institutional booklet

Andrew Rader ClinicINTB412: INSTITUTIONAL DESIGN IISUMMER 2015ERIC BRISSEY

ERIC BRISSEYINTERIOR DESIGNER


Andrew Rader Health Clinic

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Rader Health Clinic is a health care center for military families and veterans that specializes in practices ranging from dental care to cancer treatment within Fort Myer. Dedicated to World War II POW and medical hero George Andrew Rader in 1967, the facility is looking to update its traditional military appearance to something more patient friendly. Lieutenant Colonel Sloan, who is overseeing the redesign, is looking for the square two story brick building to wow patients when they walk through the front entrance and provide peace of mind for a better patient experience. The scope of work includes replacing the bland brown color scheme of the clinic with a more healthcare friendly palette. Replacing the flat lifeless appearance of front entrance stair well and side entrance corridor with more impressionable eye catching designs that reflect more modern healthcare centers. The project also includes a redesign of the two outdated staff break rooms in the building so they utilize space effectively and improve employee satisfaction levels by encouraging them to enjoy their lunchtime in a relaxing environment.


Evidence Based Design (EBD)

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1. SINGLE PATIENT ROOM = privacy, quietness, reduced infections, sense of control (sight, sound, smell, touch)

2. ERGONOMICS = speed, accuracy, efficiency, increased energy, comfort (touch)

3. FURNITURE ARRANGEMENT = balance of flexibility and control, privacy and social interaction (sight, touch)

4. AIR QUALITY = fresh air, cleanliness, calming, reduced respiratory problems (smell)

5. WINDOWS = access to nature, light, energy, serenity, visual stimuli (sight, sound)

6. WAY FINDING = provides direction, reduced stress, offers control (sight, touch)

7. BUILDING LAYOUT = beginning of experience, sense of direction and control (sight, sound, smell, touch)

8. NATURE = healthy environment, refreshing, promotes relaxation (sight, sound, smell, touch)

9. NOISE CONTROL = quietness, calming, privacy (sound)

10. LIGHT = illuminate, used as guide, offers control, comfort, and warmth (sight, touch)

11. FLOOR MATERIAL = visual stimuli, noise reducer, provides direction, comfortable surface (sight, sound, touch)

12. POSITIVE DISTRACTIONS = distraction from issues, reduces anxiety, serenity (sight, sound, smell, touch)


Color Psychology

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• Considered Tender• Conveys Delicate Disposition• Expresses Feminine Quality• Implies Innocence• Inspires Compassion• Nurtures Affection• Promotes Healthy Impression• Radiates Caring Attitude

• Conveys Lightness• Encourages Spontaneity• Expresses Caution• Indicates Innovation• Implies Free Spirit• Inspires Creativity • Offers Zest and Joyfulness• Radiates Warmth• Raises Alert Level

• Captures Attention• Considered Passionate• Creates Vitality• Encourages Movement/Action • Generates Excitement• Increases Pulse Rate • Promotes Alertness • Stimulates Appetite• Suggests Strength

• Enhances Concentration• Facilitates Judgment• Nurtures Relaxation• Offers Balance• Promotes Security• Provides Refreshing Atmosphere• Renews Spirit • Suggests Healing

• Considered Fun• Encourages Movement• Expresses Emotion• Gregarious Nature• Implies Good Cheer• Invites Friendliness • Playful Attitude• Pleasurable Spirit• Suggests Power

• Balanced Appeal• Calming Influence• Communicates Gracefulness • Expresses Refinement/Renews Spirit• Inspires Harmony• Nurtures Sensitivity• Refreshing Atmosphere• Soothing Demeanor• Suggests Healing

PINK

RED

ORANGE

YELLOW

GREEN

TEAL


Color Psychology

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• Calming Spirit• Combats Tension• Cultivates Conservatism• Offers Serenity/Supports Relaxation• Promotes Thoughtfulness• Provides Introspection• Soothing Nature• Underscores Devotion

• Comfortable Attitude• Conservative Nature• Implies Stability• Communicates Gracefulness • Promotes Secure Feeling• Suggests Subtle Warmth• Versatile Nature

• Allows Meditation • Contemplative Nature• Conveys Royal Essence• Expresses Mystery• Introspective Persona• Intuitive Understanding• Opulent Nature• Sensitive Character• Whimsical Personality

• Implies Sophistication• Introspective Nature• Soothing Atmosphere • Subdues Emotional Response• Suggests Subtle Coolness• Versatile Nature• May include the color white

• Signifies Stability, Structure, and Support

• Rich Natural Feeling, Realistic• Sophistication and Elegance• Safe Environment, Comfortable• Negative perceptions see it as cheap• Seen as Ordinary as it is the most

predominant color on the planet

• Implies Self-control and Discipline• Independence• Strong Will• Permanence• Impression of Authority and Power• Depressing if too much is present• Represents the Beginning and the

End

BLUE

VIOLET

BROWN

WARM NUETRALS

COOL NUETRALS

BLACK


Health Care Paint

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• Contain Low to no VOCs (primarily latex paints)

• Antimicrobial and mildew resistant

• Paints with antimicrobial properties and mildew resistance may contain pesticides without EPA registration, these should be avoided if possible or may contain small amounts

• Easy to clean finish that is highly durable and stain resistant

• No set of color palettes is guaranteed to promote faster healing for different patients

• Soft colors are more desired than bolder and brighter colors

• Avoid bright reds as it increases patient’s anxiety levels, raises heart rate, and can strain eyes if applied in large amounts

• Avoid pure yellow as it is the most difficult color for the mind to process and can strain eyes

Warm Foundation

Cool Foundation

Luxe

Energetic

Organic

VOC Absorbing


Health Care Flooring

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• High durability• Very long life cycle (20-30 years)• High initial cost ($4.00-$5.50 per sf)• Biodegradable, can be recycled• Absorbs sound• Water, microbial, and medium stain

resistance• Low maintenance required• Does not release noxious fumes if

burned• Slip hazard if non-textured surface

is wet• Detergents can cause discoloration

• High durability• Very long life cycle (20-40 years)• High initial cost ($2.00-$5.00 per sf)• Low maintenance required• Water resistant, but can have water

damage• Environmentally friendly materials• Does not emit VOCs• More comfortable surface, softer

than VCT• Linseed oil has natural bacterial

resistance• Susceptible to high heel damage

• Very high durability• Long life cycle (10-20 years)• Low initial cost ($0.50-$2.00 per sf)• Variety of aesthetic options• Good light and sound reflectivity• Stain, moisture, & impact resistant• Requires chemical waxing to keep

sheen regularly• PVC emits VOCs, especially with

recently processed vinyl• Not biodegradable, hard to recycle• Creates toxic smoke when exposed

to fires

SHEET VINYL & VCT

RUBBER SHEET & TILE

LINOLEUM SHEET


Ten Hour Charette: Health Clinic

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Baby Boomer Patients Spring Concept

Laminate Blue Rubber

White Rubber

Green Rubber

Upholstery

Carpet Tile Concept Sketch: Cafe

SW6928

SW6952

SW6731

SW2864

SW7757

SW6646

SW6777

SW7719


Accessible Design

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ADA Design = People with Disabilities

Universal Design = Everyone

What is the difference between ADA requirements and Universal Design?


Principals of Universal Design

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EQUITABLE USE FLEXIBILITY IN USE SIMPLE AND INTUITIVE PERCEPTIBLE INFORMATION

TOLERANCE FOR ERROR LOW PHYSICAL EFFORT SIZE AND SPACE FOR APPROACH AND USE

Equality: Provides same service to everyone. Ex. = Automatic Doors

Adaptability: Provides preferred method of use. Ex. = Toilet Seating

Easy: Provides little difficulty to understand. Ex. = Symbols/Visuals

Diverse: Provides alternate method to convey info. Ex. = Signage/Braille

Minimize: Reduces risk of injuries from accidents. Ex. = Non-slip Floors

Comfort: Provides minimal fatigue to operate. Ex. = Motion Sensors

Extent: Provides space necessary to approach, reach, manipulate, and use regardless of user’s body type. Ex. = Entries/Hallways/Ramps/Sign-in Desks


Contagious Disease Control

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• Primary purpose of HVAC system in hospitals and healthcare settings is for infection control

• Isolation rooms for infected patients must maintain a negative air pressure and be properly sealed

• Just one air change with fresh air can remove 63% of contaminants in the room’s air

• At 10 air changes per hour (ACH), a ventilation system can remove 90% of all airborne contaminants in 14 minutes and remove 99% of all airborne contaminants in 28 minutes

• The higher the ACH = the higher the cost of energy to use it so filters for microbes are used to lower ACH

• 12 ACH is recommended standard as filters will reach their maximum pressure drop to be effective

• For a space to main negative pressure their must be 10% to 15% more air going out as exhaust than supply

• To prevent diseases from spreading, hospitals provide sealed spaces that separate sick from the healthy

• People infected with contagious diseases are usually placed in an isolation room during their treatment

• Isolation rooms will have an anteroom between them and a common space to serve as an airlock

• Negative pressure rooms are designed so that little to no air contaminants will escape from space as it will act as a vacuum drawing outside air into space and prevent microbes from being released

• Positive pressure rooms are designed to protect sensitive patients from outside contaminants by pushing air away from space which serves as a barrier for operation rooms

HVAC SYSTEMS

SPACE PLANNING


Security Systems

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• Install cameras inside clinic• Can be placed facing entrances• Placed down hallways• Within the lobby and reception• Areas with sensitive information• Private areas cut off from public• Provides 24 hour monitoring• Come in compact sizes• Record high quality video• Activated by motion sensor

• For personnel only areas• Card keys provided to staff• More convenient than pin locks• Keeps public out of work areas• Extra layer of security for valuables• Can record when space is accessed• Can be linked to security network

CAMERA SURVALIANCE

MOTION SENSOR ALARM SYSTEM INSTANT NOTIFICATION ALARM SYSTEM

ACCESS CONTROL

• Install sensors near entrances• Locked areas with valuables• Detects movement within space• Can send alerts to security • Good for detecting intruders• Detects opened doors and broken

windows• Can pick up pests like mice• Preferable during clinic closing

hours when building is empty

• For entire clinic building• Integrates with security systems• Notifies staff with up to date

emergency notifications• Aids in evacuations during

emergencies• Can reduce chances of injuries and

loss of human life• Designed for increasing survival

rate in stressful situations such as shootings or other acts of violence


Rader Health Clinic: Front Entrance

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Decorative Laminate Wall with Clinic Logo

Open Staircase with Planter


Rader Health Clinic: Stair Well

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Panorama Photo Wall with Decorated Door

Second Floor Decal with Trail


Rader Health Clinic: Break Room 1

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ADA Cabinets and Sink

Energy Star Appliances and Coffee Maker


Rader Health Clinic: Break Room 2

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ADA Cabinets and Sink

Energy Star Appliances and Coffee Maker


Rader Health Clinic: Hallways

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TEAM PATTON

TEAM BRADLEY

Hallway: Team Bradley Staff

Hallway: Team Patton Staff


Work Cited1. Acute Care Color Collections for Healthcare Interiors. (2015). Retrieved from Sherwin-Williams website: http://www.sherwin-williams.com/painting-contractors/color/find-and-explore-colors/color-

collections/acute-care-color/

2. Air Pure Paints for Healthcare Facilities. (2015). Retrieved from Air Pure Paints website: http://www.airpurepaints.com/healthcare/

3. ANDREW RADER HEALTH AND DENTAL CLINIC (BUILDING 525). (n.d.). Retrieved from JJ Kirlin website: http://www.jjkllc.com/portfolio/healthcare/andrew-rader-health-and-dental-clinic-building-525.html

4. Baughan-Young, K. (2001). Healing Power of Color As Cheap as Coat of Paint. Retrieved from Managed Care Magazine website: http://www.managedcaremag.com/archives/0111/0111.colors.html

5. Color Psychology: The Emotional Effects of Colors. (n.d.). Retrieved from Art Therapy website: http://www.arttherapyblog.com/online/color-psychology-psychologica-effects-of-colors/#.Va2Auk3JC71

6. Evidence-Based Design. (2013). Retrieved from Functional Color & Design website: http://www.functionalcolor.com/healthcare/thescience/ebd/

7. Ferenc, J. (2010). Floored!. Retrieved from Health Facilities Management Magazine website: http://www.hfmmagazine.com/display/HFM-news-article.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HFM/Magazine/2010/Sep/1009HFM_FEA_marketplace

8. Ferenc, J. (2011). Gaining traction. Retrieved from Health Facilities Management Magazine website: http://www.hfmmagazine.com/display/HFM-news-article.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HFM/Magazine/2011/Jul/0711HFM_FEA_Marketplace&domain=HFMMAGAZINE

9. Giorgio, D. (2014). Color Therapy – Chromotherapy. Retrieved from Deep Trance Now website: http://www.deeptrancenow.com/colortherapy.htm

10. Jarupala, S. (2013). Color Choice in healthcare Design & Its Effect on Human Health and Psychology. Retrieved from SlideShare website: http://www.slideshare.net/sridharjarupala/final-booklet-design

11. Kroll, K. (2011). Resilient Flooring Options: Improved Design Appeal and Performance. Retrieved from Facilities Net website: http://www.facilitiesnet.com/flooring/article/Resilient-Flooring-Options-Improved-Design-Appeal-and-Performance--12228#

12. Maine, B. (2006). Infection Control at Health Care Facilities – the Unintended Consequences of Overdesign (Part 1). Retrieved from Green Biz website: http://www.greenbiz.com/blog/2006/05/31/infection-control-health-care-facilities-unintended-consequences-overdesign-part-i

13. Novak, C. (2013). Functional Color and Design in Healthcare Environments. Retrieved from Continuing Education Center website: http://continuingeducation.construction.com/article.php?L=222&C=928

14. Peck, R. (2011). The basics of flooring. Retrieved from Healthcare Design Magazine website: http://www.healthcaredesignmagazine.com/building-ideas/basics-flooring

15. Sanders, C. (2008). The psychology of color in acute healthcare design. Retrieved from Healthcare Design Magazine website: http://www.healthcaredesignmagazine.com/article/psychology-color-acute-healthcare-design

16. Silvis, J. (2012). Healing Hues: Choosing Paint Colors for Healthcare. Retrieved from Healthcare Design Magazine website: http://www.healthcaredesignmagazine.com/article/healing-hues-choosing-paint-colors-healthcare

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