Yale-New Haven Hospital New Adult Emergency Environment of Care

This project was completed at the end of January 2013 and to our knowledge it is the only project that has been undertaken with an Evidence Based Design process, (EBD) using an Interdisciplinary Design Team (IDT) to create a total Environment of Care (EOC). It involves the renovation of 32,000 s.f. of existing space and 20,000 s.f. of new space. It was designed and implemented in phases allowing for uninterrupted delivery of care through the 2 year construction process. Construction cost for this project is estimated at $35,000,000.

Yale-New Haven Hospital Adult Emergency Environment of Care Ambulatory Entrance - Day time

A strong connection to the community and the site, allowing as much access to nature as possible in this urban setting.

Ambulatory Entrance - Night time

Immediately visible as the entrance to the community it serves, becoming a beacon of light, welcoming all requiring medical attention.

Reception/Triage

Operational flow redesigned simultaneously with the physical environment to reduce door to doctor time.

Care Center

Care team approach to care delivery requires spaces for the team to gather and share information while having direct visualization to patients.

Chair Centric Care and Design

Appropriate level of care can be delivered in a seated position vs. laying down on a stretcher. Initial feedback includes increased patient control of their environment, throughput and improved patient satisfaction.

Indirect lighting in common areas

Patients and staff alike benefit from the reduction of glare and visual chaos. Appropriate lighting has been shown to decrease visual discomfort and increase visual performance.

Open Clinical Core

Increase visual communication and opportunities for interaction. A glazed consult space in the center of the core allows for private consultations when required.

Glass Covered Drop Off

The use of glass for the canopy allows for patient drop off shielded from the weather without compromising the amount of natural light that is allowed enter the family support area.

Privacy

The use of art glass in areas where confidential conversations may be taking place increases the sense of confidentiality associated with the patient experience.

Art Enhanced Wayfinding

The use of regioinaly specific art installed at critical decision points creates a memorable moment that aids in wayfinding.

The Core Architectural Team

The core architectural team for this project included, from the foreground, Reynaldo Anaya, Visda Saeyan, Georges Clermont, Alberto Salvatore, Jansen Chang and Jill Hodson.

Stanley Tippett Hospice Home

VNA Care Network & Hospice’s Stanley R. Tippett Home in Needham, Massachusetts, opened in 1994 to care for terminally ill individuals who want hospice care but are unable to continue living in their own homes.
Hospice is provided in a warm, supportive environment with all the related amenities and comforts of home. Nurses are on-site around the clock.

The Tippett Home is located on nearly six acres of peaceful, wooded grounds abutting the Charles River. The 10 private bedrooms are fully furnished and include an electric hospital bed, cable television and remote control, nurse’s call bell, telephone, dresser, closet, and sink. Residents may bring photos, mementos, small pieces of furniture, and other personal items that fit comfortably and safely in the room.

Families, friends, and other guests may visit as often as they like. Although there are no set visiting hours, guests are asked to respect the privacy and comfort of other residents.

There are several living rooms and a dining room where residents may spend time privately or visit guests. The large patio and awning provide an outdoor “room” during good weather. The garden has an abundance of fresh flowers, and bouquets are created and brought indoors for residents’ enjoyment.

Stanley Tippett Hospice Care Home - Resident/Community Garden

Available to all residents this garden is maintained by a volunteer community group and was designed and implemented with their input as part of the functional programming process.

Entry/Family Area

Immediate connection and access to nature was a reoccurring theme in the design of this project.

Covered Entry

A new covered drop off area was added to this home allowing more appropriate resident access to this environment.

Service Kitchen

A new service kitchen with a residential feel was added to the second floor to allow enhanced resident and staff use.

Main Kitchen

New configuration and design of the main kitchen allows for all food service requirements to be met while creating a residential feeling that comforts residents and staff alike.

Shaded areas

Outdoor shaded areas with accessable pathways for use by residents and their families allow for extended exposure to the surrounding landscape and gardens.

Living/Dining Area

Residents and their families find this comforting space for gatherings and family dinners.

Resident Bedrooms

Flooded with natural light and visual access to the natural environment that surrounds them, the resident rooms have the ability to control their personal environment and the amenities they surround themselves with.

University of Central Florida - Faculty Practice Center

This project was undertaken working with the Dean of the School of Medicine, the director of operations and a local architectural firm to oversee the implementation of the final programming and schematic design. Its focus was on an improved patient experience through the implementation of a total Environment of Care and providing a total continuum of care through continuous care coordination and management.

University of Central Florida - Faculty Practice - Family Support Area

A hospitality feel for the space creates a welcoming experience.

Care Coordination

Care management and planning is a critical part of assuring a seamless healthcare experience. Spaces specifically designed for this function can reduce patient stress and confusion.

Welcoming Care Center

No glass separating the patients from the staff creates a much more receptive environment for patients.

Zoning the Exam Room

Create spaces that are comfortable and supportive through each stage of the exam.

Enhance Patient Doctor Communication

Comfortable spaces that encourage an ongoing dialogue between patient and caregiver enhance opportunities for improved outcomes.

Exam and support space

Customized exam and support spaces similarly located in each exam room aid in flexible use and modular access to required supplies.

Attention to detail

Making the patient comfortable before during and after the exam contributes to an enhance patient experience.

International Center for Advanced Medicine - Saudi Arabia

The Center for Advanced Medicine was designed to establish a new standard for medical care in the Kingdom of Saudi Arabia. This project was undertaken by Alberto Salvatore while at another architectural firm in Boston. The project was programmed at approximately 5 million square feet and budgeted at approximately 1.2 billion dollars. As the project leader Alberto Salvatore was responsible for winning the project and working directly with the client to identify and develop what was arguably the first Interdisciplinary Design Team approach to project delivery responsible for the overall Strategic, Clinical, Functional, Architectural and Operational planning for the Medical Center and associated functions and support services. This project included the programming and conceptual design of the following building types: Royals Medical Center, inpatient hospital services, ambulatory care and diagnostic services, education, research, hospitality, conference center, housing, power plant, waste management facility, cultural center, mosque, sports facilities, amusement park, therapeutic gardens and courtyards. A comprehensive study of the culture was undertaken to assure a Culturally Responsive solution. The design of this project was based on understanding the wonderfully restorative powers of nature.

International Center for Advanced Medicine-Saudi Arabia - The desert

Within this cultural framework the desert becomes a blank canvas that will challenge the designers vision.

Understanding the culture

Finding an artifact in the middle of the desert gives perspective to the culture that your design must respect and support.

Project meetings

Site specific project meetings happened in the field. Wind blown sand created seating for our team in the natural environment.

Overall Concept Plan

The restorative powers of nature are the focus of this plan. Water, the resource that gives life to the earth is the focal point.

Research campus

The flow of water leads us first to the research campus that serves as a gate way to knowledge and learning.

Education campus

The gateway of research leads us to the education campus where future doctors and nurses and health professionals will learn their skills.

Ambulatory and In-patient campus

This is where the research and education are applied in practice. Healthcare services are available to all. As is customary, the Royals have their own separate facility.

Center for Birth - Seattle, WA.

Center for Birth was established by Certified Professional Midwife Tina Tsiakalis in 2011, filling a need for a centrally located, multi-suite birth center in Seattle. Women may choose to enroll in care with Center for Birth Midwives, or with one of the many midwifery practices that have admitting privileges at Center for Birth.

The mission of Center For Birth (CFB) is to provide an accessible, comfortable, beautiful place for Seattle families to give birth under the care of a qualified midwife. Center for Birth supports and promotes the midwives model of care™, emphasizing low intervention, women-centered care and shared decision-making. CFB is located about 2 miles from the major area medical centers.

Center for Birth occupies a freestanding building overlooking Lake Union and the Space Needle, near South Lake Union. The birth center is located on the 2nd floor of the two-story building. The three spacious and light-filled birth suites were designed to promote serenity with their soothing colors and clean decor. CFB has been designed for warmth, relaxation, privacy, optimal comfort and ease of use.