CTBUH Journal International Journal on Tall Buildings and Urban Habitat
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CTBUH Journal International Journal on Tall Buildings and Urban Habitat Tall buildings: design, construction, and operation | 2016 Issue II Case Study: The Tower at PNC Plaza, Pittsburgh Vertical Healthcare Design: State of the Art Jump Form Gives Rise to “The Phoenix” Strategies for Reducing the Along-Wind Eff ect Reducing the Depth of the Services Plenum Tall Buildings in Numbers: High-Rise Healthcare Debating Tall: High-Rise Façade Fires Inside News and Events Features 20 Architecture/Design Challenges and Opportunities functions is the simple fact that it is cheaper In Vertical Healthcare Design to build an office building than a hospital. Group practice Vertical healthcare design is an emerging field with its own particular set of benefits and At the same time medical centers took on 02 This Issue 46 Tall Buildings in Numbers challenges. This building type will become more desirable and popular, particularly in North ambulatory care requirements, physicians America, due to the location of healthcare facilities in urban centers, escalating land values, and began to develop larger practices, too. The demand for reimbursable healthcare services, but also because of numerous, little-explored 41,800-square-meter Northwestern Medical advantages that the high-rise building type offers to healthcare providers. These advantages Faculty Foundation project, a group practice can include planning flexibility, security, and efficiency, as well as improved air quality and comprising a dozen floors in the Galter/ Daniel Safarik, High-Rise Healthcare reduced noise, which can benefit healing. Feinberg Pavilion at NMH is one example, as is Figure 1. Barnes-Jewish Hospital, St. Louis. © Figure 2. Texas Medical Center, Houston. © University of Douglas King Houston’s Texas Medical Center. As these Washington University School of Medicine Texas Health However, vertical healthcare buildings, with their caregivers and vulnerable patient populations, group practices became the norm, their Author require special sensitivity to the challenging aspects in healthcare design – noise/vibration program evolved from the traditional on the new 55,741-square-meter Simpson conferencing capabilities within their facilities, Douglas King, Principal control, air quality, temperature and airflow, vertical transportation, planning, and life safety and groupings of doctor’s offices (each with their Querrey Biomedical Research Center, which which not only saved money, but actually VOA Associates Inc. Journal Editor 224 S. Michigan Avenue, #1400 security among them. It’s clear the high-rise healthcare typology is due for more detailed study own waiting, reception, and infrastructure) in will rise 12 stories in Phase One, but is planned became a profit center for some. Everything Chicago, IL 60604 and investigation. a shared office building, to shared waiting and to comprise 45 stories in total in Phase Two, from grand rounds (lectures to doctors), to United States t: +1 312 554 1400 reception functions and other common with an eventual buildout of close to 111,000 community health education, to vendor- f: +1 312 554 1412 Healthcare Grows Up A new mandate infrastructure, surrounded by scattered, square meters (see Figure 3). sponsored PR events could be e: [email protected] www. voa.com In the United States, the desired program for modularized exam and office functions, all accommodated in this environment. 48 Talking Tall: Martin Henn Where healthcare lives medical centers has changed in recent appearing as one branded environment. Stacking Douglas King Major urban medical centers in North decades. In the past, inpatient care had In designing the Feinberg Galter Pavilion at Additionally, the research element has A principal with the design firm VOA Associates, America are typically located on the edge of, accounted for the lion’s share of hospital Medical education and research Northwestern Memorial Hospital in the 1990s, expanded in buildings such as The Douglas King is an instrumental leader in VOA’s global healthcare practice, with a particular emphasis but rarely in the middle of, downtown, where space. Patient bed floors with diagnostic and Today, academic medical centers embrace the author and design team pioneered the Rehabilitation Institute of Chicago (RIC) on the design of large-scale mixed-use healthcare land would be prohibitively expensive. treatment support space were the key three roles – clinical services, education, and idea of a mega-healthcare structure by pavilion, under construction as of the time of projects. Mr. King was the technical director for the 04 CTBUH Latest Local Context and Global Healthcare campus settings typically grew components in hospitals; doctor’s offices research – and their requirements include stacking the outpatient component on top of this publication. Within two individual floor iconic US$732 million Feinberg/Galter Pavilion and for the US$500 million Prentice Women’s Hospital at horizontally, with additional buildings might be scattered across adjacent facilities. simulation centers as well as spaces for the inpatient component and leveraging modules, the RIC will contain space for Northwestern Memorial Hospital in Chicago. connected by bridges and tunnels as informal out-of-class learning and research. In common vertical transportation capabilities to inpatient treatment, research and Mr. King serves as the lead peer review planner for several of the largest Veterans Affairs (VA) projects healthcare organizations focused on Advancements in less-invasive medical 2015, Northwestern University broke ground co-locate the healthcare staff working in the development of prosthetics, and other currently under construction in the United States. maximizing outpatient service. treatment, combined with limitations in hospital with their accompanying offices in rehabilitative modalities, as well as patient Antony Wood, Workfl ows: Designing Tall for He has peer-reviewed large scale, private high-rise healthcare projects including the recently completed insurance reimbursement, have fueled the their group practices. This “stacking” of observation and education. The RIC embodies NMH Outpatient Care Pavilion. As cities grew, many medical centers found growth in outpatient services and inpatients and outpatients has taken hold in a growing trend in healthcare clinical research In recognition of Mr. King’s expertise on large-scale themselves surrounded by dense urban ambulatory care, which have lower overhead some denser urban environments. towards a “bench-to-bed” regime, in which the high-rise healthcare projects, the Chicago Committee of High-Rise Buildings (CCHRB) elected him to development. Leading examples include costs and generally shorter wait times. This practitioner is also the educator and the membership. Mr. King is active with the CCHRB in the Northwestern Memorial Hospital in Chicago’s has driven demand for spaces similar to an Today, stacking has a natural ally in the trend researcher (see Figure 4). Executive Director Today and Beyond promotion of research and education on the unique challenges of high-rise design. Mr. King supports the Streeterville, as well as Barnes-Jewish office building, in which a high level of towards minimal movement of patients within education and mentorship of architects, has served Hospital in St. Louis and Texas Medical Center medical treatment are performed. The the hospital. In the new “patient-centered care What does this all mean for the high-rise on advisory committees for two architecture schools offering Master’s concentrations in healthcare in Houston. Skyrocketing land prices made it National Fire Protection Association (NFPA) model,” clinical staff, nurses, specialists, and hospital? As the programmatic uses within the design, and regularly serves as guest critic for the impossibly expensive to expand by acquiring introduced an entirely new chapter to NFPA physicians come to the patient. University of Illinois’ healthcare design studios. nearby lots; urban medical centers became 101 (Life Safety Code) in 1992 to address “landlocked” (see Figures 1 and 2). these hybrid “ambulatory care” environments. Conferencing and research Twenty years ago when hospitals realized they DOCTOR For many hospitals today, the ambulatory were spending a lot of money on outside OFFICES care component is now equal to, or larger conferences, they began to construct larger N than, the inpatient component. One R U 05 Debating Tall: 54 Ask a CTBUH Expert: The structural grid or module in a healthcare H example is the 25-story, 122-meter, C PATIENT G N 92,903-square-meter Northwestern CARE I facility“ varies by medical modality. Exam D L I Memorial Hospital (NMH) Outpatient Care U B CLINICAL spaces in an ambulatory care setting prefer grids Pavilion (OCP), which houses outpatient RESEARCH Do Cladding Fire Codes & Tests Ken Maschke functions and support such as laboratory EDUCATION of roughly 9-by-9 meters, to around 9.75-by- and research components. A primary driver 9.75 meters. for the growth in separate outpatient TRADITIONAL IDEALIZED CO-LOCATED Figure 3. Simpson Querrey Biomedical Research Center. Figure 4. Idealized, bench-to-bed regime. Need Changing? What Limitations Stand in ” © Perkins+Will 20 | Architecture/Design CTBUH Journal | 2016 Issue II CTBUH Journal | 2016 Issue II Architecture/Design | 21 the Way of the First Printed 06 Global News High-Rise? Highlights from the CTBUH Global News archive 26 Construction Management The Logic of Rapid Extrusion particularly in connection with the produc- projects, and started in