Healthcare Design - November 2015 - 50


The warm orange hues
and themed artwork used
throughout the GOJO
Outpatient Surgery Center
represent a child's sandbox.
The waiting area features
lockers, vending machines,
and a surgery status board so
families can keep track of their
loved ones' progress.

50

HCDmagazine.com 11.15

throughout construction and sync the work of the
trades "as if cars in a train, so everyone is moving at
the same speed, as opposed to the traditional approach that is rush-hour traffic," Lichtig says. So, for
example, in the project control room, the strategy for
how the project would unfold was depicted down to
the daily level of planning required, so everyone knew
where the crew would be in the building on a particular day and what would be accomplished by the end
of the shift. "It's a whole production system where you
go from huge boulders in the planning process all the
way down to grains of sand," Lichtig says.
The sense of collaboration that the integrated
model achieved was evident in construction, as well.
In July 2013, as the team was preparing for a massive
foundation pour, Akron was hit by a 100-year rain
storm, washing a massive amount of material into the
excavated site, burying 100 feet of form work, footers,
and walls. "By 3 p.m. the next day, that area was
almost ready to pour again," Oaks says, noting the
laborers, carpenters, operating engineers, and every-

The surgery center was
designed to make routine,
uncomplicated surgeries as
convenient as possible for
families. It's a short walk
from the parking deck, and
families immediately go to an
exam room upon arrival. After
surgery, patients are transferred
to adjacent recovery rooms,
generally discharged within a
few hours.

BLAKE MARVIN/HKS INC.

be addressed in design," Zezulewicz says. "It was
phenomenal to watch the transition from 'I want' to
'we need.'"
Wins in the process included realizing that the
as-designed observation windows for the NICU unit
would be very expensive to construct and allowing
clinicians to choose an alternative solution that ended
up being better and less expensive. Additionally, the
team was able to recognize that a model designed to
increase throughput in the OR was completely wrong
and adjusted it before construction. Leaders also used
the mock-up space to identify immediate needs as
well as what areas might be shelled for buildout later,
reducing built space by about 30,000 square feet.
From the construction perspective, the approach-
especially the user workshops-were especially
fruitful. "Oftentimes we as constructors are given a set
of blueprints and a chunk of dirt or an existing building
and off we go to the races. These workshops made
what we were building more personal, because we
were interacting with the end users during the design
phase," says Patrick Oaks, project executive with
Welty (Akron, Ohio). "It wasn't just a building anymore;
it took on a life of its own."
Lean was used heavily throughout construction, as
well, including prefabrication of the NICU pods, patient
room bathrooms, and headwalls. But its less-common
uses included using a BIM model to design miles of
conduit and duct banks that had to be routed and
using the model to assemble them on-site in large
sections and crane them into place-making a task
expected to take more than 300 hours take only about
100. A drywall and metal stud contractor built exterior
wall panels in a warehouse and brought them to the
site, as needed, one example of the project's just-intime delivery model.
Another major ILPD concept adopted was the idea
of a pull production system to better level workflow


http://www.HCDmagazine.com

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

Healthcare Design - November 2015
Contents
HCD Online
Editorial
Monitor
The Center
The Retailing of Healthcare
Mixed Methods
Come Together
The Driver’s Seat
Generation Next
Going Deep
New Neighbor
Ready, Set, Show
Construction
Research
Special Advertising Section: Buyers Guide
Special Advertising Section: Project Watch
First Look
Healthcare Design - November 2015 - Healthcare Design - November 2015
Healthcare Design - November 2015 - Cover2
Healthcare Design - November 2015 - 1
Healthcare Design - November 2015 - Contents
Healthcare Design - November 2015 - 3
Healthcare Design - November 2015 - 4
Healthcare Design - November 2015 - 5
Healthcare Design - November 2015 - HCD Online
Healthcare Design - November 2015 - 7
Healthcare Design - November 2015 - Editorial
Healthcare Design - November 2015 - 9
Healthcare Design - November 2015 - 10
Healthcare Design - November 2015 - 11
Healthcare Design - November 2015 - 12
Healthcare Design - November 2015 - 13
Healthcare Design - November 2015 - Monitor
Healthcare Design - November 2015 - 15
Healthcare Design - November 2015 - 16
Healthcare Design - November 2015 - 17
Healthcare Design - November 2015 - 18
Healthcare Design - November 2015 - 19
Healthcare Design - November 2015 - 20
Healthcare Design - November 2015 - 21
Healthcare Design - November 2015 - 22
Healthcare Design - November 2015 - 23
Healthcare Design - November 2015 - 24
Healthcare Design - November 2015 - 25
Healthcare Design - November 2015 - 26
Healthcare Design - November 2015 - 27
Healthcare Design - November 2015 - The Center
Healthcare Design - November 2015 - 29
Healthcare Design - November 2015 - The Retailing of Healthcare
Healthcare Design - November 2015 - 31
Healthcare Design - November 2015 - 32
Healthcare Design - November 2015 - 33
Healthcare Design - November 2015 - 34
Healthcare Design - November 2015 - 35
Healthcare Design - November 2015 - 36
Healthcare Design - November 2015 - 37
Healthcare Design - November 2015 - 38
Healthcare Design - November 2015 - 39
Healthcare Design - November 2015 - 40
Healthcare Design - November 2015 - 41
Healthcare Design - November 2015 - Mixed Methods
Healthcare Design - November 2015 - 43
Healthcare Design - November 2015 - 44
Healthcare Design - November 2015 - 45
Healthcare Design - November 2015 - 46
Healthcare Design - November 2015 - 47
Healthcare Design - November 2015 - 48
Healthcare Design - November 2015 - 49
Healthcare Design - November 2015 - 50
Healthcare Design - November 2015 - 51
Healthcare Design - November 2015 - 52
Healthcare Design - November 2015 - 53
Healthcare Design - November 2015 - 54
Healthcare Design - November 2015 - 55
Healthcare Design - November 2015 - Come Together
Healthcare Design - November 2015 - 57
Healthcare Design - November 2015 - 58
Healthcare Design - November 2015 - 59
Healthcare Design - November 2015 - 60
Healthcare Design - November 2015 - 61
Healthcare Design - November 2015 - 62
Healthcare Design - November 2015 - 63
Healthcare Design - November 2015 - 64
Healthcare Design - November 2015 - 65
Healthcare Design - November 2015 - The Driver’s Seat
Healthcare Design - November 2015 - 67
Healthcare Design - November 2015 - Generation Next
Healthcare Design - November 2015 - 69
Healthcare Design - November 2015 - 70
Healthcare Design - November 2015 - 71
Healthcare Design - November 2015 - 72
Healthcare Design - November 2015 - 73
Healthcare Design - November 2015 - 74
Healthcare Design - November 2015 - 75
Healthcare Design - November 2015 - Going Deep
Healthcare Design - November 2015 - 77
Healthcare Design - November 2015 - 78
Healthcare Design - November 2015 - 79
Healthcare Design - November 2015 - 80
Healthcare Design - November 2015 - 81
Healthcare Design - November 2015 - New Neighbor
Healthcare Design - November 2015 - 83
Healthcare Design - November 2015 - 84
Healthcare Design - November 2015 - 85
Healthcare Design - November 2015 - 86
Healthcare Design - November 2015 - 87
Healthcare Design - November 2015 - 88
Healthcare Design - November 2015 - 89
Healthcare Design - November 2015 - 90
Healthcare Design - November 2015 - 91
Healthcare Design - November 2015 - 92
Healthcare Design - November 2015 - 93
Healthcare Design - November 2015 - Ready, Set, Show
Healthcare Design - November 2015 - 95
Healthcare Design - November 2015 - 96
Healthcare Design - November 2015 - 97
Healthcare Design - November 2015 - 98
Healthcare Design - November 2015 - 99
Healthcare Design - November 2015 - 100
Healthcare Design - November 2015 - 101
Healthcare Design - November 2015 - 102
Healthcare Design - November 2015 - 103
Healthcare Design - November 2015 - 104
Healthcare Design - November 2015 - 105
Healthcare Design - November 2015 - Construction
Healthcare Design - November 2015 - 107
Healthcare Design - November 2015 - 108
Healthcare Design - November 2015 - 109
Healthcare Design - November 2015 - Research
Healthcare Design - November 2015 - 111
Healthcare Design - November 2015 - 112
Healthcare Design - November 2015 - 113
Healthcare Design - November 2015 - Special Advertising Section: Buyers Guide
Healthcare Design - November 2015 - 115
Healthcare Design - November 2015 - 116
Healthcare Design - November 2015 - 117
Healthcare Design - November 2015 - 118
Healthcare Design - November 2015 - 119
Healthcare Design - November 2015 - 120
Healthcare Design - November 2015 - 121
Healthcare Design - November 2015 - 122
Healthcare Design - November 2015 - 123
Healthcare Design - November 2015 - 124
Healthcare Design - November 2015 - 125
Healthcare Design - November 2015 - 126
Healthcare Design - November 2015 - 127
Healthcare Design - November 2015 - 128
Healthcare Design - November 2015 - 129
Healthcare Design - November 2015 - 130
Healthcare Design - November 2015 - 131
Healthcare Design - November 2015 - 132
Healthcare Design - November 2015 - 133
Healthcare Design - November 2015 - 134
Healthcare Design - November 2015 - 135
Healthcare Design - November 2015 - 136
Healthcare Design - November 2015 - 137
Healthcare Design - November 2015 - 138
Healthcare Design - November 2015 - 139
Healthcare Design - November 2015 - 140
Healthcare Design - November 2015 - 141
Healthcare Design - November 2015 - 142
Healthcare Design - November 2015 - 143
Healthcare Design - November 2015 - 144
Healthcare Design - November 2015 - 145
Healthcare Design - November 2015 - 146
Healthcare Design - November 2015 - 147
Healthcare Design - November 2015 - 148
Healthcare Design - November 2015 - 149
Healthcare Design - November 2015 - 150
Healthcare Design - November 2015 - 151
Healthcare Design - November 2015 - 152
Healthcare Design - November 2015 - 153
Healthcare Design - November 2015 - 154
Healthcare Design - November 2015 - 155
Healthcare Design - November 2015 - 156
Healthcare Design - November 2015 - 157
Healthcare Design - November 2015 - 158
Healthcare Design - November 2015 - Special Advertising Section: Project Watch
Healthcare Design - November 2015 - 160
Healthcare Design - November 2015 - 161
Healthcare Design - November 2015 - 162
Healthcare Design - November 2015 - 163
Healthcare Design - November 2015 - 164
Healthcare Design - November 2015 - 165
Healthcare Design - November 2015 - 166
Healthcare Design - November 2015 - 167
Healthcare Design - November 2015 - First Look
Healthcare Design - November 2015 - Cover3
Healthcare Design - November 2015 - Cover4
Healthcare Design - November 2015 - AIA1
Healthcare Design - November 2015 - AIA2
Healthcare Design - November 2015 - AIA3
Healthcare Design - November 2015 - AIA4
Healthcare Design - November 2015 - AIA5
Healthcare Design - November 2015 - AIA6
Healthcare Design - November 2015 - AIA7
Healthcare Design - November 2015 - AIA8
Healthcare Design - November 2015 - AIA9
Healthcare Design - November 2015 - AIA10
Healthcare Design - November 2015 - AIA11
Healthcare Design - November 2015 - AIA12
Healthcare Design - November 2015 - AIA13
Healthcare Design - November 2015 - AIA14
Healthcare Design - November 2015 - AIA15
Healthcare Design - November 2015 - AIA16
Healthcare Design - November 2015 - AIA17
Healthcare Design - November 2015 - AIA18
Healthcare Design - November 2015 - AIA19
Healthcare Design - November 2015 - AIA20
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