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HEALTHCARE


ZGF Architects LLP is an award-winning architectural, planning, and interior design firm with offices in Portland, Seattle, Los Angeles, Washington, DC, New York, and Vancouver, BC. Our portfolio features a diverse mix of projects for both private and public institutions, including work for healthcare, research, academic, civic, corporate, and commercial clients. Healthcare projects comprise about forty percent of our annual workload. We have programmed, designed, and completed hospitals and clinical facilities for major medical institutions across the country, including Providence Health & Services, M.D. Anderson Cancer Center, National Institutes of Health, Kaiser Permanente, Legacy Health, Memorial Sloan Kettering Cancer Center, Dana-Farber Cancer Institute, Children’s Hospital Los Angeles, and the University of California. We have worked with a number of healthcare institutions as they have addressed changes in delivery of services, and we are able to combine design excellence with architectural solutions to accommodate multiple user groups, changing technology, research, and clinical protocols. Our design philosophy is centered on the premise that excellence should be reflected in each and every aspect of a building—its fit within the community and campus, its function and relationship to users, its building systems, and its cost. This dedication to design excellence at every level has resulted in numerous national, regional, and local awards, including the prestigious Architecture Firm Award from the American Institute of Architects, which recognizes the firm’s “high standards, humanistic concerns, and unique ability to capture the spirit of a place and the aspirations of its inhabitants.”


HOSPITALS, MEDICAL CENTERS, AND CLINICS

ZGF’s design for us synthesizes core programmatic elements, performance criteria, and design aspirations into an elegant architectural expression. Their application of Evidence-Based Design principles, incorporation of cutting-edge medical technologies, a clear and functional organization, as well as a design for long-term flexibility will enable us to provide the highest level of healthcare. CAROL PEET, FORMER CHIEF EXECUTIVE OFFICER, CHI FRANCISCAN HEALTH, ST. ANTHONY HOSPITAL


CEDARS-SINAI Playa Vista Physician Office & Urgent Care

PLAYA VISTA, CALIFORNIA

ZGF PROVIDED PROGRAMMING AND INTERIOR DESIGN SERVICES FOR THE 31,532 SF CEDARS-SINAI, PLAYA VISTA PHYSICIAN OFFICE & URGENT CARE.

Located in the Playa Vista neighborhood of Los Angeles, the clinic is designed to appeal to the diverse demographics of the adjacent tech community of “Silicon Beach” by providing convenient access to high-quality, patient-centered services close to where people live and work. Located on the second, third, and fourth levels of a centrally located building at Runway, an outdoor mall, the clinic is surrounded by restaurants, shops, and a movie theater. The interior design incorporates technology, innovative care models, and design trends into the facility, while reflecting the high-quality of care associated with the Cedars-Sinai brand. Using a design reflective of upscale tech offices, 4

the space is infused with varying materials, such as marble, brass, reclaimed wood, and a palette of charcoal greys and classic neutrals highlighted with pops of color. Inspired by the local coastal and wetland environment, graphic patterns are featured throughout to reinforce a floor-by-floor organization of clinical spaces. Urgent Care resides on the second floor. Primary Care is housed on the third floor and OB/GYN + Pediatrics on the fourth floor. The clinic includes exam and procedure rooms, offices and conference rooms, a children’s waiting area, additional waiting and reception areas, and specimen laboratories.


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CINCINNATI CHILDREN’S HOSPITAL MEDICAL CENTER Critical Care Tower Expansion and Addition

CINCINNATI, OHIO

ZGF, IN ASSOCIATION WITH GBBN ARCHITECTS, IS PROVIDING PROGRAMMING, MASTER PLANNING AND DESIGN, URBAN DESIGN, AND LANDSCAPE SERVICES FOR THE 609,100 SF ADDITION AND 136,100 SF RENOVATION OF THE CRITICAL CARE TOWER (CCT) AT CINCINNATI CHILDREN’S HOSPITAL MAIN CAMPUS.

The expansion responds to the client’s goals of delivering the highest quality of patient care in an operationally efficient, patient-centered, and highperformance environment. The team led patients, families, staff, and leadership through 13 Integrated Design Events with full scale mock-ups to form a cohesive design vision that enhances natural light and takes advantage of views and visibility. The tower will connect directly to current inpatient clinical care facilities, adding 225 critical care beds, an emergency 8

department, a roof-top heliport, and related support functions such as sterile processing, a pharmacy, and materials management. The project will enable site and infrastructure improvements and backfill renovation initiatives. Initial programming efforts for the CCT included shell space for future flexibility and replacement units for the Pediatric Intensive Care Unit, the Cardiac Intensive Care Unit, and the Neonatal Intensive Care Unit (includes fetal care), as well as Bone Marrow Transplant patient populations. The emergency department and urgent care unit will relocate to the ground floor of the CCT to increase accessibility for patients. ZGF is working with leadership and the City of Cincinnati to reroute an arterial road adjacent to the facility so as to improve circulation and mitigate traffic. This project will achieve LEED Silver® or higher.


SCL HEALTH – NATIONAL JEWISH HEALTH Saint Joseph Hospital

DENVER, COLORADO

THE ZGF DESIGN TEAM, IN ASSOCIATION WITH DAVIS PARTNERSHIP AND H+L ARCHITECTURE, PROVIDED PROGRAMMING, MEDICAL PLANNING, AND DESIGN SERVICES FOR A NEW 350-BED, 825,300 SF REPLACEMENT HOSPITAL FOR SCL HEALTH IN DOWNTOWN DENVER.

The new facility offers the community improved access to care and serves as the primary downtown inpatient care destination. It provides patients with diagnostic and therapeutic cardiovascular services, acute and critical care, oncology, obstetrics, and both ambulatory and inpatient surgery in a new 36-room operating suite. The new hospital also includes one of the most advanced emergency departments in the state, including 12 emergency rooms dedicated to seniors. Clinicians have access to the latest in leading-edge technology and care delivery, and benefit from working 10

in a high-quality work environment that enhances collaboration and communication to attract and retain the region’s top talent. Working with hospital leadership, department heads, and key stakeholder groups, ZGF applied a Lean design approach to validate project goals, study existing workflow and operational processes, and incorporate improvements into schematic design. Focused, full-scale mock-ups were used to assist clinical and cross-functional teams in sizing patient rooms and standardizing core layouts. The new St. Joseph Hospital is also Denver’s greenest hospital. It uses 32% less electricity, consumes 29% less natural gas, and reduces total utility use by 41% compared to the original facility.


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CHI FRANCISCAN HEALTH Franciscan Medical Pavilion-Highline

BURIEN, WASHINGTON

ZGF PROGRAMMED AND DESIGNED THE 48,000 SF, TWO-STORY CLINIC, NOW THE PROTOTYPE FOR ALL CHI FRANCISCAN CLINICS.

To achieve the most efficient, patient centered solution, ZGF used a Lean, cross-functional approach. This involved working with an integrated team of clinic leadership, care providers, staff and patients assembled to work collaboratively with the design team to create a facility fully focused on the patient. Using six Integrated Design Events, the team collectively made operational and design decisions to achieve optimized outcomes. These include a standard clinic pod module for flexibility for use by specialty providers and collocating specialty services, decreased exam room-to-provider ratio from

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3:1 to 2.5:1, a two-month reduction in schedule, and an incentive payout to the project team for achieving schedule and budget.


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NYU LANGONE HEALTH Research Facilities for the Departments of Psychiatry and Child + Adolescent Psychiatry NEW YORK, NEW YORK

ZGF DESIGNED 67,800 SF OF NEW CLINICAL, RESEARCH, AND ADMINISTRATIVE SPACE ON TWO FLOORS IN THE ONE PARK AVENUE BUILDING TO ACCOMMODATE MAJOR PORTIONS OF NYU LANGONE HEALTH’S PROGRAMS.

The Department of Psychiatry’s lobby is located on the eighth floor and the Child and Adolescent Psychiatry Department’s lobby is on the seventh floor. Each has a unique identity, while maintaining the desired separation between clients of differing ages. The overall facility includes open workstations, shared and private offices, workrooms, conference rooms, and collaboration spaces for over 400 employees—providing both visual and acoustic privacy, as well as security within and between the departments. The density of the program and the building’s large footprint influenced the concept of “The City” as an organizing theme. This was reflected 18

in the layout by the creation of smaller neighborhoods, a clear circulation plan, and community work spaces—in the same way that the City employs plazas, streets, and parks to define unique character. Conference facilities and the Child Studies “Hub” were strategically located to facilitate interdisciplinary collaboration between the child, adolescent, and adult programs. Color and materials were carefully selected to serve the working needs of professionals and staff, while providing interest and variety for the broad range of ages of visitors and patients.


CHI FRANCISCAN HEALTH St. Anthony Hospital

PENDLETON, OREGON

ZGF PROGRAMMED AND DESIGNED THE 105,200 SF CRITICAL ACCESS HOSPITAL. THE NEW FACILITY PROVIDES 25 INPATIENT BEDS AND OUTPATIENT SERVICES TO THE COMMUNITY

Using a Lean, cross-functional approach, caregivers from all departments participated in seven Integrated Design Events to collectively make decisions that enhanced operational efficiency and patient-centered care. Outcomes included a building 50% smaller than the previous hospital, a singular streamlined admissions process that reduces wait times, enhanced wayfinding, reduced travel distances, and a 90% increase in staff satisfaction. Sited to maximize natural daylight and views to nature, the hospital flanks a healing garden, a metaphorical heart for the Pendleton community.

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CHI FRANCISCAN HEALTH St. Anthony Hospital

GIG HARBOR, WASHINGTON

ZGF PROGRAMMED AND DESIGNED THE 256,000 SF, 80-BED ACUTE-CARE HOSPITAL ON A 30-ACRE SITE.

Through Integrated Design Events with hospital staff and leadership, the project team analyzed areas of waste and implemented a Lean, cross-functional approach to minimize waste and enhance patientcentered care. The process resulted in increased operational efficiency; an example includes a split-flow process for triaging emergency room patients that has reduced the average wait time to approximately 10 minutes. The hospital includes a 24-hour emergency department; medical, surgical, and critical care units; inpatient and outpatient surgery; a heart catheterization laboratory; diagnostic services; physical, occupational, and speech therapies; and a 600 SF chapel. Outside the hospital, walking paths and nature trails throughout 24

the wooded campus adjoin with an existing public pedestrian path and park-and-ride, enabling alternative transportation options for hospital employees, patients, and visitors.


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LEGACY HEALTH Legacy Salmon Creek Medical Center

VANCOUVER, WASHINGTON

ZGF PLANNED AND DESIGNED A SIX-STORY, 469,000 SF MEDICAL CENTER THAT INCLUDES CAPACITY FOR 220 BEDS, TWO FOUR-STORY MEDICAL OFFICE BUILDINGS TOTALING 189,000 SF, WITH A CONNECTING ATRIUM, AND A SEVEN-STORY PARKING STRUCTURE FOR 1,464 CARS.

Legacy Salmon Creek Medical is a facility with an emphasis on patients and their families—a medical center that is ultra-efficient, yet aesthetically beautiful, with a “healing” environment that is comforting and uplifting. The design intent was to create clear, definable circulation systems to orient patients, staff, and visitors beginning at the first entry to the site. Overhead glassenclosed pedestrian bridges link the entire complex. The medical building includes two L-shaped patient towers over a two-story base. The patient towers are angled 28

to maximize views of the adjacent natural habitat and Mount Hood. Indigenous landscaping, pervious surface treatments, natural stormwater detention design, and sensitive site lighting have all been incorporated as sustainable design features in consideration of nearby natural resources. The medical center was named one of America’s Top 10 Greenest Hospitals by the Green Guide for Healthcare.


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LEGACY HEALTH Legacy Good Samaritan Medical Center, Emergency Department Remodel

ZGF WORKED WITH LEGACY GOOD SAMARITAN MEDICAL CENTER STAFF TO DESIGN IMPROVEMENTS TO THE 16,364 SF EMERGENCY DEPARTMENT, WHICH PROVIDES 24-HOUR EMERGENCY MEDICAL CARE.

The remodel improves work flow and staff efficiency through implementation of Lean principles, gives clarity and identity to points of entry and arrival at the emergency department, and provides a peaceful and supportive interior environment that enhances the quality of the emergency department experience for patients, staff and visitors. The project has enabled Legacy to transform care for patients that use the emergency department by creating three specialized “Pathways to Care”: Oregon’s first combined emergency department and urgent care center; the West Coast’s only Senior Care specialty facility; and a behavioral 32

PORTLAND, OREGON

health care unit. The redesigned interior is sensitive to the unique requirements of an aging population and patients with special needs and includes the addition of windows to enhance the healing environment by providing daylight and outside views. Right-sizing the patient care spaces and the supporting infrastructure gives the department the flexibility to adapt to change and growth over time. In addition to the interior remodel, ZGF designed a new exterior canopy and site improvements for the entry, enhancing the emergency department’s street presence and visual identity at the existing entry to the hospital.


PROVIDENCE HEALTH & SERVICES Providence Portland Medical Center Guest Housing

PORTLAND, OREGON

AS A REGIONAL DESTINATION FOR CANCER CARE AND HEALTH SERVICES, PROVIDENCE PORTLAND MEDICAL CENTER CHOSE TO EXTEND ITS HEALING MISSION THROUGH THE CONSTRUCTION OF A NEW GUEST HOUSE.

The Guest House is a 30-unit facility offering the comforts of home in a peaceful and welcoming setting for patients and families traveling from out of town for medical treatment. It is located just a block from the hospital and adjacent to a residential neighborhood. ZGF’s understanding of Portland zoning requirements, the Providence Portland campus, and its surrounding neighborhood helped steward this project to its successful outcome, which involved the approval of a conditional use. The design respects its context with exterior details carefully scaled to its surroundings;

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façade punches break down its massing; and materiality rendering a lodge-like feel. A range of amenity spaces are included—quiet alcoves for reflection, small group seating pods, and larger group gathering areas with outdoor dining / seating— providing patients and their families an array of opportunities to relax, recharge, and connect with other occupants in a community-building environment.


OREGON HEALTH & SCIENCE UNIVERSITY Center for Health & Healing South (CHH South)

PORTLAND, OREGON

ZGF FORMED A COLLABORATIVE PROJECT DELIVERY TEAM WITH OHSU AND THE CONTRACTOR TO DESIGN THE 360,000 SF AMBULATORY HOSPITAL AND 264,000 SF PARKING GARAGE AND CONFERENCE CENTER, TOPPED BY 72,000 SF OF GUEST HOUSING.

The upper six floors of the facility, which will house the Knight Cancer Institute, are being designed to optimize flexibility and incorporate precision medicine in a patient-centered care environment. To achieve the most efficient solution and meet an accelerated schedule, ZGF used a cross-functional, Lean approach to programming and design. The design includes features that maximize the time caregivers provide in-room treatment by implementing just-in-time supply and medication delivery and in-room charting, and providing flexible spaces with fewer fixed and built-in elements 36

to ensure medical assistants have clear visibility to the exam rooms. The design of the infusion center creates four neighborhoods with a mix of private, semiprivate, and open bay patient treatment areas that maximize natural light, patient privacy, and caregiver line of sight. The infusion pharmacy, located directly above the infusion center, is connected to the clinical space with a material lift, decreasing motion of staff and material. A centralized check-in area and the phlebotomy department are located on the first floor, providing patients with connectivity to amenities, such as a cafĂŠ, a fireplace, and lobby space, while waiting for laboratory results and before proceeding to the infusion center. The cancer researcher workplace program, located directly above the clinical cancer floors, provides researchers and staff with an easy connection to the clinical floors.


PROVIDENCE HEALTH & SERVICES Providence Alaska Medical Center, Generations Women’s & Children’s Hospital Tower ANCHORAGE, ALASKA

ZGF PROVIDED PLANNING AND DESIGN SERVICES FOR THE 189,000 SF WOMEN’S & CHILDREN’S HOSPITAL ADDITION TO PROVIDENCE ALASKA MEDICAL CENTER (PAMC). THE 45-BED FACILITY WAS PLANNED AND DESIGNED USING A LEAN DESIGN PROCESS TO MINIMIZE WASTE, INCREASE OPERATIONAL EFFICIENCY, IMPROVE THE PATIENT EXPERIENCE AND ENHANCE COLLABORATION AMONGST THE CARE TEAM.

The project expands the Maternity Center, Mother-Baby Unit, NICU, and cardiac surgery program, resulting in the addition of eight labor and delivery rooms, two C-Section suites, two high risk birthing suites and 60 NICU bassinettes. Additionally, the project features internal expansion and remodel of some ancillary and

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support services, including an expanded outpatient surgery suite, a new outpatient entry connecting to a new public corridor, and expansion of the materials management, sterile processing and inpatient pharmacy. ZGF worked closely with PAMC’s Pharmacy Director and operations lead to identify opportunities to streamline operations in relocating the pharmacy, while maintaining operations 24/7. The new pharmacy is closer to the patients it serves, reducing travel distance for caregivers and turn-around time.


PROVIDENCE HEALTH & SERVICES Providence Regional Medical Center Everett, Marshall and Katherine Cymbaluk Medical Tower EVERETT, WASHINGTON

ZGF PROGRAMMED AND DESIGNED THE 12-STORY, 680,000 SF ACUTE-CARE TOWER, EXPANDING SERVICES WITHIN A RAPIDLY GROWING REGION AND CONSOLIDATING THE LARGEST EMERGENCY DEPARTMENT SERVICE IN THE STATE INTO ONE FACILITY.

The building includes 328 patient rooms, surgery, imaging, a parking structure, central plant, and significant site, street, and utility improvements. The planning and design of the healing environment centered on the concept of providing a highly sustainable, light-filled, patient-centered care setting with views to nature throughout. It consolidates similar functions, improves adjacencies of interdependent departments, and simplifies processes and procedures, such as staff, patient, and material flow to provide maximum efficiency and flexibility. The design was 40

refined through a series of dynamic workshops with users, including key service line leaders, hospital staff, and other stakeholders. This process resulted in the merging of three key hospital functions– surgery, interventional radiology, and catheterization laboratories–creating a unified vision for a new model of care.


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PROVIDENCE HEALTH & SERVICES Providence St. Vincent Medical Center

PORTLAND, OREGON

OVER THE COURSE OF A 26-YEAR RELATIONSHIP, ZGF HAS COMPLETED MORE THAN 1,000,000 SF OF NEW BUILDINGS AND RENOVATIONS FOR THE PROVIDENCE ST. VINCENT MEDICAL CENTER IN PORTLAND, OREGON.

ZGF’s work began with the 80,000 SF Critical Care Building, followed by other major projects, such as the West Pavilion and Surgery Expansion. The 206,350 SF West Pavilion houses an emergency and urgent care unit, and an open heart surgery suite comprised of six surgery rooms and nine heart catheterization laboratories. The program also includes women’s services with 32 LDRP rooms, and a level 2-3 neonatal nursery. Support areas consist of a pharmacy, satellite radiology, food service, and central supply. The subsequent 148,750 SF Surgery Expansion was the largest of several projects intended 44

to simplify navigation, and to enhance staff efficiencies and the patient / family experience. It includes new and renovated operating rooms, prep / recovery bays, a post-anesthesia care unit, and a bronchoscopy room. More recently, ZGF designed the Dorothie D. Parks Digital Operating Suite (hybrid OR)—the first robotic cardiac surgery facility in the Pacific Northwest; and the 81,028 SF East Tower addition, which rises vertically above an existing medical office building and adds 72 isolation-capable and acuity-adaptable rooms to the dense Medical Center. ZGF also designed the first Intra-Operative MRI installation on the West Coast, which allows for both inpatient and outpatient MRI scans, including real-time scans during brain surgery.


KAISER PERMANENTE Orchards and Sunnybrook Medical Office Buildings VANCOUVER, WASHINGTON AND PORTLAND, OREGON

KAISER PERMANENTE AND ZGF HAVE AN UNPRECEDENTED 65-YEAR HISTORY OF CONTINUOUSLY WORKING TOGETHER ON PROJECTS, INCLUDING NUMEROUS MEDICAL OFFICE BUILDINGS, SIX HOSPITALS, AND INNUMERABLE EXPANSIONS AND RENOVATIONS. MOST RECENTLY, ZGF DESIGNED THE SUNNYBROOK MEDICAL OFFICE BUILDING AND THE KAISER ORCHARDS FACILITY.

The 157,344 SF Sunnybrook Medical Office Building provides specialty medical offices, ambulatory surgery services (eight operating rooms), and supply and receiving areas. The three-level building provides pedestrian connections to the hospital and to the medical center’s new parking garage. In addition to utilizing Building Information Modeling, the project realized significant energy savings through the use 46

of Kaiser’s Eco-Toolkit in the design process. The 63,000 SF Kaiser Orchards facility is a prototype for future Kaiser medical office buildings. Working with regional clinic leaders and IDEO, ZGF developed a new image and identity, as well as a design that helps to streamline the patient experience. Program elements include family practice, pediatrics, occupational therapy, behavioral health, optometry / optical sales, imaging and laboratory services, a pharmacy, and a small conference center. Positioned at the corner of two major roads to maximize visibility, the building is expandable. The building was designed using Kaiser Permanente’s Sustainability Standards, which focus on energy efficiency, use of non-toxic materials, and extensive daylighting.


THE EVERETT CLINIC The Everett Clinic at Smokey Point

MARYSVILLE, WASHINGTON

ZGF PROGRAMMED AND DESIGNED THE TWO-STORY, 60,000 SF MULTI-SPECIALTY CLINIC TO STREAMLINE AND ENHANCE THE PATIENT EXPERIENCE BY REDUCING WAIT TIMES AND PROVIDING COMPREHENSIVE CARE, FOR OVER 20 SPECIALTY CLINICS, IN A SINGLE, EASY TO ACCESS LOCATION.

To achieve the most efficient, patient-centered solution, ZGF used a Lean, cross-functional approach. This involved working with an integrated team of clinic leadership, care providers, laboratory and radiology technicians, administrative and housekeeping staff, and patients assembled to work collaboratively with the design team to create a facility fully-focused on their number one core value to do what is right for the patient. Using eight Integrated Design Events held over

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eight months, the team collectively made operational and design decisions to achieve facility outcomes including the 23% reduction of non-patient care space yielding a $2,100,000 savings to the project cost, creating 62 right-sized procedure rooms with 92% flexibility, and an increase in patient satisfaction scores to 89%.


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THE EVERETT CLINIC Shoreline Clinic

SHORELINE, WASHINGTON

ZGF PROGRAMMED AND DESIGNED THE TWO-STORY 44,000 SF CLINIC—WHICH REPURPOSED AN EXISTING GROCERY STORE—TO HOUSE 13 DIFFERENT MEDICAL SPECIALTIES, REFLECT TEC’S VALUES, AND STREAMLINE AND ENHANCE THE PATIENT EXPERIENCE BY REDUCING WAIT TIMES AND PROVIDING COMPREHENSIVE CARE IN A SINGLE EASY TO ACCESS LOCATION.

The clinic was designed in just six weeks using a Lean, cross-functional approach. The clinical layout is structured around the public ‘main street’ which connects the front door and lobby to informal waiting areas, exam rooms and group medical appointments. Exam rooms flank a central open plan and team care pod, which allows for onstage and offstage circulation and improved access and wayfinding for both patients

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and caregivers. The design team used virtual reality technology to model the space three dimensionally, allowing the client to experience the care environment and make changes prior to construction.


SCIENCE CENTER / WEXFORD SCIENCE + TECHNOLOGY 3737 Science Center, Penn Medicine University City

PHILADELPHIA, PENNSYLVANIA

ZGF WORKED WITH THE UNIVERSITY CITY SCIENCE CENTER AND WEXFORD SCIENCE + TECHNOLOGY IN A JOINT VENTURE TO DESIGN A NEW 357,251 SF FLEXIBLE CLINICAL, OFFICE, AND RESEARCH BUILDING IN PHILADELPHIA.

At 13-stories, 3737 Science Center continues the architectural vocabulary established by 3711 Science Center to visually connect the contiguous buildings. As the anchor tenant, Penn Medicine University City occupies six-and-a-half floors for the Penn Musculoskeletal Institute, a surgery center, and allergy clinic, in addition to radiology, pharmacy, laboratory services, and administrative programs. Another Penn Medicine practice group, Good Shepherd Penn Partners, occupies one-and-a-half floors for its physical therapy practice. Future clinical, office or research laboratory 54

tenants will be supported on the upper floors. The interior environment is designed to enhance the patient experience. A glass-enclosed two-story clinical entrance and lobby with a patient drop-off area accommodates arrivals to the ambulatory center. A separate second lobby services the tenants on the upper floors. A landscaped public terrace encourages pedestrian activity and provides seating. This is the first approved clinical facility in the State of Pennsylvania to utilize active chilled beam technology with enthalpy heat wheel recovery. Having achieved LEED GoldÂŽ certification, the high-performance building envelope and mechanical systems aim to reduce energy and operating costs by 50%.


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U.S. DEPARTMENT OF VETERANS AFFAIRS American Lake Campus Master Plan and Ambulatory Medical Building

ZGF DESIGNED A NEW 76,000 SF OUTPATIENT MEDICAL FACILITY ON THE U.S. DEPARTMENT OF VETERANS AFFAIRS’ AMERICAN LAKE CAMPUS, WHICH WILL MORE THAN DOUBLE THE SPACE DEDICATED TO OUTPATIENT SERVICES FOR VETERANS.

In response to the campus’s recent listing on the National Register of Historic Places, a Master Plan and Preservation Plan were developed by ZGF to provide a vision and to guide the next century of development on the historic, pastoral campus. The master plan provides guidelines to enhance the overall patient / family experience by improving campus entry and wayfinding, adding a campus loop road to improve vehicular circulation, enhancing pedestrian connections, improving safety within the campus, and defining campus gateways. Originally planned 58

TACOMA, WASHINGTON

as a seismic replacement project to Building 81, the new outpatient facility will house specialty clinics, a pharmacy, a laboratory, an infusion clinic, and surgical / gastrointestinal services. Decanting the historic Building 81 will allow non-essential clinic spaces to expand. The new clinic is sited in the heart of the campus to reflect its relationship to existing medical services, and to signify that modern medical care is at the center of this historic campus. A “Court and Garden” scheme was developed to provide clear arrangement of spaces around a central “gathering space” or lobby. The design provides veterans and their families immediate access to the stunning natural environment / healing qualities of the campus, while efficiently arranging the building’s program components on the site. The facility is targeting LEED Gold®.


UC IRVINE HEALTH Facility Master Plan

IRVINE, CALIFORNIA

ZGF PRODUCED A COMPREHENSIVE FACILITY MASTER PLAN, AS WELL AS A PHYSICAL DESIGN FRAMEWORK, TO ASSIST UC IRVINE HEALTH WITH EXPANSION OF SERVICES AND FACILITY DEVELOPMENT AT THE ORANGE AND IRVINE CAMPUSES AND ITS SATELLITE LOCATIONS THROUGH A 2022 PLANNING HORIZON.

Master planning concepts were developed to balance physical, operational, and financial requirements, while keeping the patient experience at the forefront. Working closely with key stakeholders, the ZGF team led a collaborative process that was broken into three phases: Current State, which focused on how care is delivered in its current-2012 state; Future State, which developed guiding principles for a new model of care that needs to be in place to achieve the targeted improvements; and Facility Master Planning Study, which established an

orderly approach for restructuring UC Irvine Health with maximum flexibility to meet the needs of the changing healthcare environment. This information, synthesized with strategic direction, was used to inform forecasting assumptions to establish the right services, at the right size, in the right location. The Physical Design Framework, produced concurrently with the Facility Master Plan, establishes physical design standards, such as architecture, landscape, circulation, lighting, and sustainability, to guide new construction and land planning on the UC Irvine Medical Center Campus to ensure consistency with UC Irvine Health’s vision for a unified campus to provide state-of-the-art, accessible patient care.

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VIRGINIA MASON MEDICAL CENTER Jones Procedural Center

SEATTLE, WASHINGTON

ZGF PLANNED AND DESIGNED THE 25,000 SF STATE-OF-THE-ART INTEGRATED PROCEDURAL CENTER IN THE JONES PAVILION.

The goal of the project was to congregate overlapping invasive procedures services within one department, allowing patients to receive integrated care for varying treatment needs from a singular location on campus. ZGF used a Lean approach to planning to minimize waste, increase operational efficiency, and optimize the patient experience. Working with clinical staff, the team created an environment that facilitates a continuous flow throughout the patient care delivery continuum and keeps patients separate from the staff area. The Center features 12 admit / recovery rooms, with an alternate of two additional rooms, as well as

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three C-arm procedure rooms, two bi-plane procedure rooms, and ancillary spaces to support treatment functions.


THE UNIVERSITY OF TEXAS AT AUSTIN Dell Medical School, Health Transformation Building and Health Discovery Building

ZGF, IN ASSOCIATION WITH PAGE, DESIGNED PHASE I OF THE DELL MEDICAL SCHOOL TO SUPPORT THE UNIVERSITY’S GOAL OF CREATING AN INTERNATIONALLY RECOGNIZED MEDICAL SCHOOL.

The project comprises two buildings that bring together interdisciplinary groups of scientists, clinicians, healthcare professionals, and engineers from multiple fields in the research and clinical environment in an effort to promote dynamic interactions, continuous learning, and ingenious discovery, and to provide the highest level of medical awareness and treatment. The seven-story, 264,430 SF Health Discovery Building provides space for 90 Principal Investigators in both wet and dry research groups focused on cancer, neuroscience, cardiopulmonary, metabolism, and genetics / genomics research. It also houses three major 62

AUSTIN, TEXAS

imaging modalities for research and clinical use. The 10-story, 239,370 SF Health Transformation Building was designed as a flexible core + shell structure with a parking garage for 1,100 cars to serve the needs of the patients and staff. Connections between the upper levels of the two buildings enhance synergies between research and clinical care at the Medical School. Both buildings are LEED Gold®.


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UNC HOSPITALS Hillsborough Campus

HILLSBOROUGH, NORTH CAROLINA

WITH THE GOAL OF REACHING DEEPER INTO THE HILLSBOROUGH COMMUNITY, ZGF, IN ASSOCIATION WITH EYP / BJAC, DESIGNED THIS NEW 270,000 SF HOSPITAL ON A GREENFIELD SITE THAT WAS SELECTED IN ORDER TO ACCOMMODATE GROWTH OVER TIME.

As the new home for the UNC Hospitals, Hillsborough campus, this multi-phase project included the campus build-out of a 60,000 SF medical office building (completed in 2013), a 14,000 SF central utility plant, and surface parking. The completion of the LEED-Silver registered hospital—with a Level 2 emergency department, 68 licensed beds, 15 observation beds, a surgical suite with six shared operating rooms and two general procedure rooms, a Post Anesthesia Care Unit, and pre- and post-surgical recovery—concludes the Phase 1 development. The 66

full campus build-out is expected to include more than 800,000 additional square feet of building space. The hospital is designed to expand in place without disturbing the front door and public face of the facility. To that end, the curved façade of the hospital seamlessly links to the existing medical office building. Additional bed towers, expansion of the diagnostic and treatment block, as well as additional medical office buildings, can be added in any order or combination to provide a flexible framework for the future and to maximize the use of the site. The interior color palette and artwork throughout the building are based on North Carolina’s three predominant landscapes: coastal, piedmont, and mountain. Each level of the bed tower features aquas, greens, or purples, along with corresponding nature scenes in signage, artwork, and patient room design.


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NATIONAL INSTITUTES OF HEALTH Mark O. Hatfield Clinical Research Center

BETHESDA, MARYLAND

ZGF WON AN INTERNATIONAL DESIGN COMPETITION TO LEAD THE PROGRAMMING, PLANNING, AND DESIGN FOR A 1,200,000 SF ADDITION TO THE EXISTING 2,500,000 SF WARREN G. MAGNUSON CLINICAL CENTER ON NIH’S BETHESDA CAMPUS.

The expansion included a 240-bed replacement hospital for inpatient and outpatient care (620,000 SF), as well as related clinical research laboratories (250,000 SF) in proximity to patient treatment areas. It replaced outdated facilities at the National Institutes of Health and upgraded its research environment, increasing opportunities for physicians and patients to participate in the nation’s top tier of clinical research. The design presented a “campus plan” approach to the new Clinical Research Center by scaling the building elements to modest three- and four-story wings, which 70

step down from the existing Clinical Center toward the neighboring community, bringing the entire complex back into harmony with the rest of the campus and the community. The seven-story science court, adjacent to two outdoor courtyards, is the physical heart of the expanded complex. It provides interaction space on each level. Interstitial spaces maximize flexibility of building systems, allowing laboratories to be converted to patient rooms, or vice versa.


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BAY AREA HOSPITAL Hospital Expansion

COOS BAY, OREGON

AS A REGIONAL COMMUNITY HOSPITAL BUILT IN THE 1970’S, THE BAY AREA HOSPITAL UNDERWENT A 44-BED, 110,000 SF EXPANSION AND MAIN LOBBY REMODEL TO ADDRESS GROWING PATIENT NEEDS, CHANGES TO CARE DELIVERY PROTOCOLS, AND A DESIRE FOR INCREASED PERFORMANCE.

The ZGF team worked with hospital leadership to evaluate existing system and resource flows, overall departmental efficiency, and outcomes in keeping with Lean design principles. A steering committee and traditional user groups were formed to evaluate potential procedural and operational changes and their impact on resource availability and value stream considerations, as well as financial impact as part of a business proforma analysis. During schematic design sessions, the design team constructed full-scale 74

mock-ups of proposed room changes to allow staff to evaluate and refine designs as needed. In keeping with the hospital’s role as a community hospital and a primary source of healthcare for both outpatient and inpatient needs, the mock-ups were made available during the organization’s annual family, staff, and community picnic, allowing a broad group of stakeholders to understand the potential changes and their impact on the delivery of patient care. The initial three-story expansion included outpatient services and a pre-surgery laboratory on the first floor, a high-tech ICU and cardiac catheterization laboratory on the second floor, and 30 private rooms with views of two rooftop gardens on the third floor. Later the hospital commissioned ZGF to finish the fourth floor shell space in order to house a 25,000 SF inpatient unit.


INTERMOUNTAIN HEALTHCARE Park City Medical Center Outpatient Expansion

PARK CITY, UTAH

ZGF, IN ASSOCIATION WITH VCBO ARCHITECTS, PLANNED AND DESIGNED THE 87,200 SF OUTPATIENT CLINIC EXPANSION, WHICH INCLUDES HOSPITAL AND INTERMOUNTAIN MEDICAL GROUP ADMINISTRATION SPACES, MEDICAL RECORDS, AN EMPLOYEE GYM, WOUND CARE, INFUSION, SLEEP CENTER, EDUCATION CENTER, PAIN CLINIC, ENT CLINIC, PLASTICS CLINIC, VISITING MEDICAL GROUP SPECIALTIES CLINIC, SPECIALTY CLINIC SPACE FOR INDEPENDENT PHYSICIANS, AND LIVE WELL WELLNESS CENTER.

The LiVe Well Center promote a message of wellness and optimum health, and contains a framework to support the integration of specialties, treatments, and lifestyle activities. Additionally, 5,200 SF of existing building area was redesigned and remodeled to include the procedure center, medical group support 76

space, and expansion of the urology clinic. The building infrastructure was designed to anticipate and accommodate future technology, and through the incorporation of Lean Design principles, the addition enhances the Medical Center’s patient-focused care and efficiency with the placement of services and specialties to facilitate both patient engagement and satisfaction through ease of use.


INTERMOUNTAIN HEALTHCARE Cottonwood Medical Clinic

MURRAY, UTAH

ZGF WAS COMMISSIONED BY INTERMOUNTAIN HEALTHCARE, THE LARGEST HEALTHCARE PROVIDER IN THE INTERMOUNTAIN WEST, TO DESIGN A NEW LEED CERTIFIED® STAND-ALONE CLINIC.

The objective was to create a high-quality, patientcentered environment with spaces that would support the coordination of care and provide a positive user experience, while also integrating Lean Design strategies to improve operations and streamline processes. The new four-story, 78,668 SF Cottonwood Medical Clinic provides comprehensive care in more than seven specialty clinics—for internal and family medicine, endocrinology, rheumatology, podiatry, pain services, x-ray, laboratories, and the relocated Murray InstaCare and the Cottonwood Pharmacy—in a single, easy to access location. The Lean process involved developing a cross-functional core team comprised of various 78

specialists—physicians, nurses, medical assistants, laboratory and radiology technicians, pharmacists, social workers, dieticians, receptionists, materials management, and IT personnel—to work collaboratively with the clinic leadership, the design team, and the contractor, to create a facility focused on Intermountain Healthcare’s number one core value: do what is right for the patient. Using five, multi-day Integrated Design Events scheduled over five months, the team collectively made operational and design decisions to achieve operational and facility outcomes in support of the client's goals for the project, which included increasing efficiency, reducing non-patient care space, maximizing building square footage on-site and incorporating growth, improving call abandonment rates, reducing the number of days for an appointment, and improving wait times and patient satisfaction scores.


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MILTON DISTRICT HOSPITAL REDEVELOPMENT PROJECT P3 Design Competition

TORONTO, ONTARIO

ZGF, AS PART OF THE MILTON HEALTH PARTNERSHIP (MHP) CONSORTIUM, ENGAGED IN A P3 COMPETITION PROCESS TO DESIGN, BUILD, FINANCE, AND MAINTAIN THE MILTON DISTRICT HOSPITAL EXPANSION PROJECT OUTSIDE OF TORONTO.

The project, sponsored by Halton Healthcare Services and Infrastructure Ontario, included a 3-story plus basement expansion to the existing community hospital, totaling 320,000 SF of new construction and 2,000 SF of renovations, with extensive site improvements. The program elements of the expansion included a double-height public concourse with amenities and emergency department, diagnostic imaging, inpatient medical surgical, maternal newborn, critical care, and surgical services space. The vision for the project was to provide a distinctive center of healthcare excellence 82

to meet the physical, mental, emotional, and spiritual needs of the growing population of the local Milton community. It was a priority to the design team to preserve the historical and physical context of the town of Milton, while creating a hospital campus that would engage the community and provide opportunities for further expansion in the future. The integration of Evidence-Based Design and Lean Planning principles were at the foundation of the team’s planning approach. The design targeted LEED Silver® and incorporated CaGBC LEED design.


FUWAI HOSPITAL & CARDIOVASCULAR INSTITUTE Fu Wai Hospital of Cardiovascular Disease

BEIJING, CHINA

AS THE RESULT OF AN INTERNATIONAL DESIGN COMPETITION, ZGF AND BEIJING INSTITUTE OF ARCHITECTURAL DESIGN DESIGNED A NEW 947,200 SF (88,000 SM) HEART INSTITUTE ON THE EXISTING FU WAI HOSPITAL AND CARDIOVASCULAR INSTITUTE CAMPUS IN BEIJING, CHINA’S PREMIER CARDIAC FACILITY.

China’s premier cardiac facility. Balancing the new hospital within an older urban context, the 13-story facility includes 700 beds, 16 operating rooms, 10 catheterization laboratories, an emergency department, and an outpatient heart clinic. The new facility allows for the incorporation of western medical design and practices into the existing institution, creating a pioneering hybrid model for medical

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planning. ZGF’s tasks included medical planning, architectural design for the building skin, and the design of major interior spaces.


WOMEN’S AND CHILDREN’S HOSPITALS

The patients, their families, and the staff are so appreciative for what ZGF created for us at Children’s Hospital Los Angeles. The new hospital is so beautiful and everyone loves it. From our research building as an anchor at one corner of the campus to our new Anderson Pavilion across the campus, ZGF has partnered with us in the creation of a superior environment to advance medical research, education, and care. MARY DEE HACKER, RN, MBA, VICE PRESIDENT, PATIENT CARE SERVICES, CHILDREN’S HOSPITAL LOS ANGELES


UNIVERSITY OF IOWA HOSPITALS AND CLINICS Stead Family Children’s Hospital

IOWA CITY, IOWA

AS PART OF THE HEERY DESIGN TEAM, ZGF PROVIDED INTERIOR AND GRAPHIC DESIGN SERVICES FOR THE NEW 14-STORY, 507,000 SF UNIVERSITY OF IOWA HOSPITALS AND CLINICS STEAD FAMILY CHILDREN’S HOSPITAL, AS WELL AS THE RENOVATION OF AN EXISTING NICU CONNECTED TO THE NEW BUILDING. THE HOSPITAL HOUSES 189 ACUTE CRITICAL CARE BEDS, IMAGING, DIALYSIS AND INFUSION, AND A PEDIATRIC CANCER CENTER.

The interior design concept took its cues from the hospital’s belief that “individual interdependent pieces can come together to create a greater whole” to tell the story of Iowa’s unique regions and sense of place. Graphic displays on each floor feature one of four scenes— farmlands, wetlands, woodlands, and prairies—to aid in wayfinding. Each scene is comprised of a number 88

of patterns inspired by the nature within each habitat. Layers of detail unfold throughout, displayed through interwoven graphic icons at door entries, finish materials, and the application of color to each floor. These graphics are fully integrated into the main corridors, procedural rooms, patient room entries, stairwells, and the areas surrounding elevators and nurse stations, creating a positive healing environment for patients. The design process included creating full-scale mock-ups of patient rooms and procedural areas to allow patients, technicians, and physicians to experience the space and provide feedback on the displays. The ZGF design team collaborated with artist Larry Kirkland on the coloration and treatment of the large curving wall in the primary lobby, as well as the terrazzo flooring and series of totems and shadow boxes placed throughout the space.


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CHILDREN’S HOSPITAL LOS ANGELES Marion and John E. Anderson Pavilion

LOS ANGELES, CALIFORNIA

TO MEET THE SEISMIC STANDARDS REQUIRED BY CALIFORNIA STATE SENATE BILL 1953, CHILDREN’S HOSPITAL LOS ANGELES UNDERTOOK A MASTER PLANNING EFFORT (COMPLETED BY ZGF) THAT RESULTED IN A SERIES OF PHASED PROJECTS.

The first phase included the new 100,000 SF Saban Research Institute, which doubled existing research space for new initiatives to be undertaken in neuroscience and medical genetics. Subsequently, a new 453-space, below-grade parking structure was located on the south side of Sunset Boulevard, along with a new lobby, entry court, and gardens. The award-winning 317-bed, 494,283 SF Marion and John E. Anderson Pavilion provides acute-care pediatric facilities, diagnostic and ancillary services, and a level 1 emergency department / trauma center. The 92

majority of the structure is seven stories. An emergency heliport is located on top of the tower. This new building was designed to address the unique environment of a pediatric facility, while accommodating the needs of inpatients and caregivers from the diverse community. The design team worked with staff, parent focus groups, and patients to guide the development of a vision that would integrate the hospital’s missions of clinical excellence and family-centered care. Critical design issues that emerged focused on such topics as sleeping areas, living rooms inside and outside the care units, age-appropriate diversions within patient rooms and playrooms, access to familiar foods, adequate privacy, and outdoor spaces.


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ANN & ROBERT H. LURIE CHILDREN’S HOSPITAL OF CHICAGO CHICAGO, ILLINOIS

ZGF, SOLOMON CORDWELL BUENZ, AND ANDERSON MIKOS ARCHITECTS LTD. PLANNED AND DESIGNED THE 1,255,000 SF ANN & ROBERT H. LURIE CHILDREN’S HOSPITAL OF CHICAGO. AT 23 STORIES, THE BUILDING IS THE TALLEST CHILDREN’S HOSPITAL IN THE WORLD.

In 2004, ZGF assisted in preparing a vision for the future of the Hospital, which focused on the current physical environment, an evaluation of existing facilities, a comparison to peer institutions, steps involved in creating a Master Plan, and a timeline for realization and implementation. In 2005, the scope grew to include a review of a potential new building program and assessment of site alternatives. In 2006, design of the new building began. The new Lurie Children’s, a Pebble Project® partner, is located on a 1.8-acre site at the Northwestern University Medical School Campus 96

just north of the downtown business center of Chicago. A key driver for the relocation was to be closer to its academic partner, Feinberg School of Medicine, for a stronger collaboration with researchers and clinicians. The LEED Gold® building, which is connected by bridges to the Prentice Women’s Hospital, integrates inpatient care; diagnostic and treatment space; clinical support; and logistical, medical office, and clinical operations. The initial planning calls for 288 beds in Phase I, including 22 observation beds and eight clinical research beds. It has the capacity to expand to 313 inpatient beds.


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CHILDREN’S HOSPITAL COLORADO AURORA, COLORADO

ZGF SERVED AS DESIGN ARCHITECT, WORKING IN ASSOCIATION WITH H + L ARCHITECTURE AS ARCHITECT OF RECORD, FOR A NEW 1,440,000 SF REPLACEMENT FACILITY FOR CHILDREN’S HOSPITAL COLORADO, LOCATED NEXT TO THE UNIVERSITY OF COLORADO DENVER, SCHOOL OF MEDICINE.

Evidence-based design principles informed the design process of this award-winning Pebble Project®, which houses 270 inpatient beds, outpatient clinics, offices, research and education space, and parking. All facilities are state-of-the-art, with flexible technology infrastructure to anticipate the evolution of medicine and the care of children beyond the next century. The idea of clarity and comfort, and family-centered care infuses all design aspects of the project. The result reflects the thoughts given to all factors that can influence healing: 100

color, texture, natural light, art, access to the outdoors, and amenities. The focal point of the building is a central atrium, which serves as the family living room and introduces light into the heart of the building. It also provides a clear reference point for the arrangement of the various components of the large complex. Spaces such as roof decks, terraces, and gardens, adjacent to the cafeteria and conference center, expand activities to the outdoors. Energy-saving measures and other sustainable design features within the building and landscape take the region’s varying weather into account.


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CHILDREN’S HOSPITAL COLORADO East and West Wing Additions and Remodels

AURORA, COLORADO

FOLLOWING THE COMPLETION OF CHILDREN’S HOSPITAL COLORADO, ZGF, IN ASSOCIATION WITH H+L ARCHITECTURE, WAS ASKED TO DESIGN THE EAST AND WEST WING ADDITIONS AND REMODELS TO ACCOMMODATE BOTH PROGRAM GROWTH AND THE DEVELOPMENT OF MODELS OF CARE.

The new 165-bed, 360,443 SF addition is immediately adjacent to the original hospital and includes a PICU, maternal and fetal medicine, as well as medical-surgical and rehabilitation facilities. More than 120,000 SF of shelled space was also provided to accommodate future clinics, medical-surgical beds, and a procedure center. The project involved the renovation of 89,985 SF in the existing hospital to expand the NICU, emergency department, radiology, pharmacy, and laboratory space while relocating additional hospital departments and 104

services to the East Tower. The Center for Cancer and Blood Disorders was expanded by 24 inpatient beds that house immuno-compromised BMT and high-risk oncology patients, and a room for I-131 MiG treatments. The new building includes a floor devoted to high risk deliveries, with a large fetal intervention suite to hold interdisciplinary teams, as well as additional amenity spaces for families outside of the patient rooms. The East Tower also contains a new chemo prep pharmacy with cleanroom, and specimen processing and additional team workspace. Future plans involve the renovation of the infusion and examination area to accommodate a greater number of procedures, as well as multidisciplinary teams and higher acuity infusion patients.


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SASKATOON HEALTH REGION Jim Pattison Children's Hospital

SASKATOON, SASKATCHEWAN, CANADA

ZGF, IN ASSOCIATION WITH HENRY DOWNING ARCHITECTS, IS PROVIDING PROGRAM VALIDATION, LEAN PLANNING, AND DESIGN FOR THE 164-BED, 275,000 SF JIM PATTISON CHILDREN'S HOSPITAL AT THE ROYAL UNIVERSITY HOSPITAL (RUH) ON THE UNIVERSITY OF SASKATCHEWAN CAMPUS.

The new facilities are a reflection of the Health Ministry’s commitment to patient- and family-centered care for residents of the Saskatoon Health Region and include inpatient and outpatient service lines that are compromised of maternal care, such as antepartum inpatient, labor assessment, fetal assessment, intrapartum inpatient (labor and delivery), post-partum inpatient, and maternal outpatient. Other program components include neonatal intensive care and pediatric units for intensive care, and inpatient, surgical, 108

and outpatient clinics, as well as a pediatric and adult Trauma Level 1 Emergency Department. The design of the new facility offered the opportunity to leverage new technologies and strategies related to the delivery of care, allowing for greater efficiency and throughput for individual departments, with the potential for increased levels of care and positive outcomes for patients. The design also incorporates innovative sustainable strategies, which will result in a healthier and more productive workplace, as well as a healing environment for patients receiving care. Design of the facility included a rigorous community engagement and stakeholder workshop process and rapid prototyping mock-up approach to provide the highest level of functionality and operational efficiency for the new spaces.


CHILDREN’S HEALTH Children’s Medical Center Plano

PLANO, TEXAS

ZGF, WORKING IN ASSOCIATION WITH PAGE, DESIGNED AN AWARD-WINNING 328,000 SF COMMUNITY HOSPITAL IN SUBURBAN DALLAS.

Sited on 84 acres, Children’s Medical Center at Legacy was conceived as both a complement to the main campus in Dallas, and as a community-based hospital to serve suburban-based families. The facility features three above-ground floors plus a lower garden level, 72 single-patient rooms, four operating rooms (plus shelled space for four more), full-service diagnostics, an urgent / emergency care center, a lobby café, a full-service cafeteria, a chapel, a gift shop, a family resource center, and various patient and family lounges. This is the first children’s hospital to put an ambulatory pediatric facility, not a clinic, on an outlying campus. The building was scaled appropriately to fit its site and 110

blend with the neighboring community, as well as to let the natural setting extend inside. An abundance of “green space” surrounds the building to provide an environment of healing and tranquility. Outdoor spaces were a strong tenet of the initial design for both the healing power of nature and the positive distraction for patients and family. Water is present throughout the site, from a white rock creek just outside the cafeteria / dining room to a peaceful lake on the north end of the site, which draws visitors through landscaped gardens.


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LEGACY HEALTH Randall Children’s Hospital at Legacy Emanuel

PORTLAND, OREGON

THE 334,000 SF, NINE-STORY RANDALL CHILDREN’S HOSPITAL, DESIGNED BY ZGF, CONSOLIDATES PEDIATRIC SERVICES IN A FAMILY-CENTERED CARE ENVIRONMENT AND CREATES A NEW IDENTITY FOR THE CHILDREN’S HOSPITAL, AS WELL AS A NEW FRONT DOOR TO THE LEGACY EMANUEL MEDICAL CENTER CAMPUS.

This facility houses 165 inpatient beds in single rooms for acute care, neonatal intensive care, and pediatric intensive care. It also includes a new pediatric emergency department, a short-stay unit, the Children’s Cancer and Blood Disorder Unit, a pharmacy, and a rehabilitation gym. A new garden off the first floor lobby adds an open space to the garden culture well-established on the campus. A terrace garden on the third floor is designed to provide a variety of environments, including areas for play, conversation, 114

and contemplation. The hospital features a number of amenity spaces for patients, families, and staff, including two-story family lounges, a dedicated art studio and movie theater, a teen center, a workout facility, staff break rooms, and lounges. A key design objective was to integrate soft curving forms throughout the interior design of the hospital. The interiors also celebrate four uplifting color palettes and animal motifs representing the geographic regions served by the hospital: the Willamette Valley, the Cascade Mountain Range, the Oregon Coast, and the desert. Commissioned art, environmental graphics, and art created by patients are also integrated throughout the hospital to provide positive distractions and enliven spaces.


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SEATTLE CHILDREN’S Building Hope: Cancer and Critical Care Expansion

SEATTLE, WASHINGTON

UPON SUCCESSFUL COMPLETION OF THE LONG RANGE / MAJOR INSTITUTIONAL MASTER PLAN TO EXPAND THE CAMPUS BY 1 MILLION SF, ZGF PROGRAMMED AND DESIGNED THE 330,000 SF CANCER AND CRITICAL CARE EXPANSION.

. Using a Lean, cross-functional approach, the design team engaged a diverse group of over 200 caregivers and family representatives at more than 20 Integrated Design Events to evaluate existing care models, identify areas of waste and improvement, work through process refinement options, and develop design solutions to deliver an operationally efficient patient-centered care environment. The process resulted in a design that tripled the time caregivers provide in-room treatment from 26% to 76%, reduced caregiver travel distances by 80% and supply search time by 90%. 118

Strategies implemented include just-in-time supply and medication delivery, medication preparation in the patient room, in-room charting, flexible furniture systems, demountable partitions, unobstructed views across the unit to patient rooms, and clear wayfinding. The process also resulted in a unique nursing unite configuration and universal rooms design that allows for maximum operational efficiency to accommodate a range of acuity. The building is LEED Gold®.


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SEATTLE CHILDREN’S Faculty Physician Workplace

SEATTLE, WASHINGTON

ZGF TRANSFORMED 16,000 SF OF FORMERLY CLOSED PRIVATE OFFICES INTO A HIGHLY COLLABORATIVE OPEN PLAN ENVIRONMENT DESIGNED TO OPTIMIZE SPACE UTILIZATION AND ENHANCE TEAM-BASED CARE.

The first-of-its-kind workspace for the hospital required buy-in from an intergenerational physician staff and leadership previously dispersed across the hospital campus. The result is a paradigm shift in the way the academic medical center organizes their workspaces. Based around six-person neighborhoods that balance collaboration with the need for privacy and contemplative workspace, the project includes a mix of meeting and support spaces in a flexible, technologyrich setting. Using a Lean, cross-functional approach to programming, the team worked through a series of Integrated Design Events to make collective design 122

decisions that greatly decrease travel time so that staff and faculty can spend more time at the patient bedside, while adhering to an accelerated design and construction schedule.


SEATTLE CHILDREN’S South Clinic

FEDERAL WAY, WASHINGTON

ZGF PROGRAMMED AND DESIGNED THE 37,000 SF OUTPATIENT CLINIC IN SEATTLE’S SOUTH PUGET SOUND. REPURPOSING A FORMER CIRCUIT CITY, THE NEW CLINIC HOUSES A RANGE OF SERVICES INCLUDING URGENT CARE, OUTPATIENT CARE, OCCUPATIONAL AND PHYSICAL THERAPY, AND SPECIALTY CLINICS SUCH AS OPHTHALMOLOGY, SPEECH THERAPY, AND SPORTS THERAPY, TO NAME A FEW.

This model brings outpatient services to a convenient community location for patients and families while allowing Seattle Children's main campus facility to focus on acute care services. Using a Lean, cross-functional approach to design—with more than 13 Integrated Design Events that engaged diverse stakeholder groups—ZGF was able to quickly gain consensus on a design that minimizes waste and enhances patient124

centered care. Key outcomes include enhanced access and convenience for patients as they arrive, reduced patient and staff travel distances, reduced storage space, and a 75% decrease in the total number of specialty treatment rooms required, from 20 to five. Additionally, successful project management resulted in a 2.5% savings of the overall project cost.


OREGON HEALTH & SCIENCE UNIVERSITY Doernbecher Children’s Hospital

PORTLAND, OREGON

ZGF DESIGNED A NEW FACILITY FOR DOERNBECHER CHILDREN’S HOSPITAL TO CONSOLIDATE AND EXPAND PREVIOUSLY DISPERSED PEDIATRIC INPATIENT, DIAGNOSTIC, TREATMENT, AND PUBLIC SERVICES.

The 260,000 SF, 80-bed facility includes nursing units, PICU, surgery, radiology, laboratory, clinics, and ancillary services. The design solution needed to creatively respond to the complexity of the steep, narrow site, while providing a link to the OHSU Hospital and Hatfield Research Center to the north. A bridge-like configuration was conceived to connect the new five-story building to critical program elements in the adjacent buildings. Departments are organized along a curved circulation spine, which serves as an orienting device and provides views of Portland and the Cascade Mountains beyond. Outpatient clinics, 126

pharmacy, laboratory, and radiology and rehabilitation departments are all housed on a single level so visitors and outpatients are conveniently separated from the upper inpatient floors. A variety of amenities, comfortable furnishings, extensive use of natural light, and an ambitious art program all contribute to a non-institutional ambiance, while recognizing the needs of patients’ families. Since its completion, ZGF has designed several expansions to convert administrative areas to patient rooms and to accommodate an enlarged inpatient oncology center.


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BEIJING CHILDREN’S HOSPITAL Leukemia Center

BEIJING, CHINA

THE JOINT TEAM OF ZGF AND BEIJING INSTITUTE OF ARCHITECTURAL DESIGN HAVE DESIGNED A NEW 569,066 SF (52,868 SM) LEUKEMIA CENTER FOR THE BEIJING CHILDREN’S HOSPITAL.

The project will be located inside the existing hospital campus. The new 12-story building is comprised of a four-story podium and a tower. Outpatient clinics occupy the majority of the first four stories. Levels two through four contain offices, a cafeteria, eight operating rooms, an imaging suite, and a bone marrow transfer unit. Levels five through ten are dedicated to inpatient rooms. The remaining two levels contain clinical laboratories. Also included are two gardens and a 350-car underground parking structure. Unique to the project design was the team’s sensitivity to the existing

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site. The new building will complete an entry plaza shared with an existing outpatient building, and will form a new, polished street edge.


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CHILD MIND INSTITUTE

NEW YORK, NEW YORK

ZGF PROGRAMMED AND DESIGNED A NEW 24,000 SF RESEARCH AND CLINICAL FACILITY DEDICATED TO TRANSFORMING MENTAL HEALTHCARE FOR CHILDREN AT THE CHILD MIND INSTITUTE.

ZGF’s design places public, community, and clinical functions closest to natural light and the 56th Street entry. Reception and waiting areas are connected by a new, translucent and reflective stair, which helps to convey light deeper into interior spaces. The interior architecture is characterized by a gallery-like color palette complemented by carefully selected finish materials and fabrics designed to reinforce the experiences of the adults and children who use the facility. Program elements include private offices, open workstations and collaboration areas, observation rooms, an exam room, a film and sound studio, 134

and a conference center. A kitchen / dining area is incorporated for children and adolescents with eating disorders who are taught nutrition and socialization. The space also includes several unique features designed to blend practicality, comfort, and fun for visitors to the Institute, including child- and family-friendly play areas, private waiting areas, a cafĂŠ filled with healthy snacks, and a rotating art exhibit from donor private collections and student art from various New York City schools.


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GOOD SAMARITAN HOSPITAL Dr. Donald & Beret Mott Children’s Center

PUYALLUP, WASHINGTON

ZGF DESIGNED THE 42,000 SF DR. DONALD AND BERET MOTT CHILDREN’S CENTER AT GOOD SAMARITAN HOSPITAL.

The Children’s Center is a family-focused, medically-based facility that provides multidisciplinary intervention services to children and adolescents with special healthcare needs. It houses the Child Development Center, an educationally-based early intervention program for developmentally disabled children that provides and coordinates special programming to enable individuals to reach their highest potential in preparation for entry into public schools or community-based programs. The Child Development Center also offers an integrated preschool, educational programming to measure development growth, early intervention training, and therapy. Both programs have 138

a long history of service to Pierce County children and families. The Children’s Center, established in 1966, is the oldest hospital-based neurodevelopment center in the State of Washington. The facility also houses physician, psychology, orthotic, and adaptive technology services in addition to research, education, and support functions. The primary goal of the design was to provide an exciting, inviting building for the children—a facility that will attract them by providing a non-institutional presence on the Good Samaritan Hospital campus.


BC CHILDREN’S HOSPITAL & BC WOMEN’S HOSPITAL + HEALTH CENTRE Teck Acute Care Centre

VANCOUVER, BRITISH COLUMBIA

ZGF, IN ASSOCIATION WITH HDR | CEI ARCHITECTURE, DESIGNED THE EIGHT-STORY, 640,000 SF CHILDREN’S AND WOMEN’S INPATIENT TOWER AS MEMBERS OF THE AFFINITY P3 (PUBLIC PRIVATE PARTNERSHIP) TEAM.

The primary design objective was to improve care delivery by optimizing access and flow and incorporating Evidence-based design principles such as natural light, views, roof gardens, purposeful art, LED lighting. In response, the team designed the public entry and elevator core to reside along the main circulation concourse of the larger hospital campus and separate public, patient, and staff flows. Inpatient units are standardized in size and layout and are adaptable to meet evolving needs and maximize caregiver time with patients. The new facility includes an emergency

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department, imaging and procedural suites, hematology and oncology departments, a high-risk birthing suite, neonatal intensive care units and a pediatric intensive care unit. The design team worked with caregivers, staff, and a patient advisory group to develop a design that provides positive distractions and ease of wayfinding. The building will be LEED Gold®.


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CANCER CENTERS

Patients have the power of choice—they own this facility and design their own experience. A patient told me that he felt the healing intensified here because he felt so relaxed. WENDY PERCHICK, CHIEF OF STRATEGIC PLANNING AND INNOVATION, MEMORIAL SLOAN KETTERING CANCER CENTER, BROOKLYN INFUSION CENTER


SEATTLE CANCER CARE ALLIANCE Bezos Family Immunotherapy Clinic SEATTLE, WASHINGTON

ZGF PROGRAMMED AND DESIGNED THE 9,600 SF BEZOS FAMILY IMMUNOTHERAPY CLINIC AT SEATTLE CANCER CARE ALLIANCE TO INTRODUCE PATIENTS TO PHASE I CLINICAL TRIALS OF THE PROMISING IMMUNOTHERAPY TREATMENT. THE FACILITY INCLUDES 15 TREATMENT SUITES, TWO CONSULTANT ROOMS, NURSE STATIONS, PHYSICIAN WORKSPACE, AND TWO LABORATORIES FOR TRANSLATIONAL RESEARCH.

To provide a supportive care environment focused on healing and minimizing stress, the clinic features extensive use of daylighting, access to views, ambient lighting, clear wayfinding, and a soothing palette of healthy materials. The clinic was designed using Lean principles with the goal of minimizing waste, enhancing patient-centered care, and accelerating the design and construction schedule. A range of tools were used to 148

help drive the design and decision-making process, including the use of virtual reality so that patients, caregivers and clinic leadership could “walk through” the space and develop design options during visioning sessions and full-scale mockups to run simulations and make modifications. The Lean process led to the integration of universal care suites, the first which allows exams and infusion to be performed in the same private room.


DANA-FARBER CANCER INSTITUTE Yawkey Center for Cancer Care BOSTON, MASSACHUSETTS

ZGF, IN ASSOCIATION WITH MILLER DYER SPEARS, DESIGNED DANA-FARBER’S NEWEST CLINICAL FACILITY AND NEW SIGNATURE IMAGE.

The 285,000 SF building provides space on over 14 floors for 100 examination rooms, 150 infusion chairs, an expanded clinical research center, and public services for dining, retail, and quiet reflection. The facility also includes seven levels of underground parking with connections to other Dana-Farber Cancer Institute buildings that link to affiliated hospitals, bringing research and clinical staff into close proximity. Dana-Farber Cancer Institute’s primary goal for the Yawkey Center was to create a state-of-the-art clinical building that promotes personalized, multidisciplinary, safe, respectful, and compassionate cancer care for patients and families in a healing environment. Other 150

goals were to stimulate translation of research into the care of patients, optimize flexibility and utility of space, streamline the flow of patients and materials, minimize wait and treatment times, foster productivity and collaboration among staff, and create a new front entrance and presence. The project is LEED Gold®, and served as a pilot in the Green Guide for Healthcare v2.2 initiative.


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BAPTIST HEALTH SOUTH FLORIDA Miami Cancer Institute

MIAMI, FLORIDA

ZGF, IN ASSOCIATION WITH MGE ARCHITECTS, DESIGNED A COMPREHENSIVE DIAGNOSTIC AND TREATMENT CANCER CENTER THAT INTEGRATES THE MOST ADVANCED PRACTICES IN CANCER TREATMENT.

Located in Baptist Health’s park-like landscape, the design is inspired and shaped by the connections to nature found on the site: abundant natural light, shady groves of trees, dramatic views, and well-used paths and places of rest. The complex includes a 240,300 SF outpatient care and advanced imaging facility, a 125,900 SF laboratory building, two parking garages for 1,200 vehicles, and an 18,800 SF central energy plant. As the Cancer Institute grows and patient care evolves, the laboratory facility is flexibly designed to be developed as research or clinical space. A model of patient- and family-centered care, the 154

complex provides a wide variety of amenities, such as a meditation room, chapel, retail boutique, patient and family resources, conference / education space, nutrition, dining, outpatient pharmacy, and outdoor gardens and terraces. The building plan is organized around a light-filled north-south internal circulation spine that provides direct connections between parking and three treatment floors, and gives patients and families a clear and consistent point of reference for wayfinding on all levels of the building. Cancer treatment spaces include radiation oncology therapy, phlebotomy services, medical oncology clinics, infusion bays and ‘rapid treatment’ stations, a linear accelerator, exam and consultation rooms, and two CT / Sims—one in a room shared with HDR. The project is LEED Certified®.


MEMORIAL SLOAN KETTERING CANCER CENTER Brooklyn Infusion Center

BROOKLYN, NEW YORK

ZGF WORKED WITH MEMORIAL SLOAN KETTERING CANCER CENTER (MSKCC) TO DEVELOP NEW PROTOCOLS IN CANCER CARE DELIVERY THROUGH THE INNOVATION OF A NEW STYLE OF CLINIC.

The new 7,745 SF Brooklyn Infusion Center (BIC) is the first prototype to bring infusion into MSKCC patient communities. The project allows the client to explore the effectiveness, efficiency, and acceptance of a streamlined care model in which patients receive their chemotherapy at a neighborhood site in Brooklyn and the balance of their care in Manhattan. The Center is designed to deliver efficient, leading-edge care in a non-institutional, welcoming, and healing environment, and balances a sense of community with private space. Patient-centered amenities include the ability to leave personal belongings between visits, and 156

a variety of social spaces, such as an indoor garden with conversation areas, a library, and a communal “farm table� area that allows people to gather for shared activities. A Flex Treatment Room allows for alternative health treatments, such as yoga and meditation; telemedicine is available to enable patients to communicate with their off-site caregivers; and complementary therapies, such as acupressure, Reiki massage, and relaxation techniques are available, allowing each patient to be treated in a comprehensive and personalized way. The BIC follows the MSKCC Facility Standards for environmentally responsible materials and specifications, including the use of zero-VOC paints, high-efficiency plumbing, and high-performance lighting.


158


PROVIDENCE HEALTH & SERVICES Providence Portland Medical Center, Robert W. Franz Cancer Center

ZGF PLANNED AND DESIGNED THIS 492,000 SF EXPANSION, WHICH INCLUDED NEW RESEARCH AND CLINICAL SPACE FOR THE PROVIDENCE CANCER CENTER, AS WELL AS SPACE FOR 250 NEW BEDS TO SUPPORT CANCER RESEARCH, SURGERY, AND OTHER HOSPITAL PROGRAMS.

The Providence Cancer Center is one of only a handful of private cancer research programs in the country. The goal was to create a world-class interactive research facility where scientists and clinicians could collaborate in developing new scientific knowledge and treatment programs. The surgical program was also relocated as part of this project, with 21 new state-of-the-art surgical suites and support spaces to serve the hospital. New imaging facilities were incorporated into the addition. The new North Pavilion, 160

PORTLAND, OREGON

another component of the expansion, includes 21,000 SF of clinical and resource space for the Providence Child Center. A new nutrition center and 12,000 SF of administration space were designed for the lower level of the existing Child Center addition. A new 900-car parking garage and expanded central utility plant serves the hospital expansion and the campus.


162


UNC HOSPITALS North Carolina Cancer Hospital and Physician's Office Building

ZGF PROGRAMMED AND DESIGNED THE 7-STORY, 315,000 SF HOSPITAL TO CONSOLIDATE CLINICAL AND INPATIENT CANCER PROGRAMS PREVIOUSLY DISPERSED THROUGHOUT CAMPUS AND SUPPORT A MULTIDISCIPLINARY CARE MODEL.

The hospital includes inpatient beds for medical oncology and bone marrow transplant, chemotherapy infusion suites, adult medical and surgical clinics, pediatric oncology clinics, diagnostic radiology and mammography, radiation therapy, and an expanded clinical research trials unit. 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 164

CHAPEL HILL, NORTH CAROLINA

and counseling. Medical team work rooms support collaboration and caregiver efficiency. The healing environment is enhanced by extensive daylighting, views to the surrounding campus and courtyards, nature-inspired interior finishes, and a public art program featuring local artists. The project includes a four-story, 101,000 SF physician’s office building, the replacement of an existing pedestrian bridge connecting these facilities with the rest of the medical and research campus, and an 8,000 SF expansion of the main hospital’s existing emergency department.


166


ST. CHARLES MEDICAL CENTER Bend Outpatient Cancer Center and Radiation / Oncology Remodel

ZGF DESIGNED THE NEW, 24,705 SF INTEGRATED CANCER TREATMENT CENTER FOR THE ST. CHARLES HEALTH SYSTEM TO BE PATIENT- AND FAMILY-FOCUSED, WITH EVERYTHING LOCATED UNDER ONE ROOF—ONCOLOGY, RADIOLOGY, AND COMPLEMENTARY THERAPIES.

The two-story center houses a 16,000 SF medical oncology wing and an 8,705 SF radiation oncology wing that was renovated as part of this project. Upon arrival, visitors enter a full-height lobby, containing the registration desk, which provides a welcoming and tranquil setting. Large windows allow abundant natural light to illuminate the airy interior, which is finished in a warm, neutral palette accented by natural wood. A peripheral corridor surrounds the building at ground level, with large windows on the exterior side and a series of doors to private interview / examination rooms 168

BEND, OREGON

on the interior. These rooms enclose an inner, functional back-of-house core comprise staff offices and shared spaces, allowing individuals to work and interact without disturbing patients or visitors. Each room has two doors, enabling patient access from the peripheral corridor and staff access from the central work area. The second level contains the infusion / treatment areas, as well as a multi-function conference room, additional private offices, and utility spaces. The main infusion room has floor-to-ceiling windows that allow abundant natural light to illuminate the interior, while providing views of the surrounding landscape and distant mountains. A private, outdoor deck runs along the two exterior sides of the infusion room, and overlooks a healing garden below.


170


UNIVERSITY OF VIRGINIA Emily Couric Clinical Cancer Center

CHARLOTTESVILLE, VIRGINIA

ZGF PROGRAMMED AND DESIGNED THE 150,000 SF EMILY COURIC CLINICAL CANCER CENTER TO CONSOLIDATE FUNCTIONS THAT ARE DISPERSED THROUGHOUT THE HEALTH SYSTEM COMPLEX AND TO INTEGRATE EDUCATION AND PATIENT SUPPORT WITH TREATMENT AND CLINICAL TRIALS.

Patient treatment areas include clinics, a specialty women’s oncology clinic, infusion and radiation therapy centers, dispensing and infusion pharmacies, and special procedure rooms. Following a commitment to promote the physical, emotional, and spiritual well-being of the patients, the facility is designed to foster patient- and family-focused care. Family and patient amenities include a patient support services / counseling suite, education and activity rooms, massage therapy rooms, enclosed garden 172

spaces, and a meditation room. The design provides an architecturally coherent front door for the Health System, clarifies the vehicular and pedestrian entrances to the University Hospital and the Emily Couric Clinical Cancer Center, and provides rational connections to a new enclosed pedestrian circulation system that will ultimately connect all present and future Health System facilities. The project is LEED-Gold certified.


174


SEATTLE CANCER CARE ALLIANCE SEATTLE, WASHINGTON

ZGF DESIGNED THE SEATTLE CANCER CARE ALLIANCE (SCCA), WHICH COMBINES THE TALENTS OF THE FRED HUTCHINSON CANCER RESEARCH CENTER, THE UNIVERSITY OF WASHINGTON MEDICAL CENTER, AND SEATTLE CHILDREN’S, TO PROVIDE STATE-OF-THE-ART CANCER CARE IN A PATIENT-CENTERED SETTING.

The SCCA facility is located on the dense urban Fred Hutchinson Cancer Research Center campus. Building on the strengths of each institution, the SCCA supports and extends their respective missions in clinical research and patient care, becoming the front door to premier outpatient cancer care in Washington, Alaska, Montana, and Idaho. The building is designed around the needs of the patient and family, yet also provides an efficient, uplifting atmosphere for physicians and staff. The first phase of the SCCA included 176

159,310 SF with four stories of below-grade parking; a planned expansion to 209,000 SF was recently completed. Also completed was a build-out of the 12,326 SF Women’s Center, which was relocated to a larger space to create an expanded outpatient program for breast oncology, gynecologic oncology, and breast imaging clinics.


THE UNIVERSITY OF ARIZONA The University of Arizona Cancer Center at Dignity Health St. Joseph’s Hospital and Medical Center PHOENIX, ARIZONA

IN 2011, ST. JOSEPH’S HOSPITAL AND THE UNIVERSITY OF ARIZONA CANCER CENTER, THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER HEADQUARTERED IN ARIZONA, FORMED AN INNOVATIVE COLLABORATION TO DELIVER THE HIGHEST STANDARD OF CANCER CARE WITHIN AN EVIDENCE-BASED, MULTIDISCIPLINARY MODEL, ALONG WITH THE MOST MODERN TECHNOLOGIES, AND A COMPASSIONATE, PATIENT-CENTERED APPROACH.

Planned and designed by ZGF, the new 220,000 SF building includes spaces for radiation oncology, a retail / clinical pharmacy, a boutique, a support and wellness center, infusion, a clinical laboratory with a research component, diagnostic imaging, endoscopy and interventional radiology, exam and procedure rooms, and conference rooms throughout, as well as one floor 178

of shell space to accommodate future growth. A healing garden is located adjacent to the main entrance of the building and visible from the main lobby. The two organizations are working together to recruit cancer specialists, as well as cancer researchers to support clinical trials. As part of the partnership, all inpatient cancer care is being handled at St. Joseph’s Hospital and Medical Center, and the outpatient treatments are offered at the new cancer facility. The project is registered with the certification goal of LEED Gold®.


180


UNIVERSITY OF CALIFORNIA, SAN DIEGO Rebecca and John Moores UCSD Cancer Center

LA JOLLA, CALIFORNIA

ZGF PROGRAMMED AND DESIGNED THE REBECCA AND JOHN MOORES UCSD CANCER CENTER, A MULTIDISCIPLINARY FACILITY DEDICATED TO PROVIDING BASIC SCIENCE, TRANSLATIONAL SCIENCE, AND CLINICAL SERVICE.

The 270,000 SF award-winning facility includes space for clinical care, basic research, cancer prevention and control, and administration departments. The clinical care component includes exam and procedure rooms, radiation oncology, chemotherapy / infusion, imaging, physician offices, and support spaces. The basic research program includes wet-bench research laboratories, laboratory support, and associated office space. The cancer prevention and control program includes administrative space for clinical trials, community outreach, and cancer prevention education 182

programs. Administration is located in the heart of the facility. Patients receive all their outpatient care within one facility, helping to ease the stress and strain on themselves and their families. It is a place for education about the disease and its prevention in a patientoriented, healing environment. A Cancer Commons, along with outdoor gardens, creates spaces of varying size and character to support interaction among faculty and students, while providing space for patients prior to and during treatments.


184


HACKENSACK UNIVERSITY MEDICAL CENTER John Theurer Cancer Center

HACKENSACK, NEW JERSEY

ZGF, IN ASSOCIATION WITH RONALD SCHMIDT & ASSOCIATES, HAS DESIGNED THE 155,000 SF JOHN THEURER CANCER CENTER TO BUILD UPON HACKENSACK’S ROLE AS NEW JERSEY’S LARGEST TEACHING AND RESEARCH HOSPITAL.

The new cancer center houses radiation oncology and medical oncology, as well oncology research, surgery, exam rooms, and necessary support functions. Patient amenities include yoga classes, a meditative labyrinth room, instructive cooking stations, dining facilities, and rooftop gardens, all of which contribute to the well-being of patients and their families, as well as the clinicians and researchers working at the Center. Offices are conveniently located adjacent to the exam room lines and staff work clusters, and close to the patient infusion areas, providing efficient operations 186

for doctors and staff. The building creates a new and welcoming place of arrival on the northern edge of the medical campus with a three-story entrance atrium that features a Murano glass bird mobile. Perimeter waiting areas are filled with natural light filtered by exterior sunscreens, and provide unobstructed views to the campus, landscaping, and the New York City skyline. The complex also includes a parking structure for 900 vehicles connected by an enclosed pedestrian bridge. The project is LEED Silver®.


BEHAVIORAL HEALTH

There is overwhelming positive feedback from everyone who has toured the unit and many complements about the use of space, color and light. Hat’s off to ZGF. DEBRA GUMBARDO, CHIEF OF PSYCHO-SOCIAL SERVICES, SEATTLE CHILDREN’S


CHILDREN’S HOSPITAL OF PHILADELPHIA Medical Behavioral Unit

PHILADELPHIA, PENNSYLVANIA

WITH NO KNOWN PRECEDENT, CHILDREN’S HOSPITAL OF PHILADELPHIA (CHOP) PURSUED A VISION TO DEVELOP A NEW PEDIATRIC PATIENT CARE UNIT: ONE THAT WOULD MEET THE REQUIREMENTS AND LICENSURE OF AN ACUTE CARE UNIT, AND WOULD PROVIDE A SAFE AND SUPPORTIVE ENVIRONMENT FOR PATIENTS WITH A COMORBID DEVELOPMENTAL, BEHAVIORAL, OR PSYCHIATRIC DIAGNOSIS.

A multidisciplinary team led by ZGF worked together to envision, plan, and design an environment that would support a new model of care for this unique population of patients, that was previously treated in a general medical surgical unit. The new 11,000 SF Medical Behavioral Unit (MBU) is a remodel of an existing unit on CHOP’s main campus in Philadelphia. It provides a supportive environment with programmed spaces not 190

typically found in an acute care unit, such as places for creative activities, relaxation, and two meditation rooms where patients can self-soothe. The unit also includes safety and security features that provide a more therapeutic and dignified environment for this unique patient population. Within the MBU, a specialized lighting system that supports circadian rhythms was developed and implemented in all patient and staff areas, including the corridors. The goal of this impactful lighting system is to mimic the solar day and provide routine lighting exposure to reinforce a body’s natural 24-hour cycle.


CHI FRANCISCAN HEALTH St. Joseph Medical Center, Mental Health Unit Renovation

ZGF DESIGNED THE MENTAL HEALTH UNIT (MHU) TO CONSOLIDATE ALL MENTAL HEALTH SERVICES IN A SINGLE LOCATION ON THE ST. JOSEPH MEDICAL CENTER CAMPUS.

Using a Lean approach to planning and design, ZGF verified the MHU’s vision, operational and functional processes, validation of the unit’s existing program and projection of future needs, development of a number of alternative design concepts, as well as the final design to optimize flow and minimize waste. The group areas were designed to provide more flexible spaces and a greater sense of community for the patients and staff, to support a variety of patient activities throughout the unit while maintaining sight lines critical for patient and staff safety. The ZGF team increased security measures, privacy and visual observation when designing staff 192

TACOMA, WASHINGTON

areas. The interior design provides a calm and soothing therapeutic environment using natural materials, views of nature, art and lighting.


PROVIDENCE HEALTH & SERVICES Swedish Medical Center-Ballard, Behavioral Health Unit

SEATTLE, WASHINGTON

ZGF PROVIDED PLANNING AND DESIGN FOR THE 15,605 SF EXPANSION AND RELOCATION OF SWEDISH MEDICAL CENTER'S BEHAVIORAL HEALTH UNIT FROM A HIGH ACUITY, URBAN CAMPUS TO A COMMUNITY HOSPITAL IN SEATTLE'S BALLARD NEIGHBORHOOD.

Located on two floors, the project increases the number of patient beds from 10 to 22, and the Unit’s design creates a calm and soothing space that promotes recovery, mindfulness, respect and safety. Light colors and subtle texture on the walls provide visual interest. Materials that absorb sound—rubber floors and special ceiling tiles—foster a peaceful environment. Interior touches, such as mosaic tiles in the common area, provide textural interest while connecting patients to nature. The gradual change in tile color, from dark to very light at the ceiling plane, is a strategy of biophilic 194

design that connotes the relationship between earth and sky. Lighting design throughout the Unit support patients’ circadian function. This lighting changes through the course of a day to mimic the color and intensity of the sun’s light to support healthy circadian rhythms, which have been shown to increase the rate of healing and the effectiveness of the body’s absorption of medicine. Lights in comfort rooms offer patients the ability to change the shade of lighting as a calming effect and a measure of control.


SEATTLE CHILDREN’S Psychiatry and Behavioral Medicine Unit

SEATTLE, WASHINGTON

ZGF PROGRAMMED AND DESIGNED THE NEW 34,000 SF UNIT WHICH TREATS CHILDREN AGES THREE TO 18 YEARS WITH COMPLEX MENTAL HEALTH ISSUES.

The PBMU expands a 20-bed unit located on one level to 41 beds located across two levels within Seattle Children’s existing hospital. The program provides a variety of spaces that patients can access outside of their single patient rooms, including a dining area, comfort rooms, group rooms, classrooms, and recreational facilities. Following the hospital’s guiding principles of respect for self, others, and the environment, the design is healthy and supportive, maximizing healing connections with the outdoors by adding large windows in patient rooms and incorporating warm and natural materials to aid wayfinding. The facility was designed using a Lean, 196

cross-functional approach to minimize waste and enhance operational efficiency and patient-centered care within a strict budget, while adhering to an accelerated design and construction schedule.


SENIOR LIVING

I have found the staff at ZGF Cotter Architects to be an enjoyable group with whom to work, and very much appreciate their innovative design concepts, flexibility, and dedication to seeing the full vision for this project realized. DAYLE KRAHN, CHIEF PROPERTY AND DEVELOPMENT OFFICER, BAPTIST HOUSING SOCIETY


BAPTIST HOUSING Linwood Seniors Housing

SAANICH, BRITISH COLUMBIA

THE SEVEN-STORY, RESIDENTIAL CARE FACILITY INCLUDES 220 SUITES DESIGNATED FOR COMPLEX RESIDENTIAL CARE (LONG-TERM SKILLED NURSING), AND SUITES DESIGNATED FOR DEMENTIA HOUSING.

Inspired by the individuals who call the project home, the design is deliberately non-institutional and emphasizes connections to nature and the outdoors. The environment intentionally links the lives and experiences of residents, staff, family members, and members of the community, within a safe, calming, and homelike setting. The building organization follows a house / neighborhood model, with each floor making up a neighborhood of two 20-bed houses. The design is highly standardized and flexible so that any house

200

can easily become dedicated to specific resident groups, such as those with acquired brain injury, memory loss, or behavioral issues. This project was completed by Cotter Architects, prior to entering into partnership with ZGF Architects.


ADDITIONAL HEALTHCARE PROJECTS HEALTHCARE CEDARS-SINAI MEDICAL CENTER

PLAYA VISTA, CALIFORNIA

Playa Vista Physician Office & Urgent Care

CHI FRANCISCAN HEALTH

FEDERAL WAY, WASHINGTON / TACOMA, WASHINGTON / LAKEWOOD, WASHINGTON

St. Francis Hospital, Campus and Facility Master Plan St. Joseph Medical Center, Master Facility Plan St. Clare Hospital, East Wing Addition

CITY INTEREST / U.S. DEPARTMENT OF VETERANS AFFAIRS

WASHINGTON, DC

Community Resource and Referral Center

COMMUNITY OF HOPE

WASHINGTON, DC

Conway Health and Resource Center

HARBORVIEW MEDICAL CENTER

SEATTLE, WASHINGTON

Renovation Services

JOHNS HOPKINS MEDICINE

BALTIMORE, MARYLAND

The Johns Hopkins Hospital, David M. Rubenstein Child Health Building

KADLEC MEDICAL CENTER

RICHLAND, WASHINGTON

Critical Care Unit Expansion and Renovation

KAISER PERMANENTE PORTLAND, OREGON / VANCOUVER, WASHINGTON / NORTH HOLLYWOOD, CALIFORNIA / MID-ATLANTIC REGION Kaiser Kaiser Kaiser Kaiser Kaiser Kaiser Kaiser

Permanente, Permanente, Permanente, Permanente, Permanente, Permanente, Permanente,

Preferred Provider Program (Mid-Atlantic, Northwest, and California Regions) Interstate Master Plan Update Lloyd 500 Building Sunset Medical Office Building Sherman Way Lab-Specimen Processing Remodel and Campus Master Plan Sunnyside Medical Center Parking Structure Salmon Creek Eye Care / Magnetic Resonance Imaging

LEGACY HEALTH PORTLAND, OREGON / GRESHAM, OREGON / TUALATIN, OREGON Legacy Legacy Legacy Legacy

Emanuel, Hospital & Health Center Meridian Park, Hospital, Radiology, Medical Office Building, and Campus Master Plan Mt. Hood, Medical Center, Master Plan, and Office Buildings Portland, Women’s Clinic

MERCY MEDICAL CENTER

ROSEBURG, OREGON

Roseburg Surgicenter Women’s Health Center

MEMORIAL SLOAN KETTERING CANCER CENTER

NEW YORK, NEW YORK

Universal Exam / Infusion Suite

NATIONAL HOSPITAL OF PEDIATRICS HANOI, VIETNAM

202


NATIONAL UNIVERSITY HEALTH SYSTEM

SINGAPORE, MALAYSIA

Campus Master Plan

PROVIDENCE HEALTH & SERVICES ANCHORAGE, ALASKA Providence Alaska Medical Center, North Expansion and Renovation

SEATTLE CHILDREN’S

SEATTLE, WASHINGTON

Emergency Department / North Expansion

ST. JOSEPH HEALTH SYSTEM

MISSION VIEJO, CALIFORNIA

Master Planning of Mission Hospital in Mission Viejo and Laguna Beach

ST. PATRICK HOSPITAL & HEALTH SCIENCES CENTER MISSOULA, MONTANA Ambulatory Services Building

SWEDISH MEDICAL CENTER

SEATTLE, WASHINGTON

Renovation Services and Studies

U.S. ARMY CORPS OF ENGINEERS FORT CAMPBELL, KENTUCKY Blanchfield Army Community Hospital Addition and Alteration

U.S. DEPARTMENT VETERANS AFFAIRS

PORTLAND, OREGON / WASHINGTON, DC

Medical Office / Research Building New Emergency Department Building Replacement Hospital

UNC HEALTH CARE

CHAPEL HILL, NORTH CAROLINA

UNC Hospitals, Perioperative Building

UW MEDICINE SEATTLE, WASHINGTON UW Medical Center, Renovation Services

MEDICAL RESEARCH AMGEN

THOUSAND OAKS, CALIFORNIA

Building 29 Biotechnology Research Center

CARNEGIE INSTITUTION FOR SCIENCE

BALTIMORE, MARYLAND

Maxine F. Singer Building

EMORY UNIVERSITY

ATLANTA, GEORGIA

Health Sciences Research Building

THE JOHNS HOPKINS UNIVERSITY

BALTIMORE, MARYLAND

Bunting / Blaustein Cancer Research Building David H. Koch Cancer Research Building

203


LOS ANGELES BIOMEDICAL RESEARCH INSTITUTE AT HARBOR-UCLA MEDICAL CENTER

TORRANCE, CALIFORNIA

Campus Master Plan Research Building A

MAX PLANCK FLORIDA INSTITUTE FOR NEUROSCIENCE MEMORIAL SLOAN KETTERING CANCER CENTER

JUPITER, FLORIDA

NEW YORK, NEW YORK

The Mortimer B. Zuckerman Research Center

NORTHWESTERN UNIVERSITY

EVANSTON, ILLINOIS

Patrick G. and Shirley W. Ryan Hall, Center for Nanofabrication and Molecular Self-Assembly Richard and Barbara Silverman Hall for Molecular Therapeutics and Diagnostics The Arthur & Gladys Pancoe NorthShore University HealthSystem Life Sciences Pavilion

OREGON HEALTH & SCIENCE UNIVERSITY

PORTLAND, OREGON

Biomedical Research Building Mark O. Hatfield Research Center Vollum Institute

PFIZER

LA JOLLA, CALIFORNIA

Research and Development Campus

STANFORD UNIVERSITY

PALO ALTO, CALIFORNIA

Stanford Institutes of Medicine 1, Lorry I. Lokey Stem Cell Research Building, A California Institute for Regenerative Medicine Facility School of Medicine Master Plan

THE UNIVERSITY OF ARIZONA

TUCSON, ARIZONA

Thomas W. Keating Bioresearch Building / Medical Research Building Bioscience Research Laboratories

UNIVERSITY OF CALIFORNIA, BERKELEY

BERKELEY, CALIFORNIA

Li Ka Shing Center for Biomedical & Health Sciences

UNIVERSITY OF CALIFORNIA, LOS ANGELES

LOS ANGELES, CALIFORNIA

South Tower Seismic Renovation

UNIVERSITY OF CALIFORNIA, SAN DIEGO LA JOLLA, CALIFORNIA Altman Clinical and Translational Research Institute Leichtag Family Foundation Biomedical Research Building Health Sciences Biomedical Research Facility

THE UNIVERSITY OF CHICAGO

CHICAGO, ILLINOIS

Gwen and Jules Knapp Center for Biomedical Discovery

THE UNIVERSITY OF HAWAII

HONOLULU, HAWAII

Cancer Center

UNIVERSITY OF MIAMI

204

MIAMI, FLORIDA


Life Science & Technology Park, Master Plan and Research + Development Building 1

UNIVERSITY OF MINNESOTA

MIAMI, FLORIDA

Cancer and Cardiovascular Research Building Biomedical Discovery District

THE UNIVERSITY OF TEXAS, M.D. ANDERSON CANCER CENTER

HOUSTON, TEXAS

George and Cynthia Mitchell Basic Sciences Research Building

UNIVERSITY OF SOUTHERN CALIFORNIA

LOS ANGELES, CALIFORNIA

Eli and Edythe Broad CIRM Center for Regenerative Medicine and Stem Cell Research Ray R. Irani Hall

205


INDEX A

D

N

T

Ann & Robert H. Lurie Children’s Hospital of Chicago 96

Dana-Farber Cancer Institute Yawkey Center for Cancer Care 150

The Everett Clinic Shoreline Clinic 52

B

F

National Institutes of Health Mark O. Hatfield Clinical Research Center 70

Baptist Health South Florida Miami Cancer Institute 154

Fuwai Hospital & Cardiovascular Institute Fu Wai Hospital of Cardiovascular Disease 84

O

The University of Arizona The University of Arizona Cancer Center at Dignity Health St. Joseph’s Hospital and Medical Center 178

Baptist Housing Linwood Seniors Housing 200 Bay Area Hospital Hospital Expansion 74 BC Children’s Hospital & BC Women’s Hospital + Health Centre Teck Acute Care Centre 140 Beijing Children’s Hospital Leukemia Center 130

C Cedars-Sinai Playa Vista Physician Office & Urgent Care 4 CHI Franciscan Health Franciscan Medical Pavilion-Highline 14 St. Anthony Hospital Gig Harbor, Washington 24

G Good Samaritan Hospital Dr. Donald & Beret Mott Children’s Center 138

H

Providence Portland Medical Center Guest Housing 34

Hackensack University Medical Center John Theurer Cancer Center 186

I Intermountain Healthcare Cottonwood Medical Clinic 78 Park City Medical Center Outpatient Expansion 76

K Kaiser Permanente Orchards and Sunnybrook Medical Office Buildings 46

Child Mind Institute 134

L

Children’s Hospital Colorado 100 East and West Wing Additions and Remodels 104 Children’s Hospital Los Angeles Marion and John E. Anderson Pavilion 92 Children’s Hospital of Philadelphia Medical Behavioral Unit 190 Cincinnati Children’s Hospital Medical Center Critical Care Tower Expansion and Addition 8

P Providence Health & Services Providence Alaska Medical Center, Generations Women’s & Children’s Hospital Tower 38

St. Joseph Medical Center, Mental Health Unit Renovation 192 Children’s Health Children’s Medical Center Plano 110

Oregon Health & Science University Doernbecher Children’s Hospital 126

Legacy Health Legacy Good Samaritan Medical Center, Emergency Department Remodel 32 Legacy Salmon Creek Medical Center 28 Randall Children’s Hospital at Legacy Emanuel 114

M Memorial Sloan Kettering Cancer Center Brooklyn Infusion Center 156 Milton District Hospital Redevelopment Project P3 Design Competition 82

Providence Regional Medical Center Everett, Marshall and Katherine Cymbaluk Medical Tower 40

The Everett Clinic at Smokey Point 48

The University of Texas at Austin Dell Medical School, Health Transformation Building and Health Discovery Building 62

U UC Irvine Health Facility Master Plan 59 UNC Hospitals Hillsborough Campus 66

Providence St. Vincent Medical Center 44

North Carolina Cancer Hospital and Physician’s Office Building 164

Swedish Medical Center-Ballard, Behavioral Health Unit 194

University of California, San Diego Rebecca and John Moores UCSD Cancer Center 182

S Saskatoon Health Region Jim Pattison Children’s Hospital 108

University of Iowa Hospitals and Clinics Stead Family Children’s Hospital 88

Science Center / Wexford Science + Technology 3737 Science Center, Penn Medicine University City 54

University of Virginia Emily Couric Clinical Cancer Center 172

SCL Health – National Jewish Health Saint Joseph Hospital 10

U.S. Department Of Veterans Affairs American Lake Campus Master Plan and Ambulatory Medical Building 58

Seattle Cancer Care Alliance 176 Bezos Family Immunotherapy Clinic 148

V

Seattle Children’s Building Hope: Cancer and Critical Care Expansion 118 Psychiatry and Behavioral Medicine Unit 196 South Clinic 124 St. Charles Medical Center Bend Outpatient Cancer Center and Radiation / Oncology Remodel 168

Virginia Mason Medical Center Jones Procedural Center 60


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