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North Carolina Cancer Hospital UNC Health Care Chapel Hill, North Carolina


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The North Carolina Cancer Hospital under construction


Project Overview The North Carolina Cancer Hospital serves as the clinical home for the University of North Carolina (UNC) Lineberger Comprehensive Cancer Center, the only public comprehensive cancer center for the State and the people of North Carolina. Located on the UNC Health Care Campus and financed through public funds allocated by the State Legislature, the hospital is dedicated to improving the quality of cancer care for the citizens of North Carolina by enhancing UNC’s multidisciplinary and patient–and–family centered cancer care and furthering associated cancer research and treatment programs. The 7-story, 315,000 SF cancer hospital allows UNC to accommodate more patients as the rate of cancer in North Carolina continues to rise, housing 50 inpatient beds for medical oncology and bone marrow transplant patients, 72 chemotherapy infusion suites, adult medical and surgical clinics, pediatric oncology clinics, diagnostic radiology and mammography, radiation therapy and an expanded Clinical Research Trials Unit. The project also includes a 4-story, 105,000 SF Physicians’ Office Building, the replacement of an existing pedestrian bridge connecting these facilities with the main UNC hospital and existing parking decks, and an 8,000 SF expansion of the main UNC hospital’s existing Emergency Department.

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UNC Hospital

Previous Cancer Center

Pedestrian Walkway

Physician’s Office Building

Existing Parking Decks

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New Parking Structure


Dense Urban Campus Location Because the UNC Health Care campus is constrained by the density of existing buildings, utility infrastructure, roadways and numerous construction projects, the new cancer facility is located in two separate buildings. The cancer hospital is located immediately adjacent to the main hospital allowing for seamless coordination with hospital systems, staff, and patient and visitor circulation patterns. The physician’s office component is located directly south of the cancer hospital across the medical center’s main access road, with a pedestrian bridge connecting the new buildings, parking decks and related facilities. The project involved demolition of the existing adjacent cancer hospital and reconfiguration of access and landscape components to accommodate the new structures. Execution of the project required careful sequencing of design and construction logistics, including adaptation of utility routes and structures to coincide with other construction projects on the campus. Coordination took place during weekly and bi-monthly ‘perfect storm’ meetings involving a diverse team of stakeholders and project team members.

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The exterior expression of the cancer hospital, together with more recent hospital facilities, strives to achieve a distinct architectural identity from the rest of the university campus. A combination of light colored brick and precast acknowledges the campus’ historic use of traditional masonry, while establishing a unique look and feel for the medical campus.

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Patient–and–Family Centered Cancer Care The design and medical planning for the facility is centered around creating a comfortable healing environment for those undergoing cancer treatment and care. Orientation of key treatment, waiting and inpatient facilities focus on access to daylight and views of the surrounding campus and interior courtyards. Patient and exam rooms are family-oriented and planned to accommodate the patient, family and caregivers all in one room. 11


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Multidisciplinary Team Approach The design supports UNC’s nationally recognized model for a multidisciplinary research based approach to cancer care. Existing clinical and inpatient cancer programs, previously dispersed throughout the UNC Hospitals campus, are consolidated in the new facility enabling a team approach to cancer care. Patient and caregiver flows are organized to bring ‘care teams’ consisting of physicians, nurses, researchers and other related specialists into patient rooms to collectively discuss and craft individualized treatment plans, rather than the patient visiting multiple locations for care and counseling. Medical team work rooms are provided to enhance collaboration and caregiver efficiency; communication teleconferencing facilities enable inclusion of community physicians in ongoing treatment planning for patients; and dedicated multidisciplinary conference rooms allow for expanded state-of-the-art care and planning.

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A goal for the project also involved creating a collaborative environment to enhance interaction between physicians, clinical investigators and caregivers. The public and common spaces in the hospital, such as stairways, lobbies and outdoor spaces, are designed to promote chance interaction and the extensive use of glass provides visibility between floors and multi-level spaces, allowing occupants to see one another when circulating through the building.

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Comfort and Serenity The interior was designed to provide a hospitality feel through the use of warm wood and stone, enhanced by brighter accents in paint, upholstery and art. The entry to each clinic includes a series of artful etched glass panels that provide penetration of natural daylight and create a calming and welcoming entry. The waiting rooms include soft seating configured to provide a variety of seating options for individual preference and to accommodate groups of people. Built-in wood entertainment centers house televisions for educational purposes, and magazines, books, resource material and a computer station are available for patients and family members. The entry ceilings are lowered in a curved shape with downlights in the central space and wall sconces at the perimeter to create an intimate and soothing mood. 17


Connection to Nature Connections to nature—literal and symbolic—are made throughout the building to provide a sense of orientation within the building and promote healing.

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Infusion Center The new infusion suite offers greatly increased size and capacity compared to the previous space including 58 infusion stations (private, semi-private and public) for adults and clinical trials. The center wraps around a landscaped courtyard to meet the stated design goal of providing views and natural light for all infusion patients. Infusion stations are grouped in ‘pods’ with low partitions to allow for both privacy and visual connection to the outdoors from every station. Thus, the infusion center features abundant natural light, views of the UNC campus and courtyards, comfortable seating and warm wood and nature themes. Each nurse station has colorful nature graphics and distinct wall and floor colors to help with wayfinding.

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Women’s Center The Mammography Center, located on the first floor of the 7-story Cancer Hospital, includes low dose, digital diagnostic mammography units with tomosynthesis capabilities, ultrasound equipment for breast examination, image guided needle localization and fine needle aspiration equipment, and vacuum assisted stereotactic biopsy equipment. Patient and family convenience is increased by providing a single place where most aspects of breast cancer treatment and follow-up care is accessed by patients. The main operational goals of the Mammography Center are to provide screening and diagnosis. The colors and materials in the Mammography Center are influenced by the natural landscape of North Carolina and were selected to create a calm soothing environment and help reduce stress. Adjacent to the doors of exam, treatment and patient rooms are panels of clear acrylic with natural leaves embedded within. A large image of a dogwood flower is featured on the long wall behind the reception desk to act as a wayfinding element as well as artwork. The artwork was provided by a local photographer who is known for his images of nature in the region.

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Radiation Oncology / Radiology Radiation Oncology is located below grade with four Linear Accelerators for radiation therapy, including an Intensity Modulated Radiation Therapy (IMIMRT) room and a High Dose Rate Radiation Therapy (HDR) room. Since the equipment requires heavy shielding and no natural light, materials such as warm wood floors, comfortable furniture and controllable lights help manage the environment. The waiting room has a large skylight and treatment room ceiling panels give patients the sense of the outdoors. On the floor above, the Radiology imaging suites include a CT scanner, two general radiology rooms and two PET/CT scanners. The waiting room looks out onto a landscaped courtyard. 25


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Pediatrics The Pediatric Hematology Oncology Program treats the full range of childhood cancers. The spaces within the clinic are meant to offer a wide range of positive distractions. The colorful waiting area is both visual and tactile. A wall of marbles, interactive floor mat, toys, books and televisions ease the discomfort of waiting.

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Pediatric exam rooms are filled with natural light, and color-block floor patterns and animal imagery define each room. Just outside the exam rooms, a playroom holds a wide variety of toys for younger children while, across the hall, a computer center entertains older children.

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Pediatrics Infusion Center Within the infusion unit, 14 stations can be curtained off for privacy but each have individually controlled televisions and video game consoles. The space also includes two private rooms, a pain procedure room and a small classroom. Splashes of blues and greens on all materials and ceiling panels with nature scenes further offer aesthetic escape from medical procedures.

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Patient and Family Amenities A wide variety of hospital amenities offer patients and families easy access to everyday and medical needs. On the ground level and adjacent to main registration, the gift shop provides uplifting gifts, snacks and UNC logowear. On the same floor, a Patient and Family Support Center stocks brochures, magazines and other publications that can be checked out to patient rooms. Also included is a conference center, central pharmacy, appearance center for accessories, massage room, chapel, and an intimate meditation room.

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Level

M

Manning Drive Level 1

Building Support

2

Check-In/Waiting

3

Radiology/ Oncology Clinic

4

Loading Dock

1

3

2

36

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Level

B

1

Emergency Department

2

Radiology

3

Multidisciplinary Oncology Practice Office

4

Radiology/Oncology 1 Offices

Emergen

2

Radiolog

3

Multidis Oncolog

4

Radiolog

LEVEL B

1

2

3

4

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Level 1

Terrace

2

Food Service

3

Gift Shop

4

Lobby

5

Admitting and Registration

6

Conference Center

7

Pastoral Care

8

Hospital Administration

9

Patient and Family Resource Center

G

1

10 Retail Pharmacy

2

11 Cancer Registry

3

5

4

6

7

9 11

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10

8


Level

1

1

1

Social Work

2

Staff Support Space

3

Mammography

4

Pediatric Oncology

LEVEL 1 1

Social W

2

Staff Sup

3

Mammo

4

Pediatric

2

3

4

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Level 1

Counseling

2

Rehabilitation

3

Conference

4

Surgical Oncology Clinic

5

Multidisciplinary Clinic

6

Phlebotomy

7

Staff Support Space

8

Hematology Oncology Clinic

9

Bone Marrow Therapy Clinic

2

1 2

4

3

5

6 7

8 9

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Level

3

3

1

Staff Support Space

2

Apheresis

3

Laboratory

4

Phase 1 Clinical Trials

5

Pharmacy

6

Infusion

LEVEL 3 1

Staff Sup

2

Apheres

3

Laborato

4

Phase 1 C

5

Pharmac

6

Infusion

1

2

4

1

5

6

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Level

4

1

Bone Marrow Transplant Beds

2

Staff Support Space

3

Medical Oncology Beds

1

2

3

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Project Team Owner:

UNC Health Care

Design Architect:

ZGF Architects LLP

Associate Architect:

MHAworks

General Contractor:

Skanska USA

Mechanical, Electrical, Plumbing Engineer:

Stewart Engineering, Inc.

Structural:

Civil Engineering:

Corley Redfoot Zack, Inc.

Graphics, Wayfinding and Print:

Cost Estimating: Landscape:

Davis Langdon

EDAW

Wind Consultant:

Elevators:

Anderson Krygier, Inc.

BRC Acoustics and Technology Consulting

Acoustics:

Lighting:

Affiliated Engineers, Inc.

ENSR

Fisher Marantz Stone KDA Group

Code Consultants (Fire/Life Safety/ADA): Photography:

Chuck Choi

ZGF Architects LLP Š May 2010

Rolf Jensen & Associates, Inc


UNC North Carolina Cancer Hospital  

ZGF's design for the new 315,000 SF North Carolina Cancer Hospital and 101,000 SF Physicians' Office Building on the University of North Car...

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