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Presentation No. 2 3 Feb 2003. The World of Healthcare Architecture. Arch 372. The World of Healthcare Charrette 1 Healthcare and Architectural Practice Charrette 2 Current Issues, Trend & Theory Charrette 3 Major Problem. Arch 372. Cost of Construction - $/SF.

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slide1

Presentation No. 2 3 Feb 2003

The World

of Healthcare

Architecture

Arch 372

slide2

The World of HealthcareCharrette 1

  • Healthcare and Architectural PracticeCharrette 2
  • Current Issues, Trend & TheoryCharrette 3
  • Major Problem

Arch 372

the world of healthcare architecture6
Healthcare Architects in the US

AIA PIA (Professional Interest Area) – Academy of Architecture for Health largest and most organized PIA

3,000 Members

4 Annual conventions per year

ASHE

Planning and Design

AIA AAH

Healthcare Design Symposium

The World of Healthcare Architecture
the world of healthcare architecture7
Academy of Architecture for HealthThe World of Healthcare Architecture
  • Mission StatementThe mission of the AIA Academy of Architecture for Health (AAH) is to improve the quality of the healthcare environment by promoting, through our members, excellence in healthcare architecture. We believe that:
    • Architects should have a significant role in affecting healthcare policy
    • Knowledge is power, and we should identify resources to advance, maintain, and disseminate knowledge
    • The quality of the built environment plays a major role in the quality of healthcare
    • We, as architects, are essential to the development of quality healthcare environments
    • It is essential to create links between all those involved in the building delivery system to achieve quality healthcare architecture
slide12

The World of Healthcare Architecture

STATS:

$175M Construction Cost

2 Architectural firms involved

2 Engineering firms involved

24 Month Design Process

30 Month Construction Process

750,000 sq ft

1 Million patients and visitors per year

the world of healthcare architecture13
The World of Healthcare Architecture

Question #1:

How many architects and engineers were involved in the planning and design of this building?

slide14

The World of Healthcare Architecture

And now back to our story…………

the world of healthcare architecture15
Who do Healthcare Architects work for?

Healthcare Architects

The World of Healthcare Architecture

Large

Firms

Small

Firms

Boutique

Firms

Client

Hospital or

Health

System

Contractors

Program

Managers

State Review

Agencies

the world of healthcare architecture16
Who does the work?

Perkins & Will

HRD

HKS

NBBJ

Cannon Design

Ellerbe Becket

RTKL

Gresham Smith

The World of Healthcare Architecture

2002 Modern Healthcare Rankings

the world of healthcare architecture17
Who Designs the Projects?

Spectrum of design

Strategy Programming Planning Design Technical Construction

The World of Healthcare Architecture

Market Share

Penetration

SWOT Analysis

Business Plans

Proforma

Competition

Marketing

Recruiting

Mission

Values

Aspiration

Efficiency

Utilization

Space Standards

Net to Gross

Programming Teams

Trend Analysis

Volume Forecasting

Time and Motion

Use Rates

Contact Time

Relationships

Adjacencies

Patient Flow

Staff Flow

Experience

Staffing

Efficiency

Pathways

Wayfinding

Circulation

Views

Image

Experience

Aesthetics

Expression

Massing

Volume

Materials

Light

Nature

Patterns

Scale

Constructability

Codes

Magnetic Shielding

RF Shielding

Radiation Shielding

Smoke Compartments

Exiting

Fire Rating

NFPA, BOCA, SBC, IBC…

GMP

RFI

GC

Sub Contractor

Suppliers

Venders

General Conditions

Payment Applications

CM

Or Equals

the world of healthcare architecture18
Who Designs the Projects?

Spectrum of design

Strategy Programming Planning Design Technical Construction

Planners

Designers

Project Architects

Construction Administrators

The World of Healthcare Architecture
the world of healthcare architecture19
Who make up the project team?The World of Healthcare Architecture

Principal

In

Charge

Project

Manager

Project

Planner-

Organization

Project

Designer-

Design

Project

Architect-

Technical

Staff Architects / Other Resources

the world of healthcare architecture20
How does the client fit into this?The World of Healthcare Architecture

Client

Project Principal

Project Designer

Project Manager

Project Architect

Project Planner

Resources

the world of healthcare architecture22
The World of Healthcare Architecture

Question #2:

How many meetings were held with the owner and user groups during the design process?

the world of healthcare architecture23
How do we interface with the client?

Nurses

Architect

Docs

Managers

The World of Healthcare Architecture

Board

Administration

Patient

Admin

slide24

The World of Healthcare Architecture

  • Who is on the Owners side?

Business

Administration

Registration

Materials

Management

Social Work

Respiratory

Care

PICU

Fitness

Pulmonary

NICU

Pharmacy

Intensive

Care

Day Stay

RT

Behavioral

Health

Dietary

Surgery

FInance

Physical

Therapy

Radiology

Engineering

Cardiology

QA

Radiation

Oncology

Med Surg

Education

IT

Pediatrics

Occupational

Therapy

Clinical

Lab

Cath Lab

Laundry

Volunteers

Housekeeping

slide25

The World of Healthcare Architecture

Time

Tier 1 – Executive Leadership

Tier 2 – Clinical Leadership

Detail

Tier 3 – Departmental Leadership

Tier 4 – Focus Groups

THE DESIGN JOURNEY

the world of healthcare architecture26

4

1

2

3

5

Planning &

Programming

Schematic

Design

Design

Development

Contract

Documents

Construction

DEFINE SCOPE & OBJECTIVE

EXPLORE & RESOLVE SOLUTION

REFINE & DEVELOP DETAIL

DOCUMENT PLANS & SPECS

BUILD

Land Use

Space

Function

Relationships

Access

Flow

Environment

Infrastructure

Budget

Site Concept

Orientation

Parti

Layout

Massing

Image

Vocabulary

Systems

Budget

Topography

Rooms

Equipment

Materials

Furniture

Standards

Technologies

Quantities

Estimate

Space

Function

Relationships

Access

Flow

Systems

Budget

Monitor

Interpret

Clarify

Confirm

Advise

Approve

The World of Healthcare Architecture

THE PROCESS

PHASES OF PROJECT DEVELOPMENT

the world of healthcare architecture27

4

1

2

3

5

Planning &

Programming

Schematic

Design

Design

Development

Contract

Documents

Construction

PROGRAMMING

PLANNING

DESIGN

PRODUCTION

PROJECT MANAGEMENT & ADMINISTRATION

The World of Healthcare Architecture

THE PROCESS

PHASES OF PROJECT DEVELOPMENT

TALENT & RESOURCES

the world of healthcare architecture28

4

1

2

3

5

Planning &

Programming

Schematic

Design

Design

Development

Contract

Documents

Construction

EXPERTISE…

MANAGEMENT

FORMATIVE PHASES

Quality

Cost

Time

IMAGINATION…

LEADERSHIP

The World of Healthcare Architecture

THE PROCESS

PHASES OF PROJECT DEVELOPMENT

TALENT & RESOURCES

the world of healthcare architecture29
The World of Healthcare Architecture

Question #3:

How many drawings did the architects and engineers give to the contractors to build the building?

Hints:

Architecture

Structural

Landscape

Mechanical

Electrical

Plumbing

30” x 42” sheets

1 floor = 4 zones (sheets)

15 floors