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Yoon + Jun Design Works
A R C H I T E C T U R E S T U D I O 7 Works : The New Patient Care Tower | 2012 Summer Studio by Jongyoun Jung, Euijun Jeong
                                     P R O F E S S O R : B E N J A M I N R I L E Y
01.1
     INTRODUCTION


COURSE OVERVIEW

PROJECT DESCRIPTION                                                                                                                                                         PEDAGOGICAL STATEMENT
“Advocate Christ Medical Center, located in Oak Lawn, is a recognized leader in the medical community and    Partum units; mechanical floor(s); and a bridge or             Neighborhoods function as nodes in the larger net-
one of the major tertiary and quaternary referral hospitals in the Midwest. This premier teaching institutiontower connection to a new parking structure across             work of the village and city. Without top-down master
excels in a variety of specialties including neurosciences, oncology, pediatrics and women’s health. One of  Kostner Street. Conceptual design work used to in-             planning, neighborhoods can be an inefficient piece
the largest and most comprehensive providers of cardiovascular services in Illinois, it’s nationally renownedform the comprehensive design work to include:                 of their ecosystem and allowed to under-serve the
for its advanced procedures in the treatment of heart disease, heart                                         connecting to the existing hospital main entry/lobby           whole. Presently, the inter-relationships of the neigh-
failure and stroke. Christ Medical Center shares its campus with Advocate Hope Children’s Hospital—the       (possible winter garden); the new parking structure            borhoods are a symbiosis that allows competition and
only freestanding children’s hospital in Chicago’s south and southwest suburbs.”                            across Kostner Street (possible green wall); and a             exploitation. The political, social, and economic fac-
                                                                                                             new link connection to the future second floor NICU            tors that divide a village or city into parts are reflected
The new Patient Care Tower will add approximately 308,000 BGSF to the Advocate Christ Medical Center in the South Patient Tower. The new Patient Care                       inside their individual neighborhoods. Political and
(ACMC) campus. The building will most likely comprise seven inpatient floors. There will be a total of 183 Tower will be located in close proximity to the existing         commercial factors divide neighborhoods into lots.
private patient rooms in the new tower. For this studio, only the following programmed spaces will be the East/West and South Patient Towers and will need to               Private ownership of the lots habitually ensures that
responsibility of the student to design comprehensively: the labor delivery / recovery suite and 28 bed Post address several issues around connectivity as well             distinct parcels will passively contribute to a neigh-
                                                                                                             as circulation of patients, materials and staff.               borhood’s ecosystem.
                                                                                                                Evidence-based design and biophilic design prin-            The idea of a neighborhood acting as a network im-
                                                                                                                ciples will be used to guide the experiential design        plies consensual function, which implies co-owner-
                                                                                                                process. This studio will rely heavily on handmade          ship. Sharing natural resources, such as rainfall, day-
                                                                                                                physical models as a tool for understanding the expe-       light, and wind, requires the same top-down planning
                                                                                                                riential quality of the patient rooms and patient tower.    that could guarantee neighborhoods actively ben-
                                                                                                                Students will be expected to read and discuss vari-         efiting a city’s “biome”. Unlike the gorilla-style com-
                                                                                                                ous articles and book excerpts relating to the studio       mandeering of vacant land in a city to force mutual-
                                                                                                                design process. Each student is responsible for the         ism in an area of disinvestment, in a campus setting,
                                                                                                                programmatic and comprehensive building design              individual ownership can self-propagate mutualistic
                                                                                                                on site 1 below (limited to public functions, i.e., lobby   and commensal relationships between lots of diverse
                                                                                                                and its support functions, maternity services, building     function - even between discrete parcels of land.
                                                                                                                cores and shell, and mechanical and electrical ser-
                                                                                                                                                                            Lots within a neighborhood can become nodes within
                                                                                                                vices).
                                                                                                                                                                            a network. This possibility usually remains outside
                                                                                                                site 1: 300,000+ sf patient tower: 183 private rooms        the control of the architect unless they are working
                                                                                                                        (healing garden)                                    with communally owned properties or individually
                                                                                                                                                                            owned campuses. If prominent, lots in a neighbor-
                                                                                                                site 2: 331,000 sf + 1,046 space employee parking           hood that are brought together to be nodes linked
                                                                                                                        structure (green wall)                              by ties, though invisible, will promulgate an urban
                                                                                                                                                                            network paradigm. Accelerating this pattern shift re-
                                                                                                                site 3: 138,000 sf ground level connector                   quires recognition. Recognition is commensurate to
                                                                                                                        (winter garden)                                     the organism and its organization.




      YOON + JUN        Design Works         :   Jongyoun Jung,          Euijun Jeong           |     PROFESSOR           :   BENJAMINE RILEY
 2
CONCEPT DESCRIPTION
                                                                                         In Evidence Based on Design, there are many ways
                                                                                         to design medical center for not only the patients, but
                                                                                         also the staff, such as making a home-like environ-
                                                                                         ment, ease of way finding, getting even natural light
                                                                                         into the building, and biophilic design.

                                                                                         In my design, in order to accomplish E.B.D, the main
                                                                                         concept of the new patient building focuses on com-
                                                                                         munication with users, communication with its neigh-
                                                                                         borhood, and communication with nature.

                                                                                         This “healing way”, uses the outdoor greenery spac-
                                                                                         es that are surrounding the building to attract natural
                                                                                         light into several small atriums of the building, and
                                                                                         articulates a dynamic building shape. The atriums
                                                                                         become a “sign” to help people easily find their way.
                                                                                         Each floor is connected to green spaces either hor-
                                                                                         izontally or vertically within tow or three story high
                                                                                         gardens. This means that each patient room can
                                                                                         have equally good view and intimacy with the nature,
                                                                                         even though they do not have the same orientation.

                                                                                         Also, the bridge between the parking garage and the
                                                                                         new patient building becomes a promenade for pa-
                                                                                         tients, staff, and the neighborhood.

                                                                                         In addition, the Advocate Christ Medical Campus sur-
                                                                                         rounding the parking lots would use as a place for
                                                                                         wildlife through the biophilic design. The healing way
                                                                                         starts from new park in front of the parking garage,
                                                                                         and would be continuous along the west side of the
                                                                                         parking garage and its roof garden, and finally con-
                                                                                         nects with the winter garden.

                                                                                         Lastly, the “healing way” including the arcade and
                                                                                         several atriums would be the center of the whole Ad-
                                                                                         vocate Christ Medical Campus.


2012 SUMMER STUDIO   |   THE NEW PATIET CARE TOWER   D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus
                                                                                                                                             3
02.1
    SITE ANALYSIS


SITE ANALYSIS


                                                                                                               5



                                                                                                                                  7




                                                                                                            KOSTNER AVE.
pic 1. South Side Kostner Ave. -Few Vegetation                                                                                                                      pic 5. North Side Kostner Ave. -Few Vegetation
                                                                                                                                  6
                                                                                                      SITE


                                                                                                                              2            3
                                                                                                  4


                                                                  95th STREET
                                                                                                               1
                                                                                                      95th STREET                                     95th STREET

pic 2. Huge Parking Lots                                                                                                                                                                            pic 6. Huge Parking Lots




pic 3. East Side of the Site with Existing Campus           pic 4. South Side view from the Existing Building                                                       pic 7. North side of the Site


     YOON + JUN            Design Works             :   Jongyoun Jung,          Euijun Jeong            |                  PROFESSOR   :   BENJAMINE RILEY
4
SITE ANALYSIS                                                                                                          PROBLEM SEEKING & SOLVING
                                                                                                                       Oak Lawn is a village in Cook County, Illinois, United
                                                                                                                       States. The population was 55,245 at the 2000 cen-
                                                                                                                       sus. Oak Lawn is a suburb of the city of Chicago, lo-
                                                                                                                       cated southwest of the city. It shares borders with the
                                                                                                                       city in two areas, but is surrounded mostly by other
                                                                                                                       suburbs
                                                                                                                       Oak Lawn is known for its community hospital, which
                                                                                                                       serves the residents of Chicago and its suburbs.
                                                                                                                       Christ Community Hospital (now known as Advo-
                                                                                                                       cate Christ Medical Center) was built in Oak Lawn
                                                                                                                       in 1960 and has expanded with the development of
                                                                                                                       Hope Children’s Hospital, along with becoming a part
                                                                                                                       of Advocate Health Care. Christ Hospital also has a
                                                                                                                       state-of-the-art Level 1 trauma center, providing trau-
                                                                                                                       ma patients with advanced emergency medical care.
                                                                                                                       The emergency department treats more patients than
                                                                                                                       any other hospital in Illinois.

                                                                                                                       Now, the medical campus is surrounded by huge
                                                                                                                       parking lots. Also, there are a few vegetations around
                                                                                                                       the site. Thus, it is difficult to get nice view from pa-
                                                                                                                       tient tower. Also, making a public space that has
                                                                                                                       close connection with nature is very difficult.

                                                                                                                       We have two strategies to solve current site prob-
                                                                                                                       lems. Firstly, we make heavy vegetation on the park-
                                                                                                                       ing garage. By that, entire campus can get a visual
                                                                                                                       advantage from vertical vegetation. Also, we make
                                                                                                                       vegetation path (it called healing way) that surround
                                                                                                                       patient tower, will make good spaces that connected
                                                                                                                       with nature.




                                                                                                                       SEEN & UNSEEN CONNECTION
                                                                                                                       There are some design factors that will make con-
                                                                                                                       nection with existing buildings and community. First-
                                                                                                                       ly, urban farm on the top of parking garage will give
                                                                                                                       visual advantage for patient tower. Also, patients can
                                                                                                                       get fresh vegetables from urban farm. It can provide
                                                                                                                       job opportunity for community too.
 2012 SUMMER STUDIO   |   THE NEW PATIET CARE TOWER   D E S I G N @ The Advocate Christ Medical Center (ACMC) Campus
03.1
     PATIENT ROOM DESIGN




PATIENT ROOM DESIGN




                                                                                                 PATIENT
                                                                                                  AREA


                                                                                                                 FAMILY
                                                                                                                  AREA


                                                                                  NURSING AREA

                              Figure 1. Concept Sketch



CONCEPTUAL DESIGN
 The reason why we tilt the shape of patient room
is to control visual direction to the parking garage.                                                                  Figure 2. Floor Plan
Also, the shape gives feeling of the space deeper
that makes spatial quality higher. Dark wood flooring
makes cleaners detect dust on the floor easier so that
the patient room can keep clean. Bright color wood
for furniture is helpful to make the atmosphere of the
room likes home, so patients feel the hospital famil-
iar. Some parts of wall are painted with healing color
that gives psychological help for patients.


EVIDENCE BASED ON DESIGN                                                                                             Figure 3. Patient Wall

  Evidence-Based Design in healthcare is an exten-
sion of the theories of evidence-based practice and
evidence-based medicine. Evidence-based medicine
stems from Professor Archie L. Cochrane’s premise
that much “evidence” for best practices for medical
treatments and interventions is available in the form
of relevant randomized controlled trials. He strongly
advocated that this evidence should be collected, an-
alyzed, validated and then widely disseminated.
                                                                                                   Figure 4. East Side and South Side Wall
      YOON + JUN         Design Works         :   Jongyoun Jung,   Euijun Jeong   |     PROFESSOR      :   BENJAMINE RILEY
 6
2. Material

                                                                                                       Flooring
                                                                                                       Brazilian - Easy to see the dust on the
                                                                                                       Cherry      floor
                                                                                                                 - Makes rich space
                                                                                                       Tree


                                                                                                       Furniture
                                                                                                       Birch        - Contrast with floor
                                                                                                       Natural      - Makes bright space
                                                                                                                    - Makes soft atmosphere
                                                                                                       Tree


                                                                                                       Wall Paper
                                                                                                       Back         - Using Healing Colors
                                                                                                       Painted        depends on program
                                                                                                       Glass



                                                                                          3. Meaning of Healing Colors

                                                                                                        Ante-L.D.R
                                                       Larger size of window let                        Soothes
                                                                                                        - Relaxes mentally, as well as physically

                                                                                              YG
                                                     more daylight into the room                        - Helps alleviate depression, nervousess,
                                                     that reduces depression of                           and anxiety
                                                                                                        - Offers a sense of renewal, self-control,
                                                     patients. Vertical vegetation                        and harmony
                                                     on the parking garage gives

                                                                                         B UE
                                                                                          L
                                                     distant view of nature. Also,
                                                                                                        Labor Delivery Room
                                                     healing way gives closer con-                      - Calms and Sedates
                                                     nection with nature. Both of                       - Cools
                                                                                                        - Aids intuition
                                                     factors can reduce pain and
                                                     stress of patient. Home-like
                                                     furniture, such as bed and
                                                     sofa, makes patient room
                                                     more familiar that improves
                                                     patients’ sleep. Also, dark
                                                     color floor diminish hospital
                                                                                         Y LO
                                                                                          EL            Postpartum Room
                                                                                                        - Stimulates mental process
                                                                                                        - Activates memory
                                                                                                        - Encourages communication
               PATIENT ROOM DOOR PERSPECTIVE VIEW    acquired infections.

2012 SUMMER STUDIO   |   THE NEW PATIET CARE TOWER   D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus
                                                                                                                                                 7
03.2
    DAYLIGHT STUDY




                                                                Figure1. Door Perspective | AM 9:00                                                      Figure5. Pillow Perspective | AM 9:00




                Figure2. AM 10:00            Figure3. PM 1:00                      Figure4. PM 5:00               Figure6. AM 10:00   Figure7. PM 1:00                        Figure8. PM 5:00




     YOON + JUN       Design Works   :   Jongyoun Jung,          Euijun Jeong           |      PROFESSOR   :   BENJAMINE RILEY
8
EBD DEGIGN FACTORS FOR PATIENT ROOM


                                                                                          1. Reducing Pain
                                                                                          	     - provide well designed outdoor gardens


                                                                                          2. Reducing Patient Stress
                                                                                          	     - provide nature views provide visual art to
                                                                                          	       enable patients to experience simulated nature


                                                                                          3. Improving Patients’ Sleep
                                                                                          	     - Providing Home like furniture and atmosphere


                                                                                          4. Reducing Depression
                                                                                          	     - linking higher daylight or sun exposure by
                                                                                          	       providing larger windows


                                                                                          5. Reducing Hospital Acquired Infections
                                                                                          	     - clean floor, furniture covering




                                            PATIENT PILLOW PERSPECTIVE VIEW




2012 SUMMER STUDIO   |   THE NEW PATIET CARE TOWER   D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus
                                                                                                                                             9
04.1
     BUILDING DESIGN




CONCEPT GENERATION




                                                              Figure 1. Concept Sketch




               SITE
                                                                                              ?




           ?             !
       ?


       ?                                                                                 :(




                                      ?       !




      YOON + JUN       Design Works       :       Jongyoun Jung,   Euijun Jeong               |   PROFESSOR   :   BENJAMINE RILEY
10
SOUTH KOSTNER AVE. PERSPECTIVE VIEW
2012 SUMMER STUDIO   |   T H E N E W 0 P A T S E T C A R ES T U D I E R |D E S I E N E @ T h e A dE T c a A RC h r i s t W e d i c a l EC e n t e r (@ Ch eCA d va m a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus
                                   2 12 IUMME                 OWO          TH G        W P A T I vo C te E T O M E R D S I G N A T M ) C oc pus
                                                                                                                                                                                                                               11
04.2
     BUILDING DESIGN

DESGIN DEVELOPMENT
Evidence Based on Design Factors
1. Reducing Hospital-Acquired Infections
2. Reducing Medical Errors
3. Reducing Pain
4. Reducing Depression
5. Reducing Spatial Disorientation
6. Fostering Social Support
7. Decreasing Staff Stress
8. Increasing Staff Effectiveness                              ADJACENCY DIAGRAM

Conceptual Section Design
This section study drawing shows the concept of a
sunken garden and daylight studies. The sunken gar-
den, which has step benches and oak trees, gives
a large exterior green park for patients, staff, and
public. Additionally, the sunken garden gives more
intimate connection between the new tower and the
existing buildings. A pond in the sunken garden that
combined with dining space can acts as a light re-
flector which makes the underground dining space
bright. Also, the atrium as 9 stories height on north
side is another factor that lets light and nature into
the building.
                                                                                                                                                                       CONCEPTUAL SECTION SKETCH




                                                                                                                                                    C - SECTION                          STAFF ZONE
                                                                                                                          LOADING    STAFF ZONE
                                                                                                                             AREA
                                                                                                                                     STAFF ENTRY
                                                                                                                                                          TRIAGE                         HEALING
                                                                                                                                                          connection
                                                                                                                                                          with N
                                                                                                                                                                                         GARDEN
                                                                                                                           TRIAGE    DEPARTING            ICU
                                                                                                                                     AREA                                                ANTE - L . D. R
                                                                                                                                     CHURCH
                                                                                                                          SUNKEN     VIEWINGROOM   ATRIUM (2F - 3F)
                                                                                                                          GARDEN                        LOBBY                            BRIDGE
                                                                                                                                                                                         connection with
                                                                                                                                                                                         Parking garage
                                                                                                                                     LIBRARY       ATRIUM (1F - 2F)
                                                                                                                                     CAFE          PUBLIC ZONE
                                                                                                                          SUNKEN     RETAIL SHOP
                                                                                                                          GARDEN
                                                                                                                                                       IN & OUT
                                                                                                                                                   CIRCULATION
                                                                                                         Grid System &
                              Only one core...?                           Two core...!!               Shear Wall system             1st FLOOR                                          2nd FLOOR


      YOON + JUN         Design Works         :   Jongyoun Jung,   Euijun Jeong           |   PROFESSOR   :   BENJAMINE RILEY
12
LOADING LOT
                                                                    N
                                                                          N                                                                                                                 SERVICE                                                                           SOUTH ELEVATION
                                                                                                                                                                                            ELEV


                                                                                                          ARCADE
                                                                                                          FROM                                                                             STAFF,
                                                                                                                                                                                           PATIENT
                                    EXISTING BUILDINGS                                                    EXISTING BLDG.                                                                   ELEV.                                  PRIVATE
                                                                                                                                                                                           LOBBY                                  ENTRY
                                                                                                                                                                                                                                  FOR PATIENT
                                                                                                                                                                                                                                  AND STAFF
                                                                                                                            STAFF,
                                                                                                                            PATIENT
                                                                                                                            ELEV.
                                                                                                                            LOBBY
                                                                                              MAIN
                                                                                              ENTRY
                                                                                                                                                        PUBLIC ELEV                                                                                                            EAST ELEVATION
                                                                                                                                                                                     BRIDGE
                                                                                                                                                                                     FROM PARKING GA-
                                                                                                                                                                                     RAGE @2nd FLOOR



                                                                               SUNKEN
                                                                               GARDEN


INDEX                                                                                                                                                                                      PARKING GARAGE
                          PUBLIC
                          AREA
                                                                                                                                                                                                                                            SITE PLAN
                          NURSING
                          AREA
                                                                                                                                                                                                                                                                              NORTH ELEVATION
                          PATIENT
                          AREA

                                                                                                                                                              POSTPARTUM                       POSTPARTUM
   POSTPARTUM                                       POSTPARTUM                     POSTPARTUM                                 POSTPARTUM                           ROOM                        ROOM
        ROOM                                        ROOM                                ROOM                                  ROOM                         with own Healing garden             with own Healing garden
with own Healing garden                             with own Healing garden     with own Healing garden                       with own Healing garden
                                                                                                                                                                   NURSING                     NURSING
        NURSING                                     NURSING                             NURSING                               NURSING                                 AREA                     AREA                                             I. C. U FLOORS (7 f ~ 9 f )
           AREA                                     AREA                                   AREA                               AREA                                                                                                              Each Floor has 36 of I.C.U


                                                                                                                                                                    HEALING
         HEALING                                                                         HEALING                                                                    GARDEN                     POSTPARTUM                                       HEALING
         GARDEN                                     POSTPARTUM                           GARDEN                               POSTPARTUM                                                       ROOM                                             WAY
                                                    ROOM                                                                      ROOM                                                             with own Healing garden
                                                    with own Healing garden                                                   with own Healing garden           STAFF ZONE
     STAFF ZONE                                                                      STAFF ZONE                                                                                                PUBLIC                                           MECHANICAL
                                                    PUBLIC                                                                    PUBLIC                                                           ZONE                                             ROOM (6F & 10F)
                                                    ZONE                                                                      ZONE                                     PUBLIC
            PUBLIC                                                                          PUBLIC                                                                      ZONE
                                                                                                                                                                                                                                                HEALING
             ZONE                                                                            ZONE                                                                                                                                               GARDEN
                                                                                                                                                                                               POSTPARTUM
                                                    POSTPARTUM                                                                POSTPARTUM                           NURSING                     ROOM
        NURSING                                     ROOM                                NURSING                               ROOM                                    AREA
                                                                                                                                                                                               with own Healing garden
                                                    with own Healing garden                                                   with own Healing garden
           AREA                                                                            AREA

                                                3rd FLOOR                                                                  4th FLOOR                                                       5th FLOOR                              6th - 10th FLOORS


                                                                                                                                                                                                                                                                               WEST ELEVATION
       2012 SUMMER STUDIO                                          |          THE NEW PATIET CARE TOWER                                                   D E S I G N @ The Advocate Christ Medical Center (ACMC) Campus
04.2
     BUILDING DESIGN



DESIGN DEVELOPMENT
1st FLOOR                                                                                           2nd FLOOR                                                                                         3rd FLOOR


                                                                                                          N             BRIDGE                                                                             N
 MAIN              COURT                                                                                                FROM NICU
 ENTRY              YARD                                                                                                @EXISTING BLDG.

                                                                                                                                                           SERVICE AREA                                                                                         SERVICE AREA
      SECURITY                                                                     SERVICE
                                     TRIAGE                                         ENTRY                         LOBBY               C-SECTION                                                                        LOBBY
                                                                   COURT         STAFF                         SOUTH CORE                                    NORTH CORE            STAFF                           SOUTH CORE NURSE                              NORTH CORE                 HEALING
                                                                                                                                                                                                                                              STAFF   NURSE                                 GARDEN
   PUBLIC                                                           YARD         ZONE                                                                                              ZONE                                            STATION            STATION
    AREA                                                                                                                                                                                                                           #1         ZONE    #2
                                                                                                                                                                                                        SECURITY
            SOUTH CORE                                          NORTH CORE                                                                                           COURT                                                                                                COURT
                                                                                                                                                                      YARD                                     PUBLIC AREA                                                 YARD
                                     LIBRARY     SECURITY                                                      PUBLIC AREA                          ANTEPARTUM
                                                                          ENTRY                                                                                                                                         L.D.R                                   L.D.R
                                                                        FOR ONLY                                  SECURITY
                           FLOWER
                            SHOP        CAFE    CHURCH HEALING DEPARTING PATIENT
                                                       GARDEN    AREA    &STAFF                                                                                                    HEALING
                                                                                                                                                                                   GARDEN
                                                                                                               HEALING WAY                          HEALING WAY
                                                                                           (feet)
                                                                                                                                           BRIDGE
                                                               N   0   10   30           60
                                                                                                                                           FROM PARKING                                      (feet)
                                                                                                                                                                                                                                                                         0   10        30         60
                                                                                                                                                                                                                                                                                                    (feet)
                                                                                                                                                                     0   10   30           60
                                                                                                                                           GARAGE

Through the south core adjacent to the main entry, a patient who has reservation with                There are c-section and anti-partum on the second floor. Second floor is connected                 Third floor is for LDR. Staff area for LDR is located on the center of the floor that
c-section would be able to go to there directly. The other patient can go to the triage             with both existing building (NICU) and parking garage. Since c-section is located on              makes staff work more efficient. Also, decentralized nurse station Improve the qual-
for the exam.                                                                                       west side, it is directly connected to NICU. Also, in emergency, movement between                 ity and safety of healthcare. Every patient room is arranged in same direction that
                                                                                                    c-section and anti-partum is easy.                                                                reduces medication errors. Surrounding healing way is combined with not only patient
                                                                                                                                                                                                      area, but also staff area. Thus it makes high quality nature-integrated space for pa-
                                                                                                                                                                                                      tient, family and staffs.




                                                                                                                                  (feet)                                                                                                                                                       (feet)
                                                                                                                     0 10   30   60                                                                                                                                     0 10      30          60


                                                                                                              SOUTH ELEVATION                                                                                                                                     EAST ELEVATION
      YOON + JUN             Design Works             :    Jongyoun Jung,                       Euijun Jeong                |     PROFESSOR            :   BENJAMINE RILEY
14
4th, 5th FLOOR


          N




                                POSTPARTUM ROOM
                   LOBBY
         STAFF
         ZONE SOUTH CORE                                              NORTH CORE

                                NURSE         NURSE                 NURSE STA-
                                STATION       STATION #4            TION #5
     NURSE STATION #1           #2, 3         NURSERY               NURSERY
     NURSERY

                POSTPARTUM ROOM                              POSTPARTUM ROOM


                                                                                          (feet)
                                                                          0   10   30   60



   There are 24 post-partum rooms on the fourth floor. Even though some patient rooms
  faced east and west side, it can get advantage from healing way. Staff areas for post-
  partum are located on the center of the floor that makes staff work more efficient. Also,
  decentralized nurse station Improve the quality and safety of healthcare.
                                                                                                                               WALL SECTIO DETAIL                            ELEVATION DETAIL




                                                     Mech. Floor

                                                      ICU (36)

                                                      ICU (36)
          Mech. Floor
                                                      ICU (36)
Cardiac Telemetry (36)
                                                                                                   Parking lot
Cardiac Telemetry (36)                               Mech. Floor
                                                                              WALL                 Parking lot
 Trauma (12)Resp.(24)
                                                      Postpartum (24)         SECTION              Parking lot
     Orthopedics (23)
                                                      Postpartum (24)                              Parking lot
    Mental Health (23)
                                                                                                   Parking lot
        Med. Surg(37)                                 L.D.R (13)
                                                                                                   Parking lot
 Woman’s Surgery (38)
    Future NICU (64)                                  Ante-L.D.R (8)                               Parking lot
     Lobby / Clinics)                                 Public,Church                                Parking lot
                                                      Retail, Library                              Parking lot
   Pharmacy /Lockers
                                                      Lab / Kitchen
                                                                                                                                                                                                                                    0 10    30    60
                                                                                                                      (feet)
                                                                                                     0 10    30      60

                                                                                        TRANSVERSAL SECTION                                                                                                         LONGITUDINAL SECTION
                                                                   2012 SUMMER STUDIO                            |   THE NEW PATIET CARE TOWER      D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus
                                                                                                                                                                                                                                                 15
04.2
     BUILDING DESIGN




INTERIOR DESIGN

EBD DEGIGN FACTORS FOR PATIENT ROOM
1. Reducing Pain
	     - provide well designed outdoor gardens


2. Reducing Patient Stress
	     - provide nature views provide visual art to
	       enable patients to experience simulated nature


3. Improving Patients’ Sleep
	     - Providing Home like furniture and atmosphere


4. Reducing Depression
	     - linking higher daylight or sun exposure by
	       providing larger windows


5. Reducing Hospital Acquired Infections
	     - clean floor, furniture covering


MAIN LOBBY DESIGN
 Two main lobbies on the first floor are designed by bio-
philic design theory. Two story high large windows let a
lot of day light into the space. Elevator core is covered
with marble stone and artificial waterfall in front of the
core activates the lobby space. Furthermore, mimicry
tree that covers column structure reduce distinction be-
tween exterior and interior space.
                                                                                                                         SOUTH SIDE MAIN LOBBY




      YOON + JUN         Design Works          :   Jongyoun Jung,   Euijun Jeong   |   PROFESSOR   :   BENJAMINE RILEY
16
BIOPHILIC CONCEPT SKETCH




                                   NORTH SIDE LOBBY ONLY FOR PATIENT & STAFF                                         BIOPHILIC DESIGN DETAIL




2012 SUMMER STUDIO   |   THE NEW PATIET CARE TOWER   D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus
                                                                                                                                             17
04.2
     BUILDING DESIGN




                                                                                                            HEALING GARDEN BIRD’S EYE VIEW




      YOON + JUN       Design Works   :   Jongyoun Jung,   Euijun Jeong   |   PROFESSOR   :   BENJAMINE RILEY
18
PHYSICAL MODEL




                                       NORTH KOSTNER AVE. PERSPECTIVE VIEW




2012 SUMMER STUDIO   |   THE NEW PATIET CARE TOWER   D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus
                                                                                                                                             19
05.1                                                                                                  4. MECH.ELEC.SYSTEM
     CHECK INTERNATIONAL BUILDING CODE                                                                         4.1 Possible Heating and Cooling System
                                                                                                                    a. Variable Air Volume (VAV)
1. OCCUPANCY                                                                                                        b. VAV Reheat
          Institutional occupancies include facilities where occupants cannot fully care for them-                  c. Dual-Duct VAV
          selves, including residential care, day care, assisted living, health care, and correctional              d. CAV Reheat
          facilities.                                                                                               e. Multizone
          This group includes 24-hour medical, psychiatric, and custodial care facilities with 6 or more            f. Air-Water Induction (Infrequently Used)
          occupants, in which occupants are not capable of self-preservation in an emergency.                       g. Fan-Coil Terminals
          Afacility such as this with 5 or fewer occupants may be classified as Group R-3 Residential.         4.2 Major Equipment Spaces for Large Building
          Group I-2 also includes 24-hour care for 6 or more infants 2 1/2 years of age of less.
                                                                                                                    a. Typical Sizes of Transformer Vaults: 20’ x 40’ x 11’
                                                                                                                    b. Typical Sizes of Switchgear Rooms: 30’ x 40’ x 11’
2. STRUCTURE                                                                                                        c. Space Requirements for Water Pumps
                                                                                                                    	      - Domestic Water Pumps 16’ x 12’ (200,000 to 1,000,000 sqft)
     2.1 Liveload                                                                                                   	      - Fire Pumps (Assuming sprinklers): 30’ x 24’ (200,000 to 1,000,000 sqft)
           a. Private room: 40psf - 60psf                                                                           d. Vertical Distribution of Services
           b. Operating room: 60psf - 90psf                                                                             	 - Total Shaft Area :
           c. Lobbies: 60psf - 100psf                                                                                        The total open area of all the mechanical and electrical shafts in a tall office
           d. Outdoor Areas: Pedestrian 100psf - 150psf                                                                      building is normally equal to about 4 % of the area served on each floor, and
           			                 Vehicular 150psf - 250psf                                                                     can be estimated at about half this amount for a low-rise building. This should be
           e. Roof Loads: 80psf - 150psf                                                                                     divided into at least two separate shafts to relieve the congestion that would oth-
           f. Storage: Light 125psf - 150psf                                                                                 erwise occur where the vertical and horizontal distribution networks connect. For
           	           Heavy 150psf - 250psf                                                                                 maximum utility, the horizontal proportions of each shaft should lie in the range of
     2.2 Possible structural system                                                                                          1:2 to 1:4.
          a. Masonry                                                                                                	      - Electrical And Telecommunications Closets :
             - Brick Masonry Columns and Walls		       (Shear Wall System)                                          	        . Major Electrical Closet: 7’-0” x 11’-6”
             - Concrete Masony Columns and Walls	 (Shear Wall System)                                               	        . Small or Satellite Electrical Closet: 5’-0” x 2’-6”
          b. Steel                                                                                                  	      - Plumbing Walls (Janitor Closets, and Toilet Rooms):
             - Beams and Girders                                                                                             . Plumbing Wall : 12” for fixtures on one side
             - Open-Web Joists                                                                                         			                      : 16” for Fixtures on two sides
             - Trusses                                                                                              	        . Minimum Janitor Closet: 8’-0” x 4’-6”
          c. Sitecast Concrete                                                                                      e. Minimum Toilet Fixture Requirements
             - Beams and Girders	 (Conventional Steel Frame)                                                               - Institutional Occupancies, employee and visitor toilet facilities must be separate
             - One-Way Solid Slab	 (Semi-Rigid Joints with Supplemental Braced Frame or Shear Wall)                        from resident facilities.
             - Two-Way Flat Slab	 (Semi-Rigid Joints with Supplemental Braced Frame or Shear Wall)                         - Medical and Custodial Care (Residents only)
          d. Precast Concrete                                                                                              	(1) Water Closet:					1 per room
             - Beams and Girders		        (Recommend Shear Wall)                                                           	(2) Lavatories:					1 per room
             - Solid and Hollow Core Slab (Recommend Shear Wall)                                                           	       (3) Drinking Fountains:				                       1 per 100
                                                                                                                           	(4) Bathrooms/showers:				1 per 15
                                                                                                                           	       (5) Number of Occupants of Each Sex:	             Any number
                                                                                                                           	       (6) Number of Water Clostes for Each Sex:	 Male: 1 per 30/ Female: 1 per 25
                                                                                                                           	       (7) Number of Lavatories:			                      At least 1, and not less than 1 		
                                                                                                                           								per every 2 water closets
                                                                                                                    f. Elevator Dimensions
                                                                                                                    	- Capacity					6000 lb
                                                                                                                    	      - Inside Car Dimensions			                  5’-9” x 10’-0”
                                                                                                                    	      - Inside Shaft Dimensions ( W x D )	        8’-2” x 11’-9”
       YOON + JUN        Design Works        :   Jongyoun Jung,       Euijun Jeong         |      PROFESSOR       :   BENJAMINE RILEY
20
5. EGRESS SYSTEM AND ACCESSIBILITY
    5.1 Exit Access Paths
         Group I-2 Institutional Medical and Custodial Care Occupancies have special exit ac-
         cess requirements reflecting the needs of occupants who in many cases may be inca-
         pable of moving themselves to safety in the event of a building fire. See the code for
         details. For emergency escape and rescue requirements for residential occupancies.
         Egress Through Adjacent spaces :In their most conventional configuration, exit access pathways are ex-
         pected to proceed from rooms to corridors and then to exit. The International Building Code in most ci-
         cumstances also permits exit access pathways to flow through intermediate spaces to whichthe originating
         space is functionally related. Howev er, once an exit access path reaches a corridor, it must proceed directly
         to an exit stair or other exit component and cannot reenter other spaces.
                                                                                                                    5.3 Egress Components Widths (Should be sprinklered)
    5.2 Corridors                                                                                                        a. Doorways, Corridors, Ramps, and Other Components: 0.2”
         a. Unrated corridor enclosures are permitted in Group I-2 occupancies                                           b. Stairs: 0.3”
         b. Exterior corridors                                                                                           c. Chart from p.287 (based on our area; 300,000 sqft - 1,250/4 exits = 312.5)
                   Exit access ways may include open balconies on the exterior of a building. When                       	      - Clear Width of Corridor and Stair : Corridor 70” and Stair 92”
                   leading to only one exit stair, such balconies must be separated from interior                        	      - Number of 3’-0” doors : 3
                   spaces by fire resistive walls and protected door and window openings. In the                         	      - Number of 3’-4” doors : 3
                   IBC, these walls and openings must have fire-resistance ratings equal to those re-                    	      - Number of 4’-0” doors : 3
                   quired for a corridor. Where Balconies provide two independent means of egress,                       	      - Number of pairs of 3’-0” doors without center mullion : 2
                   adjacent walls and openings are not required to be fire rated in either code.                         d. Stairway
                   Though not a code requirement, consideration should also be given to deigning                         	      - Max. Riser Height: 7”
                   exterior balconies to prevent the accumulation of ice and snow in cold climates.                      	      - Min. Riser Height: 4”
         c. The Exit                                                                                                     	      - Min. Tread Run: 11”
         	       - Number of the Exit: More than 1000 occupants must have at least four.                                 	      - Max. Vertical Distance between Landings: 12’
                       (1) Institutional Occupancies, inpatient treatment areas:                                         e. Ramp
                       	 240sqft gross, 300,000 / 240 = 1,250 (1,250/4 = 312.5)                                          	      - Max. Ramp Slope
                       (2) Institutional Occupancies, outpatient treatment areas:                                        		             1:12 for ramps part of means of egress or on accessible routes
                          100sqft gross, 300,000 / 100 = 3,000                                                           		             1:8 for other ramps
         	       - Direct Exit                                                                                           	      - Min. Ramp Width: 36” clear width between sides of ramp, or handrails if any
         	       - Exit Stairways                                                                                        	      - Max. Distance Between Landings: 30” rise
         	       - Smokeproof Enclosures
         	       - Exit Passageways                                                                            6. PARKING
         	       - The Exit Discharge                                                                               6.1 Parking Capacity
         d. Accessible Routes                                                                                            a. (Recommended Parking Ratios for Preliminary Design: 1000 gross sqft)
         e. Egress System                                                                                                b. The sum of:
         	       - Mximum Travel Distance (with Sprinklered): 200’                                                       	      0.1 - 0.75 per staff, plus
         	       - Mximum Common Path of Egress Travel: 75’						                                                        	      0.3 - 0.75 per bed, plus	
         	       - Largest Room or Area That May Have Only One Means of Egress:                                          	      0.2 per daily outpatient
         		                                   1000sqft for Sleeping rooms or Suites; 2500sqft other areas                	      Or: 4 - 10 per 1000 gross sqft
         	       - Minimum Length of Dead-End Corridor: 20’	
         	       - Door Width: Min: 32” net clear; 41.5” where beds must be moved                                   6.2 Parking Level Of Service (LOS)
         	       - Minimum Clear Corridor Width:                                                                         LOS A - LOS B
                                           44” serving more than 49 occupants, and 96”where beds must be moved      6.3 Dimension of Parking lot
         	       - Minimum Stair Width:                                                                                  a. Ramp in Parking lot: greater than 1:20 (5%)
                                           44” serving more than 49 occupants, 36” serving 49 or fewer                   b. Accessible car spaces: Width 96”
                	- Additional Requirements: Each floor must be subdivided by at least one smoke-                         c. Accessible van spaces: Width 132”
                proof wall with horizontal exits.                                                                        d. Minimum Vertical Clearance: 98”
                                                      2012 SUMMER STUDIO                   |   THE NEW PATIET CARE TOWER     D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus
                                                                                                                                                                                                                     21

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2012 summer studio_Medical Center Design

  • 1. Yoon + Jun Design Works A R C H I T E C T U R E S T U D I O 7 Works : The New Patient Care Tower | 2012 Summer Studio by Jongyoun Jung, Euijun Jeong P R O F E S S O R : B E N J A M I N R I L E Y
  • 2. 01.1 INTRODUCTION COURSE OVERVIEW PROJECT DESCRIPTION PEDAGOGICAL STATEMENT “Advocate Christ Medical Center, located in Oak Lawn, is a recognized leader in the medical community and Partum units; mechanical floor(s); and a bridge or Neighborhoods function as nodes in the larger net- one of the major tertiary and quaternary referral hospitals in the Midwest. This premier teaching institutiontower connection to a new parking structure across work of the village and city. Without top-down master excels in a variety of specialties including neurosciences, oncology, pediatrics and women’s health. One of Kostner Street. Conceptual design work used to in- planning, neighborhoods can be an inefficient piece the largest and most comprehensive providers of cardiovascular services in Illinois, it’s nationally renownedform the comprehensive design work to include: of their ecosystem and allowed to under-serve the for its advanced procedures in the treatment of heart disease, heart connecting to the existing hospital main entry/lobby whole. Presently, the inter-relationships of the neigh- failure and stroke. Christ Medical Center shares its campus with Advocate Hope Children’s Hospital—the (possible winter garden); the new parking structure borhoods are a symbiosis that allows competition and only freestanding children’s hospital in Chicago’s south and southwest suburbs.” across Kostner Street (possible green wall); and a exploitation. The political, social, and economic fac- new link connection to the future second floor NICU tors that divide a village or city into parts are reflected The new Patient Care Tower will add approximately 308,000 BGSF to the Advocate Christ Medical Center in the South Patient Tower. The new Patient Care inside their individual neighborhoods. Political and (ACMC) campus. The building will most likely comprise seven inpatient floors. There will be a total of 183 Tower will be located in close proximity to the existing commercial factors divide neighborhoods into lots. private patient rooms in the new tower. For this studio, only the following programmed spaces will be the East/West and South Patient Towers and will need to Private ownership of the lots habitually ensures that responsibility of the student to design comprehensively: the labor delivery / recovery suite and 28 bed Post address several issues around connectivity as well distinct parcels will passively contribute to a neigh- as circulation of patients, materials and staff. borhood’s ecosystem. Evidence-based design and biophilic design prin- The idea of a neighborhood acting as a network im- ciples will be used to guide the experiential design plies consensual function, which implies co-owner- process. This studio will rely heavily on handmade ship. Sharing natural resources, such as rainfall, day- physical models as a tool for understanding the expe- light, and wind, requires the same top-down planning riential quality of the patient rooms and patient tower. that could guarantee neighborhoods actively ben- Students will be expected to read and discuss vari- efiting a city’s “biome”. Unlike the gorilla-style com- ous articles and book excerpts relating to the studio mandeering of vacant land in a city to force mutual- design process. Each student is responsible for the ism in an area of disinvestment, in a campus setting, programmatic and comprehensive building design individual ownership can self-propagate mutualistic on site 1 below (limited to public functions, i.e., lobby and commensal relationships between lots of diverse and its support functions, maternity services, building function - even between discrete parcels of land. cores and shell, and mechanical and electrical ser- Lots within a neighborhood can become nodes within vices). a network. This possibility usually remains outside site 1: 300,000+ sf patient tower: 183 private rooms the control of the architect unless they are working (healing garden) with communally owned properties or individually owned campuses. If prominent, lots in a neighbor- site 2: 331,000 sf + 1,046 space employee parking hood that are brought together to be nodes linked structure (green wall) by ties, though invisible, will promulgate an urban network paradigm. Accelerating this pattern shift re- site 3: 138,000 sf ground level connector quires recognition. Recognition is commensurate to (winter garden) the organism and its organization. YOON + JUN Design Works : Jongyoun Jung, Euijun Jeong | PROFESSOR : BENJAMINE RILEY 2
  • 3. CONCEPT DESCRIPTION In Evidence Based on Design, there are many ways to design medical center for not only the patients, but also the staff, such as making a home-like environ- ment, ease of way finding, getting even natural light into the building, and biophilic design. In my design, in order to accomplish E.B.D, the main concept of the new patient building focuses on com- munication with users, communication with its neigh- borhood, and communication with nature. This “healing way”, uses the outdoor greenery spac- es that are surrounding the building to attract natural light into several small atriums of the building, and articulates a dynamic building shape. The atriums become a “sign” to help people easily find their way. Each floor is connected to green spaces either hor- izontally or vertically within tow or three story high gardens. This means that each patient room can have equally good view and intimacy with the nature, even though they do not have the same orientation. Also, the bridge between the parking garage and the new patient building becomes a promenade for pa- tients, staff, and the neighborhood. In addition, the Advocate Christ Medical Campus sur- rounding the parking lots would use as a place for wildlife through the biophilic design. The healing way starts from new park in front of the parking garage, and would be continuous along the west side of the parking garage and its roof garden, and finally con- nects with the winter garden. Lastly, the “healing way” including the arcade and several atriums would be the center of the whole Ad- vocate Christ Medical Campus. 2012 SUMMER STUDIO | THE NEW PATIET CARE TOWER D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus 3
  • 4. 02.1 SITE ANALYSIS SITE ANALYSIS 5 7 KOSTNER AVE. pic 1. South Side Kostner Ave. -Few Vegetation pic 5. North Side Kostner Ave. -Few Vegetation 6 SITE 2 3 4 95th STREET 1 95th STREET 95th STREET pic 2. Huge Parking Lots pic 6. Huge Parking Lots pic 3. East Side of the Site with Existing Campus pic 4. South Side view from the Existing Building pic 7. North side of the Site YOON + JUN Design Works : Jongyoun Jung, Euijun Jeong | PROFESSOR : BENJAMINE RILEY 4
  • 5. SITE ANALYSIS PROBLEM SEEKING & SOLVING Oak Lawn is a village in Cook County, Illinois, United States. The population was 55,245 at the 2000 cen- sus. Oak Lawn is a suburb of the city of Chicago, lo- cated southwest of the city. It shares borders with the city in two areas, but is surrounded mostly by other suburbs Oak Lawn is known for its community hospital, which serves the residents of Chicago and its suburbs. Christ Community Hospital (now known as Advo- cate Christ Medical Center) was built in Oak Lawn in 1960 and has expanded with the development of Hope Children’s Hospital, along with becoming a part of Advocate Health Care. Christ Hospital also has a state-of-the-art Level 1 trauma center, providing trau- ma patients with advanced emergency medical care. The emergency department treats more patients than any other hospital in Illinois. Now, the medical campus is surrounded by huge parking lots. Also, there are a few vegetations around the site. Thus, it is difficult to get nice view from pa- tient tower. Also, making a public space that has close connection with nature is very difficult. We have two strategies to solve current site prob- lems. Firstly, we make heavy vegetation on the park- ing garage. By that, entire campus can get a visual advantage from vertical vegetation. Also, we make vegetation path (it called healing way) that surround patient tower, will make good spaces that connected with nature. SEEN & UNSEEN CONNECTION There are some design factors that will make con- nection with existing buildings and community. First- ly, urban farm on the top of parking garage will give visual advantage for patient tower. Also, patients can get fresh vegetables from urban farm. It can provide job opportunity for community too. 2012 SUMMER STUDIO | THE NEW PATIET CARE TOWER D E S I G N @ The Advocate Christ Medical Center (ACMC) Campus
  • 6. 03.1 PATIENT ROOM DESIGN PATIENT ROOM DESIGN PATIENT AREA FAMILY AREA NURSING AREA Figure 1. Concept Sketch CONCEPTUAL DESIGN The reason why we tilt the shape of patient room is to control visual direction to the parking garage. Figure 2. Floor Plan Also, the shape gives feeling of the space deeper that makes spatial quality higher. Dark wood flooring makes cleaners detect dust on the floor easier so that the patient room can keep clean. Bright color wood for furniture is helpful to make the atmosphere of the room likes home, so patients feel the hospital famil- iar. Some parts of wall are painted with healing color that gives psychological help for patients. EVIDENCE BASED ON DESIGN Figure 3. Patient Wall Evidence-Based Design in healthcare is an exten- sion of the theories of evidence-based practice and evidence-based medicine. Evidence-based medicine stems from Professor Archie L. Cochrane’s premise that much “evidence” for best practices for medical treatments and interventions is available in the form of relevant randomized controlled trials. He strongly advocated that this evidence should be collected, an- alyzed, validated and then widely disseminated. Figure 4. East Side and South Side Wall YOON + JUN Design Works : Jongyoun Jung, Euijun Jeong | PROFESSOR : BENJAMINE RILEY 6
  • 7. 2. Material Flooring Brazilian - Easy to see the dust on the Cherry floor - Makes rich space Tree Furniture Birch - Contrast with floor Natural - Makes bright space - Makes soft atmosphere Tree Wall Paper Back - Using Healing Colors Painted depends on program Glass 3. Meaning of Healing Colors Ante-L.D.R Larger size of window let Soothes - Relaxes mentally, as well as physically YG more daylight into the room - Helps alleviate depression, nervousess, that reduces depression of and anxiety - Offers a sense of renewal, self-control, patients. Vertical vegetation and harmony on the parking garage gives B UE L distant view of nature. Also, Labor Delivery Room healing way gives closer con- - Calms and Sedates nection with nature. Both of - Cools - Aids intuition factors can reduce pain and stress of patient. Home-like furniture, such as bed and sofa, makes patient room more familiar that improves patients’ sleep. Also, dark color floor diminish hospital Y LO EL Postpartum Room - Stimulates mental process - Activates memory - Encourages communication PATIENT ROOM DOOR PERSPECTIVE VIEW acquired infections. 2012 SUMMER STUDIO | THE NEW PATIET CARE TOWER D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus 7
  • 8. 03.2 DAYLIGHT STUDY Figure1. Door Perspective | AM 9:00 Figure5. Pillow Perspective | AM 9:00 Figure2. AM 10:00 Figure3. PM 1:00 Figure4. PM 5:00 Figure6. AM 10:00 Figure7. PM 1:00 Figure8. PM 5:00 YOON + JUN Design Works : Jongyoun Jung, Euijun Jeong | PROFESSOR : BENJAMINE RILEY 8
  • 9. EBD DEGIGN FACTORS FOR PATIENT ROOM 1. Reducing Pain - provide well designed outdoor gardens 2. Reducing Patient Stress - provide nature views provide visual art to enable patients to experience simulated nature 3. Improving Patients’ Sleep - Providing Home like furniture and atmosphere 4. Reducing Depression - linking higher daylight or sun exposure by providing larger windows 5. Reducing Hospital Acquired Infections - clean floor, furniture covering PATIENT PILLOW PERSPECTIVE VIEW 2012 SUMMER STUDIO | THE NEW PATIET CARE TOWER D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus 9
  • 10. 04.1 BUILDING DESIGN CONCEPT GENERATION Figure 1. Concept Sketch SITE ? ? ! ? ? :( ? ! YOON + JUN Design Works : Jongyoun Jung, Euijun Jeong | PROFESSOR : BENJAMINE RILEY 10
  • 11. SOUTH KOSTNER AVE. PERSPECTIVE VIEW 2012 SUMMER STUDIO | T H E N E W 0 P A T S E T C A R ES T U D I E R |D E S I E N E @ T h e A dE T c a A RC h r i s t W e d i c a l EC e n t e r (@ Ch eCA d va m a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus 2 12 IUMME OWO TH G W P A T I vo C te E T O M E R D S I G N A T M ) C oc pus 11
  • 12. 04.2 BUILDING DESIGN DESGIN DEVELOPMENT Evidence Based on Design Factors 1. Reducing Hospital-Acquired Infections 2. Reducing Medical Errors 3. Reducing Pain 4. Reducing Depression 5. Reducing Spatial Disorientation 6. Fostering Social Support 7. Decreasing Staff Stress 8. Increasing Staff Effectiveness ADJACENCY DIAGRAM Conceptual Section Design This section study drawing shows the concept of a sunken garden and daylight studies. The sunken gar- den, which has step benches and oak trees, gives a large exterior green park for patients, staff, and public. Additionally, the sunken garden gives more intimate connection between the new tower and the existing buildings. A pond in the sunken garden that combined with dining space can acts as a light re- flector which makes the underground dining space bright. Also, the atrium as 9 stories height on north side is another factor that lets light and nature into the building. CONCEPTUAL SECTION SKETCH C - SECTION STAFF ZONE LOADING STAFF ZONE AREA STAFF ENTRY TRIAGE HEALING connection with N GARDEN TRIAGE DEPARTING ICU AREA ANTE - L . D. R CHURCH SUNKEN VIEWINGROOM ATRIUM (2F - 3F) GARDEN LOBBY BRIDGE connection with Parking garage LIBRARY ATRIUM (1F - 2F) CAFE PUBLIC ZONE SUNKEN RETAIL SHOP GARDEN IN & OUT CIRCULATION Grid System & Only one core...? Two core...!! Shear Wall system 1st FLOOR 2nd FLOOR YOON + JUN Design Works : Jongyoun Jung, Euijun Jeong | PROFESSOR : BENJAMINE RILEY 12
  • 13. LOADING LOT N N SERVICE SOUTH ELEVATION ELEV ARCADE FROM STAFF, PATIENT EXISTING BUILDINGS EXISTING BLDG. ELEV. PRIVATE LOBBY ENTRY FOR PATIENT AND STAFF STAFF, PATIENT ELEV. LOBBY MAIN ENTRY PUBLIC ELEV EAST ELEVATION BRIDGE FROM PARKING GA- RAGE @2nd FLOOR SUNKEN GARDEN INDEX PARKING GARAGE PUBLIC AREA SITE PLAN NURSING AREA NORTH ELEVATION PATIENT AREA POSTPARTUM POSTPARTUM POSTPARTUM POSTPARTUM POSTPARTUM POSTPARTUM ROOM ROOM ROOM ROOM ROOM ROOM with own Healing garden with own Healing garden with own Healing garden with own Healing garden with own Healing garden with own Healing garden NURSING NURSING NURSING NURSING NURSING NURSING AREA AREA I. C. U FLOORS (7 f ~ 9 f ) AREA AREA AREA AREA Each Floor has 36 of I.C.U HEALING HEALING HEALING GARDEN POSTPARTUM HEALING GARDEN POSTPARTUM GARDEN POSTPARTUM ROOM WAY ROOM ROOM with own Healing garden with own Healing garden with own Healing garden STAFF ZONE STAFF ZONE STAFF ZONE PUBLIC MECHANICAL PUBLIC PUBLIC ZONE ROOM (6F & 10F) ZONE ZONE PUBLIC PUBLIC PUBLIC ZONE HEALING ZONE ZONE GARDEN POSTPARTUM POSTPARTUM POSTPARTUM NURSING ROOM NURSING ROOM NURSING ROOM AREA with own Healing garden with own Healing garden with own Healing garden AREA AREA 3rd FLOOR 4th FLOOR 5th FLOOR 6th - 10th FLOORS WEST ELEVATION 2012 SUMMER STUDIO | THE NEW PATIET CARE TOWER D E S I G N @ The Advocate Christ Medical Center (ACMC) Campus
  • 14. 04.2 BUILDING DESIGN DESIGN DEVELOPMENT 1st FLOOR 2nd FLOOR 3rd FLOOR N BRIDGE N MAIN COURT FROM NICU ENTRY YARD @EXISTING BLDG. SERVICE AREA SERVICE AREA SECURITY SERVICE TRIAGE ENTRY LOBBY C-SECTION LOBBY COURT STAFF SOUTH CORE NORTH CORE STAFF SOUTH CORE NURSE NORTH CORE HEALING STAFF NURSE GARDEN PUBLIC YARD ZONE ZONE STATION STATION AREA #1 ZONE #2 SECURITY SOUTH CORE NORTH CORE COURT COURT YARD PUBLIC AREA YARD LIBRARY SECURITY PUBLIC AREA ANTEPARTUM ENTRY L.D.R L.D.R FOR ONLY SECURITY FLOWER SHOP CAFE CHURCH HEALING DEPARTING PATIENT GARDEN AREA &STAFF HEALING GARDEN HEALING WAY HEALING WAY (feet) BRIDGE N 0 10 30 60 FROM PARKING (feet) 0 10 30 60 (feet) 0 10 30 60 GARAGE Through the south core adjacent to the main entry, a patient who has reservation with There are c-section and anti-partum on the second floor. Second floor is connected Third floor is for LDR. Staff area for LDR is located on the center of the floor that c-section would be able to go to there directly. The other patient can go to the triage with both existing building (NICU) and parking garage. Since c-section is located on makes staff work more efficient. Also, decentralized nurse station Improve the qual- for the exam. west side, it is directly connected to NICU. Also, in emergency, movement between ity and safety of healthcare. Every patient room is arranged in same direction that c-section and anti-partum is easy. reduces medication errors. Surrounding healing way is combined with not only patient area, but also staff area. Thus it makes high quality nature-integrated space for pa- tient, family and staffs. (feet) (feet) 0 10 30 60 0 10 30 60 SOUTH ELEVATION EAST ELEVATION YOON + JUN Design Works : Jongyoun Jung, Euijun Jeong | PROFESSOR : BENJAMINE RILEY 14
  • 15. 4th, 5th FLOOR N POSTPARTUM ROOM LOBBY STAFF ZONE SOUTH CORE NORTH CORE NURSE NURSE NURSE STA- STATION STATION #4 TION #5 NURSE STATION #1 #2, 3 NURSERY NURSERY NURSERY POSTPARTUM ROOM POSTPARTUM ROOM (feet) 0 10 30 60 There are 24 post-partum rooms on the fourth floor. Even though some patient rooms faced east and west side, it can get advantage from healing way. Staff areas for post- partum are located on the center of the floor that makes staff work more efficient. Also, decentralized nurse station Improve the quality and safety of healthcare. WALL SECTIO DETAIL ELEVATION DETAIL Mech. Floor ICU (36) ICU (36) Mech. Floor ICU (36) Cardiac Telemetry (36) Parking lot Cardiac Telemetry (36) Mech. Floor WALL Parking lot Trauma (12)Resp.(24) Postpartum (24) SECTION Parking lot Orthopedics (23) Postpartum (24) Parking lot Mental Health (23) Parking lot Med. Surg(37) L.D.R (13) Parking lot Woman’s Surgery (38) Future NICU (64) Ante-L.D.R (8) Parking lot Lobby / Clinics) Public,Church Parking lot Retail, Library Parking lot Pharmacy /Lockers Lab / Kitchen 0 10 30 60 (feet) 0 10 30 60 TRANSVERSAL SECTION LONGITUDINAL SECTION 2012 SUMMER STUDIO | THE NEW PATIET CARE TOWER D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus 15
  • 16. 04.2 BUILDING DESIGN INTERIOR DESIGN EBD DEGIGN FACTORS FOR PATIENT ROOM 1. Reducing Pain - provide well designed outdoor gardens 2. Reducing Patient Stress - provide nature views provide visual art to enable patients to experience simulated nature 3. Improving Patients’ Sleep - Providing Home like furniture and atmosphere 4. Reducing Depression - linking higher daylight or sun exposure by providing larger windows 5. Reducing Hospital Acquired Infections - clean floor, furniture covering MAIN LOBBY DESIGN Two main lobbies on the first floor are designed by bio- philic design theory. Two story high large windows let a lot of day light into the space. Elevator core is covered with marble stone and artificial waterfall in front of the core activates the lobby space. Furthermore, mimicry tree that covers column structure reduce distinction be- tween exterior and interior space. SOUTH SIDE MAIN LOBBY YOON + JUN Design Works : Jongyoun Jung, Euijun Jeong | PROFESSOR : BENJAMINE RILEY 16
  • 17. BIOPHILIC CONCEPT SKETCH NORTH SIDE LOBBY ONLY FOR PATIENT & STAFF BIOPHILIC DESIGN DETAIL 2012 SUMMER STUDIO | THE NEW PATIET CARE TOWER D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus 17
  • 18. 04.2 BUILDING DESIGN HEALING GARDEN BIRD’S EYE VIEW YOON + JUN Design Works : Jongyoun Jung, Euijun Jeong | PROFESSOR : BENJAMINE RILEY 18
  • 19. PHYSICAL MODEL NORTH KOSTNER AVE. PERSPECTIVE VIEW 2012 SUMMER STUDIO | THE NEW PATIET CARE TOWER D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus 19
  • 20. 05.1 4. MECH.ELEC.SYSTEM CHECK INTERNATIONAL BUILDING CODE 4.1 Possible Heating and Cooling System a. Variable Air Volume (VAV) 1. OCCUPANCY b. VAV Reheat Institutional occupancies include facilities where occupants cannot fully care for them- c. Dual-Duct VAV selves, including residential care, day care, assisted living, health care, and correctional d. CAV Reheat facilities. e. Multizone This group includes 24-hour medical, psychiatric, and custodial care facilities with 6 or more f. Air-Water Induction (Infrequently Used) occupants, in which occupants are not capable of self-preservation in an emergency. g. Fan-Coil Terminals Afacility such as this with 5 or fewer occupants may be classified as Group R-3 Residential. 4.2 Major Equipment Spaces for Large Building Group I-2 also includes 24-hour care for 6 or more infants 2 1/2 years of age of less. a. Typical Sizes of Transformer Vaults: 20’ x 40’ x 11’ b. Typical Sizes of Switchgear Rooms: 30’ x 40’ x 11’ 2. STRUCTURE c. Space Requirements for Water Pumps - Domestic Water Pumps 16’ x 12’ (200,000 to 1,000,000 sqft) 2.1 Liveload - Fire Pumps (Assuming sprinklers): 30’ x 24’ (200,000 to 1,000,000 sqft) a. Private room: 40psf - 60psf d. Vertical Distribution of Services b. Operating room: 60psf - 90psf - Total Shaft Area : c. Lobbies: 60psf - 100psf The total open area of all the mechanical and electrical shafts in a tall office d. Outdoor Areas: Pedestrian 100psf - 150psf building is normally equal to about 4 % of the area served on each floor, and Vehicular 150psf - 250psf can be estimated at about half this amount for a low-rise building. This should be e. Roof Loads: 80psf - 150psf divided into at least two separate shafts to relieve the congestion that would oth- f. Storage: Light 125psf - 150psf erwise occur where the vertical and horizontal distribution networks connect. For Heavy 150psf - 250psf maximum utility, the horizontal proportions of each shaft should lie in the range of 2.2 Possible structural system 1:2 to 1:4. a. Masonry - Electrical And Telecommunications Closets : - Brick Masonry Columns and Walls (Shear Wall System) . Major Electrical Closet: 7’-0” x 11’-6” - Concrete Masony Columns and Walls (Shear Wall System) . Small or Satellite Electrical Closet: 5’-0” x 2’-6” b. Steel - Plumbing Walls (Janitor Closets, and Toilet Rooms): - Beams and Girders . Plumbing Wall : 12” for fixtures on one side - Open-Web Joists : 16” for Fixtures on two sides - Trusses . Minimum Janitor Closet: 8’-0” x 4’-6” c. Sitecast Concrete e. Minimum Toilet Fixture Requirements - Beams and Girders (Conventional Steel Frame) - Institutional Occupancies, employee and visitor toilet facilities must be separate - One-Way Solid Slab (Semi-Rigid Joints with Supplemental Braced Frame or Shear Wall) from resident facilities. - Two-Way Flat Slab (Semi-Rigid Joints with Supplemental Braced Frame or Shear Wall) - Medical and Custodial Care (Residents only) d. Precast Concrete (1) Water Closet: 1 per room - Beams and Girders (Recommend Shear Wall) (2) Lavatories: 1 per room - Solid and Hollow Core Slab (Recommend Shear Wall) (3) Drinking Fountains: 1 per 100 (4) Bathrooms/showers: 1 per 15 (5) Number of Occupants of Each Sex: Any number (6) Number of Water Clostes for Each Sex: Male: 1 per 30/ Female: 1 per 25 (7) Number of Lavatories: At least 1, and not less than 1 per every 2 water closets f. Elevator Dimensions - Capacity 6000 lb - Inside Car Dimensions 5’-9” x 10’-0” - Inside Shaft Dimensions ( W x D ) 8’-2” x 11’-9” YOON + JUN Design Works : Jongyoun Jung, Euijun Jeong | PROFESSOR : BENJAMINE RILEY 20
  • 21. 5. EGRESS SYSTEM AND ACCESSIBILITY 5.1 Exit Access Paths Group I-2 Institutional Medical and Custodial Care Occupancies have special exit ac- cess requirements reflecting the needs of occupants who in many cases may be inca- pable of moving themselves to safety in the event of a building fire. See the code for details. For emergency escape and rescue requirements for residential occupancies. Egress Through Adjacent spaces :In their most conventional configuration, exit access pathways are ex- pected to proceed from rooms to corridors and then to exit. The International Building Code in most ci- cumstances also permits exit access pathways to flow through intermediate spaces to whichthe originating space is functionally related. Howev er, once an exit access path reaches a corridor, it must proceed directly to an exit stair or other exit component and cannot reenter other spaces. 5.3 Egress Components Widths (Should be sprinklered) 5.2 Corridors a. Doorways, Corridors, Ramps, and Other Components: 0.2” a. Unrated corridor enclosures are permitted in Group I-2 occupancies b. Stairs: 0.3” b. Exterior corridors c. Chart from p.287 (based on our area; 300,000 sqft - 1,250/4 exits = 312.5) Exit access ways may include open balconies on the exterior of a building. When - Clear Width of Corridor and Stair : Corridor 70” and Stair 92” leading to only one exit stair, such balconies must be separated from interior - Number of 3’-0” doors : 3 spaces by fire resistive walls and protected door and window openings. In the - Number of 3’-4” doors : 3 IBC, these walls and openings must have fire-resistance ratings equal to those re- - Number of 4’-0” doors : 3 quired for a corridor. Where Balconies provide two independent means of egress, - Number of pairs of 3’-0” doors without center mullion : 2 adjacent walls and openings are not required to be fire rated in either code. d. Stairway Though not a code requirement, consideration should also be given to deigning - Max. Riser Height: 7” exterior balconies to prevent the accumulation of ice and snow in cold climates. - Min. Riser Height: 4” c. The Exit - Min. Tread Run: 11” - Number of the Exit: More than 1000 occupants must have at least four. - Max. Vertical Distance between Landings: 12’ (1) Institutional Occupancies, inpatient treatment areas: e. Ramp 240sqft gross, 300,000 / 240 = 1,250 (1,250/4 = 312.5) - Max. Ramp Slope (2) Institutional Occupancies, outpatient treatment areas: 1:12 for ramps part of means of egress or on accessible routes 100sqft gross, 300,000 / 100 = 3,000 1:8 for other ramps - Direct Exit - Min. Ramp Width: 36” clear width between sides of ramp, or handrails if any - Exit Stairways - Max. Distance Between Landings: 30” rise - Smokeproof Enclosures - Exit Passageways 6. PARKING - The Exit Discharge 6.1 Parking Capacity d. Accessible Routes a. (Recommended Parking Ratios for Preliminary Design: 1000 gross sqft) e. Egress System b. The sum of: - Mximum Travel Distance (with Sprinklered): 200’ 0.1 - 0.75 per staff, plus - Mximum Common Path of Egress Travel: 75’ 0.3 - 0.75 per bed, plus - Largest Room or Area That May Have Only One Means of Egress: 0.2 per daily outpatient 1000sqft for Sleeping rooms or Suites; 2500sqft other areas Or: 4 - 10 per 1000 gross sqft - Minimum Length of Dead-End Corridor: 20’ - Door Width: Min: 32” net clear; 41.5” where beds must be moved 6.2 Parking Level Of Service (LOS) - Minimum Clear Corridor Width: LOS A - LOS B 44” serving more than 49 occupants, and 96”where beds must be moved 6.3 Dimension of Parking lot - Minimum Stair Width: a. Ramp in Parking lot: greater than 1:20 (5%) 44” serving more than 49 occupants, 36” serving 49 or fewer b. Accessible car spaces: Width 96” - Additional Requirements: Each floor must be subdivided by at least one smoke- c. Accessible van spaces: Width 132” proof wall with horizontal exits. d. Minimum Vertical Clearance: 98” 2012 SUMMER STUDIO | THE NEW PATIET CARE TOWER D E S I G N @ T h e A d v o c a t e C h r i s t M e d i c a l C e n ter (ACMC) Campus 21