Ann & Robert H. Lurie Children’s Hospital of Chicago Family Experience

2012 International Facilities Design + Capacity Conference
Ann & Robert H. Lurie
Children’s Hospital of Chicago
Leveraging Public Spaces to Create a Unique
Family Experience
2012 International Facilities Design + Capacity Conference
Ann & Robert H. Lurie
Children’s Hospital of Chicago
Donald Camp
Administrator, Family Services, Emergency Services, and
Case Management
Ann & Robert H. Lurie Children’s Hospital of Chicago
Claudia Styrsky
ZGF Architects LLP
AIA, ASSOCIATE PARTNER
Introduction
•
Significant expansion – 1.25 million SF vs.
699,000 currently (250 beds)
•
288 inpatient beds (including a 44-bed NICU,
36-bed CCU, 40-bed PICU, and 24-bed
Oncology unit)
•
Capacity to expand to 313 licensed beds
– within building envelope
Introduction
•
•
45-room ED / Trauma Center
•
•
5 Interventional Radiology Rooms
•
Multiple outpatient clinics
Interventional / Procedural platform with 21
Operating Rooms
Diagnostic Imaging services, plus the
complement of support areas
Design Approach
5
Applying EBD to a Unique Prototype
INNOVATION WAS NECESSITATED
BY THE DESIGN CHALLENGE
How do you fit a building program of
1.3 million square feet onto a 1.8 acre site in
downtown Chicago?
Building Stack
Bed
Tower
•
Beds on the top: views,
daylight, and
privacy, security
•
Diagnostic and Treatment on
the bottom to accommodate
high-volume patient traffic
•
Second floor emergency
department
•
Mechanical and logistics at
the center of the stack to split
feeding distance
•
Lobby on top of the D&T base
provided opportunity for
sky garden
Public & Family Lobbies
D&T
ED
Design Process
8
Guiding Principles
CULTURE
IDENTITY AND IMAGE
CARE LEADERSHIP
RESEARCH AND
EDUCATIONAL
LEADERSHIP
RESOURCE
STEWARDSHIP
Evidence-Based Design
“Evidence-based design is
defined as the deliberate
attempt to base building
decisions on the best
available evidence with the
goal of achieving the best
possible outcomes for
patients, families, and staff
while improving utilization
of resources”
from "Evidence for Innovation-TRANSFORMING
CHILDREN'S HEALTH THROUGH THE
PHYSICAL ENVIRONMENT", Executive
Summary, NACHRI and the Center for Health
Design, p2
Healing Environments
• Nature can influence wellbeing, promote healing,
relieve pain and stress
• Create interior environments
that are healthy, safe and
secure
• Consider patient, family and
staff well-being
• Best sustainability practices
• Accessibility
• Lighting and Art
• Successes from Children’s
Memorial Hospital
“The natural healing force within each one of us is
the greatest force in getting well.”
Hippocrates – Greek Physician (460 BC – 377 BC)
Shadowing, Interviews, Focus Groups
“Doctors need areas to hold
care conferences that can
accommodate an entire
team of specialists, plus
the family.”
“I love the window area at the
end of the hall. It was a
perfect space for me to
compose myself before I
would update my mother of
my daughter’s condition. My
mom is very emotional and I
needed to be calm when I
talked to her.”
“I like the mobile art program―it
gives me a project to focus on.”
Team Involvement:
Assuring an
Environment for
Family-Centered Care
Kids and Family Advisory Boards
Kids Advisory Board
•
•
Inception: September 2006
Purpose:
•
•
Serve as a voice for all
pediatric patients
Mission:
•
Make recommendations
that positively effect patient
care, services and facilities at
Lurie Children’s
•
Accomplished by providing
pediatric patients an
opportunity to give feedback
and voice their opinions
Kids Advisory Board - Models
Family Advisory Board
•
•
Inception: September 2006
Purpose:
•
•
Serve as a voice for all
patient families
Mission:
•
Make recommendations that
positively affect patient care,
services and facilities at
Lurie Children’s
•
Accomplished by providing
pediatric families an
opportunity to give feedback
and voice their opinions
Team Involvement
•
More than 600 employees, 150 physicians and
44 user groups involved in the design and
programming process
•
Kids Advisory Board and Family Advisory Board
provided critical advice on planning
•
Mock-up rooms were employed in a number of
ways to elicit feedback from patients, families,
and staff
Community Partnership Charrette
The Community Partnership Charrette was
designed to engage community icons in the
design process of the new hospital.
PARTNER INSTITUTIONS
• The Field Museum
• Adler Planetarium
• Shedd Aquarium
• Lincoln Park Zoo
• Lookingglass Theatre Company
• Museum of Contemporary Art
• National Museum of Mexican Art
• After School Matters
• Department of Cultural Affairs
• Chicago History Museum
• Chicago Botanic Garden
• Chicago Architecture Foundation
• The Art Institute of Chicago
• Redmoon Theater
• Museum of Science and Industry
• Snow City Arts Foundation
• The Notebaert Nature Museum
• Chicago Children’s Museum
• Chicago Fire Department
Community Partnership Charrette
The Community Partnership Charrette provided
insightful and new ways to look at the design of
a children’s hospital
Community Partnership - Results
•
Engage kids and families in learning
and discovery
•
Promote a sense of care by broader community
– community engaged in caring for families
•
Recognize that a “healing environment” for kids
and families is unique
Design Solutions
First Floor Lobby
•
Begin the journey of exploration and discovery
in the first floor lobby
•
Provide elements of delight and wonder to
engage all ages
•
Create an environment that focuses on healing,
learning and discovery
First Floor Plan
•
Ambulance
Entrance
Main
Entry
PUBLIC
ESCALATOR
STAFF/
PUBLIC
SERVICE
ELEVATORS
TRAUMA
PATIENT
TRANSPORT
ED
Loading
Dock
Walk-in ED Entry
•
All loading internal to
the building
•
•
•
Drop off lanes
•
Escalator to
second floor
Building entrances
24 elevators,
clustered to separate
vertical circulation
First Floor Plan
•
Main
Entry
Boat
Whales
Ambulance
Entrance
Displays
Uplifter
Loading
Dock
Walk-in ED Entry
•
•
•
•
Café (Boat)
Hologram Display Boxes
The Whales
Uplifter
Second Floor Lobby
•
•
Second floor lobby is the most used entry point
to hospital from parking garage
•
Vertical transportation is more than just an
elevator ride – waiting is part of the fun
•
Creating a welcoming and family-focused
destination provides a clear arrival point
Second Floor Plan
•
•
Second floor ED: a
unique model
•
Key issue: an elevator –
dependent prototype,
no vehicular access
•
•
Ambulance dock on first floor
•
Two sets of
dedicated elevators
Urgent Care
Urgent Care
Waiting
AMBULANCE
HELIPORT
Trauma
Emergency Department
ED
Lobby
ED Waiting
TO PARKING
TO PRENTICE
Public Lobby
Bridge connection to
parking garage
Second Floor Plan
•
•
•
•
Family
Wait
Animal
Icon
TO PRENTICE
Coral
Garden
Aquariums
Family
Wait
TO PARKING
Aquariums to discover
Coral Gardens to enchant
Family waiting areas for
families to gather for comfort
and support
Sky Lobby / Crown Sky Garden
•
Maximize direct sunlight into public spaces by
placement on the south side of the building
•
Take advantage of a large rooftop to create an
enclosed sky-garden
•
Create a memorable place and provide a
retreat, an alternative to other spaces
Sky Lobby and Public Spaces
Overlook
(Double Height View)
Conference Center
Gift Shop
Lobby
Sky Garden
Dining
•
Eleventh floor public
elevator transfer
•
•
Public functions
Amenity spaces
Sky Lobby and Public Spaces
Images
Exterior
Sculpture
Animal
Icon
Legos
Model
Exterior
Garden
YearRound
Garden
•
•
•
•
•
Year-Round Garden Space
•
Animal Icon & Landmark
Seasonal Exterior Garden
Exterior Sculpture - Dandelion
Legos Model of Hospital
Historical Images of
the Hospital
Sky Lobby and Public Spaces
•
Kevin’s Garden creates an opportunity for
fresh air and garden space – scale is intimate
and calm
•
The Gift Shop is a destination for the kids away
from their rooms for some retail therapy
•
Tree house provides a place to explore the
Crown Sky Garden from a different perspective
Inpatient Family Lobby
•
•
Quieter lobby supporting inpatient families
•
Fire Truck a positive distraction and draw for
young and old
•
Chapel for quiet meditation and family /
community support
Family Resource Center for quiet time
and research
Chapel
•
•
•
•
Quiet and contemplative space
Uplifting for the human spirit
Elements of nature, water and plant life
Speaks to all ages and is welcoming to all
Inpatient Family Lobby
Family Sleep
Suite
•
Twelfth floor less
public functions
•
•
Start of the Bed Tower
•
Focus on inpatient
and families
•
Hospital administrative
staff offices
•
Foundation
Family Life Center
Lactation
Suite
Learning
Center
Lobby
Chapel
Administration
Quieter functions located
on floor
Inpatient Family Lobby
Family
Sleep
Suite
Art
Walk
Family
Life
Center
Tree
House
Animal
Icon
Fire
Truck
Art
Wall
Stained
Glass
•
•
•
Fire Truck and Fire Station
•
•
Art Walk Display
Electronic Changing Art Wall
Stained Glass Wall & Glass
Mosaic Accents
Tree House
Family Life Center
Quiet
Salon
Art
Teen
Room
Central
Play
Family
Sleep
Suite
Classroom
Lactation
Suite
Film
Studio
Business
Center
Family
Laundry
Art
Walk
Develop
-mental
Learning
Center
Family Life Center
GUIDING PRINCIPLE
Spaces for children and teens
of all abilities to explore, learn
and discover
DESIGN RESPONSE
Creation of a series of spaces for
patients of various ages and
abilities that engage their various
interests and skill levels
ANTICIPATED BENEFIT
Reducing the stress of long hospital
stays; finding positive outlets for
energy and engagement
Family Life Center – Sleep Suite
GUIDING PRINCIPLE
Spaces for families to relax and
get a good rest, spaces of comfort
and respite
Space dedicated to the well-being
of kids and families - more like a
home or school
DESIGN RESPONSE
Creation of special spaces to
provide a feeling of being special
and pampered during your stay in
the hospital
ANTICIPATED BENEFIT
Reducing stress and providing
elements of comfort and
appreciation of self
Neonatal Intensive Care Unit
•22-Bed NICU
Family Area
22-Bed NICU
•
•
All private patient rooms
•
22 bed patient units with
shared family area between
Majority of rooms have
exterior windows providing
view and respite for families,
natural light important to
maintain natural circadian
rhythms in babies
NICU | Transitional Patient Room
Acute Care Floor
24-Bed Acute Care Unit
Family Area
24-Bed Inpatient Unit
•
•
All private patient rooms
•
Corridors provide light,
orientation and amazing
views
•
Two 24 bed patient units with
Family Great Room between.
Patient and family focused
care at the bedside
Patient Floors | “Family Great Room”
GUIDING PRINCIPLE
Spaces that enhance and
enable families to gather and
share their experiences together,
to provide floor based respite
and amenities
DESIGN RESPONSE
Creation of a family great room
where families can be together and
have spaces within to provide a
number of amenities
ANTICIPATED BENEFIT
Stress will be reduced during
long hospital stays and siblings can
feel a part of the care and the
family experience
Patient Floors | “Family Great Room”
TV /
Game
Play
BathRoom /
Shower
Living /
Work
Kitchen
Patient Floors | Care Team Stations
Acute Care Patient Rooms
Patient Rooms
GUIDING PRINCIPLE
Deliver the ideal patient
experience by providing spaces /
areas for family involvement in the
healing process
DESIGN RESPONSE
Patient rooms have
accommodations for families
including sleeping accommodations,
internet and work space, and
storage for personal belongings
ANTICIPATED BENEFIT
Deliver comfortable
accommodations so families will
spend more time in the hospital
with their child and participate in
their care
•
LESSONS LEARNED:
•
Engage all stakeholders early in
the process
•
Involve kids and families early
in the process and expose
senior leadership to the kids
and families; their input was
key to our success
•
Identify the need for public and
family spaces committee helps assure the spaces have
the dedicated effort required to
make them successful
•
NEXT STEPS:
•
Obtain and Evaluate patient,
family and staff feedback
•
Expand aspects of the project
to staff areas
•
Identify family areas that
require additional work
•
Obtain donor funding to help
maintain the spaces
•
Continue to assess spaces for
patient safety
•
Determine ongoing
maintenance costs
ARCHITECTS
ZGF Architects LLP
Solomon Cordwell Buenz
Anderson Mikos Architects Ltd.
STRUCTURAL ENGINEER
Magnusson Klemencic Associates
M/E/P ENGINEER
Affiliated Engineers, Inc
CIVIL ENGINEER
V3 Companies of Illinois, LTD.
OWNER’S REPRESENTATIVE
Rise / Morgan
CONTRACTOR
Mortenson / Power
Discussion