This morning marks roughly 48 hours since my family and I emerged from our temporary home not knowing what we’d find in the wake of Hurricane Irma. After a circuitous route home, we pulled into our driveway with the same uncertainty. We’re among those fortunate enough to have minimal damage and are fully functional with power and water. Millions of our fellow Floridians were not as fortunate and are still waiting for power and water. Pictures from the Caribbean and the Florida Keys are heartbreaking to look at and I find myself pondering if I would have the strength to endure what thousands are presently enduring. My family is truly fortunate and grateful.
Planning for Disaster
As the storm approached Florida, two of our clients battened down the hatches in relatively new hospitals, designed specifically to withstand significant weather events like Hurricane Irma. During a situation like this there are three things I know to be true: Mother Nature can be quite unpredictable, no facility is infallible and no plan is foolproof. Despite this, patients and families in our clients’ facilities could take comfort in knowing these buildings were designed with severe weather in mind. The leadership of these organizations had a specific vision to commission the design and construction of these facilities to withstand these weather events and then backed that vision up with the funding to make it happen. A few significant design outcomes of this vision were:
- Generators that keep air conditioning functioning when the power goes out
- Glass designed to withstand significant impact from airborne debris
- Wells to bring water from the ground to replace city water
These are features we all hope are never needed but require significant investment and commitment from the organizations’ leadership. Are these additions truly worth the cost when there are so many other issues competing for capital dollars? If you ask this same question to the families, patients and staff who faced Irma in those buildings, you would get a resounding “yes.” This week, the vision those leaders had a decade ago, came to fruition.
Setting Priorities
Not all hospitals have, (or should have), the same vision that these organizations did, but a significant step in planning a major capital project is knowing what you want to get from your facilities and what you feel is most important. Owners have the ability to set the tone and direction, and they have the most impact on new projects at the beginning of the project life cycle. The ability to clearly communicate specific priorities to your team is among the most important tasks the owner’s leadership team will perform. In essence, if you don’t know what you want out of your new facility, then how will you know if you’ve achived it once completed?
Take the time to reflect and put in writing the vision for your new project. Know that each organization has its own needs and priorities; yours are specific to your patients, staff and community. Common features to consider include:
- Resiliency
- Family accommodations
- Flexibility of space
- Ease of expansion
Organizations should take time to consider the entire spectrum of possibilities and narrow down a list that will most benefit your organization. Keep in mind this work does not end when the vision is written down; it will resurface as cost estimates come in and roadblocks need to be worked through. Having a clear organizational vision that everyone is on board with will be extremely helpful as you overcome obstacles and challenges.
Conclusion
Devastating events like Hurricanes Irma and Harvey have a way of clarifying complicated issues - How do you protect and save life? Knowing what you want to get from your facilities is an invaluable step towards successful capital planning. Healthcare leaders and those engaged in new facility projects should take time to ensure the project vision is clear and at the forefront of each team member’s mind. Once project priorities are developed and clearly communicated,the better your chance of team member engagement ultimately leading to a successfully completed project.
Related Stories
| Jan 31, 2011
CISCA releases White Paper on Acoustics in Healthcare Environments
The Ceilings & Interior Systems Construction Association (CISCA) has released an extensive white paper “Acoustics in Healthcare Environments” for architects, interior designers, and other design professionals who work to improve healthcare settings for all users. This white paper serves as a comprehensive introduction to the acoustical issues commonly confronted on healthcare projects and howbest to address those.
| Jan 27, 2011
Perkins Eastman's report on senior housing signals a changing market
Top international design and architecture firm Perkins Eastman is pleased to announce that the Perkins Eastman Research Collaborative recently completed the “Design for Aging Review 10 Insights and Innovations: The State of Senior Housing” study for the American Institute of Architects (AIA). The results of the comprehensive study reflect the changing demands and emerging concepts that are re-shaping today’s senior living industry.
| Jan 21, 2011
Harlem facility combines social services with retail, office space
Harlem is one of the first neighborhoods in New York City to combine retail with assisted living. The six-story, 50,000-sf building provides assisted living for residents with disabilities and a nonprofit group offering services to minority groups, plus retail and office space.
| Jan 21, 2011
Research center built for interdisciplinary cooperation
The Jan and Dan Duncan Neurological Research Institute at Texas Children’s Hospital, in Houston, the first basic research institute for childhood neurological diseases, is a 13-story twisting tower in the center of the hospital campus.
| Jan 19, 2011
Biomedical research center in Texas to foster scientific collaboration
The new Health and Biomedical Sciences Center at the University of Houston will facilitate interaction between scientists in a 167,000-sf, six-story research facility. The center will bring together researchers from many of the school’s departments to collaborate on interdisciplinary projects. The facility also will feature an ambulatory surgery center for the College of Optometry, the first of its kind for an optometry school. Boston-based firms Shepley Bulfinch and Bailey Architects designed the project.
| Jan 19, 2011
New Fort Hood hospital will replace aging medical center
The Army Corps of Engineers selected London-based Balfour Beatty and St. Louis-based McCarthy to provide design-build services for the Fort Hood Replacement Hospital in Texas, a $503 million, 944,000-sf complex partially funded by the American Recovery and Reinvestment Act. The firm plans to use BIM for the project, which will include outpatient clinics, an ambulance garage, a central utility plant, and three parking structures. Texas firms HKS Architects and Wingler & Sharp will participate as design partners. The project seeks LEED Gold.
| Jan 10, 2011
Michael J. Alter, president of The Alter Group: ‘There’s a significant pent-up demand for projects’
Michael J. Alter, president of The Alter Group, a national corporate real estate development firm headquartered in Skokie, Ill., on the growth of urban centers, project financing, and what clients are saying about sustainability.
| Dec 17, 2010
ARRA-funded Navy hospital aims for LEED Gold
The team of Clark/McCarthy, HKS Architects, and Wingler & Sharp are collaborating on the design of a new naval hospital at Camp Pendleton in Southern California. The $451 million project is the largest so far awarded by the U.S. Navy under the American Recovery and Reinvestment Act. The 500,000-sf, 67-bed hospital, to be located on a 70-acre site, will include facilities for emergency and primary care, specialty care clinics, surgery, and intensive care. The Building Team is targeting LEED Gold.
| Dec 17, 2010
Arizona outpatient cancer center to light a ‘lantern of hope’
Construction of the Banner MD Anderson Cancer Center in Gilbert, Ariz., is under way. Located on the Banner Gateway Medical Center campus near Phoenix, the three-story, 131,000-sf outpatient facility will house radiation oncology, outpatient imaging, multi-specialty clinics, infusion therapy, and various support services. Cannon Design incorporated a signature architectural feature called the “lantern of hope” for the $90 million facility.
| Oct 18, 2010
World’s first zero-carbon city on track in Abu Dhabi
Masdar City, the world’s only zero-carbon city, is on track to be built in Abu Dhabi, with completion expected as early as 2020. Foster + Partners developed the $22 billion city’s master plan, with Adrian Smith + Gordon Gill Architecture, Aedas, and Lava Architects designing buildings for the project’s first phase, which is on track to be ready for occupancy by 2015.
