Medical Construction & Design

MAY-JUN 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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MCDM AG.COM | M AY/ J U N E 2018 | Medical Construction & Design 45 There are both macro and micro ele- ments to this concept of incorporating the landscape into the project. On the micro scale, it can be as simple as blurring the line between indoor and outdoor spaces by bringing in connections with the outdoors wherever possible. Looking beyond site borders, tying into the existing landscape and creating interconnected systems represents the macro side. At the macro level, it is key to examine how systems connect, and not to limit that analysis at the boundaries of the site itself. These systems could be part of the natural environment, such as a river, or even an urban environment, as the popula- tion increasingly shifts toward cities. Europeans have had success with hospitals in city centers, but this idea has been slow to catch on in the U.S. Placing hospitals in urban centers can have many benefi ts beyond mere convenience. Larger healthcare facilities provide jobs and programs to the community, which gives employees and their families a sense of ownership in the hospital and the com- munity. In one example of a natural environ- ment, a previous developer had used 70 feet of fi ll on one side of a sloped site. Inspection of the site revealed the previ- ous owner had installed a corrugated met- al pipe to bury the start of a stream. The stream was a tributary of the Alleghany River in Pittsburgh, Pennsylvania, which is part of the Mississippi River system. The discovery that this tiny stream was connected to the largest watershed on the continent informed the attitude of the project team, who sought to restore the hydrology and topography of the original site. Connection to something broader will inform the design for the site and potential for wellness. Interconnecting with community + sustainable infrastructure This systemic approach can also take diff erent forms, such as transportation systems that emphasize walking and Landscape: MV2 Photography, Inc. From top: Connecting to the landscape is fundamental to effective design. Successful integration includes thinking about the existing systems running through the site, the existing topography, hydrology, transportation and how to connect the new structure into its landscape. > Patient rooms that accentuate the use of natural daylight and provide views to the outside feel spacious and welcoming, even when designed with maximum effi ciency.

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