Shades of green

An­nual De­sign Award win­ners fea­ture sus­tain­abil­ity, func­tion­al­ity

Modern Healthcare - - SPECIAL FEATURE - An­dis Robeznieks View a photo gallery of this year's win­ning de­signs at mod­ern­health­­tos

Sus­tain­able de­sign and con­struc­tion—as well as ease of fa­cil­ity ac­cess for pa­tients and fam­i­lies— were com­mon el­e­ments that ran through the en­tries in Mod­ern Health­care’s 27th an­nual De­sign Awards com­pe­ti­tion. “I think it’s re­ally up­lift­ing and re­ally re­veal­ing,” says Aure­lio Posada, se­nior ar­chi­tec­tural de­signer with Hun­ton Brady of Or­lando, Fla., and one of the judges for this year’s com­pe­ti­tion. “Sus­tain­abil­ity is a big is­sue and a strong trend, and I think it is the right thing to do. It’s pleas­ing that’s the di­rec­tion ev­ery­one is tak­ing.”

Of the 105 en­tries, this year’ panel of judges se­lected 11 as wor­thy of a Mod­ern Health­care De­sign Award. Two re­ceived an Award of Ex­cel­lence, three re­ceived an Honor­able Men­tion and six re­ceived Ci­ta­tions.

Many of the win­ning en­tries were de­signed to the stan­dards set by the U.S. Green Build­ing Coun­cil’s Lead­er­ship in En­ergy and En­vi­ron­men­tal De­sign pro­gram, bet­ter known as LEED.

This in­cludes the two Award of Ex­cel­lence win­ners: the UC San Diego Health Sys­tem’s Sulpizio Car­dio­vas­cu­lar Cen­ter and New York-Pres­by­te­rian Hospi­tal/Columbia Univer­sity Med­i­cal Cen­ter’s Vi­vian and Sey­mour Mil­stein Fam­ily Heart Cen­ter. Both have al­ready been cer­ti­fied Gold, the sec­ond-high­est level in the LEED pro­gram.

Projects are awarded points for such things as ef­fi­cient en­ergy and wa­ter use, on-site re­new­able en­ergy gen­er­a­tion, re­cy­cling and the use of non­toxic build­ing ma­te­ri­als. Build­ings can achieve ba­sic LEED cer­ti­fi­ca­tion with a min­i­mum of 40 points, while those with higher sus­tain­abil­ity scores can be cer­ti­fied LEED Sil­ver (50 points), Gold (60 points) and plat­inum (80 points). Plat­inum cer­ti­fi­ca­tion is rare in health­care, with only two full hos­pi­tals and one par­tial hospi­tal ren­o­va­tion project achiev­ing that level.

“It’s very re­ward­ing that sus­tain­abil­ity has be­come one of the main driv­ers,” Posada says. “If peo­ple are not do­ing it to­day, they need to catch up.”

Ru­lon Stacey, pres­i­dent of the Univer­sity of Colorado Health sys­tem, Aurora, and an­other De­sign Awards judge, says he no­ticed how care was taken to pro­vide an easy jour­ney from the park­ing lot to the bed­side— and added that, in part, this was a re­sponse to health­care re­form.

“Or­ga­ni­za­tions built new fa­cil­i­ties based on ease of ac­cess and mak­ing the pa­tient visit more con­ve­nient,” Stacey ex­plains. “They asked how easy can pa­tients get in and out, and how can we meet the needs of pop­u­la­tion man­age­ment go­ing for­ward?”

Go­ing fur­ther, Stacey says this re­sponse was seen in de­signs of­fer­ing mul­ti­ple ac­cess points with “dif­fer­ent func­tions in dif­fer­ent places for dif­fer­ent peo­ple. The fu­ture is go­ing to be about of­fer­ing the right care in the right place, and some of­fered that bet­ter than oth­ers.”

En­tries were eval­u­ated by a panel of four judges based on de­sign ex­cel­lence, func­tional util­ity, flex­i­bil­ity and re­sponse to pa­tients and fam­i­lies. Judges were es­pe­cially im­pressed by the in­clu­sion of spa­ces and fa­cil­i­ties for fam­ily mem­bers in so many de­signs. “The in­te­gra­tion of fam­ily as part of heal­ing is key,” Posada says. In re­cent years, a grow­ing trend has been to blend—and maybe blur—the hospi­tal and hos­pi­tal­ity in­dus­tries, but Posada thinks it’s been over­done. “My ap­proach to hos­pi­tals is that they should not be per­ceived as a high-end ho­tel—and some of the lob­bies (of the en­tries) were like that and that ap­peals to some peo­ple,” he says. “You don’t go to a hospi­tal to feel like you’re in a re­sort. It’s be­come a cliche phrase, and it wa­ters down the se­ri­ous­ness of the health­care.” Stacey, how­ever, says the aim is to make pa­tients feel at home. “That goes to per­sonal pref­er­ence, and my pref­er­ence is less in­sti­tu­tion­al­ized is more,” he says. “You put peo­ple in an en­vi­ron­ment where the op­por­tu­nity to heal is en­hanced.”

While chil­dren’s hos­pi­tals and can­cer treat­ment cen­ters have been rec­og­nized as lead­ing the de­in­sti­tu­tion­al­iz­ing move­ment, this year the top en­tries were those that cen­tered on the heart: UC San Diego’s 151,000square-foot Sulpizio Car­dio­vas­cu­lar Cen­ter and the New York-Pres­by­te­rian Hospi­tal/Columbia Univer­sity Med­i­cal Cen­ter’s 165,000-square­foot Mil­stein Fam­ily Heart Cen­ter.

Chil­dren’s hos­pi­tals were still well-rep­re­sented among the award win­ners, in­clud­ing two of the three Honor­able Men­tions, the nex­thigh­est award. Those en­tries are the 1.07 mil­lion-square-foot King Ab­dul­lah Spe­cial­ized Chil­dren’s Hospi­tal planned for Jed­dah, Saudi Ara­bia; the 265,000-square-foot Kaiser Per­ma­nente Small Hospi­tal, Big Idea project de­signed for Lan­caster, Calif.; and the mas­sive 2.5 mil­lion­square-foot Sheikh Khal­ifa Med­i­cal City be­ing built in Abu Dhabi, United Arab Emi­rates, which in­cludes gen­eral, pe­di­atric and women’s hos­pi­tals all in one fa­cil­ity.

Six projects were rec­og­nized with Ci­ta­tion awards: the Lun­der Build­ing at Mas­sachusetts Gen­eral Hospi­tal, Bos­ton; Ann & Robert Lurie Chil­dren’s Hospi­tal of Chicago; Mercy Health-West Hospi­tal be­ing built in Cincin­nati; Pied­mont New­nan (Ga.) Hospi­tal; Roberts Pavilion at Cooper Univer­sity Hospi­tal, Cam­den, N.J.; and the UCLA Med­i­cal Build­ing, Santa Mon­ica, Calif.

TAKE­AWAY: Health­care ex­ecs plan­ning new or ren­o­va­tion projects should make by pa­tients ease of use and nav­i­ga­tion and their fam­i­lies high pri­or­i­ties in their de­sign plans.

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