Ambulatory Care

ARRAY-ARCHITECTS.COM

Continuum Physician Group Practice 38

Continuum Center for Health & Healing 34 Saint Elizabeth Healthcare 30

Montefiore Medical Center 24

Indian River Medical Center 20

Capital Health Hopewell 12

Ambulatory Care Centers 8

Firm Profile 4

Table of Contents

Firm ProfileWe are a team of architects and designers with unique backgrounds, but we all have one thing in common – we share a strong desire to use our expertise and knowledge to design solutions that will help people in moments that matter most.

The complex, changing world of healthcare requires a team of effective communicators and true collaborators. Our 30 year history of being dedicated to healthcare holds countless stories of discovering optimal solutions with our clients.

Our core mission is the same as that of our clients, improve the quality of our work, increase our efficiency and motivate our staff to reach for success.

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“An Ambulatory Care Center should sit at the heart of the community. The care should be

surrounded by contemporary services.”

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Ambulatory Care Centers

There has been a significant amount of change in healthcare that particularly impacts Ambulatory Care Centers. Array’s planners recognize the changing requirement of Ambulatory Care Centers to serve more patients with more complex procedures in a more efficient manner.

Ambulatory services are a critical lynch pin in the development of comprehensive, integrated networks of care that can deliver services cost-effectively and achieve high levels of patient satisfaction. Architects must orchestrate a process that allows for improvements and adjustments to operations while maximizing space utilization and throughput. The current and future trends in ambulatory care underscore the high-growth, high-change nature of ambulatory care facilities and the need for flexible design—now and into the future as they continue to serve more people in more ways.

Multispecialty clinics are becoming more popular where services are rotated with a number of practices sharing the same space. This arrangement allows for increased space utilization, increase integration across specialties, and less capital cost. The expectation is for improved patient outcomes, increased patient satisfaction and greater market share through cross referrals.

Successful ambulatory care facilities are designed to maximize flow. At Array, we develop distinct circulation areas for both patients and staff, introduce intuitive wayfinding to enhance and streamline the patient care process, and then fine-tune our designs through simulation modeling.

“Environments have the power to set our expectations, lift our spirits and inspire hope. This is what motivates me to create spaces which mitigate the challenges faced by all who enter a healthcare facility.”

Patricia D. Malick, AAHID, EDAC, LGBPrincipal and Practice Area Leader, Interior Design

Healing Environments

Capital Health HopewellMOB & Cancer CenterPennington, New Jersey

As a companion building to a new state-of-the-art 237-bed Replacement Hospital for Capital Health, Array in association with HKS, designed a new 328,000 SF Cancer Center and Medical Office Building. Joined to the new Hospital by a two-level pedestrian mall, the building consists of five floors with suites ranging from 1,000 SF to 10,000 SF. The building houses a combination of hospital-based outpatient services and physician practice suites.

First floor services include a comprehensive Cancer Center with state-of-the-art linear accelerators and cyber knife therapies to treat outpatients. Additional first floor functions include an outpatient Imaging Suite programmed with radiography, nuclear medicine, 3.0T MRI, CT and PET/CT equipment. A Spa is situated with access to Oncology in support of a holistic approach to patient needs. Services tailored to patients include wig fittings and lymphatic massages. The Spa is also open to staff and the public.

Infusion programs are vertically connected by the lobby atrium and pedestrian mall. The infusion bays have access to and views of a roof garden developed over the Cancer Center’s first floor with a coffee bar adjacent to the roof garden. Second floor functions accessed from the mall include a four-OR ambulatory surgery suite. Floors three through five are dedicated physician office space. Corridors overlooking the five story atrium connect the MOB/Cancer Center with the Medical Center and allow for easy access for physicians who have rounds to make.

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Medical Mall Photography: Blake Marvin/HKS, Inc.

Wow, I can’t believe this is a hospital.-Al Maghazehe, PhD, FACHE Chief Executive Officer & President, Capital Health

Capital Health Hopewell MOB & Cancer Center

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Top Left: Waiting and Reception

Top Middle: Infusion

Top Right: Waiting

Bottom Left: Emergency Family Waiting

Bottom Right: Water Feature within Healing Garden

Photography: Blake Marvin/HKS, Inc.

Collaborators:

AKF Engineers

Anchor Health Properties

HKS, Inc.

O’Donnell & Naccarato

Skanska

Target Building Construction

The Lighting Practice

Wells Appel

Patient safety, family-focused care and operational efficiency were the focal points for the design. The design team segregated inpatient and outpatient flow to support an exceptional patient experience. Additional dining options are available on the first floor – adjacent to the Main Entrance reception desk as well as on the second floor of the outpatient side of the facility, providing a place for a quick meal and respite while waiting for an outpatient surgical or infusion patient.

The inclusion of multiple gardens surrounding the Hospital and their integration into the natural landscape allows the building to be an extension of the environment. The result: a new hospital that reflects the history of Capital Health, offers patients and their families an enhanced experience and supports the technology of modern medical care.

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Because patient and family engagement was so critical to the overall vision, the design team was tasked with not only designing hospital functions but also gift shops, a spa, public resource library, business center, coffee shop and bistro. The Oasis Spa was designed to offer full spa services to the public, visitors and patients, with a particular focus on cancer support.

Capital Health Hopewell MOB & Cancer Center

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Top Left: Waiting

Top Right: Oasis Spa

Bottom Left: Bistro Dining Area

Bottom Right: Gift Shop

Photography: Blake Marvin/HKS, Inc.

Jonathan M. Bykowski, AIA, LGBSenior Healthcare Planner

Wellness

As a new father, I am even more focused on the value of wellness and prevention and setting a good example for my son. As an architect, I want to empower others to do the same.

In conjunction with Anchor Health Properties and Indian River Medical Center, Array designed a 72,000 SF integrated medical home model health and wellness campus. This phase features a multi-specialty physician practice center with integrated diagnostics and health education. The building shares a healing garden with our recently completed cancer center and is designed to allow provider synergy between the programs.

Built for optimal flexibility, a series of early process and design prototyping work sessions with stakeholders from each practice yielded a universal exam room for all specialties and primary care. Using this universal room in a standardized pod configuration allows Indian River to flex the boundaries of each individual service line on a moment’s notice without the need for renovation or cost.

The full project is designed to promote prevention, education and healthy living in addition to providing chronic disease management and interventions. The project will feature cross discipline care coordination and a unified patient experience while being a market differentiator for Indian River.

Indian River Medical Center Health and WellnessVero Beach, Florida

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Top: ExteriorBottom Right: Waiting Area

Bottom Center: Work SpaceBottom Right: Exterior

Photography: Halkin Mason Photography

“Except for the beds, ASCs have all the elements of a hospital. Programming one can be like solving a complex, three-dimensional jigsaw puzzle. I enjoy figuring out the most efficient way to put all the elements together to achieve throughput goals.”

Jason C. Lee, LEED AP BD+CPrincipal and Senior Project Manager

Ambulatory Surgery Centers

Montefiore Medical CenterAmbulatory Surgery CenterBronx, New York

Montefiore Medical Center selected Array to consolidate ambulatory services from three

campuses and outpatient clinics into a new state-of-the-art Ambulatory Tower that would

become the benchmark for their expanding Ambulatory Care services. Array provided

planning and design services for a new 12-story Ambulatory Surgical Center on a site that

received prior zoning approval for a hotel. To avoid obtaining a variance, which would result in

significant cost and delays, the footprint and setbacks could not be altered.

Array developed a unique design solution incorporating dedicated elevators for staff and

materials within the operating suites and support areas. Although the 12 ORs and four

procedure rooms (sized to become additional ORs if needed) are split between three floors,

simulation modeling showed that the dedicated elevators facilitated patient flow and

reduced room turnaround time.

Opposite: Exterior Canopy

Rendering: Array Architects

Top Left: Waiting Area

Middle: Prep/Recovery Bay

Right: Operating Suite

Bottom: Main Lobby & Waiting

Photography: Halkin Mason Photography

Collaborators:BR+A Engineers

Reuther + BowenShen Milsom Wilke, LLC

Newman DesignCauldwell Wingate

Jones Lang LaSalle

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Bronx, New YorkMontefiore Medical Center / Ambulatory Surgery Center

Top Left: Elevator Lobby

Middle: Pre-Op / PACU

Bottom: Exam Room

Opposite: Team Center

Photography: Halkin Mason

Photography

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Bronx, New YorkMontefiore Medical Center / Ambulatory Surgery Center

Following a merger/acquisition of two hospitals located in

the Cincinnati metropolitan area, St. Elizabeth Healthcare

recognized a need for a new Ambulatory Care Center to

serve as a ‘Gateway for Health’ to increase its profile in the

Cincinnati metropolitan area’s growing market.

Array sited this new, three-story, 120,000 SF Ambulatory

Care Center facing a major interstate to increase public

awareness. A “Main Street” circulation design provides

convenient access to all services including a central

registration and reception desk, community conference

space, bistro, gift shop and patient education center. This

spine follows the length of the building with access to

Imaging and Lab Services and the 10,000 SF Urgent Care

Center. The Urgent Care Center establishes an optimal

patient experience with a focus on convenience.

Patients are warmly greeted, then invited to use the

latest technology for registration. Retail amenities ensure

patients and visitors have an engaging, positive experience.

Exterior landscaped views and an intimate reflection

garden, beautiful artwork and rich colors and textures serve

as orienting devices for both patients and staff.

St. Elizabeth Healthcare Ambulatory Care CenterCovington, Kentucky

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ExteriorPhotography: J. Miles Wolf

St. Elizabeth Healthcare Ambulatory Care Center

The Ambulatory Care and Urgent Care Center provides many

necessary services to this growing area of northern Kentucky.

The facility establishes an outpatient experience where the

patient can be scheduled more conveniently and treated

more quickly in a less clinical environment. The building was

strategically located on a major interstate that fronts the site

and has a direct exit to the facility. Ambulatory Care services are

located on the first floor for public access and cross utilization of

staff. Easy access to services was accomplished by the creation

of a “Main Street” circulation design that fronts all services.

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Collaborators:

Anchor Health Properties

Champlin Architects

Health Strategies & Solutions

KLH Engineers

Messer Construction

THP Limited

Top Left: Private Gowning

Bottom Left: Main Street Corridor

Middle Right: Patient Registration

Bottom Right: Physical Therapy

Photography: J. Miles Wolf

Continuum Center for Health and Healing New York, New York

The Continuum Center for Health & Healing’s primary

focus is on wellness and offers an integrated, preventive

approach to medicine. Their clinic was recognized as one

of the first healthcare spaces in the US to incorporate

sustainable materials as well as Feng Shui principles.

Demand for The Center’s services drove the need to expand

their practice. Array designed an expansion plan which

doubled their practice space onto another floor of the same

building, allowing the original practice to operate during

design and construction.

Array recently completed the renovation of The Center

for Health and Healing incorporating design tenets based

in the Feng Shui design methodology in conjunction with

evidence-based design concepts. The new 10,000 SF

floor includes a gym with physical therapy services and

treatment rooms; reception and waiting areas; clinical

space with consultation and exam rooms; massage room;

and, support areas. Feng Shui findings were based on an

energy profile which consisted of an analysis of compass

orientation, astrological influences, building footprint and

floor plan analysis. Using these findings, space layout was

adjusted to promote harmony with nature, culture and

community.

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ReceptionPhotography: Jeffrey Totaro

Top Left: Exam Room Corridor

Top Right: Waiting

Bottom Left: Kitchen

Bottom Right: Physical Therapy

Photography: Jeffrey Totaro

Collaborators:

Alex Stark

Kallen & Lemelson

Wexler Associates

Linmar Construction

Feng Shui tenets:

Using Feng Shui principles, space layout was refined to promote harmony and balance.

Continuum Center for Health and Healing

• Enhanced healing potential throughout the floor was capitalized by adding mineral quality crystals in wall cavities and ceilings requiring positive energies.

• Enhanced brand recognition and client loyalty by designing bold dramatic graphics at entry of elevator lobby.

• Natural daylight brought into formerly dark areas. • Enhanced income generation and business growth by incorporating red, orange

and green accents and special textured materials.

The project accomplished Continuum’s Health Partners’ Center for Health & Healing’s goal to transform the quality of healthcare and its delivery toward a more holistic model conscious of the role played by the environment in the healing process. Demand for the Center’s services grows and is expected to increase as healthcare in the United States continues to shift from one focused on illness and reaction to one of wellness and prevention.

Top Left: Exam Room Corridor

Top Right: Waiting

Bottom Left: Kitchen

Bottom Right: Physical Therapy

Photography: Jeffrey Totaro

Collaborators:

Alex Stark

Kallen & Lemelson

Wexler Associates

Linmar Construction

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Using Feng Shui principles, space layout was refined to promote harmony and balance.

Beth Israel Medical Center, part of Continuum Health

Partners, offers a broad-based fully integrated health

services network throughout the New York City

metropolitan region. After their lower Manhattan family

practice patient base increased beyond the capacity of

their offices, Continuum committed to quickly expand

the services offered at the medical facility. Continuum

selected a building at the corner of 8th Avenue and 23rd

Street for the expanded practice. The project included

the renovation of a three-story building adjacent to a

popular restaurant

The design features a new curtain wall and façade that

incorporates the client’s brand with LED-illuminated

panels and signage. The exterior now draws patients to

the space and defines the entrance with a matte silver

façade that is lit blue in the evening. The entry canopy

defines the practice entrance and leads to an inviting

building lobby and concierge desk that speaks to Beth

Israel’s patient and physician-friendly environment.

Continuum’s new facility provides a multitude of

resources for their patients. The new walk-in, primary

care medical practice is located on the 2nd floor, while

the 3rd floor serves the specialty practices such as

dermatology, radiology, ophthalmology, orthopedics, GI,

cardiology and pain management.

Continuum Health Partners Beth Israel Medical GroupNew York, New York

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Reception Photography: Jeffrey Totaro

Collaborators:

Kallen & Lemelson

Wexler Associates

Linmar Construction

Top Left: Reception and Waiting

Top Middle: Reception

Top Right: Exterior

Bottom Left: Nurse Sub Station

Bottom Right: Nurse Station

Photography: Jeffrey Totaro

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Continuum Health PartnersBeth Israel Medical Group

This 16,500 SF renovation is now a benchmark facility for Continuum and is considered a ‘Center of Excellence’ for ambulatory care. The architecture promotes Beth Israel’s brand, announces the presence in the neighborhood and helps attract new patients. The interior design promotes better workflow and clinical efficiencies for the staff. The warm, light and airy design lends an overall positive feel which heightens staff morale and patient satisfaction.

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