A facility master plan was originally developed by Hayward & Associates in 2000 for Mount Sinai Medical Center's main campus and subsequently updated in 2002 to include the newly acquired Miami Heart Institute. Specific activities included projecting future bed need and ancillary service demand, evaluating facility capacity, and identifying current and future space need. A clinical service realignment plan was developed to enhance operational efficiency and reduce ongoing capital investment on the two campuses. A detailed functional and space program was then prepared for all immediate and short-term projects identified in the facility master plan.
In 2007, the initial ten-year facility master plan was updated to reflect capital requirements for 2010 to 2020. Consolidation of all programs and services on the Mount Sinai Medical Center campus — including cardiac surgery — was subsequently completed along with a plan to relocate physician offices. The new nine-story Golden Family Medical Office Building was completed in 2010 and planning for the replacement of the existing surgery suite is in process.
More recently, Hayward & Associates has been working with the senior leadership to develop a bed reconfiguration plan — including a survey of existing bed capacity and utilization by clinical service and acuity — to provide all beds in private rooms while ensuring that the "right" patient is in the "right" bed. Multiple options are being evaluated ranging from redeploying patient rooms taken out of service, creating an Observation Unit, and constructing a new Bed Tower.
Vancouver Coastal Health Vancouver, British Columbia
Vancouver Coastal Health provides a continuum of health services to over one million British Columbia residents in the Vancouver, North Vancouver, West Vancouver, Richmond, and coastal mountain communities. Hayward & Associates has completed a number of consulting assignments throughout the Vancouver area over the past five years including:
Vancouver Community. Starting in 2008, a comprehensive strategic and facility master plan was developed incorporating all components of the Vancouver Community portfolio including primary care clinics, mental health services, addictions services, HIV services, Aboriginal health services, home and community care, and preventive health care. Hayward & Associates surveyed over 50 different facilities/sites throughout the City of Vancouver — accommodating 80 unique programs — to identify the current scope of services, staffing, workload volumes, and program linkages. Space standards and performance criteria for resource allocation were established and future opportunities for service reconfiguration and facility consolidation were identified.
Surgical Services Renewal Plan. In 2010, an assessment of the surgical services provided at Vancouver General Hospital and the University of British Columbia Hospital was performed to identify opportunities for service realignment between the two sites. Interviews and work sessions were conducted — soliciting input from over 20 surgeons — to reach consensus on a renewal plan for the main surgical suite at Vancouver General Hospital. More recently, the initial planning process was expanded to include all perioperative services at both Vancouver General Hospital and the University of British Columbia Hospital, resulting in an overall strategy for capital investment at both sites. Detailed functional and space programming has been completed and facility reconfiguration options are being developed.
Joe & Rosalie Segal Family Health Centre. A clinical service plan and functional and space program was prepared by Hayward & Associates in 2012 for this new 100-bed state-of-the art mental health facility to be located on the Vancouver General Hospital campus. The $82 million design-build project will be completed in 2017.
Vancouver General Hospital. With 782 acute care beds, Vancouver General Hospital is one of the largest hospitals in Canada — offering tertiary and specialized healthcare services to the residents of Vancouver and the province. Its campus covers twelve city blocks and includes over 20 freestanding buildings. It is also home to one of the largest research institutes in Canada and is a teaching hospital affiliated with the University of British Columbia. In late 2011, Vancouver Coastal Health recognized the need to develop a master facility plan incorporating all three of its Vancouver campuses as new demands for capital investment were being identified and the number of available building sites was decreasing. Hayward & Associates began Phase I of a high-level clinical service plan and functional program for this campus. An initial "visioning" and information sharing work session was conducted — including corporate staff, on-site clinical and administrative managers, physician leaders, and other stakeholders and partners. Electronic surveys were completed by over 250 clinical and support service managers to collect data on the current scope of services and resource utilization — staffing, equipment, and space — and to solicit input on current operational and facility issues. The resulting high-level service plan and functional and space program identified current and future service needs and resources, priorities, and other project parameters that are integral to development of a master facility plan.
Phase II of the clinical service plan and functional and space program was subsequently completed and included development of an inpatient bed reconfiguration plan, a more detailed operations analyses for key diagnostic services, and an assessment of current and future academic/research space requirements.
University of British Columbia Hospital. The University of British Columbia Hospital is one of three Vancouver Coastal Health sites included in the comprehensive facility master planning project conducted by Hayward & Associates. Located on the University of British Columbia campus, this facility provides community-focused urgent care, short-stay and ambulatory care services, and inpatient and outpatient mental health. A major focus on brain research occurs at this site with a new Centre for Brain Health.
GF Strong Rehabilitation Centre. As British Columbia's largest rehabilitation center, this renowned facility provides unique inpatient, outpatient, outreach, and clinical support services to patients from throughout the province and participates in leading rehabilitation teaching and research. An assessment of current and future services and required resources was performed at this site by Hayward & Associates — along with Vancouver General Hospital and the University of British Columbia Hospital — as part of a comprehensive facility master planning effort.
Lions Gate Hospital. In the spring of 2017, Hayward & Associates provided an assessment of perioperative services in conjunction with the planning of a new Acute Care Tower for this community hospital in North Vancouver. The projected workload, number of operating rooms, and support spaces were reviewed and an overall facility planning strategy was recommended.
Clinical and Facility Profiles Project. In 2012 — with a number of facility master planning and renewal initiatives underway across 20 Vancouver Coastal Health, Providence Health Care, and Provincial Health Services Authority acute care and ambulatory sites — the leadership identified the need to develop high-level clinical and facilities profiles as part of a regional network of sites and services. Hayward & Associates led this effort — working with corporate and site-based administrators as well as corporate facility and data support staff. As a result, clinical and facility planning is now better integrated and requests for Ministry of Health funding and the evaluation of partnership opportunities occur in the context of a regional perspective.
Group Health Cooperative Health System Seattle, Washington
Group Health Cooperative is a consumer-governed, nonprofit health care system that coordinates care for over 600,000 members in Washington and Idaho. Hayward & Associates has assisted Group Health Cooperative with a variety of facility planning engagements since 2004.
Bellevue Medical Center. As part of the replacement of the existing Eastside Hospital in Redmond with a new comprehensive outpatient medical center in Bellevue — adjacent and connected to Overlake Hospital's new 104-bed inpatient tower — Hayward & Associates provided the following assistance:
- Reviewed and provided a “second opinion” regarding the overall predesign planning process and functional and space program that was under development.
- Facilitated multidisciplinary user groups to “rethink” the proposed organization of clinical services and facility layout to enhance customer service, promote efficient operations, and provide long-range operational and physical flexibility.
- Recommended system-wide facility planning principles to be incorporated into all new and renovated Group Health facilities.
- Revised the functional and space program for the new 200,000 square foot facility to include an emergency/urgent care center, diagnostic center, special procedure center, and rehabilitation center. Five flexible "time-share" clinic modules were also planned to accommodate over 160,000 annual outpatient visits.
Redmond Medical Center at River Park. A functional and space program was prepared in 2006 for Group Health's new primary care center near downtown Redmond (31,000 square feet) to include a diagnostic center and primary care clinics.
Comprehensive Space Allocation Model. A comprehensive space allocation model was developed in 2008 to allow Group Health project planners to estimate preliminary space need — for all new and renovated facilities in its health system — based on projected workload and various other parameters.
Tacoma Medical Center. A functional and space program and facility reconfiguration plan was prepared in 2010 for this 190,000 square foot comprehensive outpatient center in Tacoma, Washington. back to top
Lee Memorial Health System Fort Myers, Florida
With 1,420 beds, Lee Memorial Health System is the largest community-owned healthcare system in southwest Florida. Multiple facility planning engagements have been conducted by Hayward & Associates over more than a decade including:
- A comprehensive facility master plan was originally developed in 1999 to guide capital investments over the ten-year period from 2000 to 2010. The initial planning effort incorporated the three acute care campuses including Lee Memorial Hospital, Cape Coral Hospital, and HealthPark Medical Center. Specific activities included projecting future bed need and ancillary service demand for the entire system, identifying clinical service reconfiguration opportunities, estimating future space need, and identifying immediate, short-term, and long-range capital investment at each of the three campuses. The expansion of the HealthPark Medical Center was completed according to the facility master plan.
- The facility master plan was updated in 2002 to address specific issues relative to Lee Memorial Hospital’s changing market and demand.
- In 2007, the facility master plan was updated to reflect the next ten years (2010 to 2020) and to incorporate the acquisition of Southwest Florida Regional Medical Center and Gulf Coast Medical Center. System-wide facility capacity was assessed — with the addition of two more acute care campuses — and planning sessions were facilitated with the Board, Executive Council, and Medical Executive Committee to discuss clinical service realignment scenarios among all five acute care campuses. The space impact and comparative capital investment was estimated for each scenario.
Gulf Coast Medical Center was subsequently expanded according to the facility master plan and Southwest Florida Regional Medical center was closed. Renovation projects at the other three campuses continue as funding is identified. back to top
Good Samaritan Hospital Puyallup, Washington
The following facility planning services were provided by Hayward & Associates for this 225-bed acute care hospital that is part of the MultiCare Health System:
- Confirmed future workload projections for all ancillary services.
- Facilitated multidisciplinary user group workshops to identify opportunities for service reconfiguration as part of an overall campus renewal project to replace key clinical services and inpatient beds in new construction.
- Provided functional and space programming assistance for the emergency department, diagnostic center, surgery/special procedure center, and other clinical services to be housed in new construction.
The resulting nine-story Dally Tower was completed in 2011 and includes 78 private patient rooms, a state-of-art surgery suite, and an expanded emergency department. It is also the first inpatient hospital in Washington state to receive LEED Gold status.
Government of the Northwest Territories Canada
Although almost half of the residents of the Northwest Territories live in the city of Yellowknife, the rest of the population is spread throughout 32 different
communities that are a mix of settlements, towns, hamlets, and villages. Healthcare is provided to the 50,000 residents of the Northwest Territories and the western region of Nunavut by eight Health and Social Services Authorities. Hayward & Associates has worked with the Government of the Northwest Territories on several unique projects.
Prototype Health Centre. In 2010, the Department of Health and Social Services contracted with Hayward & Associates to develop a prototype health center that could be replicated throughout the Northwest Territories as the existing facilities are replaced. The goal was to develop a community-oriented, culturally-sensitive facility focused on wellness to reflect the new "Integrated Service Delivery Model" developed by the Department of Health and Social Services. At the same time, there was a need to provide operational flexibility with generic, multi-use and technically adaptable spaces to allow visiting and rotating staff to function efficiently regardless of which facility they are assigned. Operational plans were prepared for small, medium, and large health centers serving remote communities — many of which are accessible only by air. A space planning methodology and facility design concept was developed so that a functional and space program could be easily prepared for each new health center. Generic spaces were used that could be scaled-up or scaled-down based on the assigned staff and availability of local and regional services.
The replacement of three facilities is in process for the communities of Jean Marie River, Fort Providence, and Norman Wells. Functional and space programs — based on the prototype — have also been developed for facilities in Tulita, Lutsel K'e, and Fort Resolution.
Stanton Territorial Hospital. Located in Yellowknife and the largest healthcare facility in the Northwest Territories, Stanton Territorial Hospital provides secondary, tertiary, and specialized services to the residents of the Northwest Territories and western region of Nunavut. As part of a major facility renewal project for the 25-year old facility, Hayward & Associates conducted an assessment of the existing facility layout, space allocation, and facility assets and liabilities (from a functional planning perspective). As a result, new functional groupings of programs and services were recommended based on common processes that use similar resources — staff, equipment, and space — to eliminate redundancy and to facilitate long-range flexibility as workloads fluctuate over time and technology and medical practices change.
A functional and space program was prepared in early 2011 for all programs and services — both on-site and off-site. With the subsequent release of the new Standards for Canadian Health Care Facilities in the fall of 2011 (referred to as CSA Z8000-11), Hayward & Associates was contracted to conduct an assessment of the space impact of the new standards on the previously developed space program for the renewal project. The functional program was revised in early 2012 and will be the first hospital in Canada to fully comply with the new standards.
Planning of new extended care facilities. A review of current trends and "best practices" for delivering extended/residential care in the Northwest Territories was conducted and site visits were made to a variety of new extended care facilities in the vicinity of Vancouver, British Columbia. Functional and space programs were developed for two new extended care facilities to be constructed in the Northwest Territories in Yellowknife and Hay River. back to top
Kettering Medical Center Kettering, Ohio
The 515-bed Kettering Medical Center in southwest Ohio is recognized as a major cardiac care center, noted for its comprehensive cancer program, and known for pioneering innovative technology. A comprehensive planning effort was undertaken by Hayward & Associates to reconfigure the first and ground floors of the medical center to provide convenient one-stop-shopping for routine outpatients and same-day medical and surgical patients, along with the expansion of the emergency department, radiology, and invasive cardiology services. Current and future workload projections were developed and space needs identified for each of the following facility components:
- Customer service center to consolidate reception, outpatient registration, admitting, and financial counseling into a single convenient location directly inside the main hospital entrance.
- Express testing center to consolidate phlebotomy services, routine X-ray, EKG, and other pre-admission/pre-surgery services.
- Same-day medical unit to accommodate routine and same-day services — such as GI and pulmonary procedures, IV therapy, transfusions, pain clinic, liver biopsies, and shared outpatient recovery space.
- Shared interventional procedure suite — including interventional radiology and interventional cardiology procedure rooms — colocated with the surgical operating rooms to facilitate future flexibility.
In addition, a conceptual wayfinding plan was developed to reduce the number of potential outpatient destinations, simplify destination names, and provide consistent and readable signage. The reconfiguration of the first and ground floors was implemented according to a multi-phase construction schedule. back to top
Fraser Health Authority Surrey, British Columbia
Fraser Health — one of British Columbia's six health authorities — provides a continuum of health services to 1.6 million people living in communities east of Vancouver through a network of 12 acute care hospitals and more than 80 other healthcare facilities. Planning engagements have been conducted by Hayward & Associates for the following Fraser Health facilities:
Surrey Memorial Hospital. In 2005, Fraser Health contracted with Hayward & Associates to develop an ambulatory care strategy for this 370-bed community hospital to address issues with fragmented ambulatory care services, complicated wayfinding and lengthy turnaround times for outpatients, and the inability to delivery acute inpatient services with the proliferation of ambulatory care within the hospital. Specific activities included inventorying all ambulatory services on the existing campus, reviewing future workload projections and related system-wide operational initiatives, identifying services that could be located off-site in a freestanding outpatient facility, and estimating future space requirements based on varying operational scenarios.
Jim Pattison Outpatient Care and Surgery Centre. A functional and space program was prepared by Hayward & Associates in 2006 for a new free-standing ambulatory care facility to house a wide range of diagnostic and therapeutic services including an ambulatory surgery suite and unique "time-share" clinic space. Design and construction for the new four-story facility (with 188,000 square feet) proceeded on schedule.
In the fall of 2010 — with the planned Jim Pattison Outpatient Care and Surgery Centre under construction and the opening scheduled for June 2011 — Hayward & Associates was subsequently contracted to conduct a high-level readiness assessment based on the original vision and the firm's experience with outpatient facilities throughout North America. The specific programs and services, functional layout, and space allocation — as designed and being constructed — were reviewed and interviews were conducted with Fraser Health administrative and management staff and various consultants working on the project. Eight critical success factors were identified — to be addressed as part of occupancy planning — to ensure the overall readiness for a spring 2011 "move-in."
The $237 million Jim Pattison Outpatient Care and Surgery Centre opened on schedule in the spring of 2011 and this facility is the first free-standing comprehensive outpatient facility of its type in British Columbia.
Peace Arch Hospital. A functional and space program was developed for the addition of two new inpatient floors to this 146-bed community hospital in White Rock. The space and layout will serve as a prototype to facilitate patient-centered care as subsequent future expansion occurs.
Chilliwack General Hospital. A facility evaluation and strategic opportunities assessment was performed by Hayward & Associates in 2006 for this 235-bed community hospital. A major objective was to reach consensus on the current issues, facility development options, and potential solutions associated with seven key priority clinical services. A detailed functional and space program was prepared in 2007 for the Chilliwack General Hospital Redevelopment Project. The $35 million hospital expansion project was completed in 2011 resulting in renewal of the emergency department, diagnostic services, and ambulatory care.
Royal Columbian Hospital. A high-level functional and space program for campus redevelopment was completed by Hayward & Associates in 2008 to assess long-range site and facility expansion options to support the Lower Mainland integrated planning initiative between Fraser Health and Vancouver Coastal Health. Future planning assumptions were refined and additional options were evaluated in 2010 in conjunction with preparation of a business case for the Royal Columbian Hospital Redevelopment Project. Hayward & Associates recently updated the detailed functional and space program.
Lower Mainland Facilities Management Template Review. The Lower Mainland Facilities Management group supports three of British Columbia's health authorities and provides comprehensive facility panning and real estate development services for 29 acute care hospitals and multiple outpatient and residential care facilities throughout Vancouver and the surrounding area. Hayward & Associates provides ongoing assistance with the development of standardized templates to be used for clinical service planning and functional and space programming.
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University of Miami School of Medicine Miami, Florida
A strategy to decompress current clinical, educational, and research facilities through a potential multi-institutional collaborative planning effort was prepared by Hayward & Associates for the University of Miami School of Medicine. Specific activities included:
- Prepared a capacity analysis of two acute care hospitals relative to their potential use for key clinical programs; the analysis included evaluation of current utilization, space need, customer wayfinding, infrastructure issues, and overall investment costs.
- Facilitated meetings with selected interdisciplinary task forces to identify program, facility, and functional relationship requirements.
- Prepared a high-level summary presentation to educate key administrative and faculty constituents. back to top
United States Department of Defense
Space planning guidelines were developed by Hayward & Associates for various functional components — including inpatient nursing units and key ancillary services — that would be located in Department of Defense (DoD) medical facilities throughout the world. Specific activities included:
- Reviewed space planning methodologies currently in use by the DoD and the Veterans Administration.
- Solicited input from various constituents including Army, Navy, and Air Force physician leadership.
- Developed step-by-step space planning guidelines for use by DoD facility planning staff and architectural firms with whom the DoD contracts.
- Provided input on prototype room layouts and schematic drawings developed for the DoD by Cromwell Architects and Engineers — based on the space planning guidelines.
ValleyCare Health System of Ohio
A system-wide capital investment strategy was developed for this healthcare organization in northeastern Ohio resulting in a comprehensive facility master plan incorporating all three acute care hospitals including Northside Medical Center (398 beds), Trumbull Memorial Hospital (344 beds), and Hillside Rehabilitation Hospital (69 beds) as well as multiple ambulatory care centers. A detailed bed need analysis and nursing unit reconfiguration plan was developed three years later to reflect changing market demographics. Specific activities included:
- Projected future bed need and ancillary service demand for the entire system.
- Facilitated Board and Executive Committee planning sessions regarding various clinical program realignment scenarios between the three hospitals and ambulatory care campuses.
- Prepared a long-range facility reconfiguration strategy and detailed implementation plan identifying immediate, short-term, and long-range capital investment needs for all three of the ValleyCare hospital campuses.
- Conducted a detailed bed need analysis and nursing unit reconfiguration plan at Northside Medical Center.
Construction of a new $20 million tower at Northside Hospital has been completed and includes a new main entrance, emergency department expansion, and the upgrading of other key clinical services. back to top
Kaiser Permanente Santa Clara Medical Center Santa Clara, California
As part of planning for a new replacement healthcare campus ― one of the largest construction projects in Kaiser Permanente history ― all traditional patient care delivery approaches were challenged and new “optimal” models were developed. Specific activities included:
- Conducted a review of operational concepts, clinical service configuration, and the space program for a new 327-bed replacement hospital that consolidated an existing acute-care hospital, three freestanding outpatient surgery centers, and multiple freestanding diagnostic centers and ambulatory care sites.
- Identified exam/treatment room utilization targets, developed facility planning principles, and facilitated the reengineering of ambulatory care delivery, incorporating new ambulatory care delivery models (reflecting the transition from the inpatient to the outpatient setting).
- Prepared a “generic” clinic module that could be modified for various primary care and specialty services.
- Developed a detailed functional and space program for the 520,000 square foot ambulatory care center housing 270 providers.
Construction of the medical office building was completed in 2005 and the new replacement hospital opened in August of 2007. back to top
Northwestern Memorial Hospital Chicago, Illinois
This nationally-ranked academic medical center, located in downtown Chicago, is the primary teaching hospital for Northwestern University's Feinberg School of Medicine. Hayward & Associates assisted with facility planning and strategy formulation for reuse or disposition of various facilities affected by Northwestern Memorial Hospital’s redevelopment project — during construction of the new 2.0 million square foot replacement facility. A functional/space analysis of 13 “buildings in play” was conducted — for which optimal uses had not been identified — representing 2.5 million square feet. A functional and space program was developed based on future planning initiatives incorporating the Northwestern Medical Faculty Foundation and Northwestern University. Additional engagements included operations planning for the three distinct surgery suites with over 40 operating rooms and a space assessment of the former Prentice Women’s Hospital.
Northwestern Medical Faculty Foundation Chicago, Illinois
Facility planning assistance was provided to this multi-specialty physician organization as part of their new state-of-art ambulatory care center housed in the 22-story Galter Pavilion within the new Northwestern Memorial Hospital complex. Specific activities included:
- Facilitated the resizing of a previously developed functional and space program for the ambulatory care center (200,000 square feet) in conjunction with the Northwestern Memorial Hospital replacement project.
- Reviewed and updated faculty practice and ancillary service workload projections and updated staffing projections based upon “best practice” operational concepts, information systems, and various other factors affecting resource utilization.
- Modeled different operational and facility configuration scenarios, coordinating with the financial feasibility assessment.
- Revised/updated the detailed functional and space program for the ambulatory care center to be located in the Galter Pavilion.
As a result of the operations redesign and revised space projections, the need for two less floors for faculty clinics was identified, freeing up space that could be leased to private physicians and result in incremental revenue. back to top
Hackensack University Medical Center Hackensack, New Jersey
This 763-bed teaching and research hospital is a major provider of health services in northern New Jersey and the New York metropolitan areas. As part of a campus-wide facility master plan — incorporating both the hospital and a 276,000 square foot ambulatory care center — the following activities were provided:
- Confirmed future bed need, ancillary workloads, and space requirements for all major clinical services based on various bed expansion scenarios for use in a financial feasibility analysis.
- Prepared the functional and space program for a new women’s and children’s hospital to be located on the main campus — working with ten user groups composed of physicians, nurses, managers, and ancillary staff.
Construction of a new bed tower and the Sarkis Gabrellian Women's and Children's Pavilion has been completed along with other renovation projects to accommodate program and service growth.