Medical Construction & Design

MAR-APR 2018

Medical Construction & Design (MCD) is the industry's leading source for news and information and reaches all disciplines involved in the healthcare construction and design process.

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22 Medical Construction & Design | M A RCH /A PR IL 2018 | MCDM AG.COM pediatric inpatient and emergency care in the region, has a structural system that exceeds code-required seismic standards. Its patient rooms were planned and tested by clinical teams to provide double capacity during an emergency. The emer- gency department includes a potential quarantine unit that can be physically separated, while maintaining discrete airfl ow in case of infectious pandemics. Seattle Children's has also improved the longevity, energy effi ciency and resilience of older, main-campus infrastructure. "Ready, ride out, recover" is the mantra at Houston Methodist Hospital where the resilience design aspects of its buildings and infrastructure allowed the facility to remain in continued operation and receive patients throughout the Hurricane Harvey experience. AEI was the mechanical, electrical and plumbing contractor for the Houston Methodist Research Institute, and has undertaken multiple energy and utility infrastructure projects for the cam- pus to ensure it functions during disaster- scale climate events. In British Columbia, the Provincial Health Services Authority opened the Teck Acute Care Centre in October 2017. This 640,000-square-foot facility is expected to earn 2009 LEED Canada for New Construction Gold certifi cation and is the healthcare industry's latest example of resilience design that is far more expan- sive and protective than what is mandated through stringent code requirements. Serving the most seriously ill children and complex obstetrical patients in its region, this facility includes an emergency department, imaging and procedural suites, hematology and oncology departments, a high-risk birthing suite, neonatal and pedi- atric intensive care units. This owner's keen commitment to resil- ience spurred many creative design solu- tions. For example, the ambulance canopy can be quickly converted into a three-lane mass decontamination shower with zones for undressing, showering and dressing. A majority of the inpatient rooms have dou- ble headwall capacity to provide for surge populations. Six patient wings can be easily converted into negative pressure pandemic outbreak control zones. A conference room is fi tted with equipment and storage that anticipates its conversion into an opera- tions hub during an emergency. Sustainability at core of disaster planning Though separate from resilience, sustainability was a key project objective. Sustainability features reduce resource needs — energy and water — in immediate post-disaster operations. This eases the burden of operating during a disruptive event and, during normal operating conditions, off ers the benefi t of reduced utility costs and greenhouse gas emissions. TACC is highly energy effi cient and its plant is sized to accommodate a 15-percent increase in demand to respond to changes in use over time and the potential for gradual temperature shifts in the future. Water usage has been reduced through the application of plumbing fi xtures that use 35 percent less water than typical and an air- cooled chiller/heat recovery system that eliminates the need for water use in cool- ing. These features combine to make the goal of uninterrupted water supply during a disaster achievable. During regular operations, TACC's de- sign elements help minimize stress through enhanced wayfi nding, by evoking natural elements that help orient and provide a sense of place and regional context, and through positive distraction. Direct natural light is abundant throughout, as are vistas of outdoor landscaping. Patient and staff - accessible gardens on levels fi ve, six and eight emphasize calmness and contempla- tion to enhance the healing process. These same elements could instill patients and staff with some semblance of normalcy during a prolonged event. The use of Lean design principles en- able more effi cient healthcare delivery and building circulation, maximizing the qual- ity of patient care during normal opera- tions and in post-disaster scenarios. The owner's investment in integrated facility design during programming ensured a high degree of effi ciency in the confi guration of clinical facilities, including an emphasis on corridor effi ciency, reduced travel distanc- es and separation of fl ows. Universal guidance While the design of the facility is unique to its location, many of its solutions and in- sights are transferable to other healthcare facility designs, regardless of location and climate. These include: 1. Applying valuable standards and guid- ance from other jurisdictions where the subject jurisdiction's structure is lacking. For example, water storage to provide for

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