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Support Facilities department that would serve Greenwich Village as an adjunct to its fl agship hospital in Manhattan located uptown, Lenox Hill Hospital. The organization had identifi ed the former Joseph Curran Building as the place to locate this building type. However, the building was far from ready and two challenges were immediately apparent: > Development of a program for the fi rst freestanding ED to be constructed in Manhattan > Adaption of a unique building to serve a completely dif erent purpose than originally intended Unique requirements governed the planning of a freestanding emergency department, a building type not identifi ed in prevailing NYS Department of Health regulations. These requirements included the need to provide two 23-hour-stay patient rooms, enhanced diagnostics and an enlarged ambulance bay, including one position for a 24-hour standby ambulance to transfer high-acuity patients to a full- service hospital. The renovations needed to meet programmatic requirements neces- sitated a lengthy compliance process made more complicated by its location within a historic district. Another major planning challenge revolved around fi tting the orthogonal plan typical to healthcare programs into the S u p p o r t F ISSUE FOCUS The main space of the emergency department prominently features three ceiling planes that evoke a ship's sails, calling to mind the building's original use as a hiring hall for seamen. The ceiling in this section of the ED was restored to its original height. A 23-hour-stay exam room with the new glass block provides a subtle cue to the adaptive reuse of the origi- nal building. State-of-the-art computer monitors allow doctors and specialists or a patient's family to participate in a patient's diagnosis and care electronically and via Skype. L O C A T I O N : G R E E N W I C H V I L L A G E , N Y C > 2 6 E X A M R O O M S > 2 T R A U M A R O O M S 26 Medical Construction & Design | M A RCH /A PR IL 2015 | MCDM AG.COM