Extreme MAKEOVER. Engineering, Facilities and. Construction Track: Real Estate Realities. Adrian Hagerty, Vice President, Array Architects

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1 Engineering, Facilities and Construction Track: Real Estate Realities Extreme MAKEOVER HEALTHCARE EDITION Adrian Hagerty, Vice President, Array Architects

2 LEARNING OBJECTIVES 1. Learn how adaptive reuse can be a successful option for healthcare, and can be deployed at a variety of scales to make high-quality care more convenient and accessible to the community. 2. Describe the technical challenges of converting a building designed for an unrelated purpose to accommodate healthcare delivery and technology. 3. Explore the healthcare planning approaches used to support operational efficiency while providing for a welcoming, positive and healing experience. 4. Identify cost and time savings associated with adaptive reuse. 5. Learn about an interactive facility evaluation technique that can enhance the site selection process when considering adaptive reuse of facilities.

3 QUICK POLLING QUESTION How far did you travel the last time you needed to visit a health care facility for you or your family? A. 0-5 miles B miles C miles D. Over 20 miles

4 HEALTHCARE Advantages DELIVERY TRENDS

5 HEALTHCARE DELIVERY TRENDS

6 HEALTHCARE Advantages DELIVERY TRENDS Source: 2015 Health Catalyst

7 HEALTHCARE DELIVERY TRENDS

8 ADAPTIVE REUSE A VIABLE OPTION

9 ADAPTIVE REUSE CONSIDERATIONS

10 ADAPTIVE REUSE CONSIDERATIONS

11 ADAPTIVE REUSE CONSIDERATIONS

12 Considerations ADAPTIVE REUSE CONSIDERATIONS

13 Considerations ADAPTIVE REUSE CONSIDERATIONS Entrance / Access Elevators Life Safety Emergency Power HVAC Plumbing

14 ADAPTIVE REUSE CONSIDERATIONS

15 ADAPTIVE REUSE CONSIDERATIONS

16 ADAPTIVE REUSE CONSIDERATIONS

17 ADAPTIVE REUSE CONSIDERATIONS Considerations

18 ADAPTIVE REUSE CONSIDERATIONS LEAN DESIGN

19 ADAPTIVE REUSE CONSIDERATIONS New Construction Adaptive Reuse

20 CASE STUDIES

21 CASE STUDIES Baltimore Medical Center Before After

22 CASE STUDIES Baltimore Medical Center Before After

23 CASE STUDIES Baltimore Medical Center Before After

24 CASE STUDIES Baltimore Medical Center Before After

25 CASE STUDIES Manhattan Medical Center

26 CASE STUDIES Manhattan Medical Center

27 CASE STUDIES Manhattan Medical Center Before After

28 CASE STUDIES Maryland Medical Center Before After

29 CASE STUDIES Maryland Medical Center Mechanical 6 Surgery Clinic Head / Neck Clinic Urology Clinic Sterile Processing Ambulatory Surgery 5 Pediatrics OB / GYN Admin Conf. Primary Care 4 Physical Therapy Vision Services Future Expansion 3 Hematology / Oncology Specialty Clinic Pain Medicine Neuro Allergy / Dermatology 2 Orthopedics / Podiatry Nuclear Medicine Cardiology Pulm-onary Urgent Care / CDU 1 Support Member Services Laboratory Pharmacy Diagnostic Imaging

30 CASE Case Study STUDIES Maryland Medical Center

31 CASE STUDIES Maryland Medical Center Before After

32 CASE STUDIES Maryland Medical Center Before After Lab Pharmacy Support Imaging

33 CASE STUDIES Virginia Medical Center Before After

34 CASE Case Study STUDIES Virginia Medical Center Mechanical LL Support Nuclear Medicine Administration OB / GYN Surgery Clinic Vision Services Pulmonary Diagnostic Imaging Ambulatory Surgery Head / Neck Clinic Conference Cardiology Ortho / Podiatry Urology Clinic Primary Care Hematology / Oncology Physical Therapy Member Laboratory Pharmacy Services Urgent Care / CDU SPD / Support Pediatrics

35 Case Study VIRGINIA MEDICAL CENTER (VMC) INTERIOR

36 ANALYTICS Analytics The All Important Facility Evaluation

37 ANALYTICS Analytics The All Important Facility Evaluation CREATING AN EFFECTIVE TOOL TO ANALYZE DATA 1/28/

38 ANALYTICS Analytics The All Important Facility Evaluation

39 Questions?

40

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