PRESENTATION VILLAGE OF RIDGEWOOD 10 March, 2014
JAMES D. MAY, AIA, LEED AP Managing Principal, NE Regional Practice Leader Education Master of Architecture, Syracuse University Bachelor of Architecture, Drexel University Registrations Registered Architect: New Jersey, New York LEED Accredited Professional Professional Affiliations American Institute of Architects (AIA) The National Council of Architectural Registration Boards (NCARB) The U.S. Green Building Council (USGBC)
PERKINS+WILL HEALTHCARE Transformative spaces that promote health and wellness Perkins+Will named Firm of the Year by Healthcare Design Magazine AREAS OF EXPERTISE Academic Medical Centers Ambulatory Care + Outpatient Cancer Centers Children s Hospitals Community Hospitals Critical Access Hospitals Healthcare Planning + Strategies Medical Education Medical Office Buildings Senior Living + Hospice NOTABLE PROJECTS Rush University Medical Center Chicago, Illinois Kenya Women & Children s Wellness Centre Nairobi, Kenya Hospital Universitario San Vicente de Paul Rionegro, Medellín, Colombia The Johns Hopkins Hospital Baltimore, Maryland
JAMES D. MAY, AIA, LEED AP Managing Principal, NE Regional Practice Leader Relevant Experience New York University North Shore-LIJ Health System* North Shore-LIJ Health System* Memorial Sloan-Kettering Men s Health Center Southside Hospital Campus Renovation West Wing Project at Inpatient Oncology Center New York, New York Bayshore, New York North Shore University Hospital New York, New York Manhasset, New York Memorial Sloan-Kettering* Montefiore Medical Center* Mount Sinai Cancer Center Weiler Lobby Reorganization and renovation AtlantiCare - Atlantic City Medical Center* Neonatal Intensive Care Unit Infill Infrastructure and Montefiore Pain Management Project George F. Lynn Harmony Pavilion New York, New York Associated Fit-Out Projects: Bronx, New York Atlantic CIty, New Jersey - Anatomic Pathology Laboratory Mount Sinai - Interventional Platform North Shore-LIJ Health System* North Shore-LIJ Health System* Pediatric Intensive Care Unit - Pediatric Intensive Care Unit Steven and Alexandria Cohen Children s Katz Women s Hospital at North Shore New York, New York - Pediatrics Day Hospital Hospital of NY PICU University Hospital LEED-CI Gold - Mechanical Platform New Hyde Park, New York Manhasset, New York - Decating and Support Areas Long Island University New York, New York Pharmacology Lab Brooklyn, New York
HISTORY OF HEALTHCARE A timeline of change
MID 1700 S Almshouses 1000 beds+ Pennsylvania hospital of 1751 first to treat medical conditions Blockley Almshouse later became Penn Hospital 1751 Penn Hospital perkinswill.com 6
1800 S Nineteenth Century Hospitals Hospitals serve socially marginal or poor Middle class treated at home, even for surgery Mass General Hospital founded in 1811 1811 Mass General Hospital 1875 Gross Clinic surgery 1893 Emergency Ward at Penn Hospital perkinswill.com 7
EARLY1900 S Hospitals serve paying middle class Shift to expensive modern hospitals of technology and science By 1925, hospitals functioned with x- rays, laboratories and aseptic surgery Competition created by paying public 13 hospitals existed in major cities at beginning of twentieth century Early x-ray machine 1925 OR at Penn Hospital 1900 s Women s Inpatient ward John s Hopkins 1910 Newark City Hospital perkinswill.com 8
MID1900 S Demand surges 1947 Hill Burton Act provides funds for new & expanded hospitals NIH expands in 1950-1960 s 1965 Medicare and Medicaid established Intensive Care Units become prevalent 1955 first ICU at Dartmouth 1950 Surgery Children s Hospital Westmead perkinswill.com 9
1970 S 1980 S Comprehensive Care AHA lists 7,123 hospitals in 1970 Community hospital bed capacity up 32.7% from 10 years prior TB, Psych, and Long-term Care declined Community hospitals offer comprehensive and new technologies such as open heart surgery & radioisotope procedures 1980 s South Shore Hospital Patient Room 1970 s Jefferson Davis Hospital Nursery 1970 s Surgery 1970 s St. John Hospital Building perkinswill.com 10
1990 S TO 2010 Innovations Focus moves to outpatient services and ambulatory care centers Hospices and Nursing Homes created for chronically ill Focus on prevention instead of treatment w/ holistic medicine & coordination of care Rising costs force closures; focus on cost containment Univ of Miami Wellness Center Yawkey Center at Mass General Johns Hopkins Hopsital perkinswill.com 11
NOW AND FUTURE Change Affordable Care Act Telemedicine Patient-centered Medical Homes: physician as coach, providing holistic, 24 hr. access Consolidated patient information (finally) More perkinswill.com 12
HEALTH CARE TRENDS Impact facility growth 1. Health care systems will continue to expand their continuum-of-care services within the communities they serve 2. Baby Boomers are aging with high expectations which require more intensive services offerings even in the local community hospitals 3. Health care overhaul = more patients with insurance showing up at the emergency room door. perkinswill.com 13
PATIENT ROOMS Wards to semi-private rooms to private rooms Early 1900 s Mid 1900 s Now perkinswill.com 14
2010 FGI Guidelines for Design and Construction of Health Care Facilities 2.2-2.2 Medical/Surgical Nursing Unit 2.2-2.2.1 Reserved 2.2-2.2.2 Patient Room 2.2-2.2.2.1 Capacity (1) The maximum number of beds per room shall be one A P P E N D I X A2.2-2.2.2.2 (1) In new construction, single patient rooms should be at least 12 feet (3.66 meters) wide by 13 feet (3.96 meters) deep (or approximately 160 square feet, or 14.86 square meters) exclusive of toilet rooms, closets, lockers, wardrobes, alcoves, or vestibules. These spaces should accommodate comfortable furniture for family members (one or two) without blocking access of staff members to patients. Efforts should be made to provide the patient with some control of the room environment. perkinswill.com 15
OPERATING ROOMS Intro of Aseptic Surgery to Minimally Invasive Surgery to Hybrid Surgical Procedures Early 1900 s Mid 1900 s Now perkinswill.com 16
RADIOLOGY Intro of Radiology treatment to Modern Imaging Techniques to Hybrid Imaging Modalities Early 1900 s Mid 1900 s Now perkinswill.com 17
TECHNOLOGY OF TODAY AND THE NEAR FUTURE perkinswill.com 18
SITE COMPARISONS SUBTITLE perkinswill.com 19
VALLEY HOSPITAL Ridgewood, NJ 451 Beds Currently (454 Proposed) on ±15 Acres perkinswill.com 20
BINGHAMTON GENERAL HOSPITAL Binghamton, NY 500 Beds on ±10 Acres perkinswill.com 21
GENEVA GENERAL HOSPITAL Geneva, NY 477 Beds on ±20 Acres perkinswill.com 22
ELLIS HOSPITAL Schenectady, NY 432 Beds on ±14 Acres perkinswill.com 23
HUNTINGTON HOSPITAL Huntington, NY 289 Beds on ±14 Acres perkinswill.com 24
LONG BEACH MEDICAL CENTER Long Beach, NY 344 Beds on ±5 Acres perkinswill.com 25
HOLY NAME MEDICAL CENTER Teaneck, NJ 311 Beds on ±16 Acres perkinswill.com 26
SAINT VINCENT'S MEDICAL CENTER Bridgeport, CT 407 Beds on ±10 Acres perkinswill.com 27
Saint Vincent's medical center REGIONAL MAP HOSPITAL COMPARISONS
CURRENT PLANNING STANDARDS Relative to a 450 Bed Hospital 1.35 M Total Square Feet perkinswill.com 29
PRESENTATION VILLAGE OF RIDGEWOOD 10 perkinswill.com March, 2014 30