WIS 42 (Water Street) Village of Ephraim Preliminary Concept
PROJECT DESCRIPTION PRELIMINARY CONCEPT DESIN MARCH …
7
Yukon-Kuskokwim Health Corporation Working Together to Achieve Excellent Health JVCP NEW CLINIC AND HOSPITAL RENOVATION DR. PAUL JOHN CALRICARAQ PROJECT BETHEL, ALASKA INC PRELIMINARY CONCEPT DESIGN MARCH 2016 PROJECT DESCRIPTION • The purpose of this project is to improve quality, access, continuity and capacity of health care services in the region. In the words of the YKHC leadership: “Through native self determination and culturally relevant health systems we strive to be the healthiest people.” • YKHC leadership’s guiding principles for the project include: 1. Represents the culture and identity of the people and region 2. Promotes customer-centered care 3. Affordable costs and sustainable operation • The goal is an investment in support of a new IHS-compliant clinic, renovated Yukon- Kuskokwim Delta Regional Hospital and remodeled support spaces. • Existing YKHC inpatient and outpatient medical services are generally provided at (3) current locations. Outpatient services are provided at the CHSB building, the West Wing and the main hospital while inpatient services are located in the main hospital. Administrative and support services are divided amongst the three locations. Patients often receive care and support services at multiple locations during a single visit prolonging the patient stay and causing some to leave before comprehensive care is administered. • The JVCP building project proposes to consolidate inpatient and outpatient services at the existing hospital and new clinic building. This consolidation supports four goals of care: 1. Provide a single geographic location for patient and family medical services eliminating the inconvenience of receiving care at multiple locations during a single visit. 2. Simplify patient access by dedicating two distinct patient care portals: a north portal for outpatient and inpatient services and a south portal for emergency services. 3. Create a facility that supports the Improving Patient Care (IPC) model that delivers holistic medical, behavioral and social work treatment and support with minimal patient hand-off, transfer and movement. 4. Encourage holistic health and well-being through consolidated patient and family centered amenities, support services and gathering places that reflect and reinforce regional cultural values and traditions. • Campus improvements on the 23 acre hospital site include improved, safe & functional vehicular & pedestrian circulation with new access and main entry drive, accessible parking, site amenities such as native and natural tundra vegetation, play areas, and medicinal gardens. • The project is required to meet LEED Silver status, as defined by the United States Green Building Council, as well as IHS Sustainability requirements. Drawing of a traditional qasgi. Image from Eskimo Architecture 1 . 1. Lee, Molly, and Gregory A. Reinhardt. “Southwest Alaska, Bering Sea, Siberia, and Gulf of Alaska.” Eskimo Architecture: Dwellings and Structures in the Early Historic Period. Fairbanks: U of Alaska, 2003. 128. Print.
Transcript of PROJECT DESCRIPTION PRELIMINARY CONCEPT DESIN MARCH …
Yukon-Kuskokwim Health CorporationWorking Together to Achieve Excellent Health
JVCP NEW CLINIC AND HOSPITAL RENOVATIONDR. PAUL JOHN CALRICARAQ PROJECT
BETHEL, ALASKA
INC
PRELIMINARY CONCEPT DESIGN MARCH 2016PROJECT DESCRIPTION• The purpose of this project is to improve quality, access, continuity and capacity of health care
services in the region. In the words of the YKHC leadership: “Through native self determination and culturally relevant health systems we strive to be the healthiest people.”
• YKHC leadership’s guiding principles for the project include:
1. Represents the culture and identity of the people and region2. Promotes customer-centered care3. Affordable costs and sustainable operation
• The goal is an investment in support of a new IHS-compliant clinic, renovated Yukon-Kuskokwim Delta Regional Hospital and remodeled support spaces.
• Existing YKHC inpatient and outpatient medical services are generally provided at (3) current locations. Outpatient services are provided at the CHSB building, the West Wing and the main hospital while inpatient services are located in the main hospital. Administrative and support services are divided amongst the three locations. Patients often receive care and support services at multiple locations during a single visit prolonging the patient stay and causing some to leave before comprehensive care is administered.
• The JVCP building project proposes to consolidate inpatient and outpatient services at the existing hospital and new clinic building. This consolidation supports four goals of care:
1. Provide a single geographic location for patient and family medical services eliminating the inconvenience of receiving care at multiple locations during a single visit.2. Simplify patient access by dedicating two distinct patient care portals: a north portal for outpatient and inpatient services and a south portal for emergency services. 3. Create a facility that supports the Improving Patient Care (IPC) model that delivers holistic medical, behavioral and social work treatment and support with minimal patient hand-off, transfer and movement.4. Encourage holistic health and well-being through consolidated patient and family centeredamenities,supportservicesandgatheringplacesthatreflectandreinforce regional cultural values and traditions.
• Campus improvements on the 23 acre hospital site include improved, safe & functional vehicular & pedestrian circulation with new access and main entry drive, accessible parking, site amenities such as native and natural tundra vegetation, play areas, and medicinal gardens.
• TheprojectisrequiredtomeetLEEDSilverstatus,asdefinedbytheUnitedStatesGreenBuilding Council, as well as IHS Sustainability requirements.
Drawing of a traditional qasgi. Image from Eskimo Architecture1.
1.Lee,Molly,andGregoryA.Reinhardt.“SouthwestAlaska,BeringSea,Siberia,andGulfofAlaska.”Eskimo Architecture: Dwellings and Structures in the Early Historic Period.Fairbanks:UofAlaska,2003.128.Print.
Yukon-Kuskokwim Health CorporationWorking Together to Achieve Excellent Health
JVCP NEW CLINIC AND HOSPITAL RENOVATIONDR. PAUL JOHN CALRICARAQ PROJECT
BETHEL, ALASKA
PRELIMINARY CONCEPT DESIGN MARCH 2016
INC
0 200ft50 100 150
SITE PLAN
D
G
A Existing Yukon-Kuskokwim Delta Regional Hospital
B Demolished West Wing Administrative Building
C Demolished Existing Hospital Inpatient Area
D New Clinic/Inpatient Building
E CUP/SingleStoryConnector/ Main Entry
F Future Clinic/Inpatient Expansion
GFacilities deck expansion
ENTRY
ENTRY
CHIEF
EDDY
HOFF
MAN HW
Y
OLD HOSPITAL RD
EC
F
A
B
• Safe & functional vehicular & pedestrian circulation
• New entry access drives off of Chief Eddie Hoffman Highway
• Main entry drop off loop: Vehicular & pedestrian access to the main entrance at firstfloorgrade
• The ramping entry drive reduces distance and eliminates stairs between drop-off and entry; it’s connectivity to existing boardwalks and gentle ramp create a pedestrian friendly environment & access point.
• Drop off area: Accessible parking, taxi queuing & space for a public transit stop; consideration of space for seasonal parking of ATVs & snow machines
• Visitor & staff parking for approximately 250vehicles
• Walkways: Safe & convenient access to clinic’s main entry
• Landscaping: Native tundra vegetation and trees in planting beds at the drop off loop, parking areas & pedestrian circulation
• Consideration of views, solar aspect, seasonal weather patterns, & the seasonal subsistence calendar guide landscape design.
• Reorganized existing parking area: Main entry aligns directly with Old Hospital Road to provide safe vehicular patterns and a safer intersection for pedestrians
SITE PLAN FEATURES
Yukon-Kuskokwim Health CorporationWorking Together to Achieve Excellent Health
JVCP NEW CLINIC AND HOSPITAL RENOVATIONDR. PAUL JOHN CALRICARAQ PROJECT
BETHEL, ALASKA
INC
PRELIMINARY CONCEPT DESIGN MARCH 2016
0 20 40 60 80ft
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
A
B
C
D
E
F
G
H
J
K
L
M
N
P
Q
HEALTH EDUC
SECURITY
ED REGISTRATION
GARAGE
LOADING DOCK
BH DECISION UNIT
EMPLOYEEFACILITIES
HSKP & LINEN
SURGERY
SHARED WAIT/RECEPT
18'-8" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0" 30'-0"
30'-0"
30'-0"
30'-0"
30'-0"
30'-0"
30'-0"
40'-0"
30'-0"
30'-0"
30'-0"
30'-0"
30'-0"
30'-0"
30'-0"
468'-8"
430'-0"
EXISTINGAMBULANCE DECK
EMERGENCY
EMERGENCY
ELECTRICAL/MECHANICAL
FACILITY MGMT554 sf/556 sf
2,628 sf/3,360 sf
4,583 sf/4,494 sf7,445 sf/7,610 sf
DIAGNOSTICIMAGING
722 sf/639 SF
5,021 sf/5,138 sf
8,059 sf/8,083 sf
504 sf
5,418 sf
MEDICAL SUPPLY/CS1,343 sf/1,336 sf
3,030 sf/2,676 sf
1,340 sf/1,195 sf
2,949 sf/2,264 sf
2,070 sf/2,206
PH NURSING
PH NUTRITION
2,723 sf/2,898 sf
556 sf/553 sf
EXISTINGFACILITIES DECK
LIGHT REMODEL
MEDIUM REMODEL
HEAVY REMODEL
6,318 sf/6,476 sf
POR SQUARE FOOTAGE/ACTUAL SQUARE FOOTAGE
DIETARY8,393 sf/7,374 sf
EMPLOY HLTH,NURSE ED, IC
1,135 sf/1,151 sf
PERFORMANCEIMPROVEMENT
591 sf/579 sf REVENUE CYCLEMGMT
3,196 sf/3,219 sf
224 sf/223 sf
HEALTHINFORMATIONMANAGEMENT2,133 sf/2,115 sf
UTILIZATION REVIEW301 sf/320 sf
IT/HELP DESK623 sf/636 sf
EDUC & GROUPCONSULT
1,613 sf/1,664 sf
DIETARY
NEW CENTRALUTILITY PLANT
SERVICE / PATIENT
ELEVATORS
FRONT REG
HSKP
HSKP
HSKP
CLINICALENGINEERING1,103 sf/1,377 sf
CAFEPUBLIC1,240 sf/1,377 sf
GATHERING SPACE
SECURITY
FACILITIES DECKEXTENSION
TO CLINIC
HOSPITAL RENOVATION PLAN
• Continue to provide inpatient care including Emergency, Diagnostic Imaging, and Surgery.• BehavioralHealthClinicalDecisionUnitlocatedadjacenttoEmergencywithovernightstaycapability.• Provide logical connections between services; e.g. connectivity of ER to Behavioral Health and to Diagnostic Imaging and Surgery.• Allow for logical renovation phasing and minimize number of relocations in renovation.• Clearwayfindingroutesincludinglinktonewclinicbuilding.• Enhance patient experience and replace aged building systems.
HOSPITAL RENOVATION FEATURES
Yukon-Kuskokwim Health CorporationWorking Together to Achieve Excellent Health
JVCP NEW CLINIC AND HOSPITAL RENOVATIONDR. PAUL JOHN CALRICARAQ PROJECT
BETHEL, ALASKA
PRELIMINARY CONCEPT DESIGN MARCH 2016
INC
ELEC
LEVEL 01
ELEC
COMM HSKP
STAIR 3
STAIR 1
BEHAVIORAL HEALTH
MAIN ELEC
DENTAL CARE
ELEC
STAIR 2
13,552 sf / 13,558 sf 11,648 sf
CENTRAL UTILITY PLANT10,000 sf / 7,467 sf
CLINIC FRONT REGISTRATION
1,001 sf / 1,125 sf
SECURITY91 sf / 96 sf
PUBLIC GATHERING / WAITING
8,654 sf / 8,709 sf
REHABILITATION SERVICES
LAB4,930 sf / 4,846 sf
PHARM5,846 sf / 6,103 sf
WELLNESS CENTER5,732 sf / 5,661 sf
SERVIC
EEL
EVAT
ORS
TRAVEL MANAGEMENT
840 sf / 850 sf
PATIENT/SERVICE
CORRIDORPUBLIC
CORRIDOR
PATIE
NT/SER
VICE C
ORRIDOR
PATIENT FINANCIAL
FUTURE CLINICEXPANSION
2,226 sf / 2,450 sf
PUBLICELEVATORS
0 5025 100SCALE IN FEET
EXISTINGHOSPITAL
EMPL
PUBLICTOILETS
CLINIC FIRST FLOOR PLAN
• Flexible planning module allows for departmental growth and IHS Improving Patient Care (IPC) concepts.
• Flexible and adaptable room types allow for multi-use or shared function.
• Clinic module designs will be repeated in each care team,allowingforfamiliarityandefficiency.
• Clinic module design will allow for natural light and exterior views wherever possible.
• Clinic Team Room design will foster collaboration and interaction, while empowering each team member to work to the full capability of their license.
• Execution of Improving Patient Care (IPC) program.
NEW CLINIC FEATURESTOTAL SQUARE FOOTAGE
Primary Care25,468sf/28,824sf
LegendPOR sf / actual sf
Specialty Care8,223sf/8,263sfBehavioral Health13,517 sf / 13,462 sfEmployee Facilities1,493sf/1,682sfPublic Facilities3,477 sf / 3,493 sf
Yukon-Kuskokwim Health CorporationWorking Together to Achieve Excellent Health
JVCP NEW CLINIC AND HOSPITAL RENOVATIONDR. PAUL JOHN CALRICARAQ PROJECT
BETHEL, ALASKA
INC
PRELIMINARY CONCEPT DESIGN MARCH 2016
ELEC ELECELEC
STAIR 3
STAIR 1 STAIR 2
EMPLOYEE
PRIMARY CARE/SPECIALTY CARE/BEHAVIORAL HEALTH PRIMARY CARE/SPECIALTY CARE/BEHAVIORAL HEALTH
EMPL
DIAGNOSTICIMAGING
CARE TEAM 1 CARE TEAM 2 CARE TEAM 3 CARE TEAM 4 CARE TEAM 5 CARE TEAM 6
LEVEL 02
2,108 sf / 1,999 sf
PRIMARY CARE 28,824 sfSPECIALTY CARE 5,572 sfBEHAVIORAL HEALTH 1,814 sf
ROOF
ED & GRP CONSULT
394 sf / 593 sf
SUPPORT SPACE
1,076 sfSE
RVICE
ELEV
ATORS
COMM HSKP
PUBLICELEVATORS
ROOF
PUBLICTOILETS
FUTURE CLINICEXPANSION
0 5025 100SCALE IN FEET
CLINIC SECOND FLOOR PLAN
TOTAL SQUARE FOOTAGE
Primary Care25,468sf/28,824sf
LegendPOR sf / actual sf
Specialty Care8,223sf/8,263sfBehavioral Health13,517 sf / 13,462 sfEmployee Facilities1,493sf/1,682sfPublic Facilities3,477 sf / 3,493 sf
Yukon-Kuskokwim Health CorporationWorking Together to Achieve Excellent Health
JVCP NEW CLINIC AND HOSPITAL RENOVATIONDR. PAUL JOHN CALRICARAQ PROJECT
BETHEL, ALASKA
PRELIMINARY CONCEPT DESIGN MARCH 2016
INC
ELEC ELECELEC
STAIR 3
ACUTE CARE
LABOR & DELIVERY
EYE CARE
STAIR 1
EMPL
STAIR 2
4,382 sf / 4,576 sf
AUDIOLOGY1,672 sf / 1,751 sf
INFUSION2,691 sf
15,006 sf / 15,038 sf
8,064 sf / 8,109 sf
HOSPITALISTS & INPATIENT ADMIN
1,551 sf / 1,574 sf
RESP THERAPY865 sf / 866 sf
SURGERYC-SECTION
3,184 sf / 3,069 sf
CLINIC EXPANSION /
SHELL SPACE3,473 sf
ROOF
PUBLIC
ROOF
SERVIC
EEL
EVAT
ORS
COMM HSKP
PUBLICELEVATORS
PUBLICTOILETS
FUTURE CLINICEXPANSION
LEVEL 030 5025 100
SCALE IN FEET
CLINIC THIRD FLOOR PLAN
TOTAL SQUARE FOOTAGE
Primary Care25,468sf/28,824sf
LegendPOR sf / actual sf
Specialty Care8,223sf/8,263sfBehavioral Health13,517 sf / 13,462 sfEmployee Facilities1,493sf/1,682sfPublic Facilities3,477 sf / 3,493 sf
Yukon-Kuskokwim Health CorporationWorking Together to Achieve Excellent Health
JVCP NEW CLINIC AND HOSPITAL RENOVATIONDR. PAUL JOHN CALRICARAQ PROJECT
BETHEL, ALASKA
INC
PRELIMINARY CONCEPT DESIGN MARCH 2016
PHASE 01BDEMOLISH EXISTING HOSPITAL AREAS
PHASE 01ANEW CLINIC (LEVELS 1 & 2) AND CUP
PHASE 01CNEW CLINIC SINGLE-STORY AREA
PHASE 02NEW INPATIENT (CLINIC LEVEL 3)
PHASE 03HOSPITAL RENOVATION (MULTIPLE SUB-PHASES)
TBDFUTURE EXPANSION
0 200ft50 100 150
PRELIMINARY RENOVATION PHASING PLAN
• Anefficientcirculationspineconnectstheexistinghospitalandnewclinic;consistent circulation & public areas on all three levels of the new clinic improves efficiencyandwayfinding.
• The greater volume of the new clinic steps down to the scale of the existing hospital through the main entry and connector volume.
• Similar scale, massing, and matching materials and fenestration on the re-skinned hospital and new clinic create visual continuity between the two buildings.
• The knuckle between old and new construction is the hub of the YKHC medical campus both physically and metaphorically. It not only creates a clear and easily identifiableentry,butalsocreatesacomfortableandwelcomingspaceforpatients,staff, and other visitors to meet and rest.
• The main clinic entry is a gathering space; it is a contemporary take on the traditional qasgi, or communal men’s house.
During our ancestors’ time, they said that the qasgi was the foundation of a community. A place without a qasgi wasn’t recognized as a community. -Frank Andrew, Kwigillingok2
• As the principal architectural expression, this gathering space will promote social interaction, enhance the connection to the outdoors with views and daylight, and provide a vital community center within the hospital & clinic, the YKHC healthcare campus, Bethel, and the YK Delta region.
ARCHITECTURAL FEATURES
2. Fienup-Riordan, Ann. “Qasgimi: In the Qasgi.” Yuungnaqpiallerput: The Way We GenuinelyLive.TheAnchorageMuseum&theCalistaEldersCouncil,3Jan.2008.Web.22Nov.2014.<http://yupikscience.org/2qasgi/index.html>.
