Presenting many unique logistical challenges, this 17,823 SF addition aims to add two stories of ambulatory outpatient space above the existing main electric room and a continuously operating Emergency Department. In addition to being built above occupied space, the addition is located between two existing hospital towers, built over sixty years apart. This structurally independent and programmatically connected addition resolved a series of issues and meet the needs of several departments.
This new space accommodates oncology, rheumatology, endocrinology, pulmonary and infectious disease departments maintaining ease of access via existing health center circulation. A unique structural solution featuring three, full-story-high “mega trusses” allows the building to “bridge” over the occupied ED, avoiding costly and inconvenient disruption to its operation.
Capitalizing on the unique nature of the structure, the design team was able to pull the building envelope away from the existing facade to create a series of window wells, allowing light to penetrate deep into the addition. Due to the truss structure on the third floor, the second floor can be nearly devoid of structure, allowing for an entirely open floor plan in the oncology infusion area. The open and private infusion bays are all located along the perimeter of the addition, with window bench seating for family members framing the view out to the newly planted orchard. The design team worked closely with the nursing staff to design a space to allow for both group and private treatments, and to seamlessly incorporate necessary medical equipment into a beautiful and calming design aesthetic, all while meeting the client’s target budget.