Heart Hospital at NewYork-Presbyterian Medical Center

The new Heart Hospital at NewYork-Presbyterian Medical Center will greatly expand the functional capacity of the Cardiology Department. The new building is an intervention in the existing hospital complex and serves to express the vitality and dynamism of the rapidly changing medical community it serves. A curving all-glass wall acts as a counterpoint to the existing masonry buildings and provides panoramic views of its spectacular setting to visitors, patients, and medical practitioners.
Inserted between two substantial existing hospital buildings, the new facility will provide a full range of medical services, including Diagnostics, Ambulatory Surgery, Cardiac Catheterization laboratories, Medical Practice suites, Critical Care units, and an Education/Conference center. The new hospital will be connected to the existing buildings on multiple levels, facilitating the continuity of medical departments and functional synergies.The most prominent architectural feature, the multilayered, curved glass wall, suggests the forward-looking energy of the new institution, both technologically progressive and personally responsive. The seating areas behind the glass wall enjoy spectacular views of the Hudson River and the Palisades beyond. The double-glass construction allows for both energy efficiency and visual transparency. Electronically controlled vertical shades track the movement of the sun, maintaining a temperate internal environment and presenting a constantly changing façade. At night, strategically deployed lighting refracts through the glass envelope, which is suspended from the uppermost floor by a web of stainless steel cables.
The new Heart Center provides a full range of cardiac care on six levels, including vascular ultrasound, cardiac catheterization and electrophysiology, surgical robotics, practice suites, and an expanded ICU/CCU. A four-story atrium makes clear the vertical organization of the facility and brings to the interior natural light, spatial generosity, and a visual connection to the blue of the New York City sky.
The arrival from the principal patient drop-off area is through a tall, sheer glass wall, the transparency of which is an invitation to enter. Strategically placed art draws the visitor into the building and a curved and gently ascending ramp leads to the skylit glazed atrium. The education and conference center is directly accessible from the main atrium and provides reception space, an auditorium seating 200, and four flexible conference rooms. Fiber optic connection between the procedure/operating rooms above and the auditorium, as well as satellite uplink capability, will greatly enhance the educational potential of the center.An entrance and vehicular drop-off from 165th Street is accomplished via a landscaped arrival court under a sheltering glass canopy.

The material palette of the building, water-white glass, stainless steel, aluminum, and limestone is intended to represent the clarity, dignity, and enduring values of the institution it serves. (source)

Rush University Medical Center

Rush is seeking Leadership in Energy and Environmental Design (LEED) certification from the U.S. Green Building Council. LEED promotes a whole-building approach to sustainability by recognizing performance in five key areas of human and environmental health: sustainable site development, water savings, energy efficiency, materials selection, and indoor environmental quality.

The project schedule calls for surface parking, the central power plant, parking, the orthopedic ambulatory building, and the supply chain and loading docks to be complete in 2009; the East Tower to open in 2012; the existing Atrium building renovations to finish in 2013 and 2015; and demolition of the oldest buildings on the west end of Rush’s campus to occur in 2016. (source)

University of Chicago Medical Center

The futuristic, $700 million, 10-story, 1.2 million-square-foot New Hospital Pavilion, designed by renowned architect Rafael Viñoly, provides a high-technology facility that combines the optimal setting for patient care and collaborative clinical research with the flexibility to adapt to and drive forward rapid changes sweeping through medicine.

Rafael Viñoly Architects of New York and London, working with health care facility specialists Cannon Design of Grand Island, N.Y., developed the design. Viñoly designed the University’s award-winning Charles M. Harper Center for the Graduate School of Business.

The building’s innovative and efficient design will foster collaboration and interaction among clinicians while providing a haven for patients and families dealing with complex illness. It will be spacious, easy to navigate and filled with natural light.

The architects created that flexibility by basing the entire structure on an innovative grid system—a matrix of modular cubes, each one 31.5 feet across and 18 feet high. The repeating modules, 102 on each floor, can be reconfigured as needed to accommodate a wide range of purposes, from inpatient beds to radiology suites to operating rooms, without changing the basic frame of the building.

Besides fostering collaboration, driving technological change and creating an environment where patient care, research and education could be developed seamlessly, “there was a clear intention to create a facility,” said Viñoly, “where architectural quality and operational efficiency are not in opposition.”

Playing off the traditional courtyard layout of much of the University, the design includes a Sky Lobby on the seventh floor, “effectively lifting the social, contemplative, outdoor space of the campus quad into the air,” according to Viñoly. The Sky Lobby, an elevated public space that “breaks the building’s mass into two components,” will contain central reception, family waiting areas, a chapel, gift shop, dining areas and other public spaces. Its floor-to-ceiling glass walls will provide expansive views of the campus and Lake Michigan to the east, Washington Park to the west, and the downtown Chicago skyline to the north. (source)

Providence Newberg’s New Medical Center

First hospital to earn Gold LEED
Architects: Mahlum Architects

Providence Health System's new medical center in Newberg was the first hospital building in the United States to acquire enough renewable electric power to meet all its needs. Providence has agreed to purchase 183,294 kilowatt hours per month of renewable power from Portland General Electric through PGE's Clean Wind program. By doing this, Providence will offset the need for conventional power generation that would have sent more than three million pounds of carbon dioxide emissions into the atmosphere each year. The CO2 emissions avoided will be equivalent to taking 273 cars off the road.Providence Newberg’s medical center is breaking new ground in many ways. The project is the first hospital in the nation to earn GOLD LEED (Leadership in Energy and Environmental Design) certification through the U.S. Green Building Council, which is extremely rare for hospitals. Providence Newberg is demonstrating that a medical center can incorporate the most advanced technology and forward-thinking patient care design along with energy-efficient, environmentally sound construction.(source)

• Providence Newberg is the first Gold LEED (Leadership in Energy and Environmental Design) Certified hospital in the country. LEED is a certification from the U.S. Green Building Council to encourage and support construction of healthier, more energy efficient buildings.
• The building location maximizes views and daylight for heating and cooling efficiency.
• Courtyards increase natural lighting inside the building – every patient room has
  natural light.
• Specially treated windows improve heating and cooling efficiency.
• Occupancy sensors control lighting and HVAC, cycling down systems when they are
  not in use.
• Our ventilation system does not recycle air inside the building. The air you breathe is 100 percent fresh.
• The healing garden outside Ruth’s Café allows patients, visitors and employees to take advantage of spectacular views of nearby Parrett Mountain.

More pictures and information from Mahlum Architects

Green Hospital Articles

The Canadian Coalition for Green Health Care

Building Green Hospitals Checklist

Healthy Building Network and Health Care Without Harm

Green Building Priorities for Healthcare

Hospitals for a Healthy Environment and the NY State Energy Research & Development Authority

Green Guide for Healthcare

American Society for Healthcare Engineering (ASHE)

Green Healthcare Construction Guidance Statement

CleanMed 2002

Green and Healthy Buildings for the Healthcare Industry

National Health Service (NHS) Estates

Sustainable Development: Construction and the National Health Service (NHS)

BUILDING GREEN HOSPITALS CHECKLIST

BUILDING GREEN HOSPITALS CHECKLIST

1. Choose an Environmentally Friendly Site

[] Avoid farmland, wetlands, flood plains, environmentally sensitive lands, and hazardous substance sites.

[] Rehabilitate vacant areas as necessary.

[] Share existing parking/transportation infrastructure.

[] Minimize heat island (thermal gradient differences between developed and undeveloped areas).

[] Take advantage of existing transit, water, and energy infrastructure in the community.

[] Preserve local habitat, greenfields, and natural resources.

2. Design for Sustainability and Efficiency

Building

[] Prioritize parks, greenways, and bikeways throughout the new hospital area. Plan sufficient shade.

[] Investigate incentives available from the U.S. Department of Energy.

[] Consider (re)use of existing buildings, including structure, shell, etc.

[] Identify opportunities to incorporate recycled materials into the building, such as beams and posts, flooring, paneling, bricks, doors, frames, cabinetry, furniture, trim, etc.

[] Provide suitable means of securing bicycles with convenient change/shower facilities for those who cycle to work.

[] Design for durability-life cycle costing/value engineering strategy for finishes and systems to reduce waste.

[] Maximize daylighting and view opportunities (building orientation, exterior/interior shading devices, high-performance glazing, photo-integrated light sensors, shallow floor plates, increased building perimeter, etc.).

[] Designate an area for recyclable collection and storage that is appropriate and convenient with consideration given to using cardboard balers, aluminum can crushers, recycling chutes, and other waste management technologies to enhance recycling program.

[] Consider the installation of an on-site compost vessel.

[] Design for adaptability of building design as user needs change.

[] Establish a project goal for locally sourced materials and identify materials and material suppliers that can help achieve this goal; this reduces environmental impact due to transportation and supports the local economy.

[] Provide capacity for indoor air quality monitoring to sustain long-term occupant health and comfort (carbon dioxide sensors integrated into building automation system).

Energy

[] Orient building to take advantage of solar energy for heating and daylighting, and to encourage natural ventilation and passive cooling.

[] Consider heat recovery systems where appropriate.

[] Use computer-simulation model to assist in maximizing energy performance.

[] Install mechanical ventilation equipment.

[] Install high-efficiency heating and cooling equipment. Install a lighting control system.

[] Install high-efficiency lights, appliances, and fixtures with motion/occupancy sensors where appropriate.

[] Consider heating/cooling and energy from renewable sources (e.g., solar, wind, biomass, geothermal, bio-gas, etc.).

[] Minimize light pollution by proper and judicious illumination.

[] Design the building with equipment to measure water and energy performance.

[] Consider task lighting "opening window" technology, and underfloor HVAC systems with individual diffusers.

(Source)

Stanford University Medical Center

Stanford University Medical Center unveils plans for renewal and modernization

Stanford Hospital & Clinics' renewal process was brought about to address state-mandated seismic safety laws, a critical shortage of beds, increasing patient needs, undersized facilities, and the space requirements of new medical technologies and advances in medical care.

Rafael Viñoly Architects are the architects appointed to design the new hospital: a healing environment that will care for the whole person, addressing emotional, social and physical needs following Stanford’s clinical excellence. President and CEO of Stanford Hospital & Clinics Martha Marsh remarked: “Rafael Viñoly has brought creativity and innovation to translating our vision, as well as future flexibility to assure that these exciting facilities will keep pace with rapid advances in medicine and technology.”

The new plans propose a net increase of approximately 441,500 sq ft on the current site. The new facilities will add 104 beds for a total of 361 patient beds on site; new diagnostic and treatment rooms; nursing and support services; clinics and administrative offices.

The new building will benefit from light-filled corridors with views to the foothills and beyond. The design includes a central courtyard and roof gardens that will re-establish the tradition of the Stanford campus by integrating the landscape within the new building, aiming to create an uplifting atmosphere. A sloped courtyard with a prominent water feature organizes public circulation on the lower levels and brings natural light into the centre of each floor. Accessible roof gardens surround a unique public floor that contains family and staff amenities.

During the unveiling ceremony architect Rafael Viñoly said: “We are challenging outdated conventions in hospital design to establish a new architectural identity for Stanford Hospital that will allow it to continue to provide outstanding care for its community as well as innovate and develop treatments that will benefit communities the world over.”

Stanford University Medical Center has submitted a formal application to the City of Palo Alto for the Renewal Project. The City of Palo Alto is conducting the required Environmental Impact Report (EIR) process, which includes multiple opportunities for public comment. Phased construction is scheduled to begin in 2010. The existing hospital will remain operational through construction and the original 1959 and 1973 portions will be demolished after the opening of the new facilities.

Champalimaud Foundation Centre in Lisbon

From WAN, aproject by RMJM Architects for the Champalimaud Foundation Centre in Lisbon Portugal which has some blurred interior and exterior spaces: "Building A will house a rainforest garden which can be visited by patients and staff, in addition to diagnostic, treatment and wellness centers; Building B is to encompass an auditorium, exhivition center and restaurant; while Building C is expected to be an open-air amphitheater to hold community events and public performances.":: images via WAN