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Group Health Bellevue Medical Center
, Bellevue, Washington; The new Group Health Bellevue Medical Center is the flagship facility serving the Group Health membership in east King County. Working with senior Group Health team members, the Ellerbe Becket-NAC|Architecture team developed a modular clinic design that provides daily flexibility in clinical assignment, clarity in patient treatment, and easy conversion to meet future needs. Based on a large universal exam room designed to strengthen the connection between patient and staff, the clinic module has been adopted as the standard for all future Group Health development. The 200,000-square-foot Group Health Bellevue Medical Center houses outpatient practices for Group Health physicians in more than 20 specialty areas, including cardiology, orthopedics, sports medicine, physical therapy, ophthalmology, dermatology, oncology, and women’s health. The center also features a 26,000-square-foot ambulatory surgery center and provides diagnostic imaging, laboratory and pharmacy services as well as a retail store for home medical products. Located on the Overlake Hospital Medical Center campus, Group Health’s Bellevue Medical Center has a direct pedestrian tunnel connection to the new 104-bed Overlake South Tower inpatient facility and emergency department for Group Health members requiring inpatient or emergency care. Parking is provided for 680 cars in a four-story garage below the building.
Kootenai Medical Center
, Coeur d'Alene, Idaho; An initial master planning process allowed Kootenai Medical Center to define their short-term and long-term capabilities and growth directions. Design and phased implementation are now meeting current patient needs, expanding inpatient and outpatient services, and adding new critical-care services to this regional medical center. The Phase I addition/renovation projects include: an open-heart surgery suite with two 700-square-foot cardiovascular operating rooms; a three-story addition housing the North Idaho Cardiac Care Center, North Idaho MRI and third-floor medical offices; second- and third-floor inpatient care remodel; and a fourth-floor inpatient care addition. Other Phase I projects include: a laboratory expansion, emergency department remodel, medical records/administration remodel, a 400-car parking garage, and a central physical plant addition to provide the mechanical and electrical infrastructure to accommodate current needs and future growth. The Cardiac Care/MRI Center includes two heart catheterization labs; 10 pre- and post-procedure patient rooms; and EKG, nuclear medicine, and echocardiogram procedure rooms. The North Idaho MRI is a 7,300-square-foot imaging center with two MR magnets and associated support services.
Highline Medical Center Birch Wing Addition
, Burien, Washington: NAC|Architecture designed the three-story Birch Wing, an addition to the existing hospital, to support a future vertical expansion of three additional floors. The Birch Wing houses a 27,000-square-foot Emergency Department on the main floor; a 21,500-square-foot, 31-bed Patient Care Unit for medical and cancer patients on the second floor; and a 27,000-square-foot parking garage on the lower level designed to be converted to Laboratory and Imaging departments in the future. The Emergency Department contains 32 private exam/treatment rooms, including two major-trauma response rooms. The Patient Care Unit has 21 private rooms and five semi-private rooms as well as generously proportioned family activity and waiting areas.
Kootenai Medical Center Women's & Children's Center
, Coeur d'Alene, Idaho; As a continuation of the master planning process started in 2001, NAC|Architecture is designing Kootenai Medical Center’s new Women’s & Children’s Center. This addition will significantly expand the obstetric and pediatric services in a three-story, 70,000-square-foot structure, connected to the main hospital via an underground service tunnel and second-floor sky bridge. The Women’s & Children’s Center will be located on the second and third floors, with an entry lobby on the first floor. The remainder of the first floor is shelled space and will serve as future patient rooms for KMC’s dialysis and oncology units.”+Chr(13)+Chr(13)+”The Women’s & Children’s Center includes 10 LDR rooms, 16 postpartum patient rooms, nine pediatric patient rooms, two C-Section ORs, an 11-bed Neonatal Intensive Care Unit, and three boarding rooms so mothers and families can remain near baby during NICU stays. The patient- and family-focused design keeps the family involved in the birthing experience and care. Elements include multiple waiting areas close to patient rooms, family-accessible nourishment rooms, large patient rooms to accommodate extended families, in-room sleeper bench with trundle bed for multiple family member night stays, bathing sinks in each LDR for families to experience baby’s first bath, and hotel amenities such as wireless Internet, flat-screen cable television, DVD players, video-game consoles and refrigerators.
PeaceHealth Ketchikan Medical Center
, Ketchikan, Alaska: The existing hospital is the sum of five separate building campaigns, undertaken over many years, resulting in a less than optimal arrangement of services constrained by aging infrastructure. The pragmatic task of the project was to provide new surgical facilities and significantly increase clinical office space to better serve the community and relieve pressure on the emergency department. The architectural task is to reconnect the hospital to its site and the patient’s and staff’s experience to their wider natural environment. The solution involves both a major new addition to the hospital and a reorganization of the internal departmental relationships. The existing hospital is largely indifferent to its natural setting. A small creek was buried to facilitate vehicle circulation and the building oriented to offer only occasional limited glimpses to the water or to the mountains. Any opportunity for a positive connection to the natural setting was unfulfilled, an unfortunate situation that the new design seeks to remedy. The “new” hospital will feature a creek at the main entry, and focused views to nature from the main public areas. The public waiting rooms, the healing garden, and the main waiting/admissions area physically connect the hospital to the scale and grandeur of the Tongass Narrows and the mountains of Gravina Island beyond, while the designed landscape provides sensory immediacy to the surrounding natural environment.
Highline Medical Center Cedar Wing Addition
, Burien, Washington; 2000 Top Ten Most Innovative Facilities in Healthcare Award, Center for Innovation in Health Facilities; Highline Medical Center adopted the Planetree philosophy of care as the hospital was being designed. This philosophy provided a clear conceptual direction for the design team. The Planetree philosophy strives to humanize, personalize and demystify healthcare. Believing that a patient's environment, and the surrounding architecture, can play a significant role in the healing process, Highline Medical Center set out to create an environment that fosters a positive, supportive and healthful experience for both patients and families. Quiet and active family rooms encourage family participation in the caregiving and healing process. Interior finishes and materials are selected specifically to de-institutionalize the hospital interior, while still meeting the rigorous standard required in a healthcare setting. Built on a steeply sloping site, the building takes advantage of the grade to create a separate entrance for the Childbirth Center, while creating a central atrium and healing garden for the use of patients and their families.
Benewah Medical Center
, Coeur d'Alene Tribe - Plummer, Idaho: The new, 50,000-sf Benewah Medical Center in Plummer, Idaho, is located on the Coeur d’Alene Indian Reservation. The center serves both tribal members and local community members, which is a unique model for a Tribal-owned community health center. Designed by NAC|Architecture to achieve LEED Silver, the building celebrates the Tribe’s relationship to the land, appearing to rise from the earth as a natural formation using natural materials from the local environment. A roof garden not only provides comfortable outdoor space for the staff and community, but also an expansion space for future growth. The Rotunda in the center of the building represents a gathering place for the community to come together to celebrate the culture and traditions of the Tribe.
Whitman Hospital and Medical Center
, Colfax, Washington; After completing an extensive master planning process and successful bond issue, Whitman Hospital and Medical Center proceeded with design and construction of a three-story, 48,000-square-foot acute care addition and 15,000-square-foot remodel of their existing facility. The project provides all-new acute care services, including a new emergency department with seven treatment rooms, two trauma bays, and separate ambulance and public entries; imaging department with CT, radiographic, fluoroscopy and MRI modalities; and an expanded laboratory and entry lobby. The third floor provides a new 25-bed patient care unit, including acuity-adjustable, LDRP and bariatric rooms. This patient-focused unit includes caregiver stations outside each patient room and in-room accommodations for family members. The remodeling converted existing hospital space to ancillary support functions, including admitting, business office, respiratory therapy, pharmacy and a conference center. This major addition ties the 1967 existing hospital to the 2002 Surgery Center, providing a cohesive facility that significantly enhances patient and staff flow, and separates patient-care circulation from public circulation. The addition faces the main approach roadway, presenting a new, welcoming image and front door in which the community can take pride.
Highline Medical Center Office Building & Cancer Center
, Burien, Washington; This 69,300-square-foot, three-story Medical Office Building (MOB) and Cancer Center is located on the campus of Highline Medical Center. The comprehensive Cancer Center occupies 24,600 square feet of the MOB; the balance of the space houses physicians' offices and other healthcare-related services. The project also includes a 235-stall parking structure. Northwest and Asian influences dominate the interior, creating a relaxing environment; the brick exterior matches the existing hospital. Consolidating all outpatient services under one roof, the state-of-the-art Cancer Center includes oncology physicians' offices, radiation therapy, chemotherapy, clinical research, complementary treatment options, and patient and family support services. The Center houses a Wellness Center with facilities for meditation and natural therapies, exercise classes, massage, and hot tub and sauna. Additional amenities include a retail shop, hair-loss resource center, Planetree Health Library, and outdoor healing garden.
Valley Hospital & Medical Center
, Spokane Valley, Washington; Implementation of the long-term master plan for Valley Hospital and Medical Center included designing major additions and remodels for the regional trauma and medical facility, redefining and rebuilding the existing building. The Phase I 54,000-square-foot addition and 28,000-square-foot remodel expand and reorient existing services to allow a separate focus between outpatient and inpatient services. Hospital services significantly reconfigured and expanded include: the emergency department, outpatient services, imaging, surgical services (including new operating rooms, post-anesthesia care, and recovery), central supply and a new education center. A 9,100-square-foot central physical plant centralizes all mechanical, electrical and telecommunications services in a single, separate facility and provides sufficient space to accommodate future expansion. A new warm and inviting outpatient lobby welcomes visitors and patients to the facility. Updated interiors throughout provide a contemporary patient-friendly environment.
InCyte Pathology Laboratory
, Spokane, Washington; This 26,000-square-foot pathology laboratory building is located on a new, undeveloped site in the Spokane Valley. InCyte Pathology performs pathology testing/evaluation for most of the area’s hospitals and special testing on specimens for other area laboratories. The new building includes a reception/waiting area, two conference rooms able to be combined via an operable wall, billing/business offices, pathologist offices, cytology (fluids) laboratory, histology (tissue) laboratory, grossing room, and storage and support areas.
Regional Medical Arts Pavilion
, Butte, Montana; St. James Healthcare and several medical groups partnered to bring this new medical office building (MOB) to fruition. The facility creates a medical campus for Butte, Montana, expanding the scope of healthcare services available in the southwest Montana region. The four-story, 65,700-square-foot structure joins to the existing hospital via a two-story connector, linking the MOB to the hospital’s main lobby for the convenience of patients, physicians and staff. An imaging center, an ambulatory surgery center, a laboratory and a number of physicians’ clinics are housed in the building. NAC|Architecture worked with the Butte-Silver Bow Historic Preservation Office to design the exterior as a contemporary medical facility that respects the historical character and materials of Butte. The building’s facade features masonry, metal and a glass curtainwall. Offering quality healthcare with convenient patient access, the MOB integrates multiple patient services in one centralized location. The architecture and interior design address the facility’s objective to create “one-stop healthcare shopping” in a patient- and family-friendly environment.
Holy Family Hospital, Surgery and Oncology Expansion and Central Medical Office Building Addition
, Spokane, Washington; This major addition dramatically expanded the Surgery Department, added a Medical Office Building and provided a contiguous connection to three separate hospital services. As defined by the Campus Master Plan, this completed Holy Family’s reorientation of all outpatient services to the north side of the campus. The 27,000-square-foot Surgery Department addition provides four 670-square-foot operating rooms and an 18-station PACU, and relocated the pre-operative and phase 2 post-operative rooms to serve both the inpatient and outpatient surgeries. This configuration also allows the pre- and post-operative rooms maximum flexibility as the patient population fluctuates during the day. The project also remodeled the Oncology Department to interface with the new outpatient orientation. A new four-story, 65,700-square-foot Medical Office Building, directly connected to the new hospital and new entry, provides physician clinical space on this side of the campus and continues the outpatient emphasis. The building’s exterior represents a new contemporary design that respects Holy Family Hospital’s existing materials and character.
Inland Northwest Blood Center
, Spokane, Washington; "Masonry lays groundwork for INBC’s future" by Dana Harbaugh; Located in downtown Spokane, the Inland Northwest Blood Center’s 59,000-square-foot building unites the blood center’s administrative offices, classroom and conference spaces, laboratory and mobile donation services on one site. State-of-the-art biomedical laboratory services within the building include a blood product collection lab, blood component lab, transfusion lab, and human leukocyte antigen (tissue-typing) lab complete with a positive-pressure DNA laboratory. The four-story, post-tensioned concrete structure is clad with brick, concrete block, ornamental precast concrete and glass, offering magnificent views of Riverfront Park, downtown Spokane and beyond. A four-stall garage – matching the building’s design – for the blood mobiles, and parking for 100 vehicles are located on-site. The first floor of the building houses donor spaces and blood processing labs as well as a large staging area for the center's mobile blood drives. Tissue labs, classroom and conferencing space, and administrative offices are located on the second floor. The third floor is home to the center's community services, human resources, business, and computer technology offices. To accommodate future expansion, the fourth floor remains undeveloped.
Spokane Integrated Medical Plaza
, Spokane, Washington; This five-story, 100,000-square-foot medical office building is located on the Deaconess Medical Center campus. The facility houses physician medical offices, physical therapy services and outpatient services, including an ambulatory surgery center and two imaging suites. A 395-stall parking garage adjacent to the office building allows direct access between these two structures. This very efficient plan on a compact city block captures usable tenant support space in the parking garage and achieves an 87% leasable efficiency factor in the overall building. The exterior architecture of brick veneer and metal panels bridges the transition between the historic Lewis and Clark High School neighborhood and the more institutional Deaconess campus. The facility is designed for maximum flexibility and medical technology interface, including fiber optics from each floor to Deaconess Medical Center.
, Spokane, Washington; This office/lab building addition consists of approximately 14,400 square feet on the first floor and 10,600 square feet on the second floor, for a total area of approximately 25,000 square feet. The first floor houses a 5,900-square-foot chemistry lab in the southern portion of the building. The remainder of the building provides a combination of offices, open office space, conference rooms, and support spaces. An open entry lobby and reception area serve as the new “front door” for the facility. A fast-track construction process was used to expedite building completion.
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