Forum Studio | A

December 2013

qualiFicationS For orange regional medical center ambulatory care center and cancer center expanSion

B |

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1. a place, meeting, or medium where ideas and views can be exchanged.

2. a collaborative, multidisciplinary culture.

at Forum Studio, we are flexible and diverse. We are architects, designers, planners, and engineers. We are urbanists, conceptual thinkers, artists, environmentalists, builders, and problem-solvers. We are tinkerers, inventors, communicators, technologists, and field experts. We are dreamers and pragmatists, thinkers and doers, big-picture strategists and sweat-the-small-stuff tacticians. together, we are a forum — a place for robust exchange and collaboration.

And together, working with colleagues and clients, we achieve infinitely more than any one of us alone ever could.

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lifepaSSionate about improVing tHe quality oF people’S liVeS, We are committed to creating arcHitecture at tHe conFluence oF Human need, enVironmental SteWardSHip, and meaSurable Value — at tHe interSection oF Science and art.

we design for...

OUR visiOn

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St. LouiS county John c. murphy heaLth center

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the rising demand for ambulatory care centers

ambulatory care centers (accs) will grow as a result of an increased desire for outpatient services and the rising demand for physician alignment with hospitals.

ACCs – WHY THE RISING DEMAND?

there are several factors driving the demand for the construction of these new clinics.

• Between the baby boomers entering medicare at the rate of 3 million per month; the addition of approximately 16 million people entering medicaid as a result of the affordable care act (aca); and the addition of an estimated 16 million more people forced into the healthcare system through newly formed State exchanges, there will be over 32 million additional covered lives entering the healthcare system by the end of this decade.

• As a result of the need to address the new regulatory compliance of the aca, and the headwinds to reimbursement that are inherent in the law, providers are seeking less expensive venue’s to deliver their healthcare services.

• The integration of physicians into hospital systems is creating a need for medical office space as well as a more fundamental environment to provide a more coordinated level of care.

by 2019, when all of the aca provisions are planned to kick in, the public sector covered population will stand at 117 million people, representing almost 50% of total reimbursement. this change represents a dramatic increase in the public sector from the beginning of the decade. it will be vital for hospitals to learn to operate on medicaid/

medicare rates. traditionally, those rates barely cover all costs, so hospitals will have to quickly address their fixed costs, and there is no better way than to shift services to an outpatient environment.

the reforms of the affordable care act present additional challenges, including new reimbursement models such as Value based purchasing; bundled payments; accountable care organizations; medical Homes; reduced readmissions; and quality based reimbursement; some of which encourage hospitals and physicians to become partners in payment. all of this requires new thinking as to how to deliver healthcare services.

OUR peRspective

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These newly

insured patients

will need a place

to receive medical

attention. The

space doesn’t

exist now. No

industry is better

positioned than

health care to

take advantage

of the reduced

pricing and lower

lease rates. 3

Why? the baby boomers are maturing and will be increasing their consumption of medical services.

the 2012 u.S. Supreme court ruling upholding the affordable care act and the certainty that millions more people will be added to insurance rolls (millions of uninsured who will gain coverage in 2014) is happening.

Why noW?the recent burst in construction is believed to be a result of several factors:

• demand that built-up during the 2007-09 recession when many projects stalled or never got started.

• 2012 uS Supreme court ruling upholding the affordable care act.

Current trends driving ACCs

1. more acute care and emergency services will increasingly begin to move off of hospital campuses and into community office settings as a result of increased pressure from insurers to change more procedures to outpatient status.

2. construction of freestanding emergency centers that will stand alone, rather than being integrated into more expensive new hospital construction.

3. more partnering among hospitals, physicians, health systems and for-profit or nonprofit companies, creating the need for new or expanded space.

3 Health reform my boost Ambulatory Care Center market – American Medical News, Victoria Stagg Elliott, April 18, 2011 Source: Duke Realty, Indianapolis

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impliCAtions on reAl estAte And ConstruCtionas more physician practices move to hospital ownership, an ambulatory care center’s hospital affiliation, or lack thereof, is an in-creasingly important indicator of asset value. today’s acc is normally 15% rented by hospital, and 85% rented by private physician groups. as a result, the financing for these buildings is taxable, or in today’s market, would be about 6-7% cost of money. but, the acc of the future will be different. be-cause of the hospital-physician integration, the physicians will be connected to the hos-pital, so new buildings could qualify for tax exempt financing, or 4-8% in today’s market for fixed, and even less for variable rates, a major difference for the acc pro forma.4 rates will always vary based on credit levels and the current market conditions.

the healthcare systems will continue to push for strategically located accs to form the backbone of their increasingly dispersed facil-ity networks and to be positioned to benefit from the acas reimbursement program.

Hospitals have many needs. they will continually use money from monetization of exsisting assets for it and physician integra-tion as well as for new acc construction.

ULI (February 2013 report) stated the need for 64 million sf of additional ACC space would be required during the next decade. Some of this space is on hospital campuses, but much of it is off campus.

accs will likely be larger than in the past and include ambulatory surgery and imaging facilities.

one thing is for certain – change is upon us. We will all need to continue to adapt to these changes and to be flexible and able to change as our client’s needs change.

4 Commercial Investment Real Estate, Patricia Wassik, CCIM, CPM, and Deborah Carlson, CCIM, CPM

OUR peRspective

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From our position as a design/build company, and one that understands the need to have the proper facility infrastructure in place to enable the healthcare team to do their job, there are common needs that need to be addressed:

• customer experience - more patient friendly

• Staff/care giver experience

• the acc of the Future

• utility Strategies

• technology delivers projects on-time and on-budget

• Facilities built with sustainability in mind

• cost savings approach

cuStomer experienceWhen creating the acc of the future the types of customer experiences expected by the healthcare system and the patient include:

• A space that clearly orients the customer. Way Finding is the key to help a customer move from where they are to where they need to be

• Facilities that recognize the customer’s presence. technology is leading the changes through tools like card reader systems for easy client registration, or registration kiosks, etc

the ambulatory care center of the future

the world of healthcare is forever evolving. Hospitals are adapting their infrastructure to respond to the changing needs that the affordable care act (aca) is demanding.

• The visual environment needs to put a customer at ease, and reduce anxiety for often stressful situations. this is accomplished thru calming colors, appropriate lighting, soothing music, etc.

Staff/care Giver experience• The workplace that maximizes the staff’s efficiency is increasingly important. convenient access to technology, equipment and supplies is one way of meeting the needs.

• Collegial atmosphere to work and consult with colleagues

OUR peRspective

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• Connection to the outdoors to reduce burn-out and minimize human error, and places where care givers can take patients for a change of scenery where both patient and care giver can be reenergized.

the acc of the future – What DoeS it Look Like?• The ACCs are increasingly adding retail components to their real estate mix. Fresh food markets, durable medical equipment and maternity clothing are three examples. these will be merchandised more as specialty shops and less like a pharmacy or big box store.

• Community Centers will be created to provide a place for ‘the community’ to convene for hospital sponsored preventative healthcare classes, exercise classes, or a public place to have a meeting. a place that says ‘this is your neighborhood acc – your neighborhood wellness center’.

• The building floor plate will be 100,000sf +

• The buildings are being created to minimize the number of staff needed to provide any episode of care and the same level of care

• Creating facilities that can help reduce staff, yet deliver the same level of service

utiLity StrateGieSthe trend by progressive portfolio owners is to develop a facility that operates in concert with the climate. We agree with this and always plan for mechanical/electrical

infrastructure that is responsive to locational needs.

technoLoGy DeLiverS proJectS on-time anD on-buDGet

building information modeling (bim) and Virtual design and construction (Vdc) are ways to integrate everything we believe in: excellence in design, integration of sustainable principles, and better service to our clients. We are capable of fulfilling the promise of working in a virtual environment. bim, for example, shortens the schedule, reduces changes, allows for more prefabrications (shortens schedule and lowers cost), reducing field labor, which increases safety. our commitment to this process leaves no doubt with our clients that their vision of progress is shared through the collective effort of all team members, which reduces the chance for errors, thereby, saving time and money.

SuStainabLe DeSiGn our team has extensive experience and a passion for sustainable design and construction. We have and has achieved tremendous results through a creative, cost effective implementation of environmentally responsible practices. We approach sustainable design and construction not only to achieve a green building assessment standard such as leed certification, but as an entire process of engaging a client, designers, contractors and building users

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on tangible solutions to meet project sustainability goals. during this process we are always looking for ways to improve energy efficiency, improve indoor air quality, improve water efficiency and reduce construction waste.

coSt-SavinGS approachthe clayco/Forum approach is completely transparent. We provide detailed estimates and detailed cost accounting for every assignment. our methodology allows us to partner with our clients and realize best

value solutions in design, construction, and procurement. We work with our suppliers to develop innovative, cost saving alternates. We are committed to protecting the program, quality, budget, and Schedule while delivering innovation. in order to maximize value and eliminate waste, our team develops alternates inclusive of all data, necessary for clients to make informed timely selections and feel comfortable they have made the right decisions.

OUR peRspective

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transforming the delivery and operations of healthcare facilities a coNverSaTIoN wITh erIk aNderSeN aNd ScoTT LUmSdeN

eRik AndeRsen: Healthcare executives are anxious. it’s a fast changing, uncertain market with high pressure, low margins and the implementation of the affordable care act less than a year away. new facilities designed to adapt to ongoing advances in medical research, technology, and treatment will be a critical part of healthcare’s evolution but new construction projects often add to the pressure.

scOtt LUmsden: part of the anxiety comes from unpredictability. While we can’t change the healthcare market, we have changed the way that we deliver new facilities. it’s a proven approach that reduces uncertainty about cost and constructability early on by getting all of key team members together to review the project and make decisions.

eA: there’s a parallel in the collaborative team approach in medicine, where the specialist physicians and clinicians treating a patient share diagnoses and treatment decisions to improve care and outcomes.

collaboration and shared responsibility for results have the power to change everyone’s perspective.

sL: integrated delivery leads to more holistic thinking about the issues. We work as partners, all in it together, not in silos — planners, architects, engineers, builders. We share ideas and make decisions towards a common goal in real time, not sequentially. you’re right, it’s empowering.

eA: and it’s not just the design and building team at table, the client is a critical collaborator, a co-author of their project. With their participation and our leadership we learn what the building or the campus really needs to do. through the lens of their goals we establish guiding principles, create a road map and monitor progress at each stage of the project.

sL: We are also able to bring state-of-the-art 3d technology that helps clients visualize and understand the process. using building information modeling or bim

erik Andersen design prinCipAl forum studio

sCott lumsden teChniCAl Assur-AnCe direCtor, forum studio

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“at the end of the project we present the client with a complete and current 3d model that enables them to better manage and adapt the facility going forward.”

— scOtt LUmsden

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OUR peRspective

from programming through construction allows the team to track every decision and make intelligent, informed decisions. everyone participates because everyone can understand.

eA: With the increased understanding that our integrated platform provides expectations become more closely aligned. We can benchmark the new facility against the original requirements. We are not just delivering a building, we are achieving our common goals together.

sL: no building project is static. our technology not only helps us monitor changes throughout the design and construction process, at the end of the project we present the client with a complete and current 3d model that enables them to better manage and adapt the facility going forward. in that way we can help healthcare administrators meet the inevitable operations and change management challenges they will face.

eA: While we can provide our clients with a clear list of measurable benefits from faster delivery and cost savings to better quality and reduced risk, our integrated approach represents more than the direct benefits. When we say transformation we mean it. the interdisciplinary team and the inclusivity of the process change how we think about our work and our responsibility to our client.

sL: We become stewards for the project in the broadest sense. by helping clients make informed decisions we enable them to do their work better, too. in the case of healthcare that is vitally important.

eA: every dollar saved through smart and efficient design and construction is a dollar that can be directed towards better patient care. at clayco and Forum Studio we are actively working to make certain we are making the best use of our client’s capital resources.

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in workplaces, as in life, the one thing you can always count on is change.

the way you interact with colleagues. the way you process information. the way you welcome clients. the way you innovate and create. even the way you sit at your desk. these changes are real and they are rapid.

is your workplace designed to keep up? is it designed to anticipate change?

collaboration has been the watchword of interior architecture for nearly a decade. as demographics of office workers skew younger and the baby boom generation is exiting the workplace, new models for cooperation have emerged. private offices have given way to “benching” in partition-free environments. cubicle walls have been lowered to enable open communication. and density per square foot has increased.

but can a workplace function on collaboration alone?

the collaboratory where cooperaTIoN meeTS coNceNTraTIoN

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OUR peRspective

ROn JOhnsOnAssoCiAte prinCipAl, interior design

today, we are embracing the notion of a “collaboratory”: a space that can serve as a lively forum for discussion and knowledge-sharing as well as an intensive, research-based lab. collaboratories are, by their very nature, creative and adaptable. they assemble groups of like-minded scientists, academics, healthcare providers, and anyone else who has a stake in a positive research outcome. they prize individual creative freedom without sacrificing the best traits of collaboration.

collaboratories aren’t merely the product of space planning and design. they are, rather, the result of a broader cultural shift. employers are recognizing that focused, individual pursuits must still happen within increasingly collaborative environments.

as we anticipate a more diverse labor force with multiple workstyles, the collaboratory model can help us strike a balance between cooperation and concentration.

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at Forum Studio, we provide responsive, responsible and respected architectural, interiors, landscape architecture, urban design, and planning solutions for our clients by creating great environments for their customers and communities.

nimble and diverse, we tailor our integrated processes to accomplish the specific goals of each client and project. With experience, adaptability, and attitude, we seek the best solutions for each client, pursuing the right answer—not always the easy one. that’s how we have built a unique portfolio with a range of project types, delivered traditionally or design-build, that prove their contention.

our design teams believe that clients deserve quality design and optimum results, high value, and cost efficiency, providing options—not trade offs. our firm leaders are experienced hands, having worked for a number of the country’s leading architectural firms on a wide range of projects. together we are creating a new model of practice with a focus on integration in the broadest sense of the word. integration of disciplines, to be sure, but also the integration of ideas, of goals, of talent, and of the best of human energies.

a family of experts

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“we will deliver the best

process to suit the project’s

needs and sometimes we find

ourselves combining traditional

and design-build approaches

on the same project. The point

is that clients want good ideas,

whomever they come from,

and collaborative design teams

simply develop more good

ideas.”chriS ceDerGreenpreSiDent & Senior principaLforum StuDio

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BIM

TAG

estimating engineering

sustainability

landscapearchitecture

interiordesign

architectureurbandesign

planning

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We founded our design firm to be that single forum that would bring together all of the capabilities of the master builder in a collaborative, creative, and inclusive process. We convene the needed expertise, when it is needed, at our table.

beyond the disciplines of architecture and interior design, we’ve added deep bench talent in planning, landscape architecture, and urban design to our team. Further, we regularly partner with experts, from economists to biologists, to expand our capabilities and benefits to our clients. Forum Studio—where trust creates the time and space for innovation.

ForumIntegratedThinking

OUR AppROAch

planning

Visioning + Strategic planning

Regional + community planning

master planning

campus planning

Site Planning + Design

regulatory agency approval

public engagement

portfolio optimization

interior design

interior architecture

programming

Space planning

Workplace Strategy

change management

Sustainability Systems

tenant improvements

Facility management

interior Systems technologies

Acoustic + Lighting design

FF&e procurement

interiors representation

post-occupancy evaluation

architecture

programming

Functional planning

Site integration

conceptual design

Sustainability Systems

Value design

building Systems technologies

construction documents

BIM + VDC

building representation

commissioning

post occupancy evaluation

landscape architectureSite design

campus design

Greenways + Waterfronts

Parks + Trails

Plazas + Public Spaces

green roofs

Sculptures + Memorials

restorative gardens

Storm Water Strategies

ecosystem restoration

product design

urban design

mixed-use development

town centers

Urban Parks + Public Spaces

Plazas + Streetscapes

urban revitalization

brownfield development

design guidelines

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sustainability

Sustainability is an integral part of how we practice. embracing the principles of green design, we have established an active program that helps to educate our clients about the value of sustainably designed and built facilities, including the pursuit of leed certification.

tag

teChniCAl AssurAnCe group

quality control and consistency are traditional hallmarks of design and construction’s best practices. With our focus on next practices, we are integrating an experienced team of planners, architects, and engineers, who know how to maximize construction quality and minimize costs, into our team of holistic problem solvers.

bim

Building informAtion modeling

bim is but one of several powerful programs within the Virtual design and construction (Vdc) toolbox. more than simply a 3d representation of project and a phenomenal storehouse of building information, bim technology facilitates the collaboration that is essential for integrated project delivery.

Forum Studio is committed to next practices in sustainability, technical assurance, and virtual design to deliver the best possible design solution.

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• acibadem

• advocate Healthcare

• allied Health

• beaumont Hospital

• bJc Healthcare

• cedars Sinai medical center

• centerpointe Hospital

• columbia St. mary’s Hospital

• cortex

• Hannibal clinic

• Henry Ford Health System

• indiana university medical center

• Karmanos cancer center

• manning regional Health care

• mayo clinic

• mercy Health

• methodist Willowbrook Hospital

• missouri baptist Hospital

• mitchell county regional Health center

• nationwide children’s Hospital

• new york presbyterian Hospital

• northwestern memorial Hospital

• novus

• the ohio State university medical center

• oklahoma children’s Hospital

• princeton university medical center

• rochelle community Hospital

• rolling ridge medical center

• Spectrum Health

• St. Joseph’s regional medical center

• St. louis county Health

• university of alabama medical center

• university of arkansas

• the university of chicago

• university of illinois medical center

• university of nebraska medical center

• Washington university

• Wishard Health Services

ColleCtively, the experts on our teAm hAve plAnned, designed, And Built mAjor heAlthCAre And life sCienCes fACilities for premier gloBAl And u.s. institutions, inCluding:

unrivalled expertise

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centerpointe HospitalLOcAtiOnst. ChArles, missouri

siZe77,000 sf

Washington university orthopedics and barnes–Jewish Hospital outpatient orthopedic center

LOcAtiOnChesterfield, missouri

siZe60,000 sf

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rollingridge medical center

LOcAtiOnnAperville, illinois

siZe40,000 sf

bJc progress West Healthcare medical office buildingLOcAtiOno’fAllon, missouri

siZe60,000 sf

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dankner medical building

mitchell county regional Health center

LOcAtiOnst. peters, missouri

siZe12,000 sf

LOcAtiOnosAge, ioWA

siZe16,000 sf

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St. luke’s medical office building at cityplace Seven

LOcAtiOnCreve Coeur, missouri

siZe15,000 sf

Hannibal clinic

LOcAtiOnhAnniBAl, missouri

siZe21,500 sf

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bJc Healthcare administrative office building

LOcAtiOnst. louis, missouri

siZe200,000 sf

St. luke’s rehabilitation Hospital

LOcAtiOnChesterfield, missouri

siZe29,000 sf

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baylor medical plaza

LOcAtiOngrApevine, texAs

siZe62,476 sf

missouri baptist Hospital medical office buildingLOcAtiOnst. louis, missouri

siZe92,250 sf

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the St. louis county department of Health required a new campus to replace an aging and inefficient facility in north St. louis. the project, serving as a beacon for healthy living, incorporates new clinic space environmental labs, and the consolidated offices of the department of Health.

two prominent entrances create a clear and inviting arrival; it is a reflection of the client’s mission to make healthy living welcoming to the community. a two-story solution was chosen to promote fitness, efficiency, employee interaction, and communication between multiple departments.

the interior of the facility is organized around a central two-story gallery space, incorporating the soothing features of a water wall, artwork, and trees. daylighting concepts were further emphasized in the “open office” layout of the building. beyond aesthetics, the gallery serves as a central core for the building’s wayfinding, allowing users to see all destinations from a single point of origin.

“You have taken the time to understand the many facets of how we work and will use the space, and as a result have been able to design a building that is an excellent fit for our needs.”

edwARd mUeth

deputy direCtor sAint louis County depArtment of heAlth

St. louis county Health cliniclaboratory & oFFice

LOcAtiOnst. louis, missouri

siZe9,300 sm

2-story

seRvices pROvidedmAster plAnning ArChiteCturAl design interior design

leed Certified

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the DeSiGn featureS encouraGe WeLLneSS, tranquiLity, anD a comfortabLe experience—the

GoaL iS to improve the quaLity anD DeLivery of heaLth ServiceS for reSiDentS of St. LouiS county.

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missouri baptist medical center bed toWer, clinical learning inStitute, and parKing garage

BJc healthcare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and mid-missouri regions.

this transformative 22,500-square-meter addition to missouri baptist medical center features critical new spaces, including a new clinical learning institute for the School of nursing, a new bed tower with medical office building, operating room expansion, new pre- and post- operating spaces, a helipad relocated to the roof of an existing bed tower, a 460-car above grade parking structure and various new mechanical and electrical support spaces.

the design-build team built the 12,000-square-meter garage that consists of three levels of parking with a total of 339 spaces. the upper floors of the garage are served by two glass enclosed stairs and two traction elevators. architectural tilt-up concrete panel walls create the stair shaft for the main stair. the first floor of the garage is a cast-in-place structural concrete deck. below the first floor of the garage is a storm-water detention structure with a footprint of 2,500 square meters. the new 4,300-square-meter clinical learning institute (cli) sits on top of the garage at the 4th floor.

the cli includes obstetrics/pediatrics/surgical/skills simulation labs; distance learning and education classrooms, a resource center, computer lab, student commons and faculty office space. the exterior skin was selected as an extension of the current campus aesthetic, utilizing brick tile and precast concrete panels. this is the first true integrated project delivery (ipd) contract in the region and clayco implemented lean construction and design principles, which led to improved efficiencies regarding the planning and execution of the entire project from design to construction. a very strong emphasis was placed on Virtual design and construction (Vdc) technology which contributed to the successful implementation of lean and sustainable building principles. the first phase of Site Work was completed ahead of schedule and under budget.

LOcAtiOntoWn & Country, missouri

siZe22,500 sm 46o CAr gArAge 339 CAr gArAge helipAd

seRvices pROvidedArChiteCturAl designConstruCtion mAnAgement

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virtual designa Very Strong empHaSiS WaS placed on Virtual deSign and conStruction (Vdc) tecHnology WHicH contributed to tHe SucceSSFul implementation oF lean and SuStainable building principleS

36 |

mercy chesterfield Health campusWorld HeadquarterS

The buildings are carefully sited and integrated to minimize site impacts and maximize natural features that establish this campus as a medical healing community.

LOcAtiOnChesterfield, missouri

siZesite & mAster plAn: 40+ ACres

phAse 1—200,000 sf 48-Bed orthopediC hospitAl And CliniC

15,000 sm virtuAl CAre Center And 680-CAr struCtured And on-grAde pArking

phAse 2—20,000 sm ClAss-A offiCe With 1,130-CAr BeloW grAde pArking struCture

60,000 sm leArning/Community Center

phAse 3—160,000 sm ClAss-A offiCe With 400-CAr BeloW-grAde pArking struCture

phAse 4—135,000 sm ClAss-A offiCe And dAtA Center With 430-CAr struCtured pArking

seRvices pROvidedsite mAster plAnning

ArChiteCturAl design

interior design

lAndsCApe design

the Health campus brings together mercy’s research, clinical diagnosis, treatment, and ministry groups. State-of-the-art facilities include a 15,000-square-meter Virtual care center, a 20,000-square-meter, 48-bed orthopedic Hospital and clinic, 50,000-square-meter of class-a office and data center, and 2,640 structured and surface parking spaces (870,000 square feet). the project will be completed over four phases of continuous development.

the intent of the project is to establish a medical campus where mercy guests can work and effortlessly engage with one another and their community to enhance the reach of their mission. incorporating wood, glass, and regionally sourced missouri limestone, each building has been developed to provide a fully integrated functional program which harmonizes with and showcases the scale and diversity of the site’s existing nature.

our planning carefully conceals the majority of the parking in land voids and each building engages site context and topography while intersecting with another to create the integrated campus.

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the propoSeD mercy heaLth campuS incLuDeS LarGe expanSeS of GLaSS that take aDvantaGe of naturaL SunLiGht. Warm WooD in the interior anD vieWS of the WooDeD Site promote a SenSe of WeLLneSS in a Serene SettinG.

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the multi-use parking and infrastructure support facility is connected by a pedestrian bridge to the new $900 million center for care and discovery to extend the campus’ second level public circulation system. a new lower-level service tunnel connects the new dock and services area with the existing campus material distribution tunnel system. the western portion of the garage structure is hardened to accept a future 30,000-square-meter doctors’ office building above the garage.

the exterior incorporates the campus’ primary vocabulary of stone and glass materials. the primary structure of the garage is articulated and organized to express a hierarchy of scale between the mass of the building’s structural system with a secondary scaling element of an infill texture of a staggered pattern of metal-framed translucent glass and open panels. additional panels of “kinetic-art” wind veils respond to wind currents and activate these large wall surfaces further enhancing the textural quality of the building skin. this approach allows the building’s significant mass to respond to the grander campus scale while also engaging the pedestrian community of students, residents, medical staff, and patients.

university of chicago medical centerWeSt campuS center For care and diScoVery parKing garage

LOcAtiOnChiCAgo, illinois

siZe76,000 sm pArking AreA

1,800 spACes

6,300 sf street level shell AreA

4,900 sf doCk & support AreAs

87,230 sm totAl Building AreA

seRvices pROvidedArChiteCturAl design

interior design

The building’s significant mass is modulated to respond to the grander campus scale while also engaging the pedestrian community of students, residents, medical staff, and patients.

green globes (expeCted)

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acibadem altunizade Hospital

New state-of-the-art hospital for one of Turkey’s leading healthcare institutions.

LOcAtiOnistAnBul, turkey

siZe77,5,00 sm

seRvicesmAster plAnning

site design

ArChiteCturAl design

one of turkey’s leading healthcare institutions, acıbadem Healthcare group, has provided extensive state-of-the-art healthcare services to national and international clients since 1991.

they currently operate 12 general hospitals and 8 medical centers throughout turkey. Forum was asked to develop a master plan and concept design for their proposed 77,500-square-meter altunizade Hospital, located on a 17,000-square-meter site in a dense urban and primarily residential section of istanbul.

the new design will combine both inpatient and outpatient services into a single facility. a separate clinic tower and 200 bed inpatient tower will be linked by a common podium base of public amenities and diagnostic & treatment services. a multi-story concourse extending the length of the podium will have distinct points of entry for inpatient, outpatient, and urgent care. this main circulation and gathering space will provide great clarity and ease of movement for patients, family, and caregivers as they navigate their way through this state of the art facility

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Zirve university Hospital

a new center for specialty patient care and research in a fast growing region of eastern Turkey

LOcAtiOn gAziAntep, turkeysiZe200,000 sm

16 heCtAres

seRvices pROvided mAster plAnning ArChiteCturAl design lAndsCApe design

a large new university hospital campus is being developed adjacent to Zirve university, a major regional education hub located in eastern turkey near the Syrian border. the master plan calls for the development of a campus that integrates patient care and research, combined with hospitality and residential components. conceived as a multiple-phase project, an initial 280-bed specialty hospital will be expanded to include an additional 196 beds, a conference and education center, and a 30,000 square-meter medical research facility.

the campus organization is intended to foster collaboration between clinicians and researchers, and facilitate the development of innovative treatments in neuroscience and organ transplantation. the campus will also include physician villas, nursing dormitories, a 120-room hotel, and gymnasium.

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the art of exploration

the first sketch is not the beginning of our creative process; it’s the start of a visual dialogue generating new ideas and excitement. our passion for architecture is palpable.

exploring possibilities through the language of design, we reimagine the world. in the give and take of discovery, we rethink real world requirements into spaces that shape how we live.

disCovery And visuAl diAlogue

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eArly sketChes for ACibAdem AltunizAde heAlthCAre CAmpus

emphAsize light, views, eAse of ACCess, And open

green spACes for pAtients

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BOB cLARk

ChAirmAn And Ceo, ClAyCo

We started Clayco 28

years ago with the goal of finding new and better ways to do business.

I am proud that by establishing and nurturing a culture of innovation, collaboration and a can-do attitude Clayco has become one of the top full-service real estate, design and construction firms.

It is my job to make certain that we continue to be the best option for clients that expect the exceptional.

chRis cedeRGReen, AiA

president, senior prinCipAl, forum studio

As President and Senior

Principal, my primary role is to provide business leadership while overlooking design and creation at every project phase.

My passion is to integrate art, science, planning, and architecture into all of our work. The combination of these areas is crucial to a successful project.

I will assure that you receive responsive, responsible and respected architecture, interior, planning and design solution congruent with your expectations and satisfying your needs.

eRik AndeRsen

prinCipAl, forum studio

Having worked on the

design of leading academic medical centers, healthcare systems and health science facilities across the U.S. and throughout the world, my role is to keep our team focused on helping healthcare clients meet the complex requirements of an evolving profession.

We need transformation to keep the academic medical core mission of teaching, research, and patient care viable for current and future generations of students, researchers, and patients and we are committed to enabling that change.

chip cRAwFORd FAsLA

senior prinCipAl, forum studio

Planning is, at heart, problem

solving and that’s what I do, keeping in mind the place of the projects in their environment.

We now have the opportunity to seed a better future rather than fixing problems for the short term.

Leading a team of planners, landscape architects and urban designers, my role is to stimulate creative thinking and problem solving, and bring expertise and fresh thinking to meet the challenges of an evolving world.

hAns heckeR, AiA, Leed Ap

prinCipAl, forum studio

I see myself as a player coach

with hands-on responsibility not just for the delivery of our services, but also for the high quality of our buildings.

While I have years of experience, I also bring my creativity and common sense to the process.

Working with our integrated project design and construction team, our ultimate goal is to deliver measurable value to you, our client.

We build our teamS WitH a FocuS on HoW We can better deSign For tHe neW realitieS oF tHe WayS people liVe, WorK and play.

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OUR teAm memBeRs

scOtt LUmsden

prinCipAl, direCtor of teChniCAl AssurAnCe group, ClAyCo

My goal is to ensure project

requirements are met and a quality set of design and construction documents are produced which in turn enables for a successful project to be produced.

Ultimately, I believe that if a project exceeds your expectations, you will want to use this design team again without any hesitation or thought of even looking elsewhere.

My impact is always to be the client’s advocate with the design and construction team.

tOmisLAv ŽIGO, AiA, Leed Ap, cm-Bim

direCtor of virtuAl design And ConstruCtion, ClAyCo

The impact of BIM is greatly

dependent on the team’s expertise. Imperatively, as a leader of Clayco’s VDC services, is delivering the project where the use of this technology is second to none.

Realizing that in a client-centric organization the value comes from understanding client’s requirements and transposing them into a realm of digital project delivery.

BIM is a critical part of our process and our team is a guarantee that industry innovations are thoughtfully implemented for the benefit of the client.

tYLeR meYR

AssoCiAte prinCipAl, forum studio

To address the complex

challenges of the urban environment, you need a diverse mix of strategic vision, conceptual thinking, and practical implementation.

Working with the multi-discipline teams at Forum Studio, my role is to push design forward to achieve thoughtful solutions that are better than you could have imagined.

We can also be a link to help clients meaningfully engage the community as they plan for future expansion.

JOnnY nOBLe

projeCt ArChiteCt, forum studio

I am passionate

about design and believe in its power to solve some of the most complex challenges that we face today.

I know that the power of design, coupled with a pursuit of innovation, can help us build a more sustainable, equitable, and prosperous planet.

Together with the integrated team at Forum Studio, I am confident that we can create great places by using smart, design-focused solutions.

AmY LUchUn, Leed Ap, Bd+c

projeCt ArChiteCt, forum studio

As a Project Architect,

I strive for perfection in the coordination of all disciplines. I believe in open communication between project team and the client throughout the design process.

My passion is to learn what is important to your firm in your working environment by asking those odd questions that may not seem important.

My impact is creating a comfortable and creative work environment for end users-- whether they are employees, clients, or visitors.

ROn JOhnsOn

projeCt mAnAger, forum studio

As a Project Manager

for Forum, I want clients to benefit from a true partnership: the thoughtful and high quality integrated delivery displayed by our team.

My hands-on management style, coupled with passion for design, makes me uniquely suited to mitigate risk and deliver the project seamlessly.

From design aesthetics to construction pragmatics, my impact on is to connect design and implementation. Aligning these two is critical to a successful project and measurable results.

The Future is Now

advancements in nearly every aspect of our lives are propelling us fast forward towards a future whose contours are becoming clear. it’s a place where:

Systems and people work together seamlessly. the exchange of ideas, information, tools, and materials is easier because technology platforms and the people that operate them are moving in sync and at speed. teams do more than collaborate, they co-create.

Such interoperability allows for the rapid assimilation of new processes and systems. it allows us to be more nimble and responsive. We produce a higher quality concept and buildings, more quickly, using our resources more efficiently.

Working more effectively, we concentrate on creating measurable value, be it operational efficiencies, workplaces that improve productivity or return on investment for shareholders and community share- holders alike.

more focus, less friction. energy and enthusiasm. it’s an environment that invites design and process innovation, a place with room to test solutions, to explore the potential of ideas and to ask what more can be done.

it’s a dynamic, challenging world—it’s where we thrive.

WE bElIEvE tHe excHange oF ideaS, inFormation, toolS, and materialS iS eaSier becauSe our tecHnology platFormS and tHe people tHat operate tHem are moVing in Sync and at Speed.

OUR peRspective

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52 |

making your mark

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What will be your legacy?

your vision will shape projects for years to come, your priorities will give form to the building, and your decisions today will be a template for the future.

your challenges are our inspiration. our energies are focused on the opportunity to create meaningful, effective, and enduring new environments. Working together we can help you achieve your goals and make your mark.

we look forward to being part of your visionary team.

erik anDerSen principal d 312 884 88015 m 773 742 5581 andersena@forumstudio.com 35 east Wacker drive, Suite 1300 chicago, illinois 60601 forumstudio.com

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