Healthcare Design - October 2013 - 76
engineered lumber girders and beams.
Because of those factors, the installation of systems such as heating,
ventilation and air conditioning ducts,
fire sprinklers, and lighting-as well as
data and security systems-all required
careful juggling.
Although the permitting process
called for the existing building to remain,
the design team suspected that once
demolition and construction began,
the structure would need substantial
augmentation or replacement in order to
conform to current design loading and
building codes. This suspicion proved
BEFORE
Sustainability and green
design
It was imperative that this facility
be a healthy and safe haven for
Visions patients, many of whom
suffer from severe sensitivity to
allergens, pollutants, and other
toxins found in the built environment. As such,
interior materials and finishes were selected to
minimize any volatile organic compounds or
Above: The rear of the building is clad in cement board
with metal reveals. Operable
windows in the offices allow
ventilation. The existing
elevator tower was re-clad
and the billboard rebranded
with the Visions HealthCare
message. Inset: The rear of
the building before renovation shows the elevator tower
on the left and its billboard,
which is viewed by hundreds
of thousands of commuters
each week. Left: The main
stair, which connects the
first floor medical waiting
area with the second floor
wellness waiting area, is
clad with a sustainable
bamboo material.
BENJAMIN CHEUNG
accurate, and the only portion of the
building that remained untouched was
the existing elevator core with its accompanying billboard.
Although the building is somewhat irregular
in shape, the interior layout is actually quite
repetitive, with exam rooms and offices all being constructed on a uniform module. It quickly
became apparent that utilizing panelized wood
construction (with floor, walls, and roof systems
constructed off-site and shipped via flatbed)
would offer the most economical and expeditious
means to construct the building within a tight
eight-month timeframe.
www.healthcaredesignmagazine.com 10.13
73
http://www.healthcaredesignmagazine.com
Healthcare Design - October 2013
Table of Contents for the Digital Edition of Healthcare Design - October 2013
Contents
Healthcare Design - October 2013 - Cover1
Healthcare Design - October 2013 - Cover2
Healthcare Design - October 2013 - 1
Healthcare Design - October 2013 - 2
Healthcare Design - October 2013 - 3
Healthcare Design - October 2013 - Contents
Healthcare Design - October 2013 - 5
Healthcare Design - October 2013 - 6
Healthcare Design - October 2013 - 7
Healthcare Design - October 2013 - 8
Healthcare Design - October 2013 - 9
Healthcare Design - October 2013 - 10
Healthcare Design - October 2013 - 11
Healthcare Design - October 2013 - 12
Healthcare Design - October 2013 - 13
Healthcare Design - October 2013 - 14
Healthcare Design - October 2013 - 15
Healthcare Design - October 2013 - 16
Healthcare Design - October 2013 - 17
Healthcare Design - October 2013 - 18
Healthcare Design - October 2013 - 19
Healthcare Design - October 2013 - 20
Healthcare Design - October 2013 - 21
Healthcare Design - October 2013 - 22
Healthcare Design - October 2013 - 23
Healthcare Design - October 2013 - 24
Healthcare Design - October 2013 - 25
Healthcare Design - October 2013 - 26
Healthcare Design - October 2013 - 27
Healthcare Design - October 2013 - 28
Healthcare Design - October 2013 - 29
Healthcare Design - October 2013 - 30
Healthcare Design - October 2013 - 31
Healthcare Design - October 2013 - 32
Healthcare Design - October 2013 - 33
Healthcare Design - October 2013 - 34
Healthcare Design - October 2013 - 35
Healthcare Design - October 2013 - 36
Healthcare Design - October 2013 - 37
Healthcare Design - October 2013 - 38
Healthcare Design - October 2013 - 39
Healthcare Design - October 2013 - 40
Healthcare Design - October 2013 - 41
Healthcare Design - October 2013 - 42
Healthcare Design - October 2013 - 43
Healthcare Design - October 2013 - 44
Healthcare Design - October 2013 - 45
Healthcare Design - October 2013 - 46
Healthcare Design - October 2013 - 47
Healthcare Design - October 2013 - 48
Healthcare Design - October 2013 - 49
Healthcare Design - October 2013 - 50
Healthcare Design - October 2013 - 51
Healthcare Design - October 2013 - 52
Healthcare Design - October 2013 - 53
Healthcare Design - October 2013 - 54
Healthcare Design - October 2013 - 55
Healthcare Design - October 2013 - 56
Healthcare Design - October 2013 - 57
Healthcare Design - October 2013 - 58
Healthcare Design - October 2013 - 59
Healthcare Design - October 2013 - 60
Healthcare Design - October 2013 - 61
Healthcare Design - October 2013 - 62
Healthcare Design - October 2013 - 63
Healthcare Design - October 2013 - 64
Healthcare Design - October 2013 - 65
Healthcare Design - October 2013 - 66
Healthcare Design - October 2013 - 67
Healthcare Design - October 2013 - 68
Healthcare Design - October 2013 - 69
Healthcare Design - October 2013 - 70
Healthcare Design - October 2013 - 71
Healthcare Design - October 2013 - 72
Healthcare Design - October 2013 - 73
Healthcare Design - October 2013 - 74
Healthcare Design - October 2013 - 75
Healthcare Design - October 2013 - 76
Healthcare Design - October 2013 - 77
Healthcare Design - October 2013 - 78
Healthcare Design - October 2013 - 79
Healthcare Design - October 2013 - 80
Healthcare Design - October 2013 - 81
Healthcare Design - October 2013 - 82
Healthcare Design - October 2013 - 83
Healthcare Design - October 2013 - Cover3
Healthcare Design - October 2013 - Cover4
https://www.nxtbook.com/emerald/healthcaredesign/202405
https://www.nxtbook.com/emerald/healthcaredesign/202404
https://www.nxtbook.com/emerald/healthcaredesign/202403
https://www.nxtbook.com/emerald/healthcaredesign/20240102
https://www.nxtbook.com/emerald/healthcaredesign/202312
https://www.nxtbook.com/emerald/healthcaredesign/202311
https://www.nxtbook.com/emerald/healthcaredesign/202310
https://www.nxtbook.com/emerald/healthcaredesign/202309
https://www.nxtbook.com/emerald/healthcaredesign/202308
https://www.nxtbook.com/emerald/healthcaredesign/20230607
https://www.nxtbook.com/emerald/healthcaredesign/202305
https://www.nxtbook.com/emerald/healthcaredesign/202304
https://www.nxtbook.com/emerald/healthcaredesign/202303
https://www.nxtbook.com/emerald/healthcaredesign/20230102
https://www.nxtbook.com/emerald/healthcaredesign/202212
https://www.nxtbook.com/emerald/healthcaredesign/202211
https://www.nxtbook.com/emerald/healthcaredesign/202210
https://www.nxtbook.com/emerald/healthcaredesign/202209
https://www.nxtbook.com/emerald/healthcaredesign/202208
https://www.nxtbook.com/emerald/healthcaredesign/20220607
https://www.nxtbook.com/emerald/healthcaredesign/202205
https://www.nxtbook.com/emerald/healthcaredesign/202204
https://www.nxtbook.com/emerald/healthcaredesign/202203
https://www.nxtbook.com/emerald/healthcaredesign/20220102
https://www.nxtbook.com/emerald/healthcaredesign/202112
https://www.nxtbook.com/emerald/healthcaredesign/202111
https://www.nxtbook.com/emerald/healthcaredesign/202110
https://www.nxtbook.com/emerald/healthcaredesign/202109
https://www.nxtbook.com/emerald/healthcaredesign/202108
https://www.nxtbook.com/emerald/healthcaredesign/202106
https://www.nxtbook.com/emerald/healthcaredesign/202105
https://www.nxtbook.com/emerald/healthcaredesign/healthcare-design-april-2021
https://www.nxtbook.com/nxtbooks/healthcaredesign/202103
https://www.nxtbook.com/nxtbooks/healthcaredesign/20210102
https://www.nxtbook.com/nxtbooks/healthcaredesign/202012
https://www.nxtbook.com/nxtbooks/healthcaredesign/202011
https://www.nxtbook.com/nxtbooks/healthcaredesign/202010
https://www.nxtbook.com/nxtbooks/healthcaredesign/202009
https://www.nxtbook.com/nxtbooks/healthcaredesign/202008
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200607
https://www.nxtbook.com/nxtbooks/healthcaredesign/202005
https://www.nxtbook.com/nxtbooks/healthcaredesign/202004
https://www.nxtbook.com/nxtbooks/healthcaredesign/202003
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201912
https://www.nxtbook.com/nxtbooks/healthcaredesign/201911
https://www.nxtbook.com/nxtbooks/healthcaredesign/201910
https://www.nxtbook.com/nxtbooks/healthcaredesign/201909
https://www.nxtbook.com/nxtbooks/healthcaredesign/201908
https://www.nxtbook.com/nxtbooks/healthcaredesign/20190607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201905
https://www.nxtbook.com/nxtbooks/healthcaredesign/201904
https://www.nxtbook.com/nxtbooks/healthcaredesign/201903
https://www.nxtbook.com/nxtbooks/healthcaredesign/201902
https://www.nxtbook.com/nxtbooks/healthcaredesign/201901
https://www.nxtbook.com/nxtbooks/healthcaredesign/201812
https://www.nxtbook.com/nxtbooks/healthcaredesign/201811
https://www.nxtbook.com/nxtbooks/healthcaredesign/201810
https://www.nxtbook.com/nxtbooks/healthcaredesign/201809
https://www.nxtbook.com/nxtbooks/healthcaredesign/201808
https://www.nxtbook.com/nxtbooks/healthcaredesign/20180607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201805
https://www.nxtbook.com/nxtbooks/healthcaredesign/201804
https://www.nxtbook.com/nxtbooks/healthcaredesign/201803
https://www.nxtbook.com/nxtbooks/healthcaredesign/201802
https://www.nxtbook.com/nxtbooks/healthcaredesign/201801
https://www.nxtbook.com/nxtbooks/healthcaredesign/201712
https://www.nxtbook.com/nxtbooks/healthcaredesign/201711
https://www.nxtbook.com/nxtbooks/healthcaredesign/201710
https://www.nxtbook.com/nxtbooks/healthcaredesign/201709
https://www.nxtbook.com/nxtbooks/healthcaredesign/201708
https://www.nxtbook.com/nxtbooks/healthcaredesign/201706
https://www.nxtbook.com/nxtbooks/healthcaredesign/201705
https://www.nxtbook.com/nxtbooks/healthcaredesign/201704
https://www.nxtbook.com/nxtbooks/healthcaredesign/201703
https://www.nxtbook.com/nxtbooks/healthcaredesign/201702
https://www.nxtbook.com/nxtbooks/healthcaredesign/201701
https://www.nxtbook.com/nxtbooks/healthcaredesign/201612
https://www.nxtbook.com/nxtbooks/healthcaredesign/201611
https://www.nxtbook.com/nxtbooks/healthcaredesign/201610
https://www.nxtbook.com/nxtbooks/healthcaredesign/201609
https://www.nxtbook.com/nxtbooks/healthcaredesign/201608
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201605
https://www.nxtbook.com/nxtbooks/healthcaredesign/201604
https://www.nxtbook.com/nxtbooks/healthcaredesign/201603
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201512
https://www.nxtbook.com/nxtbooks/healthcaredesign/201511
https://www.nxtbook.com/nxtbooks/healthcaredesign/201510
https://www.nxtbook.com/nxtbooks/healthcaredesign/201509
https://www.nxtbook.com/nxtbooks/healthcaredesign/201508
https://www.nxtbook.com/nxtbooks/healthcaredesign/201506
https://www.nxtbook.com/nxtbooks/healthcaredesign/201505
https://www.nxtbook.com/nxtbooks/healthcaredesign/201504
https://www.nxtbook.com/nxtbooks/healthcaredesign/201503
https://www.nxtbook.com/nxtbooks/healthcaredesign/201501
https://www.nxtbook.com/nxtbooks/healthcaredesign/201412
https://www.nxtbook.com/nxtbooks/healthcaredesign/201411
https://www.nxtbook.com/nxtbooks/healthcaredesign/201410
https://www.nxtbook.com/nxtbooks/healthcaredesign/201409
https://www.nxtbook.com/nxtbooks/healthcaredesign/201408
https://www.nxtbook.com/nxtbooks/healthcaredesign/201407
https://www.nxtbook.com/nxtbooks/healthcaredesign/201405
https://www.nxtbook.com/nxtbooks/healthcaredesign/201404
https://www.nxtbook.com/nxtbooks/healthcaredesign/201403
https://www.nxtbook.com/nxtbooks/healthcaredesign/201401
https://www.nxtbook.com/nxtbooks/healthcaredesign/201312
https://www.nxtbook.com/nxtbooks/healthcaredesign/201311
https://www.nxtbook.com/nxtbooks/healthcaredesign/201310
https://www.nxtbook.com/nxtbooks/healthcaredesign/201309
https://www.nxtbook.com/nxtbooks/healthcaredesign/201308
https://www.nxtbookmedia.com