Healthcare Design - May 2014 - 2
C CONTENTS | MAY/JUNE 2014
VOL. 14, NO. 4
58
FEATURES
40
COMMON GOAL
An integrated project delivery contract and Lean design process drove the creation of
MaineGeneral's new Alfond Center for Health, with team members sharing in risks and rewards
to ensure its success. By Jennifer Kovacs Silvis
50
50
SPECIAL REPORT: LANDSCAPE ARCHITECTURE
INTRODUCTION: THE LUSH LIFE
By Kristin D. Zeit
51
URBAN RENEWAL
A rooftop garden at Yale-New Haven's Smilow Cancer Hospital offers patients the calm and
comfort of a backyard space-seven floors above the bustling city below.
By Margie Monin Dombrowski
58
LAUDED LANDSCAPES
A roundup of Silver- and Bronze-winning projects from the 2013 Landscape Architecture for
Healthcare Communities awards program.
66
THE PERFECT SETTING
Specific patient populations can benefit from tailored approaches to landscape design to
facilitate healing and keep them safe. By Clare Cooper Marcus and Naomi A. Sachs
74
TWEAKING THE TEMPLATE
The Fontana Medical Center in Fontana, Calif., takes a standard Kaiser Permanente design
scheme and adds some new twists. By Chin Lee
82
WILL TRAVEL FOR TREATMENT
Going beyond elective surgeries, a growing number of medical tourists are seeking tertiary care
abroad, bringing new opportunities and challenges to designers and architects. By Anne DiNardo
DEPARTMENTS
4
8
10
32
38
94
102
112
2
HCDMAGAZINE.COM A monthly rundown of exclusive content available online
EDITORIAL User's manual By Kristin D. Zeit
MONITOR Keeping track of the industry's vital signs
INTERIORS Therapeutic design By Gerri Cote
THE CENTER Is average good enough? By Debra Levin
RESEARCH Scaling back By Esperanza Harper, Nicholas Watkins, and Tamra Minnier
CONSTRUCTION Price check By C. Bradley Cronk and Glenn A. Grube
FIRST LOOK Desert oasis By Jennifer Kovacs Silvis
HCDmagazine.com 06.14
ON THE COVER: MaineGeneral Alfond
Center for Health. Photo: Anton Grassl|Esto
Healthcare Design (ISSN: Print 1541-7905, Online
2168-0043) is published 10 times per year in Jan/
Feb, Mar, April, May/Jun, July, Aug, Sept, Oct, Nov, and
Dec, by Vendome Group, LLC, 216 East 45th St., New
York, NY 10017. Periodicals postage paid at New York,
NY, and additional mailing offices.
©2014 by Vendome Group, LLC. Healthcare Design
is a trademark of Vendome Group, LLC. All rights
reserved. No part of Healthcare Design may be
reproduced, distributed, transmitted, displayed,
published, or broadcast in any form or in any media
without prior written permission of the publisher.
To request permission to reuse this content in any
form, including distribution in education, professional, or promotional contests or to reproduce
material in new works, please contact the Copyright
Clearance Center at info@copyright.com or
978-750-8400. For custom reprints, permissions,
or logo licensing, please contact Nick Iademarco
at Wright's Media, 1-877-652-5295 ext. 102 or
niademarco@wrightsmedia.com.
EDITORIAL POLICY: Articles and opinions published
in Healthcare Design do not necessarily reflect the
views of Publisher or the Editorial Advisory Board.
SUBSCRIPTIONS: For questions about a subscription or to subscribe, please contact us by phone:
1-888-873-3566, online: www.HCDmagazine.com/
page/subscribe, or email: hcd.vendome@ads-g.
info. Subscription rate per year: $140 domestic,
$179 outside the US. Single copies and back
issues: $22 Domestic, $34 outside the US.
POSTMASTER: Send changes of address to:
Healthcare Design, PO Box 397, 2865 S Eagle Rd.,
Newtown, PA 18940
LUKE O'NEILL
Edited by Margie Monin Dombrowski
http://www.HCDMAGAZINE.COM
http://www.HCDmagazine.com/
http://www.HCDmagazine.com
Healthcare Design - May 2014
Table of Contents for the Digital Edition of Healthcare Design - May 2014
Contents
Healthcare Design - May 2014 - Cover1
Healthcare Design - May 2014 - Cover2
Healthcare Design - May 2014 - 1
Healthcare Design - May 2014 - 2
Healthcare Design - May 2014 - 3
Healthcare Design - May 2014 - Contents
Healthcare Design - May 2014 - 5
Healthcare Design - May 2014 - 6
Healthcare Design - May 2014 - 7
Healthcare Design - May 2014 - 8
Healthcare Design - May 2014 - 9
Healthcare Design - May 2014 - 10
Healthcare Design - May 2014 - 11
Healthcare Design - May 2014 - 12
Healthcare Design - May 2014 - 13
Healthcare Design - May 2014 - 14
Healthcare Design - May 2014 - 15
Healthcare Design - May 2014 - 16
Healthcare Design - May 2014 - 17
Healthcare Design - May 2014 - 18
Healthcare Design - May 2014 - 19
Healthcare Design - May 2014 - 20
Healthcare Design - May 2014 - 21
Healthcare Design - May 2014 - 22
Healthcare Design - May 2014 - 23
Healthcare Design - May 2014 - 24
Healthcare Design - May 2014 - 25
Healthcare Design - May 2014 - 26
Healthcare Design - May 2014 - 27
Healthcare Design - May 2014 - 28
Healthcare Design - May 2014 - 29
Healthcare Design - May 2014 - 30
Healthcare Design - May 2014 - 31
Healthcare Design - May 2014 - 32
Healthcare Design - May 2014 - 33
Healthcare Design - May 2014 - 34
Healthcare Design - May 2014 - 35
Healthcare Design - May 2014 - 36
Healthcare Design - May 2014 - 37
Healthcare Design - May 2014 - 38
Healthcare Design - May 2014 - 39
Healthcare Design - May 2014 - 40
Healthcare Design - May 2014 - 41
Healthcare Design - May 2014 - 42
Healthcare Design - May 2014 - 43
Healthcare Design - May 2014 - 44
Healthcare Design - May 2014 - 45
Healthcare Design - May 2014 - 46
Healthcare Design - May 2014 - 47
Healthcare Design - May 2014 - 48
Healthcare Design - May 2014 - 49
Healthcare Design - May 2014 - 50
Healthcare Design - May 2014 - 51
Healthcare Design - May 2014 - 52
Healthcare Design - May 2014 - 53
Healthcare Design - May 2014 - 54
Healthcare Design - May 2014 - 55
Healthcare Design - May 2014 - 56
Healthcare Design - May 2014 - 57
Healthcare Design - May 2014 - 58
Healthcare Design - May 2014 - 59
Healthcare Design - May 2014 - 60
Healthcare Design - May 2014 - 61
Healthcare Design - May 2014 - 62
Healthcare Design - May 2014 - 63
Healthcare Design - May 2014 - 64
Healthcare Design - May 2014 - 65
Healthcare Design - May 2014 - 66
Healthcare Design - May 2014 - 67
Healthcare Design - May 2014 - 68
Healthcare Design - May 2014 - 69
Healthcare Design - May 2014 - 70
Healthcare Design - May 2014 - 71
Healthcare Design - May 2014 - 72
Healthcare Design - May 2014 - 73
Healthcare Design - May 2014 - 74
Healthcare Design - May 2014 - 75
Healthcare Design - May 2014 - 76
Healthcare Design - May 2014 - 77
Healthcare Design - May 2014 - 78
Healthcare Design - May 2014 - 79
Healthcare Design - May 2014 - 80
Healthcare Design - May 2014 - 81
Healthcare Design - May 2014 - 82
Healthcare Design - May 2014 - 83
Healthcare Design - May 2014 - 84
Healthcare Design - May 2014 - 85
Healthcare Design - May 2014 - 86
Healthcare Design - May 2014 - 87
Healthcare Design - May 2014 - 88
Healthcare Design - May 2014 - 89
Healthcare Design - May 2014 - 90
Healthcare Design - May 2014 - 91
Healthcare Design - May 2014 - 92
Healthcare Design - May 2014 - 93
Healthcare Design - May 2014 - 94
Healthcare Design - May 2014 - 95
Healthcare Design - May 2014 - 96
Healthcare Design - May 2014 - 97
Healthcare Design - May 2014 - 98
Healthcare Design - May 2014 - 99
Healthcare Design - May 2014 - 100
Healthcare Design - May 2014 - 101
Healthcare Design - May 2014 - 102
Healthcare Design - May 2014 - 103
Healthcare Design - May 2014 - 104
Healthcare Design - May 2014 - 105
Healthcare Design - May 2014 - 106
Healthcare Design - May 2014 - 107
Healthcare Design - May 2014 - 108
Healthcare Design - May 2014 - 109
Healthcare Design - May 2014 - 110
Healthcare Design - May 2014 - 111
Healthcare Design - May 2014 - 112
Healthcare Design - May 2014 - Cover3
Healthcare Design - May 2014 - Cover4
https://www.nxtbook.com/emerald/healthcaredesign/202410
https://www.nxtbook.com/emerald/healthcaredesign/2024QA
https://www.nxtbook.com/emerald/healthcaredesign/202409
https://www.nxtbook.com/emerald/healthcaredesign/202408
https://www.nxtbook.com/emerald/healthcaredesign/20240607
https://www.nxtbook.com/emerald/healthcaredesign/202405
https://www.nxtbook.com/emerald/healthcaredesign/202404
https://www.nxtbook.com/emerald/healthcaredesign/202403
https://www.nxtbook.com/emerald/healthcaredesign/20240102
https://www.nxtbook.com/emerald/healthcaredesign/202312
https://www.nxtbook.com/emerald/healthcaredesign/202311
https://www.nxtbook.com/emerald/healthcaredesign/202310
https://www.nxtbook.com/emerald/healthcaredesign/202309
https://www.nxtbook.com/emerald/healthcaredesign/202308
https://www.nxtbook.com/emerald/healthcaredesign/20230607
https://www.nxtbook.com/emerald/healthcaredesign/202305
https://www.nxtbook.com/emerald/healthcaredesign/202304
https://www.nxtbook.com/emerald/healthcaredesign/202303
https://www.nxtbook.com/emerald/healthcaredesign/20230102
https://www.nxtbook.com/emerald/healthcaredesign/202212
https://www.nxtbook.com/emerald/healthcaredesign/202211
https://www.nxtbook.com/emerald/healthcaredesign/202210
https://www.nxtbook.com/emerald/healthcaredesign/202209
https://www.nxtbook.com/emerald/healthcaredesign/202208
https://www.nxtbook.com/emerald/healthcaredesign/20220607
https://www.nxtbook.com/emerald/healthcaredesign/202205
https://www.nxtbook.com/emerald/healthcaredesign/202204
https://www.nxtbook.com/emerald/healthcaredesign/202203
https://www.nxtbook.com/emerald/healthcaredesign/20220102
https://www.nxtbook.com/emerald/healthcaredesign/202112
https://www.nxtbook.com/emerald/healthcaredesign/202111
https://www.nxtbook.com/emerald/healthcaredesign/202110
https://www.nxtbook.com/emerald/healthcaredesign/202109
https://www.nxtbook.com/emerald/healthcaredesign/202108
https://www.nxtbook.com/emerald/healthcaredesign/202106
https://www.nxtbook.com/emerald/healthcaredesign/202105
https://www.nxtbook.com/emerald/healthcaredesign/healthcare-design-april-2021
https://www.nxtbook.com/nxtbooks/healthcaredesign/202103
https://www.nxtbook.com/nxtbooks/healthcaredesign/20210102
https://www.nxtbook.com/nxtbooks/healthcaredesign/202012
https://www.nxtbook.com/nxtbooks/healthcaredesign/202011
https://www.nxtbook.com/nxtbooks/healthcaredesign/202010
https://www.nxtbook.com/nxtbooks/healthcaredesign/202009
https://www.nxtbook.com/nxtbooks/healthcaredesign/202008
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200607
https://www.nxtbook.com/nxtbooks/healthcaredesign/202005
https://www.nxtbook.com/nxtbooks/healthcaredesign/202004
https://www.nxtbook.com/nxtbooks/healthcaredesign/202003
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201912
https://www.nxtbook.com/nxtbooks/healthcaredesign/201911
https://www.nxtbook.com/nxtbooks/healthcaredesign/201910
https://www.nxtbook.com/nxtbooks/healthcaredesign/201909
https://www.nxtbook.com/nxtbooks/healthcaredesign/201908
https://www.nxtbook.com/nxtbooks/healthcaredesign/20190607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201905
https://www.nxtbook.com/nxtbooks/healthcaredesign/201904
https://www.nxtbook.com/nxtbooks/healthcaredesign/201903
https://www.nxtbook.com/nxtbooks/healthcaredesign/201902
https://www.nxtbook.com/nxtbooks/healthcaredesign/201901
https://www.nxtbook.com/nxtbooks/healthcaredesign/201812
https://www.nxtbook.com/nxtbooks/healthcaredesign/201811
https://www.nxtbook.com/nxtbooks/healthcaredesign/201810
https://www.nxtbook.com/nxtbooks/healthcaredesign/201809
https://www.nxtbook.com/nxtbooks/healthcaredesign/201808
https://www.nxtbook.com/nxtbooks/healthcaredesign/20180607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201805
https://www.nxtbook.com/nxtbooks/healthcaredesign/201804
https://www.nxtbook.com/nxtbooks/healthcaredesign/201803
https://www.nxtbook.com/nxtbooks/healthcaredesign/201802
https://www.nxtbook.com/nxtbooks/healthcaredesign/201801
https://www.nxtbook.com/nxtbooks/healthcaredesign/201712
https://www.nxtbook.com/nxtbooks/healthcaredesign/201711
https://www.nxtbook.com/nxtbooks/healthcaredesign/201710
https://www.nxtbook.com/nxtbooks/healthcaredesign/201709
https://www.nxtbook.com/nxtbooks/healthcaredesign/201708
https://www.nxtbook.com/nxtbooks/healthcaredesign/201706
https://www.nxtbook.com/nxtbooks/healthcaredesign/201705
https://www.nxtbook.com/nxtbooks/healthcaredesign/201704
https://www.nxtbook.com/nxtbooks/healthcaredesign/201703
https://www.nxtbook.com/nxtbooks/healthcaredesign/201702
https://www.nxtbook.com/nxtbooks/healthcaredesign/201701
https://www.nxtbook.com/nxtbooks/healthcaredesign/201612
https://www.nxtbook.com/nxtbooks/healthcaredesign/201611
https://www.nxtbook.com/nxtbooks/healthcaredesign/201610
https://www.nxtbook.com/nxtbooks/healthcaredesign/201609
https://www.nxtbook.com/nxtbooks/healthcaredesign/201608
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201605
https://www.nxtbook.com/nxtbooks/healthcaredesign/201604
https://www.nxtbook.com/nxtbooks/healthcaredesign/201603
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201512
https://www.nxtbook.com/nxtbooks/healthcaredesign/201511
https://www.nxtbook.com/nxtbooks/healthcaredesign/201510
https://www.nxtbook.com/nxtbooks/healthcaredesign/201509
https://www.nxtbook.com/nxtbooks/healthcaredesign/201508
https://www.nxtbook.com/nxtbooks/healthcaredesign/201506
https://www.nxtbook.com/nxtbooks/healthcaredesign/201505
https://www.nxtbook.com/nxtbooks/healthcaredesign/201504
https://www.nxtbook.com/nxtbooks/healthcaredesign/201503
https://www.nxtbook.com/nxtbooks/healthcaredesign/201501
https://www.nxtbook.com/nxtbooks/healthcaredesign/201412
https://www.nxtbook.com/nxtbooks/healthcaredesign/201411
https://www.nxtbook.com/nxtbooks/healthcaredesign/201410
https://www.nxtbook.com/nxtbooks/healthcaredesign/201409
https://www.nxtbook.com/nxtbooks/healthcaredesign/201408
https://www.nxtbook.com/nxtbooks/healthcaredesign/201407
https://www.nxtbook.com/nxtbooks/healthcaredesign/201405
https://www.nxtbook.com/nxtbooks/healthcaredesign/201404
https://www.nxtbook.com/nxtbooks/healthcaredesign/201403
https://www.nxtbook.com/nxtbooks/healthcaredesign/201401
https://www.nxtbook.com/nxtbooks/healthcaredesign/201312
https://www.nxtbook.com/nxtbooks/healthcaredesign/201311
https://www.nxtbook.com/nxtbooks/healthcaredesign/201310
https://www.nxtbook.com/nxtbooks/healthcaredesign/201309
https://www.nxtbook.com/nxtbooks/healthcaredesign/201308
https://www.nxtbookmedia.com