PGAL: Healthcare Design

HEALTHCARE DESIGN

OUR FIRM The increasing interdependency of highly technical diagnostic requirements and the features of a patient-oriented environment creates unique challenges in the design of medical facilities.

PGAL’s healthcare design professionals have extensive experience accommodating these diverse needs and identifying and implementing meaningful planning and design solutions.

PGAL understands the current and evolving demands of healthcare in both the public and private markets and strives to create environments that enhance wellness, promote healing, and optimize the delivery of services.

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PROJECT EXPERIENCE PGAL is called upon to deliver a broad range of medical projects for distinguished research institutes, medical centers, hospitals, and universities. From biomedical research commissions to medical clinics, support office buildings, and major hospital renovations, PGAL’s reputation in this evolving project sector continues to expand.

The increasing interdependency of state-of-the-art diagnostic requirements—together with the features of a patient-oriented, reassuring environment—has made the design of healthcare facilities a challenge, one that we relish. In PGAL’s long history of healthcare facility design, we have seen an evolution in the needs of facility users, whether physicians, staff, or patients. From physician office suites to new hospitals and medical centers, PGAL’s healthcare design professionals have the experience to accommodate these diverse needs and implement meaningful planning and design solutions.

UNIVERSITY OF TEXAS MEDICAL BRANCH UTMB SPECIALTY CARE CENTER location: league city, texas After completing a master plan, PGAL designed the first signature building on the University of Texas Medical Branch’s (UTMB) new 35-acre medical campus in League City.

The Specialty Care Center also includes specialty clinics, outpatient surgery, laboratories, medical information services, medical library, and administrative and educational support spaces.

The 110,000-square-foot, two-story Specialty Care Center is designed to provide the most technologically advanced care for patients, with easy wayfinding and state-of-theart facilities for medical staff.

The exterior presents a strong contemporary image, while the interior is intimate in scale, with ample natural light, the sound of running water, and soft, soothing colors within a minimalist design.

The facility offers ambulatory surgery and recovery services, diagnostic imaging, cardiac services, occupational health services, outpatient testing labs, and mobile imaging dock and access area.

THE FERTILITY CENTER OF LAS VEGAS location: las vegas, nevada PGAL provided complete architecture and interior design services for the 17,000-square-foot standalone fertility clinic. Designed to 2018 FGI Guidelines for Outpatient Facilities, the new clinic focuses on patient-centered care with a calming palette to improve the overall experience for its clients.

The Center is an iconic building meant to last the test of time in style and elegance attracting visitors worldwide.

Its contemporary lines allow playful light and shadows to highlight the building shapes and forms along with a sculptural accent focal center volume.

The modern new facility includes a lobby, waiting areas, outpatient procedure facilities, laboratory, pharmacy, and support spaces to include areas that ensure privacy is maintained for individuals and their families. Clean room environments and an ASC component are also part of the program. Laboratories are designed with a significant focus on air quality, noise levels, room layout and workflow, external temperature and heat load so as not to interfere with reproductive health.

MINIMALLY INVASIVE HAND INSTITUTE SURGERY CENTER location: las vegas, nevada PGAL provided complete architectural and interior design services for this 11,688-square-foot surgery center tenant improvement that provides minimally invasive hand treatments allowing patients to spend less time in recovery.

The one -story outpatient medical office and surgical care center offers four operating rooms, procedures rooms, a waiting and reception area, pre- and post- operative area, decontamination and clean processing work areas and areas for both clinical and nonclinical storage.

SOUTHERN NEVADA HEALTH DISTRICT HEADQUARTERS FACILITY location: las vegas, nevada The headquarters of one of the nation’s largest local public health organizations houses the combined City and County health departments of the Southern Nevada Health District.

After conducting a facility analysis and conceptual test fit of a former retail complex, PGAL provided full architectural services to transform the property into an efficient home for the SNHD’s four divisions: Administrative Services, Community Health Services, Environmental Health, and Nursing and Clinics.

The space includes 78,000 square feet of office space, a 23,000-square-foot general clinic, a 6,200-square-foot

TB/HIV clinic, and a 9,000-square-foot flexible retail shell. It incorporates both hard-walled offices and clinic space as well as modular open office systems.

To align with the project’s tight budget, PGAL preserved a significant portion of the facility’s existing build-out, including the exterior façade and mechanical, plumbing, and electrical systems, as much as possible.

DR. MULLAN’S DERMATOLOGY OFFICE location: houston, texas PGAL provided architecture and interior design services for the renovation and interior construction of approximately 1,893 square feet of office space to create an upscale dermatology practice with a focus on cosmetic beauty backed by medical expertise.

The completed suite includes reception area, two exam rooms, surgery room, doctor’s office, break room, nurse’s station and business office.

The scope of work included space planning, construction documentation, bid/permitting, and construction administration phase services. The interior design services included finish selections including all flooring, general paint, accent paint colors, cabinet finishes and reception desk finishes, as well as specialty lighting selection.

SMITH PLASTIC SURGERY INSTITUTE location: las vegas, nevada PGAL provided complete architectural services for the renovation of this former credit union into the Smith Plastic Surgery Institute. The primary function of the facility is to provide Recovery Care Services with the ability to also provide nursing care for patients who will require an overnight stay.

The two-story, 13,945-square-foot facility provides outpatient services with procedure rooms; a waiting and reception area including a multi-purpose room; preoperative space; post-anesthesia care unit; anesthesia area; decontamination and clean processing work areas; clinical and nonclinical storage; mechanical, electrical and

medical gas storage rooms; emergency battery back-up area; janitor area; clean and soiled holding area.

ADVANCED ORTHOPEDIC & SPORTS MEDICINE LAS VEGAS INSTITUTE FOR ADVANCED SURGERY location: las vegas, nevada PGAL provided complete architectural and interior design services for this orthopedic and sports medicine ambulatory surgery center that focuses on patients with acute and chronic pain related to sports injuries and degenerative diseases.

The single story, 13,780-square-foot facility provides four operating rooms, 20 pre- and post- operative interchangeable beds, a private entry for patients and public with a separate entry and exit for ambulatory patients and staff. The patient waiting area is designed with extra space to accommodate maneuverability for wheelchair bound patients.

Administrative areas are located adjacent to the reception and patient waiting area maintaining visual control of these areas at all times.

The centrally located nurses station provides visual control of all patient positions as well. The space is sized to meet the requirements for equipment and storage, documentation and charting as well as patient observation with a separate Nourishment Area centrally located to the recovery positions.

UNITED SURGICAL PARTNERS INTERNATIONAL (USPI) DURANGO OUTPATIENT SURGERY CENTER location: las vegas, nevada

USPI (United Surgical Partners International) the largest ambulatory surgery platform in the country, contracted with PGAL to provide interior architecture and design services for improvements to a new second floor office, expanded lobby and new pre-op bays at their surgery center located in Las Vegas, Nevada.

Intent on designing an interior space that puts patients at ease, PGAL created a lobby that is focused on comfort by offering a variety of different seating options alongside family niches with direct access between the front desk greeter and the waiting patients .

The centrally located front desk is open to the lobby allowing the receptionist to accommodate the needs of the waiting patients while facilitating the personal connection that USPI aspires to achieve.

The blue color accents subconsciously appeal to the level of importance placed on the patients and the warm wood tones promote a soothing level of comfort. We provided consultation spaces behind closed doors that greatly add to the comfort of the patients.

CANO HEALTH location: las vegas, nevada Recognized as one of the fastest growing health care companies in the country and one of nation’s leading operators of senior medical centers and pharmacies, PGAL is providing complete architectural services to Cano Healthcare under a Master Services Agreement for tenant improvements at multiple locations across the country.

The healthcare centers are focused on senior primary care with sophisticated health management programs such as home visits, telehealth, transition of care, and high-risk and complex care management.

When fully developed, each office will include an entry/ reception area, patient exam area with exam rooms, labs and x-ray, vital areas, medical office and cubical areas, physical therapy, and staff break room.

FRESENIUS MEDICAL CARE DIALYSIS CENTERS location: las vegas, nevada PGAL provided planning and full architectural services for Fresenius Medical Care in the development of numerous Dialysis Centers throughout Las Vegas.

Fresenius is a global healthcare group that offers dialysis services for patients in treatment for chronic kidney failure. The Las Vegas Dialysis Centers are being developed within 4,000 to 10,000 square feet of existing shell space with project scope that includes facility assessments and space planning for procedure rooms (operating rooms), apheresis treatment areas, labs, men and women’s locker room areas, office spaces, reception

and lobby areas, pre- and post-op areas, nurses’ station, solid/sterile supply areas, IT closet, patient change rooms, restricted and unrestricted corridors, triage and staff lounges.

UNIVERSAL HEALTH SERVICES NORTHERN NEVADA MEDICAL CENTER THIRD FLOOR RENOVATION location: sparks, nevada PGAL provided complete architectural services for the renovation to the third floor at Northern Nevada Medical Center, an acute care hospital located in Sparks, Nevada.

The 17,475-square-foot improvement includes a pharmacy, five surgical recovery rooms, administrative support space, and the addition of sixteen private rooms, all accompanied with state of-the-art technology.

A separate 1,000-square-foot expansion for a new Operating Room to the surgical suite was also added.

The re-imagined space aligns with the hospital’s commitment to offer 100-percent private guest rooms to

improve patient outcomes while also providing additional space to accommodate a growing community.

Among the renovated space is a private bay for surgical patients which allows orthopedic staff to treat their patients post-operatively in a healing environment along with a larger pharmacy.

DIGNITY HEALTH GALLERIA PAVILION location: henderson, nevada The new 28,830-square-foot, two-story medical office facility is Intended to serve as a one-stop shopping for various diagnostic health care services.

The design team also worked with the building's medical service tenants providing interior improvements to include a 6,700-square-foot primary care, a 3,100-squarefoot urgent care, a 1,065-square-foot diagnostics center, and a 4,500-square-foot oncology and infusion center.

The building sits adjacent to Henderson Hospital and is conveniently located to I-95. The team was challenged to install a MRI scanner for Steinberg Diagnostics. This magnet portion of the MRI unit weighed over 13,000

pounds, and at almost eight feet wide by eight feet tall, it could not easily fit through a standard doorway. An MRI must be housed in a specially constructed room that will keep the electromagnetic radiation produced by the machine within the room and requires a special pressurized door portal. A crane was needed to place the unit into the building. Once the crane dropped the unit within the room, the roof hatch was replaced, and the specially constructed shielding was hidden in the ceiling. By providing this type of roof hatch and modular construction, the client was able to replace their equipment periodically quickly and without having to significantly alter their building.

LONGFORD DEVELOPMENT GROUP LONGFORD MEDICAL CENTER location: las vegas, nevada PGAL designed this 131,000-square-foot Class A medical office facility on a five-acre site in the rapidly growing Summerlin area of Las Vegas, Nevada.

The building features a four-story tower as well as a modern, aluminum canopy design on the third level and at both entries to the east and west. The new facility offers special amenities such as a private entrance, key access garage, central security and reception area, state-of-theart technology, and energy efficient designs.

Extensive customer parking is available, including a 600car garage with 150 spaces on the surface grounds.

The parking garage is connected to the building with an 80-foot-long bridge spanning the entry drive.

The facility was designed to include a 15,000-squarefoot outpatient surgery center, a 5,000-square-foot rehabilitation center, a 7,000-square-foot imaging center, and a 3,000-square-foot pediatric urgent care area. PGAL included an additional 2,500 square feet of retail space for a coffee kiosk, pharmacy, and lobby and security area on the first floor. The second floor houses a 12,000-squarefoot cath lab and a small deli for tenant and patient use.

GLOBAL IMAGING IMAGING CENTER + MEDICAL OFFICE BUILDING location: sugar land, texas PGAL provided complete architectural and interior design services for this 22,390-square-foot, two-story medical office building in Sugar Land, Texas. The project included the development of a 1.3-acre site, including parking for 88 cars, an access drive, and stormwater detention.

The building design features brick exterior walls with stacked limestone accents to enhance the building entry and covered vehicular drop-off drive. Bronze metal accents are featured in the building fenestration and are used to shade the first-floor punched windows.

The building houses multiple offices including the 9,625-square-foot Global Imaging Outpatient Radiology

Center, the 2,640-square-foot Praana Integrative and Functional Medicine office, a 6,500-square-foot optometry practice suite, and a 2,600-square-foot general practitioner suite.

PGAL served as architect of record and interior designer for the Global Imaging Outpatient Radiology Center, working closely with the Owner who had a very strong aesthetic vision and active involvement in the design and material selections. The suite includes the most advanced imaging facilities to support the delivery of MRI, CAT scan, 3D mammogram, ultrasound, fluoroscopy, and DEXA bone density services.

PRAANA INTEGRATIVE + FUNCTIONAL MEDICINE, PLLC location: sugar land, texas PGAL served as architect of record for the 2,640-squarefoot holistic Praana Integrative and Functional Medicine Center located on the first floor of the Global Imaging Medical Office Building. The center, a boutique medical provider, includes a reception room, two examination rooms, staff and physician restrooms with showers, physician and nutritionist offices, and a wellness packaging/storage area. The layout was developed to allow access to shared facilities with Global Imaging including a staff breakroom with a full kitchen, staff restroom, and conferencing center with a full kitchen.

PGAL worked closely with the Owner, who had a clear vision of her clinic’s aesthetic, to incorporate carefully

selected finishes and specialty lighting, including a rich color pallet, patterned wall, and exotic stone selections for the counter tops. These elements reflect the Praana philosophy which is based on ancient Vedantic wisdom that promotes wellness through wholesome food, rejuvenation through mind-body practice, positive life attitudes that promote healing and vitality, and elimination of toxins in all forms.

TEXAS CHILDREN’S PEDIATRIC ASSOCIATION TEXAS CHILDREN’S PEDIATRIC OFFICE location: houston, texas Parents want a pediatric clinic that their children are comfortable in. This 7,000-square-foot facility has all the elements to provide excellent care and cheerful surroundings. Included are 18 exam rooms and one treatment room, five doctor’s offices with views to the outdoors, a colorful waiting room complete with TV monitors for video viewing, designated infant waiting room for new mothers/families, and a technically sophisticated and functional nurses station and reception area.

Circulation was planned around the perimeter to provide maximum daylighting and a garden view throughout the space. Brightly painted exam rooms reinforce the unique identity of the individual physicians. The layout is simple

and straightforward and all the materials are eco-friendly from hardwood flooring to modular furnishings as well as energy efficient lighting and windows.

ATLANTIC HEALTH ELITE MEDICAL CENTER location: las vegas, nevada The Elite Medical Center offers all the services found at a traditional hospital emergency room along with a company reputation of outstanding patient service where the goal is for patients to see an emergency room physician within ten minutes of a patient’s visit.

The design team provided complete architectural services along with FF&E Procurement for 21 patient hospital rooms, exam rooms, multiple waiting areas, common dining room and office spaces. Designed around the Center’s mission to provide outstanding patient services, the facility provides efficient and functional spaces with triage areas and departmental layouts separated from those in need of more acute care and waiting rooms that

provide natural daylight, light textured wall coverings and comfortable furniture with access to complimentary snacks and beverages.

Strong collaboration with all stakeholders was essential in the remodel and space planning of the critical state-ofthe-art equipment and technology that enables the Elite team to handle all levels of emergencies.

DIGNITY HEALTH location: las vegas, nevada Founded in 1986, Dignity Health is the fifth largest health system in the nation with diverse communities in 21 states.

With over 18 years of experience working with Dignity Health, PGAL’s Healthcare Design Leaders have provided planning, architecture, and design services on projects that include a wounded care clinic, operating rooms, a new medical pavilion, clinics, laboratories, urgent care centers, medical office buildings, angioplasty rooms, and skilled nursing facilities.

Designs include the use of natural light and quality materials that enhance wellness and promote healing

while allowing flexibility to support the changing needs of the healthcare community, with architecture that proves our unique ability to understand healthcare design, providing guidance as established by Dignity’s vision that supports the needs of both Practitioners and patients.

HOSPITAL CORPORATION OF AMERICA location: : las vegas, nevada Hospital Corporation of America (HCA) is one of the nation’s leading providers of healthcare services with more the 180 hospitals and 2,000 + sites of care.

PGAL’s Healthcare Design Leaders have provided planning, architecture, and design services on 30+ projects that include Cath Labs, Emergency Department, Endocrinology, Heart Room, Imaging Suites, Kitchen, Lobby/Floor Remodels, Medical Air Upgrade, Medical Surgery, Morgue, Observation Units, Operating Rooms, PACU (Post Anesthesia Care Unit), Pharmacy, Rehab, Special Procedures Room, and Surgery Waiting.

PGAL understands that healthcare environments are complex and intricate. Our experience with HCA offers flexible and sustainable facilities that meet their evolving needs for better patient care.

UNITED HEALTH SERVICES FREESTANDING EMERGENCY DEPARTMENTS location: las vegas, nevada

Universal Health Services (UHS) a national provider of hospital and healthcare services throughout the United States has contracted with PGAL on the prototype design of their Freestanding Emergency Department buildings at multiple locations across Southern Nevada and Texas.

The 10,456 square foot buildings will house 6 exam room with full lab services, CT and x-ray capabilities, bathrooms, a nurses’ station, waiting areas, utility rooms, supply closet, a generator encloser, CT Scan Room, breakroom, and a trauma room.

PGAL’s approach to this prototype addresses the typically stressful and high- volume environment with a design that focuses on creating functional and convenient spaces to offer a better experience for patients and staff. The efficient and improved organizational flow throughout the buildings helps to increase patient safety and quality of care.

NEVADA HEALTH CENTERS CARE CENTER ADDITION location: carson city, nevada PGAL is providing complete architectural services for a new two-story, 16,000-square-foot addition to and existing 20,858-square-foot healthcare facility that will accommodate the relocation and expansion of the existing pharmacy, a new dental treatment suite with provision for panoramic x-ray and dental laboratory, a podiatry suite with provisions for a procedure room, along with the relocation and expansion of a patient check-out receptionists area, a dedicate suite for the provision of telehealth services, general office space, storage, and circulatory space as required.

TROPICAL + LOSSEE, LLC/MEADOWS HOSPITAL, LLC MEADOWS HOSPITAL CAMPUS location: north las vegas, nevada As the City of North Las Vegas was evolving into an expansive residential and commercial development community, a group of private investors and developers contracted with PGAL to design a new hospital and medical campus. Plans for this 40-acre site included a neighborhood hospital, two medical office buildings, and a parking garage. Future phases were conceptually designed to include a nearby hotel, senior apartments, skilled nursing and assisted living centers.

Management’s primary objective was to provide residents with a comprehensive array of high-quality healthcare services in a cost-effective manner. The Hospital was to be

operated as a for-profit facility with a view toward superior financial performance and returns for shareholders.

PGAL designed the Meadows Hospital to be the one of the most advanced healthcare facilities in Clark County.

Detailed program elements for the hospital included an oversized emergency room to heighten the level of service, ten delivery rooms, a state-of-the-art radiology department and surgery center, oversized family care suites, top of the line care ICU/CCU units, a general service lab with facilities for phlebotomy/blood drawing stations, specimen processing center, chemistry work center, serology, urinalysis, hematology center, blood bank storage and grossing room.

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