Healthcare Design - January 2015 - 52
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HCDmagazine.com 02.15
spaces, constraints we defined early on. We put
a lot of structure around those early decisions to
make sure we didn't overbuild," Houser says.
How green is my valley
And then there's that net-zero health system
goal, another major component of the master plan. The sustainability goals were always
comprehensive, in keeping with Gundersen's
longstanding commitment to the cause. But
the team was challenged even further during
the schematic design phase to shave kBtus per
square foot (a measurement of heat energy expended) off the campus's energy performance,
with a goal of 115 kBtus eventually targeted for
the Legacy Building from an original ballpark of
around 200 kBtus. "It's part of our mission, so
we think it's the right thing to do," Houser says.
"But it also saves us an enormous amount of
money. It can pay for itself."
More efficient lighting schemes and a highly
insulated building shell with lots of glass-plus
energy-efficient chillers, cooling towers, and
chilled water pumps-all play a role in achieving
the magic number. But the biggest piece of the
puzzle is a new geothermal heat system installed
in the staff parking lot about a block from the
main campus.
Daylighting was a priority
throughout, from scenic waiting
areas like this one to interior
spaces, where possible.
AECOM
facilities hodge-podged over 1.5 million square
feet."
Houser says she had one firm rule for the design: "I said, 'Matt, I don't care what new ideas you
have, but whatever it is, you have to make all of this
stuff that looks very different look less different.'"
The challenges to develop a more streamlined
external campus that would be easier and more
efficient to navigate (as well as more visually cohesive) were more than equaled by the challenges to improve adjacencies and workflows on the
inside of the new Legacy Building. Critical care
areas needed to be brought together to create
a more universal platform for care. Surgery and
interventional services, too.
"It all boiled down to both our values and the
pressures that were being put on healthcare at
the time," Houser says. "The best value in terms
of patient dollars was going to be replacing
those beds. Sharing a hospital room is just not
within today's consumer-driven framework. And
we did major workflow efficiency evaluations,
looking at patient, staff, material, and equipment
workflow and department adjacencies."
All of these evaluations, studies, and number crunching converged in the master plan,
completed and approved by the board in spring
2008. "There really were right sizes for the new
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Healthcare Design - January 2015
Table of Contents for the Digital Edition of Healthcare Design - January 2015
Contents
Healthcare Design - January 2015 - Cover1
Healthcare Design - January 2015 - Cover2
Healthcare Design - January 2015 - 1
Healthcare Design - January 2015 - 2
Healthcare Design - January 2015 - 3
Healthcare Design - January 2015 - Contents
Healthcare Design - January 2015 - 5
Healthcare Design - January 2015 - 6
Healthcare Design - January 2015 - 7
Healthcare Design - January 2015 - 8
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Healthcare Design - January 2015 - Cover3
Healthcare Design - January 2015 - Cover4
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