ambulatory surgery qualifications

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ARRAY-ARCHITECTS.COM Ambulatory Surgery

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Once restricted to basic preventative medicine, our clients now perform 70-90% of procedures in outpatient settings through advanced laparoscopic and minimally invasive surgery. Successful ambulatory care facilities are designed to maximize flow. At Array, we develop separate and distinct circulation areas for both patients and staff, introduce intuitive wayfinding to enhance and streamline the patient care process, and then test our designs through simulation modeling.

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ARRAY-ARCHITECTS.COM

AmbulatorySurgery

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Lancaster Hospital 58

Urban MOB & Garage 62

Montefiore Medical Center 32

Firm Locations 64

Ambulatory Surgery 6

Firm Profile 4

Capital Health 10

Mount Sinai Health System 38

Saint Elizabeth Healthcare 52

Doylestown Hospital 60

Table of Contents

Laser Spine Institute 16

Indian River Medical Center 22

Nemours/A.I. duPont Hospital for Children 26

UPHS Chester County Hospital 48

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Firm ProfileThe 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.

We 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.

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Managing population health will require ambulatory service expansion across the nation. This is an exciting time for all involved in healthcare - from systems to providers, clinicians to designers. – Fady Barmada, AIA, LEED AP, Lean Six Sigma Green Belt

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to view our thought leadership on Medical Office Buildings

As primary care is positioned at the forefront

of the evolution of healthcare delivery and

represents the catalyst to feed a sprawling

network of diagnostics, specialty care

and tertiary care, we must reconsider the

environment for better integrating. Medical

office buildings should be the heart of the

healthcare experience, empowering patients

with education and wellness, integrating the

healthcare community with telemedicine,

and providing well-integrated, highly efficient

care. Array planners and designers are setting

new trends in the ambulatory setting, and

see medical office buildings as a tremendous

opportunity for health institutions to enhance

their position in a changing market.

Medical Office Buildings

Click here

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Planning

Planning and designing healthcare is rewarding because you can witness the impact every day.

Julian C. Thompson, AIAPrincipal and Healthcare Planner

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Capital HealthMedical Office Building & 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.

Additional MOB Services include a comprehensive Cancer

Center with state-of-the-art linear accelerators and cyber

knife therapies to treat outpatients; outpatient Imaging with

radiography, nuclear medicine, 3.0T MRI, CT and PET/CT

equipment; and, Spa services tailored to Oncology patients

which include wig fittings and lymphatic massages. 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.

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. An

additional second floor function accessed from the mall is a

four-OR ambulatory surgery suite.

Waiting Photography: Blake Marvin/HKS, Inc.

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“You present the latest in industry forethoughts and assist clients in considering not only the present needs, but future possibilities as well.”- William Keefer Director, Property & Project Management, Capital Health

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Capital Health Medical Office Building

“You present the latest in industry forethoughts and assist clients in considering not only the present needs, but future possibilities as well.”- William Keefer Director, Property & Project Management, Capital Health

Top Left: Waiting

Top Middle: Exam Room

Bottom: Medical Mall

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

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Patient and family engagement was very important to the client’s overall vision so the

design team was asked to not only design 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 MOB & Cancer Center

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Top Left: Oasis Spa Private Room

Top Right: Oasis Spa

Bottom Left: Bistro Dining Area

Bottom Right: Gift Shop

Photography: Blake Marvin/HKS, Inc. & Jeffrey Totaro

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The Laser Spine Institute provides chronic back pain relief

through an intense five-day session that includes initial

screening, surgery, post-surgical physical therapy and body

reconditioning on a fee-for-service basis.

With patient volumes increasing, LSI tasked Array with their

facility needs across the United States. LSI’s clientele

expects a level of design most often seen in five-star

resorts. In addition to designing clinical area and operating

suites for patient care, Array included amenities such as

personalized work areas with internet access, conference

facilities, fine dining, media & relaxation rooms as well as

concierge services.

Two locations in Ohio were completed in early 2015.

Mayfield Heights, outside Cleveland; and Cincinnati.

With the success of their current facilities throughout the

US, LSI anticipates future expansion and continues to call

on Array’s expertise in site selection, planning and design.

Laser Spine InstituteMayfield Heights & Cincinnati, Ohio

ExteriorPhotography: Scott Pease

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Laser Spine Institute

Top Left: Dining & Wifi Lounge

Middle: Prep/Recovery Bay

Right: Operating Suite

Bottom: Main Lobby & Waiting

Rendering: Array Architects

Collaborators:Percise Construction

Procz GroupWZG Structural Engineers

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Wellness

Jonathan M. Bykowski, AIA, Lean Six Sigma Black BeltPrincipal and Practice Leader, Continuous Improvement

As a 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.

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In conjunction with Anchor Health Properties and Indian

River Medical Center, Array is designing a 150,000 SF

integrated medical home model health and wellness center

built on approximately eight acres adjacent to the Medical

Center. The project will feature cross-discipline care

coordination and a unified patient experience while being a

market differentiator for Indian River Medical Center.

The Wellness Center is designed to promote prevention,

education and healthy living in addition to providing

chronic disease management and interventions.

Customer service will be highlighted throughout the

facility from registration and greeting through to

departure which could include appointments at multiple

services in the same visit. Centralized concierge-style

check in and standardized physician clinics allow for

program flexibility without the need for renovation. EHR

integration allows for decentralized clinic care model

featuring team centers for physicians and clinicians.

Indian River Medical Center Center for Health and WellnessVero Beach, Florida

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Waiting

Renderings: Array Architects

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Top: Programming Diagram for Clinic Assessment

Bottom: Exam Room 3D Mockup

Health & Wellness Center- Clinic Assessment

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Above: Visioning

Left: Work Flow Diagram

Renderings: Array Architects

Beginning with a clear target outcome, we used Lean tools to help the client streamline their arrival and check-in

process. We are presently designing a multi-specialty integrated medical home outpatient facility on Indian River

Medical Center’s Vero Beach, FL. campus. The new Wellness Center will be home to six physician practices, an imaging

center, two therapy sites, fitness center, and a resource and education program.

The team desired only one stop upon arrival for patients to check-in despite the programs occupying four floors.

Our team brought together the departments and providers including Registration and Information Technology to

understand the opportunities and limitations of the available systems and develop a seamless integration of the

different programs. To minimize wait times, check-in is decentralized by floor, however, all patients will have to ‘check-

in’ at only one location to begin their visit.

Lean process improvement is a powerful tool to enhance the patient experience as well as improve staff efficiency.

Specialty Clinic Future Work Flow

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When this national children’s hospital decided to move

into a new market, they needed move quickly. As with all

ambulatory projects in today’s competitive environment,

being first to market with the right product at the right cost

is critical.

Patient and Family focused design in the context of

maximum efficiency is the hallmark of the final Ambulatory

project and was achieved through a rigorous process to

define target outcomes and then test solutions.

Current and Future State process mapping, Data

Collection, Visual Programming, Experience Mapping and

Continuous Stakeholder Engagement are cornerstone

tools used to ensure the right space was built at the right

size at the right time. With the rapid evolution of care and

reimbursement models and the uncertainty of the future,

a flexible and adaptable platform was created to be viable

today and tomorrow.

Nemours / Alfred I. duPont Hospital for Children Multi-Specialty Outpatient CenterDeptford, New Jersey

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Waiting

Renderings: Array Architects

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• AIDET • Name/DOB/Contact confirmation • Insurance • ID • CoPay • e-signature consents via digital screen at desk • Load images into PACS

Consider stand up check-in with

wheelchair access

Vitals in each exam room

Lab

New or Exist. Patient

• Clear, easy parking • Easy drop off are • Intuitive, well designed and fully adequate parking area

Arrive Check-in

• Vitals •History • Chief Complaint • Med Rec/List • EKG • Lab Draw

Exam Room

Audiology

• After visit summary • Follow up visit • Sign up myNemours • Scheduled/orders for follow-ups

Check-out

Existing Patient • Nemours MD •Make Apt at Checkout •MyNemours •Patient Navigation Team •Call Specialty Office •MD request to MD •Call Clinic Directly •Go to Check-in Desk •ER Check-out

Letter confirms appointment

Future State Value Stream Map

Site may manually call unconfirmed

patients day prior.

Greeter??

Central Access Center

Employee parking

separate

New Patient Packet

Letter

e-mail

Automated PC/Text reminder

Wait

Urodynamic Procedures

Spirometry

Impact Testing

Quotient Testing

X-ray

Echo

•Exam •Consult • Treatment plan • Review Results

Provider

Tests after Check-in or Rooming

Need someone to assist families at

drop-off (valet, concierge, etc.)

Van accessible shelter at drop-off

iPad language interface

Consider Passport option for repeat visits

Access to forms via myNemours

Digital consents at desk for family

(see full form) Consider Tablet

Central Wheelchair

Scale

• Complete check-out in Exam Room • Consider Printer in each Exam Room

• Positive distractions • Options for private seating • Play areas

Need private interaction option

for guardianship or other issues at

check-in

MA / Waiting should be in

close proximity

Surgical Scheduler

MRI Scheduler

Home

• Increase MA history entries at initial visit

Specialty Care Clinic Jonathan Bykowski

Daryl Kern May 27th, 2014

Future State Map

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Top Left: Exterior

Bottom Left: Future State Value Stream Map

Below Left: Mock-up Session with Patient Advisory Council

Below Right: Team Center

Renderings: Array Architects

Nemours / Alfred I. duPont Hospital for Children Multi-Disciplinary Outpatient Center

Shifting the paradigm to create a new, integrated multi-specialty outpatient center. Array’s Process-led design approach rapidly defined and designed a new, fully integrated multi-specialty outpatient

center that features flexible provider clinics, physical therapy, diagnostic imaging, wellness, and ambulatory surgery.

Our approach, using Lean as a foundation, allowed Nemours to work through complex questions about integration,

resource deployment, and business/revenue implications while studying physical configurations and cost structures

to support them. All of this was achieved without sacrificing commitment to capital budget objectives as well as

schedule.

Patient and Family focused design in the context of maximum efficiency is the hallmark of the final project and

was achieved through a rigorous process to define target outcomes and then test solutions. Current and Future

State process mapping, Data Collection, Visual Programming, Experience Mapping, and Continuous Stakeholder

Engagement are cornerstone tools used to ensure Nemours built the right space at the right size at the right time.

Staffing efficiencies, provider load, throughput, and technology were integrated into the architecture process. With the

rapid evolution of care and reimbursement models and the uncertainty of the future, a flexible and adaptable platform

was created to be viable today and tomorrow.

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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.

Healing Environments

Patricia D. Malick, CHID, EDAC, Lean Green BeltPrincipal and Practice Leader, Interior Design

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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 vari-

ance, which would result in significant cost and delays, the footprint and

setbacks could not be altered.

Array developed a unique design solution incorporating dedicated ele-

vators 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 mod-

eling showed that the dedicated elevators facilitated patient flow and

reduced room turnaround time.

Montefiore Medical CenterAmbulatory Surgery CenterBronx, New York

Opposite: Exterior Canopy

Photography: Halkin Mason Photography

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Top Left: Waiting Area

Middle: Prep/Recovery Bay

Right: Operating Suite

Bottom: Main Lobby & Waiting

Rendering: Halkin Mason Photography

Collaborators:BR+A Engineers

Reuther + BowenShen Milsom Wilke, LLC

Newman DesignCauldwell Wingate

Jones Lang LaSalle

Montefiore Medical Center

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Top Left: Elevator Lobby

Middle: Pre-Op / PACU

Bottom: Exam Room

Opposite: Team Center

Photography: Halkin Mason Photography

Montefiore Medical Center

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Mount Sinai Health System Center for Health and HealingNew York, New York

The Mount Sinai Health System Center for Health &

Healing’s primary focus is on wellness and offers an

integrated, preventive approach to medicine. Their practice

has been at the forefront in the U.S., integrating sustainable

materials and practices 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 while allowing the original

practice to operate during design and construction.

ReceptionPhotography: Jeffrey Totaro

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Top Left: Exam Room Corridor

Top Right: Waiting

Bottom Left: Physical Therapy

Bottom Right: Consult Room

Photography: Jeffrey Totaro

Collaborators:

Alex Stark

Kallen & Lemelson

Wexler Associates

Linmar Construction

Mount Sinai Health System Center for Health and Healing

Placement, materials and colors became tools for incorporating

Feng Shui elements into the design. Special attention was

given to utilizing reclaimed materials to reinforce our client’s

focus on sustainable design. The facility was designed using

natural materials, soothing colors, and natural daylight to have

an uplifting effect on patients and staff. Throughout the Center,

Array incorporated bamboo and rubber/cork flooring. Materials

requiring no-wax or those that are maintained with “green”

cleaning solutions were sourced within the project to ensure

optimal air quality.

The project accomplished Mount Sinai Health System

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 nation continues

to shift from one focused on illness and reaction to one of

wellness and prevention.

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Using principles of Feng Shui, the space organization was refined to promote harmony and balance.

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Managing population health will require ambulatory service expansion across the nation. This is an exciting time for all involved in healthcare - from systems to providers, from clinicians to designers.

Fady Barmada, AIA, LEED AP, Lean Six Sigma Green BeltPractice Leader, Asset Advisory Services

Patient Experience

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Beth Israel Medical Center, part of Mount Sinai Health

System, offers a broad-based fully integrated health ser-

vices network throughout the New York City metropolitan

region. After their lower Manhattan family practice patient

base increased beyond the capacity of their offices, Mount

Sinai committed to quickly expand capacity. Mount Sinai

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.

Mount Sinai’s new facility provides a multitude of re-

sources 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. 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 vibrant blue in the evening.

Mount Sinai Health System Beth Israel Medical GroupNew York, New York

Reception Photography: Jeffrey Totaro

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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

Mount Sinai Health SystemBeth Israel Medical Group

This 16,500 SF renovation is now a benchmark

facility for Mount Sinai 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

modern design and warm wood tones contribute to a

strong first impression and inspire confidence in the

patients and their families alike.

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In conjunction with Anchor Health Properties, University of

Pennsylvania Health System and Chester County Hospital ,

Array has designed a 70,000 SF ambulatory care facility 15

miles from the main Chester County Hospital campus. The

design features a “Main Street” service line access corridor

for a patient friendly circulation system. First floor services

include Imaging (MRI, CT, Mammography, Ultrasound and

Radiology), Physical Therapy, Blood Lab, primary and specialty

care clinics. Second floor services include an Eye Clinic and

leasable space.

The site promotes health and wellness through an integrated

plan that includes healing gardens around the perimeter

of the center, a wellness path and rest areas. The wellness

path loops through open spaces to the east of the building

and around the wooded wetland areas and storm water

management basin and incorporates rest areas with park-

bench seating. Anchor Health Properties, Chester County

Hospital and Array held an extensive visioning session and

visited local gardens and farms to gain inspiration for the

landscape surrounding the ambulatory care center.

To encourage patients to use the facility to its fullest

potential, a full-service bistro is included at the main

entrance. This allows a restful place for a break, with inside

and outdoor seating, making multiple visits in one trip easier

for the whole family. Several different waiting areas allow

families comfortable spaces to congregate.

UPHS Chester County Hospital Ambulatory Care CenterJennersville, Pennsylvania

Main EntrancePhotography: Jeffrey Totaro

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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 central

registration and reception, community conference zones,

bistro, gift shop and patient education center. This amenity-

laden 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 promotes 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. Second and

third floors house physician offices, Dialysis and Diabetes

Center for primary and specialty care.

St. Elizabeth Healthcare Ambulatory & Urgent Care CenterCovington, Kentucky

ExteriorPhotography: J. Miles Wolf

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St. Elizabeth Healthcare Ambulatory Care Center

The Ambulatory and Urgent Care Center provides services to

this growing area of northern Kentucky. The facility promotes

an outpatient experience where the patient can be scheduled

more conveniently and treated quickly in a more patient-centric

clinical environment. The building was strategically located on

a major interstate that fronts the site and has direct access to

the facility. Ambulatory Care services are located on the first floor

for public access and cross utilization of staff. The “Main Street”

facilitates clear circulation to all services.

Collaborators:

Anchor Health Properties

Champlin Architects

Health Strategies & Solutions

KLH Engineers

Messer Construction

THP Limited

Top Left: Private Gowning

Bottom Left: Main Street Corridor

Top Right: Patient Registration

Bottom Right: MRI

Photography: J. Miles Wolf

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The System’s expansion into Indiana begins with an 75,000 SF

MOB and Ambulatory Surgery Center which will house imaging,

physician offices, specialty clinics as well as an after-hours

Urgent Care Clinic. Specialties such as orthopedics, cardiology,

nephrology and women’s services are included in the early

planning by the St. Elizabeth Physician Group.

“St. Elizabeth Physicians is excited about this opportunity to

enhance the services provided to our patients living and working

in Southeastern Indiana and Southwestern Ohio,” Jacob Bast,

chief operating officer of the physician group, told The Cincinnati

Business Courier. “The expanded services and additional

access to primary care will further support our commitment to

connected and coordinated care.”

St. Elizabeth Healthcare Ambulatory, Surgery and Urgent Care CenterDearborn, Indiana

ExteriorRendering: Array Architects

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Lancaster General Hospital Medical Office Building Lancaster, Pennsylvania

Array collaborated on the full fit-out of a new Medical Office Building

to provide additional outpatient and ambulatory care services

adjacent to Lancaster’s acute care hospital. The design concept

for this project capitalizes on the tenets of evidence-based design

including patient empowerment, enhanced staff provisions,

education, intuitive wayfinding and family-centered care.

The project features outpatient care and education / community

support and amenity spaces throughout the four-level facility.

Ground Floor Imaging and Lab Testing units streamline the

outpatient testing and diagnosis process. In addition to First Floor

patient functions for Cardiothoracics and Outpatient Physical

Therapy, a bridge connecting the new facility to the main hospital

provides employee amenities that include a bistro / convenience

store and Health and Fitness Center. The facility’s Second

Floor includes an additional connector bridge as well as Sleep

and Pulmonary Labs. The Third Floor Family Health Center was

subdivided into three distinct treatment pods to create a less

daunting and overwhelming space for patients. A supplemental

community learning center provides on-site group education

programs for patients and staff. Here again, access to a familiar

location has facilitated an expanded number of group discussion

participants and improved patient compliance and clinical follow-up.

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Collaborators:

Anchor Properties

MackIntosh Engineering

The Procz Group

Top: Front Entrance

Left: Reception

Photography: Jeffrey Totaro

Collaborators:

Alexander Building Construction

Barton Associates, Inc.

Cornerstone Architects

Top: Entrance & Reception

Bottom Left: Cafe

Bottom Right: Patient Exam Room

Photography: Jeffrey Totaro

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Doylestown Hospital Medical Office Building & Cancer CenterDoylestown, Pennsylvania

Doylestown Hospital is among the last independent community

hospitals in the greater Philadelphia area. It is largely known

for its quality of care and innovative approach to medical

advancement. When Doylestown was interested in expanding

its oncology program, it partnered with world-renowned

University of Pennsylvania Health System to develop an

addition to their state-of-the-art outpatient care pavilion on the

Hospital’s campus.

The addition accommodates the radiation oncology program,

as well as physician practices and infusion services. The

radiotherapy suite includes exam and consultation rooms, a

linear accelerator vault, simulation room.

Array provided a series of studies dealing with impacted portions

of the campus as a result of the new addition. Inpatient access

to the radiotherapy suite was examined, as the preferred interior

route was not code compliant. Additional studies on the building

footprint’s impact on parking, University of Pennsylvania Health

System / Doylestown signage, and new entrance logistics were

also included in the design study.

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Collaborators:

Anchor Health Properties

MacIntosh Engineering

Norwood Construction

The Procz Group

Top: Front Entrance

Bottom Left: Lobby

Bottom Right: Linear Accelerator

Photography: Jeffrey Totaro

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Confidential ClientNew York, New York

A full-block in bustling Brooklyn is becoming the centerpoint of

ambulatory healthcare as Array collaborates with this client on a

signature building complete with off-street parking, ground floor

retail and several floors of ambulatory medicine.

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Collaborators:

Cauldwell Wingate

Cerami Asscoites

Cosentini

Dewberry

FNA Associates

HDLC

Metropolis

Ruether + Bowen

Thornton Tomasetti

Timothy Haas

VD Associates

Top: Entrance

Bottom: Infusion

Renderings: Hans Weber

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Mid-Atlantic Region1 West Elm StreetSuite 400Conshohocken, PA19428

610-270-0599Contact: Kent Doss, AIA, LEED AP BD+C, Lean Six Sigma Black Belt

New England Region745 Atlantic AvenueSuite 236Boston, MA02111

Northeast Region44 East 30th Street10th FloorNew York, NY10016

617-982-0982Contact: Jeffrey Drucker, AIA

National Capital Region1825 K Street, NWSuite 325Washington, DC20006

202-243-7495Contact: Adrian Hagerty, AIA, LEED AP

Southeast Region6001 Broken Sound Parkway, NWSuite 420Boca Raton, FL 33487

561-995-1700Contact: Mark Taudien, RA #AA26002642

Southwest Region1910 Pacific AvenueSuite 11100Dallas, TX 75201

214-939-7565 Contact: Marsha Whitt, CHID, EDAC, NCIDQ, Lean Six Sigma Healthcare

Midwest Region100 E. Campus View BoulevardSuite 250Columbus, OH 43235

3201 Enterprise ParkwaySuite 495Beachwood, OH 44122

614-758-6850Contact: Andy Vogel, AIA, LEED AP

216-292-7950Contact: Andy Vogel, AIA, LEED AP

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Boca Raton / Boston / Cleveland / Dallas / New York City / Philadelphia / Washington