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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building occupant needs during interrup- tion of municipal drinking water supply is an obvious concern, but most codes don't off er a measure of how much water to store (California code is an exception). 2. Planning for demand surge on emer- gency operations due to disruptive events and illnesses associated with climate change (e.g., an increase in pandemic outbreaks). These are provided for in every dimension of healthcare delivery, from facility access to emergency department operations, bed requirements, food and medicine supply and waste management. 3. Exploring redundant and resilience approaches with design of each system, capitalizing on those that off er a multitude of benefi ts. 4. Aggressively reducing energy use to ease the energy burden of operating during a disruptive event, while also reducing greenhouse gas emissions and utility costs during normal operation. With that, estab- lish operational islanding capabilities as a goal. This might be accomplished through onsite renewables and/or a combined heat and power system. While expensive, allow- ing parts of the building or campus to go dark might tip the scale to enable critical facility operation when the municipal elec- trical service fails. 5. Aggressively reducing water use to ensure the fi nancial viability of providing back-up water systems during an event. Target the biggest water consumer in a healthcare facility: the cooling system. Regardless of the strategies employed, reduced water use is also a fi nancial gain during normal operations. Last but not least, design for gradual changes in temperatures and precipitation. Typical energy modeling based on past and present conditions will not account for an- ticipated future climate changes. However, by incorporating climate scientists' model- ing of future temperature patterns, poten- tial impacts can be assessed and, where ap- propriate, addressed in design capacities. Modeled changes in precipitation patterns can also inform a hospital's approach to drainage and site design. Willa Small Kuh is the director of planning, building performance practice, with Affi liated Engineers' Madison, Wisconsin offi ce. Sean Lawler, P.E., is a mechanical engineering project manager with Affi liated Engineers' Seattle, Washington offi ce. Allyn Stellmacher, AIA, LEED AP, is a design partner with ZGF Architects' Seattle, Washington offi ce. A-8428-0318 ©2018 LATICRETE International, Inc. All trademarks shown are the intellectual properties of their respective owners. | 1.800.243.4788 SPARTACOTE ™ FLEX PURE ™ Clinical Plus Doc t o r s ' Off ice s Waiting R oom s High Traffic Areas Operating Roo m s g P a ti e nt Room s Ba thr oo m s Q Mitigates microbial growth Q Fast return to service Q Easy maintenance Q Dozens of colors and textures Q Safe, high traction flooring A Silver Ion, Antimicrobial Coating for Demanding Floors. During regular operations, Teck Acute Care Centre's design 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. Left: Inpatient rooms can have double headwall capacity to provide for surge populations.

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