Sunday, April 25, 2010

Saturday, April 24, 2010

Patient Room

Patient Room rendered and modeled in Revit

Fitness

Fitness Render done in Revit

Sunday, April 11, 2010

Nurses Station Rendering

Rendering of a Nurses Station from my project, done in Revit.

Sunday, March 28, 2010

Final Floorplans

First Floor Plan




Second Floor Plan




Third Floor Plan

Sunday, March 21, 2010

Inspiration for Waterfall in Lobby Entry



Curved Copper Lobby Waterfall by Harmonic Environments:

Materials/Specs: Waterplace® radiused toned copper waterfall with custom projected image.


Concept: The curved copper waterfal is the perfect backdrop to showcase a projected company logo.Size: 12' wide x 10' high

Monday, March 8, 2010

Lighting Studies

Dec. 21st at 9AM

Dec. 21st at 12PM

Dec. 21st at 4PM

June 21st at 9AM

June 21st at 12PM

June 21st at 4PM

March 21st at 4PM

March 21st at 12PM

March 21st at 9AM

Thursday, February 25, 2010

Art Work/Signage Inspiration

Botanica™ is a nature inspired collection of architectural glass created by Skyline in collaboration with photographers Henry Domke, Steven Meyers, and Zeva Oelbaum.




Thursday, February 11, 2010

Possible Facade Options




Appaloosa Branch Library, Scottsdale, Ariz.

Different Angles, Different Colors
As you approach the Appaloosa Branch Library in Scottsdale, the building’s metal skin— 20,000 square feet (1,858 m2) of wall cladding from Morin, Fontana, Calif.—changes colors.“

It’s primarily silver-gray straight on, and then as you get off to an angle you see a grayish green,” Jones explained. “As you get flatter to it, it goes dark green or a purplish color. As you’re driving up to it some of the walls look bright pink and some look bright green,creating the mirage effect.”

The effect is created through the first commercial use in the U.S. of Pittsburgh based PPG Industries’ Duranar VARI-Cool iridescent coating on the metal cladding. The coating is composed of mica chips in a clear base, creating colors by light interference patterns—like the scales of a hummingbird,Jones added.

Thomas McKay, product manager, coil and extrusion coatings, for PPG, said the fleeting mirage fashioned by the “Kaleidoscope”colored coating harmonizes with the color shifting desert setting—the light-gray-green tint, for instance, matches surrounding plants … and symbolizes the library’s delicate environmental footprint.

Architect: DWL Architects + Planners Inc.,
Phoenix, and Douglas Sydnor Architect and Associates, Scottsdale
Construction manager: Haydon Building Corp., Phoenix
Metal skin/cladding installer: Total Metals LLC, Chandler, Ariz.
Roofing contractor: Progressive Roofing, Phoenix
Glass subcontractor: Milam Glass Co., Phoenix
Curtainwall/storefront: Kawneer Co. Inc., Norcross, Ga., www.kawneer.com
Iridescent coating & curtainwall/storefront glass: PPG Industries, Pittsburgh, www.ppg.com
Metal skin/cladding: Morin, Fontana, Calif., www.kingspanpanels.us
Photovoltaic panels: BP Solar, Frederick, Md., www.bp.com
Roofing system: Firestone Building Products, Indianapolis, www.firestonebpco.com
Steel roof decking: Verco Manufacturing, Phoenix, www.vercodeck.com









Project: Cincinnati Children's Hospital Medical Center
Location: Cincinnati, OH

Completed in August 2009, Cambridge Architectural supplied curved, intersecting woven metal fabric panels that uniquely and securely adorn the exterior of the new parking garage. The architectural mesh system clads the garage in a revoluationary basket weave design to provide aesthetics, durability and security for the structure. The first design of its find by Cambridge, it features both longitudinal and latitudinal curves of woven metal fabric resulting in an eye-catching building facade that gives the parking garage a unique and experimental look.

System: Parkade
Attachment Method: Eclipse
Metal Fabric Pattern: Stripe and Mid-Balance
Architect: DNK Architects, Inc. - Cincinnati, OH
Construction Manager: Al. Neyer, Inc. - Cincinnati, OH
Installer: ProCLAD, Inc. - Noblesville, IN
Facility End Use: Parking Garage
Completion Date: August 2009

What is Metal Fabric?

Metal fabric, also known as architectural mesh, metal mesh or wire mesh, is a woven metal material used for various interior and exterior applications including cladding, space division (dividing or sculpting space), ventilation, solar shading, infill and a variety of other uses.

Woven metal fabrics are designed and engineered specifically for architectural purposes, and are fastened to a structure with attachment hardware designed for each type of metal fabric application. Metal fabric varies in rigidity and flexibility, ranging from a completely closed, rigid metal, to a flexible weave with varying degrees of open area. Specific patterns of metal fabric are specified for different purposes, depending on the application. Metal fabric also varies in translucency and weight.

The options for incorporating metal fabric into building design are truly limitless, as the unique material lends itself to the architect’s imagination. Metal fabrics are commonly woven in stainless steel, but can also be woven from copper, bronze, brass and other alloys. For unique aesthetic appeal and supreme functionality, consider metal fabric.

Sunday, January 31, 2010

Logo Studies

Final LOGO:



First LOGO Designs:

Trends & State of the art design

Technology has taken humans a long way toward achieving efficiency as manual labor has been replaced by machines. However, healthcare remains a very labor-intense business with greater ranges of quality outcomes because of the human elements involved. Only small work segments in healthcare have been mechanized or automated, and quality initiatives have just begun to have an impact on the healthcare environment. Organizations need to examine how technology solutions can enhance the efficiencies gained with process improvement initiatives. In some cases, the use of technology can have a large impact on space. Communication, staff and materials tracking, and robotic systems play a major role in the design of efficient healthcare facilities.

Wireless communication systems, such as Voice over Internet Protocol (VoIP), allow increasingly mobile caregivers to communicate promptly and efficiently. A single wireless hands-free device replaces multiple communication devices such as phones and pagers. Nurses can communicate with team members without having to travel to a central station to find a phone. Users report an increase in direct patient care time and process efficiencies, resulting in improved patient and staff satisfaction while reducing staff stress levels. These wireless systems can also be integrated with clinical applications, sensors, patient monitoring equipment, and nurse call systems.

Patient tracking systems or workflow management systems such as NaviCare and Awarix collect information from a variety of sources and display key highlights to caregivers. Using “real-time whiteboards,” these systems display information for caregivers to alert them about care needs, pending test results, patient location, outstanding orders, and other metrics. Having this information readily available reduces staff time spent calling and/or searching for it and expedites patient care. The patient tracking system is also an invaluable tool for the “Bed Czar” (the person responsible for assigning patient rooms for a healthcare facility). Efficient and effective bed placement results in optimal bed utilization and eliminates bottlenecks that result in delayed placement or bypass situations.

Bar coding is used to identify and track assets, patients, and medications. Many hospitals primarily use it for medication administration to reduce errors and to improve documentation accuracy. According to Kohn, medication errors nationally cost an additional $2 billion each year (2000). Inventory control and patient tracking can be accomplished using the same technology. Bar code scanners are being incorporated into laptops, handhelds, or other portable devices that can be taken to the patient bedside, making their use more practical and making staff more efficient.

Radio-frequency identification devices (RFID) use wireless technology to transmit product serial numbers from tags to scanners without human intervention. Scanners are placed intermittently throughout the facility similar to using an antenna for telemetry. Caregivers then can view a central scanner to locate personnel and supplies. This technology has the potential to replace bar code inventory tracking systems because it has immediate and automatic data capture resulting in fewer potential medication errors, reduced travel time for caregivers, and improved inventory control.

Telemedicine robots, surgical assist robots, telerobots, and service robots are becoming more popular in healthcare facilities. (Cohen, 2008). Telemedicine robots collect and transmit patient information to remotely located physicians for diagnosis and treatment. One growing use of the telemedicine robot is for stroke teleconsultations in rural Emergency Departments (EDs). Surgical assist robots such as the da Vinci Surgical System are guided by surgeons using 3-D visualization to perform minimally invasive surgery (Tsui & Yanco, 2007). Telerobotic surgery is being tested for surgeons to operate on patients in other locations. Service robots are primarily used to pull supplies, including medications and equipment, or to haul soiled linens and waste through healthcare facilities. The use of robots to do delivery types of services frees staff to perform other patient-centric activities. Buildings, however, need to be designs to accommodate the technology that supports the increased use of robots.

Nurses reportedly spend an estimated 2-to-3 hours per shift manually completing forms and documenting patient care (Poissant, Pereira, Tamblyn, & Kawasumi, 2005). Beyond the inefficiency of handwriting information, these statistics often raise concerns about legibility and completeness of records. However, though the benefits of an electronic medical record are numerous, to improve staff utilization and efficiency, the technology needs to be mobile and easy to use. Handheld wireless devices and tablets with docking stations can be taken to the bedside for nurses to document care at the time it is completed. Real-time data input from equipment further saves the nurse time transferring that information. Improved efficiency and accuracy result. As other software applications are developed, building layout and design must support decentralized documentation.

Building on the interest and ability of patients to use technology in their personal lives, healthcare facilities are integrating interactive patient technologies into their designs. The multimedia and communication systems being offered include customized patient education programs; entertainment options of cable, Internet access, movies on demand, and video games; and hospital service options such as food service orders, housekeeping requests, and satisfaction surveys. Other interactive patient technologies include registration and information kiosks. Registration kiosks function similar to those used in airports and hotels for check-in, check-out, and appointment scheduling. Interactive maps of the building and campus are provided in facility lobbies. Besides being a customer convenience, these interactive technologies free hospital staff to provide other services. They impact design by reducing the amount of needed space.

When designing healthcare facilities, plan for the technology infrastructure needed to support future innovations. The ultimate design goal is the full integration of clinical and building systems (Koch, 2007). Use additional planning to convert vacated space after the new technology is implemented. One good example of how technology significantly reduces the need for space is the impact of an electronic medical record on the amount of space needed in the medical records department.

Precedents/Inspiration

St. Vincent’s One Nineteen Health & Wellness Center in Birmingham, AL



Saban Center for Health & Wellness in Woodland Hills, CA


The Betty Wallace Women’s Health Centre in Toronto, ON



Calobrace Cosmetic Surgery Center & Medical Spa in Louisville, KY


VENTURING INTO THE HEALTHCARE SPA

Issue Date: March 2004, Posted On: 3/1/2004

VENTURING INTO THE HEALTHCARE SPA

by KATIE HURLEY, PRESIDENT
Traditional hospital design revolved for years around the dual concepts of hospital “productivity” and healthcare business economics. A few years ago a third design criterion emerged: patient safety. Since then, healthcare has pushed in a new direction—patient-focused and based on the wellness model—with its own implications for design. Increasing numbers of healthcare seekers are turning away from the traditional models and toward wellness centers/spas, most of which offer self-care strategies, healthcare coaching, and medically endorsed health- and beauty-enhancement services, delivered in environments designed to foster peace and tranquility.
The spa/wellness movement is starting to appeal to traditional providers as a means of competitive survival and market enhancement. Along with this, healthcare designers are finding that they must reassess the phrase “healthy environments,” both as a concept and in detail.
That is the purpose of this article: to discuss and illustrate some of the concepts and the practical considerations behind healthcare spa design. While the overall goal is to create an environment inspiring feelings of physical well-being and mental peace, achieving this requires specific knowledge and a professional approach.
Concept
The spa treatment experience is often conceptualized as an airline trip. It starts with the departure, where you are received by an attendant, divest yourself of baggage, and proceed to the waiting area. Then there's the trip itself (treatment experienced in a very personal way), followed by the landing and the arrival, where you retrieve baggage and go on your way, hopefully feeling more relaxed for having arrived.
Detail
Each of the “way stations” in the spa experience has specific characteristics that make for success. Let's take them in order:
“Departure”: The waiting area will feature plants, artwork, water features, calming music, and warm lighting. Staff will offer a pleasant greeting and hassle-free admissions processing. Visitors should feel as though they are experiencing the comfort of home.
Preparation: All features are designed to appeal to the senses. Gowns, towels, and linens are fresh and soft; lighting is soft and low; color is used modularly, with earth tones shading from one area to the next; and signage is in large letters and easy to perceive. Bathrooms are fresh and clean, with a feeling of privacy. In corridors where natural light is available, the color of the light complements the floor and furniture, and shades become part of the décor . Even quieter music than before pervades the area.
Experience (Treatment) Area: The bed has crisp linens and soft comforters. Lighting is warm (figuratively, not literally; the “candles” often used are actually lighting fixtures with flicker-flame bulbs). Above the area is a “celestial ceiling” of eye-catching, soothing design. Music becomes even quieter and more calming.
Post-Experience: This area helps ease the visitor's “re-entry” into the world. Towels and robes are offered, and the visitor is encouraged to relax on a comfortable sofa or chair, perhaps read a magazine and, in general, unwind. Although floors are low-maintenance slate or cork throughout the spa, here they might be wood with a natural fiber overlay. Staircase carpeting in this area would be of complex, organic-appearing design, because patterns using boxes and squares don't work in this natural-seeming environment. In this area, the music tends to be more stimulating and uplifting.
“Arrival”: The area is full of energy and life, with cheerful music playing. The visitor's billing and product purchasing are all handled here, in a relaxed format, and prescriptions (if any) are gone over and explained. The visitor is ready for the outside world.

As I mentioned, there are plenty of extremely practical decisions that must be made in designing a successful spa. For example, patient comfort, climate control, and noise abatement are prime considerations in this environment. So, too, is moisture control and mold prevention, particularly with the prevalence of water features in this setting. One practical consideration regarding moisture control is ceiling design—a flat ceiling should be coved (or pitched downward) at one end to allow condensation to roll to the side and down the walls. For the sake of quiet, mechanical systems should be housed in the basement, if at all possible. But there are more specific aspects that must be considered for the mechanicals, electrical, and plumbing (MEP) when designing a typical spa. These include:

Mechanicals: Individualized HVAC controls from room to room and space to space are a given. Air circulation is critical, and exhaust air must be handled efficiently, with outlet ducts designed to maximize velocity and minimize noise, both from mechanical operations and from cross-talk between rooms. Having treatment rooms under negative pressure, with air handling using variable speed motors, helps to achieve both objectives. Air diffusers should be installed and positioned to prevent drafts and to remove condensation from glass features.
Electrical: Because much of the equipment in a spa has direct contact with human skin, hospital-grade outlets should be used to provide proper grounding. Switches should be moisture/corrosion-resistant. Color-corrected fluorescent and incandescent lighting with dimmers should be used to adjust for the spa experience, yet provide enough light for cleaning during off-hours. The use of pinkish lighting is encouraged where possible to enable patients to retain a healthy hue and avoid the grayish, washed-out look often created by traditional overhead lighting.
Plumbing: One feature that spas have adapted rather frequently from hospitals is so-called “no-hands” plumbing fixtures, using electronic sensors to flush toilets and turn water on and off. Toilets should be wall-attached, making it easier to clean around them. Temperature-mixing devices should be used on faucet and shower outlets to prevent scalding, and water pressure should be at 50 to 60 lbs/square inch to operate some water features.
Clearly, the spa environment makes unusual demands upon the designer/architect. But the difference from the traditional design challenge is really more of degree than of kind. Modern healthcare designers are no strangers to many of these patient-pleasing amenities, and should feel completely at home when helping their hospital clients plan and execute a wellness center/spa. HD
Katie Hurley is President of Spa Hospitality Worldwide, Miami.

Controls/Codes

Biophysical Needs:

HVAC
-To keep all three floors sterile and as clean as possible, a “Clean Air” filtration system will be installed.
-There will also be a purification system installed for water use in the spa and salon areas.
-There will also be programmable thermostats in every room throughout the building.

Mechanical System
-The mechanical system will need to be maintained and function consistently to provide users with a comfortable setting.

Lighting
-Utilize all of the natural light that is offered throughout the space
-Use energy efficient bulbs to conserve energy and automatic sensors to shut off lights when no one is in the room

Plumbing
-Use water efficient fixtures to conserve water

Electrical
-There will be an emergency backup system

Special Considerations
-Acoustical control for waiting rooms, fitness area, salon, spa, patient rooms, daycare, yoga & meditation

Technical Needs:

Security
-The entire building will need a security system with color CCTV (Camera) System
-Additional security measures will be taken in the pharmacy and lab areas
-Intercom throughout the building

Telecommunications
-Phone and data are required throughout the entire facility
-Facility needs to be wirelessly equipped


Audio/Visual
-General
-Sound Systems-Background Music
-Sound Systems-Function Music
-Fitness Area Sound
-Spa Sound Systems
-There will be individual audio control for individual rooms

Smart Technologies
-Facility-wide networking and storage to monitor treatments, analysis and records.

____________________________________
IBC 2006:

Section 304- Business Group B 304.1 Business Group B
Section 2701 & 2702- General & Emergency and Standby Power Systems
Section 2801 General Mechanical
Section 2902- General & Minimum Plumbing Facilities
Chapter 30-Elevators & Conveying Systems
Sections 3001: General
Section 3002: Hoistway Enclosures
Section 3003: Emergency Operations
Section 3004: Hoistway Venting
Section 3005: Conveying Systems
Section 3006: Machine Rooms
Section 3109: Swimming Pool Enclosures & Safety Devices
Section 417: Drying Rooms
Section 508: Mixed Use & Occupancy
Section 707: Shaft Enclosures
Section 719: Thermal & Sound-insulating Materials
Section 801: Interior Finishes General
Section 803: Wall & Ceiling Finishes
Section 804: Interior Floor Finish
Section 805: Combustible Materials in Type I & Type II Construction
Section 806: Decorative Materials & Trim
Section 903: Automatic Sprinkler Systems
Section 904: Alternative Automatic Sprinkler Systems
Section 907: Fire Alarm & Detection Systems
Section 908: Emergency Alarm Systems
Chapter 10: Means of Egress
Section 1001-1026
Chapter 11: Accessibility
Sections 1101-1110
Section 1204: Temperature Control
Section 1205: Lighting
Section 1207: Sound Transmission
Section 1209: Access to Unoccupied Spaces

Block Diagrams/Zoning

1st Floor


2nd Floor


3rd Floor

Adjacency Matrix/ Bubble Diagram

Adjacency Matrix


Bubble Diagram

Physical Requirements Continued



Physical Requirements





Total =41,300 sq. ft.
Circulation (20% of total) = 8,260 sq. ft.
Total with Circulation=49,560 sq. ft.