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
| Sep 13, 2010
World's busiest land port also to be its greenest
A larger, more efficient, and supergreen border crossing facility is planned for the San Ysidro (Calif.) Port of Entry to better handle the more than 100,000 people who cross the U.S.-Mexico border there each day.
| Sep 13, 2010
Triple-LEED for Engineering Firm's HQ
With more than 250 LEED projects in the works, Enermodal Engineering is Canada's most prolific green building consulting firm. In 2007, with the firm outgrowing its home office in Kitchener, Ont., the decision was made go all out with a new green building. The goal: triple Platinum for New Construction, Commercial Interiors, and Existing Buildings: O&M.
| Sep 13, 2010
Stadium Scores Big with Cowboys' Fans
Jerry Jones, controversial billionaire owner of the Dallas Cowboys, wanted the team's new stadium in Arlington, Texas, to really amp up the fan experience. The organization spent $1.2 billion building a massive three-million-sf arena that seats 80,000 (with room for another 20,000) and has more than 300 private suites, some at field level-a first for an NFL stadium.
| Sep 13, 2010
'A Model for the Entire Industry'
How a university and its Building Team forged a relationship with 'the toughest building authority in the country' to bring a replacement hospital in early and under budget.
| Sep 13, 2010
Committed to the Core
How a forward-looking city government, a growth-minded university, a developer with vision, and a determined Building Team are breathing life into downtown Phoenix.
| Sep 13, 2010
Conquering a Mountain of Construction Challenges
Brutal winter weather, shortages of materials, escalating costs, occasional visits from the local bear population-all these were joys this Building Team experienced working a new resort high up in the Sierra Nevada.
| Sep 13, 2010
Data Centers Keeping Energy, Security in Check
Power consumption for data centers doubled from 2000 and 2006, and it is anticipated to double again by 2011, making these mission-critical facilities the nation's largest commercial user of electric power. With major technology companies investing heavily in new data centers, it's no wonder Building Teams see these mission-critical facilities as a golden opportunity, and why they are working hard to keep energy costs at data centers in check.
| Sep 13, 2010
3D Prototyping Goes Low-cost
Today’s less costly 3D color printers are attracting the attention of AEC firms looking to rapidly prototype designs and communicate design intent to clients.
| Aug 11, 2010
Cubellis principals reorganize as CI design
Former principals of Cubellis Inc. have formed ci design "with a stellar group of projects in the United States and internationally," states John Larsen who, with Richard Rankin and Christopher Ladd, is leading the architecture and planning firm.
| Aug 11, 2010
Leo A Daly changes name of STH, completes acquisition
LEO A DALY has changed the name of STH Architectural Group to the name of its parent company, Leo A Daly. STH was acquired in February 2009 as a strategic move to accelerate growth in its core business sectors and to strengthen the firm's presence in the Florida market.
