A place for healing - Fox Chase Cancer Center

A Place for Healing –

A Place for Healing FOX CHASE CANCER CENTER

FOX CHASE CANCER CENTER GRADUATE AND SENIOR DESIGN STUDIO FALL 2017

TEMPLE UNIVERSITY AMBLER Graduate and Senior Design Studio Fall 2017 Department of Landscape Architecture and Horticulture Tyler School of Art - Temple University

TEMPLE UNIVERSITY AMBLER Graduate and Senior Design Studio Fall 2017 Department of Landscape Architecture and Horticulture Tyler School of Art - Temple University

FOX CHASE CANCER CENTER

A Place for Healing

FOX CHASE CANCER CENTER

TEMPLE HEALTH

TEMPLE UNIVERSITY Tyler School of Art Landscape Architecture Graduate and Senior Design Studio | Fall 2017 Department of Landscape Architecture and Horticulture Division of Architecture and Environmental Design Tyler School of Art Temple University Ambler 580 Meetinghouse Road, Ambler PA 19002 Phone: (267) 468-8181 la-hort@temple.edu This report was created in part through a generous grant from Fox Chase Cancer Center.

Copyright Š 2018. Temple University and the Department of Landscape Architecture and Horticulture reserves all rights to the design of landscapes as embodied in plans or drawings and to the diagrams, models, and drawings themselves. Temple University and the Fox Chase Cancer Center reserve the right to reproduce or distribute this report in whole in any form.

Cover photo: Aloe polyphylla SchĂśnland ex Pillans by brewbooks. Used in compliance with Creative Commons Attribution-ShareAlike 2.0 Generic (CC BY-SA 2.0). Source: https://www.flickr.com/photos/brewbooks/184343090/ All photographs and images were created by members of the design studio unless otherwise noted.

TABLE OF CONTENTS Introduction

1

Research

5

History Academic Research Case Studies Design Recommendations Inventory and Analysis

15

Campus Impressions Site History Context Vegetation Topography Access & Use Experiential/Spatial Qualities Synthesis: Constraints & Opportunities Design Proposals

37

Design Team 1 Design Team 2 Design Team 3 Design Team 4

Next Steps

87

GRADUATE AND SENIOR DESIGN STUDIO | Fall 2017 PROFESSORS Baldev Lamba, RLA, ASLA, Chair, Department of Landscape Architecture and Horticulture Carter van Dyke, ASLA, AICP, Principal, CVDA

STUDENTS DESIGN TEAM 1 Kristie Lane Anderson Rob Gladfelter David Heckman DESIGN TEAM 2 Lucinda Bartley Evan Eisenhard Keye Faddis Stephanie Narisi

DESIGN TEAM 3 Nick Hislop Jenna Otto Mallory VanWhy Anthony Zachernacki DESIGN TEAM 4 Andy Freifeld Ronnie Ludwig Karolina W-Schwartz

ACKNOWLEDGMENTS The studio members would like to thank the Fox Chase Cancer Center healing garden committee for inviting us to participate in developing a vision for a therapeutic landscape. We also thank the staff and patients for the opportunity to spend time exploring their campus and for their generous financial support that makes the publication of this report possible.

FOX CHASE CANCER CENTER COMMITTEE Judy Bachman, Chief Operating Officer, Fox Chase Cancer Center and Jeanes Hospital Nancy Baumann, Director, Nutrition and Hospitality Services Robert Dougan, Grounds Supervisor, Jeanes Hospital Bryan Edwards, Health Physicist Dr. Paul Engstrom, Chief, Section of General Hematology/Oncology; Special Advisor to the President Helen Gordon, Director, Volunteer Services Joseph Maiellano, Director, Development Matthew McCloskey, Senior Project Manager Maureen McDade, Vice President, Ambulatory Care Jeremy Moore, Vice President, Communications Melissa Schrier, Assistant Director, Marketing Jennifer Seggev, Senior Director, Marketing Marlene Snyder, Advisor, Patient and Family Advisory Council

vi

INTRODUCTION The concept of healing gardens within a hospital setting is not

new. However, their importance as an integral part of the healing process has recently undergone a renewed interest among numerous hospital and wellness institutions. Recognizing the importance of healing gardens, Fox Chase Cancer Center embarked on a process of incorporating them into their campus environment.

Healing gardens are known for changing the culture of these institutions by creating inviting and peaceful places for patients and a healthier environment for staff and visitors. Led by a committee of administrators, doctors, and volunteers, Fox Chase invited Professor Baldev Lamba, chair of the Temple University Department of Landscape Architecture and Horticulture, and Carter van Dyke, a landscape architect, to help develop a healing garden on their campus. Together, Professor Lamba and Mr. van Dyke saw an exciting opportunity to create a new landscape architecture studio at Temple.

The Fox Chase Cancer Center studio project involved graduate and senior undergraduate landscape architecture students at Temple University during the fall semester of 2017. Students met early in the process with representatives from Fox Chase to initiate the project and learn from staff, doctors, and patients the positive and negative aspects of the campus and their aspirations for potential healing gardens. The studio expanded the vision to include the whole campus, considering both of the interior courtyards and the surrounding spaces that contribute to the Fox Chase experience.

Introduction

1

As part of the process the students investigated the history of and academic research into healing gardens to understand the therapeutic benefits of nature in a hospital setting. Over multiple visits to the Fox Chase campus, they inventoried the site’s existing conditions and observed how it is used by patients, staff and visitors. Grant and funding opportunities to support sustainable building projects were also investigated. The results of this analysis, combined with the impressions of the students and Fox Chase representatives, informed the design process.

Students worked in four teams to formulate goals and program elements. Guided by their goals

2

Introduction

they developed design possibilities for the campus and the courtyards. Common objectives included creating inviting entrances, improving wayfinding, linking the interior spaces with the landscape, using native plants for seasonal interest, scent, and texture, and creating a variety of beautiful public and private garden spaces. The scope of creating a healing campus was extended to proposing green roofs and rain gardens to mitigate stormwater and improve water quality.

Through their research and with the input of the healing garden committee the students have created alternative designs that support the mission, identity, and leadership of the Fox Chase Cancer Center.

DESIGN PROCESS Listening Fox Chase Cancer Center staff and patients explain their hopes for a healing garden in the large courtyard and their impressions of how their current landscape serves their needs.

Documenting On-site investigations and outside research provide data on land use, vehicular and pedestrian circulation, vegetation, soils, slope, hydrology, views, materials, and utilities.

Analyzing The history of the place and the people informs design options.

Research in the field of evidence-based design in therapeutic and healing landscapes lays a foundation for sound decision-making. Constraints and opportunities of the site are analyzed.

Defining The Fox Chase campus as a whole can be a therapeutic landscape. The interior courtyards provide a refuge for patients, visitors, and staff to observe natural beauty and seasonal change, while the experience of arriving at and leaving the hospital can be enriched through landscape design.

Designing Based on an understanding of the site and its users and inspired by the Fox Chase mission, priorities are defined to guide design choices.

Multiple visions for a healing landscape are developed, which aim to support the Fox Chase mission to provide compassionate care and pioneering treatment.

Introduction

3

4

The Trie Cloister Garden in the Met Cloisters, New York City. (Caleb Leech) Research

RESEARCH As part of our design process the students conducted academic

research to answer the following questions: • What are healing gardens?

• What does research teach us about their effects and how to design them?

• What can we learn from other therapeutic landscapes?

A definition of a healing garden from a founder of the field: “The term ‘healing garden’ refers to a variety of garden features that have in common a consistent tendency to foster restoration from stress, as well as other positive impacts on patients, visitors, staff, and caretakers. To qualify as a ‘garden,’ the feature should contain prominent amounts of real nature. . . . To justify the label ‘healing,’ a garden should have therapeutic or beneficial effects on the great majority of its users.”

—Clare Cooper Marcus Our goal is to create landscapes that relieve stress and convey therapeutic benefits to visitors through exposure to and interaction with nature.

Research

5

HISTORY: An Evolution of Ideas Regarding Healing Power of Nature

(AViewOnCities.com)

< Middle Ages Europe A twelfth-century cloister and garden at the Cloisters of the Metropolitan Museum of Art, located in Fort Tryon Park in New York City, exhibits the colonnade, herb garden, and fountain typical of monasteries of the Middle Ages. These sacred spaces served as part of hospitals for the sick and insane. Cloister gardens grew food and medicinal plants, and colonnaded walkways allowed space for reflection.

19th Century America > At the turn of the twentieth century, pavilion-style hospitals and mental institutions were built to provide fresh air, sunlight, and views of nature to patients, as seen in the Hudson River State Hospital outdoor patient wards.

Patients at some institutions participated in gardening, farming, and grounds maintenance.

(AsylumProject.org) 6

Research

< 20th Century America After World War II, International Style medical facilities and “megahospitals” came to resemble corporate buildings and were designed for efficiency, but were devoid of nature. The Kirklin Clinic in Birmingham, Alabama, designed by I. M. Pei, is built around a large, hardscaped outdoor space.

(lewandowskaarchitect.com)

21st Century Worldwide > Hospitals, nursing homes, and other health centers now promote “patientcentered care,” including therapeutic access to nature through designed healing and restorative gardens.

The Children’s Hospital of Philadelphia Buerger Center features a child-friendly garden built above the parking garage.

(roofmeadow.com) Research

7

ACADEMIC RESEARCH KEY RESEARCH REFERENCES 1984 Roger Ulrich, PhD, EDAC “View from a window may influence recovery from surgery,” Science, 224: 420-1.

1989 Rachel Kaplan and Stephen Kaplan The Experience of Nature: A Spychological Perspective.

Cambridge: Cambirdge University Press.

1994 Margaret Ayer Barnes A Study of the Process of Emotional Healing in Outdoor Spaces and the Concomitant Landscape Design Implications. Thesis (Master of Landscape Architecture): University of California, Berkeley.

Guidelines for accessible path width and design.

(M. Furgeson)

1995 Stephen Kaplan “The Restorative Benefits of Nature: Toward an Integrative Framework,” Journal of Environmental Psychology, 15: 169-182.

1999 Clare Cooper Marcus and Marni Barnes Healing Gardens: Therapeutic Benefits and Design Recommendations. New York: Wiley.

2005 Ulrika A. Stigsdotter Landscape Architecture and Health: Evidence-based Healthpromoting Design and Planning. Alnarp: Department of Landscape Planning, Swedish University of Agricultural Sciences.

Staff relaxing in the sun in the Jacqueline Fiske Healing Garden at the Jupiter Medical Center in Jupiter, Florida.

(Studio Sprout)

2007 Qing Li, K Morimoto, A Nakadai, et al.

“Forest Bathing Enhances Human Natural Killer Activity and Expression of Anti-cancer Proteins,” International Journal of Immunopathology and Pharmacology, 20 (2).

2014 Clare Cooper Marcus and Naomi Sachs Therapeutic Landscape: An Evidence-based Approach to Designing Healing Gardens and Restorative Outdoor Spaces.

Hoboken: Wiley.

An outdoor infusion treatment space at the Park Avenue Medical Center in Boston, Massachusetts. (Shepley Bulfinch) 8

Research

SUMMARY OF BENEFITS When a hospital provides therapeutic outdoor spaces: • Stress is reduced for patients, families, and staff through: Opportunities for exercise Spaces for privacy, with a sense of control over surroundings Settings for social interaction and support Engagement with nature In Roger Ulrich’s 1984 study, outcomes were found to be linked to the view from patients’ rooms of either a brick wall or trees. (R. Ulrich)

• Pain is reduced, requiring less medication • Healing times and complications are reduced

Evidence-based design in therapeutic

landscapes is a rapidly evolving field. Dr. Roger Ulrich’s seminal study, which demonstrated reduced healing time in patients with window views of nature, laid the groundwork, and almost half a century of research since has shown that the landscape can provide positive psychological and physical effects for patients, their families, and staff.

• Time and money is saved through: Shorter hospital stays Improved staff productivity and retention Increased patient satisfaction

Research

9

CASE STUDIES University of Arizona Cancer Center - North Campus Location: Tucson, Arizona Designer: Ten Eyck Landscape Architecture (Austin, TX) Valet service and patient drop-off improves efficiency and relieves stress. A water-harvesting arroyo, a landform, and plant material buffer unwanted views of the parking area, and footbridges provide a gateway into the garden area.

Entry and Visual Buffers

All garden spaces and pathways throughout the facility are wheelchair accessible, with passing and resting areas included along the path.

Accessibility and Destinations

Multiple small gathering spaces provide opportunities for privacy, and nearby fountains help to disguise unwanted sound. Views of the gardens from infusion rooms and waiting rooms allow visual access to those who canâ&#x20AC;&#x2122;t get outside.

Privacy and Sound Buffers 10

Research

(All photos: University of Arizona Cancer Center)

Elizabeth & Nona Evans Restorative Garden, Cleveland Botanical Garden Location: Cleveland, Ohio Designer: Dirtworks, PC (New York, NY)

Site plan (All images: K. Duteil)

Accessible sensory experiences

Private seating near points of interest

The garden equally emphasizes comfort, accessibility, and beauty for all visitors. Three distinct spaces serve programming needs: a contemplative garden, a demonstration/exploration garden, and a horticultural therapy garden.

Path gradients and materials are easy to navigate, and paths lead visitors past interesting things to touch and explore. Movable furniture allows for flexible private spaces. Plants were chosen for texture and fragrance, and water trickling over a stone wall can be experienced by visually impaired visitors through sound, temperature, and humidity.

Research

11

Horatioâ&#x20AC;&#x2122;s Garden, Duke of Cornwall Spinal Treatment Centre, Salisbury Hospital Location: Salisbury, England Designer: Cleve West Wide pathways are accessible for exercise or for practice using a wheelchair. Low limestone walls echo the shape of the spine and provide seating for garden visitors. Lush garden plantings, realistic sculptures, and a water feature create a pleasing and therapeutic setting for mental relief during long stays in the hospital.

Layout of garden (horatiosgarden.org.uk)

Naturalistic sculptures (Olivia Chapple) 12

Research

Accessible to users in wheelchairs and gurneys (Telegraph)

Water feature borders an arbor walkway (Olivia Chapple)

DESIGN RECOMMENDATIONS Research and case studies have led us to understand that successful healing gardens should have the following characteristics.

Accessible Wide, smooth pathways Few or no steps or steep grades Resting areas Inviting and accessible entrances Space for therapeutic activities Easy-to-navigate layout Views out from indoors

Sociable Gathering spaces Movable seating

Private Screened views Small seating areas Noise-filtering water features

Engaging Destinations and focal points Plantings for wildlife Sensory experiences of touch, sound, sight Seasonal variation

Restorative Access to sun and shade Naturalistic or realistic art Buffers from unappealing noises or sights Lush and well-maintained plantings Research

13

INVENTORY & ANALYSIS An in-depth inventory was conducted to understand the

specific site conditions of Fox Chase Cancer Center. The collected information was analyzed so the design teams could make informed decisions that would maximize the benefit to the hospital and the surrounding community.

• Campus Impressions • History • Context • Vegetation • Topography and Slope • Accessibility and Usage • Materials • Experiential/Spatial Qualities • Synthesis: Constraints and Opportunities

Inventory and Analysis

15

CAMPUS IMPRESSIONS

FCCC GARDEN COMMITTEE In the kickoff meeting, Fox Chase healing garden committee members placed orange stickers on an aerial photograph to indicate positive features of their campus and yellow stickers to mark negative features. In general, users like the open green space of the courtyards, but find that some built elements detract from the experience.

Positive

Negative

“The terrace combines sitting, eating, and overlooks the inner courtyard which is very enjoyable.”

“All of the art in the courtyard is broken in some way.”

“Even if we cannot go out into the garden, we feel it when traveling through the hallways.”

“Water feature, when working, is enjoyed by many.”

16

Inventory and Analysis

“People coming to Fox Chase are often stressed, having difficulty finding entrance adds to the stress.”

“The water tower is visually overwhelming.”

An exercise in creating visual representations of first impressions

STUDIO The identity of the Fox Chase Cancer Center is a place that is nurturing and supportive at every level, bringing cutting-edge research, clinical expertise, and compassionate care together to support patients through a very painful illness. Students' first impressions at Fox Chase, however, did not see this mission and identity reflected in the outdoor landscape.

The landscape lacks a â&#x20AC;&#x153;sense of place,â&#x20AC;? in which aspects of the physical environment contribute to its character. While there are many nice elements within the courtyards, they are disparate and do not add up to a unified whole. As a result, much of the landscape is unremarkable, or at worst confusing. The outdoor spaces are underused and underdesigned and do not reflect the latest thinking in landscapes for healing. The opportunities are vast for Fox Chase to expand its mission to its campus.

Inventory and Analysis

17

SITE HISTORY 1904 American Oncological Hospital is founded in Philadelphia.

1927 The Institute for Cancer Research is founded by physician

Stanley Reimann.

1928 Jeanes Hospital is founded in the Fox Chase neighborhood

of north Philadelphia.

1855 Philadelphia City, R. L. Barnes

1947 Jeanes Hospital offers land on its Fox Chase campus to the

Institute for Cancer Research, and ground is broken for the

new facility, later named the Reimann Building.

1968 American Oncological Hospital moves to the grounds of the

Institute for Cancer Research in Fox Chase and builds the pagoda-style Hospital building.

1862 Philadelphia Atlas, Samuel L. Smedley

1974

American Oncological Hospital and the Institute for Cancer Research unite to form the Fox Chase Cancer Center; FCCC receives the National Cancer Instituteâ&#x20AC;&#x2122;s designation as a Comprehensive Cancer Center.

1977 The Center Building is constructed, linking the research

and hospital facilities.

1910 Philadelphia Atlas, G. W. Bromley

1990 The West Building is constructed and its iconic sculpture is

installed at the front entrance.

2000 The Cancer Prevention Pavilion is constructed.

2010 The Young Pavilion opens, subsuming the former Cancer

Prevention Pavilion and adding new space.

1934 Appraisal Map, J. M. Brewer 18

Inventory and Analysis

2012 Fox Chase Cancer Center becomes a part of the Temple

University Health System.

< In the Beginning An aerial view of Jeanes Hospital in 1928, the year it opened, shows some of the land that the Fox Chase Cancer Center would eventually occupy.

(FCCC)

Current Aerial View > Fox Chase Cancer Center and Jeanes Hospital.

(Google Earth)

Inventory and Analysis

19

REGIONAL CONTEXT

Pennypack Park

Pennypack Creek in Pennypack Park

0.21 MILE S DIU RA S ILE 5M

PROJECT SITE Tacony Creek

Park

Tacony (Tookany) Creek in Tacony Creek Park

The Fox Chase Cancer Center and neighboring Burholme Park can serve as an ecological bridge to connect the two preserved green spaces of Pennypack Park and Tacony Creek Park. The campus is within the Tookany-Tacony/Frankford Creek Watershed, meaning that all water that falls on the site flows via tributaries to Tacony Creek, then into Frankford Creek, and ultimately drains into the Delaware River.

20

Inventory and Analysis

SITE CONTEXT Montefiore Cemetery

Fi llm

or e

St

Oxford Ave (232)

ABINGTON

Fox Chase School and Playground

an

Av e

lA ve ra nt Ce

Burholme Park ttm

CHELTENHAM

station

Jeanes Hospital

Co

Tacony Creek Park

• Fox Chase

PHILADELPHIA

• Ryers

station

Fox Chase Cancer Center and Jeanes Hospital are located in the Fox Chase neighborhood of Philadelphia near the border with Cheltenham and Abington. It is served by two nearby SEPTA regional rail stations and by buses, which stop near the campus. Cottman Avenue runs along the southern edge of Burholme Park, and the main Fox Chase Cancer Center campus entrance runs from Cottman through the park.

Inventory and Analysis

21

EXISTING VEGETATION Inventory

The two courtyards are home to a diversity of canopy trees, shrubs, and plantings, many of which are native species. The predominant ground cover is turf grass. The existing trees are in generally good condition, though some should be removed because of their age, safety, and aesthetics. Trees and shrubs were also evaluated for value to wildlife and sensory appeal to garden users.

Center Building

Ca fet er

ia

CENTRAL BUILDING

HOSPITAL

Hospital

Reimann Building

LEGEND:

Young Pavilion

YOUNG PAVILLION Trees Trees Shrubs Shrubs

BUILDING

Lawn Lawn Groundcover Covers/Mulch Ground West Building CAFETERIA

Impervious Surface CENTRAL BUILDING

Vegetation Health

Center Building

Ca fet er

ia

HOSPITAL

Hospital

Reimann Building

YOUNG PAVILLION

REIMAN BUILDING

Young Pavilion Excellent Excellent

WEST BUILDING

Good Good Fair Fair Poor Poor West Building

22

Inventory and Analysis

Food Source for Wildlife CENTRAL BUILDING ia

Center Building

Ca fet er

HOSPITAL Hospital

Reimann Building

YOUNG PAVILLION

Young Pavilion

WEST BUILDING

High High Medium Medium Low Low West Building

Sensory Qualities CENTRAL BUILDING

Center Building

Ca fet er ia

CAFETERIA

HOSPITAL Hospital

REIMAN BUILDING

Reimann Building

AN ING

CAFETERIA

YOUNG PAVILLION

WEST BUILDING

Young Pavilion

High High Medium Medium

Low Low West Building

Inventory and Analysis

23

TOPOGRAPHY Elevation Analysis Center Building

Ca fet er

ia

+ HP

Hospital

Reimann Building

+ HP

+ LP Young Pavilion

Large Courtyard

Highest point: 211 feet Lowest point: 177 feet

+ LP

Small Courtyard

Highest point: 202 feet Lowest point: 196 feet

West Building

Center Building

Ca fet er ia

Slope Analysis

Hospital

Young Pavilion

Reimann Building

Per ADA guidelines, a gentle slope under 1:20 (5%) is comfortable for most users, and most can traverse a ramp of up to 1:12 (8.33%) for shorter distances. The existing topography creates some steep slopes that do not grant access to all users.

The topography of the site offers challenges and opportunity. An elevation change of 34 feet in the large courtyard creates dramatic topography and allows for many different spaces and views in the garden. The small courtyard is relatively flat by comparison, and users can easily see across it.

0â&#x20AC;&#x201C;4.9% (ADA rec. for paths) 5.0â&#x20AC;&#x201C;8.32% (ADA rec. for ramps) 8.33% and steeper West Building

24

Inventory and Analysis

ACCESS AND USE Current Accessibility

Steep slopes and stairs make portions of the courtyard pathways difficult or impossible to access, in addition to not being compliant with ADA guidelines.

Only two entrances into the large courtyard are accessible by wheelchair users.

Ca fet er

ia

Center Building

Reimann Building

Hospital

Young Pavilion

ADA Compliant Path Non-ADA Compliant Path West Building

Current Usage

Ca fet er

ia

Center Building

Hospital

Reimann Building

Users were observed over half of a sunny weekday.

The large courtyard is primarily used as a cutthrough from various buildings to the cafeterias.

The patios are popular places to sit and linger.

Few people used the lawns and open spaces, though people sat at the picnic tables at lunch time. The small courtyard is rarely used, except for occasional sitters on a park bench.

Young Pavilion

Circulation

West Building

Staff Patients Visitors

Stationary Staff Patients Visitors

Inventory and Analysis

25

UTILITIES

Numerous manholes, hydrants, and other visible elements of utilities systems are distracting and contribute to a sense of disarrangement. Layout of utility features will be a constraint for the final design if they can not be relocated or altered.

Sanitary Manhole Stormwater Manhole Electric Manhole Fire Hydrant Water Manhole Stormwater Grate Telephone Box Sanitary Pipeline Stormwater Pipeline

26

Inventory and Analysis

MATERIALS

LIGHTING

ART

SEATING

WALKWAYS

Lack of continuity of lighting, construction materials, and seating creates a dissonant experience. Abstract sculptures have been shown to evoke negative emotions.

Inventory and Analysis

27

CAMPUS: EXPERIENTIAL QUALITIES Much of the Fox Chase Cancer Center campus is attractive, with mature trees and shrubs. The main entrance drive leading to the campus from Cottman Avenue is tree lined and very pleasant, but the experience of navigating the campus is confusing.

The main visitor entrance at the West Building combined with the West Garage entry point causes difficulties for drivers, as observed on site visits.

The access from the two parking garages into the buildings lacks aesthetic appeal and contributes to a feeling of stress and confusion for visitors.

The tree-lined entrance drive from Cottman Avenue creates an attractive and inviting first impression.

At the end of the entrance drive, visitors face an imposing parking garage and an intersection that lacks clear direction to find the main entrance.

28

Inventory and Analysis

The lack of sidewalks connecting locations on campus forces pedestrians onto roads and into possible conflicts with vehicles.

Views out of doors from within the buildings may be the primary way many patients and visitors experience the courtyards. In newer buildings, particularly the Young Pavilion, large windows invite inside natural light and views of greenery. Some of the older buildings do not provide opportunities for a visual connection with the outside to the same degree, and visitors may find it difficult to locate the doors to get outside.

Reimann Building entrance provides clear views onto the cafeteria patio in the large courtyard, but no obvious path to get there.

The walkway and mezzanine of the Young Pavilion offer bright and open views onto the small courtyard, as well as semiprivate spaces to sit.

Privacy is a critical consideration when examining views in and out of buildings. Sensitive interior areas need to be screened from public view.

The view of walls and windows from some Hospital patient rooms is stark.

Inventory and Analysis

29

COURTYARDS: EXPERIENTIAL QUALITIES The two courtyards provide respite and relief to the patients, visitors, and staff who walk in them, dine or sit on the patios, or view them from windows. The mature trees, open lawns, and variety of shrubs and plantings create settings of warmth in the sun, cool shade, privacy and sociability, activity and rest. A design for a healing garden and campus will build on existing strengths and opportunities.

Currently, mobility-impaired users are unable to access steep slopes and steps. Mechanical noise from ventilation systems creates an unpleasant experience.

The large lawn and densely planted area in the center are both under-used spaces. Appealing elements like the water feature are crowded too close to private areas such as hospital rooms.

Experiential Analysis

Ca fet er

ia

Center Building

Reimann Building

Hospital

Young Pavilion Sunny or open areas Shady or overgrown areas Sculpture Patio seating West Building

30

Inventory and Analysis

Source of unpleasant noise

The spacious, open lawn provides a welcome area of sun and can be used for events, but it covers too large an area to be fully utilized. Some areas can be planted to increase biodiversity.

Noisy HVAC units create an unpleasant visual and auditory background to outside activities.

Shaded areas can provide a sense of refuge but need to be carefully maintained.

Large abstract sculptures are interpreted negatively by patients and visitors who are already in a stressed mental state.

Inventory and Analysis

31

COURTYARDS: SPATIAL RELATIONSHIPS Center Building

Ca fet er

ia

A

Small Room

B

C

C Large Room

Weak Edge Inviting

Canopy Reimann Building

D

Hospital

Throughout the courtyards, visitors experience different senses of scale and character based of the topography, vegetation, and built structures.

D Young Pavilion

Canyon

B A West Building

Defining Areas of the Courtyards

West Building

Small Room

Large Room Canopy

Center Building

Section A-A through Large Courtyard The large courtyard's open grass area is enclosed by high walls and canopy trees, while the space near the cafeteria is more compact.

32

Inventory and Analysis

Weak Edge

Canyon West Building

Hospital

Canopy

Section B-B through Large Courtyard The large courtyard exhibits a dramatic change in topography, from the feeling of being in a canyon-like space near the West Building, up to the terraced face of the Hospital.

Inviting Young Pavilion

Weak Edge Hospital

Section C-C through Small Courtyard Through entry to the small courtyard, the path is constrained by the large shrubs and the walls of the Hospital.

Young Pavilion

Inviting

Weak Edge Hospital

Section D-D through Small Courtyard The small courtyard has a pleasant balance of open space and trees.

Inventory and Analysis

33

SYNTHESIS

COURTYARDS: CONSTRAINTS AND OPPORTUNITIES

34

Constraints

Opportunities

Significant topographic change Conflict with private interior spaces HVAC noise Abstract sculptures Visual dominance of water tower Limited connection to building interiors Many users with mobility challenges

Large open space (2.5 acres) Existing mature trees Windows with views out Well-used cafe patios

Inventory and Analysis

PROGRAM In summary, carry these program elements into the design.

Make the courtyards accessible to all users

Entrances should be easy to find and navigate. Consider grade changes and materials when creating pathways for users with mobility constraints. Use ramps instead of steps to connect areas.

Bring nature into the courtyards Design beautiful plantings to create constantly changing scenes as the weather shifts, as flowers bloom and fade, as the seasons change, and as years pass. Give users access to sun and shade, and provide a variety of sensory experiences. Invite pollinators and birds into the courtyards with native plants. Manage storm water in rain gardens.

Provide public and private gathering spaces Accommodate users' emotional and social needs by creating both small, private sitting areas and larger, more public spaces. Movable seating gives users the freedom to control their surroundings. Block or disguise undesirable views and noise.

Design attractive scenes to be viewed from inside Many users will only experience the courtyards by looking out of windows, so vistas should be planned from this perspective.

Protect private areas from public view Hospital rooms, the planned infusion rooms, and other private interior spaces need to be shielded from view, but also provided with their own pleasant views out.

Extend the courtyard program to the campus

Provide safe, accessible paths to all users around the exterior of the campus, clarify wayfinding, and design functional and beautiful places.

Inventory and Analysis

35

36

Design Proposals

DESIGN PROPOSALS D

esign proposals created by teams of students share a number of common themes: • The importance of incorporating inviting entrances and wayfinding that clearly directs visitors to the main entrance of the hospital.

• Developing an inviting new arrival area at the main entrance to the hospital that provides a strong visual link to the new healing gardens within the courtyards.

• Developing views into the courtyards from the patient rooms and the proposed infusion center, and enhancing views into the courtyards from the main entrance lobby, hallways, café and dining spaces.

• Creating accessible walkways within the gardens and to the adjoining buildings.

• Developing garden themes for seasonal interest, scents, color, taste, and texture that incorporate native plants for easy maintenance.

• Developing sustainable initiatives such as green roofs and rain gardens that enhance views from surrounding buildings, mitigate storm water, and improve water quality.

• Creating outdoor spaces that are inviting for all age groups.

When these features are combined into the designs, they create exciting new opportunities and benefits for Fox Chase Cancer Center: • New vibrant and inviting first impression for visitors and prospective patients.

• A soothing and healing environment that reduces stress for patients, staff and visitors.

• A healthy landscape that benefits both people and the environment.

Design Proposals

37

DESIGN TEAM 1 Rob Gladfelter, Kristie Anderson, Dave Heckman

GOALS • Improve patient experience of the campus.

• Connect patients to nature.

• Create programmed spaces with enhanced seasonal interest and ecological function, which helps patients enjoy the campus.

OBJECTIVES • Create movement through the campus spaces by encouraging users to wander and explore.

• Enable purposeful movement, as users traverse between spaces.

• Provide seating, meditative spaces, and resting spaces.

• Provide a labyrinth or walking meditation.

• Create focal points or areas featuring calming elements (water, plantings) • Create a variety of gathering spaces (large/public as well as small/private)

Illustrative Campus Master Plan

38

Design Proposals

Design Proposals

39

Ca fe te ria

Center Building

1

Hospital

5

Reimann Building

2

6

3

4

8 7 Terrace CafĂŠ West Building

40

Design Proposals

LARGE COURTYARD 1 GARDEN PATIO

Recessed patio that provides additional, more intimate outdoor seating.

2 MEADOW AND BLUE WAVE

The colorful, all-season meadow provides seasonal interest and attracts wildlife. A wave of blue is a thematic ribbon, tying together the courtyards.

It is expressed in the meadow by the plants, through either flower or foliage, making it visible in different ways throughout the seasons.

3 GATHERING LAWN

Along the path the blue wave emerges the form of in-ground lighting in the lawn that will provide a soft blue light at night, moving through the center focal point, a sculptural water feature.

4 LABYRINTH AND SENSORY GARDEN

A labyrinth invites you to explore its winding paths. The plants here have a mix of fragrance, texture, color, and edibles to attract wildlife and appeal to our senses.

5 CONTEMPLATIVE WALK

Inspired by historic cloister gardens, the path follows wooden posts spaced in a rhythmic pattern. A joyful yellow ribbon twists and bends above the path and among the posts, creating a contrast to the dark green of this shady area.

6 TERRACES

Terraces create seating areas and an overlook path with views down to the rain garden. Small trees provide a sense of seclusion. The Terrace CafĂŠ's retaining wall is enhanced with a Tree of Life mural. The blue wave continues here in handrails and seating.

7 TREE WALK

A pleasant ADA-compliant walk through the treetops to the Terrace CafĂŠ. The trees serve as a visual screen for the windows of the planned infusion rooms while providing an appealing view for patients inside.

8 RAIN GARDEN

Storm water is collected from the courtyard and travels through runnels into a rain garden, crossed by a boardwalk.

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LARGE COURTYARD RENDERINGS

Terrace Café

Rain Garden

Terraces and Seating

The steep terrain is divided by terraces (6) leading from the main path down towards the “Tree of Life” mural and rain garden (8).

42

Design Proposals

A spherical water feature between the meadow (2) and gathering lawn (3) provides soothing sounds and the opportunity to touch. The contemplative walk (5) is visible in the background.

Overlook Path

Sensory garden (4) with ample seating provides rest among vegetation that appeals to the senses, while other visitors experience the labyrinth. A spiral herb planter at the center is surrounded by fruiting and flowering trees.

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Hospital

1

3

1

4 2 Young Pavilion

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Design Proposals

SMALL COURTYARD 1 VIEWING GARDENS

Gardens surrounding the Hospital in both courtyards screen views from outside while providing attractive scenes to be viewed from patient rooms.

2 MEADOW

Native grasses and wildflowers allow expansive views out of the Young Pavilion, echoing the larger meadow plantings in the large courtyard. To protect wildlife, the Pavilion windows are treated with an anti-bird strike pattern.

3 GATHERING SPACE

Central paved space provides focus for visitors, made more comfortable with a shade structure.

4 WATER FEATURE

The blue wave continues through the small courtyard and joins the central focal point, a stone water feature.

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SMALL COURTYARD PERSPECTIVES

Surrounded by meadows (2), the gathering space (3) and fountain (4) provide a shaded seating area. Green roofs on the Hospital absorb storm water and cool the building.

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Design Proposals

Privacy of Hospital rooms is protected by the viewing gardens (1) from those traveling through the courtyard and the windows of the Young Pavilion, while patients have pleasing views out.

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DESIGN TEAM 2 Keye Faddis, Stephanie Narisi, Evan Eisenhard, Lucinda Bartley

GOALS Promote the healing environment of Fox Chase through the development of restful, inviting, and accessible green spaces throughout the campus, while contributing to the ecological health of the campus and its surroundings.

OBJECTIVES • Create a green and inviting campus • Improve circulation throughout the campus, including connections between buildings and courtyards • Ensure access to the gardens and campus for all users • Enhance user experience throughout the year.

• Promote the healing environment through green spaces

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Design Proposals

Conceptual Campus Master Plan

CAMPUS PLAN

East Garage

Reimann Building

Ca fet er

ia

Center Building Hospital

Large Courtyard

Small Courtyard

Young Pavilion

West Building West Garage

Illustrative Campus Master Plan

The public entrances to the hospital have been redesigned, while new sidewalks improve pedestrian circulation. Parking lots and retention basins are renovated to capture and filter storm water.

Design Proposals

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Ca fe te ria

Center Building

7

Hospital

Reimann Building

8

6 1 3 2

9 5 4

Terrace CafĂŠ West Building

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Design Proposals

LARGE COURTYARD 1 PUBLIC GREEN

Muti-use lawn area for public events.

2 SENSORY MEADOW

Creates seasonal interest and a naturalistic setting, providing contrast with the surrounding buildings. Wind-blown grasses, colorful wildflowers, and compacted gravel paths are some of the sensory features.

3 FRUIT WALL

Espaliered fig trees along a brick wall at the edge of sensory meadow. Positioned in a location optimal for sun light, the fruit will delight visitors while the form of the trees adds visual interest. The brick wall blocks noise from HVAC units.

4 INFUSION PAVILION

An extension of the proposed infusion rooms, a pavilion brings the inside out.

Patients undergoing treatment can enjoy a private space overlooking attractive gardens, protected by a shade structure.

5 COLONNADE TERRACE

To create a seamless ADA-accessible path system, a raised deck meets grade and attaches to the Terrace CafĂŠ. Colonnade establish a transition from the cafĂŠ to the rest of the courtyard.

6 CENTER FOUNTAINS

Central water features create movement and soothing sounds while providing a focal point for the middle of the courtyard. The circular seating area is shaded by a wooden pavilion.

7 HEALING TREE

Large specimen tree provides a gathering place to celebrate recovery. A ceremonial bell ringing signals another person has overcome cancer.

8 PRIVACY SCREENING

Berms and evergreen trees screen Hospital rooms from view and create a private space.

9 UTILITY ACCESS

Ease of access for maintenance vehicles is important for the courtyard. A designed path and vegetated screening are installed to allow for event setup and grounds maintenance.

Design Proposals

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LARGE COURTYARD SECTIONS

West Building

Reimann Building 52

Design Proposals

Cafeteria Patio

Infusion Pavilion (4)

Path to Terrace Café

Public Green (1)

Rain Garden

Central Gathering Space with Fountain (6)

Path

Path

Privacy Screening (8)

Path

Center Building

Hospital Design Proposals

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4

Hospital

5

3

5

2

1

Young Pavilion

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Design Proposals

SMALL COURTYARD 1 PRIVATE SEATING AREA

Small seating area surrounded by trees and shrubs allows for peaceful restoration and a sense of privacy.

2 LARGE GATHERING SPACE

A public focal point, framed by large trees, where groups or patients and staff can meet or relax.

3 FOUNTAIN

A water feature creates calming sounds and serves as the heart of the small courtyard.

4 STAFF RELAXING AREA

A private area reserved for staff members' rest and recuperation, out of public view.

5 SCREENED PRIVATE VIEWS

Views in and out of the Hospital patient rooms are screened by vegetation.

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MAIN ENTRANCE

West Garage Green Wall > Wire grid panels on parking garage support climbing vines, attracting birds and pollinators.

Main Entrance

West Building

Glass Canopy

West Garage Plaza Seating

Memorial Grove

Entrance Plaza Plan Detail Main entrance plaza with clear circulation, valet parking, sidewalks, and lighting.

Cars may only exit the West Garage here, allowing for easier patient pick-up; garage entrance is moved to the south side.

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Design Proposals

SECTION THROUGH RAIN GARDEN

West

West

West Garage Garage with Green Wall

Entrance Drive Drive

Pedestrian

Proposed Sidewalk Pedestrian Path

Enhanced Enhanced Rain Garden Rain Garden

Seating Area Seating Area with Walking Paths With Walking Paths

View towards Cottman Avenue from Entrance Plaza.

SECTION THROUGH ENTRANCE PLAZA

Proposed Planting

Pedestrian Proposed Pedestrian Sidewalk Path

West Entrance Drive Drive

Plaza Plaza Seating Seating

GlassGlass CanopyCanopy with Patient Drop Off

Main Entrance West Building Main Entrance

View north from the rain garden.

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GREEN ROOFS The design goal of promoting the healing environment of Fox Chase through green spaces and ecological health can be expanded up to the rooftops. Building roofs offer opportunities to convert more hard surfaces to attractive and beneficial green space. Benefits of green roofs include:

Social

• Soften and green views from windows • Create additional outdoor space

Ecological

• Provide habitat and connect to natural areas • Decrease heat island effect • Absorb stormwater

Institutional

• Extend life of roof to 50 years • Insulate interiors • Improve HVAC efficiency

East Garage

Reimann Building

Center Building

Hospital

Young Pavilion West Building West Garage

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Design Proposals

< Prioritizing Opportunities The flat roof surfaces were analyzed for suitability for green roof installation; only rooftops with little installed infrastructure were considered. First priority was given to roofs that are visible by patients and staff from higher floors of the buildings. Of second priority are the roofs that are not visible, but could support simple green roofs for ecological and institutional benefits.

Priority 1: Designed roof gardens

for use and viewing Priority 2: Green roofs for water

and energy efficiency

GREEN ROOF ON CAFETERIA

(LiveRoof) Because the cafeteria is an older building, the roof may only support the weight of a thin layer of soil and plants; low-maintenance sedum species perform well in these conditions.

The helix design > is created with colorful sedums or bulbs in a carpet of green.

The form was inspired by three themes associated with Fox Chase: • Leadership in medical research, symbolized by DNA strands

Reimann Building

< The Cafeteria roof is a sizable open space visible from the Center and Reimann Buildings, and most conspicuously from the enclosed walkway between the two buildings.

Center Building

• The varied paths toward healing that patients may travel • The way that the lives of staff, patients, and families intertwine

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GREEN ROOF ON WEST BUILDING ENTRANCE

West Building West Garage

View of the West Building main entrance from the top of the West Garage.

The roof at the West Building Main Entrance is visible both from the street and from floors above. Small shrubs, grasses, and wildflowers bring color and movement to the new entry plaza, and on upper levels sedum plantings absorb water.

GREEN ROOF ON HOSPITAL AND WALKWAY East Garage Hospital

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Design Proposals

The roof of the Walkway from the East Garage repeats the helix theme, which here echoes the movement of people walking through the hallway below.

The Hospital has two opportunities for roof greening. The small pie-shaped roofs that currently support river rocks could be converted to simple green roofs with sedums and small bulbs. The patient room patios can be furnished with tables and chairs and enlivened with small trees, shrubs, and colorful flowers in containers, bringing nature to patients and families who may not be able to make use of the courtyards.

GREEN ROOF ON YOUNG PAVILION

Garden Patio

Young Pavilion

Garage Green Roof

West Garage

A new doorway from the third floor opens onto a Garden Patio for staff. Echoing the Pavilion Hospital style, wooden arbors shade two seating areas. The first looks out over the courtyard, while a smaller patio looks south across the treetops of Burholme Park toward Center City— providing a sense of perspective or escape.

On the west side of the Young Pavilion, office windows face out onto a Garage Green Roof, where sedums absorb water and heat and evergreen trees in pots break up the view of cars. Drought-hardy shrubs mask the concrete wall and provide seasonal color.

View of the west side of the Young Pavilion, overlooking the West Garage.

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DESIGN TEAM 3 Jenna Otto, Nick Hislop, Mallory VanWhy, Anthony Zachornacki

GOALS To create a cohesive and inviting experience for all users, while highlighting the mission and identity of Fox Chase Cancer Center.

OBJECTIVES • Improve accessibility and wayfinding.

• Create interactive spaces both public and secluded.

• Create destinations and rooms, and introduce active spaces.

• Improve user experiences with seasonal interest and reduce mechanical noise • Provide views of the landscape from spaces within buildings.

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Design Proposals

CAMPUS PLAN

NATIVE STREET TREES

WEST WING EAST GARAGE RAIN GARDENS

CENTER BUILDING

POROUS PAVEMENT

HOSPITAL

WATER TOWER

EMPLOYEE PARKING

NATIVE MEADOW

REIMANN BUILDING

YOUNG PAVILION

WOMENS CENTER

WEST BUILDING OUTPATIENT WEST GARAGE MAIN ENTRANCE

WEST DRIVE

Conceptual Campus Master Plan

The campus has been updated with enhanced vegetation, pedestrian circulation, and storm water management systems.

Design Proposals

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Center Building

Ca fe te ria

2 7 Hospital

4

Reimann Building

5 1

8

6 3

8

Terrace CafĂŠ West Building

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Design Proposals

LARGE COURTYARD 1 GATHERING GREEN

A grassy central gathering space provides views of all of the courtyard activities.

Here, picnic tables have been included so that staff and visitors can have lunch under the shade canopy.

2 SENSORY GARDEN

This garden is located off of the hospital and gives a destination and purpose to this area of the courtyard.

3 NATIVE HILLSIDE POLLINATOR GARDEN

Secluded seating may allow for a sense of respite where s taff may experience the presence of butterflies or other native pollinators.

4 NATIVE SHADE GARDEN

A small secluded space filled with large native trees and shrubs.

5 CREEKSIDE GARDEN

Proposed fountain and sensory garden that will be filled with a selection of plants to include all 5 senses.

6 REFLECTION MEADOW

Native meadow with a winding path and benches for reflection

7 FOUNTAIN GARDEN

Sound of moving water, fragrant plants, and textured local stone seating will contribute to a sense of overall well being.

8 CANOPY BRIDGE

Allows for ADA compliant access throughout courtyard with clear connections to existing Terrace CafĂŠ.

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LARGE COURTYARD SECTIONS

Canopy Bridge (8)

Terraced Rain Garden

Terrace CafĂŠ

View toward the Young Pavilion across the terraced rain garden filled with native meadow plants. The proposed infusion rooms in the West Building are provided with a pleasant view, while courtyard users on the path are kept at a reasonable distance for privacy.

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Design Proposals

West Building

Gathering Green (1)

Reflection Meadow (6)

Meadow Path

Reflection Meadow (6)

View toward the Hospital and Young Pavilion across the Reflection Meadow, showing plantings and berms which create private and varied spaces.

Design Proposals

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LARGE COURTYARD RENDERINGS

< Canopy Bridge An easy connection from the cafe patio to the rest of courtyard.

Reflection Meadow > Attracts butterflies and other native pollinators.

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Design Proposals

Central Gathering Space > Provides views of all of the courtyard activities.

< Sensory garden Provides the sound of moving water, the scent of fragrant plants, and the sensation of dappled light.

Design Proposals

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Hospital

1 3 2

4 5 Young Pavilion

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Design Proposals

SMALL COURTYARD 1 NATIVE POLLINATOR GARDEN

A small meadow with a decomposed granite path gives a naturalistic feeling while being accessible.

2 FOUNTAIN GARDEN

A canopy of trees shades seating around the circular planted fountain, which serves as a destination.

3 PERENNIAL STREAM

Various blue-colored perennials mimic a local stream. The feature creates seasonal interest for patients viewing from the building windows.

4 PRIVACY BERMS

Berms protect Hospital windows from view and separate the path from private spaces.

5 SEATING AREA

A paved seating area at the entrance to the courtyard invites visitors to come outside.

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SMALL COURTYARD SECTION AND RENDERINGS

Hospital

Privacy Berm (4)

View from the courtyard entrance toward the East Garage Walkway, showing private spaces protected from public gathering areas at the Fountain Garden.

Native Pollinator Garden (1) > Raised topography to create private area for patients.

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Design Proposals

Fountain Garden (2)

Rain Garden

< Shaded Fountain Garden (2) A peaceful spot to gather or rest.

Design Proposals

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MAIN ENTRANCE Main Entrance West Garage

Glass Canopy

Entrance Plaza Detail Entrance plaza island with flowering perennials and trees planted in the middle.

Entry Drive Plan

Simplified drive with improved wayfinding signage, continuous sidewalks, rain garden, and entrance plaza.

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Design Proposals

SECTION THROUGH RAIN GARDEN

Rain Garden

Entrance Drive

West Garage

View looking north showing the lushly planted rain garden and the sidewalk beside the entrance drive.

SECTION TROUGH ENTRANCE PLAZA

Main Entrance

Glass Canopy over Drop-Off

Plaza Island with Flowering Trees

Entrance Drive

View looking south toward Cottman Avenue, showing the planted plaza island and welcoming main entrance.

Design Proposals

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DESIGN TEAM 4 Andy Freifeld, Ronnie Ludwig, Karolina Schwartz

GOALS To design a multi-use landscape which embodies the healing culture and function of Fox Chase Cancer Center.

OBJECTIVES • Create visual and physical connections between indoors and outdoors.

• Increase biodiversity and create wildlife habitats.

• Provide ADA-accessible walks and pedestrian sidewalks.

• Mitigate noise from mechanical equipment.

• Connect campus to existing adjacent green spaces.

• Redesign entrances to provide a sense of welcoming arrival.

• Improve outdoor gathering and dining areas.

• Embrace attractive views and improve negative views.

• Incorporate stormwater management principles.

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Design Proposals

Conceptual Campus Master Plan

Design Proposals

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Center Building

Ca fe te ria

5

Hospital

3 Reimann Building

6 2

1

4 Terrace CafĂŠ West Building

78

Design Proposals

LARGE COURTYARD: Scheme 1 1 BRIDGE INTO THE LANDSCAPE

Comprised of local Wissahickon schist, the Bridge provides accessibility to users of all abilities. Views are prominent from parts of the bridge out to attractive features of the courtyard

2 THE CONCORD

A social and interactive space for events and gathering. It is flanked by tree allees on either side and features a paved stage.

3 CIRCLE OF CONTEMPLATION

A central fountain focal point surrounded with seating. There is a moderately dense vegetation so that multiple users may experience the space privately.

The garden is intended to be a space for reflection.

4 MEADOW

A low-maintenance, grassy meadow with flowing pathways connecting to Reimann Building doors.

5 SENSORY STROLL

A garden which contains shrubs and perennials intended to stimulate the senses through attractive sights, interesting textures, edible fruits, and aromatic flowers.

6 STORMWATER SWALE

A channel planted with attractive vegetation filters stormwater before directing it to an infiltration basin.

Center Building

Sensory Stroll Path (5)

Circle of Path Contemplation (3)

Bridge (1) The Concord (2)

Meadow (4)

West Building

Design Proposals

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Ca fe te ria

Center Building

Reimann Building

4

Hospital

1

2

3

5

7

6

Terrace CafĂŠ West Building

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Design Proposals

LARGE COURTYARD: Scheme 2 1 PLAY AREA

Open space for visiting children to enjoy and be viewed by family.

2 PICNIC AREA

Open mounded area lined with trees that creates a relaxing space.

3 VEGETABLE GARDEN

Allows staff and patients to care for and cultivate an area of the courtyard and enjoy the produce. A space for potential therapeutic horticulture programs.

4 CONTEMPLATIVE GARDEN

Quiet seating area for patients, visitors, and staff to relax and collect their thoughts during a stressful day.

5 POND

Viewing platform with waterfall to create a peaceful view across the courtyard.

6 MEADOWS

Wildflower and grasses creating a sensory experience.

7 RAIN GARDEN

Collects stormwater runoff and planted with wetland plant species.

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RAIN GARDEN DETAIL AND SECTION: Scheme 2

RAIN GARDEN

RAIN GARDEN

Viewing bridge makes the connection from Terrace Café to the courtyard across the rain garden (7).

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Design Proposals

CONTEMPLATIVE GARDEN RENDERINGS: Scheme 2

Section through contemplative garden (4) with a water feature.

Adaptive reuse of existing sculpture in the rain garden

Contemplative garden with sculpture.

Design Proposals

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Hospital

3

2

Young Pavilion

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Design Proposals

1

SMALL COURTYARD 1 RAIN GARDEN

Collection basin where stormwater can gather in the time of a storm and slowly infiltrate into the ground.

2 RESPITE AREA

Open gathering area for relaxation.

3 VEGETATED SCREENING

Plantings with a combination of shrubs and trees to create a privacy barrier between the private hospital rooms and the courtyard. Changes in topography enhance the element of privacy.

Design Proposals

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The Tanglin Core, Singapore Botanic Gardens. (NOW Travel Asia)

NEXT STEPS Through the process of documenting and analyzing existing

conditions on the Fox Chase Cancer Center campus, researching design precedents for healing landscapes, and developing goals for the use and design of the site, the student design teams were guided by the idea that the new Fox Chase landscape should be restorative, engaging, and accessible. These ideals manifested themselves very differently in each team's designs, but they run as a theme through each plan.

This report documents the many benefits of healing gardens, such as alleviating stress for staff, patients, and visitors, reducing patient pain and healing times, providing opportunities for fresh air and exercise, and increasing employee retention and morale. Each design team sought to bring these benefits to the proposed healing gardens at Fox Chase Cancer Center.

We hope that these design proposals serve to begin a conversation, sparking ideas and inspiring creative action. The Fox Chase mission to provide compassionate care for its patients would find a beautiful expression in a therapeutic landscape designed to restore the minds and bodies of all its users.

Next Steps

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