Healthcare Design - October 2015 - 31

© NBBJ/SEAN AIRHART

Upside-down design
Mark Ripple, an architect and principal at
Eskew+Dumez+Ripple, a co-design firm for the VA
project (the Studio NOVA joint venture team also
includes NBBJ and Rozas Ward Architects), says
all post-Katrina construction in New Orleans starts
with a conversation about elevation. Architects
typically look at a series of "lines," ranging from the
new BFE (base flood elevation) to the "Katrina line,"
which is where floodwaters touched in 2005. It's not
a matter of escaping all flooding but deciding what
level of flooding is acceptable and what services
can be lost. For example, both UMC and the VA
project are designed with sacrificial first floors that
don't house anything critical to patient care, such as
administrative office space, waiting areas, storage,
equipment, and minimal clinical space, to avoid
disruption in the case of flooding.
In contrast to typical hospital design, both
facilities are built in an "upside-down" fashion. Air
handlers are on the rooftops and generators are
connected to underground fuel tanks that allow
them to be refilled remotely. UMC New Orleans and
the VA medical center also feature raised emergency
room decks at an elevation of at least 20 feet, well
above the Katrina line. Liz Failla, project engineer for
the U.S. Department of Veterans Affairs, says during
high floods, the ED ramps at the VA facility can also
serve as boat launches for patient transport during
evacuations. "We saw during Katrina that you could

Top, left: UMC New Orleans can
withstand a Category 3 hurricane
and its design allows the facility to
operate up to seven days without
outside support or resources. The
medical center has a "floodable"
first floor that houses assets that
are noncritical to patient care.
Above: UMC New Orleans contains
1.3 million square feet devoted
to clinics that provide services
including oncology, heart and
vascular disease, stroke, urology,
trauma, and behavioral health
treatment. Left: With 2.3 million
square feet, the 446-bed UMC New
Orleans will be one of the largest
medical centers in the South.

HCDmagazine.com 10.15

31



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Healthcare Design - October 2015

Table of Contents for the Digital Edition of Healthcare Design - October 2015

Healthcare Design - October 2015
Contents
hcdmagazine.com
Editorial
Show Talk
Monitor
Interiors
The Center
Adapt and Overcome
Seeds of Change
Site Seeing
State of Mind
Research
Special Advertising Section: 2015 Landscape Design Portfolio
First Look
Healthcare Design - October 2015 - Healthcare Design - October 2015
Healthcare Design - October 2015 - Cover2
Healthcare Design - October 2015 - 1
Healthcare Design - October 2015 - Contents
Healthcare Design - October 2015 - 3
Healthcare Design - October 2015 - hcdmagazine.com
Healthcare Design - October 2015 - 5
Healthcare Design - October 2015 - Editorial
Healthcare Design - October 2015 - 7
Healthcare Design - October 2015 - Show Talk
Healthcare Design - October 2015 - 9
Healthcare Design - October 2015 - Monitor
Healthcare Design - October 2015 - 11
Healthcare Design - October 2015 - 12
Healthcare Design - October 2015 - 13
Healthcare Design - October 2015 - 14
Healthcare Design - October 2015 - 15
Healthcare Design - October 2015 - 16
Healthcare Design - October 2015 - 17
Healthcare Design - October 2015 - 18
Healthcare Design - October 2015 - 19
Healthcare Design - October 2015 - Interiors
Healthcare Design - October 2015 - 21
Healthcare Design - October 2015 - 22
Healthcare Design - October 2015 - 23
Healthcare Design - October 2015 - 24
Healthcare Design - October 2015 - 25
Healthcare Design - October 2015 - The Center
Healthcare Design - October 2015 - 27
Healthcare Design - October 2015 - Adapt and Overcome
Healthcare Design - October 2015 - 29
Healthcare Design - October 2015 - 30
Healthcare Design - October 2015 - 31
Healthcare Design - October 2015 - 32
Healthcare Design - October 2015 - 33
Healthcare Design - October 2015 - 34
Healthcare Design - October 2015 - 35
Healthcare Design - October 2015 - Seeds of Change
Healthcare Design - October 2015 - 37
Healthcare Design - October 2015 - 38
Healthcare Design - October 2015 - 39
Healthcare Design - October 2015 - 40
Healthcare Design - October 2015 - 41
Healthcare Design - October 2015 - Site Seeing
Healthcare Design - October 2015 - 43
Healthcare Design - October 2015 - State of Mind
Healthcare Design - October 2015 - 45
Healthcare Design - October 2015 - 46
Healthcare Design - October 2015 - 47
Healthcare Design - October 2015 - 48
Healthcare Design - October 2015 - 49
Healthcare Design - October 2015 - 50
Healthcare Design - October 2015 - 51
Healthcare Design - October 2015 - 52
Healthcare Design - October 2015 - 53
Healthcare Design - October 2015 - Research
Healthcare Design - October 2015 - 55
Healthcare Design - October 2015 - 56
Healthcare Design - October 2015 - 57
Healthcare Design - October 2015 - Special Advertising Section: 2015 Landscape Design Portfolio
Healthcare Design - October 2015 - 59
Healthcare Design - October 2015 - 60
Healthcare Design - October 2015 - 61
Healthcare Design - October 2015 - 62
Healthcare Design - October 2015 - 63
Healthcare Design - October 2015 - First Look
Healthcare Design - October 2015 - Cover3
Healthcare Design - October 2015 - Cover4
Healthcare Design - October 2015 - SCover1
Healthcare Design - October 2015 - S1
Healthcare Design - October 2015 - S2
Healthcare Design - October 2015 - S3
Healthcare Design - October 2015 - S4
Healthcare Design - October 2015 - S5
Healthcare Design - October 2015 - S6
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Healthcare Design - October 2015 - S9
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