THW Healthcare

Healthcare

think forward

Firm

PROFILE “We are completely pleased with the THW team. They are punctual, innovative, resourceful and responsive.

They are knowledgeable in healthcare codes, took the time to understand our needs, and have designed a project that will help take our company and our ability to meet our patients’ needs to the next level.”

-Eric McLaughlin, MD Partner Patients Emergency Room

Established in 1957, Thompson, Hancock, Witte (THW Design) offers Master Planning, Architectural, Land Planning/ Landscape Architecture, Interior Design, and Purchasing services from our Atlanta and San Antonio offices.

Over the last three decades, THW Design has grown to become one of the leading design firms in the nation. This experience, and the deep, acute healthcare experience of our designers, make THW Design the best choice for hospital groups impacted by the marked demographic shifts that are occuring in the U.S.

80+

Architects Interior Designers & Land Planners

1Bsf

of Healthcare Design

85% Business from Repeat Clients

THW Design

HEALTHCARE THW’s successful history in acute healthcare projects spans a field that exceeds over 1-Billion Square Feet. THW provides our client-health systems with innovative space and operational planning, in addition to innovative architectural and environmental design solutions for what we recognize as an already over-burdened healthcare delivery system. At THW, we understand the impacts which emanate from the growing demands faced by all healthcare systems seeking to meet the needs of a larger population with the increasingly complex layering of demographics and psychometrics.

Our success has been witnessed as a direct result of our ability to assist healthcare systems in assessing their proposed and existing physical plants with a philosophy that not every new and existing condition requires the same solution, but rather, solutions that are specific to the creation of pathways that allow for effective operations between the care-giver and the patient-guest.

We encourage a process that embraces our client’s vision with that of fiscal responsibility and environmental sustainability, internally and externally. We take great pride in this method of approach, as it stands as the benchmark for what we do best, thus invoking the combined influences of our land planning, interior design and architecture.

Hence, through the execution of our work in concert with our clients, we have discovered that the greatest achievements are made evident in how clinical functions and operations have been improved via our understanding of our client’s newly-developed or existing operational conditions. This creates an alignment of goals and actions that result in improved and enhanced patient-guest services, reduced functional and physical waste, improved staff and physician satisfaction, improvements in infection control, reduced readmissions, and care for the environment.

Our team brings unique processes and tools that will help create the clinical environment most appropriate in service to their patient-guests, as well as to the operational costs of the healthcare system. Our team uses tools that ultimately are intended to improve communication and decision-making with our clients. Many of these tools leverage technology to allow our teams to collaborate in sophisticated ways while minimizing the time required to accomplish the tasks at hand. Our interactive and virtual/augmented reality modeling of clinical operations, benchmarking, space utilization, staffing, cost, and technology assures the most effective use of space and clinical resources, as well as creates a future strategy that helps account for growth, redistribution, and/or consolidation.

Target areas where THW serves as a unique part of the equation in meeting our clients needs:

| The critical nature of readmissions--the delivery of care could be proven to be better | Healthcare industry is becoming increasingly consumer-driven | Patient satisfaction and the patient experience: healthcare organizations must not only provide quality care but also surpass patient expectations | Patient experience and emotional engagement are increasingly influential factors in determining healthcare providers’ financial success | Fostering positive emotional connections (DESIGN) with patients and generating strong patient engagement require employee talent and teamwork | Facilities must also meet staff’s basic needs in order for them to engage patients and meet patient demands.

To this end, watching, studying and applying are the “action principles” by which THW binds together the goals of performance, efficiency and patient satisfaction for our clients.

Let us show you how we do it!

Healthcare

STUDIO TEAM JAMES “JIM” H. HUDGINS Jr. | AIA, LEED AP, CASP, NCARB PRESIDENT Jim Hudgins, President of THW Design, is a hands-on leader of the firm’s senior living practice which has been providing services in architecture, land planning and interior design for more than 60 years. Jim’s hospitality and senior living experience as principal-in-charge includes working with a wide range of communities and healthcare service providers for over 35 years including single and multi-site organizations. Services include strategic planning and board education, complex campus startups, expansions and renovations for Life Plan communities, skilled nursing, post-acute care and rehabilitation and memory care environments.

ERIC KRULL | AIA, LEED GA, CASP EXECUTIVE VICE PRESIDENT As Executive Vice President of THW Design, Eric presents extensive experience in the master planning and design of healthcare projects. Most notably, his penchant for strategic planning with clients of both non-profit and for-profit organizations has garnered THW the reputation as a firm that “knows the client’s business.” From this vantage point nationwide, Eric has overseen healthcare projects from greenfield to renovation/repurposing platforms of which have received numerous awards and citations, while bringing THW notoriety as a firm that understands the trends and challenges facing today’s healthcare industry.

CARLOS MORENO | AIA, NCARB MANAGING DIRECTOR HEALTHCARE DIVISION LEADER - SAN ANTONIO With 30 years of experience in acute-care design, Carlos maintains a strong and relevant focus on the advancements in healthcare and their application, including medical centers.

Additionally, Carlos’ work includes Life Plan communities where post acute care, clinical care, rehabilitation and other modalities take place within a more “universal design” approach, benefiting both young and elderly populations. Carlos is renowned for providing clients with strong healthcare planning and architectural solutions, while maintaining strict adherence to budget and schedule parameters. His attention to technical issues and knowledge of the healthcare regulations in both senior living and acute care brings a high level of expertise and value to the delivery of services to our clients.

Healthcare

STUDIO TEAM KAREN MCHUGH-PARISSE | LEED AP, NCARB ASSOCIATE PROJECT MANAGER Seasoned, proactive project manager with over 16 years’ experience, Karen has the ability to simultaneously manage and coordinate multiple projects with competing priorities to ensure feasible timelines are established and adhered to while delivering quality work. She possesses exceptional communication skills to allow for seamless collaboration with colleagues, vendors, consultants, and clients to ensure collective understanding of deadlines, action items, and any outstanding issues.

CHRISTINA HARRIS | RA SENIOR PROJECT MANAGER | PROJECT ARCHITECT Christina serves as, both Senior Project Manager and Studio Leader for the San Antonio office.

With over 20 years’ experience, her background includes a wide variety of project types and encompasses all phases of design, with an emphasis on the technical knowledge and skills needed to take a design from sketch on paper to built reality. She places great emphasis on collaboration and believes that true teamwork results in the most dynamic, creative and successful projects.

FRANCHESKA HEBDEN SENIOR PROJECT LEVEL PROFESSIONAL Fanceska has experience in all phases of the healthcare design process, including programming, space planning, design development, construction documents, material selection, furniture specs, and project management. Her design approach is to shape the experience of interior space, creating unique, sustainable, and functional environments that meet the client’s needs in a thoughtful and innovative way.

DAVID GRUSS SENIOR PROJECT LEVEL PROFESSIONAL Specializing in healthcare design, David has worked on complex projects that include surgical suites, patient bed towers, children’s hospitals, and radiology facilities for both new construction and renovations. In his role as a Project Job Captain, he coordinates the project team and an array of specialized consultants.

BRADY RENNER | RA PROJECT ARCHITECT Brady is heavily involved in most projects across the company, from support and visualization, to design and client interactions. His experience in project management, design and emergency medical training, has given him a unique perspective that he expresses daily in the healthcare studio. He is notably involved in researching technology in both the medical and architectural fields.

Healthcare

STUDIO TEAM JEROME “JERRY” HOVORKA | AIA, LEED AP, NCARB SENIOR PROJECT MANAGER With his vast experience in design and project management of senior living and healthcare facilities, Jerry supports innovative design with strong management skills. He is a strategic thinker, providing clients with a strong architectural solution, while maintaining strict adherence to budget and schedule parameters. Jerry stays well-informed of emerging trends in healthcare technologies, reimbursement structures and legislation which may affect the delivery of contemporary Healthcare.

His focus on technical issues and his knowledge of the construction industry brings a high level of expertise and value to the firm’s projects.

CHAD COOLEY PROJECT DESIGNER As a project designer, Chad is heavily involved in all projects BIM coordination, and helps to lead design for the healthcare studio at THW’s San Antonio office. He is involved in project management, master planning, and the preparation of construction documents. His experience in coordination, client-centric interaction, and strategic inquiry creates a unique design process that goes beyond the surface to uncover opportunities resulting in meaningful experiences and connections between users and the built environment.

SHARON HARPER | LEED AP, NCIDQ SENIOR LEVEL INTERIOR DESIGNER Sharon provides 20 years of commercial design experience in a variety of project types, including senior living, healthcare, corporate, government, education, and multi-family. She is experienced in all phases of the design process, construction administration, sustainable design, and project management. Sharon is also a LEED accredited professional and serves as the technical lead for THW Interiors, working with architects, engineers, and consultants to ensure well-designed and functional spaces. Her senior living and healthcare experience spans all levels of care and provides a commitment to safe, caring and healing spaces for our clients.

ANDREW BEASLEY | LEED AP BD+C PROJECT LEVEL PROFESSIONAL Andrew focuses his efforts as a healthcare project job captain in managing the project team and coordinating various consultants. His 20+years’ experience in hospital and healthcare design has resulted in over $500 Million in construction value with projects ranging from MRI/CT/Radiology suites, out-patient ambulatory facilities and medical office buildings.

Healthcare

STUDIO TEAM CHARLES VOORHEES | RA, LEED AP, NCARB MANAGER QUALITY ASSURANCE A registered architect with over 20 years of experience, Charles brings extensive experience with all phases of design and construction of various types of facilities including: air traffic control towers, higher education, schools, mixed-use residential, hotel, retail, restaurant, office, classroom, data centers, warehouses, and parking structures. His experience also includes conducting and participating in Property Condition Assessments on a variety of building types. Charles is a member of the Building Enclosure Council Atlanta and is a LEED Accredited Professional, having delivered buildings attaining USGBC LEED and earthcraft ratings. His expertise in codes, regulations, and standards and his passion for design excellence, building enclosure design, sustainability, and technology, contribute to distinguish Charles’ leadership on project teams.

TERRY MINOR | AIA SENIOR ASSOCIATE | DIRECTOR OF TECHNICAL SERVICES Professional with over 20 years of comprehensive experience in all phases of the project delivery process, leading to the successful development of a diverse group of commercial, healthcare and institutional projects.

CAROLINE BURNET | RA, NCARB TECHNICAL MANAGER As a technical manager and senior project architect with THW Design, Caroline manages all aspects of project execution from initial schematic design through to construction administration.

With nearly 20 years of experience in both healthcare and senior living projects, her detailoriented focus on consultant coordination and document production serves as an asset to successful project delivery. Caroline is a licensed architect and holds a Bachelor’s degree in Architecture from the Georgia Institute of Technology with a certificate in Public Policy.

Healthcare Design

EXPERIENCE & SERVICES THW’s staff of professionals provides a deep breadth of healthcare experience that simplifies complex healthcare renovations that impact your bottom line

THW

HEALTHCARE

MEDICAL BUILDING TYPES

ACUTE CARE HOSPITALS CRITICAL ACCESS HOSPITALS FSED (FREESTANDING EMERGENCY DEPARTMENTS) HOSPITAL ACUTE CARE CENTERS (ACC) CARDIAC CATHETERIZATION (OUTPATIENT) SKILLED NURSING (LTC) SKILLED NURSING (TRANSITIONAL) AMBULATORY SURGERY CENTERS (ASC) ENDOSCOPY CENTERS DIAGNOSTIC IMAGING CENTERS INFECTIOUS DISEASES / PROTECTIVE ENVIRONMENTS OCCUPATIONAL REHABILITATION MICROHOSPITALS URGENT CARE / DIAGNOSTICS CENTERS BEHAVIORAL / PSYCHIATRIC FACILITIES MEDICAL OFFICE BUILDINGS FREESTANDING EMERGENCY DEPARTMENTS (MOB) OUTPATIENT CARE

THW Design embraces our client’s vision and encourages a process that results in medical planning solutions, creating healing environments. Our solutions provide the best clinical outcomes possible, as well as ensuring patient and caregiver satisfaction. We include the latest in Evidence-Based Design principals within our solutions and have found that this approach provides maximum flexibility to accommodate a changing future.

Our approach creates an alignment of goals in support to the client’s business case and actions that result in improved and enhanced patient-guest services, reduced functional and physical waste, improved staff and physician satisfaction, improvements in infection control, and care for the environment. We take pride in our methods, as they stand as a benchmark for what we do best--invoking the combined influences of land planning, interior design and architecture.

THW Design understands how healthcare facilities can mitigate the impending rise in the senior population while delivering patient-centered design and improved patient satisfaction for all.

E EXPERIENCE TEAM MEDICAL PRACTICE SPECIALTIES

EMERGENCY ROOMS (INPATIENT) O.R GENERAL SURGERY (INPATIENT) IMAGING RADIOLOGY MRI / CT / PET / LINAC NUCLEAR MEDICINE LABORATORY GENERAL URGENT CARE (WALK-IN CLINICS) SURGERY CLINICS FAMILY INTERNIST WOMEN’S HEATLH PEDIATRIC EMERGENCY INFUSION CENTRAL STERILE SUPPLY ORTHOPEDICS UROLOGY / GI E.N.T OCCUPATIONAL THERAPY REHABILITATION LABORATORY SPECIALTIES

Metropolitan Methodist Hospital

HOSPITAL EXPANSION

San Antonio, Texas

Client: Methodist Healthcare/HCA Services Provided: Healthcare Planning/Programming, Master Planning and Land Planning Size: 28,000 SF

Metropolitan Methodist Hospital is a 330-bed hospital located in downtown San Antonio. As is fairly common with urban hospitals, the campus consists of a number of different buildings, with access points from multiple streets, and internal connections at various points throughout the facility. Wayfinding is not intuitive, parking is spread out, and patient waiting areas are limited and scattered.

The focus of this project is the improvement of overall wayfinding and more direct access to clinical services throughout the existing facility.

Outside of clinical services, wayfinding is one the most critical aspects of space planning and construction for medical facilities. This project will include a completely new infill of approximately 28,000 SF of current outdoor space between the existing patient tower and the existing clinical services tower. The infill will house an information desk, cafÊ, children’s play area, public rest rooms, the emergency department registration, and most importantly, a strong internal connection tying all existing services together and providing a single entry point for the facility.

Metropolitan Methodist Hospital San Antonio, Texas

INTERVENTIONAL RADIOLOGY LAB Client: Methodist Healthcare/HCA Services Provided: Healthcare Planning/Programming, Architecture, Interior Design Size: 1,696 SF

Spawned from the need to recruit new talent for HCA’s “city center hospital” located in downtown San Antonio, this project entailed the complete demolition and rebuilding of the hospital’s existing 20-year-old cath lab into a new Interventional Radiology (IR) Lab. The project was fast-tracked and executed via the design-build delivery method, demanding the coordination of all systems from HVAC to the incorporation of smart technology required by the most advanced systems in interventional medicine. THW Design played a critical role in fostering the relationship with the state and local jurisdictional authorities, most strategically, that of the state health regulatory commission which called for constant and routine measures of contact to ensure the meeting of a tight deadline. The schedule coordination also included careful oversight by THW Design on fabrication, delivery and installation of the new IR equipment.

The first patients were seen on schedule, just two days prior to the Christmas holiday.

Metropolitan Methodist Hospital San Antonio, Texas

HELICOPTER PAD Client: Methodist Healthcare/HCA Services Provided: Healthcare Planning/Programming, Architecture

With this HCA hospital becoming the flagship hospital quoined as the “city center hospital” for downtown San Antonio, this called on the hospital to spring forward in providing ICU patient services. This need came from closure of surrounding ICU Adult Services from local operators and thus required HCA to create its first emergency life-flight heliport. The project was fast-tracked and executed via the design-build delivery method, demanding the coordination by THW Design of FAA and City of San Antonio flight controls protocols. THW played a critical role in fostering the relationship with the state and local jurisdictional authorities, most strategically, that of the state health regulatory commission which called for constant and routine measures of contact to ensure the meeting of a tight deadline. Through THW’s efforts in design, project control and oversight, HCA was able to celebrate a grand opening flight in accordance with its promise to the City leaders and the leadership of partner hospitals across South Central Texas.

Metropolitan Methodist Hospital San Antonio, Texas

EMERGENCY DEPARTMENT EXPANSION Client: Methodist Healthcare/HCA Services Provided: Healthcare Planning/Programming, Architecture, Interior Design

The focus of this project is the expansion of the existing emergency department for a busy downtown hospital.

The renovation/expansion will be approximately 2,000sf, including five observation beds visible from the enclosed nurses station, one patient bathroom, a private sleep room with private bathroom, registration alcoves, and renovations to the existing waiting area to add a new sub-waiting area.

Metropolitan Methodist Hospital San Antonio, Texas

SPECIALTY AND TRANSPLANT HOSPITAL MASTER PLAN Client: Methodist Healthcare/HCA Services Provided: Architectural Concept Design and Master Planning

THW Design was proud to play a strategic role in the vision and mission of Methodist Specialty and Transplant Hospital in their endeavor to showcase their strength in patient care services through Architecture, Interior Design, Land Planning and Construction. The high caliber involvement of MSTH Facilites Management played a key role in the success of the project.

HEALTHCARE CAMPUS Planning

A well-planned healthcare campus supports the healing process at the outset. Current campus design trends incorporate all levels of care with accommodations for patients, family, healthcare providers and staff. As Landscape Architects, THW blends the elements of nature with the built environment to create sustainable living spaces. We study the site, taking into account natural elements such as sound, light, shade, wind, texture, form, and balance, as the campus should respect and be harmonious with the natural resources of the site. By understanding the site’s characteristics and limitations, THW Land Planning implements the vision of our clients, making architecture and land one.

Wayfinding is critical in providing a good, first impression of the healthcare facility to the patient and family. Clear directional signage, access to parking areas, appropriate landscaping, and welcoming pedestrian walkways are all part of a cohesive campus. Strong wayfinding improves organization outreach, eases family stress, helps patient flow, and aids emergency management. THW helps our clients achieve their planning and wayfinding goals by taking into account every facility’s unique history, configuration, size and surrounding community.

THW’s Land Planning department works hand in hand with our Architecture and Interior Design departments to ensure we consider the width and breadth of the opportunities afforded by the existing community and its environs. We work closely with civil engineers and all other disciplines to provide creative, technically appropriate, cost effective, and environmentally responsible designs.

Medina Regional Hospital Hondo, Texas

HEALTHCARE Client: Medina Healthcare System Services Provided: Healthtcare Planning/Programming, Architecture, Landscape Architecture, Interior Design Size: 15,600 SF

A regional hospital system was looking to develop a prototypical micro-hospital that would meet the healthcare needs of smaller communities that were lacking the services of a true, acute care hospital.

The program includes five inpatient beds, five emergency department exam rooms (plus a 250 SF treatment room), an imaging department, pharmacy, food service and cafĂŠ. As designed, the building is approximately 20,000 SF, and meets the state licensing requirements for an in-patient, acute care hospital, but the layout has been organized specifically to support flexibility and expansion, depending on location or community needs.

Asbury Methodist Village Gaithersburg, Maryland

WILSON HEALTHCARE CENTER Client: Asbury Methodist Village Services Provided: Architecture and Interior Design Size: 6,726 SF

The goal was to renovate the lobby and create a welcoming atmosphere -- a functioning, yet calm, nurturing, healing place where patients and guests can gather and spend time together.

The existing lobby reception area was a series of smaller spaces that were outdated and unused. It was, essentially, a pass-through space which felt disconnected from the Wellness Center. Opening the lobby space introduced daylight, and the added Wellness Café encourages lounging, socialization and visiting.

The design incorporated natural patterns, colors, and textures found in nature, balanced with materials appropriate for a healthcare setting: an illuminated “green wall”, soft curves, wood and stone textures.

A new café (juice and coffee bar) venue was added adjacent to the lobby with an electric fireplace and soft seating groups to encourage socialization and animate the lobby.

Charles E. Smith Rockville, MD

PHYSICAL THERAPY | REHABILITATION CENTER Client: Charles E. Smith Life Communities Services Provided: Architecture, Land Planning, Landscape Architecture, Interior Design, Purchasing Completion: 10,332 SF

The objective was to improve the functionality of the facility and enhance residential programs and services through repositioning and renovation projects. THW understands the strong association between the patients’ perceived safety and the community’s abilities to assist in their rehabilitation needs. It was particularly important that the physical environment encouraged innovative and fully interactive programs that will support the dignity of the residents and the changes and challenges they may face.

For example, by infusing a socialization opportunity with the life stations, the individuals are encouraged to practice tasks related to banking, shopping, and getting in and out of a car, just to name a few. There is also an active daily living apartment unit with kitchen, bedroom and bath to execute therapy exercise.

A few steps away is rehabilitation equipment ranging from the Biodex Unweighing System to the Omni Cycle. The design goal was to create a physical and occupational therapy venue that supports and encourages the residents’ active participation in achieving a sense of well-being.

THW

Mainstreet Fitness / Wellness Serv

D E S I G N

Tyler

Project In Mainstreet Fitness / Wellness Services Tyler, Texas

FITNESS / WELLNESS SERVICES

S Progamming and Maste Summary Services Provided: Programming and Master Planning, chitecture, Land Planni Architecture and I Architecture, Land Planning, Landscape Architecture and The community of Tyler, Texas, is in need of a total continuum of care. Through this project, we have Client: Mainstreet

been able to program and introduce a full-service level of clinical services in a “retail model” from Interior Design which healthcare providers are immediately available to the visiting patient-guest seeking services Size: 8,190 SF Renovation from occupational health to primary care.

8,190

Scheduled Complet

In addition to the Clinical Services, we were also ableThe to program and introduce community of Tyler,a combined Texas, is parain need of a total digm of Fitness and Wellness services under a one-stop hub facility. The facility Through itself is designed as a continuum of care. this project, THW has beacon of light which presents itself as a facility in service and dedication to the health and wellbeing been able to program and introduce a full-service of the community at large.

level of clinical services in a “retail model” from which healthcare providers are immediately available to the visiting patient-guest seeking services from occupational health to primary care.

In addition to the clinical services, THW was able ■ INTERIOR DESIGN ■ PURCHASING Architect to program and introduce a combined paradigm of fitness and wellness services under a one-stop hub facility. The facility is designed as a beacon of light which presents itself as a facility in service and dedication to the health and well-being of the community at large.

ARCHITECTURE ■ LAND PLANNING/LANDSCAPE ARCHITECTURE

MICROHOSPITAL PROTOTYPE

Microhospital Prototype

Client: Emergency Service Partners

State wide, Texas

Services Provided: Programming and Master Planning, Architecture, Land Planning, Landscape Architecture and Interior Design

The task was to develop a prototypical microhospital that would meet the healthcare needs of smaller communities lacking the services of a true, acute-care hospital. The footprint of the facility would include only the departments required by the Texas Department of State Health Services to be licensed as an out-patient hospital, but the layout would be organized specifically to support the flexibility and expansion necessary to house additional services, like skilled nursing, nuclear medicine, mental heatlh, surgical, etc. At approximately 20,000 sf, the basic program of the single-story facility would include five inpatient beds, each with a private bathroom, a central teaming station, five emergency department exam rooms (plus a 250 sf treatment room), an imaging department (including a CT scan and ultrasound rooms), pharmacy, food service, and cafĂŠ with an outdoor terrace. The services are located within the hospital to accommodate facility expansion as population, technology, and community needs evolve.

The micro-hospital, though small, needs to provide the same standard of care as its larger, more traditional counterparts, without sacrificing function, efficiency, patient satisfaction, staff retention, or design opportunities.

THW DESIGN ARCHITECTURE LAND PLANNING INTERIOR DESIGN PURCHASING

LOCATIONS Atlanta, GA San Antonio, TX

SECTORS Senior Living Healthcare Hospitality Aviation Eric Krull | AIA | LEED GA | CASP Executive Vice President Atlanta, GA (770) 916-2284 erickrull@thw.com Carlos N. Moreno | AIA Healthcare Division Leader San Antonio, TX (210) 981-2631 cell: (210) 867-9205 carlosmoreno@thw.com

www.thw.com/healthcare COPYRIGHT @2020 V 1.0 12.2020