June Portfolio of Representative Work for Susan K. Stewart. Submission to the American College of Healthcare Architects

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Portfolio of Representative Work for Susan K. Stewart Submission to the American College of Healthcare Architects June 2008

Letters of Recommendation from Architects Patrick B. Davis, Jr., AIA, NCARB Healthcare Director Gresham Smith and Partners 3595 Grandview Parkway, Suite 300 Birmingham, Alabama 35243 Ross V. Amaro, AIA CLA Architects Incorporated 504 Brookwood Boulevard Birmingham, Alabama 35209 James M. Splawn James M. Splawn Architect, LLC 1509 South Smith Street, Suite C East Ridge, Tennessee 37412 Steven M. Alby, AIA Birmingham Healthcare Studio Director Gresham Smith and Partners 3595 Grandview Parkway, Suite 300 Birmingham, Alabama 35243

Letters of Reference from Clients Nan Priest Chief Strategy Officer and Sr. Vice President St. Vincent s Health System 3000 Galleria Tower Suite 1700 Birmingham, Alabama 35244 Charles Woosley Former Vice President of Ancillary Services Coosa Valley Medical Center 25 Willow Wood Alexander City, Alabama 35010 Vanessa C. Green Vice President Senior/ Support/ Marketing Division Coosa Valley Medical Center 315 West Hickory Street Sylacauga, Alabama Victoria W. Jones Vice President of Operations Jackson Hospital & Clinics, Inc. 1725 Pine Street Montgomery, Alabama 36106

Project Experience Examples Outpatient Diagnostic Imaging Center Fourth Floor, North Tower P.O.B. St. Vincent s Health System Birmingham Campus Birmingham, Alabama Neurosurgical Center Seventh Floor, North Tower P.O.B. St. Vincent s Health System Birmingham Campus Birmingham, Alabama West Wing Addition Phase Two Hospital Replacement Coosa Valley Medical Center Sylacauga, Alabama Outpatient Diagnostic Imaging Center Jackson Hospital and Clinic, Inc. Montgomery, Alabama Mountain View Medical and Rehabilitation Center Skilled Nursing Center Ball Healthcare North Birmingham, Alabama

St. Vincent s HEALTH SYSTEM Service Elevator/ Access Elec Mech Diamond designations along building perimeter indicate break out windows for fireman s access. Windows must remain unobstructed. Hatched area indicates limited MRI transport routes supportable by structure. Crane access available from this side only. Public Elevator Gold bullets indicate MRI isocenter locations where additional rebar was added during construction to support magnet. Only one magnet per beam. Existing ductwork chases serving tenants below had to be maintained. Dashed lines indicate beam locations beneath post tensioned concrete structure. Glassed Panoramic View of Birmingham Existing Floor Plate Mech. Roof Seventh Floor Sixth Floor Fifth Floor Fourth Floor Third Floor Second Floor Neurosurgical Center Women s OB Services Medical Services Diagnostic Imaging Labor/ Delivery/ C-Section Outpatient Surgery Center Hoisting of the Magnet Parking Levels A-E Vertical Building Analysis

St. Vincent s HEALTH SYSTEM Mech Elect. Patient Circulation Curved forms along the major patient corridor define the Sub Waiting areas for each Imaging Suite. Spatial Diagram of Suites Patient Reception CT Scan Suite MRI Suite Radiographic Suite Comprehensive Breast Center Patient Reception Area The Reception provides a hotel style concierge desk with computerized self check in desks. Reception Lobbies The artwork, custom furnishings, and lighting reinforce the hospitality appearance.

St. Vincent s HEALTH SYSTEM Raised computer floor in equipment room Silicon Shielding on Floor 3T MRI Room Ramp entry required at isolated floor. Fourth Floor Plan Elect. MRI Room # 1 MRI Control Existing Passage Existing Electrical Existing LDRP #20 Existing LDRP #19 Section through MRI Room

St. Vincent s HEALTH SYSTEM Pkg. Deck Surface Parking POB POB Hospital POB Hospital Campus Plan POB Women s North Tower POB Gateway Connector to Hospital on Third Floor Roof above Parking Deck Drive Tenant Shell in Space Roof above Parking Deck Existing Neurosurgical Associates Tenant Existing Seventh Floor of North Tower POB Addition and Parking Deck

EX EX FURN. FROM DR. POCZATEK'S EXTG. OFFICE STORAGE ALL NEW FURNITURE St. Vincent s HEALTH SYSTEM AMBULATORY HEALTHCARE (NFPA) BUSINESS OCCUPANCY (SBC) TENANT A 2 HOUR FIRE PROTECTION 1 HOUR TENANT SEPARATION EXIST. STAIR 20'-0" PAIN CLEAR PROCEDURE SUB-STERILE 20'-0" CLEAR EXISTING MECHANICAL ROOM ELEV. LOBBY OPER. RM. # 2 7'-0 1/2" CLEAN UTILITY B SCRUB STATION B 1 HOUR FIRE/ SMOKE BARRIER EXISTING ELECTRICAL ROOM 6'-0" 55'-0" ANESTH. WORKROOM DTY. CRTS STAFF LKRS. CLN. CRTS PHARMACY S.U. SEMI-RESTRICTED TANK 35'-10" PASSAGE JAN. STORAGE 8'-0" CLEAR STAFF TOILET/SHOWER STAFF LOCKERS STAFF LOUNGE EQUIP. ALCOVE STRETCHER ALCOVE STERILE CORRIDOR 56'-2" C EQUIP. ALCOVE 490 SF. MIN. OPER. RM. #1 1 HOUR SMOKE SEPARATION: SMOKE BARRIER SEPARATION REQUIRED AMBULATORY HEALTHCARE OCCUPANCY TO DIVIDE IT INTO 2 COMPARTMENTS (NFPA 101) 8'-0" CLEAR PAIN PROCEDURE ROOM 35'-6" PASSAGE 8'-0" CLEAR CORRIDOR 8'-10" 9'-10" W.C. ALCOVE STAFF TOILET/SHOWER 78'-2" PACU A RECOV. PAT. #1 1 HOUR FIRE/ SMOKE BARRIER 1 HOUR TENANT SEPARATION HOLD #2 HOLD #1 PATIENT HOLDING BAYS D 5'-0" MULTI-PURP. RM. 6'-0" MIN. PAT. TLT. HC TOILET REC. PAT. #10 11'-7" A NOURISH. S.U. PATIENT TOILET PATIENT TOILET RECOV. PAT. #2 TENANT "A" OCCUPANCY: NEW AMBULATORY HEALTHCARE (NFPA 101) BUSINESS (SBC) 2 HOUR FIRE PROTECTION PROJECT SCOPE TENANT "B" OCCUPANCY: BUSINESS WAITING RM. 5'-0" RECEPTION RECEPTION TELE. CLOSET PATIENT TOILET 11'-6" RECOV. PAT. #9 RECOV. PAT. #8 11'-7" A A HC TOILET STAFF TOILET MEDICINE C.U. A A RECOV. PAT. #3 PATIENT TOILET CORRIDOR 81'-0" A 62'-4" A ELEV. LOBBY 6'-10" LOUNGE W M RECOVERY PATIENT #7 RECOVERY PATIENT #6 REC. PAT. TOILET A RECOVERY PATIENT #5 RECOV. PAT. #4 PATIENT PATIENT TOILET TOILET PROJECT SCOPE TENANT "A" OCCUPANCY: NEW AMBULATORY HEALTHCARE (NFPA 101) BUSINESS (SBC) RECORDS CORR. EXAM. 1 EXAM. 2 EXAM. 3 EXAM. 4 2 HOUR FIRE PROTECTION FOR TENANT AND OCCUPANCYSEPARATION 2 HOUR FIRE PROTECTION KAREN'S DESK CHK. OUT CORRIDOR 96'-0" 54'-11" CRITICAL 5'-0" CONFERENCE 17'-1" CRITICAL TENANT "B" OCCUPANCY: BUSINESS (SBC AND NFPA) 5'-0" EXAM. 6 EXAM. 5 NURSES CORR. STORAGE MELISSA 5'-6" CATHY'S DESK 5'-6" EXAM. 7 NON RATED PARTITION - SEE GENERAL PARTITION NOTES FOR SOUND ATTENUATION INSULATION NON-RATED SMOKE TIGHT PARTITION - FULL HEIGHT. REFER TO DETAIL 2 ON A5.0 5'-0" 1 HOUR FIRE RATED PARTITION - REFER TO DETAIL 1 ON A5.0 PROJECT SCOPE TENANT "A" STOR DR. WILSON DR. HARSH 96'-0" SHARON DR. McRAE ADMIN. DR. POCZATEK L. EXAM. DR. CLARK SC-1 1 HOUR FIRE RATED/ SMOKE PARTITION - REFER TO DETAIL 1 ON A5.0 2 HR PARTITION OR SHAFT WALL EXIT LIGHT - SHOWN AT PROJECT AREA ONLY ARROW INDICATES DIRECTION OF EXIT EXISTING STAIR EGRESS - 2 HOUR ENCLOSURE SMOKE COMPARTMENT DESIGNATION NUMBER DESIGNATION = FLOOR LEVEL BUSINESS OCCUPANCY TENANT B FE FEC FDVC HAZARDOUS AREA (NFPA 13-3.2.1) FIRE EXTINGUISHER FIRE EXTINGUISHER CABINET FIRE DEPARTMENT VALVE CABINET TRAVEL DISTANCE TO EXIT FROM WITHIN ROOM TRAVEL DISTANCE TO EXIT FROM OUTSIDE ROOM

St. Vincent s HEALTH SYSTEM Neurosurgical Center Mech Elect. Operating Room Perimeter windows provide natural light in all Operating Rooms and Pain Procedure Room. Seventh Floor Plan Neurosurgery Associates Neurosurgery Associates The Neurosurgical medical practice share the floor with their surgery center. Transom windows in physicians offices allow natural light to interior spaces. Recovery Rooms Individual rooms provide privacy for families and the patient.

P.O.B. West Wing Addition Ambulatory Care Sports First Nursing Home Spring Street West Hickory Street Campus Main Entrance Walnut Street Mobile Avenue Anniston Avenue Douglas Avenue Gateway Gateway Office Res. Res. Ground Floor Hospital Campus Plan Service/ Loading Entrance Mech. Outdoor Dining Dining Public Concourse Concourse Public Dining Access Ambulance Entrance Main Entrance Emergency Walk in Atrium E. R. Waiting Mat. Mngmt. Existing Hospital COOSA VALLEY MEDICAL CENTER Hospital

Nursing Unit B COOSA VALLEY MEDICAL CENTER Nursing Unit A Second and Third Floors Third Floor is similar except Nursing Unit B is shelled for future fit out. Public Concourse Elev. Existing Hospital ICU Existing Ambulatory Care Center Staff OR Suite PACU Labor and Delivery Cen. Suply. Day Hospital Rooms First Floor Concourse Surgery Waiting Atrium First Floor includes shelled area for future Endoscopy fit out. Existing Hospital

STAIR/ ELEV. ROOF ROOF ROOF AT CONNECTOR THIRD FLOOR SECOND FLOOR FIRST FLOOR GROUND FLOOR EL. 562.40' ROOF @ STAIR CORRIDOR BEYOND THIRD FLOOR EL. 606.04' SECOND FLOOR EL. 591.36' FIRST FLOOR EL. 577.03' EL. 562.40' GROUND FLOOR CORRIDOR BEYOND CORRIDOR BEYOND CONCOURSE CONCOURSE CONCOURSE CONCOURSE VESTIBULE VESTIBULE LOBBY CORRIDOR ELEV. 606.04 EX. FOURTH FL. ELEV. 596.37 EX. THIRD FL. ELEV. 586.70 EX. SECOND FL. EX. FIRST FL ELEV. 577.03 EX. GROUND FL. ELEV. 562.40 ELEV A ELEV B COOSA VALLEY MEDICAL CENTER Coosa Valley Medical Center West Wing Addition West Wing Addition Existing ACC Building 3 rd MSU 2 nd MSU 1 st LDR Building Section thru Public Concourse West Wing Addition Coosa Valley Medical Center New Ambulance Entrance North Elevation Outdoor Dining Loading Dock

HC HC Outpatient Campus Gateway Hospital Campus Proposed Land Use Concept Office Building Service Drive Service Drive Outpatient Surgery Center Completion 2008 Diagnostic Imaging Center HC VAN HC HC HC HC HC Hospital Outpatient Campus Site Plan Outpatient Campus Main Entrance

CR PC COPIER/FAX F.E.C. HC CART DEFIB F.E.C. F.E.C. FLAT PANEL TV REF Spatial Diagram of Suites Patient Reception CT/ PET CT Scan Suite MRI Suite Radiographic Suite Women s Center PATIENT PARKING SLOPE SLOPE READER STAFF PARKING patient entry on stretcher F.E.C. LINE OF FUTURE EXPANSION public entry staff entry SLOPE SLOPE Floor Plan Imaging Center

PATIENT DROP-OFF Central Lobby and Entry Canopy Perspective Elevation at Outpatient Campus Entry Elevation at Outpatient Campus Entry

Dashed lines indicate closest proximity of occupied space to bulk liquid oxygen tank Lomb Avenue Service access Minimum clearance Property Line Existing Service Setback Line Existing Medical Clinic two story Site Analysis Skilled Nursing Unit Dining Service Medical Specialty Unit Dementia Unit Admin. Rehab. Unit Departmental Organization Existing Clinic

Service Drive O2 Tank Loading Medical Specialty Wing Dementia Courtyard Staff Sun Porch Sun Porch Floor Plan Rehab. Rooms Drop Off Service Drive Connector Enlarged Plan Legend Sun Porch REFERENCES ADPH CHAPTER 420-5-10-.18 NURSING FACILITIES, UNLESS OTHERWISE NOTED. 12 1 2 3 4 FOLD-UP 29" GRAB BAR (U.S. ACCESS BOARD REPORT 'BEST PRACTICES IN THE DESIGN OF TOILETING AND BATHING FACILITIES FOR ASSISTED TRANSFER', AUGUST 1, 2001) PERMANENTLY INSTALLED CUBICLE CURTAIN TRACK, FOR RESIDENT PRIVACY, IN MULTI-RESIDENT ROOMS (ADPH 6(c)) BEDSIDE, AND TOILET ROOM, ELECTRIC NURSE CALL SYSTEM (ADPH 4(v)2,3 & 6(d)4) BEDROOM DOOR, WITHOUT LOCKING MECHANISM, SWINGS INTO ROOM (ADPH 4(n)2,3) 10 10 5 6 TOILET DOOR SWINGS OUT (ADPH 4(n)4) WITH HARDWARE OPERABLE FROM OUTSIDE THE ROOM (ADPH 4(n)1), AND IS 34" WIDE CLEAR MINIMUM (ADPH 5(c)4). OPERABLE WINDOW AT LEAST 36" AFF,THIS WALL, AND NOT LESS THAN 1/10 OF FLOOR AREA (ADPH 6(b)1,2) 11 7 MINIMUM FLOOR AREA FOR A PRIVATE ROOM IS 100 SQUARE FEET, CLEAR (ADPH 6(b)6), ACTUAL IS 150 SQ FT. MINIMUM FLOOR AREA PER RESIDENT FOR A MULTI-RESIDENT ROOM IS 80 SQUARE FEET, CLEAR (ADPH 6(b)6), ACTUAL IS 100 SQ FT. 8 8 9 10 11 12 3'-0" CLEAR, MIN, AT THE FOOT OF THE BED, IN A PRIVATE ROOM (ADPH 6(b)7) 3'-0" CLEAR, MIN, BETWEEN BEDS AND AT THE FOOT OF THE BED, IN A MULTI-RESIDENT ROOM (ADPH 6(b)7) ADJUSTABLE RESIDENT BED (ADPH 6(d)1) CHAIR AND BEDSIDE TABLE (ADPH 6(d)2) STORAGE FOR CLOTHES, TOILETRIES, AND PERSONAL BELONGINGS, REFER TO ELEVATION (ADPH 6(d)3) WASTE RECEPTACLE (ADPH 6(d)5) 11'-0" Semi private Room 13 14 15 OVERBED LIGHT, WITHIN REACH FROM BED (ADPH 6(d)6) HAND WASHING LAVATORY LOCATED IN ADJOINING TOILET (ADPH 6(d)7) PERMANENT SHELVES FOR PERSONAL ITEMS AND TOILETRIES, FOR EACH RESIDENT IN A MULTI-RESIDENT ROOM (ADPH 6(d)3)