Neighborhood Health Stations Community Engagement and Visioning

Neighborhood Health Stations Community Engagement and Visioning DRAFT Pre-Design Report August 2015 | Central Falls, RI

PROJECT STEERING COMMITTEE Christine Hansen

Blackstone Valley Community Health Care

Sara Perry

Blackstone Valley Community Health Care

Edward Schottland

Memorial Hospital Rhode Island

Dr. Joseph Diaz

Memorial Hospital Rhode Island

Kevin Reynolds

Memorial Hospital Rhode Island

Dr. Michael Fine

City of Central Falls

Peter Friedrichs

City of Central Falls Department of Planning

Reverand Don Anderson

Rhode Island Council of Churches

www.neighborhoodhealthstations.com

Central Falls, RI | August 2015

ENGAGEMENT REPORT

Report Contents 1. Introduction: Building Towards a Neighborhood Health Station

5

2. Community Health in Central Falls

11

3. Community Engagement Findings

21

4. Placemaking Strategy

39

DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY ENGAGEMENT

Community Health for All Rhode Islanders CHC versus statewide network existing rhode island community health centers and areas of high poverty

conceptual neighborhood health station network

Whereas historically Community Health Centers have been developed mainly in underserved communites, Neighborhood Health Stations will be a state-wide network based on catchment areas of 12,000 residents. key CHC / NHS 4 to 5.5%

Source: UDS Mapper (2014) 11 to 13%

13 to 15%

15 to 20%

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20 to 24%

(ABOVE, LEFT)

01

Building towards an NHS MASS Design Group worked with the City of Central Falls, Blackstone Valley Community Health Care (BVCHC), and Memorial Hospital Rhode Island (MHRI) to engage the local community about developing a Neighborhood Health Station at 1000 Broad Street.

The team’s engagement activities reached over 250 community members, and gathered insights about current health needs and programs that would have an impact if they were offered at the Neighborhod Health Station.

From these inspiring interactions, and with the support of a Steering Committee

of local city and non-profit leaders, MASS Design Group developed a creative placemaking strategy for the site, which is outlined in this report.

The creative placemaking strategy responds to residents’ needs, and will activate the public spaces of 1000 Broad Street.

By bringing more users to the site and the existing community health center there, the placemaking strategy supports the City of Central Falls’s long-term efforts to bring investment for a Neighborhoood Health Station to the city.

Summary of 2015 accomplishments – Over 250 conversations and interactions

June

July 19

9

Fitness and Summer Food Program Festival 25 Interviews

August 19 20 23

6

COLOMBIANAMERICAN Festival 200+ Interactions

STEERING COMMITTEE MEETING # 1 5 Participants

workshop w/ bvchc + mhri staff 20 Participants

STEERING COMMITTEE MEETING # 3

workshop w/ city + non-profit leaders 5 Participants STEERING COMMITTEE MEETING # 2 5 Participants

DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT | 5

Towards a Systematically Planned Network CHC versus statewide network Community Health Center

Primary Care

Community Health Center PLUS (+)

Neighborhood Health Station

Primary Care

Primary Care

General Health Practice Doctors

Pediatricians

mental health services

mental health services

Family Practice Doctors

Geriatic/Internal Medicine

URGENT CARE

URGENT CARE

+

Ambulatory CARE

mental health services Psychologists

Recovery Services

Psychiatrist

URGENT CARE

AMBULATORY CARE

+

Community PROGRAM Retail / Office Recreation / Public Space

Linkages to Services

Community program

x statewide network

The Neighborhood Health Station concept is already occurring naturally as Community Health Centers expand their health services and add community programs. The NHS differs since it makes these services a state-wide network.

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NHS Concept The NHS needs a physical and visual presence in Central Falls immediately in order for the idea of a larger facility to take hold in the imaginations of residents.

The Neighborhood Health Station is a concept developed by Dr. Michael Fine while Director of the Rhode Island Department of Public Health. It is being tested at 1000 Broad Street in Central Falls, where BVCHC and MHRI are joining in a shared facility.

An NHS consolidates many of the ambulatory care services of a traditional Commuinity Health Center with urgent care, mental services, dental, pharmacy, and other services. In addition, the NHS offers wellness, recreational, and educational programs so that individuals and families have access to comprehensive services. Moreover, consolidation offers flexibility to users for scheduling visits

and a a high-level of coordination among medical providers.

The vision for the NHS is that facilities will be developed based on catchment areas of 12,000 residents. The stations will be financed through a system of “capitated” payments, in which each NHS receives a fixed amount of annual funding based on the catchement area population – versus the current “fee-for-service” system.

The Rhode Island Neighborhood Health Station Coalition is currently working to build partnerships with community health stations across the state to build towards this new model. 1000 Broad Street will be the first test case.

Immediate Goals 1. Increase BVCHC / MHRI outpatient utilization.

In order to prove the Neighborhood Health Station model, use of Blackstone Valley Community Health Care and Notre Dame Ambulatory Care needs to increase

from 6,800 annually to a number. Future utilization should reflect the ideal of a Neighborhood Health Station that serves a catchment area of 12,000 residents.

2. Prove demand for community programs on site.

Actual demand for fitness, food, educational, and other programs at the Neighborhood Health Station need to be shown. Bringing more users to the 1000 Broad Street site for the kinds of

programs that would Neighborhood Health of showing demand programs and making capital investments.

be offered in a Station is a way for community a case for future

3. Make a tangible impact now.

The Neighborhood Health Station needs a physical and visual presence in Central Falls immediately in order for the idea of a larger facility to take hold in the imaginations of residents. Offering short-

term programs on the site and connecting BVCHC / Notre Dame outpatients to existings programs is a way of having an impact today and building support for the Neighborhood Health Station.

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Building Towards an NHS through Placemaking Site activation concept hadwin street

walk-witha-doc track

Parcourse

4-110

FUTSAL

led street lighting bio-swale

4-221 car entrance

outpatient / ems drop-off

bicycle Parking

multi-use pavilion

Farmers market

4-469 orchard / community yard pedestrian entrance

broad street

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Creative Placemaking Strategy Creative placemaking is an increasingly nationally recognized approach through which government, non-profit, cultural, and private sector groups partner in order to improve public and community spaces.

Placemaking is used to improve public safety, promote individual and family health, create activity on underutilized sites, provide recreational amenities, and support local development development.

This strategy uses public space design to accomplish city and community development goals.

Placemaking activates public spaces with temporary programs and services through spaces and landscapes constructed at a low

cost. Programs often include farmers markets, recreational spaces for youth and adults, public art, and temporary seating, pavilions, and performance spaces.

MASS Design Group identified placemaking as a potential strategy for 1000 Broad Street as a way of providing in the near-term the kinds of fitness, food, and educational programs envisioned for the Neighborhood Health Station in the long-term.

Because of the prominent location of the site one of Central Fall’s busiest corridors, activating the public space of site will support the city’s economic and neighborhood development goals.

Placemaking Themes The creative placemaking vision is driven by ideas and perspectives of Central Falls residents. Through signage, entrances, and improved pedestrian access, the vision gives Notre Dame a welcoming presence on Broad Street. The seating, farmers market, and multi-use pavilion in the front-yard provide spaces to access fresh

food, fitness programs, and community interaction. In the back-yard, a walking path and futsal and basketball courts expand recreatational opportunities available to residents. The vision makes Notre Dame a center of activity in the neighborhood, a place for community and catalyst for the local economy.

neighborhood health stations development timeline

2015

BVCHC + MHRI JOIN IN NOTRE DAME FEASIBILITY STUDY MASS PRE-DESIGN

2016

2017

2018

2019

[Underway] Evaluate future options for ND Develop placemaking strategy NEIGHBORHOOD HEALTH STATION DEMONSTRATION PERIOD

Transition to “capitated” NHS financing structure Capital campaign + design

DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT | 9

Context Map Central falls in the providence metropolitan region cumberland

south attleboro

lincoln

central falls

pawtucket north providence

providence

East providence

Cranston

02

Community Health in Central Falls 1. Blackstone Valley Community Health Care and Notre Dame are only sources of health care for many residents.

Central Falls residents have strong connections to BVCHC and Notre Dame. Many Central Falls residents were born at Notre Dame, when it was the city’s hospital. Because Central Falls is

a Spanish-speaking city with many low income residents, BVCHC and Notre Dame have important roles for residents since the staff there is bilingual and noninsured people can seek care there.

2. The community is seeking access to educational resources and recreational facilities.

In a community-based health assessment in 2013, residents said they want access to information about healthy living and

recreational facilities. Education and fitness would supplement care residents receive at BVCHC and Notre Dame.

3. Health issues and the most common diseases in Central Falls reflect those of Rhode Island.

The common life-style related health issues faced by Central Falls residents generally are similar to those that impact

residents state-wide. An exception is teenpregnancy rates, which are high in Central Falls, but have been declining.

Even though smaller in population than its neighbors, Central Falls is the densest city in the state.

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Accessing Care through CHCs CHCs PLAY IMPORTANT ROLE IN CENTRAL FALLS Adults with delayed health care because of cost (2012)

Percent of population that is uninsured (2012)

Blackstone Community Health Care and Notre Dame are for many Central Falls residents their only point of access for primary care. Blackstone has multiple facilities that serve low income groups in the municipalities north of Providence. key CHC / NHS

Source: UDS Mapper (2014)

10 to 11%

11 to 13%

13 to 15%

15 to 20%

20 to 24%

(ABOVE, LEFT)

0 to 5%

5 to 10%

10 to 14%

14 to 21%

21 to 30%

(ABOVE, right)

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High Density, Walkable Community existing services accessible by pedestrians population density by municipality

30

Density | Area

25

28.3 25

20

18.9

18.4 15

15

13

10

8.7 5

5 0

26.8

2

1.2

3.5

2.5

2

ls

A

o, M bor

le Att

d

lan

ber

m Cu

alls yF

le Val

ce

al lF

t cke

n

col

Lin

tu Paw

ra

den

nt

vi Pro

Ce

Municipality

In spite of its one-square mile size and population of 20,000, Central Falls is the most densely developed municipality in the Providence region. Car ownership is low, but Blackstone and Notre Dame are within walking distance of most residential areas. key Population Density (People per Acre) Municipality Area (Square Miles) Source: US Census American Community Survey (2015) DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT | 13

Unique Service Needs Compared to Neighbors many poor households, majority spanish-speaking Central Falls

Providence

31%

Pawtucket

71%

0.5% 10% 4.5% 25%

81%

6% 2% 16%

60%

38%

38%

91.5%

1% 2% 2% 8%

8.5%

1.5% 13%

57%

20%

Attleboro, MA

9%

8.5%

19%

29%

69%

Valley Falls

87%

91%

3% 4.5% 6% 2.5%

84%

About 30 percent of Central Falls lives below the poverty level, and almost two-thirds are of Spanish-speaking descent. Historically, the presence of community health centers in Central Falls has to do with the needs of these populations. key % HH Below Poverty Level White

Hispanic

% HH Above Poverty Level Black

(ABOVE)

Asian

Source: US Census American Community Survey (2015)

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Other

(below)

Desire for Health Education and Programs 2013 community health assessment with residents

SCHOOL LUNCHES COMMUNITY GARDENS

(2) PROGRAMS (3) COMMUNITY HEALTH CENTER

(5) PUBLIC SAFETY

(1) EDUCATION (4) PHYSICAL ACTIVITY RESOURCES

The community health assessment at La Casona Restaurant in 2013 showed that Central Falls residents want increased access to information about healthy living, including fresh food, and increased fitness facilities. key Top 5 priorities Health Services

Education and Info

Community Resources

Public Safety

Food Access

Employment

Source: Rhode Island Department of Health (2013)

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Major Health Issues Related to Lifestyle Diet, exercise, and smoking drive health issues

Don’t Eat Recommended 5 Servings of Daily Fruits and Vegetables

Don’t Maintain Healthy Weight

25%

Don’t Get Recommended Amounts of Physical Activity

32%

75%

Are Smokers

48%

68%

20%

52%

80%

Chronic health issues related to diet, obesity, fitness, and smoking compound acute health problems that bring Central Falls residents to BVCHC and Notre Dame; however, this issues are common to residents state-wide. key % of Central Falls Population with Issue % of Central Falls Population without Issue Source: Rhode Island Department of Public Health 2011 Community Health Report

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Central Falls Reflects State-wide Issues 2013 memorial hospital assessment Ranking of state-wide health issues by Health association of RI Board

# of Informant Responses

50 40 30 20 10 0 ss t

ng oki Sm s STD oke Str lth a e g lH vin nta -gi De are &C ing Ag r nce se Ca a th e eal Dis tH art fan He / In nal ter e Ma bus lA es oho bet Alc Dia e/ ty anc esi b bst /O Su ht ide eig uic /S erw ed lth Ov a sur e nin al H /U are oC

nt Me

ce Ac

The Health Association of Rhode Island prioritized life-style related health issues in an assessment created by Memorial Hospital in 2013.

key Total Responses Prioritized by Health Association of RI Board Source: Memorial Hospital of Rhode Island CHNA Report (September 2013) DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT | 17

What We Know about Health in Central Falls Structural health problems related to gaps in services Diabetes

heart disease

Obesity & Diet

access to recreational facilities

access to fresh food

mobility to access healthcare

Insurance / ability to pay

smoking

substance abuse

mental health

teen pregnancy

INFO

The chronic health issues that Central Falls residents are facing are structural – they are realted to lack of information about health, income, and mobility.

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Addressing Structural Issues Because Central Falls is a Spanishspeaking city, BVCHC and Notre Dame have important roles for residents since the staff there is bilingual.

1. The health issues that are most common for Central Falls are known to both residents and the health professional community.

The assessment work has already been done at the community level in the last two years to document the most pressing

health issues in Central Falls. Health in Central Falls is already well-documented.

2. There is a need to improve health outcomes by addressing structural issues.

Lack of access to information, recreational facilities, fresh food, and mobility to connect to with primary care are structural factors that underpin life-

style related health problems in Central Falls. Expansion of primary care will have a greater impact when these structural issues are concurrently addressed.

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Engaging Community we asked youth to model their ideal health center

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03

Community Engagement Overall Findings Throughout summer 2015, MASS Design Group organized community engagement activities in Central Falls. The purpose of this community engagement was to understand what residents thought they needed to be healthy and how an NHS could support local development.

For these activities, MASS met Central Falls residents in their daily lives – at local festivals, on the street, and in the workplace. The following findings inform ideas for programming and improvements at the 1000 Broad Street site:

1. Knowledge of Notre Dame is high among residents, but perceptions of the site are negatively impacted by way-finding and site entrances that are unclear, lack of activity on site, and few amenities in waiting areas.

2. Food programming offers a specific opportunity to bring people to 1000 Broad Street since there are very few fresh food sources in Central Falls.

3. Residents need to access 1000 Broad Street by walking or bicycling since car-ownership in Central Falls is low.

Youth at the Summer Food Program and Central Falls Fitness Festival in Jenks Park. (above, right)

4. Residents care about how their city looks – and Broad Street can be a point of pride for Central Falls.

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CF Wants to Access Fresh Food and Community person-on-the-street interviews | june 19,2015 Kelvin “I’m eating healthier than I did in my youth.

It’s not easy because if you can’t afford a car, the only place you can shop for food is Family Dollar.”

– At Natural Health Foods Store

susan “I feel healthy because I take care of myself. I cook for myself and I make myself healthy food, I think people my age need to learn to eat healthy.”

– On Broad Street

Simone “There’s a lot of youth activity in the area – however, ever since the Community Center closed, it’s become a lot more difficult to access everything we need.”

– At Jenks Park

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CF Wants Fitness and Youth Activities ELISEO AND FELICIA “I feel healthy because of what I eat, when I walk the dog, and because I lost weight. I got Obamacare, then got in a car accident, went to Notre Dame, and the PT there got me into weight loss. But it’s hard to access healthy food, and there’s no gym.”

– At Jenks Park

PEDRO “It’s not so much about the lack of access to these places as it could be better. We just need better equipment, the kids need something more than these rundown nets and makeshift basketball nets.”

– At Jenks Park

Edward “You can have all the facilities you want, but without any form of organization, it does not matter. Facilities of any kind, but especially physical activity ones, are about bringing people together.”

– At Jenks Park

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ColombianAmerican Festival Outreach MASS Design Group shared a stall with Progreso Latino at the ColombianAmerican Festival. Over the course of the day, MASS spoke with more than 200 residents. Youth were invited to imagine

an ideal Neighborhood Health Station with a physical model, and anyone could contribute suggestions to an ideas map.

From these interactions, we took away the following findings:

1. People know about the local food movement and the need for healthy nutrition, and want to access these systems and programs.

The lack of fresh food sources in Central Falls is among the most common comment we heard from residents. People

would like a to see a farmers market, but also courses on healthy cooking, especially with Latin American staples.

2. When people complain about litter and potholes, they are really talking about the way community pride is impacted by how their city looks.

3. It’s not just facilities that people want, but opportunities for different generations and families to connect.

Local resident taking a break from the festivities to write down his thoughts on making Central Falls healthy.

Residents need access to a gym, pool, and other fitness programs to replace what was lost when the Ralph Holden Center closed, but they also want more coordination of recreational programs.

Many spoke about recreation as an opportunity to build community among youth and cohesion within neighborhoods in Central Falls.

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Ideas for a Neighborhood Health Station community input at the colombian-american festival

Over the course of the day at the Colombian-American Festival on July 19, MASS Design Group encouraged residents of all ages to write down and post their perspectives on ways Central Falls could become healthier.

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a festival-goer creating a model of his ideal neighborhood health station

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youth make suggestions about how to get more children involved in physical activities

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a family brainstorms ideas bout how to make central falls residents healthier

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Summary of BVCHC | Notre Dame Staff Workshop On July, 20, 2015, MASS Design Group organized a workshop with 20 staff of BVCHC and Notre Dame to discuss the development of a Neighborhood Health Station. We wanted to know how

Notre Dame could be a better place to work, but also to gather their insights into outpatients, since the staff knows this community best. We made the following findings:

1. The top priority for the Neighborhood Health Station development in the long-term is expanded primary care access to all Central Falls residents.

2. Central Falls residents come to Notre Dame because of the bilingual staff and accessible, walk-able location.

3. Even though Notre Dame is well-known in the community, perceptions of the site a negatively impacted by unclear entry, circulation, and way-finding.

Several conditions make Notre Dame unapproachable from a pedestrian perspective – the large parking lot, which can feel unsafe when there is little activity,

the lack of a pedestrian route from Broad Street to the Notre Dame entrance, and the location of the Notre Dame entrance at the back of the site.

Burgeoning immigrant food shops on Broad Street and Dexter

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Staff Insights into Community Health summary of “solar system” exercise in staff workshop ATTRACTING + RETAINING Approachable and bilingual staff Food options Ease of referrals No babyWaiting area changing station amenities

PERCEPTION + WAY-FINDING People are here because they don’t know where else to go

MOBILITY Public transit system difficult to navigate for spanish-speakers

Unclear signage Safety concerns because of unclear entrances

Don’t know where to go next

Rumor that Notre Dame is closed Safety concerns because of large parking lot

NHS

PRIMARY CARE

Convenient location / extremely walkable No bicycle parking

Lack of activity in non-peak hours

Mental health

Social services

Diabetes counseling Nutrition resources Daycare

Staff members of BVCHC and Notre Dame did a “solar system” exercise in which they identified priorities and issues with community health in Central Falls, and then sorted them as site-issues or city-issues.

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Some spanishspeaking outpatients do not use public transportation because maps and fares on the bus are posted only in english.

4. There is a rumor that Notre Dame has closed, which means there is an immediate need to create a strong visual presence on Broad Street that communicates the facility is open for business.

We heard this rumor from several staff that explained it arose from confusion

over a mail notice that Notre Dame was transferring ownership to BVCHC.

5. Outpatients easily become discouraged from seeking continuity of care because of communication during referrals and the nature of public spaces at Notre Dame.

Language can easily become a barrier for outpatients following up on appointments.

When, for example, they receive a voice message about an appointment in English, they may just not know what to do and so miss an appointment.

The lack of amenities in public spaces can also be a barrier to families and outpatients

seeking care. The lack of a baby changing station, no healthy snacks for diabetes patients in the vending machines, and inactivity during some hours that creates a sense of insecurity were all cited as reasons outpatients or their families do not follow up on appointments – or leave while they are still waiting.

6. In spite of general walk-ability of Central Falls, residents face mobility barriers to accessing BVCHC and Notre Dame.

We heard from staff that in spite of perspectives to the contrary, many Spanish-speaking outpatients do not use public transportation. This is because maps and fares on public transit are posted only in English.

Bicycling to Notre Dame is also a challenge because there is not bicycle parking on the site. Visitors that do bicycle to Notre Dame usually leave their bicycles in the vestibule of the main entrance.

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A Development Opportunity on Broad Street Large parcels in central falls

1000 BROAD ST

The site is among the 23 parcels in Central Falls that is over 100,000 SF; most large parcels in the city are zoned for industrial uses – this property’s commercial zoning on one of the city’s main corridors makes it a unique development opportunity. key BVCHC | Notre Dame Property Industrial Parcels Larger than 100,000 SF Source: City of Central Falls Parcel Database

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Summary of Workshop with City and Nonprofit Leaders On July, 20, 2015, MASS Design Group organized a workshop with 5 staff of city government and local nonprofit organizations. The purpose of the workshop was to discuss how the

Neighborhood Health Station can support existing initiatives in Central Falls related to food, fitness, and education. We made the following findings:

1. Existing recreational facilities in Central Falls are over-utilized, and potential role for the Neighborhood Health Station is in connecting youth and adults to these programs.

Existing gym facilities in schools are already being utilized for community fitness program, and Zumba is offered in several locations by a local instructor. The new YMCA program that brings Central Falls residents to Lincoln for swimming draws between 50 and 60 families per day. In the short-term, the Neighborhood

Health Station can support these programs by connecting residents to them, through promotion or transportation; in addition, new fitness programs at 1000 Broad Street could tap into the social capital that is already making fitness programs happen throughout Central Falls.

2. Healthy food programs could be expanded in Central Falls, and these could be offered in a holistic way at 1000 Broad Street.

View of Central Falls from Jenks Park hilltop (above).

Central Falls residents need holistic services related to food. A farmers market would provide access to some fresh food, but residents also need educational programs on shopping on limited budgets and cooking healthy at home. Moreover, residents lack access to information about

where to access fruits and vegetables that are native to their home countries.

Becoming unhealthy after migrating to a new country is an expression of race- and ethnicity-based food inequity that could be adddressed through food programs at the Neighborhood Health Station.

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Front-yard versus Back-yard short-term site development concept

Dropoff

signage

seating | orchard

pedestrian area

multi-use pavilion

fitness

front-yard

farmers market

car entrance

fitness

fitness

back-yard

1000 Broad Street can be actvitated with community and recreational programs with limited reduction in available parking and improved access and visibility.

key Way-finding and Circulation Community and Recreational Programs Pedestrianized Roads

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04

NHS Placemaking Vision The vision for the Notre Dame site aims at achieving the three near-term goals for the Neighborhood Health Station of increasing visitor-ship to the health center,

proving long-term demand for new commnity and recreational facilities, and having an impact today on health optoins for Central Falls residents.

Small: Visibility and Accessibilty | $5K – $25K New signage increases visual presence on Broad Street, countering rumors that Notre Dame has closed. A seating orchard and farmers market in the front-yard

provide fresh food access and community space; re-striping pavement in back-yard offers new fitness facilities and creates clear pedestrian route to the rear entrance.

Medium: Activation | $25K – $50K A multi-use pavilion in the front-yard provides a flexible, outdoor facility for fitness, food, and community programming that draws on existing social capital in Central Falls. Zumba, yoga,

nutrition an dcooking courses, and youth programs can take place in the pavilion.

Further, the pavilion activates the front entrance to Notre Dame.

Large: Revitalizing | $200K +

A new public space on Dexter Avenure is a point of community pride (above).

Front entrance roads and back parking lot resurfaced to provide pedestrian areas, formal fitness facilities and a landscapeenhanced pedestrian and automobile drop-off area. A positive visual presence on Broad Street and increased visitor-

ship to the site connects more residents to primary care services and opportunities for healthy lifestyle and make the Neighborhood Health Station a catalyst for development on Broad Street.

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Development Opportunities parking analysis parking anaylsis assumptions

Spaces per 1,000 SF

Health Clinic

Recreational Community Center

Low

3.74

1.46

Average

4.43

3.83

High

4.98

7.38

Source: Institute of Transportation Engineers “Parking Generation” Handbook, 3rd Edition

Existing condition

Spaces per 1,000 SF

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Existing Condition Urban Design Issues SOLAR -OPTIMAL SUB ORIENTATION

,

4-221

IMPERVIOUS SURFACE ACRE 3 1.3 UNSHADED

ENTRACE 4-110 UNMARKED

chestnut street

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PEDESTRIAN NOTO MAIN

sustainability issues circulation and public space issues

tremont street

ROUTE

ENTRANCE PEDESTRIAN MAIN

100

CLOSED FT . SETBACK

ENTRANCE

broad street

ONLY ACCESS PEDESTRIAN TO

4-469

SITE

OPEN CORNER NO FORCROSS STUDENTS -WALK DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT | 41

Placemaking Vision Small-scale

FUTSAL

4-221

4-110

chestnut street

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tremont street

walk-witha-doc track

midnight basketball

outpatient / ems drop-off multi-use pavilion

bicycle Parking

orchard / community yard

Farmers market

broad street

pedestrian entrance

4-469 4-469

DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT | 43

Placemaking Vision medium-scale

FUTSAL

4-221

4-110

chestnut street

44 | DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT

tremont street

walk-witha-doc track

midnight basketball

outpatient / ems drop-off multi-use pavilion

bicycle Parking

orchard / community yard

Farmers market

broad street

pedestrian entrance

4-469

DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT | 45

Placemaking Vision big-scale

bio-swale

FUTSAL

4-221 Parcourse

4-110

car entrance

chestnut street

46 | DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT

tremont street

walk-witha-doc track

outpatient / ems drop-off multi-use pavilion

bicycle Parking

orchard / community yard

bicycle Parking Farmers market

broad street

pedestrian entrance

4-469

DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT | 47

A New Visual Presence on Broad Street signage concept

fabric webbing kee klamp steel pipe and socket system

quikrete footings

Iconic signage along Broad Street would bring the visual presence of the Neighborhood Health Station up to the sidewalk, welcoming people to the site and countering the 100-foot setback of the building.

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DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT | 49

Fabrication that Supports the Local Economy Street furniture concept

fabric webbing

Salvaged lumber

The fabric webbing used for the street furniture, canopy, and sign is manufactured at Leedon Webbing Company, one of three remaining webbing factories in Central Falls; using this material would be economically and environmentally sustainable.

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DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT | 51

Fitness that Brings Central Falls Together Recreational facilities concept

Re-striping the back-yard parking lot is a simple approach for increasing access to recreational facilities in Central Falls while preserving the parking spaces that may be needed as the Neighborhood Health Station expands.

52 | DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY eNGAGEMENt REPORT

DRAFT NEIGHBORHOOD HEALTH STATIONS COMMUNITY ENGAGEMENT