Monday, January 21, 2008
Wednesday, January 2, 2008
thesis proposal outline: title
Adaptive Reuse of the "Big Box" as a Community Based Healthcare Facility
Adaptive reuse of residual, no longer viable, commercial buildings in economically challenged urban zones bringing healthcare to underserved communities. Adaptive reuse of architecture, specifically "big box" architecture and sustainable designs trategies combined with evidence based design principles that promote healing environments.
Adaptive reuse of residual, no longer viable, commercial buildings in economically challenged urban zones bringing healthcare to underserved communities. Adaptive reuse of architecture, specifically "big box" architecture and sustainable designs trategies combined with evidence based design principles that promote healing environments.
thesis proposal outline: thesis abstract
In many cities across the country there is an ever increasing amount of urban sprawl in the form of commercial and retail development. Large retail chains are looking for the best opportunities to sell their goods and services. As the population of this country grows there is also an increase in the need for housing. Our suburban communities are quickly becoming large towns and cities of their own. There is an increase in needed infrastructure, tax base, and development.
Unfortunately, it seems that much of this growth is leaving behind some of the original town centers and main streets. Small shopping centers at the corner are giving way to large "box" stores and vast seas of pavement. Buildings that housed banks, gas stations, and the local barber shop are being left behind, discarded shells that are no longer desirable by their tenants. Recent years have shown great demand and interest in the reuse, preservation, and development of long vacant urban areas of the inner city. Businesses, restaurants, and artists flock to these older buildings and areas to live, work, and play. This leaves a gap of vacated buildings and architecture between the urban center and the ever growing suburban development. They are being left behind.
Can these large shells of modest construction be recycled? How can these large vacated buildings and even larger parking lots be reused to benefit the communities in which they reside?
Methods of Inquiry:
Precedent in the areas of adaptive reuse. Not specifically healthcare, but all types of recycled architecture.
-projects and architects who focus on adaptive reuse
http://www.dillerscofidio.com/highline.html
Investigation into the determining factors of why and how we design the "big box". Is it pure econony? Focus on the retailer/consumer relationship? Iconic/brand design?''
Research program:
1. Building typology of the the "big box" What are the major factors that determine the size, shape, and orientation of these buildings? Are they purely economical? Are they reflections of corporate images? These stores are usually based upon some sort of prototype. Aspects of retail architecture.
2. Research in the area of evidence based design in healthcare. Focusing on progrommatic elements desired in a community centered healthcare facility and the methods of design that promote healing environments.
Case Studies/Precedent Analysis:
-analysis of Well Spring Medical Center, Woodburn OR - Clark/Kjos
-analysis of Maine Medical Center, Maine Center for Cancer Care, Scarborough Maine - Harriman Assoc.
Bibliography:
Still need to locate more specific articles. Local resources are rather limited in the areas of architecture specific books. I need to take advantage of the library at the BAC during intensive. (Bibliography not formatted yet, just a list of potential readings)
“Sound Practices: Noise Control in the Healthcare Environment” by Roger B. Call http://www.aia.org/journal_aah.cfm?pagename=aah_jrnl_20071101_call&dspl=1&article=article
“Healthy Lighting” by Milena Simeonova http://www.healthdesign.org/resources/pubs/articles/essays/healthy_lighting.php
“Len Berry on Mayo’s ‘Soul Of Service’” by Russell C. Coile, Jr. http://www.healthdesign.org/resources/pubs/articles/essays/mayo.php
“Designing to Heal” American Journal of Nursing Nov. 2006 Vol.106 No.11 http://www.healthdesign.org/resources/pubs/articles/documents/AJN11-06DesigningtoHeal.pdf
Color, Environment, and Human Response; Frank H. Mahnke, Rudolf H. Mahnke; John Wiley & Sons; 1996
Color and Light in Man-made Environments; Rudolph Mahnke and Frank Mahnke; John Wiley & Sons; 1993
Design Planning for Freestanding Ambulatory Care Facilities; Bill Rostenberg; AHP; 1986
Building Type Basics for Healthcare Facilities; Stephen A. Kliment, editor; John Wiley & Sons, Inc. 2000
Unfortunately, it seems that much of this growth is leaving behind some of the original town centers and main streets. Small shopping centers at the corner are giving way to large "box" stores and vast seas of pavement. Buildings that housed banks, gas stations, and the local barber shop are being left behind, discarded shells that are no longer desirable by their tenants. Recent years have shown great demand and interest in the reuse, preservation, and development of long vacant urban areas of the inner city. Businesses, restaurants, and artists flock to these older buildings and areas to live, work, and play. This leaves a gap of vacated buildings and architecture between the urban center and the ever growing suburban development. They are being left behind.
Can these large shells of modest construction be recycled? How can these large vacated buildings and even larger parking lots be reused to benefit the communities in which they reside?
Methods of Inquiry:
Precedent in the areas of adaptive reuse. Not specifically healthcare, but all types of recycled architecture.
-projects and architects who focus on adaptive reuse
http://www.dillerscofidio.com/highline.html
Investigation into the determining factors of why and how we design the "big box". Is it pure econony? Focus on the retailer/consumer relationship? Iconic/brand design?''
Research program:
1. Building typology of the the "big box" What are the major factors that determine the size, shape, and orientation of these buildings? Are they purely economical? Are they reflections of corporate images? These stores are usually based upon some sort of prototype. Aspects of retail architecture.
2. Research in the area of evidence based design in healthcare. Focusing on progrommatic elements desired in a community centered healthcare facility and the methods of design that promote healing environments.
Case Studies/Precedent Analysis:
-analysis of Well Spring Medical Center, Woodburn OR - Clark/Kjos
-analysis of Maine Medical Center, Maine Center for Cancer Care, Scarborough Maine - Harriman Assoc.
Bibliography:
Still need to locate more specific articles. Local resources are rather limited in the areas of architecture specific books. I need to take advantage of the library at the BAC during intensive. (Bibliography not formatted yet, just a list of potential readings)
“Sound Practices: Noise Control in the Healthcare Environment” by Roger B. Call http://www.aia.org/journal_aah.cfm?pagename=aah_jrnl_20071101_call&dspl=1&article=article
“Healthy Lighting” by Milena Simeonova http://www.healthdesign.org/resources/pubs/articles/essays/healthy_lighting.php
“Len Berry on Mayo’s ‘Soul Of Service’” by Russell C. Coile, Jr. http://www.healthdesign.org/resources/pubs/articles/essays/mayo.php
“Designing to Heal” American Journal of Nursing Nov. 2006 Vol.106 No.11 http://www.healthdesign.org/resources/pubs/articles/documents/AJN11-06DesigningtoHeal.pdf
Color, Environment, and Human Response; Frank H. Mahnke, Rudolf H. Mahnke; John Wiley & Sons; 1996
Color and Light in Man-made Environments; Rudolph Mahnke and Frank Mahnke; John Wiley & Sons; 1993
Design Planning for Freestanding Ambulatory Care Facilities; Bill Rostenberg; AHP; 1986
Building Type Basics for Healthcare Facilities; Stephen A. Kliment, editor; John Wiley & Sons, Inc. 2000
thesis proposal outline: program
Community centered healthcare facility as a program for a recycled building. Recycling a commercial/retail program into something that is beneficial to our community. Utilizing the analogy of recycling plastic pop bottles or aluminum cans into another form of use saves natural resources and is beneficial to our environment. Similarly the recycling of a retail store program into another use is beneficial to the community as a whole and its societal environment.
Ambulatory healthcare facility program that embodies a community healthcare purpose and mission.
Ambulatory healthcare facility program that embodies a community healthcare purpose and mission.
- wellness center
- public education spaces (small conference room, large group and small group classrooms)
- women's health center
- urgent care center
- a small cafe and retail area
Public education spaces should be located near waiting and lobby area to maximize exposure to community. Patient and family education will be interwoven into the fabric of the architecture by utilizing patient access computer terminals to a dedicated healthcare information database - fully integrated into hospital provoder network. Patient access provided in exam rooms, group classrooms, and in key nodes along mjor circulation paths. This will tie into the wayfinding system of the facility. Perhaps different nodes will be dedicated to specific healthcare topics, that could rotate on a monthly or bi-monthly interval.
Proximity of wellness center to public education spaces and main entry shall be closely developed so encourage not only education but active participation in the patients own health. Physical therapy, weight and fitness training. Natural daylighting and visual relationship to redeveloped nature areas.
Urgent care to be seperated from the main lobby and have a dedicated entry and registration so as to provide timely services to patients.
Support spaces and staff operations will provide the back bone for facility. Efficient delivery of patient care. Design for staff health is also a high priority. Natural daylighting, noise control, indoor air quality, color and regualtion of light in the space.
thesis proposal outline: site analysis
Typical site found in just about every urban/suburban town in this country, large parcel of land mostly covered with large flat areas of asphalt pavement. Some have water detention ponds and small trees. Dominant structure is the large masonry or EIFS veneered box that houses program. Not pedestrian friendly – site is focused on vehicular traffic and parking. Turn large areas of asphalt into greener more scenic and park like elements. Reduce heat signature, reduce light pollution.
Site selection: vacated grocery store at the corner of Douglas Rd and W. Sylvania Ave in Toledo, Ohio.
Area demographics: research need for community health programs
Selected Economics Charateristics: 2006
ACS Demographic and Housing Estimate: 2006
Population and Housing Narrative Profile: 2006
s1801: DisabilityCharacteristics 2006
s2301: Employment Status 2006
CDC's Six Strategic Imperatives:
http://www.cdc.gov/osi/goals/strategicimperatives.html
CDC's Health Protection Goals:
http://www.cdc.gov/osi/goals/goals.html
Information used from these demographics and imperatives to support site selection.
Site selection: vacated grocery store at the corner of Douglas Rd and W. Sylvania Ave in Toledo, Ohio.
Area demographics: research need for community health programs
Selected Economics Charateristics: 2006
ACS Demographic and Housing Estimate: 2006
Population and Housing Narrative Profile: 2006
s1801: DisabilityCharacteristics 2006
s2301: Employment Status 2006
CDC's Six Strategic Imperatives:
http://www.cdc.gov/osi/goals/strategicimperatives.html
CDC's Health Protection Goals:
http://www.cdc.gov/osi/goals/goals.html
Information used from these demographics and imperatives to support site selection.
thesis proposal outline: technology issues
Building systems and technology would cover issues of sustainable design strategies combined with evidence based design principles that promote healing environments. Technology will focus on the benefits of the patient and the healing environment, ranging from natural day lit spaces, noise control, to color and building product selection.
Noise – quieter environment promotes less stress in the workplace for staff and patients, reduced med errors because nursing staff is not distracted, sleep and rest in one of the best healers for anyone. Generally thought of in regards to patient bed floors, but the same principles should apply to any healing environment. Also color, regulation of light in the space….
Knowledge and empowerment of the patient and their family promotes healing. Educational technology such as interactive computer library and/or kiosks that access digitally stored medical information. More focused (reviewed by local physicians and health care providers) than “at home” internet searches that can lead to misinformation. How would someone who is bedridden access this? How could this idea become spatial/architectural?
Noise – quieter environment promotes less stress in the workplace for staff and patients, reduced med errors because nursing staff is not distracted, sleep and rest in one of the best healers for anyone. Generally thought of in regards to patient bed floors, but the same principles should apply to any healing environment. Also color, regulation of light in the space….
Knowledge and empowerment of the patient and their family promotes healing. Educational technology such as interactive computer library and/or kiosks that access digitally stored medical information. More focused (reviewed by local physicians and health care providers) than “at home” internet searches that can lead to misinformation. How would someone who is bedridden access this? How could this idea become spatial/architectural?
thesis proposal outline: local resource persons
structural engineer: Omar Yabusien, PE - A+A Engineering
mechanical engineer: tbd
healthcare design: David Bates, RIBA - Meyer+Bates Architects
possible other resources:
Scott Libbe - Rudolph Libbe, construction and developer
healthcare administrator
mechanical engineer: tbd
healthcare design: David Bates, RIBA - Meyer+Bates Architects
possible other resources:
Scott Libbe - Rudolph Libbe, construction and developer
healthcare administrator
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