Project Types
Air Handler Replacements
Inpatient Rooms
Blood Bank
Intensive Care Units
Bone Marrow Transplant Units
Mission Critical/Data Centers
C ardiac Catheterization Laboratories (including stereotaxis)
MRI Rooms, CT Scanner Rooms, Rad Rooms,
Cardiovascular Intensive Care Units
PET/CT
Cardiovascular Operating Rooms
Operating Rooms
C lass 1, Division 2 Hazardous Classification Storage and
P3 Laboratories
Handling
Pathology
Class 10,000 Laboratories
Pediatric Intensive Care Units
Clinics and Offices
Pharmacies and Pharmacy Clean Rooms
Diagnostic Imaging
Physical Therapy/Rehabilitation
EC/Trauma
Roofs (replacements)
Elevators (additions/replacements)
Simulation Centers
Food Service Facilities
Up to Biosafety Level 3 Laboratories
Gene Vector Laboratories
Vivariums (small and large animal)
Good Manufacturing Practice Laboratories
Wet Laboratories
Hospital Chapels Infusion Therapy
Building Healing Environments for a Healthy Future
Healthcare is a dynamic, 24-hour industry that is rapidly advancing, especially in the Texas Medical Center (TMC). Since 2009, Bellows has operated a permanent satellite office for our Medical Center Renovation Team (MCRT) in the heart of the TMC to respond to the needs of our clients in a time-sensitive manner. In addition to our MCRT office, we have in-hospital offices for some of our institutional partners. These offices provide immediate availability and service which ultimately translates to added value for our clients. Bellows has completed building and renovation projects on nine medical campuses, including 300+ projects with Texas Children’s Hospital and 80+ projects with Baylor College of Medicine. Other area institutions such as Rice University, CHI St. Luke’s Health, and Memorial Hermann are also repeat clients. Our Bellows MCRT office is a premier renovation partner for all TMC institutions and delivers premium quality, value-oriented healthcare and research renovation projects to all of our clients. Under the leadership of Nick Mathews, Director of Operations, our MCRT staff plans and executes each demanding renovation project and is responsive to the individual needs of each client. We are champions for our clients and adhere to aggressive schedules in order to complete the work on time, in budget, and with minimal to no disruption. We take the time to get to know the in-house professionals and medical staff of each facility to ensure safety and a clear understanding of their expectations for project outcomes.
Differentiators An office located in the Texas Medical Center’s Middle Campus Dedicated, responsive staff available 24 hours a day, 7 days a week Our teams work exclusively with the Texas Medical Center clientele Provide pre-construction services, schedule development, and logistics planning Critical knowledge of updated equipment, shut-down schedules, and safety procedures Perform our own infection control in sterile environments Consistent safety training amongst all team members Hygiene awareness and keeping an isolated construction environment Clear communication and exceptional problem-solving
Nick Mathews Director of Operations Medical Center Renovation Team 713.795.9600 nmathews@wsbellows.com
Texas Medical Center Experience
12 11
13 8
2
4 14 3
6
9
1
10 5
Rust = New Construction Blue = Major Tenant Improvements/Renovation
7
New Construction 1.
Texas Children’s Hospital, Pavilion for Women
3.
Texas Children’s Hospital, West Tower and Vertical Expansion
5.
Texas Children’s Hospital, Clinical Care Center
9.
Texas Children’s Hospital, Feigin Center and Vertical Expansion
10. Prudential Building (Demolished in 2012) 11. Ronald McDonald House - Holcombe House 12. The Houston Zoo - African Gorilla Forest and other projects
Major Tenant Improvements / Renovations 2.
Methodist Neurosensory Building
4.
CHI St. Luke’s Health
6.
Texas Heart Institute
7.
Children’s Nutritional Research Center
8.
Baylor College of Medicine
13. Memorial Hermann 14. Rice University, BioScience Research Collaborative * Continuous tenant improvements in Texas Children’s Hospital facilities
Other Work (not pictured) New Construction
Renovations
Texas Children’s Hospital, Pediatric Tower E Expansion
Rice University, Wiess House
Texas Children’s Hospital, Leopold L. Meyer Building and Garage
Rice University, Huff House
Rise School of Houston
Rice University, Sewall Hall
Rice University, Fondren Library
Rice University, Herring Hall
Rice University, Ley Student Center
Rice University, Space Science and Technology Building
Rice University, Abercrombie Engineering Building
Rice University, Oshman Engineering Design Kitchen (OEDK)
Rice University, President’s House (Now Huff House)
Baylor College of Medicine
Gross Anatomy Lab, Morgue, Classroom Renovations The Gross Anatomy project is a specialized surgical lab classroom that consists of 14,000 SF located on one level. Bellows demolished 80% of the existing morgue and completely demolished eight classrooms. Four classrooms remained operational at all times during the renovation. The neuro-anatomy portion of the lab is a state-of-the-art laboratory for teaching new cutting-edge neurosurgery techniques. The neuro-anatomy lab contains custom ceiling panels and 11 Stryker OR lights with integrated cameras. Bellows also built custom neuro-anatomy carts to house all electronics including A/V and endoscopic equipment. Challenges The four inches of above-ceiling space presented a challenge for the extensive rough-in work for the A/V equipment, Stryker OR lights, cameras, endoscopic equipment, lab vacuum, and unistrut. Through careful coordination and full attention to detail, the team successfully constructed the entire conduit, ductwork, and cabling above the ceiling with no disturbances. All phases of this project utilized evening hours in order to not disrupt adjacent lab operations.
“Bellows exceeded my expectations with the availability of the team as well as with the classroom itself due to all of the built-ins and equipment. A significant amount of highly-specialized surgical equipment was shipped to the lab. Bellows’ expertise in the planning and logistics involved in the equipment installation made for a seamless process from start to finish.” Nicholas B. Levine, M.D. Department of Neurosurgery, Division of Surgery The University of Texas MD Anderson Cancer Center
Texas Heart Institute
Dr. Doris Taylor’s Laboratory Texas Heart Institute’s mission is to reduce the devastating toll of cardiovascular disease through innovative programs in research education and improved patient care. Located on the ninth floor of the Texas Heart Institute is the research laboratory and office space of world-renowned cell therapy researcher, Dr. Doris Taylor. The project scope for this new research space included 8,000 SF of selfprocessing laboratory build-out, the build-out of the existing shell space with a biorepository, and renovating the existing wet labs. Challenges Site staging and logistics were a significant challenge for this project. The building in which the project was located didn’t have an active loading dock at the time and the loading dock for the adjacent building was designed for hospital use only. The only way to shuttle materials to and from the site was through access at a remote loading dock three buildings away. This required the use of multiple elevators and the extensive Texas Medical Center tunnel system to access the project site.
CHI St. Luke’s Health
Cardiac Catheterization Laboratory This project included the renovation of Cath Lab 4, the control room, and portions of the equipment room for a total of 1,150 SF to accommodate the new GE Healthcare Innova IGS 530 equipment and Stryker booms. Modifications had to be made to the existing MEP systems, overhead structural support, as well as all new finishes including flooring, ceiling, millwork, and paint. Challenges The team had to share the equipment room with an adjacent operational Cath Lab which required careful coordination of timing, noise control, utility outages, and infection control. The only access to this site was through the sterile corridor. The team had to construct two anterooms (one prior to entering the sterile corridor and one inside our construction site) where all workers suited up before entering the sterile corridor. To ensure the construction space stayed negative to the sterile corridor, a manometer was installed which took constant readings of the pressure. With post tension cables in the slab, the floor had to be scanned and mapped in order to avoid coring through the cables. Finally, the equipment was coming from five different vendors so the team had to manage the coordination and timing of each vendor and their equipment delivery.
“Bellows has helped Texas Children’s build critical projects over the years... And Bellows continues to help shape what we will become—all with the incredible professionalism and quality of work for which the company’s leadership and employees are known.” Mark Wallace President and Chief Executive Officer Texas Children’s Hospital
Texas Children’s Hospital
Level 5 Pavilion for Women Pediatric Radiology Buildout This 24,700-GSF buildout included the renovation of shell space that now houses a waiting room, office support, and prep/recovery areas to create a new pediatric radiology suite. In addition to the diagnostic rooms, the suite also contains 12 patient holding/recovery beds, an isolation room, a treatment room, nurse station, soiled work room, clean supply, medication rooms, a decay holding room, and a separate sub-waiting area. The suite has a main waiting area off the public elevators with staff support spaces including an on-call room, child life storage, work room, break room/locker room, and a virtual office. This build-out is the new location for their Outpatient Radiology Suite and their Nuclear Medicine Suite.
Challenges Bellows coordinated the relocation of three MRI units (two 1.5Ts and one 3.0T), a new Pet MR, a new Pet CT, two new Spect cameras, and the relocation of an existing Spect CT. During the relocation of the MRIs, two separate roads required lane closures. The precast and glass on Level 4 of the Clinical Care Building was removed in order to lift the MRI out of the building with a crane. The MRI was then loaded onto a flatbed truck and carefully transported to the Pavilion for Women building where a second crane lifted the MRI onto Level 5. This delicate process was executed three times to transfer all MRIs.
Texas Children’s Hospital Heart Center
Texas Children’s Hospital needed to update two floors to accommodate their continued growth. Completed in 2009, the 70,000-SF expansion also included one new pharmacy, a new cardiovascular operating room, a cardiovascular intensive care unit, three isolation rooms, a prep and recovery area, one new cath lab, office space for hospital staff, and an occupied patient surgery and bed floor. Challenges Adding a new elevator between the floors took careful coordination with the department leadership since both floors were occupied during construction.
Texas Children’s Hospital, Pavilion for Women Magnetoencephalography (MEG) 5
This project was the buildout of existing shell space to support the use of MEG. The scope included equipment infrastructure, equipment room with helium recovery closet, and a control room. The MSR, an OFOI shielding enclosure containing medical equipment, was installed in a tight footprint given the available floor space. Challenges In order to create the minimum room dimensions for this equipment, part of the adjacent MRI control room had to be used. A temporary shutdown of the MRI and control room was needed to tie in above-ceiling MEP. Additionally, our team was brought in by the Owner to assist during vendor installation and to ensure proper life safety methods were being used above the ceiling.
Memorial Hermann Jones Level 4 Spine Unit
This was a 10,290-SF complete interior renovation of an existing NICU unit that resulted in a 16-bed universal care suite. The space includes one isolation room and three bariatrics rooms, staff lounge, nurse station, offices, equipment room, clean supply, soiled utility, nourishment, and medication space. Demolition of existing MEP to accommodate the new layout and a new air handler was added to serve the suite. All adjacent areas of the Jones Building were able to remain fully operational throughout the duration of the project. Challenges A material hoist was erected to allow access of material and personnel into the site in order to avoid disruption to the adjacent stroke unit. With patient floors above, below, and adjacent to the site, noise and utility outages had to be planned weeks, sometimes months, ahead with several different departments. New exhaust duct work for the isolation rooms had to run above the ceiling through multiple stroke unit rooms. With the census at 100%, access to one room at a time was given to complete the modifications to the existing MEP system.
“At my very first meeting with the Bellows team, I shared with them that since we were about to begin a year-long project, we should endeavor to work well together versus work against each other. Experience shows that projects run smoother when it is a team effort. Almost three years later, Bellows has proved to be a team player, completely professional, and is committed to delivering a quality product. I look forward to continuing this relationship for many more projects.� Donna Stojkovic Senior Associate Curry Boudreaux Architects
Memorial Hermann Gamma Knife
This renovation project occurred in two phases. Phase I consisted of relocating the existing Gamma Knife Department from the ground level of the Robertson Pavilion to the Jones Pavilion basement. The Gamma Knife Department moved into the former Occupational Health Department. Phase II involved demolition and reconstruction of the area vacated by the Occupational Health and Neurophysiology Departments. The renovated space is now the co-location of the Gamma Knife and Neurophysiology Departments. The total renovated footprint for all three departments is 12,208 GSF. Challenges All of the water/drain lines above the Gamma Knife room had to be relocated which posed a unique obstacle since these utility lines served the entire building. Rerouting of the supply and return air trunks created another hurdle since these trunk lines served occupied space in the basement. Due to the weight of the equipment, the existing slab on grade in the Gamma Knife room had to be removed and reinforced in order to support a live load of 50 tons. With this site located in the basement, 30 yards of concrete had to be manually pushed one block through an active hospital and down the elevator to the basement.
Memorial Hermann Jones Level 9
This interior upgrade involved 28,000 SF of patient rooms, waiting spaces, and staff support areas. The team renovated a former patient care space on the ninth floor of the Jones Building and also installed new floors, paint, millwork, doors, hardware, and ceiling along with numerous MEP upgrades including new light fixtures, nurse call, and plumbing fixtures.
Challenges One of the biggest challenges the team faced with this project was installing new doors/hardware into 40+ year old existing frames that were no longer plumb. Once installed, the team successfully modified all the doors to fit in the existing frames and the hardware to latch properly. A second issue the team faced was the headwalls at each patient room. The headwalls were designed out of Acrovyn, a long-lead item. After they were made, it was discovered there were existing utilities in the walls that were not shown on the drawings nor accounted for during the fabrication of these headwalls. The solution was to design three different headwalls to accommodate the various conditions. Regardless of these unforeseen challenges, the project was successfully completed on time.
Rice University, BRC Dr. Bao’s Laboratory
This project was the buildout of approximately 2,500 SF of laboratory and office space in existing shell space in Rice’s BioSciences Research Collaborative Building. The renovation included a new microscope room, dark room, open lab area with one fume hood, and two new faculty offices. Challenges Utility shutdowns had to be coordinated with building management so that any experiments in process would not be interrupted.
Rice University
Oshman Engineering Design Kitchen (OEDK) The primary goals of this renovation project were to expand the existing first floor workshop into the basement and to create a strong visual, spatial, and contextual relationship between the two floors. The signature element of the design is a new sculptural stair with integrated work surface that connects the two floors through a large new aperture. In addition to creating convenient vertical circulation between the two floors, the program also includes offices, a conference room, an electronics workshop, an e-learning zone, and a general engineering workshop. Challenges The biggest challenge with this expansion was creating the opening between the first floor reinforced concrete slab and the basement to make way for the new ornamental staircase. Before the aperture could be cut, additional structural steel reinforcement was needed to support the remaining concrete structural elements of the first floor slab. Since the single elevator servicing the basement could not accommodate the loads of the larger structural steel members, the steel had to be shipped to the project site in pieces that could be carried by hand down the stairwell, hoisted into place, and welded in the field.
Bellows Medical Center Renovation Team 1018 St. Agnes Street Houston, Texas 77030 713.795.9600 www.wsbellows.com