Patch Adams Free Health Clinic of Philadelphia

Patch Adams

An all-encompassing proposal listing both the necessary and desired spaces needed to create a functioning and sustainable health care co-op in the West Allegheny Neighborhood. Great care was taken in developing a plan that places emphasis on inviting and assembling the community as well as creating an interactive environment.PROGRAMPatch Adams Free Health Clinic of Philadelphia

1729 West Allegheny Avenue

Logan Dry - Kevin Peters - Mike Opdahl - Design VIII - Brian Johnston - Philadelphia University - Fall 2012

Patch Adams

Patch Adams

TABLE OF CONTENTS

I. Project Narrative - Introduction - Executive Summary

II. Project Description & Scope - Project Description - Project Scope

III. Client & Users - Client - Users

IV. Project Objectives & Design Goals - Objectives - Design Goals

V. Program- Space Needs Analysis - Typological research -Components&SpecificSpaceNeeds - Functional Relationships / Space Movement Systems

VI. Site & Context Documentation - Inventory / History - Analysis - Attitudes

VII. Site & Program Testing

VIII. Historiography - Precedent Study - Project Historiography

IX. Project Limits

X. Construction & Operating Budgets

XI. Final Design Proposal

XI. Reference Appendix - Design Process Documentation - Site Documentation - References

Patch Adams

Basedupon8simpleconcepts,thePatchAdamsmodelofhealthcareseekstoredefinethenotion of health, to incorporate intrinsic values such as culture, community, friendship, and nature as a means for overall human well being: 1) No charge 2) No health insurance reimbursement 3) No malpractice insurance 4) 3 to 4 hour initial interview with the patient 5) Home as hospital 6) Integration of all the healing arts 7) Integration of medicine with performance arts, arts and crafts, nature, agriculture, education, recreation and social service 8) The health of the staff is as important as the health of the patient

Healthcare is one of the world’s greatest commodities; yet for so many it is eitherfinanciallyoutofreachorsimplynotavailable.Thismaynotcomeasasurprise in a Capitalist economic model-- albeit the case if one doesn’t have the money, one doesn’t receive healthcare-- but when did the physical well being of human beings become a mathematical function of the economy? As aresultoffinancialburdenin2007,nearly50millionAmericansdidnothavehealth insurance, while another 25 million were under-insured. 1 Costs for health insurance increased 30 percent from 2001 to 2005, while income for the same period of time only increased 3 percent. 2The total annual premium for a typical family health insurance plan offered by employers was $12,680 in 2008. 3 Inshort,thecurrentmodelforhealthcareisseverelyflawed. Now, take a moment and try to imagine a system in which healthcare isn’t just a commodity to be purchased-- a luxury or attainable product whose availability is based solely on money. Picture a healthcare model in which the general health and well being of an individual is not an option, but a human right. Of course this would be a revolutionary model in regards to healthcare; theremovaloffinancialconstraintsalltogetherimmediatelycausestheskeptic to scoff and write off such a concept as “wild fantasy”, for how can a commodity such as healthcare be provided without some sort of monetary compensation?

Enter: Dr. Hunter Doherty “Patch” Adams-- American physician, social activist, citizen diplomat, clown and author. For more than 40 years, Patch Adams has been working to disprove the notion that quality healthcare is ultimately the result of money. With his founding of the Gesundheit! Institute in 1971-- an ultimately free community hospital he ran from his house in West Virginia-- he has successfully demonstrated that the “wild fantasy” of free healthcare is infactnotasfictitiousassomemightthink.TheGesundheit!Institute,onasmall scale has provided free healthcare to thousands in its initial 12 year span of operation. On a larger scale however, the institute has proved that such a model of healthcare can be successful, given the right staff and facility.

The widespread success of the Gesundheit! Institute in West Virginia has blossomed into a new system of social values and beliefs in regards to healthcare; a type of thinking and planning that has spread both nationally and globally. The Patch Adams name has become synonymous with good will, respect, and dignity when it comes to the healthcare front.

The Patch Adams Foundation is constantly looking for ways to broaden its horizons and provide a general sense of health and well being to as many communities as possible. Given the entire nation to choose, The Patch Adams Foundation has set it sights on Philadelphia as thelocationforaninnovativeandfirstofitskindFreeHealthClinic.Locatedinthelow-income neighborhood of West Allegheny, the clinic seeks to provide community-based health carethatisgenuinelynon-profit,preventive,humaneandfun.“Itisarefugeforpatientswhowant to be treated with dignity.”4

Ratherthantheflawedcorporaterunhealthclinicthatmostofthenationhascometoexpect, community members will ultimately “own” this clinic. Services include gaining diagnosis and referral, dentistry, optical, chronic and urgent care, counseling, pediatrics, birthing, massage, family planning, chiropractic, acupuncture, and other therapies. Slated to be much more than a health facility, the clinic will be designed to improve the health and welfare of the community through direct social interaction, and bring a sense of pride and ownership to the community through the healing powers of the arts and medicine. Whereas existing medical facilities are overcrowded and underfunded, this innovative clinic will be designed from a sustainable and low budget standpoint; passive and sustainable design strategies will keep the annual operating budgets low, allowing the clinic to function based on the concept of “sweat labor” and good will from within the community.

Finally, the Patch Adams Free Clinic of Philadelphia is meant to be more than just a statement of innovative design and sustainable planning; more importantly, it is meant to pave the way for the widespread adoption of the Patch Adams Healthcare Model. With this in mind, the project seeks to advocate the Patch Adams social agenda necessary to make community based healthcare a universal entity both nationally and globally.

“The purpose of a doctor or any human in general should not be to simply delay the death of the patient, but to increase the person’s quality of life. ” -Hunter Doherty “Patch” Adams

PROJECT NARRATIVEIntroduction

Patch Adams

PROJECT NARRATIVEExecutive Summary

The Patch Adams initiative, in regards to healthcare, is like no other. As such the design of a facility to house the clinic’s needs would also need to be like no other. In accordance with the clients’ unique approach to healthcare and the desired atmosphere that such a clinic would have, it was readily evident that the Patch Adams Free Clinic of Philadelphia was neither a case of Institutional or Healthcare oriented design. It was therefore necessary to create a new, hybrid building type; one that combines elements of community, heath, agriculture, and business, into an all-encompassing symbol of well-being. Through the careful analysis of health and institutional architecture, along with inventive and practical design intuition, the developed program is meant not only to serve the immediate and future needs of the surrounding Philadelphia community, but as a precedent for free health clinics under Patch Adams directives.

Designed to meet the needs of the under-served community of Tioga in Northern Philadelphia, the project is located on a 4.82 acre plot at 1729 West Allegheny Avenue. The site, boasting over 200,000 square feet is located in what has been determined to be a food and healthcare desert (a region in which residents do not readily have convenient access to basic nutritious food, ordiagnostichealthcare).ToremedythesituationasPatchAdamsseesfit,theproject seeks to create an urban Free Health Clinic with an agricultural/food producing component. Based upon the immediate surrounding community, and the extents of providing healthcare to those community members that need it most, the health clinic has been sized to serve approximately 500 users at a given time. The building, approximately 18,000 square feet in size will include several major programmatic components including: General/DiagnosticHealthcare Dental/OpticalServices Fitness/PreventativeHealthcare Education&Nutrition/JobTraining AgriculturalProduction/Retail Multifunction/CommunityOutreachspace Administration

The project also encompasses the notion of a “community owned” health clinic; the end objective being that through ownership of the physical health clinic, the community will essentially take ownership of their personal well-being.Becauseofbudgetaryrestrictions,namelyduetothenonprofitnatureofthe project, and the fact that community members will run day to day functions and maintenance of the clinic, the building will serve as a model of architecture that is both user friendly and self-sustainable.

The idea of user friendly refers to sensible program layout and adjacencies, clear signage, and an atmosphere that suggests comfort, and the more human/personal aspects of medicine. A self-sustaining architecture in this case then refers to the building making optimal use of the earth and environment in a way that is responsible to the community, and surrounding ecosystems. Ultimately, the charge is to design a net zero building, that is, one in which the building produces the same amount of energy that it uses. This is achievable only when sustainable design practices are used, including: solar orientation, passive heating and cooling strategies, wind analysis, and rainwater collection and distribution practices.

The Patch Adams Free Clinic of Philadelphia is unique in its charge in that once built, it will betheorganization’sfirsturbanhealthclinic—onethatiscapableofmoderatetolarge-scaleagricultural production. Given an otherwise rural site in an urban context, the design intent relies heavily on site and agricultural integration into the free clinic. Looking at the existing site context of the Westmoreland Avenue neighborhood, 18th street was a main vehicular and pedestrian circulation path. By extending this notion of path into the site, and creating a pedestrian street that connects Allegheny and Westmoreland, the site and building become one cohesive device that facilitates the notion of bringing two different user groups from different ends of the site to the center. From that point there emerges social interaction and exploration of the clinic and entities within the site.

The design stresses the importance of “de-institutionalizing” the conventional health oriented architecture. In many respects the project uses the idea of “positive distractions” which manifest themselves in the form of strategically placed “nature moments” and grand site gestures to move the user to and from the clinic itself as well as the rest of the site. The pergola implemented into this design is a prime example of a grand site gesture, as it not only creates a sense of enclosure along the main path, but serves as a device that creates moments along the path. It is from the pergola that people enter the clinic building, walking paths,gardens,greenhouses,andrecreationareas—itisthemainaxisofsitecirculation.Thewayinwhichthebuildingisplacedonthesiteinregardstoviewcorridorsdefinethenotionofpositivedistractions.Everyexam,waiting,fitness,consultationanddiningspaceisorientedsothatitlooksontoaspecificsitefeaturewhetheritisorchards,gardens,waterfeaturesorthe public plaza; the connection between exterior and interior program always exists.

In conclusion the proposed program and design seek to make the clinic one that is deeply rooted within the community and the surrounding urban fabric and landscape. The strong connection that exists between the site and clinic is key to making the experience at this health clinic relaxing, tranquil and far from institutional.

Patch Adams

PROJECT NAME: Patch Adams Free Clinic of Philadelphia

TYPE: Healthcare/ Community / Agricultural

PROJECTED SIZE: 18,000 SF

LOCATION: 1729 West Allegheny Avenue, Philadelphia PA 19140

SITE: 4.82 Acres, approx 200,000 SF

SITE DEFINITION: (North) Westmoreland Avenue (South) West Allegheny Avenue (East) Mixed use space & Property along 17th Street (West) Elevated Septa Passenger train route

SITE CONTEXT: Primarily residential with small areas of Mixed / Commercial

The project seeks to create an urban Free Health Clinic within the bounds of a 4.82 acre site at 1729 West Allegheny Avenue. The building, approximately 18,000 square feet in size will include several major components including: General Health Education & Nutrition / Job Training Multifunction / Community Outreach Administration Necessary Service & Support

In addition, full-scale development of the surrounding site will include programmatic areas that work codependently with interior spaces. This outdoor program will include: Edible Garden(s), Landscape(s) Orchards, Greenhouse(s) Water Feature(s) Hardscaped community gathering / recreational space(s) Walking / Bike / Nature Path(s) Dining Space Relaxation Space

PROJECT DESCRIPTION & SCOPEDescription

Proposed site 1729 West Allegheny Ave.

Site proposal by Patch Adams Organization

Patch Adams

PROJECT DESCRIPTION & SCOPEScope

After the research, analysis and documentation of current built health clinic models, the designers are henceforth responsible for the design of a community owned and operated health clinic to serve the roughly 200,000 uninsured members of the community. Based upon site, demographic, and population research, the extent of the design will be to get community members actively involved with the day to day functions of the clinic. This involvement, or “sweat labor / volunteerism” in the form of, but not limited to, working and maintaining the orchards, gardens, greenhouses, and exterior space at the facility will give community members a sense of pride and ownership. In essence, by the community taking ownership of the brick-and-mortar Patch Adams Clinic, they are in fact taking ownership of their own health and well being. The Clinic and surrounding landscape therefore, needs tobedesignedinsuchawayastobeeasilyaccessible,identifiable,usable,andmaintainable by the unassuming public.

Medical Services to be provided by the Patch Adams Free Clinic of Philadelphia

Sweat Labor at the Free Clinic Redeemable Medicash Healthcare Services

= =

Patch Adams

TheclientisThePatchAdamsFoundationofPhiladelphia,anonprofit,socialand health care activist group. Primary responsibilities of the group include providing free preventative and primary health care. The overall goal of the group is to create a community owned healthcare institute. The clinic will serve as a model for a community based health care co-op, of which members can receive health related care and services in exchange for a small membership fee and/or volunteer and “sweat labor” time spent maintaining and running the clinic.

CLIENT & USERSClient

Hunter Doherty “Patch Adams”- Founder of The Patch Adams Foundation DefiningInitiativesofThePatchAdamsFoundation

Patch Adams

CLIENT & USERSUsers

The Users for this project will be the surrounding Tioga and West Allegheny neighborhoods, including toddlers, middle aged residents, and seniors. Many of these users live in poverty, thus, the environment needs to feel nurturing, comfortable, and humane. The design shall improve the quality of life within the immediate community in the hopes that the sense of general health and welfare extend further throughout the surrounding communities.

In addition to community users, the clinic would host a client base including, but not limited to: - Physicians - Attorneys - Philly orchards - Philly Compost - Greens Grow - City Planning - David Ortiz - Earthship Philadelphia - Job Corps Apprenticeship

Based upon demographic research, including population size, economic earnings, household sizes, transportation methods, and crime statistics for the area, it was clear that the clinic needs to be designed as a secure and enriching space for the youth and seniors of the immediate Tioga community. The specificneedforalocalclinicintheareawasbaseduponaveragehouseholdincomesandmorespecificallythehighuseofpublictransportationandwalking as a means of egress.

= 2,000 People

Total Population of West Allegheny

Allegheny West National Average

100 100100100100100 100 100 100 100

647

245

344

505

166 153195

128142

273

Crime Index

Total Crime Risk Personal Crime Risk Murder Risk Rape Risk Robbery Risk Assualt Risk Property Crime Risk Burglary Risk Larceny Risk Automotive Theft Risk

30%7%26%

4%8%9%

9%

7%

Means Of Transportation to Work

Median H

ousehold

Income

$23,497

Total Households

FamilyHouseholds

Non-Family Households

Without ChildrenWith Children

17,711

11,417 6,294

11,0926,618

Average People Per Household

Median Age

= 2.97

=30.45

= 2,000 People



100 100100100100100 100 100 100 100

647

245

344

505

166 153195

128142

273

Crime Index


30%7%26%

4%8%9%

9%

7%


Median H

ousehold

Income

$23,497

Total Households

FamilyHouseholds



17,711

11,417 6,294

11,0926,618


Median Age

= 2.97

=30.45

= 2,000 People



100 100100100100100 100 100 100 100

647

245

344

505

166 153195

128142

273

Crime Index


30%7%26%

4%8%9%

9%

7%


Median H

ousehold

Income

$23,497

Total Households

FamilyHouseholds



17,711

11,417 6,294

11,0926,618


Median Age

= 2.97

=30.45

= 2,000 People



100 100100100100100 100 100 100 100

647

245

344

505

166 153195

128142

273

Crime Index


30%7%26%

4%8%9%

9%

7%


Median H

ousehold

Income

$23,497

Total Households

FamilyHouseholds



17,711

11,417 6,294

11,0926,618


Median Age

= 2.97

=30.45

= 2,000 People



100 100100100100100 100 100 100 100

647

245

344

505

166 153195

128142

273

Crime Index


30%7%26%

4%8%9%

9%

7%


Median H

ousehold

Income

$23,497

Total Households

FamilyHouseholds



17,711

11,417 6,294

11,0926,618


Median Age

= 2.97

=30.45

Patch Adams

Core project objectives in the design of the Patch Adams Free Health Clinic of Philadelphia include: -Develop a precedent for a Community owned Health Care Co-op.

-Improve the Physical and Mental health of the community.

-Create a center that emphasizes social / cultural equity removed fromeconomics,ratherthansocialstratificationthrougheconomic stereotypes.

-Eliminate the notion of “Free Healthcare” as being an act of charity.

-Create a project that in turn gives the community a sense of ownership and pride, allowing them to, in theory, take an active role in their personal health and well being.

-Advocate preventative medical practices, particularly in the realms of healthy eating, cooking and physical exercise.

The current programmatic proposal from the Patch Adams Foundation places emphasis on a clinic that is fully integrated within the context of an agriculturally developed site. The interior of the clinic features recreational and health oriented spaces. Related to health are dental, optical and general health exam rooms and support spaces. Related to recreation include workout spaces, restaurants, and community gathering / relaxation spaces.

Full agricultural development of the surrounding site is an integral part of Patch Adams vision: mainly an edible landscape that will not only provide food to support the clinic, but also the surrounding community.

Theprojectseekstodefineandfurtherdevelopthediagrammaticproposalfrom Patch Adams Foundation into a tangible architecture that embraces the initiatives of the Patch Adams Foundation.

PROJECT OBJECTIVES & DESIGN GOALSProject Objectives

Site and Clinic Programmatic proposal from Patch Adams Foundation

Patch Adams

Core Design Goals for the Patch Adams Free Health Clinic of Philadelphia include: -Createaneasilyidentifiable,usable,andmaintainablehealthclinic.

-Orientation the building(s) and outdoor program(s) to make optimal use of southern sun and wind for passive design.

-Transition between Westmoreland neighborhood and site will be designed as an “extension of the neighborhood”.

-Separate major program elements into somewhat detached spaces thatareunifiedbyexteriorgreenspace.

-When designing interior medical / health related spaces, use views unto greenspace and color palettes to create a series of “positive distractions” for the patient.

-Within the bounds of the site, designate a public zone that speaks to Allegheny Ave. and a private zone that speaks to the intimacy of Westmoreland Ave.

Taking cues from the vision that Patch Adams has for the Free Clinic of Philadelphia, the goal is to further develop and fully integrate a health clinic and agricultural site within an urban Philadelphia context.

PROJECT OBJECTIVES & DESIGN GOALSDesign Goals

Parti- Programmatic pieces plug into centralized gathering space OE-24 Site and Clinic Programmatic Proposal

OPTICAL

GENERAL HEALTH

PEDIATRICS

ADMIN

FITNESS CENTER

COMMUNITY GATHERING

ORCHARDS

ORCHARDS

COMMUNITY PLAZA

PUBLIC MARKETS

VEGGIES

FRUITSGREENHOUSES

OUTDOOR DINING

GRASSY QUAD

EARTHSHIP EMBASSY

PLAYGROUND

Patch Adams

SPACE NEEDS ANALYSISTypological Research- Examination Rooms

An exam room contains very basic necessity items to perform diagnostic and general check-ups. Every exam room needs seating, writing surface, storage, lighting, privacy curtain, and exam table. An exam table will be necessary in both General and Pediatric care, while exam chair options will be different for optical and dental.

Patch Adams OverviewThe lobby space type includes foyers, entries to halls, and security screening areas at or near the entrance to a building or demarcated space, and are meant to welcome and direct tenants and visitors, control access, and provide exit ways from buildings. This space type is often designed with both secure and nonsecure areas. The lobby space type does not include elevator lobbies. Building lobbies often serve as the “public face” of building

interiors.

Space AttributesThe character and function of a lobby space often in uence a visitor’s rst impression upon entering a building. Key design concerns for this space type include balancing aesthetics, security, and operational considerations. Typical features of lobby space types include the list of applicable design objectives elements as outlined below. For a complete list and de nitions of the design objectives within the context of whole building design, click on the titles below.

Functional / Operational•Consider combining employee and visitor entrance to spaces.•Design space to accommodate peak loads.•Equipment that must be installed in lobbies should be of a low pro le variety and consolidated with other equipment to minimize bulk.•Consider air pressurization and entrance door design to mitigate stack effect at tall building entrance and elevator lobbies.•Specify durable nishes to accommodate maximum pedestrian traf c.

Productive•Lobby spaces requiring 24-hour operation should be provided with a dedicated HVAC system.•For lobby spaces at the exterior of a building, a dedicated air-handling unit should be provided to maintain positive pressurization.•Design lobbies to provide workers/occupants with a relief opportunity—such as breaks—from more con- ned spaces.

Waiting area / Reception / Lobby

Secure / Safe•In higher-risk facilities, separate secure and nonsecure areas with turnstiles, metal detectors or other devices used to control access to secure areas. A control desk and bag checking area should be located within the secure area. Mechanical ductwork, piping and main electrical conduit runs should not extend from one area to the other. Traf c separation devices should be exible and portable to allow for changing traf c patterns.•Design control points such that secure areas cannot be bypassed. Ensure that security personnel can properly observe all areas of control points.•Larger security screening areas should be located in conjunction with art installations, visitor seating and exterior en-trances. Adequate space should be set aside for queuing. If queuing will occur, the area should be enclosed in blast resistant construction.•Avoid installing features such as trash receptacles or mailboxes that can be used to hide devices in nonsecure areas.•Avoid using raised oor systems in nonsecure areas.•Location of re command center and emergency elevator control panel requires design integration with lobby wall nish, BAS systems, re protection systems, and building communications systems.•Design of lobby doors to street must account for egress from higher oors if stairs exit into lobby, and not directly to the outside.Sustainable•For lobby spaces at the exterior of a building, utilize daylighting to reduce electric lighting needs.•Consider air lock or vestibules at entrance doors to prevent loss of heating/cooling

OVERVIEWThe lobby space type includes foyers, entries to halls, and security screening areas at or near the entrance to a building or demarcated space, and are meant to welcome and direct tenants and visitors, control access, andprovide exit ways from buildings. This space type is often designed with both secure and non-secure areas. The lobby space type does not include elevator lobbies. Building lobbies often serve as the “public face” of building interiors.

SPACE ATTRIBUTESThecharacterandfunctionofalobbyspaceofteninfluenceavisitor’sfirstimpression upon entering a building. Key design concerns for this space type include balancing aesthetics, security, and operational considerations.Typical features of lobby space types include the list of applicable design objectiveselementsasoutlinedbelow.Foracompletelistanddefinitionsofthe design objectives within the context of whole building design, clickon the titles below.

FUNCTIONAL / OPERATIONAL- Consider combining employee and visitor entrance to spaces.- Design space to accommodate peak loads.-Equipmentthatmustbeinstalledinlobbiesshouldbeofalowprofilevarietyand consolidated with otherequipment to minimize bulk.- Consider air pressurization and entrance door design to mitigate stack effect at tall building entrance and elevator lobbies.-Specifydurablefinishestoaccommodatemaximumpedestriantraffic.

PRODUCTIVE- Lobby spaces requiring 24-hour operation should be provided with a dedicated HVAC system.- For lobby spaces at the exterior of a building, a dedicated air-handling unit should be provided to maintain positive pressurization.-Designlobbiestoprovideworkers/occupantswithareliefopportunity—suchasbreaks—frommoreconfinedspaces.

SPACE NEEDS ANALYSISTypological Research- Waiting Area

SECURITY / SAFETY- In higher-risk facilities, separate secure and non-secure areas with turnstiles, metal detectors or other devices used to control access to secure areas. A control desk and bag checking area should be located within the secure area. Mechanical duct work, piping and main electrical conduitrunsshouldnotextendfromoneareatotheother.Trafficseparationdevicesshouldbeflexibleandportabletoallowforchangingtrafficpatterns.- Design control points such that secure areas cannot be bypassed. Ensure that security personnel can properly observe all areas of control points.- Larger security screening areas should be located in conjunction with art installations, visitor seating and exterior entrances. Adequate space should be set aside for queuing. If queuing will occur, the area should be enclosed in blast resistant construction.- Avoid installing features such as trash receptacles or mailboxes that can be used to hide devices in non-secure areas.-Avoidusingraisedfloorsystemsinnon-secureareas.-Locationoffirecommandcenterandemergencyelevatorcontrolpanelrequiresdesignintegrationwithlobbywallfinish,BASsystems,fireprotectionsystems,andbuildingcommunications systems.-Designoflobbydoorstostreetmustaccountforegressfromhigherfloorsifstairsexitintolobby, and not directly to the outside.

SUSTAINABILITY- For lobby spaces at the exterior of a building, utilize daylighting to reduce electric lighting needs.- Consider air lock or vestibules at entrance doors to prevent loss of heating/cooling

Patch Adams

SPACE NEEDS ANALYSISTypological Research- Dental & Optical

ResearchElements of a Dental Office

Dental & Optical Program Components

Public Corridor

Reception& Waiting Room

File Room

PrivateOffice

Waiting Room- The size is dependent on the practitioner's style- Usually must accommodate many children & large groups

Exam Rooms

Exam Rooms

Consultation Room

RefractionRoom

Misc.Rooms

Storage

Storage- A very important factor in the office- Place for the multitude of supplies- Can be small cabinets in exam rooms

Exam Rooms- Can also be multipurpose- More efficient to make rooms act as: -Refraction, field, and others

Refraction Room- Usually only one is necessary - Two is desired in busy office-Size is usually a 15ft to 20ft lane

Misc. Rooms- Extra rooms available help when busy-Treatment, Fields, and minor surgery can be done in a room about 100-300sq. Ft.

Pu

blic

Co

rrid

or

Reception

BusinessOffices

StaffRoom

Presentation

PrivateOffice

Treatment

Treatment

Hygienist

SterilizationLab & DarkRoom

Reception- Approx. 150 Sq. Ft.- Incandescent & diffuse lighting - Should contain recessed and below-ceiling lighting

Business Office- Key control point for office management - Adjacent to waiting room-All traffic and flow control is regulated through here

Private Office- Private Consultation room - Arrangement at discretion of doctor

Treatment Room- This is the heart of the dental practice- Must be a stress-less & comfortable environment- Fair amount of storage required for supplies- Emphasis of treatment room: - Efficiency, ease of maintenance, & a pleasant atmosphere

Hygienist Room- Room equipped similar to treatment room

Sterilizing Area- Location determined by dental proce-dures, space, & image doctor wants-Needs adequate storage

Elements of a Optical Office

RECEPTION-Approx. 150 Sq. Ft.-Incandescent & diffuse lighting-Should contain recessed and below-ceiling lighting

BUSINESS OFFICE-Keycontrolpointforofficemanagement-Adjacent to waiting room-Alltrafficandflowcontrolisregulated through here

HYGIENIST ROOM-Room equipped similar to treatment room

STERILIZATION AREA-Location determined by dental procedures, space, & image doctor wants-Needs adequate storage

PRIVATE OFFICE-Private Consultation room-Arrangement at discretion of doctor

TREATMENT ROOM-This is the heart of the dental practice-Must be a stress-less & comfortable environment-Fair amount of storage required for supplies-Emphasis of treatment room:-Efficiency,easeofmaintenance,&a pleasant atmosphere

ResearchElements of a Dental Office

Dental & Optical Program Components

Public Corridor

Reception& Waiting Room

File Room

PrivateOffice

Waiting Room- The size is dependent on the practitioner's style- Usually must accommodate many children & large groups

Exam Rooms

Exam Rooms

Consultation Room

RefractionRoom

Misc.Rooms

Storage

Storage- A very important factor in the office- Place for the multitude of supplies- Can be small cabinets in exam rooms

Exam Rooms- Can also be multipurpose- More efficient to make rooms act as: -Refraction, field, and others

Refraction Room- Usually only one is necessary - Two is desired in busy office-Size is usually a 15ft to 20ft lane

Misc. Rooms- Extra rooms available help when busy-Treatment, Fields, and minor surgery can be done in a room about 100-300sq. Ft.

Pub

lic C

orr

ido

r

Reception

BusinessOffices

StaffRoom

Presentation

PrivateOffice

Treatment

Treatment

Hygienist

SterilizationLab & DarkRoom

Reception- Approx. 150 Sq. Ft.- Incandescent & diffuse lighting - Should contain recessed and below-ceiling lighting

Business Office- Key control point for office management - Adjacent to waiting room-All traffic and flow control is regulated through here

Private Office- Private Consultation room - Arrangement at discretion of doctor

Treatment Room- This is the heart of the dental practice- Must be a stress-less & comfortable environment- Fair amount of storage required for supplies- Emphasis of treatment room: - Efficiency, ease of maintenance, & a pleasant atmosphere

Hygienist Room- Room equipped similar to treatment room

Sterilizing Area- Location determined by dental proce-dures, space, & image doctor wants-Needs adequate storage

Elements of a Optical Office

WAITING ROOM-The size is dependent on the practitioner’s style-Usually must accommodate many children & large groups

EXAM ROOMS-Can also be multipurpose-Moreefficienttomakeroomsactas:Refraction,field,andothers

REFRACTION ROOM-Usually only one is necessary-Twoisdesiredinbusyoffice-Size is usually a 15ft to 20ft lane

MISCELLANEOUS ROOMS-Extra rooms available help when busy-Treatment, Fields, and minor surgery can be done in a room about 100-300 SF.

STORAGE-Averyimportantfactorintheoffice-Place for the multitude of supplies-Can be small cabinets in exam rooms

DENTAL MODEL

OPTICAL MODEL

Patch Adams BIRTHING CENTER The birth center is a home-like facility existing within a healthcare system providing family-centered care for healthy women before, during, and after normal pregnancy, labor, and birth. They are guided by principles of prevention, sensitivity, safety, appropriate medical intervention, and cost effectiveness.

Founded in 2009, WOMENCARE is a local organization established in Northeast Philadelphia to provide health care options and maternity care choices for women and their families in the Philadelphia area. A key objective of our non-profit organization is to establish a health care facility, which is a FQHC, within Philadelphia to provide quality services for women’s health, maternity care and related health and social service needs.

NOVA BIRTH CENTER Charlotte, VA

SPATIAL REQUIREMENTS

Lobby/ waiting area 900 sq ft - 915 sq ft Birthing room with restrooms 450 sq ft - 700 sq ft Playroom 125 sq ft Restrooms 70 - 125 sq ft Small classroom 255 sq ft Large classroom 600 sq ft Exercise room 430 sq ft Internet cafe 290 sq ft Storage 80 sq ft Library 165 sq ft Kitchen 165 sq ft Utility 45 sq ft Large offices 165 - 200 sq ft Workroom 160 sq ft Midwife Lounge 225 sq ft

A 7000 square feet well lit and ventilated facility providing services in the region of Northern Virginia.

19%

16%

10%

55%

Pregnant Women in Tioga

Healthy and Ready

Late/ No Prenatal Care

< 18 Years old

Obese before Pregnancy

ADDITIONAL SPACESArea for emegenecy care Sanitary Storage and Biomedical Waste Disposal Laundy Facility

WOMEN PREGNANCY IN TIOGA

PRENATAL CARE

PLANNING

EDUCATION

POSTPARTUM CARE

INTRAPARTUM CARE

WELLNESS

The birth center is a home-like facility existing within a healthcare system providing family-centered care for healthy women before, during, and after normal pregnancy, labor, and birth. They are guided by principles of prevention, sensitivity, safety, appropriate medical intervention, and cost effectiveness.

Founded in 2009, WOMENCARE is a local organization established in Northeast Philadelphia to provide health care options and maternity care choices for women and their families in the Philadelphia area. A key objective ofournon-profitorganizationistoestablishahealthcarefacility,whichisa FQHC, within Philadelphia to provide quality services for women’s health, maternity care and related health and social service needs.

SPACE NEEDS ANALYSISTypological Research- Birthing Center

BIRTHING CENTER The birth center is a home-like facility existing within a healthcare system providing family-centered care for healthy women before, during, and after normal pregnancy, labor, and birth. They are guided by principles of prevention, sensitivity, safety, appropriate medical intervention, and cost effectiveness.






19%

16%

10%

55%


Healthy and Ready


< 18 Years old




PRENATAL CARE

PLANNING

EDUCATION

POSTPARTUM CARE

INTRAPARTUM CARE

WELLNESS







19%

16%

10%

55%


Healthy and Ready


< 18 Years old




PRENATAL CARE

PLANNING

EDUCATION

POSTPARTUM CARE

INTRAPARTUM CARE

WELLNESS

NOVA BIRTH CENTERCharlotte, VA

A 7000 square feet well lit and ventilated facility providing servicesin the region of Northern Virginia.

SPATIAL REQUIREMENTSLobby/ waiting area 900 sq ft - 915 sq ftBirthing room with restrooms 450 sq ft - 700 sq ftPlayroom 125 sq ftRestrooms 70 - 125 sq ftSmall classroom 255 sq ftLarge classroom 600 sq ftExercise room 430 sq ftInternet cafe 290 sq ftStorage 80 sq ftLibrary 165 sq ftKitchen 165 sq ftUtility 45 sq ftLargeoffices165-200sqftWorkroom 160 sq ftMidwife Lounge 225 sq ft







19%

16%

10%

55%


Healthy and Ready


< 18 Years old




PRENATAL CARE

PLANNING

EDUCATION

POSTPARTUM CARE

INTRAPARTUM CARE

WELLNESS

Patch Adams

SPACE NEEDS ANALYSISTypological Research- Classrooms

STANDARD SIZE ROOM-Designed for 25 to 30 people with a standard seating arrangement. Rows and columns of desks and chairs, or desk/chair combinations. Usually facing some sort of media or writing board- chalk, dry erase.

SMALL CLASS-Designedfortentofifteenpupils.-Rooms of this size can be used for a variety of purposes, such as conference room, student council room, or for small class groups.-Intimate setting, seating arrangement is located very close to a centralized or designated portion of the room for instruction

LARGE ROOM-Designed for group lecture and demonstration-Stadiumstyleseatingifdesired,usuallyintheformofflipupdesktopsattachedtofolding seats. Seating located on tiers or some sort of grade.

Other Design Considerations-Ceilings should be a maximum of 9’-6” high.-Light from the windows should, if possible, come over the pupil’s left shoulder.

PROGRAM COMPONENTS

Standard Size RoomDesigned for 25 to 30 people with a standard seating arrangement.

Other Design ConsiderationsCeilings should be a maximum of 9’-6” high.Light from the windows should, if possible, come over the pupil’s left shoulder.

Small Class Designed for ten to fteen pupils. Rooms of this size can be used for a variety of purposes, such as conference room, student council room, or for small class groups.

Large RoomDesigned for group lecture and demonstration

CLASSROOMS

25’-0”

24’-0”

29’-0”

32’-0

”

26’-0

” 40’-0

”

Patch Adams

PROGRAM COMPONENTS

Standard Size RoomDesigned for 25 to 30 people with a standard seating arrangement.

Other Design ConsiderationsCeilings should be a maximum of 9’-6” high.Light from the windows should, if possible, come over the pupil’s left shoulder.

Small Class Designed for ten to fteen pupils. Rooms of this size can be used for a variety of purposes, such as conference room, student council room, or for small class groups.

Large RoomDesigned for group lecture and demonstration

CLASSROOMS

25’-0”

24’-0”

29’-0”

32’-0

”

26’-0

” 40’-0

”

Patch Adams

PROG

RAM C

OM

PON

ENTS

Standard Size RoomD

esigned for 25 to 30 people with

a standard seating arrangement.

Other D

esign Considerations

Ceilings should be a m

aximum

of 9’-6” high.Light from

the window

s should, if possible, come over the pupil’s left shoulder.

Small C

lass D

esigned for ten to fteen pupils. Room

s of this size can be used for a variety of purposes, such as conference room

, student council room

, or for small class

groups.

Large RoomD

esigned for group lecture and dem

onstration

CLASSRO

OM

S

25’-0”

24’-0”

29’-0”

32’-0”

26’-0”

40’-0”

Patch Adam

s

STANDARD

SMALLLARGE

Patch Adams

SPACE NEEDS ANALYSISTypological Research- Cafeteria

Exciting Cafeteria Rog

Waiphiu Intermediate School

- personal scale, small and programmatically effi cient, detailed in environment

- open plan, cross ventilation, natural lighting, utilization of passive tech.

Dry Storage 200sf Cook Refrigeration 200sf CookFood prep 300sf CookCooking 200sf CookServing Station 200sf Client InteractionDish Cleaning 300sf DishwasherOffi ce 100sf ManagerSeating Area 1500sf Client Interaction Total 3000sf

Total Area = 1331 ft ^ 2 Total Area = 1421 ft ^ 2

Total Area = 936. 3 ft ^2 Total Area = 1320 ft ^2

Cafeteria Specifi cs

Cafeteria Component Analysis

Cafeteria Seating Area / 100 people

Specifi c Adjacencies and Connection

SPACE SIZE (SF) USER / PURPOSEDry Storage 200 CookRefrigeration 200 CookFood prep 300 CookCooking 200 CookServing Station 200 Client InteractionDish Cleaning 300 DishwasherOffice 100 ManagerSeating Area 1500 Client InteractionTotal 3000



































































Patch Adams

SPACE NEEDS ANALYSISTypological Research- Storage

OVERVIEW-The General Storage space type includes sub-grade, attic, or other spaces with minimal finishesthataredesignatedforstorageofmerchandise,materials,orequipmentthatisnot hazardous in nature nor requires special HVAC, security, machine access, or utility needs. -Supplyareas,storerooms,andfileroomsnotfinishedtotypicalofficefinishlevel,butwith only perimeter partitions and doors are included in this space type.

SPACE ATTRIBUTES-ImportantdesignconsiderationsfortheGeneralStoragespacetypeareefficientuseof space, energy cost savings, and minimal HVAC requirements. Typical features of general storage space types include the list of applicable design objectives elements as outlined below.

FUNCTIONAL / OPERATIONAL-Occupancy Group: General Storage space types fall into Storage Group S Incidental Use in GroupA,B,E,I,M,orROccupancyClassifications,assumingsprinkleredconstructionand one-hour partition separation from other occupancies.-EfficientUseofSpace:Openspaceismaximizedwhileprovidingadequatecirculationpaths for personnel and merchandise handling equipment such as hand trucks.

SUSTAINABLE-Energy Cost Savings: Distinguish between areas for storage and circulation in the lighting plantoreduceunnecessaryfixtures.Considerusingenergy-efficientlightingfixtures.-Minimal HVAC: Exposed HVAC ductwork with suite thermostat control and ducted air returnissufficientintheGeneralStoragespacetype,howeverseparatezonescanbe designated for larger storage areas.

OverviewThe General Storage space type includes subgrade, attic, or other spaces with minimal nishes that are desig-nated for storage of merchandise, materials, or equipment that is not hazardous in nature nor requires special HVAC, security, machine access, or utility needs. Supply areas, storerooms, and le rooms not nished to typi-cal of ce nish level, but with only perimeter partitions and doors are included in this space type.

Space AttributesImportant design considerations for the General Storage space type are ef cient use of space, energy cost savings, and minimal HVAC requirements. Typical features of general storage space types include the list of applicable design objectives elements as outlined below. For a complete list and de nitions of the design ob-jectives within the content of whole building design, click on the titles below.

Functional / Operational•Occupancy Group: General Storage space types fall into Storage Group S Incidental Use in Group A, B, E, I, M, or R Occupancy Classi cations, assuming sprinklered construction and one-hour partition separation from other occupancies.•Ef cient Use of Space: Open space is maximized while providing adequate circulation paths for personnel and merchandise handling equipment such as hand trucks.

Sustainable•Energy Cost Savings: Distinguish between areas for storage and circulation in the lighting plan to reduce un-necessary xtures. Consider using energy-ef cient lighting xtures.•Minimal HVAC: Exposed HVAC ductwork with suite thermostat control and ducted air return is suf cient in the General Storage space type, however separate zones can be designated for larger storage areas.

General Storage for Health Clinic

Patch Adams

SPACE NEEDS ANALYSISProjectComponents&SpaceSpecificNeeds

PATCH ADAMS FREE CLINIC OF PHILADELPHIA OE-24- 10/3 REVISION

AREA / SPACE SF Quantity SF NOTES (Programmatic / Equipment) Qualitative notes

1 GENERAL HEALTHWaiting Room / Atrium A 25 x 94 2350 1 2350 Includes designated waiting space for optical & dental, and pediatrics Relaxing, comfortable, secure. Filled with windows to allow for views and ample natural lightCheck- in / Check-out 10 x 20 200 1 200 Space to include specialized reception areas; desk, computers, files. Easy to use, find, and transition into appropriate adjacent waiting areaExam Rooms 10 x 12 120 6 720 To include exam table, sink/kitchenette with cabinet storage, seating Relaxing, sterile, comfortable. Windows and soothing colors to act as "positive distractions"Office / private consultation 10 x 10 100 4 400 Offices act as consultation rooms in addition to doctor's private study Relaxing, functional, windows to allow for ample natural light

Group consultation 10 x 15 150 1 150Comfortable lounge chairs/ sofas in addition to a small scale re-configurableconference table and chairs

Larger area located adjacent to offices/ provate consultation rooms to act as supplementary spacefor group counseling/ doctor collaboration

Tech / Medical machine room / back of house 20 x 35 700 1 700 Computer|Media equipment for lab testing, sample analysis, medical machines Sterile, spaces for both group and individual work related to testing, analysis, and diagnosis

Support / Storage 15 x 18 270 1 270Medical supply storage, adjacent to both tech and pharmacy areas. Includesspace for machine electric / mechanical support

Pharmacy 19 x 23 437 1 437Similar to a CVS model- space includes a waiting counter and drug supplyshelving with space for technicians to count and bottle medication Easy to use, find, and pickup/ drop off perscriptions, accessible from main waiting area / atrium

Private Exam Restroom 6 x 8 48 2 96 Unisex, 1 watercloset and sink per spacePublic Restroom 10 x 15 150 2 300 Male / Female 3-4 waterclosets and sinks per space

SUBTOTAL 5623

2Dental / Optical Waiting Space * x * * 1 * *Space included in Atrium A Relaxing, comfortable. Light filled social atmosphereCheck- in / Check-out 10 x 8 80 1 80 Spaces to include specialized reception areas; desk, computers, files. Easy to use, find, and transition into appropriate adjacent waiting area

Dental Exam Rooms 9 x 10 90 2 180To include exam chair with onboard dental tools, sink/kitchenette with cabinetstorage Relaxing, sterile, comfortable. Windows and soothing colors to act as "positive distractions"

Dental Office / Consultation 10 x 9 90 1 90 Offices act as consultation rooms in addition to dentist's private studyOptical consult / display * x * * 1 * *Space included in Atrium A

Optical Exam Rooms 9 x 8 72 2 144To include exam chair, overhead optical analysis equipment, sink/kitchenettewith cabinet storage Relaxing, sterile, comfortable. Windows and soothing colors to act as "positive distractions"

Optical Office 10 x 11 110 1 110 Offices act as consultation rooms in addition to doctor's private studyOptical Lab 10 x 10 100 1 100 Includes space for larger optical machinery / equipment Dark for optimal optical enhancement / diagnosis processes.

Support / Storage 10 x 10 100 1 100 Open shelving to include space for both dental and optical supplies / support

SUBTOTAL 804

3Pediatric Waiting Space * x * * 1 * *Space included in Atrium A Relaxing, comfortable. Light filled social atmosphere, playful design with kids in mindCheck- in / Check-out 10 x 10 100 1 100 Spaces to include specialized reception areas; desk, computers, files. Easy to use, find, and transition into appropriate adjacent waiting area

Exam Rooms 10 x 13 130 2 260To include exam chair with onboard dental tools, sink/kitchenette with cabinetstorage Playful, sterile, comfortable. Windows and bright kid friendly colors to act as "positive distractions"

Office / private consultation 10 x 12 120 2 240 Offices act as consultation rooms in addition to doctor's private study

Daycare 20 x 22 440 1 440 Childrens tables, chairs, shelving with toys, games media. Open space for playLight filled and open to allow for optimal supervision and playspace. Access to outdoors,adjacency to to fitness and general care

Restroom 6 x 8 48 3 144 Unisex, 1 watercloset and sink per space. Space scaled to children with space for assistance if needed.

SUBTOTAL 1184

4 FITNESSLobby * x * * 1 * *Space Included in Atrium BAthletic Office 0 x 0 0 0 0 Rooms dedicated for one on one fitness via athletic specialistExercise Room 20 x 25 500 1 500 Contains larger fitness equipment, bikes, tradmills, weights, ellipticals Bright, open with views onto the grounds. Opens to exterior for outdoor exerciseFitness / Multipurpose / Physical Therapy Space 16 x 16 256 2 512 Mat room / Yoga area / small group exercise & instruction Intimate, naturally light with immediate access to equipment storageLocker / Restroom 19 x 20 380 2 760 3-4 waterclosets and sinks. Showers and locker / changing facilities providedMechanical 7 x 10 70 1 70 HVAC systems and necessary supportStorage 8 x 10 80 1 80 Open shelving and space for various indoor / outdoor fitness equipment

SUBTOTAL 1922

5Lobby/Reception * x * * 1 * *Space to be included in Atrium B Inviting and productive. Business and fuction oriented with Patch Adams ideals.

Office(s) 8 x 10 80 4 320Patch Adams / volunteer staff- offices are flexible to accommodate multipleusers and functions Desk job oriented, naturally lit, close to conference room.

Conference Room(s) 15 x 18 270 2 540Board Meetings and suitable furniture with Media capabilities- flex space forlarger meetings with demos and volunteers- include kitchenette

Inviting and productive. Business and fuction related to meetings and presentations. Naturally litwith user controllable light and seating configurations.

Classroom(s) 20 x 29 580 1 580Food/Job specific space to be subdived and reconfigured with partitions basedon need Flexible and naturally lit spaces. Comfortable to be in, yet still functional and focused on learning.

Size

BUIL

DING

COM

PONE

NTS

ADMINISTRATION

PEDIATRICS

OPTICAL AND DENTAL

Patch Adams

SPACE NEEDS ANALYSISProjectComponents&SpaceSpecificNeeds

Restrooms 10 x 10 100 2 200 Male/Female 2-3 waterclosets and sinks per space

SUBTOTAL 1640

6 CAFÉ/ FOOD STORE

Café (Kitchen) 18 x 10 180 1 180 Alla carte style with space for fresh food prep and heatingCasual dining, open,airy, light. Public and busy with pockets of space for individual or groupdining both inside and outside.

Café (Dining) Atrium B 40 x 46 1840 1 1840 Atrium Space to serve as Café seating and program waiting areas / lobbyFresh & Healthy Food Store 11 x 20 220 1 220 Open shelving and bin display for produce. Cashier booth and register

SUBTOTAL 2240

7

Greenhouses 20 x 40 800 5 4000

Loading / recieveing- Food & Other 20 x 50 1000 1 1000 Curb Cut, grouped with parking spacesMedium to large sized box trucks to deliver and haul away food, waste and miscellaneous items.Goods would be shuttled via small transport to actual clinic

Drop-off / vehicular access / parking 30 x 50 1500 1 1500Patch Adams / volunteer staff- ADA spaces, and temporary vehicularloading/unloading. Also included is vehicular access to loading areas. Minimal frontage and view from clinic

Exterior tool / equipment storage 10 x 40 400 1 400 Supplementary space located near loading docks Private

Composting & recycling 50 x 20 1000 1 1000

Includes space for basic recycling of glass, cardboard and paper. Compostingto be separate and located outside in relationship to specific outdoor agriculture-defined program elements

SUBTOTAL 7900

TOTAL OUTDOOR PROGRAM 7900

INDOOR PROGRAM 13413

4023.9

TOTAL INDOOR PROGRAM 17436.9

PROJECTED BUILT TOTAL (INDOOR & OUTBUILDINGS) 25336.9

CIRCULATION @ 30% assumption

OUTDOOR BUILT PROGRAM / SUPPORT

PATCH ADAMS FREE CLINIC OF PHILADELPHIA OE-24- 10/3 REVISION

AREA / SPACE SF Quantity SF NOTES (Programmatic / Equipment) Qualitative notes

1 GENERAL HEALTHWaiting Room / Atrium A 25 x 94 2350 1 2350 Includes designated waiting space for optical & dental, and pediatrics Relaxing, comfortable, secure. Filled with windows to allow for views and ample natural lightCheck- in / Check-out 10 x 20 200 1 200 Space to include specialized reception areas; desk, computers, files. Easy to use, find, and transition into appropriate adjacent waiting areaExam Rooms 10 x 12 120 6 720 To include exam table, sink/kitchenette with cabinet storage, seating Relaxing, sterile, comfortable. Windows and soothing colors to act as "positive distractions"Office / private consultation 10 x 10 100 4 400 Offices act as consultation rooms in addition to doctor's private study Relaxing, functional, windows to allow for ample natural light

Group consultation 10 x 15 150 1 150Comfortable lounge chairs/ sofas in addition to a small scale re-configurableconference table and chairs

Larger area located adjacent to offices/ provate consultation rooms to act as supplementary spacefor group counseling/ doctor collaboration

Tech / Medical machine room / back of house 20 x 35 700 1 700 Computer|Media equipment for lab testing, sample analysis, medical machines Sterile, spaces for both group and individual work related to testing, analysis, and diagnosis

Support / Storage 15 x 18 270 1 270Medical supply storage, adjacent to both tech and pharmacy areas. Includesspace for machine electric / mechanical support

Pharmacy 19 x 23 437 1 437Similar to a CVS model- space includes a waiting counter and drug supplyshelving with space for technicians to count and bottle medication Easy to use, find, and pickup/ drop off perscriptions, accessible from main waiting area / atrium

Private Exam Restroom 6 x 8 48 2 96 Unisex, 1 watercloset and sink per spacePublic Restroom 10 x 15 150 2 300 Male / Female 3-4 waterclosets and sinks per space

SUBTOTAL 5623

2Dental / Optical Waiting Space * x * * 1 * *Space included in Atrium A Relaxing, comfortable. Light filled social atmosphereCheck- in / Check-out 10 x 8 80 1 80 Spaces to include specialized reception areas; desk, computers, files. Easy to use, find, and transition into appropriate adjacent waiting area

Dental Exam Rooms 9 x 10 90 2 180To include exam chair with onboard dental tools, sink/kitchenette with cabinetstorage Relaxing, sterile, comfortable. Windows and soothing colors to act as "positive distractions"

Dental Office / Consultation 10 x 9 90 1 90 Offices act as consultation rooms in addition to dentist's private studyOptical consult / display * x * * 1 * *Space included in Atrium A

Optical Exam Rooms 9 x 8 72 2 144To include exam chair, overhead optical analysis equipment, sink/kitchenettewith cabinet storage Relaxing, sterile, comfortable. Windows and soothing colors to act as "positive distractions"

Optical Office 10 x 11 110 1 110 Offices act as consultation rooms in addition to doctor's private studyOptical Lab 10 x 10 100 1 100 Includes space for larger optical machinery / equipment Dark for optimal optical enhancement / diagnosis processes.

Support / Storage 10 x 10 100 1 100 Open shelving to include space for both dental and optical supplies / support

SUBTOTAL 804

3Pediatric Waiting Space * x * * 1 * *Space included in Atrium A Relaxing, comfortable. Light filled social atmosphere, playful design with kids in mindCheck- in / Check-out 10 x 10 100 1 100 Spaces to include specialized reception areas; desk, computers, files. Easy to use, find, and transition into appropriate adjacent waiting area

Exam Rooms 10 x 13 130 2 260To include exam chair with onboard dental tools, sink/kitchenette with cabinetstorage Playful, sterile, comfortable. Windows and bright kid friendly colors to act as "positive distractions"

Office / private consultation 10 x 12 120 2 240 Offices act as consultation rooms in addition to doctor's private study

Daycare 20 x 22 440 1 440 Childrens tables, chairs, shelving with toys, games media. Open space for playLight filled and open to allow for optimal supervision and playspace. Access to outdoors,adjacency to to fitness and general care

Restroom 6 x 8 48 3 144 Unisex, 1 watercloset and sink per space. Space scaled to children with space for assistance if needed.

SUBTOTAL 1184

4 FITNESSLobby * x * * 1 * *Space Included in Atrium BAthletic Office 0 x 0 0 0 0 Rooms dedicated for one on one fitness via athletic specialistExercise Room 20 x 25 500 1 500 Contains larger fitness equipment, bikes, tradmills, weights, ellipticals Bright, open with views onto the grounds. Opens to exterior for outdoor exerciseFitness / Multipurpose / Physical Therapy Space 16 x 16 256 2 512 Mat room / Yoga area / small group exercise & instruction Intimate, naturally light with immediate access to equipment storageLocker / Restroom 19 x 20 380 2 760 3-4 waterclosets and sinks. Showers and locker / changing facilities providedMechanical 7 x 10 70 1 70 HVAC systems and necessary supportStorage 8 x 10 80 1 80 Open shelving and space for various indoor / outdoor fitness equipment

SUBTOTAL 1922

5Lobby/Reception * x * * 1 * *Space to be included in Atrium B Inviting and productive. Business and fuction oriented with Patch Adams ideals.

Office(s) 8 x 10 80 4 320Patch Adams / volunteer staff- offices are flexible to accommodate multipleusers and functions Desk job oriented, naturally lit, close to conference room.

Conference Room(s) 15 x 18 270 2 540Board Meetings and suitable furniture with Media capabilities- flex space forlarger meetings with demos and volunteers- include kitchenette

Inviting and productive. Business and fuction related to meetings and presentations. Naturally litwith user controllable light and seating configurations.

Classroom(s) 20 x 29 580 1 580Food/Job specific space to be subdived and reconfigured with partitions basedon need Flexible and naturally lit spaces. Comfortable to be in, yet still functional and focused on learning.

Size

BUIL

DING

COM

PONE

NTS

ADMINISTRATION

PEDIATRICS

OPTICAL AND DENTAL

Patch Adams

SPACE NEEDS ANALYSISFunctional Relationship / Space Movement System DiagramProgrammingg gSize, Interrelationships & DescriptionPatch Adams Free Health Clinic of Philadelphia, 1729 West Allegheny Ave.

Logan Dry - Kevin Peters - Mike Opdahl

Waiting room

Birthing Room

New BornNursery

Lav Lav

Exam

Exam

Exam

Storage

Locker Room

Storage Exercise Room

Trainer Of ce

Trainer Of ce

Lobby&

Info

Locker Room

Multipurpose

Lav

Lav

Medical MachineRoom

Medical Storage Room

Exam

Waiting Room

Exam

LavLav Waiting Room

Medical StorageRoom

Waiting Room

Exam

Of ce

Of ce

Lav

Lav

Exam Exam

Exam

Medical MachineRoom

Medical MachineRoom

Of ce &

Labs

Labs

Exterior DiningKitchenStorage

& Delivery

Lav Lav

Of ce

Cafe

ExamExam

Exam

Exam

Exam

GENERAL HEALTH

FOOD/EDUCATION

FITNESS

ADMINISTRATION

PEDIATRICS

OPTICAL

DENTAL

5623

2240

1922

1640

1184

400

400

GREENSPACE

GREENSPACE

GREENSPACE

Patch Adams

SPACE NEEDS ANALYSISFunctional Relationship / Space Movement System DiagramProgrammingg gSize, Interrelationships & DescriptionPatch Adams Free Health Clinic of Philadelphia, 1729 West Allegheny Ave.


Dining area - 1200 sq ft (subdivided into 2 spaces)- Exterior Dining areas- Cafe Area (alla carte bar & deli Style) - 300-400 sq ft(18-20 sq ft/person)- Exterior Sit-Down Area - 800 sq ft(tables, chairs, casual setting, booths)(15-18 sq ft/person)

Cafe/ Food Education 2240 sq ft Kitchen - 300- Sanitation Area(sinks, counters, storage)- Prep Areas(cooking appliances)

Storage & Delivery - 500 sq ft- Walk-in fridge/freezer- Dry storage- Loading Dock/Equipment storage

Pediatrics 2500 sq ft

Waiting Room 700-800 sq ft(child oriented w/ room to play) - Toy Area, small scale playground-Aquarium w/ clown sh

Birthing Room 3-4 @ 150 sq ft ea.- Exam/Hospital Rooms- Consultation/Education Room(beds, chairs, storage)Of ces/Consultation 2-3 @ 100 sq ft ea.(consult w/desks & chairs)(literature & storage)

Restrooms 2 @ 50 sq ft ea.- Unisex, & FamilyNursery & Immediate Birth 500 sq ft- Bath Facility, Sterilization Station- Feeding/Monitoring Area/TestingStorage 200 sq ft(baby speci c supplies, open & closed shelving)

Fitness Center 1922 sq ft(3-5 Trainers)

Locker Rooms 2 @ 380 sq ft ea. (includes restroom, showers, locker room/storage, changing)

Of ces 1 @ 100 sq ft ea. (desk & chairs for trainers)(stool for patient, minor exercise equipment)

Exercise Room 524 sq ft (subdivided for mats & private spaces within)(treadmills, weights, bikes, free weights, ellipticals, bench press)- TV/Media Area for instruction- General Instruction

Multi-Purpose/ Physical therapy 2 @ 250 sq ft ea. (mats, movable partitions)(hand equipment - rackets, balls, outdoor items)

Storage 200 sq ft (for all unused small-scale & large-scale equipment & supplies)(includes both indoor & outdoor)

Reception/Lobby Area 300 sq ft - Desk and Info Center- Activity Board (interactive)

Dental 400 sq ft(1-2 Dentists)

Reception 100 sq ft (records, freebees, desk, chair)(toys, mags, tv, aquarium)

Exam Rooms 2 @ 80 sq ft ea(sink, kitchenette, storage, overhead light, onboard equip.)

Supply 200 sq ft (medical storage, dry storage)

Of ces 1 @ 100 sq ft ea.(desk & chair setup)

Optical 400 sq ft(1-2 Doctors)Reception 100 sq ft - “Catch-All” Area- Eyeglass Display, Reception, Contact Learning Area, Sales Desk, Conference Stations (2-3)Consult/ glass display 1 @ 200-300 sq ft- 2 Unisex, & ADA

Exam Rooms 2 @ 80 sq ft ea.(exam room chairs, eye exam machine, desk stool, projector)-Storage Closet (kitchenette)

Of ces 1 @ 100 sq ft -Doctor, Technician, Optician, ContactsLab 1 @ 100 sq ft Refraction Room

General Care 5623 sq ft

Waiting Room 2350 sq ft - Reception, Seating (includes dental, optical and pediatric)(tables, media, games, desk, chair, indoor planters)

(3-4 Doctors)

Restrooms 2 @ 150 sq ft ea.- Male/Female w/multiple stalls & sinksExam Rooms 6 @ 100 sq ft ea.(sink, kitchenette, & storage, exam table, patient chairs)

Machine/ back of House Rooms 500 sq ft (subdivide based on equipment)

Storage 270 sq ft - Medical Storage(medication, disposables, sterilization supplies, small equipment, blood in coolers)(shelving, cabinets, le boxes,

Consultation 500 sq ft (subdivide based on equipment)

-Service Areas(counters, islands, storage)

GENERAL HEALTH

FOOD/EDUCATION

FITNESS

ADMINISTRATION

PEDIATRICS

OPTICAL

DENTAL

5623

2240

1922

1640

1184

400

400

GREENSPACE

GREENSPACE

GREENSPACE

Patch Adams

History (1900 - Present)

The North 22nd StreetShopping Corridor (30’s & 40’s)

During the mid 1900’s the Allegheny site was occupied by Bunting Glider, a company that manufactured and sold metal furniture. During this time, the site was located on the outskirts of what was known as the North 22nd Street Shopping Corridor. This was an area of about five blocks that operated as a large, and popular, shopping district.

1729 W Allegheny AveEarly 1900’s

In the early 1900’s the plot at 1729 W Allegheny Ave was still occupied by George V. Cresson Co. Foundry and Workshop. The area, similar to the present, consisted mainly of businesses and row housing. Train tracks cut through the site in the same place that today’s electric Amtrak trains pass through. The site’s location would soon become more important given its proximity to what would become a large, social shopping district.

1910

1942

History (1900 - Present)

SITE & CONTEXT DOCUMENTATIONInventory- History

Patch Adams

Benjamin BrothersTerminal and Warehousing (70’s)

1729 W Allegheny Ave(Present Day)

Today the neighborhood is in continued decline. The main portion of the site is covered by the remaining foundation of the Benjamin Brothers building. There are large slabs of concrete and fragments of the old structural steel. A large pile of tires sits among the overgrowth, a remnant of the building that used to occupy the space. The area is largely covered by weeds and brush, but also large quantities of garbage and discarded items.

During this period of time, the Allegheny neighborhood was largely in decline. The introduction of shopping malls took its toll on the shopping corridor, and forced many shop owners from the area. The neighborhood was in decline, yet a new company bought the site. This was a trucking company called Benjamin Brothers Terminal and Warehousing. It was built in 1972 and was the last building to be located on the plot at 1729 W Allegheny Ave.

1972

2012

SITE & CONTEXT DOCUMENTATIONInventory- History

Patch Adams

SITE & CONTEXT DOCUMENTATIONInventory- Noli Map


SITE

N. 1

8th

Stre

et

17th

Str

eet

19th

Str

eet

Westmoreland Ave.

N. G

ratz

Str

eet

West Allegheny Ave.

N

S E P T A L I N

E

Patch Adams

SITE & CONTEXT DOCUMENTATIONInventory- Noli Map

SITE

N

N. 1

8th

Stre

et

17th

Str

eet

19th

Str

eet

Westmoreland Ave.

N. G

ratz

Str

eet

West Allegheny Ave.

S E P T A L I N

E

Patch Adams

SITE & CONTEXT DOCUMENTATIONInventory- Topography Map

N

Patch Adams 1729 W ALLEGHENY AVE - district use diagram

grocery stores

health facilities

schools

daycare

site

SITE & CONTEXT DOCUMENTATIONInventory- District Use Map

1729 W ALLEGHENY AVE - district use diagram

grocery stores

health facilities

schools

daycare

siteSite

Grocery Stores

Schools

Health Facilities

Daycare

Patch Adams

Neighborhood Commercial Mixed Use-2 I-1 Light Industrial Allowable UsesEducational FacilitiesSafety ServicesMedical, Dental, Health Practitioner Sole & Group PractitionerCommunity GardenMarket or Community-Supported FarmHorticulture Nurseries & Greenhouses

Not Allowed Multi-Family LivingGroup LivingActive RecreationDay CareFood, Beverage, & Grocery Retail

50 FT

60 Ft. if abutting a residential district

Unlimited

1729 W ALLEGHENY AVE - zoning

The I-1, Light Industrial district is primarily intended to accommodate low-impact employment-generating land uses, such as light industrial, assembly, fabrication, offices, research and development, small-scale wholesaling, local distribution, and similar activities that generate few adverse operational impacts (e.g., noise, traffic).

Residential Multi-Family-1

Residential Single Family Attached-5

Active Parks and Open Space

I-2 Medium Industrial

Site Boundaries

50 FT

12 FT

Max. Occupiable Area75 % of Lot

SITE & CONTEXT DOCUMENTATIONInventory- Zoning Map



50 FT


Unlimited







Site Boundaries

50 FT

12 FT


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Train/Bus RoutesBus Stops

33 Bus

60 Bus

2 Bus5 MinutesBetween Trains

SITE & CONTEXT DOCUMENTATIONInventory-Traffic&Circulation

Train/Bus RoutesBus Stops

33 Bus

60 Bus

2 Bus5 MinutesBetween Trains

Train/Bus Routes Bus Stops

33 Bus

60 Bus

2 Bus5 MinutesBetween TrainsSEPTA Rail

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Scale= 1”-0“ = 107’-0”

DECEMBER 21

OCTOBER 31

APRIL 1

JUNE 21

WINTER PREVAILING WIND

SUMMER PREVAILING WIND

NW

SW

SITE & CONTEXT DOCUMENTATIONInventory- Climate & Solar Study

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Panoramic Views of Site

1

2

3

4

5

67

8

1

2

Various Panoramas are necessary for this site due to its overgrown vegetation and topography. The Panoramas also provide immediate site context such as existing buildings, existing edge conditions, and existing earth conditions. Panoramas that capture the site from the streets provide visual information of how the design will be perceived aesthetically from the community.

SITE & CONTEXT DOCUMENTATIONInventory- Panoramic Photos

1

2

Various panoramas are necessary for this site due to its overgrown vegetation and deceptive topography. The panoramas also provide immediate site context such as existing buildings, edge conditions, and earth / topography conditions. Panoramas that capture the site from the streets provide visual information of how the design will be perceived aesthetically from the community.

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Elevation looking West from N. 17th Street

Elevation looking East from N. 19th Street

SITE & CONTEXT DOCUMENTATIONInventory- Site Elevations

Elevation looking South across W. Allegheny Ave.

Elevation looking North from W. Allegheny Ave.

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SITE & CONTEXT DOCUMENTATIONInventory- Site Sections

East- West Section Looking South

East- West Section Looking North

East- West Section Looking South

East- West Section Looking North

East-West Section looking South

Section looking East on Site

Section looking West on Site

East-West Section looking North

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Patch Adams

Flowering Dogwood Cornus Florida

It is a small deciduous tree growing to 33 feet high, with a trunk diameter of up to 1 ft. The fruit is a cluster of two to ten drupes, each 10–15 mm long and about 8 mm wide. They are an important food source for dozens of species of birds, which then distribute the seeds.

Green Ash Fraxinus pennsylvanica Green Ash is one of the most widely planted ornamental trees throughout the United States and much of Canada. It is a medium-sized decidu-ous tree reaching 40 - 80 feet tall with a trunk up to 2 feet in diameter.

Empress TreePaulownia tomentosa

Empress is the most dominant species on the site . Often confused with the “Catalpa”, it is deciduous tree, native to central and western China, but invasive in the eastern of US, which grows to 32 feet – 80 feet tall, with large heart-shaped to five-lobed leaves 6 in to 16 in across. Ecologically, it functions as pioneer plant because it can survive wildfire, tolerant to pollution and not selective about soil type.The fruit is a dry egg-shaped capsule 3–4 cm long, containing tiny seeds, which were commonly used as a packing material by Chinese porcelain exporters in the 19th century, before the development of polystyrene packaging.

QUANTITATIVE SITE ANALYSIS Vegetation Species

The site is located in HARDINESS ZONE 7.Vegetation species in this zone are able to withstand average annual low temperatures between 10 degrees and 0 degrees Fahrenheit. Common spe-cies include:

American Hazelnut (Corylus americana)Early Harvest Apple (Malus x domestica)Early Golden Apricot (Prunus armeniaca)Black Tartarian Cherry (Prunus avium)Arapaho Blackberry (Rubus spp. ‘Arapaho’)

The soil type: of the site is Class 8 and therefore making not suitable for commercial production and restricting use to recre-ation, wildflife preservation, water suppply or aesthetic purposes.

SITE & CONTEXT DOCUMENTATIONInventory- Vegetation

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SITE & CONTEXT DOCUMENTATIONInventory- Wildlife

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SITE & CONTEXT DOCUMENTATIONAnalysis

N

S

EW

0’- 0”

13’- 7”

4’- 0”

8’- 0”

Streets

Legend

One WayTwo Way

CMX-2-- Commercial Mixed-Use

I-1-- Light Industrial

I-2-- Medium Industrial

RSA-5-- Residential Single-Family Attached

Elevated Pedestrain & Traffic activity

Zoning

Nodes

Topography*Highest @ W. Westmoreland Ave.

Lowest @ W. Allegheny Ave.*Approximation using map and overpass sinage

= 2,000 People



100 100100100100100 100 100 100 100

647

245

344

505

166 153195

128142

273

Crime Index


30%7%26%

4%8%9%

9%

7%


Median H

ousehold

Income

$23,497

Total Households

FamilyHouseholds



17,711

11,417 6,294

11,0926,618


Median Age

= 2.97

=30.45

= 2,000 People



100 100100100100100 100 100 100 100

647

245

344

505

166 153195

128142

273

Crime Index


30%7%26%

4%8%9%

9%

7%


Median H

ousehold

Income

$23,497

Total Households

FamilyHouseholds



17,711

11,417 6,294

11,0926,618


Median Age

= 2.97

=30.45

= 2,000 People



100 100100100100100 100 100 100 100

647

245

344

505

166 153195

128142

273

Crime Index


30%7%26%

4%8%9%

9%

7%


Median H

ousehold

Income

$23,497

Total Households

FamilyHouseholds



17,711

11,417 6,294

11,0926,618


Median Age

= 2.97

=30.45

= 2,000 People



100 100100100100100 100 100 100 100

647

245

344

505

166 153195

128142

273

Crime Index


30%7%26%

4%8%9%

9%

7%


Median H

ousehold

Income

$23,497

Total Households

FamilyHouseholds



17,711

11,417 6,294

11,0926,618


Median Age

= 2.97

=30.45

= 2,000 People



100 100100100100100 100 100 100 100

647

245

344

505

166 153195

128142

273

Crime Index


30%7%26%

4%8%9%

9%

7%


Median H

ousehold

Income

$23,497

Total Households

FamilyHouseholds



17,711

11,417 6,294

11,0926,618


Median Age

= 2.97

=30.45

Crime Index

Means of Transportation

29,011 Women24,925 Men

The quantitative analysis was carried out simultaneously with the qualitative analysis. The quantitative analysis focused on the specific demographics and the realistic resources of the site.

The quantitative study of the siterevealedmanyof thefinerdetails of the site, and provided us with a close look at the neighborhood’s demographics. The plot is located in a Light Industrial zone and encompasses roughly 220,000 sq. ft. The neighborhood is home to about 25,000 men and 29,000 women whose average household income is only around 23,500 per year. This neighborhood is also plagued by elevated crime rates, the highest being robbery and murder.

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SITE & CONTEXT DOCUMENTATIONAttitudes

1729 West AlleghenyLogan Dry - Design 8 - Johnston - Philadelphia University - Fall 2012

pGGGGGGGGAAAAAAAAANNNNNNNN

RRRRRYYYYY

This board represents all encompassing aspects of the existing site including vegetation and foundation conditions. Upon the initial visit, the site was completely overgrown with vegetation; the only exception being where existing concrete foundation pads wereleft,preventingvegetationfromgrowing.Thiseffectscreatedaseriesofdefinedspacesornaturallyoccurring“rooms”withinthesite.Thisinformationinfluencedourinitial programming strategy.

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This board represents an initial study of our thoughts and feelings about the site. Pictures of important site features are represented above. Also featured is a photography study using mirrors to juxtapose the different sides of the sight. The overall picture represents the decay of the site with the mirror highlighting the beautiful vegetation on the site. The sketch studies explore the meshing of architecture and vegetation as well as the idea of creating a campus like series of zones connected by green space.

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NeighborhoodHistoric

Activity Node

Community

This board is meant to represent the historic aspects of the site in connection with the neighborhood. To emphasize the historic nature of the site images that show the historic pieces left behind on the site from previous owners were chosen for the board. The reflective images chosen are supposed to berepresentative of the old historic past of the site in connection with the present surrounding neighborhood.The goal of this board was to evaluate the site firstat the historic level and relate it back to the current community of the site.

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10000

25

50

100

200

0

Scale

ACCESSCEACCESS

1

32

6

4

55

4

5666

1

2

37

4

21

3555

5533333

4

12

444

55

32

1

3

1

2

6612

35

4

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Program Site Placement1729 W Allegheny Ave.

Retain the open and unobstructed condition currently present within the site, by fracturing the overall clinic into a series of interconnected pieces uni ed by developed exterior greenspace.

Our site strategy revolves around the concept of creating a health clinic through a “Network of buildings”. Rather than create a large massing of program in a singular spot on the site, spreading out programmatic elements over a 5-acre site proved to be minimally invasive and did not obstruct views. This fragmented approach to programming may seem to be counteractive to a uni ed health system, but the uni cation between program pieces exists in developed greenspaces. Orchards, greenhouses, and developed outdoor areas create connections between indoor and other exterior spaces. The greenspace also seeks to create a visual, and possibly physical connection between the Allegheny and Westmoreland neighborhoods.

LegendGeneral Care

Optical

Dental

Pediatrics

Emergency

Outdoor Space

Restaurant

Fitness

1. Waiting Room2. Exam Rooms3. Machine Room4. Storage 5. Restrooms

1. Triage2. Medical/Machine3. Sanitation

1. Waiting Room2. Birth Rooms3. Of ces4. Storage5. Restrooms6. Nursery

1. Waiting Room2. Exam Rooms3. Of ces4. Medical Supply5. Restrooms

1. Waiting Room2. Exam Rooms3. Of ces4. Machine Rooms5. Restrooms

1. Lobby2. Exercise Room3. Multipurpose Room4. Pool5. Locker Rooms6. Of ces7. Storage

1. Dining Area2. Cafe3. Kitchen4. Dry Storage5. Restrooms6. Of ce

SITE & PROGRAM TESTINGScheme I- Campus Layout

Retain the open and unobstructed condition currently present within the site by fracturing the overall clinic into a series of interconnected pieces unified by developedexterior greenspace.

Our site strategy revolves around the concept of creating a health clinic through a “Network of Buildings.” Rather than create a large massing of program in a singular spot in the site, spreading out programmatic elements over a 5-acre site proved to be minimally invasive and did not obstruct views. This fragmented approach to programming may seem to be counteractive toaunifiedhealthsystem,buttheunificationbetween program pieces exists in developed greenspaces. Orchards, greenhouses, and developed outdoor areas create connections between indoor and other exterior spaces. The greenspace also seeks to create a visual and possible physical connection between the Allegheny and Westmoreland neighborhoods.

Patch Adams

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50

100

200

0

Scale

LegendGeneral Care

Dental & Optical

Pediatrics

Outdoor Space

Food Related

Fitness/Education

-Waiting Room - 500 ft2

-Exam Rooms - 6 @ 100 ft2

-Offices - 4 @ 100 ft2

-Administrarion - 400 ft2

-Check-In - 100 ft2

-Tech Room - 300 ft2

-Supplies/Storage - 250 ft2

-Pharmacy - 500 ft2

-Circulation - 915 ft2


-Check-In - 100 ft2


-Storage - 125 ft2

-Daycare - 500 ft2


-Waiting Room - 500 ft2 -Exam Rooms - 4 @ 100 ft2

-Offices - 2 @ 100 ft2

-Check-In - 100 ft2


-Support/Storage - 125 ft2


-Exercise Area - 2000 ft2

-Meeting Room - 2 @ 200 ft2

-Public Restroom - 300 ft2

-Cafe - 600 ft2

-Fresh Food - 200 ft2

-Classroom - 650 ft2

-Circulation (Entire Wing) - 1250 ft2

Access, Parking & Delivery

Greenhouses Greenhouses

Orchard

Orchard

Outdoor Fitness

Outdoor Dining

Vegetables

Vegetables

Vegetables

-Greenhouses

SITE & PROGRAM TESTINGScheme II- Health Gallery

This scheme was intended to bridge the existing gap between the neighborhoods bordering Allegheny Ave. and Westmoreland. 18th street would be extended across the site forming an over-sized, public pedestrian path. This would be used to direct users as well as encourage social interaction.

Our health gallery scheme for the arrangement of buildings on the site was based on the creation of a centralized pedestrian path that functioned as a connector between the two neighborhoods bordering our site. This path was envisioned as an extension of 18th street that would turn from a vehicular road into an extra wide, public pedestrian path. This new path would serve as a means of directing users while encouraging the short, spontaneous social interactions that are characteristic of an urban environment. The buildings would then be arranged along this path on both sides. They would be positioned in a way that created a dialogue not only with each other, but the users walking through. This arrangement allowed each building to utilize something similar to a storefront. Each building would have the opportunity to relate its most important features through its path-facing façade. All remaining space on site would be used as green space for gardens, orchards, etc.

GENERAL HEALTH- Waiting room- 500 sq ft- Exam Rooms- 6@ 100 sq ft [email protected] Administration- 400 sq ft- Check In- 100 sq ft- Tech Room- 300 sq ft- Supplies/Storage- 250 sq ft- Pharmacy- 500 sq ft-Circulation- 915 sq ft

DENTAL & OPTICAL- Waiting room- 500 sq ft- Exam Rooms- 4@ 100 sq ft [email protected] Check In- 100 sq ft- Tech Room- 300 sq ft- Supplies/Storage-125sq ft-Circulation- 488 sq ft

PEDIATRICS- Waiting room- 500 sq ft- Exam Rooms- 2@ 100 sq ft ea.- Check In- 100 sq ft- Daycare- 500 sq ft- Supplies/Storage-125sq ft- Circulation- 428 sq ft

FITNESS- Exercise Area- 2000 sq ft- Meeting Room- 2@200 sq ft ea.- Public Restroom- 300 sq ft

FOOD RELATED- Cafe- 600 sq ft- Fresh Food Store- 200 sq ft- Classroom - 650 sq ft- Circulation (Entire Wing)- 1250 sq ft

OUTDOOR SPACEGreenhouses & Raised planting beds

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10

25

50

100

200

0

Scale

LegendGeneral Care

Dental & Optical

Pediatrics

Outdoor Space

Food Related

Fitness/Education



-Of ces - 4 @ 100 ft2

-Administrarion - 400 ft2

-Check-In - 100 ft2


-Supplies/Storage - 250 ft2

-Pharmacy - 500 ft2



-Check-In - 100 ft2


-Storage - 125 ft2

-Daycare - 500 ft2


-Waiting Room - 500 ft2 -Exam Rooms - 4 @ 100 ft2

-Of ces - 2 @ 100 ft2

-Check-In - 100 ft2


-Support/Storage - 125 ft2


-Exercise Area - 2000 ft2

-Meeting Room - 2 @ 200 ft2

-Public Restroom - 300 ft2

-Cafe - 600 ft2

-Fresh Food - 200 ft2

-Classroom - 650 ft2

-Circulation (Entire Wing) - 1250 ft2

Access, Parking & Delivery

Greenhouses

-Greenhouses-Playground-Orchard

Greenhouses

Playground

Community Gardens

OutdoorRecreation

Orchards

Orchards

Orchards

Administration

SITE & PROGRAM TESTINGScheme III- Centralized Court

This scheme retained the concept of the extended pedestrian path but included a large centralized courtyard that would increase sociability and further organize building arrangement.

The centralized court scheme is closely related to the health gallery scheme. It continues to use the centralized pedestrian path, but also utilizes a large central courtyard that entertains social interactions between users. This scheme, while attempting to reinforce community interaction, also allowed the building placement to become more specific.Buildingswerepushedbackbythe central court into a circular arrangement, rather than the previous line. This arrangement would allow us to start shifting and skewing the building locations in order to maximize daylight and better organize green spaces. The vegetation areas could becomemoredefinedand greenhouse locations more grounded.

GENERAL HEALTH- Waiting room- 500 sq ft- Exam Rooms- 6@ 100 sq ft [email protected] Administration- 400 sq ft- Check In- 100 sq ft- Tech Room- 300 sq ft- Supplies/Storage- 250 sq ft- Pharmacy- 500 sq ft-Circulation- 915 sq ft

DENTAL & OPTICAL- Waiting room- 500 sq ft- Exam Rooms- 4@ 100 sq ft [email protected] Check In- 100 sq ft- Tech Room- 300 sq ft- Supplies/Storage-125sq ft-Circulation- 488 sq ft

PEDIATRICS- Waiting room- 500 sq ft- Exam Rooms- 2@ 100 sq ft ea.- Check In- 100 sq ft- Daycare- 500 sq ft- Supplies/Storage-125sq ft- Circulation- 428 sq ft

FITNESS- Exercise Area- 2000 sq ft- Meeting Room- 2@200 sq ft ea.- Public Restroom- 300 sq ft

FOOD RELATED- Cafe- 600 sq ft- Fresh Food Store- 200 sq ft- Classroom - 650 sq ft- Circulation (Entire Wing)- 1250 sq ft

OUTDOOR SPACEGreenhouses & Raised planting bedsOrchardsPlaygrounds

ADMINISTRATION

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SITE & PROGRAM TESTINGScheme IV- Enclosed Central Court

This scheme examines the idea that the center court is both an interior and exterior condition. The interior court space is formed by carving out a void in the health program and enclosing this dedicated social space. On the exterior, theotherhalfof thecourtspace isdefinedbymanicured planting beds and trees.

An early idea examining the integration of greenhouses and the main atrium space via the stack effect. By locating the greenhouse, a hot space, on top of the circulation atrium, a space desiring to be cool, the greenhouse would benefitfromanyrisingheatexhaustedfromtheatrium space. Because cool air falls, the atrium would remain cool, and little heat would traverse downward from the greenhouse. In addition, the plant cover on the 2nd level would act as passive shading device allowing indirect light to filterinto the lower atrium space.

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SITE & PROGRAM TESTINGScheme V- Hybrid- Enclosed Central Court & Radial Sun Pattern

Buildingandprogramplacementdefinedbysolar conditions, resulting geometry takes full advantage of the heat and light received from the sun on site. In addition, the same “center court” feeling is maintained by the resulting building geometry in the center. This programming exercise led to a building with angles and orientations that didn’t really have any relationship to each other.

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SITE & PROGRAM TESTINGScheme VI- Dual Atria Central Court

This scheme was intended to bridge the gap between the Westmoreland and Allegheny neighborhoods through the use of a pedestrian path cutting directly through the site, and essentially extending 18th street. The semi-permeable path brings users to the “center court” which consists of 2 conditioned atria as well as an unconditioned space in the middle.

The Dual atria Central Court scheme is a result of refinementofschemesIII, IV,andV.Bycombiningthe geometries established by sun angles and maintaining the feel of a centralized court, the resulting form of the building begins to become more radial, with program pieces plugging into two central atrium spaces. The resulting site development also takes a radial form, reinforcing the strong concept of the center court. Vehicular access has remained minimal on the site, with a drop off and few parking spots added to the lower right corner of the site. Overall, the experience a user has in this scheme is a scenic walk from each street edge to the center of the health clinic, from which point they can enter the left atrium (which has recreational program pieces such as fitness,cafe,andadministration)ortherightatrium(which has all health related program components such as general health, pediatrics, dental and optical services).

While the scheme was successful for organizing the interior program pieces, the site still lacked a direct connection to the clinic building itself. The radial nature of the site components placed on an angular site left awkward and left over spaces in which wasted space was prevalent.

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BUILDING & CENTRAL GEOMETRY, OR RESULTANT SPACE ESTABLISHED BY ORIENTATION

Our group’s parti diagram has guided our design through various site arrangements and site strategies. It focuses on the creation of a centralized path and a centralized public hub. All of the program pieces essentially “plug in” to this hub creating an ultimately safe and social environment.

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SITE & PROGRAM TESTINGScheme VI- Dual Atria Central Court

TOP RIGHTThe orientation of enclosed buildings, denoted in black, create a courtyard in the middle of the com-plex. The blue lines denote the possibility of fully or partially enclosing this courtyard in order to make more conditioned spaces.

BOTTOM RIGHTSolar and wind diagram that shows optimal solar orientation, and the resultant form to let light into exam rooms.

BELOWOverall site circulation. Refers to the idea that user come from both the north and south ends of the site, and head towards the center of the complex. From the center, they are free to explore all elements of the program, as well as the site.

CENTER COURT RESULTANT OF BUILDINGS

PASSIVE/ SOLAR ORIENTATIONPROGRAMMATIC CIRCULATION

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SITE & PROGRAM TESTINGScheme VII- Patch’s Pergola

Taking cues from the previous scheme Patch’s Pergola seeks to redefine the notion of the pedestrian path with the addition of a wooden pergola that creates a partial enclosure. The idea behind the pergola was to create a link between the two enclosed atriums and extend this link to the path cutting through the rest of the site. The pergola itself becomes a spatial device in which the user experiences various moments related to nature as they make their way to the health clinic.

The pergola, as a space making device did two things for theproject,itemphasizedanotherwiseflatpedestrianpath but it also added to the character we wanted to establish for our health clinic. The use of heavy timber and wood for the shading devices on the pergola, truly make the path and pergola seem quite different from the other urban gestures present on the site such as concrete sidewalks, non-pourous concrete foundations and brick.

For all intents and purposes, the pergola covered path introduces a very rural language into a strictly urbanenvironment. Massagingthisfine linebetweenurbanism and suburbanism became the challenge as the site was once again not as connected to the clinic as it could be.

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SITE STRATEGYThe main idea was to create a link or bridge between the communities of West Allegheny and Westmoreland Ave. In this approach, the link takes on the form of a pedestrian foot path that acts as an extension of 18th street (street aligning with the model patch at the top). The streetisredefinedasapedestriancondition,andreinforcedbyapergolastructurethatleadsonefromfootpathtointerioratriumspaces.Inthissense,thepergolaisawayfindingdevice,of which interior and exterior pieces of program and circulation paths plug into.

TOPParti model in which the pergola emerges as a wayfindingdevicetakingthenotionof“street”anotherwiseflatcondition,andturningitintoa3dimensional sense of enclosure.BOTTOMModel expressing ideas about view corridors within each element of program, and how it related back to the central atria and path.

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FOOD STORECAFE SERVICE

LOCKER / RR

LOCKER / RR EXERCISE ROOM

MULTIPURPOSE / PHYSICAL THERAPY

MULTIPURPOSE / PHYSICAL THERAPY

MECHANICAL / STORAGE

OUTDOOR FITNESS

LOBBY / INFO

PUBLIC MEETING

CONFERENCE

OFFICE

OFFICE

OFFICE

OFFICE

LOUNGE / BREAK

FLEX

RR

RR

CLASSROOM / PUBLIC MEETING

MECHANICAL / STORAGE

OPTICAL CONSULT / EYEGLASS DISPLAY

STORAGE

OPTICAL LAB

OPTICAL OFFICE

OPTICAL EXAM

OPTICAL EXAM

DENTAL OFFICE

DENTAL EXAM

DENTAL EXAMCHECK IN / OUT

WAITING AREA

PHARMACY

RR

RR

STORAGE / MECHANICAL

MACHINE / LAB /BACK OF HOUSE

GROUP CONSULT

OFFICE / CONSULT

OFFICE / CONSULT

OFFICE / CONSULT

FAMILY WAITING AREA

PRIVATE RR

PRIVATE RR

EXAM

EXAM

EXAM

EXAM

EXAM

EXAM

WAITING AREA

MAIN CHECK IN / OUT

PEDIATRIC WAITING

CHECK IN / OUT

RR

RR

RR

OFFICE / CONSULT

OFFICE / CONSULT

EXAM

EXAM

DAYCARE / PLAYROOM

PLAYGROUND

VESTIBULE

CENTER COURT

BOTANICAL GARDEN

WESTMORELAND PLAZA

OUTDOOR DINING

1

3 4 5

2

SITE & PROGRAM TESTINGScheme VII- Patch’s Pergola

The scheme also breaks all of the major components of the free health clinic into a series of 5 buildings, connected by 2 atrium spaces. The central court idea is still maintained in that the atrium spaces have a certain dialect with each other and are visually and physically connected by the pergola. Along the way, the pergola de-constructsitselftocreatedefinedmomentsalong the path.

TOPThe patch terminates as a large plaza at Westmoreland Ave with seating areas, plantings, and plenty of open space for social interaction and physical play.

MIDDLEThe moment that is created between the two atriums at the center of the complex is an open air seating and socializing spot. Having lush beds of plants and a water feature this space acts as both a transitionally area between the two atriums, but also as a fully inhabitable outdoor relaxation space.

BOTTOMAlong the path from Allegheny Ave, the pergola structure starts to peel away and become less about shading, but instead more about creating intimate seating moments.Theareasaredefinedbyasubshading structure, whereas the path is still definedbythemainpergolastructure.

Patch Adams

PEDESTRIAN PATH & PERGOLAThe path and pergola begin to develop a language of circulation and a sense of inhabitable space. Not only does the pergola partially cover the path, it takes the notion of path, a conventionally2Dobject,andamplifiesitsoveralleffectbymakingita3Dspatialdevice.Areas in which the pergola is peeled away are areas in which seating moments occur along the path, with the possibility of these areas to become portals for the secondary walking paths that ambulate the site to plug into. A user’s journey both starts and ends on the pergola covered path.

TOPParti model in which the pergola and atria were a double height condition, with the integrated greenhouses above lower level atriums.

BOTTOMInitial pergola and path idea in which the pergola extended fully into the atrium spaces and remained consistent throughout. No seating areas, moments, or path portals existed in this version of the design.

Patch Adams

1/8" = 1'-0"1 Section 2

1/8" = 1'-0"2 Section 1

1/8" = 1'-0"3 Section 4

PR

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BY

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PRODUCED BY AN AUTODESK STUDENT PRODUCT

4 entry perspective

Patch Adams

1 new section persp

1" = 30'-0"1 1-30 section

2 allegheny view

3 center court

4 entering from wmoreland

1" = 30'-0"1 1-30 section

2 allegheny view

3 center court

4 entering from wmoreland

Patch Adams

HISTORIOGRAPHYPrecedent Analysis- La Maestra Health Clinic

PROJECT CONCEPTSLa Maestra is committed to the health and well-being of the individual. La Maestra was already socially responsible, seeking to be environmentally responsible. The charge to “Bring green into well-being” became the project’s guiding principle.

PROJECT INTENTPromote a general sense of well being through the use of strategically placed “Positive distractions” integrated into the overall design.

PROJECT STATSSize: 36,440 sq ft-- Approximate footprint 12,000 sq ft, urban setting.Primary services: Dental, Behavioral, Medical, Pediatrics, Family MedicineAdditional Services: Nutrition and obesity services, Prenatal and Ultrasound, Pharmacy,Optometry,HumanTrafficking,DomesticViolence,Vision, Housing assistance, Literacy training, Laboratory, Substance Abuse, Food pantry, Economic development Number of Exam Rooms: 24Number of Floors: 3Average Daily Patient Encounters: 300Number of Care Providers: 29 physiciansEncounters per Provider: 2Encounters per Clinic Hour: 35Number of Staff: 130

PrecedentLa Maestra Community Health Clinic



PROJECT STATSSize: 36,440 sq ft-- Approximate footprint 12,000 sq ft, urban setting

Primary Services: Dental, Behavioral, Medical, Pediatrics, Family Medicine

Additional Services: Nutrition and obesity services, Prenatal and Ultrasound, Pharmacy, Optometry, Human Traf cking, Domestic Violence, Vision, Housing assistance, Literacy training, Laboratory, Substance Abuse, Food pantry, Economic development

Number of Exam Rooms: 24

Number of Floors: 3

Average Daily Patient Encounters: 300

Number of Care Providers: 29 physicians

Encounters per Provider: 2

Encounters per Clinic Hour: 35

Number of Staff: 130

2002-2011 - San Diego, California - HMC Architects/ R. Yen & Associates

FIGURE I FIGURE II

FIGURE III FIGURE IV









Number of Floors: 3







FIGURE I FIGURE II










Number of Floors: 3







FIGURE I FIGURE II



Patch Adams

Reception

Waiting Room

Design-Vibrant, natural colors,

-Natural materials including bamboo, grass and seashells, magnetic “trees” with letter, number and animal magnets and books for children to play and learn, a sh tank for the sick children’s waiting area, televisions with animated movies alternated with health promoting messages.

Décor-Bold Earth tones – Orange, Teal, Green, Tan, Gold & Terracotta FIGURE I

-Leaf Motif – The leaves represent hope, abundance, growth, prosperity and wellness for many of our cultural groups and re ect our commitment to sustainable living. FIGURE II

-Sustainable, Recycled, Recyclable, Low-VOC paint, ooring, furniture, etc. from companies that are environmentally and socially responsible. Includes: Sustainable Bamboo Veneer on Reception -Counters & Nurse Stations; Bamboo and FSC-certi ed Wood Cabinetry. FIGURE III

-Colors, Design Motifs and Signage create a system of Way- nding that empowers patients and visitors to navigate in a new environment, while improving ef ciency and patient satisfaction. Examples: Family Practice is green with light bamboo ring pattern 3form on counters and cabinets; Pediatrics has green with grass 3form; Administration has orange with teal accents. FIGURE IV

“CORE” AREAReception Of cesPrivate Doctor Of cesMedical machine roomsRecords/personnelStorageSanitation RoomsMedical/drug supplyTesting Supplies StorageDelivery/Disposal

ReRececeptptptptpp ioioii nn

Waiting Room

Tenant UsableExam RoomsFitness CenterConsultation RoomsOptical/Dental Exam RoomsEmergency/TriageWaiting RoomRelaxation RoomRestaurantOutdoor RelaxationChildcare/Birthing NurseryRetail spaces

PrecedentD i

La Maestra Community Health Clinic2002-2011 - San Diego, California - HMC Architects/ R. Yen & Associates

HISTORIOGRAPHYPrecedent Analysis- La Maestra Health Clinic

Patch Adams

HISTORIOGRAPHYPrecedent Analysis- Copenhagen Health Center

NORD ARCHITECTS, 2008-2011

PROJECT CONCEPTSThe Health Care’s architectural form resembles a series of clustered and interconnected homes that function to establish a community of its own within an existing community. Connected by an outdoor courtyard, the hollow core spaces are designed to increase the hopes of cancer patients and make them feel at home in an inviting and soothing environment. The origami-like shaped roofs serve as an iconic symbol that act as a community-inviting health facility while establishing a strong interconnected community infrastructure that appears as a series of smaller scale homes.

PROJECT PARALLELS TO PATCH ADAMS CLINIC-Small scale center featuring outdoor and courtyard spaces-Close proximity to Copenhagen University Hospital, Center City, and Panum Institute of Medicine-Independent institution manned by volunteers-Surrounded by terraces and garden spaces-Adjacency to neighboring residential area

PROGRAM-Comfortable Reception/lounge space-Outdoor Courtyard space-Exercise Areas-Meeting Rooms-Common Kitchen and Cafe-Patient Rooms

NORD ArchitectsHealth Care Center in Copenhagen, Denmark

SIMILIAR ELEMENTS-Small scale center featuring outdoor and courtyard spaces-Close proximity to Copenhagen University Hospital, Center City, and Panum Institute of Medicine-Independent institution manned by volunteers -Surrounded by terraces and garden spaces-Adjacency to neighboring residential area

STATEMENTThe Health Care’s architectural form resembles a series of clustered and interconnected homes that function to establish a community of its own within an existing community. Connected by an outdoor courtyard, the hollow core spaces are designed to increase the hopes of cancer patients and make them feel at home in an inviting and soothing environment. The origami-like shaped roofs serve as an iconic symbol that act as a community-inviting health facility while establishing a strong interconnected community infrastructure that appears as a series of smaller scale homes.

“An architecture that heals”

PROGRAM-Comfortable Reception/lounge space-Outdoor Coutyard space-Exercise Areas-Meeting Rooms-Common Kitchen and Cafe-Patient Rooms

2009-2011






2009-2011






2009-2011NORD ArchitectsHealth Care Center in Copenhagen, Denmark





2009-2011

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1. Jacobson. “Healthcare Center by Nord Architects.” I Like Architecture. N.p., n.d. Web. 01 Sept. 2012. <http://www.ilikearchitecture.net/2012/05/healthcare-center-nord-archi-tects/>.2. Jordana , Sebastian . “NORD Architects wins new healthcare center competition” 13 Oct 2009. ArchDaily. Accessed 05 Sep 2012. <http://www.archdaily.com/37658>

LEVEL 1 LEVEL 2

HISTORIOGRAPHYPrecedent Analysis- Copenhagen Health Center

Patch Adams

HISTORIOGRAPHYPrecedent Analysis- University of Minnesota Amplatz Children’s Hospital

Free Clinic of Philadelphia

Precedent Case StudyBrostorichton: William Brostowicz, Daniel Rich, Lauren Arrington

University of Minnesota Amplatz Children’s HospitalCity: Minneapolis, Minnesota Number of beds: 96 Cost: $275 millionOpening Date: March 2011 Architect: TK&A Architects The Amplatz Children’s Hospital is a vitally needed addition to the University of Minnesota. Proposed was a six story building on the Riverside campus bringing pediatric care to the Minneapolis area. The idea of “Passport to Discovery” was chosen as a holistic interior process bringing children of all cultures and ages together while helping them to recover. For adults, the building’s layout was adjusted to reduce walking from nine miles down to five during shifts. Each room was also designed as a “right handed” layout to promote repetition and familiarity for staff. Nurses, doctors, and staff are located directly across from many of the examination rooms providing individual service as needed.1

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PROJECT STATSCity: Minneapolis, MinnesotaNumber of beds: 96Cost: $275 million

The Amplatz Children’s Hospital is a vitally needed addition to the University of Minnesota. Proposed was a six story building on the Riverside campus bringing pediatric care to the Minneapolis area. The idea of “Passport to Discovery” was chosen as a holistic interior process bringing children of all cultures and ages together while helping them to recover. For adults, the building’s layout was adjusted to reduce walking fromninemilesdowntofiveduringshifts.Eachroomwasalsodesignedas a “right handed” layout to promote repetition and familiarity for staff. Nurses, doctors, and staff are located directly across from many of the examination rooms providing individual service as needed.




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HISTORIOGRAPHYPrecedent Analysis- North Mediterranean Health Center

ARQUITECTOS 2010

The North Mediterranean Health center was designed by FerrerArquitectos in Almeria Spain in 2010. The client for the project was the Andalusian Government and the projects overall are was 1352.38 sq meters. Thecenterhas2floorsofprogramandabasementissomeareas,aswellasaroof that is accessible by maintenance. What is interesting about the design is that it has several internal courtyards, allowing natural light and ventilation into many of the rooms. The skin opens up in certain places to allow more natural lightintospecificprogrammaticspacesthanothers.

The First floor contains the reception area, an adult clinic, a pediatric clinic,minor surgery clinic, as well as support services and administration.TheDoubleskinallowsforlighttopenetrateintothespacesevenonthefirstfloor.Also,thesmallcourtyardsallowasignificantamountoflightintothefirstlevel.The second floor is where the patient rooms are located.The patientrooms are paired up with the small courtyards to allow for natural light and ventilation.

The inner skin is made from prefabricated concrete units, and the outer skin is made of marble slats that diffuse light into the building . The double skin lowers the energy usage by separating the point of thermal absorption and the buildings actual envelope. This also lowers the electric bill by a decent amount.And it provides natural light and by blocking direct light from the sun decreasing thermal gain.

Theouterskinisnotonlyvariedinspecificplaces,buttheslatsofmarbleare maneuverable. This allows for the administrators to adjust the facade accordingly to the climactic conditions which is important for energy conservation

The marble slats are set on a substructural exoskeleton that attaches tothe concrete skin. This facade was designed for the intent of having a sustainable approach to the design.

North Mediterranean Health Center

Image credit: Archdaily.com

TheFirstfloorcontains thereceptionarea,anadultclinic, apediatricclinic,minor

surgeryclinic,aswellassupportservicesandadministration.

TheDoubleskinallowsforlighttopenetrateintothespacesevenonthefirstfloor.

Also,thesmallcourtyardsallowasignificantamountoflightintothefirstlevel.

Thesecondflooriswherethepatientroomsarelocated.Thepatientroomsarepaired

upwiththesmallcourtyardstoallowfornaturallightandventilation.

The North Mediterranean Health center was designed by Ferrer

ArquitectosinAlmeriaSpainin2010.

The client for the project was theAndalusian Government and the

projectsoverallarewas1352.38sqmeters.Thecenterhas2floorsofprogram

andabasementissomeareas,aswellasaroofthatisaccessiblebymaintinence.

What is interestingaboutthedesign isthat ithasseveral internalcourtyards,

allowingnaturallightandventilarionintomanyoftherooms.

Theskinopensupincertainplacestoallowmorenaturallightintospecific

programaticspacesthanothers.

LightWellsCommunityArea

1stFloor 2ndFloor



















1stFloor 2ndFloor



















1stFloor 2ndFloor

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PROJECT LIMITS



50 FT


Unlimited







Site Boundaries

50 FT

12 FT


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FINAL DESIGN PROPOSALThe Patch Adams Free Clinic of Philadelphia

Design Intent: Bridge the gap between Westmoreland and West Allegheny Neighborhoods through an experiential procession through nature.Design Character: Create a health clinic atmosphere that is warm and inviting in which the surrounding landscape is an integral part.

The Final design proposal is the culmination of ideas and cues from the past seven schemes. This proposal fully integrates the health clinic into the agricultural context of the site through several means; primarily through the pergola and path. The interior program still emphasizes the central court, as the pieces each plug into a respective atrium, however,inthisfinalarrangement,interiorspacesaresetupto maintain optimal views to natural landscape moments occurring throughout the site. The landscape therefore, becomes a part of the architecture itself, as the language of wood and soothing natural materials, compliments the carefully composed landscape programming to become a part of the interior character.

Site arrangement has always been a challenge as the physical building footprint of 17,500 sq ft is rather small compared to the nearly 5 acre site footprint. This site strategy keeps the building in the center of the site, as it is then “dually approachable” from either neighborhood, and the pergola path becomes the ordering device for the rest of the site. Meandering foot paths pushed to the exterior perimeter of the site allow users to have a scenic and physically active walk and workout, but linear paths, acting as extensions of the linear ordering of the pergola, helptodefineplantingbedsize,greenhousearrangement,and orchard composition. Greenhouses, beds, and farmers markets, combined with the newly established pedestrian path, create a village like atmosphere along the path, reinforcing the idea that this health clinic is nothing like other institutional precedents.

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FINAL DESIGN PROPOSALSite Model

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FINAL DESIGN PROPOSALFloor Plan

Thefloorplanexemplifiesthenotionofpersonalizedcare in an intimate atmosphere by breaking down program components into individual wings. By doing so, the user is not wandering through a large institutionalsettingtofindaspecificplacesuchasfitness,ordentalservices,butinsteadisabletogointo smaller, more specialized areas in which they receive the best personalized care possible.

By breaking the program into separate wings, interconnected by 2 large atriums, various programs within the clinic can function at different times of the day, for example the atriums could remain open and various wings attached to said atrium could remain or be closed depending on the time of the day.

ABOVE: Seperation of Program denotation:Red- FitnessYellow- Administration Purple- Optical & Dental Blue- General Health Green- Pediatrics

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FINAL DESIGN PROPOSALStructural Plan

The structure establishes a distinct language between each atrium and the program pieces that plug into each. Heavy timber framing is used in both atrium space, and is continued throughout each of the wings in the main corridor (denoted by sub structural grids A, F, P, G, and D). The heavy timber is fully exposed in both atrium spaces, but partially exposed in the wing corridors, The purpose of this language is to establish a connection between the wings and the atrium by means of heavy timer and ceiling treatment. The main structural grid of the heavy timber follows the same grid as the pergola that runs along the main path, relating the pergola to the overall structure of the clinic building.

The wings and other support spaces are constructed using basic wood framing, as the sizes of each of the wings was appropriately scaled to accommodate a more economical framing method. The structure also allows for the individual wings to maintain an almost domestic scale and feel with the possibilityofinteriorandexteriorfinishingoptions.

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NOTE: MAIN SUPPLY AND RETURN TRUNKS ARE STACKED AND EMBEDDED WITHIN WALL

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FINAL DESIGN PROPOSALHVAC Plan & Sections

The HVAC and structure were developed simultaneously, as the notion of a warm and inviting clinic atmosphere included the concealing of HVAC ductwork and registers. By concealing the ducts and registers, all connotations of an institutional health machine were instantly removed. As a result, the duct work became part of the heavy timber framing system. In the wings, the duct work was concealed within a series of wooden drop ceiling systems or within the heavy timber framing itself. Areas in which duct work needed to cross a corridor to supply fresh air or return, the ductswere framedout inwood andfinished like the heavytimer framing members, creating a seamless integration of HVAC andstructurewithinteriorfinishings.

Samples of the character of the interior spaces and materiality established by heavy timber framing, integrated duct work, and “domestic”finishings.

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FINAL DESIGN PROPOSALCeiling Plan

The ceiling treatment takes cues from the structure of the health clinic. In areas that the heavy timber framing is exposed, a light colored acoustical ceiling treatment is used to create a contrast between the heavy timber beams- emphasizing the warm and rich qualities of the heavy timber framing. Areas in which the timber framing in concealed, an acoustical wood drop ceiling is used, both to define the spaces on either side of the maincorridor, but also to tie the wood used in the drop ceiling treatment back to the wood used in the heavy timber framing.

LEFT: A light colored acoustical ceiling treatment compliments the heavy timber framing and highlights the structural and aesthetic qualities of heavy timber, which is used in this case to highlight public or community spaces.

RIGHT: A dark acoustical ceiling treatment is used in private or more intimate areas of program. The dark colorshelp todefineandreinforcethe intimacyof theprivate spaces. While the use of this ceiling system actually conceals the heavy timber framing, the materiality still coordinates to the warmth and character of the wood used for areas of exposed heavy timber framing.

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FINAL DESIGN PROPOSALMaterials & Character

A sampling of materials and HVAC components for both the interior and exterior of the building. In both cases wood is the main material, with other base colors such as white and black being used to once again offset the warm aesthetic of the wood. The exterior consists of a wooden rain screen with glazing insets. In the interior, a dark floor and starkwhitewalls help to drawattention to the wood used in the timber framing and drop ceiling systems while still visually grounding the space. Large areas of glazingintheatrium,andsmallermoredefinedglazingportals inthewingsofprogramopenuptoallowtheuserdefinedviewsofthe surrounding site.

Strip supply and return registers (Left & Below) are used in a concealed way, as show in the image with orange and green chairs, to deliver air needs to each space.

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FINAL DESIGN PROPOSALCeiling Plan

RIGHT: Section through atrium HVAC system and exposed ducts.

RIGHT BOTTOM: Wood framing structure and subsequent metal roof sheathing. Solar panels and air handling unit are modeled as well.

BOTTOM LEFT: Perspective of the cafe bar and atrium, including heavy timber framing, cloud with HVAC equipment, exposed duct work, and cafe seating area. Shows interplay of light and shadow throughout atrium.

BELOW:Perspectiveoffitnessexerciseareashowingexposedconcrete,wood acoustical ceiling, and windows into hallway corridor.

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FINAL DESIGN PROPOSALPerpectives- Nature Vignettes

By creating a series of Nature Vignettes, through the use of site walls and carefully articulated landscape, each wing has some sort of “extension” of interior program into an exterior condition.

RIGHT: A tranquility garden is located right next to a private waiting room for consultation and examinations. The garden acts as a backdrop and provides people in the waiting room with an opportunity to physically and visually engage nature rather than a TV whilst they wait.

BELOW: Located right off the exam rooms in the general health wing is a therapy garden. Including a water feature and ornamental plantings, the garden is meant for personal meditation and therapeutic purposes. It also provides a “positive distraction” for each of the exam rooms.

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FINAL DESIGN PROPOSALPerspectives- Nature Vignettes

TOP RIGHT: Located right off the pediatrics wing is a playground for children coming to visit the doctor, or also using the day-care services. This playground has controlled edges for security, but it opens up onto a larger grassy quad for open play.

BOTTOMRIGHT:Thefitnesswingputsparticularemphasison preventative care by means of physical activity; it is appropriate then that the vignette in this area is a yoga / fitness retreat.This area is tranquil with space for groupexercise, which leads into the main nature walking path.

BELOW: Located directly off the administration wing amongst the orchard is a park ideal for employees to take breaks and interact with the community. It also offers a unique experience to watch the inter workings and day to day tasks associated with a productive orchard.

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FINAL DESIGN PROPOSALPlaza & Color Denotation

TOP: Perspective from West Allegheny Plaza and farmer’s markets. View captures building and raised beds, greenhouses, and the Earthship embassy.

RIGHT: Birds eye view of West Allegheny Plaza with greenhouse / farmers market stand. Integrated along this edge is a fence for security purposes.

FAR RIGHT: The paths and geometric ordering of site moments reinforces the grid established by the pergola in the background.

Patch Adams

FINAL DESIGN PROPOSALPlaza & Color Denotation

The addition of color to the project solved not only the economical issues faced by having a pergola made entirely of wood (including shading louvers on top) but became a fun way of adding an element of whimsy to the project. The colored fabric used as a covering creates not only shelter from the hot sun and other elements, but different colors denote different moments along the pergola:

Red- MarketOrange- Educational momentYellow- Threshold conditionPurple- Seating momentGreen- Path to site / garden momentBlue- Framed view to interior

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CONSTRUCTION & OPERATION BUDGETS

$5 million at $300 per / SF = 17,500 SF

The projected square footage of the health clinic is based off of the budget of $5 million and calculated using data for typical health care buildings. A typical dollar per square foot cost of a health care building is approximately $300 per square foot, dividing the $5 million budget provided by Patch Adams Foundation by the typical per-square-foot cost leaves the approximate building footprint at 17,500 SF.

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DESIGN PROCESS DOCUMENTATION

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SITE DOCUMENTATION

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1 (Source: Commonwealth Fund Biennial Health Insurance Survey 2007)2 (Source: Robert Wood Johnson Foundation)3(Source:Kaiser/HRETSurveyofEmployer-SponsoredHealthBenefits,2008)4 Site Photo Credit: Logan Dry, Kevin Peters, Mike Opdahl5 Patch Adams images courtesy: http://www.patchadams.org//All references within Historiography sections are footnoted and cited according to the individual group from which it came.

REFERENCES

Patch Adams Free Health Clinic of Philadelphia

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