2012 International Facilities Design + Capacity Conference Ann & Robert H. Lurie Children’s Hospital of Chicago Leveraging Public Spaces to Create a Unique Family Experience 2012 International Facilities Design + Capacity Conference Ann & Robert H. Lurie Children’s Hospital of Chicago Donald Camp Administrator, Family Services, Emergency Services, and Case Management Ann & Robert H. Lurie Children’s Hospital of Chicago Claudia Styrsky ZGF Architects LLP AIA, ASSOCIATE PARTNER Introduction • Significant expansion – 1.25 million SF vs. 699,000 currently (250 beds) • 288 inpatient beds (including a 44-bed NICU, 36-bed CCU, 40-bed PICU, and 24-bed Oncology unit) • Capacity to expand to 313 licensed beds – within building envelope Introduction • • 45-room ED / Trauma Center • • 5 Interventional Radiology Rooms • Multiple outpatient clinics Interventional / Procedural platform with 21 Operating Rooms Diagnostic Imaging services, plus the complement of support areas Design Approach 5 Applying EBD to a Unique Prototype INNOVATION WAS NECESSITATED BY THE DESIGN CHALLENGE How do you fit a building program of 1.3 million square feet onto a 1.8 acre site in downtown Chicago? Building Stack Bed Tower • Beds on the top: views, daylight, and privacy, security • Diagnostic and Treatment on the bottom to accommodate high-volume patient traffic • Second floor emergency department • Mechanical and logistics at the center of the stack to split feeding distance • Lobby on top of the D&T base provided opportunity for sky garden Public & Family Lobbies D&T ED Design Process 8 Guiding Principles CULTURE IDENTITY AND IMAGE CARE LEADERSHIP RESEARCH AND EDUCATIONAL LEADERSHIP RESOURCE STEWARDSHIP Evidence-Based Design “Evidence-based design is defined as the deliberate attempt to base building decisions on the best available evidence with the goal of achieving the best possible outcomes for patients, families, and staff while improving utilization of resources” from "Evidence for Innovation-TRANSFORMING CHILDREN'S HEALTH THROUGH THE PHYSICAL ENVIRONMENT", Executive Summary, NACHRI and the Center for Health Design, p2 Healing Environments • Nature can influence wellbeing, promote healing, relieve pain and stress • Create interior environments that are healthy, safe and secure • Consider patient, family and staff well-being • Best sustainability practices • Accessibility • Lighting and Art • Successes from Children’s Memorial Hospital “The natural healing force within each one of us is the greatest force in getting well.” Hippocrates – Greek Physician (460 BC – 377 BC) Shadowing, Interviews, Focus Groups “Doctors need areas to hold care conferences that can accommodate an entire team of specialists, plus the family.” “I love the window area at the end of the hall. It was a perfect space for me to compose myself before I would update my mother of my daughter’s condition. My mom is very emotional and I needed to be calm when I talked to her.” “I like the mobile art program―it gives me a project to focus on.” Team Involvement: Assuring an Environment for Family-Centered Care Kids and Family Advisory Boards Kids Advisory Board • • Inception: September 2006 Purpose: • • Serve as a voice for all pediatric patients Mission: • Make recommendations that positively effect patient care, services and facilities at Lurie Children’s • Accomplished by providing pediatric patients an opportunity to give feedback and voice their opinions Kids Advisory Board - Models Family Advisory Board • • Inception: September 2006 Purpose: • • Serve as a voice for all patient families Mission: • Make recommendations that positively affect patient care, services and facilities at Lurie Children’s • Accomplished by providing pediatric families an opportunity to give feedback and voice their opinions Team Involvement • More than 600 employees, 150 physicians and 44 user groups involved in the design and programming process • Kids Advisory Board and Family Advisory Board provided critical advice on planning • Mock-up rooms were employed in a number of ways to elicit feedback from patients, families, and staff Community Partnership Charrette The Community Partnership Charrette was designed to engage community icons in the design process of the new hospital. PARTNER INSTITUTIONS • The Field Museum • Adler Planetarium • Shedd Aquarium • Lincoln Park Zoo • Lookingglass Theatre Company • Museum of Contemporary Art • National Museum of Mexican Art • After School Matters • Department of Cultural Affairs • Chicago History Museum • Chicago Botanic Garden • Chicago Architecture Foundation • The Art Institute of Chicago • Redmoon Theater • Museum of Science and Industry • Snow City Arts Foundation • The Notebaert Nature Museum • Chicago Children’s Museum • Chicago Fire Department Community Partnership Charrette The Community Partnership Charrette provided insightful and new ways to look at the design of a children’s hospital Community Partnership - Results • Engage kids and families in learning and discovery • Promote a sense of care by broader community – community engaged in caring for families • Recognize that a “healing environment” for kids and families is unique Design Solutions First Floor Lobby • Begin the journey of exploration and discovery in the first floor lobby • Provide elements of delight and wonder to engage all ages • Create an environment that focuses on healing, learning and discovery First Floor Plan • Ambulance Entrance Main Entry PUBLIC ESCALATOR STAFF/ PUBLIC SERVICE ELEVATORS TRAUMA PATIENT TRANSPORT ED Loading Dock Walk-in ED Entry • All loading internal to the building • • • Drop off lanes • Escalator to second floor Building entrances 24 elevators, clustered to separate vertical circulation First Floor Plan • Main Entry Boat Whales Ambulance Entrance Displays Uplifter Loading Dock Walk-in ED Entry • • • • Café (Boat) Hologram Display Boxes The Whales Uplifter Second Floor Lobby • • Second floor lobby is the most used entry point to hospital from parking garage • Vertical transportation is more than just an elevator ride – waiting is part of the fun • Creating a welcoming and family-focused destination provides a clear arrival point Second Floor Plan • • Second floor ED: a unique model • Key issue: an elevator – dependent prototype, no vehicular access • • Ambulance dock on first floor • Two sets of dedicated elevators Urgent Care Urgent Care Waiting AMBULANCE HELIPORT Trauma Emergency Department ED Lobby ED Waiting TO PARKING TO PRENTICE Public Lobby Bridge connection to parking garage Second Floor Plan • • • • Family Wait Animal Icon TO PRENTICE Coral Garden Aquariums Family Wait TO PARKING Aquariums to discover Coral Gardens to enchant Family waiting areas for families to gather for comfort and support Sky Lobby / Crown Sky Garden • Maximize direct sunlight into public spaces by placement on the south side of the building • Take advantage of a large rooftop to create an enclosed sky-garden • Create a memorable place and provide a retreat, an alternative to other spaces Sky Lobby and Public Spaces Overlook (Double Height View) Conference Center Gift Shop Lobby Sky Garden Dining • Eleventh floor public elevator transfer • • Public functions Amenity spaces Sky Lobby and Public Spaces Images Exterior Sculpture Animal Icon Legos Model Exterior Garden YearRound Garden • • • • • Year-Round Garden Space • Animal Icon & Landmark Seasonal Exterior Garden Exterior Sculpture - Dandelion Legos Model of Hospital Historical Images of the Hospital Sky Lobby and Public Spaces • Kevin’s Garden creates an opportunity for fresh air and garden space – scale is intimate and calm • The Gift Shop is a destination for the kids away from their rooms for some retail therapy • Tree house provides a place to explore the Crown Sky Garden from a different perspective Inpatient Family Lobby • • Quieter lobby supporting inpatient families • Fire Truck a positive distraction and draw for young and old • Chapel for quiet meditation and family / community support Family Resource Center for quiet time and research Chapel • • • • Quiet and contemplative space Uplifting for the human spirit Elements of nature, water and plant life Speaks to all ages and is welcoming to all Inpatient Family Lobby Family Sleep Suite • Twelfth floor less public functions • • Start of the Bed Tower • Focus on inpatient and families • Hospital administrative staff offices • Foundation Family Life Center Lactation Suite Learning Center Lobby Chapel Administration Quieter functions located on floor Inpatient Family Lobby Family Sleep Suite Art Walk Family Life Center Tree House Animal Icon Fire Truck Art Wall Stained Glass • • • Fire Truck and Fire Station • • Art Walk Display Electronic Changing Art Wall Stained Glass Wall & Glass Mosaic Accents Tree House Family Life Center Quiet Salon Art Teen Room Central Play Family Sleep Suite Classroom Lactation Suite Film Studio Business Center Family Laundry Art Walk Develop -mental Learning Center Family Life Center GUIDING PRINCIPLE Spaces for children and teens of all abilities to explore, learn and discover DESIGN RESPONSE Creation of a series of spaces for patients of various ages and abilities that engage their various interests and skill levels ANTICIPATED BENEFIT Reducing the stress of long hospital stays; finding positive outlets for energy and engagement Family Life Center – Sleep Suite GUIDING PRINCIPLE Spaces for families to relax and get a good rest, spaces of comfort and respite Space dedicated to the well-being of kids and families - more like a home or school DESIGN RESPONSE Creation of special spaces to provide a feeling of being special and pampered during your stay in the hospital ANTICIPATED BENEFIT Reducing stress and providing elements of comfort and appreciation of self Neonatal Intensive Care Unit •22-Bed NICU Family Area 22-Bed NICU • • All private patient rooms • 22 bed patient units with shared family area between Majority of rooms have exterior windows providing view and respite for families, natural light important to maintain natural circadian rhythms in babies NICU | Transitional Patient Room Acute Care Floor 24-Bed Acute Care Unit Family Area 24-Bed Inpatient Unit • • All private patient rooms • Corridors provide light, orientation and amazing views • Two 24 bed patient units with Family Great Room between. Patient and family focused care at the bedside Patient Floors | “Family Great Room” GUIDING PRINCIPLE Spaces that enhance and enable families to gather and share their experiences together, to provide floor based respite and amenities DESIGN RESPONSE Creation of a family great room where families can be together and have spaces within to provide a number of amenities ANTICIPATED BENEFIT Stress will be reduced during long hospital stays and siblings can feel a part of the care and the family experience Patient Floors | “Family Great Room” TV / Game Play BathRoom / Shower Living / Work Kitchen Patient Floors | Care Team Stations Acute Care Patient Rooms Patient Rooms GUIDING PRINCIPLE Deliver the ideal patient experience by providing spaces / areas for family involvement in the healing process DESIGN RESPONSE Patient rooms have accommodations for families including sleeping accommodations, internet and work space, and storage for personal belongings ANTICIPATED BENEFIT Deliver comfortable accommodations so families will spend more time in the hospital with their child and participate in their care • LESSONS LEARNED: • Engage all stakeholders early in the process • Involve kids and families early in the process and expose senior leadership to the kids and families; their input was key to our success • Identify the need for public and family spaces committee helps assure the spaces have the dedicated effort required to make them successful • NEXT STEPS: • Obtain and Evaluate patient, family and staff feedback • Expand aspects of the project to staff areas • Identify family areas that require additional work • Obtain donor funding to help maintain the spaces • Continue to assess spaces for patient safety • Determine ongoing maintenance costs ARCHITECTS ZGF Architects LLP Solomon Cordwell Buenz Anderson Mikos Architects Ltd. STRUCTURAL ENGINEER Magnusson Klemencic Associates M/E/P ENGINEER Affiliated Engineers, Inc CIVIL ENGINEER V3 Companies of Illinois, LTD. OWNER’S REPRESENTATIVE Rise / Morgan CONTRACTOR Mortenson / Power Discussion