Florida Educational Facilities Planners Summer Conference 2011
AHC-3
Academic Health Center 3 College of Nursing & Health Sciences
presented by:
Jose A. Rodriguez, RA Director of Facilities Academic Health Center
Tim Blair, AIA, LEED® AP Vice-President HOK
July 5-8, 2011 Florida Educational Facilities Planners Summer Conference 2011
AHC-3 Agenda:
Academic • CONTEXT - CAMPUS OVERVIEW Health • ACADEMIC HEALTH CENTER MASTER PLAN Center 3 • BUILDING PROGRAM College of Nursing • PROGRAM COMPONENTS & Health Sciences • General Purpose Education Spaces • Simulation Labs
• Occupational Therapy • Physical Therapy • Research • Administrative • DISASTER RESISTANT UNIVERSITY • SUSTAINABILITY • CONSTRUCTION COST METRICS • LESSONS LEARNED 2 Biscayne Bay Campus
Wolfsonian Museum Engineering Center Modesto Maidique Campus
FIU Opened: 1972 Enrollment 2011: 44,010 Total Facility Inventory: 8.3M GSF Major Buildings: 98 Miami’s first and only four-year public research university. Colleges and Schools offer more than 200 Miami, FL bachelor’s, master’s and doctoral programs
FIU Florida International University 3 FIU A Brief History Main campus in 1972 4 AHC
342 Acres
FIU A Brief History Main campus in 2011 5 Building Program Goals and Objectives:
• Co-locate Nursing and Health Sciences in one building • Design shall be student- centric • Hi Touch – Hi Tech • Building shall be disaster resistant designed for hurricane mitigation • A smaller amount of higher quality space preferable to a higher amount at a lower quality
Planning Guidelines AHC3 College of Nursing & Health Sciences Program July 2007 6 introduction
Vision statement from building program:
“Project a visual image of health and wellness through the design of the facility…reinforced through the incorporation of sustainable and green building design and practices.”
Planning Guidelines AHC3 College of Nursing & Health Sciences Program July 2007 7 PLANNING
5, 10 and 20 year outlook into development of an academic health center to include colleges of arts & sciences, nursing and health sciences, medicine, public health and social work, research as well as future clinical components
AHC3 College of Nursing & Health Sciences 8 Florida Educational Facilities Planners Summer Conference 2011
CNHS
CNHS
AHC Academic Health Center Campus 2005-2012 Growth 9 GP Guiding Principles
1. Develop a sustainable campus environment 2. Develop environments that foster forward looking, innovative, and interdisciplinary learning and research 3. Reinforce FIU’s identity through the articulation of landmarks, precincts, edges, buildings, and open spaces creating a more compact urban environment 4. Develop comprehensive multi-modal solutions to transportation & infrastructure 5. Create a safe, connected, pedestrian friendly campus 6. Site core academic programs along main axes 7. Develop student life mixed use communities 8. Foster learning through multipurpose open space
AHC Academic Health Center Master Plan 10 Florida Educational Facilities Planners Summer Conference 2011
Avenue of the Professions
New capital and operational models for integrated, multi-disciplinary medical schools 2008 Arts the of Avenue
AHC Academic Health Center Master Plan 11 PROGRAM
Departments: Enrollment: Nursing 1,900 Students Occupational Therapy Physical Therapy Communication Science s & Disorders Nursing Health Information Management • Undergraduate (BSN) Athletic Training • Graduate (MSN, NP, DNP, Health Sciences DPT, PhD) • Nurse Anesthesiology (MSN) • Foreign Educated Physician “The College of Nursing and Health to Nurse Program (BSN) Sciences prepares diverse healthcare Physical Therapy (DPT) professionals as providers and leaders Occupational Therapy (MS) in the delivery of high quality, Communication Sciences and accessible, and culturally competent Disorders (MS in Speech care within a highly technological and Pathology) global environment.” Athletic Training (MS)
AHC3 College of Nursing & Health Sciences METRICS PROGRAM highlights • 15 teaching, research and training labs dedicated to a variety of nursing and health sciences curriculum components • 297-seat auditorium for general enrollment classes and events • One 90 seat and two 60-seat distance learning classrooms • Six conference/seminar rooms • Dedicated group and individual student study areas • Student Services • Faculty Offices/Administration • Wet research space with flexible generic spaces to allow a wide variety of bench research to be performed AHC3 College of Nursing & Health Sciences METRICS PROGRAM highlights
• Design encompasses two distinct structures ( a teaching facility in one, administration in the other) connected by upper-level walkways & lobbies.
AHC3 College of Nursing & Health Sciences 14 Design creates a gateway straddling the Avenue of the Sciences leading to emerging Academic Health Center on northeast quadrant of campus
AHC3 College of Nursing & Health Sciences 15 AHC2 HERBERT WERTHEIM COLLEGE OF MEDICINE
AHC3 College of Nursing & Health Sciences 09 CHEMISTRY PHYSICS
AHC3 College of Nursing & Health Sciences 16 298 Seat Auditorium Student Student Services Gen. Purpose Auditorium Activities provides one-stop service from application, Student Services administration, to financial aid in a highly visible and accessible venue
AHC3 College of Nursing & Health Sciences 17 90 Seat Tiered Classroom Computer Lab PROGRAM Computer Lab IT • Computer Labs 2,593 NASF / 90 student stations / divisible into three Faculty Offices labs 90 Seat Covered Balcony 60 Seat tiered Classrooms Classroom
AHC3 College of Nursing & Health Sciences 18 AHC Academic Health Center Master Plan Guiding Principles GP8 Foster learning through multipurpose open space PROGRAM Student Academic Meeting Areas • Lobby casual study areas at each floor • Small group meeting room • Total 2,797 NASF, 5% of TTL NASF Typical Lobby
Ground Floor Lobby Clinical Skills Lab
AHC3 College of Nursing & Health Sciences METRICS Scrub Area
Clinical Skills Lab
Debriefing Sto. Clinical Skills Lab TTL Simulation Center 11,482 1 2 NASF Faculty Offices 1 2 3 4 5 6 7 8 Simulation Rooms Admin Support STAR log-in station
AHC3 Simulation Training and Research (STAR ) Center 20 PROGRAM Clinical Skills Lab • 16 stations, 2,562 NASF • Group instruction capability Each station equipped with bed locator unit • Power • Compressed air • Vacuum • Oxygen
AHC3 Simulation Training and Research (STAR ) Center METRICS Simulation Labs • 8 Generic Simulation Rooms 220 NASF • 3 Control Rooms - 1 @ 396 NASF, 2 @ 245 NASF • 3 camera positions • Full digital recording • Light/power control Each station equipped with bed locator unit • Power • Compressed air • Vacuum STAR • Oxygen
AHC3 Simulation Training and Research (STAR ) Center METRICS Simulation Labs CURRENT SIMULATION CAPABILITIES
20 High Fidelity Simulators • 4 wireless 3G SimMan • 5 SimMan • 1 SimBaby (Pediatrics) • 2 SimNewB (Neo Natal) • HARVEY • HAL • NOELLE (Obstetrics) • HAL (5 Year old) • HAL (1 Year old) • 2 HAL Newborn • HAL Premature
8 Mid Fidelity • Mid-fidelity Mannequins
AHC3 Simulation Training and Research (STAR) Center METRICS CONTROL ROOM • One way glass • Direct and camera observation • Sufficient space for equipment racks, recording hardware, as well as technician, faculty and student observers
SCENARIOS • Critical Care • Surgical Unit • Telemetry • ICU • Hi Frequency Low Risk EMG • Lo Frequency • High Risk EMG
AHC3 Simulation Training and Research (STAR ) Center 24 Noelle High-fidelity Simulator / Gaumard Miami-based manufacturer
• Obstetrical high fidelity human patient simulator • Pre-programmed scenarios / ability to change “vital signs” dependent on student actions • Completely wireless; controlled from tablet PC • Simulate vaginal delivery or (single use) C-section • Three camera positions with full tilt zoom capabilities • Professor delivers human interphase from control room
AHC3 Simulation Training and Research (STAR ) Center 25 PROGRAM Debriefing/Assessment
Debriefing / Assessment Suites – 2 @ 695 NASF
AHC3 Simulation Training and Research (STAR ) Center 26 Simulation Labs LESSONS LEARNED: • Storage – 700 NASF has turned out to be insufficient DOUBLE! • Challenge: Design in anticipation of Simulation Equipment 1.5 to 2.0 years out • Design flexible simulation environments not just clinical setting which can work with various health professions
Storage
AHC3 Simulation Training and Research (STAR) Center METRICS Neuro Musculoskeletal Pediatrics Speech Pathology Faculty Offices
Therapeutic Rehab Human Activities Performance Analysis Lab
AHC3 College of Nursing & Health Sciences 28 PERFORMANCE ANALYSIS • Research intensive • Analysis of human movement / gait analysis • Range: subtle to gross mechanics of movement AHC3 College of Nursing & Health Sciences 29 Office
Research Labs
Research Labs Grad Students
Faculty Offices
Research Labs PI Offices
AHC3 College of Nursing & Health Sciences 30 DRU Disaster Resistant University
As an institution in South Florida subject to the High Wind Velocity Zone Requirements of the Code, the FIU has adopted Code+ features to its standards to assure continuity of The Florida operations – a mission critical to Building Code research and future clinical components of the university
AHC3 College of Nursing & Health Sciences 31 "A DRU is an institution that understands the threat posed by natural hazards DRU to its campus and its Disaster mission. It actively implements policies, Resistant programs and practices to University address its risks. It integrates loss reduction into its teaching, research and public service activities. It has the leadership and plans necessary to reduce risk to the level the campus community believes appropriate.”
FEMA DRU Hurricane Mitigation 32
Preparedness . Plan of action – chain of command, communication, DRU maintenance and operations action plans Disaster . Evaluation and documentation tools and protocols Resistant Response University . Mobilization plan . Use of Continuing Contract Professionals and Builders Recovery Emergency . Restoration of impacted facilities Management within a systematic and documentable process Mitigation . FIU Facility Standards Four Phases . On the basis of lessons learned, standards developed aimed at of a Disaster reducing impact of these events http//facilities.fiu.edu 33 Historical Storm Tracks 1860-2005 Profile Events Sources: DRU NOAA, National Hurricane Center Tropical Storm Cat 1 Disaster Cat 2 Cat 3 Resistant Cat 4 Cat 5 University Saffir-Simpson Hurricane Scale CAT WIND DESCRIPTION SPEED (MPH)
1 74-95 MINIMAL Irene, Katrina (Miami) 2 96-110 MODERATE Frances, Wilma (Miami) 3 111-130 MAJOR Ivan
4 31-155 EXTREME Charley
5 > 155 CATASTROPHIC Andrew
34 PROBLEM STATEMENT • Entry Doors accessible thresholds do not provide an effective barrier to wind borne water during high wind velocity events at the sill condition
RESPONSE • All entry doors feature 6’ L recessed slotted mats • LEED points for IAQ • Slab depressions includes floor drain to handle incoming wind- borne water at threshold DRU Hurricane Mitigation 35 PROBLEM STATEMENTS Low or no Parapets Lightweight Roof Assemblies
• 2005 Studies by G.A. • Vulnerability of metal decks on Kopp et al at University steel joists with lightweight of Western Ontario – insulating concrete wind effects of parapets on low buildings • Study revealed • parapets > 3ft. in • height reduce • mean and peak • pressure coefficients by up to 50% • in corners
AHC-3 RESPONSE • FIU Standards require parapet wall design: Prohibit metal decks on steel frame w/ only lt. wt. insulating concrete; Reinforced concrete deck design required
Engineering Center EC101 DRU Hurricane Mitigation 36 PROBLEM STATEMENT Vulnerable Flashing Details
• Flashing failures at parapets
DM AHC-3
PC RESPONSE • Precast Concrete parapets and cap detail relocate vulnerable flashing to the interior of the façade reducing roofing failure potential
AHC3 College of Nursing & Health Sciences DRU Hurricane Mitigation 37 PROBLEM STATEMENT Vulnerable Emergency Overflow Details
• Wind pressure failure • Emergency overflows literally pushed in • Mastic/caulking failed
UT AHC-3
RESPONSE • Welded Stainless Steel • Lip detail - resist wind pressure
AHC3 College of Nursing & Health Sciences DRU Hurricane Mitigation 38 PROBLEM STATEMENT • Fume Hood exhaust fan blown off; damaged roof mounted equipment
AHC-3
RESPONSE • Full Height protective enclosures • Tensioned tie-downs AHC-3
DRU Hurricane Mitigation 39 PROBLEM STATEMENT • Glazing protection from wind borne debris
RESPONSE • Enhanced curtainwall COMPLIANCE design BY CNHS • Specified large missile impact design criteria for full height of facility
RESULT • High sense of security in building by CODE users MANDATED:
30’ per Section 1609.1.2.1 FBC
AHC3 College of Nursing & Health Sciences DRU Hurricane Mitigation 40 Submitted as LEED-NC Silver SUSTAINABILITY to USGBC, the University’s first LEED Project
Reflective Roofs
AHC3 College of Nursing & Health Sciences 41 SP Sustainable Campus Planning
1. Multi-modal circulation and access to future metrorail station 2. Mixed use parking decks at perimeter of campus 3. Creating “green lungs” with open space quadrangles, courtyards, landscaping, and water features 4. Campus green belt for pedestrian and vehicular movement 5. Shade and sheltering building guidelines for massing, fenestration, cover, and pass-through 6. Natural shading of buildings, courtyards, and walkways 7. On-site stormwater treatment and management 8. Landscape guidelines for shade, filtration and water efficiency
AHC Academic Health Center Master Plan 42
Reflective Roofs
SUSTAINABILITY
CNHS has one of the largest green roofs in South Florida, visually attractive bringing outdoors into building Interiors
AHC3 College of Nursing & Health Sciences 43 SUSTAINABILITY
SP5. Shade and sheltering building guidelines for massing, fenestration, cover, and pass-through 44 Sustainable Sites: SUSTAINABILITY • Heat Island Effect reduced - green roof / Reflective roofing HIGHLIGHTS • Green roof - low-maintenance, “xeriscape” adapted to Miami climate. Water Efficiency: • High-traffic teaching spaces on ground and second floor reduce • Irrigation systems on-site pond vertical transportation and adjacent sources. to naturally ventilated outside shady • Water Reduction low-flow urinals, veranda. ultra low-flow lavatory. Projected • High efficiency indoor fixtures T5 38.2% savings (exceeding Florida fluorescent lamps produce 100 Plumbing Code) lumens of light output for each watt Energy & Atmosphere: of power consumed • Windows insulated-laminated, • Occupancy sensors lighting control high-performance, low-E glass w/ • Daylight Harvesting artificial lighting vertical & horizontal exterior metal automatically reduced in direct shades and light shelves cut solar relationship daylighting entering loads • CO2 occupancy sensors save energy and provide optimum air quality in occupied spaces
AHC3 College of Nursing & Health Sciences 45 CONSTRUCTION GSF: 114,903 Delivery: Construction Management at Risk Bid/GMP: August 2008 BP1 Foundation, Shell, Building Envelope with a not –to- exceed Total CS of $34.1M BP2 MEP & Finishes GMP: $33,949,005 Final CS: $33,764,023 $/GSF: $293.85 (2008$) Labs: Build-out additional $1.1M
Value % of CS $/GSF FF&E: $3.862,796 11.4% $33.62 TelCom $1,190,121 3.5% $10.36
Construction Start: August 2008 Substantial Completion: November 2009, 14 month duration , three weeks ahead of schedule AHC3 College of Nursing & Health Sciences METRICS CONSTRUCTION
Space Category NASF Classrooms 4,963 Teaching Laboratories 15,650 Lab Support 2,810 Research Laboratories 8,205 Student Academic Meeting Area 2,797 Instructional Media 237 Auditorium 3,782 Offices 23,312 Campus Support Services 570 Other Assignable NASF TTL 62,326 Circulation/Support 45,583 GSF TTL 114,903 AHC3 College of Nursing & Health Sciences METRICS CONSTRUCTION
AHC3 College of Nursing & Health Sciences METRICS CONSTRUCTION
AHC3 College of Nursing & Health Sciences METRICS AHC3 College of Nursing & Health Sciences 50 Academic Health Center NEXT STEPS… PG4 PG5
SCP
AHC3
CP
OE
AHC1
GL
Academic Health Center NEXT STEPS… AHC4 Science Classroom Complex AHC5 Robert Stempel College of Public Health & Social Work / International Hurricane Research Center AHC6 Ambulatory Care Center
AHC6
PG4 PG5
AHC4 AHC5 SCP ECS AHC3
CP
OE AHC2
AHC1
GL
Academic Health Center NEXT STEPS… Lessons Learned 1. Retain a Technology Coordinator to manage design of classrooms, OSCE and/or high fidelity simulation labs to anticipate, coordinate, and be responsible for the integration of technology from various vendors 2. Develop simulation spaces with flexibility to accommodate a variety of simulation environments likely to be developed as curriculum and technology evolve and mature 3. Adopt a student-centric approach recognizing that learning happens beyond the classroom; that students’ study and living behavior includes collaborative learning in team settings; that buildings should foment and serve as catalysts for the exchange of ideas within varying modalities of leaning behavior
AHC3 College of Nursing & Health Sciences 54 Q&A
AHC-3 College José A. Rodríguez, RA of Director of Facilities Academic Health Center Academic Nursing Florida International University & Health Email: [email protected] Health Webpage: http//facilities.fiu.edu Sciences Center 3 Tim Blair, AIA, LEED® AP Vice-President HOK
Florida Educational Facilities Planners Summer Conference 2011
Photo Credits: CNHS; Moris Moreno 55