Healthcare Brochure

Healthcare Design
Shepley Bulnch Richardson & Abbott

Architecture / Planning / Interiors / Est. 1874
at Shepley Bulfinch
Shepley Bulfinch brings innovation and expertise in programming,
planning, architecture, and interior design to the worlds leading
healthcare institutions. Our work reflects our unique insights into
healing environments, complemented by expertise in patient- and
family-centered design, and the application of state-of-the-art,
high-performance, and cost-effective technologies.
Healthcare Design
at Shepley Bulfinch
Our Vision for Healthcare Design
Responsive healthcare design must not only address the challenges of evolving technologies,
but also the human element of healthcare, blending technical design innovations with thoughtful
enhancements of the healing environment. Through rigorous planning and design, we anticipate
and accommodate changes in technology and function while maintaining a primary focus on the
healing process through patient-centered, evidence-based healthcare design. We understand the
needs of patients and families, physicians and staff, as well as operational efficiency and capital
cost concerns. By partnering with our clients, we deliver forward-looking master plans which trans-
form and redefine healthcare campuses and create healing and sustainable environments.
Cardiovascular Center + Research Facility =
Academic Medical Centers
Adaptive Reuse
Administrative Offces
Ambulatory Care Clinics
Campus Master Plans
Cancer Centers
Cardiovascular Centers
Community Hospitals
Dining Facilities
Facilities Programs
Libraries
Medical Schools
Pediatric Hospitals
Research/Science Facilities
Teaching Hospitals
Shepley Bulfnch Healthcare Core Project Types
02
Healthcare Design / Vision
University of Michigan Health Systems
Cardiovascular Center | Ann Arbor, MI
Project Specifications:
Project Type: New construction
Program: Cardiovascular Center
Square Footage: 420,000
Construction Cost: $140m
Completion Date: 2007

Key Design Features:
Atrium with healing garden
Learning environment
Curated art collection
Integrated advanced technology
The Cardiovascular Center (CVC) provides integrated cardiovascular clinical care
while supporting the Universitys medical education and research missions. The
Center was designed to create an inclusive learning and healing environment for
patients, visitors, and medical staff, and to make connections through medicine,
art, and the natural world. One of its most striking features is a five-story glass-
enclosed atrium, with a winter garden and heart healthy caf, which becomes
a meeting place for faculty, staff, and patients. Access to outdoor gardens, an
auditorium, and a patient library emphasize the Centers focus on teaching and
learning. The Center offers some of the most advanced technologies and medical
design features in the country. Skybridges and tunnels connect the CVC to
University Hospital and C.S. Mott Childrens Hospital. To make the building more
approachable, only its upper three stories are visible from the street.
One of the biggest challenges we face as leaders is managing the accelerating
pace of change. In the spheres of communication, information and technology
it is essential that institutions do more than keep up. We play an integral part,
helping manage and define strategic priorities alongside our clients. In this role
Shepley Bulfinch helps institutions remain dynamic, innovative, and competitive.
This requires not only depth of knowledge but thoughtful planning. While Shepley
Bulfinch is fortunate to have such a rich legacy, what interests me is how we
shape the future.
Perspectives on Values and Change
Carole Wedge, AIA, President, Shepley Bulfnch
03
Our Vision for Sustainable Design
Commitment to sustainability speaks to the first principle of healthcare: first do no harm.
Sustainable design is a core value, from our own LEED Silver-certified offices to the strategies
and technologies we use to ensure that our buildings enhance and improve the communities they
serve well into the future. Our commitment is reflected in our professional staff, over one-third of
whom are LEED Accredited Professionals. An essential objective of the British Building Research
Establishments Environmental Assessment Method (BREEAM) states the premise concisely:
Make the most of the site by studying its history and purpose, local micro-climates and the
prevailing winds and weather patterns, solar orientation, provision of public transport, and the
form of surrounding buildings. This is the essential starting point for truly sustainable buildings
that will endure by conservation and adaptation for future generations.
Platinum
Gold
Silver
Certied
USGBC LEED Rating System
04
Key Benefits of Sustainable Design:
Support of Local Economies
Lower Operational Costs
Increased Return on Investment
Increased Employee Productivity and Health
Minimized Site Disturbance
Local Tax Credits
Utility Rebates
LEED Certification
Energy Recovery and Conservation
Exceeding Code Standards
Environmental Preservation
Improved Air Quality and Occupant Comfort
Reduced Operational Waste
Increased Recycling
Water Management for Buildings and Site
Minimized Construction Waste
Reduced Light Pollution
Native Landscaping
Healing and Psychological Benefits of Nature
Health and Cost Benefits of Natural Light
Financial Incentives
A Socially Responsible Image
Who is the USGBC and what is LEED?
The US Green Building Council (USGBC) provides guidance and
parameters for optimizing energy usage through environmental design.
Leadership in Energy and Environmental Design (LEED) is the nationally
accepted benchmark for the design, construction, and operation of
high-performance green buildings.
05 Healthcare Design / Sustainability
Sherman Health Systems replacement campus helps fulfill the hospitals vision of
becoming one of the nations best community hospitals, a leading regional institution
and a model for sustainable design. Sherman Hospital is responding to developments
in patient care and a substantial population growth with a 650,000 s.f. hospital and
100,000 s.f. medical office building which will deliver the best in advanced care with
the compassion of a community hospital. Fulfilling the hospitals mission to expand its
definition of community care through a commitment to sustainable design, the 154-
acre campus will include a 15-acre, man-made lake, the focal point of a geothermal
mechanical system that will heat and cool the building, saving over 30 percent in
energy costs. As the keystone to the largest geothermal hospital in the world to date,
the lake will become a unique amenity for its patients, staff, and visitors.
Program: Replacement Hospital

15-acre geothermal lake
Energy savings via natural feature
Designed for campus growth
Patient-focused environment
Sherman Health Systems
Sherman Hospital | Elgin, IL
Design Research + Evidence-Based Design
06
The Center for Health Design Pebble Project
The Pebble Project
Evidence-based design uses data analysis to verify what our century of healthcare experience has
long told us: good design has a powerful impact on hospital patients and staff. With this data
we can quantify that impact, enabling us to make design decisions that will improve operational
efficiency, speed healing, and reduce injury. The award-winning Bronson Methodist Hospital was
one of the first Pebble Projects for the Center for Health Design, a non-profit healthcare research
and advocacy group. Working in partnership with the Center and with Bronson Health Systems,
we have been able to measure and analyze the impact of design elements on patient outcomes
and staff. The results are palpable: patient satisfaction has nearly doubled, and the hospital has
witnessed a dramatic decline in the level of hospital-borne infections and nursing staff turnover.
The Center for Health Design created the Pebble Project in 2000 as a
joint research program with key healthcare providers. Its mission using
the analogy of the ripples of a pebble tossed into water was to create
a ripple effect in healthcare by providing documented examples of the
impact of good design in the quality of care and the fnancial perfor-
mance of healthcare institutions.
The emergence of evidence-based design and the utilization of
design research, together with the incorporation of green building
principles, are the most significant developments in healthcare
design in the last century. From my perspective, evidence-based
design has altered the aesthetic, functional, and cultural face of
healthcare architecture. Associated mandates have promoted
alliances between professional practice and university programs
with a profound benefit to patients, family, staff, and the wider
community. Mardelle Shepley is Director of the Center for Health
Systems and Design at Texas A&M University.
Mardelle McCuskey Shepley, D.Arch., AIA, ACHA
Director of Design Research at Shepley Bulfnch
07
Design
Research
Nature
Psychology
Bronson Healthcare
Bronson Methodist Hospital | Kalamazoo, MI
Project Type: Replacement Facility
Program: Community Hospital

Pebble Project
Activity-zoned facility
Atrium as heart of complex
Patient- and family-focused
Designated one the first Pebble Projects by the Center for Health Design, this
award-winning replacement hospital is regularly cited as a model of evidence-based
design: its benchmarks offer compelling documentary evidence of its success in
dramatically improving patient care and satisfaction, as well as clinical excellence
and operational efficiency. The hospitals horizontal continuity facilitates patient
access: each level is devoted to a particular specialty, allowing easy transition
from parking to medical office, ambulatory services, and inpatient care. The cam-
pus is zoned by activity, with critical care services to the north, ambulatory to the
south, and mixed programs in the middle. To enhance patient convenience and sat-
isfaction while increasing staff efficiency and decreasing costs, the new Bronson
incorporates innovative operational initiatives, including the aggregation of eight
ambulatory diagnostic sub-specialties into a single unit.
Healthcare Design / Evidence-Based Healthcare Design
Solutions in Healthcare Design
08
Programming for Healthcare
In healthcare programming, establishing a departments philosophy and goals and
capturing its operational implications are crucial to a projects success. It is essen-
tial to examine all processes closely and find the optimal way to manage the area
and anticipate change: a miscalculation in a size requirement has the potential
to cripple a project. As clients consider their processes they often become more
aware of the complexity of operations and the range of systems and support ser-
vices. Understanding the complexity and interwoven nature of programming issues
often means broader representation within the owners design team, ultimately
providing an adaptable and flexible healthcare program.
Patient- and Family-Centered Care
Family-centered care describes the way a healthcare organizations staff works
with families to provide the best care for a hospitalized patient. We design spaces
that bring families and professionals together to become partners in care. Family-
centered care is a constant pursuit of being responsive to the priorities and choic-
es of families, and is applicable to all ages. The medical provider acknowledges
key family members and recognizes that families have cultural and personal values
to bring to shared decision-making which strengthen the treatment and healing
process. Family-centered care improves clinical outcomes for critically ill patients
and accommodates specific needs into a sympathetic patient care setting.

Short-and Long-Term Planning and Design
A healthcare campus is a living, breathing organism, destined to grow and change.
The building designed today becomes a piece of a larger puzzle. It is important to
chart future growth to maintain organizational clarity. Although future programmatic
needs cannot be predicted precisely, a master plan can channel growth, ensuring
land is used wisely and capital investments arent wasted. Such a vision will inform
project density, open space and parking requirements, vehicular and internal circu-
lation, and construction materials. It is incumbent upon the designer to anticipate
changes such as the periodic replacement or augmentation of equipment and
mechanical and electrical systems during the expected life of a new facility.

Designing for Children
Pediatric healthcare facilities are distinctive for their age-adaptive design, child-scale
environment and spaces for family as caregivers. These facilities must allow vari-
ous age groups to find comfort in their hospital environment. For pediatric patients
below the age of adolescence, privacy is less important than the security of knowing
that they are not alone; adolescents have a greater need for privacy, especially dur-
ing illness. The presence of family can also contribute significantly to the recovery
of children; a building that encourages the involvement of family as caregivers by
providing them with places to sleep, learn, work, and participate in care giving will
ultimately improve and accelerate the healing process.

Perspectives from our Design Leaders
Healthcare Design / Solutions & Perspectives 09
Evidence-Based Design
Design and space configuration have been shown to significantly affect healing.
Evidence-based design quantifies the impact of elements such as natural light,
space proximity, and materials use, enabling us to make design decisions that
improve operational efficiency and speed the healing process. Evidence-based
design can have the most impact at the beginning of a project, during initial pro-
gramming and planning. Defining the program requires an early understanding of
these goals and affects the initial definition of project scope. It is vital to extrapo-
late observations to form new, innovative ideas. Only in combining known evidence
with new explorations can we increase the quality of our built environment.
Project Management and Delivery
Successful project management and delivery depends upon open communication
and consensus-building among the client, design team, construction manager and
consultants. Clear and consistent communication promotes team building. Design
and planning workshops early in the process foster communication and understand-
ing and bring diverse thinking to the project. The workshops also introduce topics
such as future growth and change, systems development, sustainable building
practices, cost control, facility operations, and maintenance early in the process.
To ensure that the building functions as anticipated and that the client is satisfied,
visualization of spaces and operational functions are replicated during design.
Image and Identity
Architectural form is a representative language which helps define the institutional
change necessary for survival in our time while retaining a sense of evolving iden-
tity. From our work with clients we have developed great sensitivity to the preserva-
tion of this character, which is constantly challenged by technology. Our projects
with 19th and 20th century institutions are built on narratives of those aspirations
and fragments of historical eras. The challenge is to bring these earlier narratives
into concert with 21st century ambitions. We thrive when partnered with institu-
tions that are deeply committed to reinforcing the architectural expression of their
identity and values, while extending outreach to the communities they serve.
Integrated Design
The outset of a project, while aspirations are soaring, is also the time for stake-
holders to consider the many innovative options for building systems. Integrated
design creates opportunities for compelling architecture with energy-efficient and
cost-effective infrastructure. Its also a methodology for building consensus with all
parties responsible for a project. In order for a building to function well, it must be
considered an integrated, holistic system; we believe our design process should be
viewed in much the same way. We build project teams that leverage the inspiration
and expertise of diverse designers, consultants, and owners, resulting in designs
informed by all relevant disciplines.
Learn more @ www.shepleybulfinch.com
Lobby, Yale-New Haven Cancer Hospital
1874 1950 1940 1930 1920 1910 1900 1890

1
8
7
4

H
.
H
.

R
i
c
h
a
r
d
s
o
n

a
r
r
i
v
e
s

i
n

B
o
s
t
o
n
,

M
A

1
8
7
7

T
r
i
n
i
t
y

C
h
u
r
c
h
,

B
o
s
t
o
n
,

M
A

1
8
8
0

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

S
e
v
e
r

H
a
l
l
,

C
a
m
b
r
i
d
g
e
,

M
A

1
8
8
0

A
m
e
s

G
a
t
e

L
o
d
g
e
,

N
o
r
t
h

E
a
s
t
o
n
,

M
A

1
8
8
5

U
n
i
v
e
r
s
i
t
y

o
f

V
e
r
m
o
n
t
,

B
i
l
l
i
n
g
s

L
i
b
r
a
r
y
,

B
u
r
l
i
n
g
t
o
n
,

V
T

1
8
8
7

M
a
r
s
h
a
l
l

F
i
e
l
d

W
h
o
l
e
s
a
l
e

S
t
o
r
e
,

C
h
i
c
a
g
o
,

I
L

1
8
8
7

J
.
J
.

G
l
e
s
s
n
e
r

H
o
u
s
e
,

C
h
i
c
a
g
o
,

I
L

1
8
8
7

N
i
c
k
e
r
s
o
n

H
o
u
s
e
,

D
e
d
h
a
m
,

M
A

1
8
8
8

A
l
l
e
g
h
e
n
y

C
o
u
n
t
y

C
o
u
r
t
h
o
u
s
e

a
n
d

J
a
i
l
,

P
i
t
t
s
b
u
r
g
h
,

P
A

1
8
9
1

A
m
e
s

B
u
i
l
d
i
n
g
,

B
o
s
t
o
n
,

M
A

1
8
9
1

S
t
a
n
f
o
r
d

U
n
i
v
e
r
s
i
t
y
,

I
n
n
e
r

Q
u
a
d
r
a
n
g
l
e

a
n
d

M
a
s
t
e
r

P
l
a
n
,

P
a
l
o

A
l
t
o
,

C
A

1
8
9
2

B
o
s
t
o
n

C
h
a
m
b
e
r

o
f

C
o
m
m
e
r
c
e
,

B
o
s
t
o
n
,

M
A

1
8
9
3

A
r
t

I
n
s
t
i
t
u
t
e

o
f

C
h
i
c
a
g
o
,

C
h
i
c
a
g
o
,

I
L

1
8
9
6

M
c
L
e
a
n

H
o
s
p
i
t
a
l
,

A
d
m
i
n
i
s
t
r
a
t
i
o
n

B
u
i
l
d
i
n
g
,

B
e
l
m
o
n
t
,

M
A

|

1
8
9
6

T
r
i
n
i
t
y

C
h
u
r
c
h
,

P
o
r
c
h

a
n
d

T
o
w
e
r
s
,

B
o
s
t
o
n
,

M
A

1
8
9
7

A
m
e
r
i
c
a
n

C
o
n
g
r
e
g
a
t
i
o
n
a
l

A
s
s
o
c
i
a
t
i
o
n

B
u
i
l
d
i
n
g
,

B
o
s
t
o
n
,

M
A

1
8
9
7

C
h
i
c
a
g
o

P
u
b
l
i
c

L
i
b
r
a
r
y
,

C
h
i
c
a
g
o
,

I
L

1
8
9
8

C
h
e
s
t
n
u
t

H
i
l
l

L
o
w

S
e
r
v
i
c
e

P
u
m
p

S
t
a
t
i
o
n
,

N
e
w
t
o
n
,

M
A

1
8
9
8

S
a
i
n
t

J
o
s
e
p
h

C
o
u
n
t
y

C
o
u
r
t
h
o
u
s
e
,

S
o
u
t
h

B
e
n
d
,

I
N

1
8
9
8

S
o
u
t
h

S
t
a
t
i
o
n
,

B
o
s
t
o
n
,

M
A

1
8
9
9

P
a
n

A
m
e
r
i
c
a
n

E
x
p
o
s
i
t
i
o
n

B
u
i
l
d
i
n
g
s
,

B
u
f
f
a
l
o
,

N
Y

1
9
0
0

U
S

C
o
m
m
i
s
s
i
o
n

f
o
r

t
h
e

P
a
r
i
s

E
x
p
o
s
i
t
i
o
n
,

P
a
r
i
s
,

F
r
a
n
c
e

1
9
0
4

R
o
b
e
r
t

T
o
d
d

L
i
n
c
o
l
n

H
i
l
d
e
n
e

H
o
u
s
e
,

M
a
n
c
h
e
s
t
e
r
,

V
T

1
9
0
6

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y

M
e
d
i
c
a
l

S
c
h
o
o
l
,

B
o
s
t
o
n
,

M
A

|

1
9
0
6

R
o
c
k
e
f
e
l
l
e
r

I
n
s
t
i
t
u
t
e
,

F
o
u
n
d
e
r
s

H
a
l
l
,

N
e
w

Y
o
r
k
,

N
Y

|

1
9
0
8

B
r
o
w
n

U
n
i
v
e
r
s
i
t
y
,

J
o
h
n

H
a
y

L
i
b
r
a
r
y
,

P
r
o
v
i
d
e
n
c
e
,

R
I

1
9
0
8

C
o
r
n

E
x
c
h
a
n
g
e

B
a
n
k

B
u
i
l
d
i
n
g
,

C
h
i
c
a
g
o
,

I
L

1
9
0
9

W
e
l
l
e
s
l
e
y

C
o
l
l
e
g
e

L
i
b
r
a
r
y
,

W
e
l
l
e
s
l
e
y
,

M
A

1
9
1
1

S
o
u
t
h
e
r
n

M
e
t
h
o
d
i
s
t

U
n
i
v
e
r
s
i
t
y
,

D
a
l
l
a
s

H
a
l
l
,

D
a
l
l
a
s
,

T
X

1
9
1
1

Y
o
u
n
g

M
e
n
s

C
h
r
i
s
t
i
a
n

A
s
s
o
c
i
a
t
i
o
n
,

B
o
s
t
o
n
,

M
A

1
9
1
2

U
n
i
v
e
r
s
i
t
y

o
f

C
h
i
c
a
g
o
,

W
i
l
l
i
a
m

R
a
i
n
e
y

H
a
r
p
e
r

M
e
m
o
r
i
a
l

L
i
b
r
a
r
y
,

C
h
i
c
a
g
o
,

I
L

1
9
1
3

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

G
o
r
e
,

S
t
a
n
d
i
s
h

a
n
d

S
m
i
t
h

H
a
l
l
s
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
1
4

C
h
i
l
d
r
e
n
s

H
o
s
p
i
t
a
l
,

B
o
s
t
o
n
,

M
A

1
9
1
4

M
a
r
i
n
e

B
i
o
l
o
g
i
c
a
l

L
a
b
o
r
a
t
o
r
y
,

C
r
a
n
e

B
u
i
l
d
i
n
g
,

W
o
o
d
s

H
o
l
e
,

M
A

1
9
1
5

M
a
s
s
a
c
h
u
s
e
t
t
s

G
e
n
e
r
a
l

H
o
s
p
i
t
a
l
,

M
o
s
e
l
e
y

B
u
i
l
d
i
n
g
,

B
o
s
t
o
n
,

M
A

1
9
1
5

R
o
c
k
e
f
e
l
l
e
r

I
n
s
t
i
t
u
t
e
,

F
l
e
x
n
e
r

H
a
l
l
,

N
e
w

Y
o
r
k
,

N
Y

1
9
2
1

P
e
k
i
n
g

U
n
i
o
n

M
e
d
i
c
a
l

C
o
l
l
e
g
e
,

P
e
k
i
n
g
,

C
h
i
n
a

|

1
9
2
1

T
r
i
n
i
t
y

C
a
t
h
e
d
r
a
l
,

P
h
o
e
n
i
x
,

A
Z

1
9
2
1

W
e
s
t
e
r
n

R
e
s
e
r
v
e

U
n
i
v
e
r
s
i
t
y

M
e
d
i
c
a
l

S
c
h
o
o
l
,

C
l
e
v
e
l
a
n
d
,

O
H

1
9
2
3

B
o
s
t
o
n

L
y
i
n
g
-I
n

H
o
s
p
i
t
a
l
,

B
o
s
t
o
n
,

M
A

1
9
2
5

A
l
l

S
o
u
l
s

C
h
u
r
c
h
,

W
a
s
h
i
n
g
t
o
n
,

D
C

1
9
2
5

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

M
c
K
i
n
l
o
c
k

D
o
r
m
i
t
o
r
y
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
2
6

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

F
o
g
g

A
r
t

M
u
s
e
u
m
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
2
6

V
a
n
d
e
r
b
i
l
t

U
n
i
v
e
r
s
i
t
y

M
e
d
i
c
a
l

S
c
h
o
o
l
,

N
a
s
h
v
i
l
l
e
,

T
N

1
9
2
9

R
o
c
k
e
f
e
l
l
e
r

I
n
s
t
i
t
u
t
e
,

W
e
l
c
h

H
a
l
l
,

N
e
w

Y
o
r
k
,

N
Y

1
9
2
9

U
n
i
v
e
r
s
i
t
y

o
f

V
i
r
g
i
n
i
a

M
e
d
i
c
a
l

S
c
h
o
o
l
,

C
h
a
r
l
o
t
t
e
s
v
i
l
l
e
,

V
A

1
9
2
9

W
e
s
t
e
r
n

R
e
s
e
r
v
e

U
n
i
v
e
r
s
i
t
y
,

S
c
h
o
o
l

o
f

N
u
r
s
i
n
g
,

C
l
e
v
e
l
a
n
d
,

O
H

1
9
3
0

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

L
o
w
e
l
l

a
n
d

D
u
n
s
t
e
r

H
o
u
s
e
s
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
3
0

M
e
m
o
r
i
a
l

C
i
t
y

H
a
l
l
,

A
u
b
u
r
n
,

N
Y

1
9
3
0

R
o
c
k
e
f
e
l
l
e
r

I
n
s
t
i
t
u
t
e
,

H
i
g
h

L
a
b
o
r
a
t
o
r
y
,

N
e
w

Y
o
r
k
,

N
Y

1
9
3
1

F
i
r
e

&

P
o
l
i
c
e

S
t
a
t
i
o
n
,

A
u
b
u
r
n
,

N
Y

1
9
3
1

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

A
d
a
m
s
,

K
i
r
k
l
a
n
d
,

L
e
v
e
r
e
t
t

a
n
d

W
i
n
t
h
r
o
p

H
o
u
s
e
s
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
3
1

L
a
k
e
s
i
d
e

H
o
s
p
i
t
a
l
,

C
l
e
v
e
l
a
n
d
,

O
H

1
9
3
1

W
o
o
d
s

H
o
l
e

O
c
e
a
n
o
g
r
a
p
h
i
c

I
n
s
t
i
t
u
t
e
,

A
d
m
i
n
i
s
t
r
a
t
i
o
n

B
u
i
l
d
i
n
g
,

W
o
o
d
s

H
o
l
e
,

M
A

1
9
3
2

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

E
l
i
o
t

H
o
u
s
e
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
3
2

N
e
w

Y
o
r
k

H
o
s
p
i
t
a
l
-C
o
r
n
e
l
l

M
e
d
i
c
a
l

S
c
h
o
o
l
,

N
e
w

Y
o
r
k
,

N
Y

|

1
9
3
3

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

M
e
m
o
r
i
a
l

C
h
a
p
e
l
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
3
6

N
o
r
t
h
e
a
s
t
e
r
n

U
n
i
v
e
r
s
i
t
y
,

C
a
m
p
u
s

P
l
a
n
,

B
o
s
t
o
n
,

M
A

1
9
3
8

N
o
r
t
h
e
a
s
t
e
r
n

U
n
i
v
e
r
s
i
t
y
,

R
i
c
h
a
r
d
s

H
a
l
l
,

B
o
s
t
o
n
,

M
A

1
9
3
9

B
o
s
t
o
n

B
l
a
c
k
i
n
g

C
h
e
m
i
c
a
l

C
o
m
p
a
n
y
,

L
a
b
o
r
a
t
o
r
y

B
u
i
l
d
i
n
g
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
3
9

M
a
s
s
a
c
h
u
s
e
t
t
s

G
e
n
e
r
a
l

H
o
s
p
i
t
a
l
,

G
e
o
r
g
e

R
o
b
e
r
t

W
h
i
t
e

M
e
m
o
r
i
a
l

B
u
i
l
d
i
n
g
,

B
o
s
t
o
n
,

M
A

|

1
9
4
1

N
o
r
t
h
e
a
s
t
e
r
n

U
n
i
v
e
r
s
i
t
y
,

L
a
b
o
r
a
t
o
r
y

B
u
i
l
d
i
n
g
,

B
o
s
t
o
n
,

M
A

1
9
4
2

R
h
o
d
e

I
s
l
a
n
d

H
o
s
p
i
t
a
l
,

P
o
t
t
e
r

B
u
i
l
d
i
n
g
,

P
r
o
v
i
d
e
n
c
e
,

R
I

1
9
4
7

M
i
l
i
t
a
r
y

C
e
m
e
t
e
r
y
,

M
a
r
g
r
a
t
e
n
,

H
o
l
l
a
n
d

1
9
4
8

N
o
r
t
h
e
a
s
t
e
r
n

U
n
i
v
e
r
s
i
t
y
,

E
l
l

S
t
u
d
e
n
t

C
e
n
t
e
r
,

B
o
s
t
o
n
,

M
A

1
9
4
8

P
o
t
o
m
a
c

R
i
v
e
r

B
r
i
d
g
e
,

W
a
s
h
i
n
g
t
o
n
,

D
C

1
9
4
9

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

L
a
m
o
n
t

L
i
b
r
a
r
y
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
5
1

B
o
c
a

G
r
a
n
d
e

C
o
m
m
u
n
i
t
y

L
i
b
r
a
r
y
,

B
o
c
a

G
r
a
n
d
e
,

F
L

1
9
5
2

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

G
o
r
d
o
n

M
c
K
a
y

A
p
p
l
i
e
d

S
c
i
e
n
c
e
s

L
a
b
o
r
a
t
o
r
y
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
5
2

N
o
r
t
h
e
a
s
t
e
r
n

U
n
i
v
e
r
s
i
t
y
,

D
o
d
g
e

L
i
b
r
a
r
y
,

B
o
s
t
o
n
,

M
A
Shepley Bulnch Innovations in Healthcare Design 18742000
Landmark Healthcare Projects
Harvard University
Harvard Medical School Campus
Boston, MA, 1906
Harvard Medical Schools
26-acre Beaux Arts complex
comprises five buildings, one
for administration and four for
labs. To accommodate different
uses while maintaining a uni-
form appearance, dark panels
correspond to glass so that all
facades appear the same.
Rockefeller Institute
Founders Hall
New York, NY, 1906
Following the European work of Koch and
Pasteur, the Rockefeller Institute for Medical
Research was established in 1901, as
the first biomedical research center in the
US. Founders Hall, the first laboratory of
the Rockefeller Institute (now Rockefeller
University) was completed in 1906. The build-
ing, now home to the Deans office, tech trans-
fer offices, and laboratories, was designated a
National Historic Landmark in 1974.
McLean Hospital
North Belknap and Administration Buildings
Belmont, MA, 1894
McLean Hospital was the firms first healthcare
client. North Belknap, a three-story clinical care
building, is designed in the Tudor style, and was
originally known as the Belknap House for Men.
The Administration Building, also built in 1894, was
built in the Colonial Revival style. Much of the origi-
nal, dark-stained woodwork remains in the building,
which now houses administrative, clinical, and staff
offices, conference rooms and a boardroom.
Peking Union Medical College
Peking, China, 1921
The 14-building Peking Union Medical
College was built on the site of a
former palace near the Forbidden City
for the China Medical Boards as part
of a project funded by the Rockefeller
Foundation to modernize Chinas
medical system. The facilities of a
contemporary American medical school
are clad in an exterior designed to har-
monize with their environs.
Massachusetts General Hospital,
George Robert White Memorial
Building, Boston, MA, 1939
The structure, which united
scattered surgical wards under
one roof and gave the hospital a
new front door, was a crowning
addition to medical facilities
which date back to the early 19th
century. Its white brick faade
complements the granite of the
original Bulfinch building. To this
day it is the hospitals iconic
main entrance.
New York Hospital-Cornell
Medical School
New York, NY, 1932
The largest commission
in the firms history at the
time, the award-winning
complex covers three city
blocks. With a distinctive
pyramidal design of
graduated building heights,
this complex comprises five
hospitals, a medical school,
research and recreation
facilities, and a dormitory.
1990 1980 1970 1960

1
9
5
2

W
e
l
l
e
s
l
e
y

C
o
l
l
e
g
e
,

B
a
t
e
s

a
n
d

F
r
e
e
m
a
n

H
a
l
l
s
,

W
e
l
l
e
s
l
e
y
,

M
A

1
9
5
3

L
o
g
a
n

I
n
t
e
r
n
a
t
i
o
n
a
l

A
i
r
p
o
r
t
,

A
p
r
o
n

B
u
i
l
d
i
n
g
,

B
o
s
t
o
n
,

M
A

1
9
5
3

N
e
w

E
n
g
l
a
n
d

D
e
a
c
o
n
e
s
s

H
o
s
p
i
t
a
l
,

F
a
r
r

B
u
i
l
d
i
n
g
,

B
o
s
t
o
n
,

M
A

1
9
5
4

A
r
t
h
u
r

F
i
e
d
l
e
r

F
o
o
t
b
r
i
d
g
e
,

B
o
s
t
o
n
,

M
A

1
9
5
5

N
o
r
t
h
e
a
s
t
e
r
n

U
n
i
v
e
r
s
i
t
y
,

C
a
b
o
t

P
h
y
s
i
c
a
l

E
d
u
c
a
t
i
o
n

C
e
n
t
e
r
,

B
o
s
t
o
n
,

M
A

1
9
5
6

N
o
r
t
h
e
a
s
t
e
r
n

U
n
i
v
e
r
s
i
t
y
,

H
a
y
d
e
n

H
a
l
l
,

B
o
s
t
o
n
,

M
A

1
9
5
8

R
h
o
d
e

I
s
l
a
n
d

H
o
s
p
i
t
a
l
,

M
a
i
n

B
u
i
l
d
i
n
g
,

P
r
o
v
i
d
e
n
c
e
,

R
I

|

1
9
5
9

R
h
o
d
e

I
s
l
a
n
d

H
o
s
p
i
t
a
l
,

G
e
o
r
g
e

B
u
i
l
d
i
n
g
,

P
r
o
v
i
d
e
n
c
e
,

R
I

1
9
5
9

W
e
l
l
e
s
l
e
y

C
o
l
l
e
g
e
,

M
a
r
g
a
r
e
t

C
l
a
p
p

L
i
b
r
a
r
y

A
d
d
i
t
i
o
n
,

W
e
l
l
e
s
l
e
y
,

M
A

1
9
5
9

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

Q
u
i
n
c
y

H
o
u
s
e
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
6
1

H
a
r
v
a
r
d

U
n
i
v
e
r
s
i
t
y
,

L
e
v
e
r
e
t
t

H
o
u
s
e

T
o
w
e
r
s
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
6
1

W
e
l
l
e
s
l
e
y

C
o
l
l
e
g
e
,

M
c
A
f
e
e

H
a
l
l
,

W
e
l
l
e
s
l
e
y
,

M
A

1
9
6
5

C
i
n
c
i
n
n
a
t
i

G
e
n
e
r
a
l

H
o
s
p
i
t
a
l
,

E
m
e
r
g
e
n
c
y

D
e
p
a
r
t
m
e
n
t
,

C
i
n
c
i
n
n
a
t
i
,

O
H

1
9
6
7

S
m
i
t
h

C
o
l
l
e
g
e
,

S
c
i
e
n
c
e

C
e
n
t
e
r
,

N
o
r
t
h
a
m
p
t
o
n
,

M
A

1
9
6
8

S
q
u
a
w

V
a
l
l
e
y
,

T
r
a
m
w
a
y
,

T
a
h
o
e

C
i
t
y
,

C
A

1
9
6
9

B
r
o
w
n

U
n
i
v
e
r
s
i
t
y
,

G
r
a
d
u
a
t
e

C
e
n
t
e
r

D
o
r
m
i
t
o
r
y
,

P
r
o
v
i
d
e
n
c
e
,

R
I

1
9
6
9

M
i
d
d
l
e
b
u
r
y

C
o
l
l
e
g
e
,

J
o
h
n
s
o
n

M
u
s
i
c

a
n
d

A
r
t
s

B
u
i
l
d
i
n
g
,

M
i
d
d
l
e
b
u
r
y
,

V
T

1
9
7
0

C
i
n
c
i
n
n
a
t
i

G
e
n
e
r
a
l

H
o
s
p
i
t
a
l
,

M
a
i
n

B
u
i
l
d
i
n
g
,

C
i
n
c
i
n
n
a
t
i
,

O
H

1
9
7
1

W
i
n
t
e
r
t
h
u
r

M
u
s
e
u
m
,

L
i
b
r
a
r
y
,

W
i
n
t
e
r
t
h
u
r
,

D
E

1
9
7
2

N
e
w

E
n
g
l
a
n
d

D
e
a
c
o
n
e
s
s

H
o
s
p
i
t
a
l
,

F
a
r
r

B
u
i
l
d
i
n
g

A
d
d
i
t
i
o
n
s
,

B
o
s
t
o
n
,

M
A

1
9
7
3

C
h
a
r
l
e
s

F
.

H
u
r
l
e
y

E
m
p
l
o
y
m
e
n
t

S
e
c
u
r
i
t
y

B
u
i
l
d
i
n
g
,

B
o
s
t
o
n
,

M
A

1
9
7
4

W
a
l
k
e
r
s

A
r
t

G
a
l
l
e
r
y

A
d
d
i
t
i
o
n
,

B
a
l
t
i
m
o
r
e
,

M
D

1
9
7
5

P
e
n
o
b
s
c
o
t

B
a
y

M
e
d
i
c
a
l

C
e
n
t
e
r
,

R
o
c
k
p
o
r
t
,

M
E

|

1
9
7
5

B
u
n
k
e
r

H
i
l
l

C
o
m
m
u
n
i
t
y

C
o
l
l
e
g
e
,

C
h
a
r
l
e
s
t
o
w
n
,

M
A

1
9
7
5

D
a
r
t
m
o
u
t
h

C
o
l
l
e
g
e
,

S
h
e
r
m
a
n

F
a
i
r
c
h
i
l
d

P
h
y
s
i
c
a
l

S
c
i
e
n
c
e
s

C
e
n
t
e
r
,

H
a
n
o
v
e
r
,

N
H

1
9
7
6

R
h
o
d
e

I
s
l
a
n
d

H
o
s
p
i
t
a
l
,

A
m
b
u
l
a
t
o
r
y

P
a
t
i
e
n
t

C
e
n
t
e
r
,

P
r
o
v
i
d
e
n
c
e
,

R
I

1
9
7
6

V
a
s
s
a
r

C
o
l
l
e
g
e
,

C
o
l
l
e
g
e

C
e
n
t
e
r
,

P
o
u
g
h
k
e
e
p
s
i
e
,

N
Y

1
9
7
7

W
e
l
l
e
s
l
e
y

C
o
l
l
e
g
e
,

M
a
r
g
a
r
e
t

C
l
a
p
p

L
i
b
r
a
r
y

A
d
d
i
t
i
o
n
,

W
e
l
l
e
s
l
e
y
,

M
A

1
9
8
3

B
r
i
s
t
o
l

C
o
u
n
t
y

C
o
u
r
t
h
o
u
s
e
,

N
e
w

B
e
d
f
o
r
d
,

M
A

1
9
8
3

F
r
a
n
k
l
i
n

a
n
d

M
a
r
s
h
a
l
l

C
o
l
l
e
g
e
,

F
a
c
k
e
n
t
h
a
l

L
i
b
r
a
r
y
,

L
a
n
c
a
s
t
e
r
,

P
A

1
9
8
4

B
o
s
t
o
n

P
u
b
l
i
c

L
i
b
r
a
r
y

R
e
n
o
v
a
t
i
o
n
,

B
o
s
t
o
n
,

M
A

1
9
8
5

O
l
d

S
o
u
t
h

C
h
u
r
c
h
,

S
a
n
c
t
u
a
r
y

R
e
n
o
v
a
t
i
o
n
,

B
o
s
t
o
n
,

M
A

1
9
8
6

K
e
n
y
o
n

C
o
l
l
e
g
e
,

O
l
i
n

a
n
d

C
h
a
l
m
e
r
s

L
i
b
r
a
r
i
e
s
,

G
a
m
b
i
e
r
,

O
H

1
9
8
6

U
n
i
v
e
r
s
i
t
y

o
f

V
e
r
m
o
n
t
,

B
i
l
l
i
n
g
s
I
r
a

A
l
l
e
n

C
a
m
p
u
s

C
e
n
t
e
r
,

B
u
r
l
i
n
g
t
o
n
,

V
T

1
9
8
8

C
h
i
l
d
r
e
n
s

H
o
s
p
i
t
a
l
,

I
n
p
a
t
i
e
n
t

B
u
i
l
d
i
n
g
,

B
o
s
t
o
n
,

M
A

|

1
9
8
8

C
o
r
n
e
l
l

U
n
i
v
e
r
s
i
t
y
,

R
o
c
k
e
f
e
l
l
e
r

H
a
l
l

R
e
n
o
v
a
t
i
o
n
,

I
t
h
a
c
a
,

N
Y

1
9
8
8

G
e
n
e
r
a
l

E
l
e
c
t
r
i
c

C
o
m
p
a
n
y
,

R
e
s
i
d
e
n
c
e

C
o
m
p
l
e
x
,

C
r
o
t
o
n
v
i
l
l
e
,

N
Y

1
9
8
8

H
o
p
e

C
o
l
l
e
g
e
,

V
a
n

W
y
l
e
n

L
i
b
r
a
r
y
,

H
o
l
l
a
n
d
,

M
I

1
9
8
8

M
a
c
a
l
e
s
t
e
r

C
o
l
l
e
g
e
,

D
e
W
i
t
t

W
a
l
l
a
c
e

L
i
b
r
a
r
y
,

S
t
.

P
a
u
l
,

M
N

1
9
8
8

S
m
i
t
h
s
o
n
i
a
n

I
n
s
t
i
t
u
t
i
o
n
,

S
o
u
t
h

Q
u
a
d
r
a
n
g
l
e

M
u
s
e
u
m
s
,

W
a
s
h
i
n
g
t
o
n
,

D
C

1
9
8
9

A
n
d
o
v
e
r

C
o
m
p
a
n
i
e
s
,

C
o
r
p
o
r
a
t
e

H
e
a
d
q
u
a
r
t
e
r
s
,

A
n
d
o
v
e
r
,

M
A

1
9
9
0

B
u
c
k
n
e
l
l

U
n
i
v
e
r
s
i
t
y
,

S
c
i
e
n
c
e

C
e
n
t
e
r
,

L
e
w
i
s
b
u
r
g
,

P
A

1
9
9
1

A
l
b
u
q
u
e
r
q
u
e

A
c
a
d
e
m
y
,

L
i
b
r
a
r
y

a
n
d

S
c
i
e
n
c
e

B
u
i
l
d
i
n
g
s
,

A
l
b
u
q
u
e
r
q
u
e
,

N
M

1
9
9
1

D
a
r
t
m
o
u
t
h
H
i
t
c
h
c
o
c
k

M
e
d
i
c
a
l

C
e
n
t
e
r
,

L
e
b
a
n
o
n
,

N
H

|

1
9
9
1

L
a
f
a
y
e
t
t
e

C
o
l
l
e
g
e
,

F
a
r
i
n
o
n

C
o
l
l
e
g
e

C
e
n
t
e
r
,

E
a
s
t
o
n
,

P
A

1
9
9
1

M
o
u
n
t

A
u
b
u
r
n

H
o
s
p
i
t
a
l
,

P
r
o
je
c
t

2
0
0
0
,

C
a
m
b
r
i
d
g
e
,

M
A

1
9
9
2

C
o
r
n
e
l
l

U
n
i
v
e
r
s
i
t
y
,

C
a
r
l

A
.

K
r
o
c
h

L
i
b
r
a
r
y
,

I
t
h
a
c
a
,

N
Y

1
9
9
4

C
a
s
e

W
e
s
t
e
r
n

R
e
s
e
r
v
e

U
n
i
v
e
r
s
i
t
y
,

K
e
n
t

H
a
l
e

S
m
i
t
h

E
n
g
i
n
e
e
r
i
n
g

a
n
d

S
c
i
e
n
c
e

B
u
i
l
d
i
n
g
,

C
l
e
v
e
l
a
n
d
,

O
H

1
9
9
4

N
e
w

E
n
g
l
a
n
d

D
e
a
c
o
n
e
s
s

H
o
s
p
i
t
a
l
,

C
l
i
n
i
c
a
l

R
e
p
l
a
c
e
m
e
n
t

F
a
c
i
l
i
t
y
,

B
o
s
t
o
n
,

M
A

1
9
9
4

R
h
o
d
e

I
s
l
a
n
d

H
o
s
p
i
t
a
l
,

H
a
s
b
r
o

C
h
i
l
d
r
e
n
s

H
o
s
p
i
t
a
l
,

P
r
o
v
i
d
e
n
c
e
,

R
I

1
9
9
4

U
n
i
v
e
r
s
i
t
y

o
f

S
o
u
t
h
e
r
n

C
a
l
i
f
o
r
n
i
a
,

T
h
o
m
a
s

a
n
d

D
o
r
o
t
h
y

L
e
a
v
e
y

L
i
b
r
a
r
y
,

L
o
s

A
n
g
e
l
e
s
,

C
A

1
9
9
5

N
e
w

E
n
g
l
a
n
d

M
e
d
i
c
a
l

C
e
n
t
e
r
,

A
m
b
u
l
a
t
o
r
y

C
a
r
e

a
n
d

I
n
p
a
t
i
e
n
t

B
u
i
l
d
i
n
g
s
,

B
o
s
t
o
n
,

M
A

|

1
9
9
5

U
n
i
v
e
r
s
i
t
y

o
f

M
i
a
m
i
,

L
a
w

S
c
h
o
o
l

A
d
d
i
t
i
o
n
,

C
o
r
a
l

G
a
b
l
e
s
,

F
L

1
9
9
5

Y
a
l
e
N
e
w

H
a
v
e
n

H
o
s
p
i
t
a
l

A
d
d
i
t
i
o
n
,

N
e
w

H
a
v
e
n
,

C
T

1
9
9
6

T
u
f
t
s

U
n
i
v
e
r
s
i
t
y
,

T
h
e

T
i
s
c
h

L
i
b
r
a
r
y
,

M
e
d
f
o
r
d
,

M
A

1
9
9
6

U
M
a
s
s

M
e
m
o
r
i
a
l

H
e
a
l
t
h

C
a
r
e

M
e
d
i
c
a
l

C
e
n
t
e
r
,

M
e
m
o
r
i
a
l

C
a
m
p
u
s
,

W
o
r
c
e
s
t
e
r
,

M
A

1
9
9
6

W
a
r
r
e
n

B
.

R
u
d
m
a
n

U
.
S
.

C
o
u
r
t
h
o
u
s
e
,

C
o
n
c
o
r
d
,

N
H

1
9
9
7

D
a
n
a
F
a
r
b
e
r

C
a
n
c
e
r

I
n
s
t
i
t
u
t
e
,

S
m
i
t
h

R
e
s
e
a
r
c
h

L
a
b
o
r
a
t
o
r
i
e
s
,

B
o
s
t
o
n
,

M
A

|

1
9
9
7

F
o
r
d
h
a
m

U
n
i
v
e
r
s
i
t
y
,

W
i
l
l
i
a
m

D
.

W
a
l
s
h

F
a
m
i
l
y

L
i
b
r
a
r
y
,

N
e
w

Y
o
r
k
,

N
Y

1
9
9
7

Y
a
l
e

U
n
i
v
e
r
s
i
t
y
,

S
t
e
r
l
i
n
g

M
e
m
o
r
i
a
l

L
i
b
r
a
r
y

R
e
n
o
v
a
t
i
o
n
,

N
e
w

H
a
v
e
n
,

C
T

1
9
9
8

Y
a
l
e

U
n
i
v
e
r
s
i
t
y
,

I
r
v
i
n
g

S
.

G
i
l
m
o
r
e

M
u
s
i
c

L
i
b
r
a
r
y
,

N
e
w

H
a
v
e
n
,

C
T

1
9
9
8

E
m
o
r
y

U
n
i
v
e
r
s
i
t
y
,

C
e
n
t
e
r

f
o
r

L
i
b
r
a
r
y

a
n
d

I
n
f
o
r
m
a
t
i
o
n

R
e
s
o
u
r
c
e
s
,

A
t
l
a
n
t
a
,

G
A

1
9
9
8

F
i
d
e
l
i
t
y

I
n
v
e
s
t
m
e
n
t
s
,

M
a
s
t
e
r

P
l
a
n

a
n
d

O
f
f
i
c
e

B
u
i
l
d
i
n
g
,

S
m
i
t
h
f
i
e
l
d
,

R
I

1
9
9
8

R
o
l
l
i
n
s

C
o
l
l
e
g
e
,

C
o
r
n
e
l
l

C
a
m
p
u
s

C
e
n
t
e
r

A
d
d
i
t
i
o
n
,

W
i
n
t
e
r

P
a
r
k
,

F
L

1
9
9
8

S
t
o
n
e
h
i
l
l

C
o
l
l
e
g
e
,

B
a
r
t
l
e
y

J
.

M
a
c
P
h
a
i
d
i
n

L
i
b
r
a
r
y
,

N
o
r
t
h

E
a
s
t
o
n
,

M
A

1
9
9
9

B
a
t
e
s

C
o
l
l
e
g
e
,

P
e
t
t
e
n
g
i
l
l

H
a
l
l
,

L
e
w
i
s
t
o
n
,

M
E

1
9
9
9

E
l
o
n

U
n
i
v
e
r
s
i
t
y
,

B
e
l
k

L
i
b
r
a
r
y
,

E
l
o
n
,

N
C

1
9
9
9

M
a
i
n
e

M
e
d
i
c
a
l

C
e
n
t
e
r
,

B
a
r
b
a
r
a

B
u
s
h

C
h
i
l
d
r
e
n
s

H
o
s
p
i
t
a
l
,

P
o
r
t
l
a
n
d
,

M
E

1
9
9
9

M
e
m
p
h
i
s

a
n
d

S
h
e
l
b
y

C
o
u
n
t
y

P
u
b
l
i
c

L
i
b
r
a
r
y
,

M
e
m
p
h
i
s
,

T
N

1
9
9
9

U
n
i
t
e
d

S
t
a
t
e
s

N
a
v
a
l

W
a
r

C
o
l
l
e
g
e
,

S
t
r
a
t
e
g
i
c

M
a
r
i
t
i
m
e

R
e
s
e
a
r
c
h

C
e
n
t
e
r
,

N
e
w
p
o
r
t
,

R
I

1
9
9
9

A
g
n
e
s

S
c
o
t
t

C
o
l
l
e
g
e
,

E
v
a
n
s

H
a
l
l

R
e
n
o
v
a
t
i
o
n
,

D
e
c
a
t
u
r
,

G
A

2
0
0
0
+

O
u
r

C
u
r
r
e
n
t

P
o
r
t
f
o
l
i
o

P
a
g
e
s

1
2
+
2000+
Rhode Island Hospital
Main Building
Providence, RI, 1958
Rhode Island Hospitals Main
Building represented the first
phase of the 25-year master plan,
which was designed to transform
the aging hospital campus with its
scattered facilities to a modern
medical institution. Innovations
in the buildings design included
maximizing the use of natural light
to improve patient care.
Childrens Hospital Boston
Inpatient Building
Boston, MA, 1988
Seventy-four years after the firms first
project for Childrens Hospital Boston,
the hospitals new Inpatient Building
opened, creating one of the first fam-
ily-centered pediatric hospitals in the
United States. Subsequent projects for
the hospital have included the award-
winning Main South Building (2005).
Childrens consistently ranks among the
top pediatric hospitals in the country.
Penobscot Bay Medical Center,
Rockport, ME, 1975
Providing coastal Maine with a modern
medical complex, the design emphasizes
community and a patient-focused healing
environment, and has served as a model for
future projects. The light-filled building, with
its two-story high corridors and clerestory
windows, fits comfortably in its coastal set-
ting. Its flexible configuration allowed the
acute-care facility to triple its bed capacity.
DartmouthHitchcock
Medical Center
Lebanon, NH, 1991
The innovative design of this
new medical campus unites
three independent institutions
while providing for patients in
ambulatory and preventative
medical treatment. Designed
for expansion, it became
the first hospital organized
around a central mall.
New England Medical Center
Ambulatory Care/Inpatient Buildings
Boston, MA, 1995
The projects three buildings an
eight-story Inpatient Building,
Ambulatory Care Center, and
central atrium are designed for
patient-centered care. The project
is organized into hospitals within
a hospital, with decentralized diag-
nostic and treatment functions.
DanaFarber Cancer Institute
Smith Research Laboratories
Boston, MA, 1997
The cancer research building
provides space for more than 500
researchers, state-of-the-art labs,
and a library. It is linked to the
Institutes Dana and Jimmy Fund
buildings by overhead pedestrian
bridges. The 13-story building
accommodates a garage and chiller
plant below ground.
Current Portfolio
Healthcare Design / Cancer Center 12
Yale-New Haven Hospital
Smilow Cancer Hospital | New Haven, CT
Project Specifications
Project Type: New Construction
Program: Cancer Center

Key Design Features
Terra cotta rain screen
Rooftop healing garden
Connections to existing facilities
Anticipated LEED Silver Certifcation
This 14-story facility reinforces the Hospitals reputation as a top-ranking
Comprehensive Cancer Center as designated by the National Cancer Institute.
Consolidating services previously scattered throughout the campus, the project
focuses on making connections. A two-story lobby leads directly from the Hospitals
central atrium while a five-story, glass bridge connects to the Childrens Hospital. In
the future, other bridges will link to planned clinical lab/support and bed buildings.
The Center offers integrated inpatient and outpatient services, including 168 private
rooms, 12 operating rooms, radiation therapy, a womens cancer center, a pediatric
oncology unit, and a full complement of imaging technologies. Sustainable design
elements include a terra cotta rain screen exterior wall, light-filled interiors, and a
mid-level rooftop garden for patients and families. The hospital, which opened to
outpatients in October 2009, anticipates LEED Silver certification.
Childrens Hospital Boston
Main South Building | Boston, MA
Project Type: Hospital expansion
Program: Childrens Hospital

MROR imaging system
Cardiac cath suite with MRI
Decentralized nursing
Family-oriented spaces
Recipient of Modern Healthcares 2006 Award of Excellence, the 11-story Main
South Building contains the most advanced medical technology available, including
the MROR, the nations first mobile, intraoperative imaging system of its kind. This
complements a healing environment designed to support young patients and their
families while enhancing communication and staff productivity. The addition later-
ally expands the functions of the Main Building, unifying new and existing facilities
so they function with minimal separation. The addition includes two family-centered
intensive care units: a cardiac ICU and medical surgical ICU. Two floors accommo-
date 48 acute care beds in units designed to adapt as acuity levels change. The
Main South Building marks the latest phase in the hospitals 90-year partnership
with the firm. Project challenges included building on a tight urban site that required
the relocation of underground utilities and a street.
Healthcare Design / Childrens Hospital 13
Partners Healthcare
Mass General/North Shore Center for Outpatient Care | Danvers, MA
Program: Ambulatory Care Center

Integrated outpatient care
Flexible and adaptive space
Views of natural landscape
Adjacent medical offices
Within Partners Healthcare, Massachusetts General Hospital and North Shore
Medical Center (NSMC) have developed this suburban 120,000 s.f. Ambulatory
Care Center and 80,000 s.f. Medical Office Building. The Center now houses the
North Shore Cancer Center, with its four radiation treatment vaults, and a new
Ambulatory Surgery Center, as well as a new location for Imaging and Cardiology
Services. The buildings are arranged around a central lobby, creating a sense of
one integrated center. All departments are designed for expansion while allowing
for future flexibility within the footprint. Taking advantage of the surrounding site,
which connects to the adjacent salt marsh and river, a central lobby and cafe offer
views and access to a roof terrace. Patient zones such as infusion areas, prep-
recovery bays, and surgery waiting rooms are located along the perimeter of the
building, allowing for sweeping views of the Waters River.
Healthcare Design / Ambulatory Care Center 14
Childrens Hospital of Wisconsin
Childrens Health Systems Pavilion | Milwaukee, WI
Program: Childrens Hospital

Herma Heart Center
Horizontally integrated plan
Family-oriented environment
Clear wayfnding and circulation
Healthcare Design / Childrens Hospital 15
This colorful and light-filled West Tower for Childrens Health Systems give the
hospital campus a new image and identity while adding 144 acute and critical care
beds and a new clinical procedural core. A cardiology-focused high-intensity/high-
acuity platform has been planned for one level, to include operating rooms, cardiac
catheterization MR and CT, and a more ambulatory environment on another, with
operating rooms, minor procedure and endoscopic rooms, and interventional
radiology. The overall strategy includes a four-phase plan for a child- and family-
focused facility with clear internal orientation and circulation, and connectivity
between the old and new campuses, in a flexible design. The projects first
phase included a 270,000 s.f. Childrens Corporate Center and 1,600-car parking
structure, completed in 2006, situated close to the existing hospital, for use by
both campuses as the hospital transitions between old and new.
Dartmouth Medical School
Dartmouth-Hitchcock Medical Center, C. Everett Koop Medical Science Complex | Lebanon, NH
Program: Translational Research

Integrated research/clinical space
Connections to existing campus
Flexible auditorium space in atrium
Environment fosters interaction
Healthcare Design / Translational Research 16
The Koop Medical Science Complex, which houses the Translational Research
Facility and Center for Office-Based Research, is being designed to allow physi-
cians and researchers to communicate across disciplines and research areas and
collaborate easily. The Complex comprises four floors of labs and an expanded
vivarium and imaging facilities. A three-story atrium contains an auditorium shared
by educational programs, clinical symposia, and research conferences. The atrium
connects to the existing Borwell Laboratory Building and the campus beyond, fos-
tering communication among researchers and clinicians. Within the labs, spaces
for social interaction will increase opportunities for chance encounters, integrating
offices and small conference areas into the lab zone. Glass walls open to views of
the surrounding mountains. Open stairs allow easy sight and movement between
labs and research areas.
Dana-Farber Cancer Institute
Ambulatory Care Clinics | Boston, MA
Project Type: Renovation
Program: Ambulatory Cancer Care

Specialty cancer clinic
Warm and welcoming space
Resource suite and boutique
Medical consulting rooms
17
This three-floor renovation creates an integrated Adult Ambulatory Clinic with two
floors of diagnostic clinics and a dedicated floor for infusion therapy, all of which
place an emphasis on the patient. Through the careful selection of materials,
colors, and layout, the environment is warm and supportive, while a series of
medical consulting rooms assure patient privacy. The patient-focused emphasis of
the diagnostic floors is embodied in the Womens Cancer Clinic, which combines
a reception area with a boutique for prosthetics and accessories to help address
patients concerns with appearance and self-image, as well as a patient resource
room with educational material and a conference room for group meetings and
public outreach. This Clinic has become a prototype of patient-focused design in
acute care facilities for later projects, including the Cardiovascular Center at the
University of Michigan.
Healthcare Design / Ambulatory Cancer Care
Concord Hospital
East and North Wing Additions | Concord, NH
Project Type: Addition and Renovation
Program: Hospital Building
Construction Cost: $50.5m

LEED certified
Room for future expansion
Adaptable patient room modules
Patient-focused environment
This 145,000 s.f. expansion and 25,000 s.f. renovation doubles the capacity of this
community hospital with the states busiest emergency department while providing
decentralized nursing and discrete family areas in five new floors of patient rooms.
Located on a constrained site, the facility includes major expansion of operating
rooms and central sterile supply. Acute and critical care rooms have the same
dimensional module to ease future adaptation with limited disruption and cost.
Designed with the patient in mind, the canopied entrance includes a waiting area
that overlooks a garden and the drop-off area, and a roof garden accessible from
the ICU. Patients and staff have ample daylight and views, and garden courtyards
create a buffer from the road. It is the first LEED-certified community hospital in
New England, featuring green roofs, native plantings, and maximized permeable
surfaces, reducing storm water impact and minimizing heat islands.
Healthcare Design / Community Hospital 18
Universidad de los Andes
La Clnica | Santiago, Chile
Program: Teaching Hospital
Construction Cost: Withheld

Designed for future growth
700-car garage beneath
Horizontally integrated services
Family-oriented patient rooms
Healthcare Design / Teaching Hospital 19
La Clinica is an academic medical center designed around the principle of patient
dignity with practical plans for expansion. The hospital will be a major component
of the rapidly growing University overlooking Santiago from the foothills of the
Andes. Planned as three integrated facilities, with an inpatient wing, diagnostic and
treatment building, and clinic and support services structure, the design allows for
the phased and independent development of each component. The facility will be
built over a 700-car garage on a steep site that offers dramatic views and multiple
access points. The hospital places particular emphasis on patient respect and pri-
vacy, with separate corridors for patient and visitor movement. Quality of medical
care is enhanced by providing patients with spiritual and physical amenities, which
include a large chapel. The design of La Clinica follows the firms completion of
the Universitys Master Plan, Business School, and Library.
Roswell Park Cancer Institute
Master Plan | Buffalo, NY
Project Type: Healthcare Master Plan
Program: Cancer Research/Treatment
Size: 25 acres, 15 buildings

Maximizes space utilization
Establishes standards
Utilizes existing facilities
Defned visual and functional clarity
This Master Plan helps the nations first cancer center fulfill its commitment to
setting national standards for cancer care, research and education by addressing
short, mid- and longer-range needs of its research, clinical and education
programs. The Master Plan has addressed and broadly defined the needs for
specific programs, as well as utility infrastructure and parking requirements.
Based on strategic goals, growth assumptions, and priorities, the Master Plan for
this 25-acre campus included the development of benchmarked space standards
for research and clinical areas, and provided a strategy for using existing
facilities most effectively so as to drastically reduce the short-term need for new
construction. Campus zoning, connections, collaboration, and highest and best
use were established and in conjunction with a facility analysis, used to help
determine optimum program location and future development sites.
Healthcare Design / Master Plan 20
Site 2
50,000+ GSF
Site 4
113,000 GSF
220 potential additional
parking spaces
Site 3
200,000 GSF
Site 5
62,000 GSF
Site 1
Net gain
76,000 GSF
Site 6
Net gain
85,000 GSF
parking spaces
Site 7
300,000 GSF
1,000 potential additional
parking spaces
Total Potential Site Increase: 1,000,000 +/- GSF
Total Potential Parking Increase: 2,520 spaces
Site 8
62,000 GSF
Site 9
300,000 GSF
parking spaces
Site 2
50,000+ GSF
Site 4
113,000 GSF
parking spaces
Site 3
200,000 GSF
Site 5
62,000 GSF
Site 1
Net gain
76,000 GSF
Site 6
Net gain
85,000 GSF
parking spaces
Site 7
300,000 GSF
1,000 potential additional
parking spaces
Total Potential Site Increase: 1,000,000 +/- GSF
Total Potential Parking Increase: 2,520 spaces
Site 8
62,000 GSF
Site 9
300,000 GSF
parking spaces
Dartmouth-Hitchcock Medical Center
New Ambulatory Care and Diagnostic Treatment Building | Lebanon, NH
Project Type: Expansion/Renovation
Program: Ambulatory Care/Diagnostics

Allows increased care volume
Fosters patient convenience
Connections to medical campus
Flexible modules
Healthcare Design / Ambulatory Care and Diagnostics 21
This clinical expansion and renovation project addresses a paradigm shift from
inpatient to outpatient care. It provides expansion space for diagnostic and treat-
ment services and clinic/office space for the recruitment of medical staff while
ensuring connectivity with the rest of the medical campus. The building includes
high-volume departments such as General Internal Medicine, Obstetrics and
Gynecology, Pediatrics, and Surgical Specialties. It is designed using a flexible
module concept, each module containing twelve exam rooms, waiting/reception
areas, clinical support and office space. The diagnostic and treatment expansion
and associated renovations include ambulatory operating rooms and support, a
same-day care unit with prep/recovery rooms, a new endoscopic procedure suite,
a new emergency department, and expanded imaging modalities which offer an
operational focus on improved processes and patient convenience.
Healthcare Design
DESIGN IN PARTNERSHIP
Shepley Bulfnch Richardson & Abbott
2 Seaport Lane, Boston, MA 02210-2001
T: 617.423.1700 F: 617.451.2420
www.shepleybulfnch.com
at Shepley Bulfinch

DEFINING DESIGN
Design succeeds when it fosters inspiration. Its legacy is not shaped in
stone or steel, but in the minds of those it touches. At Shepley Bulfnch
we offer clients innovative design solutions in architecture, planning, and
interior design. We give our clients an edge by drawing on the insights we
have gained through our experience with leading academic, healthcare,
research, and civic institutions. Our success is that of our clients and the
design process we shape together.

THE DESIGN PROCESS
Design begins in the clients mind. We introduce a transformative pro-
cess that makes that vision real in a form they could not have imagined
before. The process is as critical as the fnal project: creating a culture
of inquiry that identifes an institutions changes, challenges, and com-
petition. We work collaboratively to develop design solutions that will
achieve our clients visions.

LEADERSHIP
The solutions we develop for clients are as diverse as our creative
teams. The constant is the leadership, commitment, and responsive-
ness that we offer, and it shows. Clients who come to Shepley Bulfnch
by reputation stay with us by experience.
In support of our commitment to the environment, Shepley Bulfnch has
printed this brochure on New Leaf Reincarnation Matte Paper. The paper
has been designated Ancient Forest Friendly and is manufactured with
wind power and electricity that is offset with Green-ecertifed renew-
able energy certifcates. The paper is made from 100% recycled fbers
with 50% post-consumer waste processed chlorine-free.

Healthcare Brochure

Transféré par

Informations du document

Copyright

Formats disponibles

Partager ce document

Partager ou intégrer le document

Options de partage

Avez-vous trouvé ce document utile ?

Ce contenu est-il inapproprié ?

Droits d'auteur :

Formats disponibles

Healthcare Brochure

Transféré par

Droits d'auteur :

Formats disponibles

Healthcare Design

Shepley Bulnch Richardson & Abbott

Vous aimerez peut-être aussi