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Page 1: Orcutt Winslow Healthcare Brochure

1orcutt | winslow healthcare health

care

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design for health

3003 n central avenue, 16th floor • phoenix, az 850122150 w washington street, ste. 301 • san diego, ca 92110

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Throughout the healthcare industry, a challenge has been issued by patients, families, physicians and regulatory agencies: “Provide us with the highest quality of care at the lowest possible cost.” We all know that there is another provider just around the corner that will offer similar services to your own. Fortunately, healthy competition (a double-edged sword) naturally puts us in the position to challenge the “now” and pushes us to discover the latest in technology, design and efficiencies to create hospitals that can thrive in tomorrow’s world.

At orcutt | winslow Healthcare, we have made it our job to connect the front end of each project to the back. It is our charge to interconnect the everyday activities of your nurses, physicians and staff, patients and their families into your healthcare facilities so that the final product resembles not only a facility that can flex with the unknown of the future, but one that flows with the culture of care that you need to apply today.

orcutt | winslow specializes in the design of people-oriented architecture offering architectural planning and design on a portfolio of work that has resulted in over $5 billion in construction. Clients range from national healthcare providers to local universities, school districts and governmental agencies.

We have a long-standing faith in program-driven design. Tailoring a building to each clients needs, means understanding their point of view. This understanding ultimately reveals a clarity of design that may not be seen otherwise. Our approach to each project is to form each project team to mesh personalities, creative and technical ability and time available to the owners. The result is 90% of all clients we work with come back to us. Above all else, we believe we can offer our clients only what we offer each other as architects; respect, the ability to listen with patience and fairness, and apply innovative solutions.

introduction

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1hospital campuses

| john c. lincoln deer valley hospital new patient tower |

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Clients Include:Veterans AdministrationCatholic Healthcare WestCIGNA HealthplanBlueCrossBlueShieldMayo ClinicBanner HealthJohn C. Lincoln Health NetworkUniversity of California - San DiegoHealthcare Reit University of California at Davis Medical Center

We understand that hospitals and healthcare organizations are being compelled in unprecedented ways to improve their quality of care and reduce costs. To be successful, most organizations need to continue to contribute to hospital productivity, improvements in patient safety, and clinical outcomes at a steady rate. Additionally, the project must expand on its adaptability to future advancements in care, operations and technology. In response, are showcasing projects that address these trends and demand solutions for the next “new” innovation or market demand.

The following representative projects contain critical design elements in innovative hospital practice that relate to:

▶ Operational Efficiency ▶ Patient Satisfaction ▶ Evidence Based Design ▶ Staff Retention ▶ Campus Integration ▶ Wayfinding/Entry Sequencing ▶ Energy Efficiency Options ▶ Life Cycle Analyses ▶ Schedule Control ▶ Construction Logistics ▶ Departmental Specific Advances ▶ Technology Integration

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| banner gateway medical center |

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7orcutt | winslow healthcare >>>EvidEncE-BasEd solutions* Healing Environment: Elements of nature

incorporated throughout the hospital* Honorable Mention in the Professional Conceptual

Design category of Contract Magazine’s Healthcare Environment Awards Competition

* Comprehensive network of health care services* 167 beds and all private rooms* Patient Tower, Diagnostic and Treatment, Emergency

Department, Women and Infants Services, Pediatrics, Dining, and Chapel.

* 379,000 SF Greenfield Hospital (in association with NBBJ)

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| banner estrella medical center |

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>>>Hospital of tHE futurE* Complete flexible and adaptable use, effective

information technology, ambulatory diagnostic and treatment focus, operational efficiency, service excellence, and a healing environment

* The patient experience was a high priority in the facility design, this model provides patients with more flexibility in their care with amenities such as room service and multiple healing options

* Incorporated soothing elements, nature, light, color and comfortable furnishings to create an environment conducive to healing

* Emergency, obstetrics, medical/surgical, cardiology and cardiac surgery capabilities

* “The closest thing to the hospital of the future.” MODERN HEALTHCARE AWARD PANEL

* 440,000 SF Greenfield Hospital (in association with NBBJ)

* Masterplanning for the hospital campus

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10 www.owp.com| john c. lincoln north mountain hospital lobby renovation |

John C. Lincoln’s new patient tower design is the continuation of the 2004 John C. Lincoln North Mountain Hospital Master Plan Implementation (MPI) to upgrade this fifty-year old facility. Context, Way Finding and Architectural Emotion lead the expression of the phase two design concept, as the history of the John C. Lincoln Campus evolves. Specifically, it begins with the constraints of working on an existing hospital campus with a very strong identity formed by the iconic presence of its existing west patient tower, and land availability. The intersection of context and siting, along with the owners dedication to sustainability, inform a design that presents each of the tower façades as a holistic response to the environment – both man made and that of nature’s desert sun.

| john c. lincoln north mountain hospital 3rd floor |

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| john c. lincoln north mountain hospital tower (through design) |

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Expansion for growtH* $125 million 176,560 s.f. Tower C

expansionDesigned to achieve LEED Silver Certification

* 12 CVICUs* 20 ICUs* 32 Telemetry* 32 Med Surg* 6 Operating Rooms* 43,000 SF Emergency Department

| chandler regional medical center new patient tower |

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Trauma

Electrical

Trauma

Triage

E.D. Exam

E.D. Exam

Support

Storage

E.D. Exam

E.D. Exam

E.D. ExamPsych Hold

Lounge

Conference

Lockers

Consult

Nurse

Physician

Nurse

Nourishment

Intake/Triage Nurse

Intake Chairs

Triage

Patient Hold

EMS

Patient Hold

CT Scan

Elevators

Radiology

E.D. Waiting

Restrooms

Security

Finance

Intake Reception

Eatery

Chapel

Chandler Regional Medical CenterEmergency Department

>>>Chandler Regional Medical Center (CRMC) had reached a critical level of high occupancy that demands future growth to serve the market through 2018. To support future growth needs, CRMC is design/building a $125 million 176,560 SF expansion of its Tower C to increase the number of acute care beds, expand its ED capacity, modernize 1980s era support areas, properly locate the Spiritual Care space, simplify public access, and resolve stressed patient and employee parking needs. To increase quality and efficiency and to provide capacity to grow needed service lines, the proposed expansion will provide approximately 96 new acute care beds to address the high demand for inpatient services. Because CRMC’s current ICU is severely undersized with only 12 ICU and 6 CVICU beds, the tower will include 32 ICU/CVICU, 64 Tele/Med/Surg beds, six operating rooms, as well as a 43,000 SF emergency department.

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| john c. lincoln deer valley hospital patient tower |

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>>>improvEd outcomEs* New Emergency Department creates a new front door to

the hospital and is designed to provide treatment for over 60,000 (and growing) visits per year

* Focus of the design was on staff efficiency: “Treat to Street” time has been reduced dramatically in the ED by 25%, Press-Ganey scores rose from the 30th to the 75th percentile and staff recruitment is no longer an issue.

* Imaging services were designed within, and adjacent, to the ED, with OR’s located directly above

* New Four-Story Pavilion* Balance of patient beds, diagnostics and therapeutic

services, support and administrative functions.* Hospital Campus Masterplanning + Update* ED, Intensive Care/Critical Care Unit, After-Hours Pediatric

Care, Surgery* 118,500 Addition* Parking Garage: 246,466 SF, Five-story, 760 spaces* Phased Project* Additional campus projects include Med/Surg, Cath Lab

additions and renovations, Endo Suite, Pharmacy Remodel, Radiology Specials Lab Addition, Ortho Addition, Vascular-Fluoroscopy Replacement Lab

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16 www.owp.com>>>opErational EfficiEnciEs* Universal Operating Rooms to increase

the flexibility and utilization* Soft/indirect lighting (to reduce glare

on patients, beds and gurneys), natural colors/elements incorporated into the new facility create a peaceful, calming atmosphere throughout the new center

* Phased project* 57,928 SF Addition (19,000 SF Remodel)* Major Hospital Upgrades* 20 Multi-use non-specialized exam

rooms, four major medical rooms, four trauma rooms, separate mini-ED or Fast Track unit, including seven private exam rooms, CT Scan room, Digital Radiology room

* Other campus projects include: Cath Labs, Histology & Existing Lab Renovation, Infrastructure Upgrades, Masterplanning, Pharmacy Expansion, Surgery Remodel, Endo, Parking Garage, Patient Room Upgrades

| john c. lincoln north mountain hospital surgery expansion |

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17orcutt | winslow healthcare>>>

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18 www.owp.com>>>| mercy gilbert medical centerhybrid research cath lab |

The Cardiac Catheterization addition for Chandler Regional Medical Center consists of a two (2) story, 16,000 square foot addition onto the existing ASIC patient bed tower on the south west side of the hospital. The second floor contains space that expands the existing Cath Lab suite by including one (1) EP Lab, (1) PV Lab, nine (9) PACU bays and support spaces required for the expansion of the suite.

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19orcutt | winslow healthcare>>>| chandler regional medical center cath lab |

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whaTweVe’ LEARNEDFROM TV

Emergency Room visits can involve trauma and often, drama as well. Primetime TV portrays fast-paced excitement and immediate solutions in this 24 hour, non-stop healing depot, and somehow they always seem to neatly tie up all of the loose ends in less than hour (including commercials). Physicians and Nurses alike will tell you that ED Medicine is not likely to resemble Grey’s Anatomy, ER, House or Scrubs… But, it may be true that many of the problems, oddly, offer some similarities.

This analysis of Emergency Medicine focuses on a generation of consumers who not only want solutions to operational, clinical and efficiency issues, but demand (as they have come accustomed to in all areas of their lives) great experiences and exceptional outcomes. Whether it is an aged hospital looking for an upgrade to retain and capture marketshare by giving high level patient experiences and care to the under-served (for the costs even lower than you can imagine) or brand new multi-million dollar expansions, the ED has been the hospital’s “new front door” for a long time now. It offers a high revenue stream and brings in up to 70% of hospital admissions, in some cases. The recent recession has forced large populations of people to ignore health issues and doctor visits to save money…until its too late. This has added to the traditional emergent patients and non-emergent “primary care “ patients that have lined up for ED care and increased volumes in recent years.

Reality tells us that best practice includes both evidence-based design and best practice common sense. Drama TV entertains us while it tells us what to expect. The parallels are uncanny.

What did we learn from Grey’s Anatomy, ER, Scrubs and House? We learned that no matter which side you are on, the patient or the medical care provider, the Emergency Room is a fast-paced, action packed hub of very strategically designed patterns and protocols.

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MedicaldRaMasLEARNEDFROM TV

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1: unless they arrive by ambulance, no one ever knows where to go.It is true, the drama associated with a medical crisis adds to the confusion and uncertainty that surrounds entering the ED, or any other medical facility for that matter. Ease of wayfinding becomes essential in the design. Since the ED is the point of entry for patients, constituting their first experience in the hospital environment, separation of the ED entrance from the main entrance (if at all possible) can help lessen wayfinding anxiety. A straight driveway minimizes the number of decision points and distractions like crosswalks or stop signs that become subtle obstacles in the progression. The use of other clear visual cues like low level landscaping or forced pathways, streetscape, lighting, drop off canopies or architectural features that draw attention to the ED entry will allow for signage to do its job. Also, see apps like the Help I’m Hurt Emergency Room Locator or remote check-in options. Some pilot programs have even offered drive up services, valets or parking hosts to minimize the situation.

2: there’s always clutter. Even in Seattle Grace’s fictional ED (which is actually quite small as an actual ED) where there seems to be endless space for any number of doctors to gather, we still see the carts in the hallways and long corridors that require staff to run from one room to the next. In reality, space is at a premium, clinical space is never large enough and there is never enough real estate to do be frivolous. Even when hospital staff move into a new space, they always need more room for something. To solve this issue, think cruise ship design. It is all about making the most of limited space via niches for crash and equipment carts, combo dispensers for gloves, masks and trash, and getting equipment, like computers and monitors up to an ergonomic level, off of the surfaces that tend to clutter, while making them HIPAA compliant. This not only minimizes clutter, it offers shorter walking distances and other efficiencies proven to result in better outcomes. Providing a space for everything, with everything in its space is ideal.

3: someone is always waitingWaiting rooms, patient rooms, and nursing stations are nearly always crowded with people waiting for something. They are waiting to see someone, waiting for a test result, waiting for admit, waiting for discharge. Gone are the cavernous waiting areas, replaced by more intimate spaces scattered throughout the department, where family members can wait, eat, or consult with physicians in more controlled zones for audio and visual privacy. Even clinical spaces have been redesigned to

allow for higher volumes by adding smaller fast track treatment or holding areas to keep wait times down and patient flow.

4: Expect the unexpected No one knows what the next case may be, a broken arm or a rare worm that has infested a man’s entire body or a couple bound together by a pole that fell from a truck piercing their bodies. This active workspace must be prepared for anything from immediate surgery to isolation. Patient and staff flow and adjacencies for ambulances and EMS personnel, Trauma Rooms and ORs are especially important. Adaptability is key. Ie. radiology/imaging and OR adjacencies (or close by), elevators that are properly sized for gurneys and a cast of thousands of medical care staff, the ability to open on room to another, moveable equipment and carts, ceiling/overhead technology and equipment.

5: the swine flu isn’t enough… TV digs deep to introduce us to the rarest of contagious diseases and makes us think more about infection control. Isolation is also on the rise: Most EDs have an HVAC system separate from the rest of the hospital to prevent highly infectious diseases from spreading. Within the ED, some individual rooms have an independent air-control system to allow for negative or positive pressure to keep contaminants either in or out (whichever the case may be). Infection control slithers into every nook and cranny of our hospitals

from the frequency of changing light fixtures to ease of maintenance or cleaning of flooring to soiled garments or instruments. The design must focus on even the smallest threat.

6: residents get tired. We all know that hospital staff, physicians and nurses work grueling and stressful hours. Sleep rooms and supply closets disguise themselves as more than just places for rest on our favorite sex-infused dramas, but in real life designated lounges, healing gardens and other “off-stage” spaces serve as respite spots, even if only for a quick breather or a bite of a sandwich. Ideally, space within the nurses station that is not necessarily off-stage, but more “stage right”—with the ability to be in close proximity of the action, but unseen by others except co-workers—is good idea. ie. a counter with frosted glass walls in a u-shape or a centralized nook.

7: privacy.Despite the fact that everyone on TV seems to know about everyone else’s private life, Privacy is an issue...HIPAA drives the requirements for privacy, communication and display of secure information.Good design can help this issue, but not always solve it. Private patient rooms are becoming the norm. Many hospitals are choosing walls over potentially infectious

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curtains and finding other ways to allow for flexibility and privacy. Nursing stations are the hub and therefore full of potential for privacy breaches. Be it electronic, oral or written, the “Cone of Silence” when it comes to private information must always switched “on”.

8: patient safety. Security is ALWAYS important. Yes, its true that gangs sometimes enter the ED to “finish of the job”. Although that is and extreme example, paranoia and hysteria often enter through the main entrance and it is up to the Waiting Room staff to manage the situation. Not only should the reception area be designed to be secure, but the staff must be properly trained and the inclusion of a separate security office or room is advised. Ideally, the security station should be immediately adjacent to the entry and Waiting Room, with direct visibility to each along with the exterior to monitor parking and activities outside. A careful balance between a welcoming image and security must be struck without sacrificing the benefits to either one.

Then there is the potential (although low) that a major catastrophic event takes places that causes a flood of casualties to converge upon the Emergency Department.

Emergency disaster preparedness and planning must be in place to handle such an event. More often than not, addressing such a crises will begin outside since building interior space would be cost-prohibitive and imprudent. Adequate space and facilities for temporary decontamination structures and vehicles must be provided in a way that maximizes administration of care while minimizing first costs.

9: no one on tv ever comes to the Ed with a sore throat.In real life, reimbursements and space matter. It is important to get patients in and out... (triage/ urgent care/fast track/drive up ed) There is a tremendous burden on ED’s to diagnose, stabilize and heal patients at rapid rates so that beds are free for the most severe cases. For example, someone who thinks they are getting a migraine, traditionally might triage, give vitals, then be taken to a room. This person is taking up valuable space for a potentially more acute patient. A FAST TRACK or TREAD (treat, render….), system allows a less acute patient to be placed in a modified fast track (triage) to assess/diagnose for treatment or dispense/prescribe medication to get less critical patients out of there so they are not taking up a room. Holding bays, which can be expensive (and expansive) may take up

more space, but can offer high volume ED’s alternatives for observation or overflow.

9: chaos is not really chaosED operations need to be extremely efficient. Accessibility from one central hub to other departments streamlines the process from entry to release. 40-70% (and higher) of inpatients are coming through the ED--The emergency department actually serves as one of the primary entry points into the health system.When treatment rooms are assembled around one center nursing hub, greater control, visibility and efficiencies are achieved. Nursing stations also serve as traffic control towers. Therefore, when chaos erupts, having them in close proximity to the source can mitigate disruption and confusion.

10: there is a bar across the street.This might be a coincidence, but we think not. Smart businesses realize that hospitals and their users need services outside of their own walls. Medical office buildings with physician offices, rehabilitation, imaging or related services make a lot of sense…so do restaurants, hotels, mailing and copy services and, yes, a bar may be just one of those places.

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Find ways to bring in daylight while maintaining privacy

Treat ceilings as another highly visible surface

Promote healthy lifestyles through graphics, artwork and print materials

John C. Lincoln Deer Valley MOB Breast HealthYavapai Regional Medical Center

Ironwood Medical Office Building

Exude immediate recognition of the image, vision and mission of the organization

improving patient outcomes: the patient, physician, staff and family experience

MIHS Pediatric ED

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Integrate soothing colors, patterns and textures

Provide areas of respite for staff, patients and visitors

Reproductive Medical Institute

Present clear and intuitive way-finding

Provide access to natural light and views to natureUtilize color-correct lighting that

can be adjusted throughout the day

Incorporate spaces for patient, family and visitors inside and outside of the patient room

Banner Gateway Medical Center

improving patient outcomes: the patient, physician, staff and family experience

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2ambulatory surgery | care

>>>

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ambulatory surgery | care

>>>West Valley Outpatient Care Facility

Arizona Kidney Disease & Hypertension Surgery Center

Arizona Medical ClinicArizona Orthopedic Surgical Hospital

Banner Baywood Surgicenter

Banner Desert Ambulatory Surgery CenterBanner Good Samaritan Surgicenter

Banner Thunderbird Outpatient Surgery Center

Biltmore Medical Mall – Outpatient Surgery

Canyon Springs Surgery Center

CIGNA Surgicenter

Colon & Digestive Health

Desert Pain InstituteEstrella Ambulatory Surgery Center

Greenbaum Specialty Hospital

John C. Lincoln Deer Valley Surgery Center

John C Lincoln North Mountain Surgery Center

McDowell Surgicenter Expansion

MCI Surgicenter

MCI Osborn Plaza Surgicenter

North Valley Outpatient Surgery Center

Pain Center of Arizona

Piper Outpatient Surgery Center

Reproductive Medical Institute

Thompson Peak Outpatient Surgery CenterUnion Hills Surgicenter

University of California at Davis Surgery Center

Valley Oncology Center

orcutt | winslow is a recognized design leader of ambulatory surgery centers in the Western U.S. The firm pioneered several of the first ASC’s in the Phoenix area in the early eighties and has continued to expand in this area of expertise. Participation in national organizations that focus on health care trends, such as Federated Ambulatory Surgery Association and Center for Healthcare Design, to name a few, allow us to provide cutting-edge design with emphasis on staff and more importantly patient satisfaction. It is our ultimate goal to bring forward ideas that will enhance your building experience, and therefore, the bottom line.

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28 www.owp.com>>>sootHing EnvironmEnt* 15,000 SF ambulatory surgery center* Includes a range of same-day surgeries for orthopedics,

plastic surgery, urology, podiatry, pain management and more* The surgery center was designed around the rich colors of

nature* Special attention was given to the Pre-Op corridor with its

design of embossed soft golden green venetian plaster and decorative art planters. The glass-looped chandeliers light the path gently with their sparkly dangling loops.

| north mountain surgery center |

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29orcutt | winslow healthcare>>>

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30 www.owp.com>>>opErational EfficiEncy* 16,000-SF ambulatory surgery center,

which contains four OR’s and two endoscopy procedure rooms.

* Simple palette of natural materials provide cost effective, yet attractive finishes

* Location of areas with windows located at north side of building with less sun exposure, windowless doors located on the south side.

* Designed for expansion to 20,000 SF with 6 OR’s

* Designed to meet the outpatient needs of patients and physicians with a convenient, and accessible facility for both users.

* Slivers of light penetrate the masses of monolithic concrete panels to allow daylight in corridors and between patient recovery beds. Translucent glazing allows light into spaces that are historically only lit by artificial means.

| estrella surgery center |

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31orcutt | winslow healthcare>>>

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32 www.owp.com>>>The Surgery Center of Gilbert owners and design team, while not pursuing LEED certification, designed this building to be sustainable. The project has energy efficient lighting, equipment and water efficient fixtures. Landscaping is low water use with no turf or water features and includes butterfly gardens. Rain chains were incorporated into the building design as a temporary water feature to celebrate the rare event of rain in the desert. Roofing materials are highly reflective in order to combat the heat island effect. Parking canopies along with trees keep the parking lot and cars as cool as possible. The building was designed to be 18% more efficient than the baseline. This sustainable design will assist the client with lower energy bills and will enhance the Surgery Center overall.

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3medical office Buildings

>>>

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medical office Buildings

>>>mEdical officEsMarketability and medical office design go hand in hand. Resolving critical issues that meet physicians needs and that make the building easy to lease are key to the success of any professional office space. The building’s image, net to gross ratios, potential expansion, parking and access, and sustainable design are only a few of the factors that, when combined, can contribute to the overall profitability and efficiency of the facility.

We are serving the healthcare community with client-focused teams specializing in all areas of medical design. We are passionate about the design of these facilities for healing and embrace the challenge set before us to create the medical office building of the future.

tEnant improvEmEntsKeeping up with market trends is a daily task. It is our practice to work on an individual basis to determine the impact of each space and how it relates to the building overall, and to its functional adjacencies. A close look at any of orcutt | winslow’s tenant improvements will demonstrate how the uniqueness of each property can be designed to meet the needs of any office and its daily practice.

Over the past 40 years, orcutt | winslow has completed hundreds of tenant improvements, including projects as diverse as corporate headquarters, medical offices, governmental offices and retail shops. No matter what the project size, each project is undertaken with the same philosophy of design. Once we get to know who will be occupying the space and calling it their “home” we can begin to do the things that make a plan work. An understanding of how this space relates to the others in the facility, how it compares to an existing one, what the usable area is, or who the space will service will determine the dynamics and the success of the project.

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36 www.owp.com>>>rEturn on invEstmEnt* 36,000 SF facility houses primary

care and specialty physicians * Tenant improvements include

14,022 SF of space that will include general physician office space, time share office space and a Sonora Quest Lab satellite office space.

| ironwood medical offices |

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| webb medical plaza b |

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| cigna medical group medical offices |

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41orcutt | winslow healthcare >>>sustainaBlE HEaltHcarE* 91,500 SF multi-specialty center to include

pharmacy, urgent care, eye center, radiology, family practice, outpatient surgery, and administrative offices, as well as educational facilities

* Designed to achieve LEED Silver Certification

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4 clinics | health centers

>>>

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clinics | health centers

Banner Arizona Medical ClinicArizona Medical Clinic

CIGNA CJ Harris Mutli-Specialty CenterCIGNA Clyde Wright Multi-Specialty Center

CIGNA Westridge Multi-Specialty CenterCIGNA Sun City Multi-Specialty Center

CIGNA Paradise Valley Primary Care CenterCIGNA Scottsdale Primary Care Center

CIGNA Sun City West Primary CareCIGNA Deer Valley Primary Care Center

CIGNA South Mountain Primary Care CenterCIGNA Tempe Primary Care Center

CIGNA Stapley Primary and Urgent Care CenterCIGNA The Pointe at Squaw Peak Primary Care Center

CIGNA Culver City, CA Multi-Specialty CenterCIGNA Glendale West Primary Care/ACC

CIGNA Paseo Multispecialty FacilityCIGNA Clyde Wright Imaging Center

CIGNA Superstition Springs Primary Care Facility CIGNA Chandler Primary Care

CIGNA North Valley Primary Care Facility CIGNA Stapley Center addition and remodel

CIGNA North Scottsdale Primary CareCIGNA Mesa Center Dental

CIGNA Sun City Center DentalCIGNA Chandler Center Dental

CIGNA Associated Dental ThunderbirdCIGNA Thunderbird Vision and Audiology Center

CIGNA Paradise Valley Vision CenterJohn C. Lincoln Health Network Union Hills CenterPhoenix Children’s Hospital Northwest Specialty and Urgent Care

Arizona State University Health Services Mountain Park Health Clinic

Pleasant Valley Medical Clinic Sun Life Community Health Center

Murphy Health Center Maricopa Integrated Health Systems Avondale Family Health Center

Casa Blanca ClinicCORE Institute

CORE Institute Sun City WestMayo Arrowhead

Sedona Medical CenterClinica Adelante

Colon & Digestive HealthDesert Pain Institute

Valley Oncology Center Ahwatukee Medical Clinics

West Valley Medical ClinicsDesert Cove Medical Clinic

Maricopa County Public Health Clinical Services

>>>Key objectives to a successful health center project:

orcutt | winslow has designed literally hundreds of clinical spaces ranging from exam rooms to pharmacies, to eye and dental clinics and community education.

Beginning with our work with Arizona Health Plan (which later became CIGNA), orcutt | winslow has excelled in this project type for more than 35 years. Each service provided requires an understanding of how it functions on a daily basis and its relationship to other services. This, as well as our ambulatory care, clinic, private office and medical office experience translates into an understanding of how community health centers function on a daily basis, their business functions and the relationships that develop between services. orcutt | winslow’s portfolio also contains significant experience in the design of clinics that provide services to all economic and insured levels. These facilities were all designed balancing budgetary issues with design that promotes dignity and ownership of the facility.

orcutt | winslow’s approach to design allows for interaction with your multi-disciplinary team- to ensure that every perspective of the project is included in the final design. This method of programming/visioning brings together a unique blend of orcutt | winslow’s understanding of current trends and how health clinics work, and each client’s knowledge of unique operations to the communities served.

The following projects are examples of the design of various sized community health facilities completed by the firm during the past several years. Each project utilized these eight categories of critical design features in their design strategy and implementation:

• Design process• Humanistic design• Functional factors• Technical factors• Aesthetic factors • Materials and furnishings• Primary care practice• Cost containment

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| arizona state university health services building |

| arizona state university health services building |

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46 www.owp.com >>>| maricopa county public health |

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47orcutt | winslow healthcare >>>puBlic | privatE accEss* Provision of patient anonymity due to the sensitive

nature of the cases* Arriving to a large spacious two-story lobby the

patient is greeted by a hotel-like reception desk where they are directed to a more intimate waiting area

* Each service area has its own private waiting room where the patient feels more comfortable than in a large public-like lobby area

* Separate patient and caregiver/employee entrance and building circulation

* 53,473 SF County Public Health Building takes advantage of sustainable design strategies to create a state-of-the-art facility

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48 www.owp.com>>>patiEnt-cEntErEd focus* Four pre-operative beds and seven recovery

beds surround a centralized nursing station providing constant patient monitoring and care.

* The surgical center is located on the ground floor of a large three-story medical office building offering diverse diagnostic and treatment departments

* 65,000 SF structure uses sun-shading devices to screen this mostly glass building from direct sunlight

| arizona medical clinic |

Page 49: Orcutt Winslow Healthcare Brochure

49orcutt | winslow healthcare

Page 50: Orcutt Winslow Healthcare Brochure

50 www.owp.com

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51orcutt | winslow healthcare

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52 www.owp.com

16935 w. bernardo dr., ste. 100san diego, ca 92127619.497.0577 t

3003 n central ave., 16th fl phoenix, az 85012 602.257.1764 t • 602.257.2092 f

SAN DIEGO

PHOENIx

www.owp.com