 project comprises a vertical expansion and renovation to house the relocated Mental Health Clinic Trauma Recovery Program, the Operation Iraqi Freedom / Operation Enduring Freedom Therapy Programs and the Telemedicine Psychotherapy Program. The project includes renovation of the first floor, with the new clinic to be located on the second floor. Ancillary and support services are strategically located throughout the clinic. The design will be compatible with the existing architecture on campus, and will include materials such as tilt-up or pre-cast concrete panels and abundant glass to maximize natural daylight to the interior spaces. Taking cues from mental health issues unique to the veterans, the interior spaces will provide tall, open spaces as well as intimate spaces. The interior finishes will be warm and welcoming, providing more of a hospitality environment. Sustainable design concepts will be included throughout the facility. Also included is the expansion of a new 200-car parking garage to include 400 new spaces, expandable to 1200 spaces.

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Project Details Project Size 177,230 Square Feet Services Provided Architecture / Interiors

VA Satellite Outpatient Clinic Fort Worth, Texas The Department of Veterans Affairs (VA) selected Page to design an outpatient clinic facility in Fort Worth, Texas, for lease to the Government, for a period of up to 20 years, on a site for an approximate 177,230 NUSF facility. The clinic was designed and constructed to suit the government’s requirements and is of a shape and dimension that accommodates the space program and interior functional requirements of a VA Outpatient Clinic. Additionally, it is of sound and substantial construction in accordance with the VA technical requirements, in a new building with facade of stone, marble, brick, stainless steel, aluminum or other permanent materials. The building is compatible with its surroundings. Overall, the building projects a professional and aesthetically pleasing appearance, including an attractive front and entryway. The building includes energy efficient lighting, heating, ventilating, and air conditioning equipment which provide optimum and stable interior environmental conditions to sustain utilization of the building for the functional program and design. Pedestrian routes, complying with accessibility criteria, are provided from public streets and public transportation stops to public entries. The VA Clinic has a mental health area for outpatient treatment. Area provisions are five group therapy rooms, a group therapy area with crafts, teleconference rooms for therapy and doctors education, methadone treatment area with vault and four offices, and 38 offices for doctors, family treatment and counseling.

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Austin Austin 400 400 W. W. Cesar Cesar Chavez Chavez Street Street Suite Suite 500 500 Austin, Austin, Texas Texas 78701 78701 tel tel 512 512 472 472 6721 6721 fax fax 512 512 477 477 3211 3211 Dallas Dallas 1800 1800 Main Main Street Street Suite Suite 123 123 Dallas, Dallas, Texas Texas 75201 75201 tel tel 214 214 522 522 3900 3900 fax fax 214 214 522 522 4380 4380 Denver Denver 1530 1530 15th 15th Street Street Denver, Denver, Colorado Colorado 80202 80202 tel tel 303 303 595 595 0491 0491 fax fax 303 303 595 595 0282 0282 Houston Houston 1100 1100 Louisiana Louisiana Suite Suite One One Houston, Houston, Texas Texas 77002 77002 tel tel 713 713 871 871 8484 8484 fax fax 713 713 871 871 8440 8440 San San Francisco Francisco 414 414 Jackson Jackson Street Street Suite Suite 404 404 San San Francisco, Francisco, California California 94111 94111 tel tel 415 415 249 249 0130 0130 fax fax 415 415 249 249 0132 0132 Washington Washington DC DC 1615 1615 M M Street, Street, NW NW Suite Suite 700 700 Washington, Washington, DC DC 20036 20036 tel tel 202 202 909 909 4900 4900 fax fax 202 202 785 785 7336 7336

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