The model for healthcare delivery has changed dramatically over the past 25 years or so, in part by the realization that many surgeries, treatments, and procedures can be better accommodated through the advanced technology now available in highly regulated ambulatory care centers.
This can speed up the treatment and recovery process for patients and alleviate pressure on hospitals. Patients may be treated faster and more efficiently when these choices are made available to them. These outpatient facilities are becoming more specialized as well, from general urgent care clinics to specialized surgery centers and from geriatrics to pediatrics.
Similarly, the model for healthcare facility construction is also changing dramatically. Off-site construction is becoming widely recognized as a faster, safer, more efficient, and inherently greener way to build, and the resulting benefits to the healthcare market are countless.
Building off site doesn’t just pertain to ambulatory care centers. Medical offices, imaging clinics, hospital wings, and even hospitals are being designed and constructed today with permanent modular construction (PMC) technology. This industry also offers advanced building science technology and is highly regulated.
The entire module will be completed at the plant and delivered to the Greenbuild site in one transport load.
Building off site allows the building construction to occur in a controlled environment concurrently with the site development, resulting in improved quality management and a significantly reduced schedule. This means healthcare facilities can open up to 50% sooner and patients can get the specialized care they need in their community faster.
A Greener Way to Build
This alternative project delivery method is gaining momentum as an inherently greener way to build, from the quality of construction and excellent waste management programs at the plant, to the significantly reduced on-site activity. By shortening the schedule and building off site, the noise, pollutants, disruption, and disturbance to the surrounding community or to the hospital, staff, and patients are greatly minimized. Vehicular traffic is reduced due to fewer material deliveries and workforce travel to and from the project site, and safety and security are significantly improved.
Designing with permanent modular construction up front can enhance the effectiveness of the process, and can build in future flexibility of an ambulatory care center as treatment specialties or even demographics change. Additions can be built off site and delivered and installed quickly and efficiently. And in rare instances where a clinic may be no longer practical in a particular geographical location, by its process, modular construction methodology allows the deconstruction, relocation, and reconstruction so that one abandoned facility doesn’t have to remain empty while another is being constructed elsewhere. This is a great example of adaptability and reuse for a more sustainable built environment.
The Greenbuild ‘Pedia-Pod’
For specialized care, whether ambulatory centers or hospital wings, caring for the individual person and providing a suitable environment for him or her is important to the overall well-being of that patient. For this model, we have designed and constructed a pediatric treatment building module called Pedia-Pod that is “kid-friendly,” offering a unique and cheerful environment where a child can feel most comfortable.
Our display model is a 14x42-foot module showcasing a range of interior finishes, a specialized bathroom, treatment/recovery area, workstation for medical staff, and a waiting area for parents that doubles as a play area for children. The unit also displays some of the structural elements, the building envelope, interior and exterior finishes, doors and fenestration, as well as electrical and mechanical, to demonstrate how an entire clinic could be designed and finished. Modular facilities can be customized to suit the particular healthcare facility requirement.
The building has a high recycled content, with structural steel framing, steel deck, and steel stud infill.
The Pedia-Pod concept and its design principles can be applied to any type of healthcare facility, and it displays the high level of architectural detailing, quality, and sustainable design principles that permanent modular construction (PMC) can produce today.
Pedia-Pod Green Building Highlights
The building design, created using REVIT within the BIM platform, blends a welcoming environment with architectural form and medical function and integrates a number of design principles, practices, and products that could make the building worthy of a LEED BD+C Gold application. Materials were carefully chosen for their sustainable attributes, and will be showcased for attendees to see within the Pedia-Pod location.
Structural steel framing, steel deck, and steel stud infill give this durable building a very high recycled content. The building envelope contains closed-cell spray foam insulation with recycled content in the roof and floor, with Greenguard-certified sustainable insulation in the walls, a specialized weather/rain screen barrier, lightweight cement board subfloor, and mold- and moisture-resistant wall sheathing with 95% recycled content. It features a white roof membrane with an SRI index of 99. The exterior cladding is a beautiful architectural fibre cement panel containing FSC wood pulp and fly ash waste from landfills.
One unique interior drywall product actively removes VOCs from the air while the other is a noise-reducing board. Both are moisture and mold resistant. Interior paint is zero-VOC formula, and the floor finish is a long-lasting, slip-resistant product with recycled content requiring no harsh chemicals for cleaning. Millwork contains FSC-certified board.
The building also features high-performance windows, energy-efficient lighting and controls, and water-saving plumbing fixtures.
Modular Construction Process of the Pedia-Pod
Once the structural steel frame is completed in the NRB steel fabrication shop, it is moved to the production area where it will be completed with NRB’s skilled workforce and trades. Materials that are pre-ordered or free-issued for this building are safely stored in the warehouse, for use when needed. Materials that may be left over after construction are often re-inventoried for use in a future NRB project rather than recycled or sent to landfill, reducing waste.
The Pedia-Pod will be 100% completed at the plant, including all interior and exterior finishes, wiring, ductwork, plumbing fixtures, counters, and cabinets, and prepared for shipping. Only one transport load is needed for the complete building to the site.
The Pedia-Pod was designed and constructed by NRB (USA) in Ephrata, Pa., in collaboration with the editorial/business staff of Building Design+Construction. Sustainable products and systems were supplied by sponsoring building product manufacturers.
About NRB
NRB is dedicated to the advancement of permanent modular construction technology and green building practices. NRB is a vertically integrated company that offers building design assistance using BIM technology, off-site construction in a controlled environment, and on-site installation. NRB is headquartered in Grimsby, Ont., since 1979 with a U.S. facility in Ephrata, Pa., since 2003. For more information please visit www.nrb-inc.com.
Related Stories
Adaptive Reuse | Oct 22, 2024
Adaptive reuse project transforms 1840s-era mill building into rental housing
A recently opened multifamily property in Lawrence, Mass., is an adaptive reuse of an 1840s-era mill building. Stone Mill Lofts is one of the first all-electric mixed-income multifamily properties in Massachusetts. The all-electric building meets ambitious modern energy codes and stringent National Park Service historic preservation guidelines.
MFPRO+ News | Oct 22, 2024
Project financing tempers robust demand for multifamily housing
AEC Giants with multifamily practices report that the sector has been struggling over the past year, despite the high demand for housing, especially affordable products.
Performing Arts Centers | Oct 21, 2024
The New Jersey Performing Arts Center breaks ground on $336 million redevelopment of its 12-acre campus
In Newark, N.J., the New Jersey Performing Arts Center (NJPAC) has broken grown on the three-year, $336 million redevelopment of its 12-acre campus. The project will provide downtown Newark 350 mixed-income residential units, along with shops, restaurants, outdoor gathering spaces, and an education and community center with professional rehearsal spaces.
Office Buildings | Oct 21, 2024
3 surprises impacting the return to the office
This blog series exploring Gensler's Workplace Survey shows the top three surprises uncovered in the return to the office.
Healthcare Facilities | Oct 18, 2024
7 design lessons for future-proofing academic medical centers
HOK’s Paul Strohm and Scott Rawlings and Indiana University Health’s Jim Mladucky share strategies for planning and designing academic medical centers that remain impactful for generations to come.
Sports and Recreational Facilities | Oct 17, 2024
In the NIL era, colleges and universities are stepping up their sports facilities game
NIL policies have raised expectations among student-athletes about the quality of sports training and performing facilities, in ways that present new opportunities for AEC firms.
Codes and Standards | Oct 17, 2024
Austin, Texas, adopts AI-driven building permit software
After a successful pilot program, Austin has adopted AI-driven building permit software to speed up the building permitting process.
Resiliency | Oct 17, 2024
U.S. is reducing floodplain development in most areas
The perception that the U.S. has not been able to curb development in flood-prone areas is mostly inaccurate, according to new research from climate adaptation experts. A national survey of floodplain development between 2001 and 2019 found that fewer structures were built in floodplains than might be expected if cities were building at random.
Seismic Design | Oct 17, 2024
Calif. governor signs limited extension to hospital seismic retrofit mandate
Some California hospitals will have three additional years to comply with the state’s seismic retrofit mandate, after Gov. Gavin Newsom signed a bill extending the 2030 deadline.
MFPRO+ News | Oct 16, 2024
One-third of young adults say hurricanes like Helene and Milton will impact where they choose to live
Nearly one-third of U.S. residents between 18 and 34 years old say they are reconsidering where they want to move after seeing the damage wrought by Hurricane Helene, according to a Redfin report. About 15% of those over age 35 echoed their younger cohort’s sentiment.
