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Interior Guidelines

Interior Design Standards

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Beyond creating beautiful spaces influenced by hospitality, we have a responsibility to bring the latest evidence, benchmark data, lean thinking and successful project examples into the design process. By doing so, we help our clients realize their full potential to drive a culture change, improve patient outcomes, increase patient satisfaction and foster a collaborative environment.

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Page 1: Interior Design Standards

Interior Guidelines

Page 2: Interior Design Standards

PAGE 2 | Array Architects Interior Guidelines

Table of Contents

Interior Guideline Expertise.......................................4

Signage & Wayfinding.....................................................6

New York Presbyterian...................................................8

University Hospitals Rainbow Babies & Children’s Hospital............................................................11

New York Presbyterian Morgan Stanley Children’s Hospital...........................................................15

Capital Health Medical Center - Hopewell....................................................................................17

University Hospitals - Seidman Cancer Center..............................................21

St. Elizabeth Healthcare.............................................25

Montefiore Hutch Ambulatory...............................31

Page 3: Interior Design Standards

Array Architects Interior Guidelines | PAGE 3

Page 4: Interior Design Standards

PAGE 4 | Array Architects Interior Guidelines

Interior Guideline Expertise

DESIGNING FOR HEALTHCARE ENVIRONMENTSThere has been a sea change in the way we shape healthcare environments. Beyond creating beautiful spaces influenced by hospitality, we have a responsibility to bring the latest evidence, benchmark data, lean thinking and examples of successful projects into the design process. By doing so, we help our clients realize their full potential to drive a change in culture, improve patient outcomes, increase patient satisfaction, and foster a collaborative environment.

SIMPLIFIED DECISION MAKINGAchieving consensus between key stakeholders around the interior environment often involves extensive compromise; interior finishes are experienced by everyone and subject to varying perspectives. Establishing a well-conceived design vocabulary in tandem with pre-determined color and material palettes and furniture standards minimizes a substantial amount of the guesswork associated with these decisions.

SIMPLIFIED MAINTENANCEBy framing the number of furniture and finish choices, facility standards also decrease the number of unique repairs. Maintenance staff can perform recurring repairs within a man-ageable group of materials and parts. They can also construct

systems furniture or perform preventive maintenance with the use of a simplified user guide, rather than an endless library of instruc-tions. Economies of scale also provide increased purchasing power in procurement, potentially resulting in deep quantity discounts.

Material Application Matrix - Specialty, Diagnostic + Treatment Areas

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DESIGN CONSIDERATIONS

1. Counters, side, and full height backsplash to be solid surface material with Karran stainless steel sink, refer to standards.

3. Cubicle Curtain required for privacy/sizes will vary.

4. Window Shade: 1% openness

5. Create defined charting and equipment zones.

6. Coordinate and elevate device mounting heights.

7. Provide rub rail or wall protection at guest chair location.

ISSUE 1 ISSUE 2 ISSUE 3 ISSUE 4 ISSUE 5XX/XX/XX XX/XX/XX XX/XX/XX XX/XX/XX

3.3 Specialty, Diagnostic + Treatment Areas

FLOORING

REVISIONS ✔

WALLSbase

enhanced

WALL PROTECTION

BASEbase

EXAM ROOMCEILING WALLS WALL PROTECTION BASE

enhanced

FLOORINGbase

enhanced

4/10/2014

2. Cabinets - phenolic panel or thermal-fused laminate with 3mm edge; moisture resistant substrate. Provide closed bulkhead at cabinets, refer to detail.

EXAM ROOM60

Material Application Matrix - Specialty, Diagnostic + Treatment Areas

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DESIGN CONSIDERATIONS

1. Counters, side, and full height backsplash to be solid surface material with Karran stainless steel sink, refer to standards.

3. Cubicle Curtain required for privacy/sizes will vary.

4. Window Shade: 1% openness

5. Create defined charting and equipment zones.

6. Coordinate and elevate device mounting heights.

7. Provide rub rail or wall protection at guest chair location.

ISSUE 1 ISSUE 2 ISSUE 3 ISSUE 4 ISSUE 5XX/XX/XX XX/XX/XX XX/XX/XX XX/XX/XX

REVISIONS ✔

WALLSbase

enhanced

WALL PROTECTION

BASEbase

4/10/2014

2. Cabinets - phenolic panel or thermal-fused laminate with 3mm edge; moisture resistant substrate. Provide closed bulkhead at cabinets, refer to detail.

3.3 Specialty, Diagnostic + Treatment Areas

FLOORING

ONCOLOGY TREATMENT ROOMCEILING WALLS WALL PROTECTION BASE

enhanced

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ONCOLOGY TREATMENT ROOM 61

INTERIOR GUIDELINES

VOLUME 1 MATERIALS & FINISH GUIDELINES

VOLUME 2 FURNITURE STANDARDS MANUAL

VOLUME 3 PAINT & FINISH APPLICATIONS MANUAL

VOLUME 4 MAINTENANCE & SAFET Y MANUAL

Page 5: Interior Design Standards

Array Architects Interior Guidelines | PAGE 5

Patricia MalickCHID, EDAC , IIDA, NCIDQ, Lean Green Belt

Principal & Practice Leader, Interior Design

When people visit healthcare facilities, particularly those in areas where the exterior is often from another era, the inte-rior environment can be a powerful indicator of quality: quality of care, quality of customer service and a quality experience.

The design of the interior environment can positively affect the expectations of patients and their loved ones. To inspire confidence and reduce stress, the environment must be in-sync with an organization’s reputation, mission and core values. A well-conceived environment will positively influence employee service, attitudes and behaviors. Colors, textures, patterns, artwork and graphics must be carefully selected, well coordinated and integrated into the overall design to resonate with patients, families and staff.

click here to visit Pat’s Thoughts Page

Environments have the power to set our expectations, lift

our spirits and inspire hope.

FLEXIBILITY / ADAPTABILITYPlanning exercises result in standardized rooms that go beyond basic interior material consistency. Through prototyping and rapid testing exercises, room layouts —everything from the light switch, to the casework orientation, to the placement of sharps containers — are standardized, allowing staff to maximize their efficiency and effectiveness.

WHAT A STANDARDS PACKAGE FEATURESSuccessful facilities standards easily convey the brand image and support the mission of the healthcare system. They also feature a simple outline of areas included in the overall standardization plan, as well as illustrate options and variations in selected and pre-ap-proved finish / furniture selections.

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PAGE 6 | Array Architects Interior Guidelines

Some of life’s most poignant moments – from childbirth to a cancer diagnosis – occur in the spaces we design.

Laura MorrisCHID, LEED AP BD+C, IIDA, Lean Green BeltPrincipal & Senior Interior Designer

I began my career intent on changing the face of healthcare design. Working on complex design problems and having an opportunity to directly affect how someone heals in a space was my reason for choosing to be a designer.

We never quite know when our life choices are going to come full circle, but my circle closed four years ago when my mother was diagnosed with terminal colon cancer. This was her third cancer diagnosis. She had breast cancer in her late thirties and what we thought was a successful battle with colon cancer two years prior to this final diag-nosis. She began the fight of her life and I began to see healthcare facilities a bit differently.

click here to visit Laura’s Thoughts Page

Signage & Wayfinding

A thoughtfully designed interior can support therapeutic outcomes. Elements such as color, imagery and architectural detail reinforce established “brand name recognition”. Elements that are repeated throughout a facility, campus or system through signage and wayfinding programs reassure patients and their families that they have made the right care decision.

Incorporating a strong visual presence that is thoughtfully and accurately repeated at the right junctures throughout the facility impact both staff and patient satisfaction. Presenting directional cues with clear, concise signage and intuitive wayfinding can also add beautiful flooring and art elements to the facility. Flooring options and designs can provide distinguishing landmarks and complement a space’s theme.

Bringing art into a facility provides positive distractions and can create memorable meet-up zones for family members coming from different directions on their way to visit a loved one. If local art is chosen, the public areas might take on a gallery feel, attracting community members to experience the facility prior to a healthcare need.

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Array Architects Interior Guidelines | PAGE 7

Signage graphics and wayfinding elements often become an extension of the community where the hospital is located. A patient may take comfort in their patient unit being ‘named’ in honor of a local landmark. Wayfinding with local ties also aids patients dealing with cognitive challenges and related illnesses by providing a pleasant reminder of familiar environments.

Donor recognition opportunities can be seamlessly integrated into signage and wayfinding initiatives in a variety of mediums. Potential donors and the community enjoy seeing financial support publicly acknowledged through a beautiful sculpture at a hospital’s main lobby or a healing garden featuring local artists’ work.

One health system might express their brand with art that evokes gardens. Another may prefer art that, while contemporary, is more representational. A waiting area’s art might be calm and serene with Zen-like gardens that work well with a salt-water aquarium, which can be universally appealing to a diverse range of patients and families. In an outpatient treatment area, art provides a splash of color and welcome relief for patients and family members alike.

Page 8: Interior Design Standards

PAGE 8 | Array Architects Interior Guidelines

New York Presbyterian Hospital

With a tight, urban campus spread across three New York City blocks, New York Presbyterian Hospital needed to modernize and upgrade their 10-story Milstein inpatient tower to support clinical efficiency and improve wayfinding to ensure a patient experience and environment in sync with their world-class reputation.

Recognizing the need to work within their budget and maintain system-wide parity, visioning sessions with key hospital leaders and personnel from both the Columbia and Cornell Campuses were conducted to allow the team to form a consensus with their peers around perceived priorities. Workshop Sessions were held with key personnel to develop consensus regarding clinical scope, infrastructure investment and wayfinding elements.

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✓✓✓✓ ✓✓✓✓ ✓✓✓✓ ✓✓✓✓ ✓✓✓✓

DESIGN CONSIDERATIONS

1. Counters, side, and full height backsplash to be solid surface material with Karran stainless steel sink, refer to standards.

3. Cubicle Curtain required for privacy/sizes will vary.

4. Window Shade: 1% openness

5. Create defined charting and equipment zones.

6. Coordinate and elevate device mounting heights.

7. Provide rub rail or wall protection at guest chair location.

ISSUE 1 ISSUE 2 ISSUE 3 ISSUE 4 ISSUE 5XX/XX/XX XX/XX/XX XX/XX/XX XX/XX/XX

3.3 Specialty, Diagnostic + Treatment Areas

FLOORING

REVISIONS ✔

WALLSbase

enhanced

WALL PROTECTION

BASEbase

EXAM ROOMCEILING WALLS WALL PROTECTION BASE

enhanced

FLOORINGbase

enhanced

4/10/2014

2. Cabinets - phenolic panel or thermal-fused laminate with 3mm edge; moisture resistant substrate. Provide closed bulkhead at cabinets, refer to detail.

EXAM ROOM60

Material Application Matrix - Specialty, Diagnostic + Treatment Areas

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✓✓✓✓ ✓✓✓✓ ✓✓✓✓ ✓✓✓✓ ✓✓✓✓

DESIGN CONSIDERATIONS

1. Counters, side, and full height backsplash to be solid surface material with Karran stainless steel sink, refer to standards.

3. Cubicle Curtain required for privacy/sizes will vary.

4. Window Shade: 1% openness

5. Create defined charting and equipment zones.

6. Coordinate and elevate device mounting heights.

7. Provide rub rail or wall protection at guest chair location.

ISSUE 1 ISSUE 2 ISSUE 3 ISSUE 4 ISSUE 5XX/XX/XX XX/XX/XX XX/XX/XX XX/XX/XX

REVISIONS ✔

WALLSbase

enhanced

WALL PROTECTION

BASEbase

4/10/2014

2. Cabinets - phenolic panel or thermal-fused laminate with 3mm edge; moisture resistant substrate. Provide closed bulkhead at cabinets, refer to detail.

3.3 Specialty, Diagnostic + Treatment Areas

FLOORING

ONCOLOGY TREATMENT ROOMCEILING WALLS WALL PROTECTION BASE

enhanced

FLOORINGbase

enhanced

ONCOLOGY TREATMENT ROOM 61

INTERIOR GUIDELINES

VOLUME 1 MATERIALS & FINISH GUIDELINES

VOLUME 2 FURNITURE STANDARDS MANUAL

VOLUME 3 PAINT & FINISH APPLICATIONS MANUAL

VOLUME 4 MAINTENANCE & SAFET Y MANUAL

Page 9: Interior Design Standards

Array Architects Interior Guidelines | PAGE 9

This $120 M renovation will positively impact clinical care, nursing efficiencies, staff collaboration and patient satisfaction. Improvements include a decentralized nursing model, upgrades to patient bedrooms and fully renovated patient toilet rooms.

Revitalized elevator lobbies at each inpatient floor set the tone and expectation of a superior experience for each arriving visitor. Dramatic and vibrant art will complement strong wayfinding elements, helping visitors and staff navigate each distinct patient unit.

Page 10: Interior Design Standards

PAGE 10 | Array Architects Interior Guidelines

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Array Architects Interior Guidelines | PAGE 11

The neonatal intensive care unit (NICU) at Rainbow Babies and Children’s Hospital — part of Cleveland’s University Hospitals and one of America’s premier children’s hospitals as ranked by U.S. News & World Report — was undersized by current space benchmarks. The Hospital recognized the benefits of a single-room NICU model, but required a design that would not raise operating costs. Array welcomed the opportunity to integrate the Rainbow brand into the interior design and environmental graphics as part of a 30,000 SF expansion to provide an all-private-room, Level III NICU.

To promote a soothing, hopeful experience for all families, we led a series of visioning workshops culminating in the adoption of a design that extends the Rainbow brand by interpreting color through light. Flower, Sunshine, Raindrop and Butterfly icons serve as visual cues unique to each of the four care units. A water ribbon element embedded in the floor flows through each of the four pods. These wayfinding icons to provide a whimsical relief to families spending extended time in the NICU.

University HospitalsRainbow Babies &

Children’s HospitalCleveland, Ohio

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PAGE 12 | Array Architects Interior Guidelines

Navigating throughout the Space

A glass enclosed connector bridge to the main hospital provides a dramatic new front door to the expanded unit. Colored tile panels, museum-quality artwork and a glass-surround window seat area offer a welcome respite for family members.

University Hospitals chose to adopt the private room model, citing evidence-based research and best practice benchmarks. The private rooms, including rooms sized to accommodate multiples, allow for a parent sleep and nursing / feeding area (with space for a comfortable chair and breast pump) while also allowing ample space for clinicians to examine the baby. Nurse sub-stations, located between every two rooms, provide charting space and quick access to each room while being respectful of patient / family privacy.

Colorful icons and floor inlays distinguish the four pods within the unit, making the large space easy to navigate.

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Array Architects Interior Guidelines | PAGE 15

New York Presbyterian Morgan Stanley

Children’s Hospital of New York

New York, NY

New York Presbyterian (NYP) engaged Array to develop a planning and implementation plan to evaluate and assess their existing inpatient facilities; identify infrastructure upgrades; prepare programming data to support best practice medicine; and develop phasing and implementation scenarios to minimize disruption to ongoing clinical operations. Working with the Construction Management team, Array prioritized program elements and prepared detailed cost estimates to align project scope with available budget dollars.

Array was retained to conduct feasibility studies and implement modernization projects in four key areas of the two older buildings and one location in the newest building. Inpatient spaces on floors 9, 10 and 11 include improvements to the PICU, NICU and AntePartum units. Outpatient space on the 7th floor include subspecialty clinics, including gastroenterology and digestion; and, a new 3T MRI space will be designed on the 3rd floor to accommodate Imaging volume increases.

Array developed comprehensive interior environment concepts, including thematic messages, which accommodate Wayfinding and Donor Recognition elements. Using current NYP Guidelines as a foundation, Array solicited feedback from the Patient and Family Advisory Council to select playful imagery from a wide selection of popular children’s authors.

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Array Architects Interior Guidelines | PAGE 17

Capital Health Medical Center - Hopewell

Pennington, NJ

Array Architects, in association with HKS, Inc., designed a state-of-the-art 237-bed Replacement Hospital for Capital Health. The design team was tasked with designing a facility that elicits a “Wow, I can’t believe this is a hospital!” response.

To bring the delivery of healthcare hospitality to a new level, the new facility features a patient tower, diagnostic and treatment services, cancer center and ambulatory building – all organized around a four-story atrium and two-story pedestrian avenue. Patient safety, family-focused care, and operational efficiency are the design drivers. Concierge services, retail boutiques and a comprehensive Spa are well-received amenities.

Concurrently, Array developed a family of materials, colors and details, which served as a roadmap for expansive renovation of the Capital Health Regional Medical Center, ensuring brand parity between the original and new facilities.

Page 18: Interior Design Standards

PAGE 18 | Array Architects Interior Guidelines

Art as Wayfinding

A strong element of this healing environment theme was art. For the interior spaces, Array worked in tandem with art and environmental graphics consultants - Lin Swenson and Kent Design - developing a call-to-artists to support Capital Health’s philosophy that the art should be ‘of the community’. The team worked with local artists and Judith Brodsky at Rutgers University’s Brodsky Center for Innovative Editions (where the printmaking also occurred), to ensure all art was locally-sourced.

More than 800 permanent pieces are on display at the Hopewell campus, with rotating exhibits adding new works throughout the year. The heritage recognition installations, which included large murals depicting the hospital’s bucolic setting; rich history; nursing legacy; strong ties to the community; and artifacts, provide a place to stop along the connecting corridors and soak in the local history. Also on each inpatient floor is an informal lobby with fireplace. Each lobby has distinct art and color accents. Wayfinding is further enhanced with elevator lobbies detailed with rich colors and descriptive signage, allowing visitors to associate each lobby color with their destination.

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Array Architects Interior Guidelines | PAGE 19

In addition to artwork commissioned specifically for the replacement hospital, world-renowned architect, Michael Graves, a Princeton, NJ resident, created a series of one-of-a-kind paintings and designed a pergola installation on hospital grounds, which integrates the original hospital’s bronze entry doors. The paintings enhance the wi-fi lounge, a popular gathering spot located at the crossroads of the inpatient tower, outpatient pavilion and emergency department.

Each of the heritage walls, large installations providing a sense of connection as well as an easily found meet up location, detail an important feature of the System’s legacy: philanthropy, community outreach, nursing education and location.

Using best practice design principles, all rooms are same-handed and have inboard patient bathrooms located on the patient headwall helping improve patient safety accessing the bathroom while max-imizing the window area. The large exterior windows provide scenic views and optimize natural light.

To promote a calming, therapeutic environment, the hospital features bright, airy common areas, healing gardens, rooftop gardens, a water wall and outdoor walking paths.

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PAGE 20 | Array Architects Interior Guidelines

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Array Architects Interior Guidelines | PAGE 21

University HospitalsSeidman Cancer Center

Cleveland, OH

University Hospitals (UH) Seidman Cancer Center, a 375,000 SF freestanding cancer facility, is one of only 10 such facilities in the US. UH tasked the design team with creating a modern environment that would be the embodiment of the exemplary care provided in an inviting, warm, nurturing setting that inspires hope in all who enter.

Working with senior leadership, physicians, nurses, past and current patients and their family members, Array, in association with Cannon Design, explored their perspectives, vision and aspirations through design workshops, focus group sessions and room mock-ups. Feedback gathered informed each and every programming, planning and design decision.

Immediately upon entering the building, one recognizes that they have arrived at a world-class Cancer Center. The soaring, light-filled lobby and atrium lift the spirits of patients and visitors. The diverse art collection, healing gardens and water features engage patients and caregivers alike. Well-conceived floor plans and attention to detail in the clinical zones afford efficient, optimal work environments for caregivers. Careful selection of colors and finishes contribute to a calming, quiet and healing environment.

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PAGE 22 | Array Architects Interior Guidelines

The Healing Power of Art

By giving each patient floor a distinct color-way, the information screen and nurse sta-tion intersection becomes a landmark and reference point. At each patient room entry, the room number is accompanied by a floor-specific, nature-themed resin panel. The panel provides an additional wayfinding element for each Unit, while also adding dimension to the corridor.

Much of the art in the building embodies nature themes consistent with patient input and with the Hospital’s intention to focus on the healing qualities of nature. World-

class, original, abstract art was also carefully selected and placed to provide patients and visitors opportunities to engage in a very real and personal way and to stimulate imagination, escape and even whimsy. This collection resulted in 325 original pieces of art featuring local, national and international artists of renown.

“The variety of media is intended to provide warmth, texture and depth to the healing environment,” Trudy Wiesenberger, UH’s art curator, explained. “We strive to make the Hospital a welcoming place. The art at University Hospitals is meant to engage the head and the heart, the body and the brain.”

The Ambulatory lobby features a variety of seating configurations designed to offer choice to gather in sun-drenched social circles or tuck into a subdued place of quiet and respite. The adjacent atrium is enhanced by a four-story mobile by Brad Howe entitled “Sea Rhythm” that can be appreciated from many locations throughout the floors.

The Radiation Oncology Department is located in the sub-basement to accommodate shielding requirements. The water feature in the waiting area reflects light from the skylight and provides a soothing backdrop for patients and their families. Signage directs those waiting to escort a patient home after treatment to a quiet area where they can work or access resource material.

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Array Architects Interior Guidelines | PAGE 23

Noted landscape designer, Virginia Burt, used nature and art to connect patients with the healing power of nature in the Schneider Healing Garden. Adjacent to the Seidman Cancer Hospital, the healing garden offers a place of rejuvenation and restfulness.

This intricate granite labyrinth, an 11-circuit Chartres pattern made of 955 pieces of hand-cut stone, is the garden’s centerpiece and was designed for walking meditation. The 13,000 SF garden features sculptures, sloping walkways and more than 75 plant species.

The garden focuses on the four elements of Earth, Wind, Fire and Water through various rock walls, sculptures and artwork installa-tions. A snowmelt system keeps the pattern free of ice and snow, ensuring year-round accessibility. Much of the Cancer Center faces the expansive garden, and its beauty enhances the views from patient rooms and treatment areas alike.

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Page 24: Interior Design Standards

PAGE 24 | Array Architects Interior Guidelines

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Array Architects Interior Guidelines | PAGE 25

St. ElizabethHealthcare

Ft. Thomas, KY

After the successful completion of the 120,000 SF St. Elizabeth Ambulatory and Urgent-Care Center, Array was retained to provide design services that would improve the Health System’s recently acquired campuses.

At the Ft. Thomas campus, Array completed a new Women’s Center that includes primary and specialty care exam and procedure rooms, physician offices, designated sub-waiting for each modality and pri-vate toilet rooms. St. Elizabeth’s Healthcare goal was to rejuvenate their brand and create a more engaging patient experience.

Seeking to create an upscale atmosphere for their patients, St. Elizabeth combined all women’s healthcare services from several campuses into one location. Array accomplished this goal by developing a palette of rich earth tones and textures combined with comfortable furnishings and uplifting art to create an inviting environment. The patient-centered, centralized location enables all services to be streamlined, easing the stress of patients.

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St. Elizabeth Healthcare | Reissued: July 2013

•  Ensure values are communicated. •  Reinforce the brand •  Use wayfinding devices. •  Use rich, warm materials •  Aesthetics should be consistent through all campuses and buildings •  Area should be welcoming and feel comfortable and non -institutional •  Provide positive distractions & amenities •  When possible provide views of the outdoors & access to natural light

Lobbies  

Since the lobby is the first point of contact for a facility it is most important to make visitors feel welcome and safe.

Public Lobbies 2.1

23

St. Elizabeth Healthcare | The Design Tool Kit| Standards & Guidelines

•  Use architectural details (.i.e. soffits, lighting and changes in materials) to help define amenities.

•  Provide amenities that will add interest for the patrons and will give the area a Hospitality feel: (Bistro, Chapel, Gift Shop)

•  Design a Resource Center into a quiet alcove adjacent to the main lobby.

•  Incorporate positive distractions to decrease patient and family stress.

Lobby Amenities  

1

St. Elizabeth Healthcare | Reissued: July 2013

the

Design Tool Kit

STANDARDS & GUIDELINES

For more than 150 years, St. Elizabeth has been the heart and soul of healthcare in Northern Kentucky, proudly fulfilling the wish of the Sisters of the Poor: “So that the new hospital may not only be an ornament for Covington, but a blessing for centuries.” The health-care organization, founded with one small hospital in 1861, now operates six facilities throughout Northern Kentucky and Greater Cincinnati Area.

There is power in good design as a way to establish a positive and meaningful impression for the St. Elizabeth Healthcare Organization. When applied to the many facilities, the image will warm and attract while supporting the latest technology and innovations within each facility.

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Looking for an actionable plan, the Roadmap created for St. Elizabeth

provided the tools for rapid project implementation. Within 120 days, the

Roadmap created a brand identity and related service line development

strategy for each campus, which aligned services for each market

demographic and quantified project budget to support the necessary

investment.

At their Florence facility, the hospital brand concept embodied a family-

focused community hospital. The Roadmap helped management identify

the goal of minimizing duplicity of inpatient services while increasing

market share and focusing on “wellness healthcare” in response to this

young, growing demographic.

At their Ft. Thomas campus, the recommendation was to maintain this

facility as a community hospital but elevate and enhance outpatient

service offerings and update the overall appearance including desirable

retail amenities. Based upon market analysis, project dollars were

allocated to improve and expand oncology and women’s services at this

campus. Now complete, these services are thriving in support of a well

justified community need.

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• Defined boundaries with use of carpet selection

• Wayfinding and Signage

• Landmark(s) support decision or points either by defining element or contrast of materials/color

• Critical decision point defined by the soffit, material change and lighting

Decision Points

In public circulation, every intersection is a decision point for the visitor. These locations should include the following:

• Defined boundaries to create a sense of place.

• Thoughtfully integrated signage as outlined in the St. E Distinctive Features Guidelines.

• Design elements that create memorable landmarks.

• Critical decision points are strengthened by landmarks. Landmarks help to orient visitors, create a sense of place and enhance wayfinding.

DECISION POINT CHECKLIST

þ Integrated signage

þ Boundaries

þ Design elements create memorable landmarks

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Department Guidelines

WAITING & AMENITIES

• Provide smaller seating zones where possible. Avoid large, impersonal seating areas.

• Provide more focal, ambient lighting by utilizing focal accent fixtures.

• Provide refreshments / hospitality amenity areas where possible.

• Provide positive distractions : i.e. Fish Tank and Art Work.

• Use materials that support a quiet environment.

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MontefioreHutch Ambulatory

Bronx, NY

Array recently completed planning and design services for the com-plete fitout of 12 stories at the newly developed Hutch 2 Tower – part of a Class A office complex convenient to the Medical Center, which was occupied in late 2014.

Ambulatory surgery and support services are split between three floors and as well as waiting, prep/recovery, physician lockers and CSP. The ORs are distributed between several floors with great care taken to properly connect them to achieve maximum efficiency and patient safety.

All seven upper clinical floors are based on modules and pods so that space can easily be increased or decreased between groups as needed. Rooms can easily swing from office to consult to exam rooms due to rough ins. Multiple points of entry were also carefully moni-tored due to patients who self-park, patients who take mass transit, and patients who are dropped off. With these conditions, came addi-tional requirements for security and emergency preparedness.

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• Bistro-style seating with charging and wi-fi access

• Curved and linear seating variety define clear pathways

• Distinct zones afford choice for quiet reflection or social interaction

• Lighting variety and controls afford light level adjustment for day to evening transitions

Furniture as PlacemakerInpatient and family gathering zones, thoughtful selection of furniture style, scale and performance will greatly enhance perceptions around quality and empathy. A generative space will encourage movement, interaction, connection to resource, education and entertain-ment opportunities as well as refreshment offerings. Considerations for scheduled cleaning methodologies and routine maintenance should inform decisions relating to wood vs. metal and fabric vs. vinyl upholsteries.

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PROPERTY CHECKLIST

þ Bariatric Accommodation

þ Clean-out between seat and back

þ Resilient, cleanable arm caps

þ Firm seat, durable coverings

Furniture Guidelines

CONSIDERATIONS

• Pre-negotiated discount structure with trusted dealer network can streamline procurement, staging and installation.

• Pre-selecting trusted manufacturers and furniture groups conserves stakeholder time during vetting process

• Engaging caregivers, and patient and family advisory groups can provide valuable insight.

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