Healthcare Design - November 2016 - 110

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mine how to reduce costs within his/her specific discipline, the entire team
collaborated in all-day workshops at the end of each phase to brainstorm
ideas, solve budget issues, and identify opportunities to incorporate key
items.
Some outcomes of the process included:
* Instead of importing aggregate base for paving from a quarry, existing
on-site rock was processed to meet requirements.
* The finish floor elevation was raised by 5 feet more than originally intended in order to reduce the amount of rock excavation necessary over
the pad footprint of 40 acres.
* By evaluating fuel system needs, the team was able to use just one fuel
type, thereby requiring only one underground fuel storage tank.
* Additional savings were also realized by moving an education center
from the hospital (where construction costs would have been more expensive) into the medical office building.
S C R U T I N I Z I N G VA L U E - B A S E D D E C I S I O N S

0/0

A B OV E : The new replace-

ment hospital at SSM
Health St. Mary's Hospital
in Jefferson City, Mo., sits
on a 110-acre greenfield
site and includes extensive
landscaping, views of
the city, and walking
trails. The replacement
hospital connects to a
66,000-square-foot medical office building that
houses a retail pharmacy
and outpatient services.
B E L OW: The 172-bed
patient tower features private rooms and decentralized nursing with smaller
huddle areas and charting
stations at each room.

The planning and communication structure put in place created an environment where no project phase moved forward without full budget compliance from each team member.
For example, after conducting an analysis of the patient population, the
team recommended moving away from a budget item to add a patient lift
system to every room and instead only added a lift rail that would support a
mobile system that could be moved from room to room, achieving a significant savings. Another example is the decision to use impact-resistant drywall with minimal wall protection in patient room corridors. By using this
higher-quality acoustical drywall rather than two layers of regular drywall,
the team reduced installation expenses for a more cost-effective solution.
Incorporating easily maintainable finishes
also optimized future value for the project,
NO BUDGET PHASE MOVED
such as installing rubber flooring in patient
care areas. Staff and back-of-house areas
FORWARD WITHOUT FULL
have either no-wax sheet vinyl or stained
BUDGET COMPLIANCE FROM
concrete so that no flooring finish requires
wax. LED lighting was also used to the extent
EACH TEAM MEMBER.

110

NOVEMBER 2016

HCDMAGAZINE.COM

possible. Throughout the process, products and
materials were evaluated by their life-cycle costs
rather than initial expenditures alone.
A highly scrutinized design feature is the
building 's curved bed tower. While the team
liked the aesthetic of the curve, some project
members proposed replacing it with a more
traditional design to save money. Considerations included that a long corridor would
create a tunnel effect, while the curve eclipses
the view and minimizes the feeling of distance
while still providing the same visibility to patients. Its orientation also effectively blocks
northerly winds in the public outdoor spaces.
Careful layout considerations were managed
efficiently through 3-D modeling software
and advanced electronic layout equipment.
Through discussions and evaluation, it was
determined that the positive effects of the
curve provided critical value to the project,
and only modest savings from being able to
prefabricate longer, larger pipe and ductwork
assemblies for a traditional layout would have
been available.
Medication distribution was another process that was studied and ultimately modified.
The design team worked with the clinical team
to determine whether to institute an inpatient
medication distribution program. Detailed
analyses were conducted of three alternatives:
a centralized model, inpatient room model, and
a decentralized model. Staff activity, nursing
benefits, rental costs, and pharmacy costs were
used to make the final selection of a decentralized model with three systems per 24 beds. To
further add value and offer flexibility, the space
and infrastructure were designed to easily accommodate a future meds drawer in each patient room.
The team sought to make efficient use of
space while still maintaining a healing environment for patients, staff, and visitors. Near the
end of schematic design, the team determined
that the 360-square-foot patient rooms could

ALISE O'BRIEN PHOTOGRAPHY

In Focus


http://www.HCDMAGAZINE.COM

Healthcare Design - November 2016

Table of Contents for the Digital Edition of Healthcare Design - November 2016

HEALTHCARE DESIGN - NOVEMBER 2016
CONTENTS
EDITORIAL
SHOW TALK
PHOTO TOUR
MEETING OF THE MINDS
POWER TRIO
GET SMART
WHAT ARE WE WAITING FOR?
HAVING IT ALL
HERE & NOW
WELCOME ADDITION
FIVE BUILDING BLOCKS OF WAYFINDING
FINANCIAL MATTERS HEALTHY SAV-INGS
PRODUCT SPOTLIGHT DINING
THE CENTER
AIA-AAH
Healthcare Design - November 2016 - HEALTHCARE DESIGN - NOVEMBER 2016
Healthcare Design - November 2016 - Cover2
Healthcare Design - November 2016 - 1
Healthcare Design - November 2016 - 2
Healthcare Design - November 2016 - CONTENTS
Healthcare Design - November 2016 - 4
Healthcare Design - November 2016 - 5
Healthcare Design - November 2016 - 6
Healthcare Design - November 2016 - 7
Healthcare Design - November 2016 - 8
Healthcare Design - November 2016 - EDITORIAL
Healthcare Design - November 2016 - SHOW TALK
Healthcare Design - November 2016 - 11
Healthcare Design - November 2016 - PHOTO TOUR
Healthcare Design - November 2016 - 13
Healthcare Design - November 2016 - 14
Healthcare Design - November 2016 - 15
Healthcare Design - November 2016 - 16
Healthcare Design - November 2016 - 17
Healthcare Design - November 2016 - 18
Healthcare Design - November 2016 - 19
Healthcare Design - November 2016 - 20
Healthcare Design - November 2016 - MEETING OF THE MINDS
Healthcare Design - November 2016 - 22
Healthcare Design - November 2016 - 23
Healthcare Design - November 2016 - POWER TRIO
Healthcare Design - November 2016 - 25
Healthcare Design - November 2016 - 26
Healthcare Design - November 2016 - 27
Healthcare Design - November 2016 - 28
Healthcare Design - November 2016 - 29
Healthcare Design - November 2016 - 30
Healthcare Design - November 2016 - 31
Healthcare Design - November 2016 - 32
Healthcare Design - November 2016 - 33
Healthcare Design - November 2016 - GET SMART
Healthcare Design - November 2016 - 35
Healthcare Design - November 2016 - 36
Healthcare Design - November 2016 - 37
Healthcare Design - November 2016 - 38
Healthcare Design - November 2016 - 39
Healthcare Design - November 2016 - 40
Healthcare Design - November 2016 - 41
Healthcare Design - November 2016 - 42
Healthcare Design - November 2016 - 43
Healthcare Design - November 2016 - WHAT ARE WE WAITING FOR?
Healthcare Design - November 2016 - 45
Healthcare Design - November 2016 - 46
Healthcare Design - November 2016 - 47
Healthcare Design - November 2016 - 48
Healthcare Design - November 2016 - 49
Healthcare Design - November 2016 - 50
Healthcare Design - November 2016 - 51
Healthcare Design - November 2016 - 52
Healthcare Design - November 2016 - 53
Healthcare Design - November 2016 - 54
Healthcare Design - November 2016 - 55
Healthcare Design - November 2016 - 56
Healthcare Design - November 2016 - 57
Healthcare Design - November 2016 - HAVING IT ALL
Healthcare Design - November 2016 - 59
Healthcare Design - November 2016 - 60
Healthcare Design - November 2016 - 61
Healthcare Design - November 2016 - 62
Healthcare Design - November 2016 - 63
Healthcare Design - November 2016 - 64
Healthcare Design - November 2016 - 65
Healthcare Design - November 2016 - 66
Healthcare Design - November 2016 - 67
Healthcare Design - November 2016 - 68
Healthcare Design - November 2016 - 69
Healthcare Design - November 2016 - HERE & NOW
Healthcare Design - November 2016 - 71
Healthcare Design - November 2016 - 72
Healthcare Design - November 2016 - 73
Healthcare Design - November 2016 - 74
Healthcare Design - November 2016 - 75
Healthcare Design - November 2016 - 76
Healthcare Design - November 2016 - 77
Healthcare Design - November 2016 - 78
Healthcare Design - November 2016 - 79
Healthcare Design - November 2016 - 80
Healthcare Design - November 2016 - 81
Healthcare Design - November 2016 - 82
Healthcare Design - November 2016 - 83
Healthcare Design - November 2016 - 84
Healthcare Design - November 2016 - 85
Healthcare Design - November 2016 - 86
Healthcare Design - November 2016 - 87
Healthcare Design - November 2016 - 88
Healthcare Design - November 2016 - 89
Healthcare Design - November 2016 - 90
Healthcare Design - November 2016 - 91
Healthcare Design - November 2016 - WELCOME ADDITION
Healthcare Design - November 2016 - 93
Healthcare Design - November 2016 - 94
Healthcare Design - November 2016 - 95
Healthcare Design - November 2016 - 96
Healthcare Design - November 2016 - 97
Healthcare Design - November 2016 - FIVE BUILDING BLOCKS OF WAYFINDING
Healthcare Design - November 2016 - 99
Healthcare Design - November 2016 - 100
Healthcare Design - November 2016 - 101
Healthcare Design - November 2016 - 102
Healthcare Design - November 2016 - 103
Healthcare Design - November 2016 - 104
Healthcare Design - November 2016 - 105
Healthcare Design - November 2016 - 106
Healthcare Design - November 2016 - 107
Healthcare Design - November 2016 - 108
Healthcare Design - November 2016 - FINANCIAL MATTERS HEALTHY SAV-INGS
Healthcare Design - November 2016 - 110
Healthcare Design - November 2016 - 111
Healthcare Design - November 2016 - 112
Healthcare Design - November 2016 - 113
Healthcare Design - November 2016 - PRODUCT SPOTLIGHT DINING
Healthcare Design - November 2016 - 115
Healthcare Design - November 2016 - 116
Healthcare Design - November 2016 - 117
Healthcare Design - November 2016 - 118
Healthcare Design - November 2016 - 119
Healthcare Design - November 2016 - 120
Healthcare Design - November 2016 - 121
Healthcare Design - November 2016 - 122
Healthcare Design - November 2016 - THE CENTER
Healthcare Design - November 2016 - 124
Healthcare Design - November 2016 - AIA-AAH
Healthcare Design - November 2016 - 126
Healthcare Design - November 2016 - 127
Healthcare Design - November 2016 - 128
Healthcare Design - November 2016 - 129
Healthcare Design - November 2016 - 130
Healthcare Design - November 2016 - 131
Healthcare Design - November 2016 - 132
Healthcare Design - November 2016 - 133
Healthcare Design - November 2016 - 134
Healthcare Design - November 2016 - 135
Healthcare Design - November 2016 - 136
Healthcare Design - November 2016 - 137
Healthcare Design - November 2016 - 138
Healthcare Design - November 2016 - 139
Healthcare Design - November 2016 - 140
Healthcare Design - November 2016 - 141
Healthcare Design - November 2016 - 142
Healthcare Design - November 2016 - 143
Healthcare Design - November 2016 - 144
Healthcare Design - November 2016 - Cover3
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