PROJECT NAME Florida Hospi-
Article by Amy Eagle • Photography by Pete Burg*
Medical center’s unique design attracts community attention
PROFILE
»TRAFFICSTOPPER
PROJECT OVERVIEW
F
eaturing a glass-clad 12-story
tower, the new facility at Florida
Hospital Memorial Medical Center (FHMMC), Daytona Beach, Fla., is designed to increase the hospital’s presence
in the community, improve care and
create a better environment for patients,
*
tal Memorial Medical Center
The 12-story hospital
soars high into the sky
next to the interstate
highway, serving as
an identifiable icon
and providing instant
recognition and
accessibility.
PETE BURG FOR BURG PHOTOGRAPHIX
LOCATION Daytona Beach, Fla.
TOTAL FLOOR AREA
736,000 square feet
NUMBER OF FLOORS 12
NUMBER OF BEDS 277
PROJECT COST $270 million
CONSTRUCTION COST
$170 million
GROUNDBREAKING DATE
August 2006
OPENING DATE July 2009
PROJECT TEAM
OWNER Florida Hospital
Memorial Medical Center
ARCHITECT HuntonBrady
Architects
GENERAL CONTRACTOR
Robins & Morton
ENVIRONMENTAL CONSULTING
Professional Service
Industries Inc.
INTERIOR DESIGN AND MEDICAL
EQUIPMENT PLANNING
Parsons Corp.
MEP ENGINEERING TLC
Engineering for Architecture
STRUCTURAL ENGINEERING
Walter P Moore
LANDSCAPING HHI Design
families, physicians and hospital staff.
The hospital, designed by HuntonBrady
Architects, Orlando, Fla., replaces an existing facility originally built in 1967. “We really thought that in order for us to progress
as a hospital and provide state-of-the-art
technology and the best patient experience
that we could, we needed to build a new
facility,” says Darlinda Copeland, chief
operating officer at FHMMC.
Iconic design
Located along interstate 95, the replacement hospital has much greater visibility
than its predecessor, which Copeland
says was largely unknown outside its
immediate residential neighborhood.
The elliptical tower and distinctive signage that prominently displays the hospital logo are positioned perpendicular to the
interstate, to be seen for miles. “The ellipti-
cal shape was designed to be very iconic
and memorable, and the sign feature with
the logo was meant to enhance that presence,” says Paul Macheske, AIA, ACHA,
LEED AP, director of health care design
and associate principal at HuntonBrady.
Besides the inpatient tower, the facility
W W W. H F M M A G A Z I N E . C O M
|
M AY 2 0 1 0
|
13
MAKING
CONNECTIONS
PROFILE
includes a three-story diagnostic and treatment block
and a medical office building
that adjoins the hospital.
The entire facility is designed
to create a calming, noninstitutional, wellness-focused
impression, says Chuck Cole,
AIA, ACHA, health care design
principal and president at
HuntonBrady.
The three-story atrium lobby sets the tone for the building with stone floors; an expansive, wood-paneled wall;
and a view into the hospital’s
healing garden. Custom lighting is inset into the lobby wall
to create a soft glow at night.
HIGH-END CARE
Labor-delivery-recovery-postpartum
rooms include highend finishes and
equipment for infants that is concealed behind the
artwork headwalls.
Orientation and
wayfinding are simplified in the grand,
three-story lobby
and public concourse that connects inpatient and
outpatient services.
Healing environment
During the day, the building is
filled with natural light, from
the atrium to areas that do not
commonly see the light of day
in health care facilities, such
as the same-day surgery
department and the postanesthesia care unit.
“People who work in the OR
or in the recovery room typically work in a space with no
windows at all. We made sure
those kinds of areas had access
to windows, so the staff has access to natural light. That really
has helped with the morale of
our staff,” Copeland says.
Lounges for staff and family
members are located on each
patient unit at the far end of
the curved inpatient tower,
which has unobstructed exterior views. In the patient rooms,
floor-to-ceiling windows provide access to abundant natural light. “There’s a lot of research out there about natural
light and providing a healing
environment,” Copeland says.
Many patient rooms also
feature a view window so
nurses can monitor patients
closely when necessary.
According to Copeland, the
Florida Agency for Healthcare
Administration, a state licensing and regulatory agency,
requires view windows for
intensive care units only, but
the hospital included them in
Cost-conscious design leads
to operational efficiencies
T
« NATURE WATCH
In upper-level waiting
rooms and staff
lounges, floor-to-ceiling windows provide
views of adjacent
wetlands.
he new facility at Florida Hospital Memorial Medical Center was designed to be efficient both to build and to operate. Despite being built during a time of double-digit
construction price escalation, the project was completed for about $70 less per square
foot than the average price of hospital construction in the United States, according to project
architects.
Some of these savings were realized through the use of a precast concrete exterior. This material was chosen for its speed of erection and constructability, as well as its long-term durability.
The hospital’s compact footprint also accounts for much of the efficiency. The building
has a low skin-to-floor ratio, meaning there is
little exterior wall per square foot of building
area. This creates a very efficient floor plate.
The
facility
Additionally, each of the floors in the hospiframes a
tal’s 12-story tower is laid out the same, which
lush, landmade them more economical to build. The elecscaped
trical and communications rooms and other mecourtyard.
chanical spaces are stacked above one another
for greater efficiency. “As architects, we had to
understand high-rise building codes and how to
design efficiently in a high-rise environment,”
says Paul Macheske, AIA, ACHA, LEED AP, director of health care design and associate principal at HuntonBrady Architects, Orlando, Fla.
The building efficiencies dovetail nicely into operational efficiencies for the hospital. The compact footprint results in shorter walking distances for nurses; the identical floor layout enables
nurses to work on various floors of the hospital without having to learn a new layout for each.
The building was designed and built to allow for future efficiencies, as well. The hospital’s
diagnostic and treatment block is currently three stories tall but can accommodate up to eight
stories, for 300 additional beds. Two shelled floors at the top of the inpatient tower will hold
another 72 beds.
“The owner received a worthwhile investment in the future,” Macheske says. ■
many other patient rooms as a
safety measure. A nurse seated at a workstation between
two rooms can maintain a
view of two patients at once.
A large number of hand
washing sinks were installed
to help prevent the spread of
infection. Sinks are located in
every patient care area, from
inpatient rooms to ambulatory
surgery bays. “Wherever there
is a patient space, there is a
sink,” says Copeland. “That
was really important to us
when we built the facility.”
Process flow
The hospital departments are
organized for optimal process
flow. The third floor cardiovascular department, for instance,
includes all necessary services
for cardiovascular patients in
one location. Patients are
prepped, see their physician
and go straight to a procedure
room. “They never go to a
holding area because we find
that the more handoffs you
have from staff member to staff
member, that’s a chance for
medical error,” says Copeland.
The admission area,
catheterization lab, endovascular operating room, heart
surgery suite, cardiovascular
W W W. H F M M A G A Z I N E . C O M
|
M AY 2 0 1 0
|
15
SPEC SHEET
PRINCIPAL DESIGN MATERIALS Carpet and carpet tile: Interface Inc.
Scheduling allows for latest
in imaging technology
intensive care and step-down
unit are aligned in a counterclockwise fashion, so patients
never have far to travel,
especially in an emergency.
Each of the 53 beds in the
emergency department has
monitoring capabilities for an
intensive care patient. Three
of these are reserved for trauma and seriously ill patients;
the rest can be assigned to
any patient without regard to
acuity. As a result, the hospital
is able to maintain a fiveminute limit from when a person signs in to when he or she
is placed in a treatment bay.
The ED nurses’ station is positioned with clear sight lines
to the ambulance and pedestrian entrances. The department
is horizontally aligned with the
imaging department and laboratory, and vertically aligned
with the surgical, cardiovascular and birth care centers.
Patients can be taken quickly
to the appropriate care area.
All of the hospital’s operating rooms are a spacious 600
square feet, to provide room
for specialty equipment and
16
|
M AY 2 0 1 0
|
large surgical teams. Soft space
in the large central sterile core
can later be used to create
larger ORs or additional control
spaces for imaging environments within the surgical suite.
‘Design does matter’
Since the new hospital opened,
Copeland says physicians who
W W W. H F M M A G A Z I N E . C O M
had left the old facility have
come back, both because they
wanted to work in the new
environment and because their
patients encouraged them to
practice there.
Patient satisfaction scores,
as measured by the national
Hospital Consumer Assessment of Healthcare Providers
and Systems survey, have
risen to the 90th percentile.
“It’s evidence that design does
matter,” Macheske says. HFM
Amy Eagle is a Homewood, Ill.-based freelance writer and contributor to Health Facilities Management.
REST AND RECOVERY
A “one-stop shop”
for outpatient surgery, same-day surgery and endoscopy
patients features a
large, open nurses’
station to maximize
visibility of recovering patients.
Ceiling: Armstrong World Industries Inc. Curtain wall framing and
glass: Harmon Inc. Door hardware: Schlage Doors: Algoma Hardwoods Inc. (wood) and Kawner (aluminum) Flooring: Armstrong World
Industries Inc. (sheet vinyl and vinyl composition tile) and Daltile (granite and porcelain tile) Lighting: Philips Lightolier Paint: PPG Industries
Plumbing accessories: Chicago Faucets, Elkay Manufacturing Co. and
ProFlo Plumbing fixtures: Kohler Co. Roofing: Soprema Inc. Signage:
ASI Sign Systems Inc. Wall coverings: D.L.Couch Window treatments: MechoShade Systems Inc. PRINCIPAL FURNISHINGS Cafeteria
seating: Source International Corp. Cafeteria tables: HON Conference
tables: HON and Knoll Inc. Headwalls: Modular Services Co. Lounge
and patient room seating: Krug Office desks, files and shelving: Knoll
Inc. Office seating: Stylex Patient beds and over-bed tables: Stryker
MAJOR MEDICAL EQUIPMENT Computed tomography and catheterization
laboratory: General Electric Co. and Siemens Corp. Magnetic resonance imaging and cytoscopy: Siemens Corp. Radiation/fluoroscopy:
General Electric Co. Sterilization and operating room lights/booms:
Steris Corp. Cardiovascular operating room lights/booms: Stryker
INFRASTRUCTURE Boilers: Cleaver-Brooks Inc. Building management
system: Siemens Corp. Chillers: York by Johnson Controls Electrical
equipment: ASCO Power Technologies and Schneider Electric Elevators: Schindler Management Ltd. Fire safety: Firetrol Protection Systems Inc. (fire pump controller), Peerless Pump Co. (fire pump) and
Siemens Corp. (fire alarm) Generator: Caterpillar HVAC (misc.):
Busch (vacuum pump), Evapco (cooling towers), Enviro-Tec by Johnson
Controls (terminal units), Powerex Inc. (medical air compressor), Veeder-Root Company (fuel oil management) and York by Johnson Controls
(air handling units) Nurse call: Hill-Rom Pneumatic tube: Swisslog
Security: IDenticard Systems and Rauland-Borg (infant security)
PROFILE
A CLEAR VIEW
A spacious main
nurses’ station
maximizes visibility
and quick response
throughout the
facility’s emergency
department.
Information provided by HuntonBrady.
T
o provide the latest in patient care and make the most
of a significant, long-term investment in high-tech medical equipment, hospitals need to make purchasing decisions for the radiology department as close to the opening of a
new facility as possible. But designers and building professionals need final equipment specifications to complete their work.
To ease this inevitable tension at Florida Hospital Memorial
Medical Center (FHMMC), the first floor radiology department was
left unfinished until about six months before the hospital opened.
“We basically built a temporary wall around the radiology department area, left the concrete floor slab unpoured and coordinated all the infrastructure around it,” says Angel Colon, project
manager from the Orlando, Fla., office of construction management firm Robins & Morton. The builders provided utility services to other areas as construction progressed.
Because construction spanned nearly three years, the hospital gained a substantial amount of time for equipment selection.
The out-of-sequence work required careful planning and coordination. The main trunks of ductwork, major utilities and medical gas lines were stubbed out for later connection. Moisture in
the area was monitored and controlled to ensure the open slab
did not affect finishes in the rest of the facility. Some of the excavation was completed by hand or mini-excavator.
Robins & Morton used previous experience, generic vendor
drawings and cost escalation projections to establish a construction budget in the absence of specific vendor drawings and specifications for the major radiology equipment. They scheduled all
work with the owner, architect and subcontractors to allow time
for the final design, engineering, state approval and construction
process to be completed once the equipment was selected.
Darlinda Copeland, FHMMC’s chief operating officer, says this
approach enabled the hospital to buy the latest equipment to
serve the community, including a 64-slice, dual-source computed tomography scanner. ■
ESC Inc.
Qtr page ad
W W W. H F M M A G A Z I N E . C O M
|
M AY 2 0 1 0
|
17