VA Togus Medical Center Specialty Care Addition accommodates oncology, rheumatology, endocrinology, pulmonary and infectious disease departments maintaining ease of access via existing hospital circulation. Presenting many unique logistical challenges, this 17,823 SF expansion added two stories of ambulatory outpatient space above the existing main electric room and a continuously operating Emergency Department. A unique structural solution featuring three, full-story-high “mega trusses” allows the building to bridge over the occupied ED, avoiding disruption to its operation. This structurally independent and programmatically connected addition resolved a series of issues to meet the needs of several departments.
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. 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 outdoors. 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.