Healthcare Design - August 2023 - 24

HALKIN MASON PHOTOGRAPHY
STRATEGIC CONNECTIONS
Opened in January 2022, The Middleman Family
Pavilion has 52 inpatient beds and a 20-bay
emergency department in addition to imaging
services and a surgical suite equipped for specialty
operations. To maximize the continuum of
care, the new facility had to seamlessly integrate
with CHOP's existing outpatient center, both
functionally and architecturally. " The existing
building was a linear building, and the available
site lent itself to a linear expansion of that-like
two train cars locked together, " says Terry D.
Steelman, senior principal and director of design
at Ballinger (Philadelphia), which served as
architect, interior designer, and MEP and structural
engineer on the project. " We had to determine
the location at which these two buildings
would strategically connect. "
The services in the existing three-story outpatient
facility influenced the organization of the
new hospital's first three levels, which all connect.
Since many patients and providers move
back and forth between the two facilities, Ballinger
aimed to streamline the traffic flow by leveraging
adjacencies between buildings.
A significant grade change on the site places
the main hospital entry about 20 feet higher than
the opposite side of the building. The urgent care
facilities were located on the lower side of the existing
outpatient building, Steelman explains, so
it made sense to place the ED on the lower side
as well, permitting patients to access either service
through the same entrance. " All the traffic
associated with the emergency room is focused
away from the main entrance with dedicated
parking, " Steelman says. " This allowed the front
of the building to stay entry-focused, so the first
floor became an arrival platform for the whole
complex. We consolidated the entrances for both
buildings into one common lobby with the waiting
area, café, and food service. The intent was
that everybody came in the same door, whether
they were outpatient or inpatient. "
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AU GUST 2023
HCDMAGAZINE.COM
ABOVE: Built adjacent to
an existing outpatient
center, the six-story
pavilion boasts colorful
panels arranged playfully
on the exterior to keep the
building from looking too
clinical while also blending
with the aesthetic
of the existing building.
BELOW: Natural light
floods the main lobby and
reception area, making
the space feel bright and
open. Vibrantly colored
furniture and geometric
wall graphics offer bold
pops of color against a
white backdrop.
These shared entry points are key to creating a smooth continuum of
care between inpatient and outpatient services by reducing reception redundancies
for staff and providing a central check-in point for patients.
" Regardless of whether they're going for specialty care or surgery, they're
going to encounter the same welcoming staff at the front desk and the same
providers, " says Gebeline-Myers. " That sort of consistency, in the eyes of a
4-year-old who's a little nervous to go for healthcare services, matters an
awful lot. "
The second floor houses critical care, the pharmacy, and a testing laboratory.
" That worked out to be a beautiful connection because we also have
our oncology services on the second floor of the Specialty Care Center, "
Hagerty says. " By having the pharmacy on the second floor, we're able to
not only support the ICU with its higher medication needs, but we also
have a direct connection for chemotherapy on the specialty care side. "
Surgical services are strategically located on the third floor of the hospital,
expanding the existing ambulatory surgery center so staff and supplies
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Healthcare Design - August 2023

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