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Health, Healing & Wellness

ARRAY-ARCHITECTS.COM
Table of Contents

Firm Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04

Cleveland Clinic Indian River Hospital . . . . . . . . . . . . . . . . . 10

Tower Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Mount Sinai Health System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Emblem Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Nemours/Alfred I. duPont Hospital for Children . . . . . . . . 36

Montefiore Medical Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Inspira Health Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

University Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Firm Profile

We are a team of architects and designers with unique


backgrounds, but we all have one thing in common – we share
a strong desire to use our expertise and knowledge to design
solutions that will help people in moments that matter most.

We are not architects


who do healthcare.
We are healthcare architects.

Together, we discover optimal solutions with our clients. Our


four decades of specialization enables effective communication,
collaboration and precision in the complex, changing healthcare
market.
Left: University of Pennsylvania Health System

Bottom: Lancaster General Hospital

Below:Nemours Alfred I. duPont Hospital for Children

Far Right: Mount Sinai Health System

Photography: Jeffrey Totaro / Laura Morris


BROWSE Our Thoughts

Click on our Thought Leader above to


browse our website for Rehab-related
spaces.

To appropriately provide a continuum of care in a community, health and fitness options must be included.
As has been proven with amenity-rich fitness clubs and gyms across the country, incorporating a
convenient and full-service facility clustered together with other services where people work and play
will attract clientele. Amenities should reflect data-driven research on the surrounding communities and
complement other services provided to that demographic. Future demographic fluctuations should also
be taken into account so the facility is designed with the proper amount of flexibility to adapt to its future
members.

On-unit physical therapy, when designed with patient-centered care tenets, can include space to involve
family visits for both social and encouragement interactions. At Array, we strive to improve patient care
outcomes through innovative, explorative designs that keep patients and caregivers as a priority.
Patient Experience

Managing population health will


require ambulatory service expansion
across the nation. This is an exciting
time for all involved in healthcare
- from systems to providers, from
clinicians to designers.

Fady Barmada, AIA, LEED AP, Lean Six Sigma Green Belt
Principal & Practice Leader, Strategy Advisory Services
Cleveland Clinic
Indian River Hospital
Health & Wellness
Vero Beach, FL

In conjunction with Anchor Health Properties and


Cleveland Clinic Indian River Hospital, Array designed a
72,000 SF integrated medical home model health and
wellness campus. This phase features a multi-specialty
physician practice center with integrated diagnostics
and health education. The building shares a healing
garden with our recently completed cancer center and is
designed to allow provider synergy between the programs.

Built for optimal flexibility, a series of early process and


design prototyping work sessions with stakeholders
from each practice yielded a universal exam room for all
specialties and primary care. Using this universal room
in a standardized pod configuration allows Indian River
to flex the boundaries of each individual service line on a
moment’s notice without the need for renovation or cost.

The full project is designed to promote prevention,


education and healthy living in addition to providing
chronic disease management and interventions. The
project will feature cross discipline care coordination
and a unified patient experience while being a market
differentiator for Indian River.
Photography: Halkin Mason Photography
Cleveland Clinic
Indian River Hospital
Cancer Center
Vero Beach, FL

INTEGRATED CARE

With an integrated multi-specialty Health & Wellness Cen-


ter being designed by Array for the campus, Cleveland Clinic
Indian River Hospital selected the same design team to bring
a new Cancer Center to the community. An existing Radiation
Oncology pavilion dictated the location of the new Center at a
congested nexus of the campus. The new Scully-Welsh Can-
cer Center, affiliated with Duke University will bring state-of-
the-art, compassionate care to the Indian River community.

The Cancer Center will feature multi-modality clinics,


integrated treatment planning, infusion, radiation therapy,
resource and education programs and access to clinical
trials and research. In a bucolic setting within the Indian River
campus, a healing garden links the Cancer Center and Health
& Wellness Center and creates new, dedicated open space
on campus. The new Cancer Center will establish the Medical
Center’s brand for the expanded cancer program through
the design of both the patient experience and the building.
Together the Cancer Center and the Health & Wellness
Center form the new outpatient anchor of the campus.
Waiting Room
Photography: Halkin Mason Photography
Program Highlights:

• 20,000 SF centerpiece of campus

• 14,000 SF Radiation Oncology Renovation

• Reconfigured Loop Road to Improve Flow

• Accessible Healing Garden

Top Left: Floor Plan With Connection to


Existing Linear Accelerator Building
Collaborators: Left: Resource Library
Above: Infusion
Scott Allen Below: Waiting
TLC Engineering for Architecture Photography: Halkin Mason Photography
Tower Health
Plastic Surgery & Day Spa
Vero Beach, FL

INTEGRATED CARE

Array Architects was engaged by Tower Health Plastic Sur-


gery and Day Spa to provide design services for a state-of-
the-art destination for aesthetic and plastic surgery services.

The facility offers personalized treatment options in a natural


light-filled modern space offering the latest in both surgical
and non-surgical aesthetic and reconstruction services.

Care was taken to make sure the patient has a first-class re-
laxing experience from the time they enter the facility, to the
time they exit through a discrete private patient discharge
lounge. Exam spaces allow for patient comfort and privacy, as
well as specialty treatments and product display space. Cozy
“living rooms” for patient waiting before and during proce-
dures evoke a sense of hearth with textured stones, warm
wood, views to nature and a fireplace to allow patients to
experience full relaxation during their visit.
Reception
Photography: Halkin Mason Photography
Healing Environments

Environments have the power to


set our expectations, lift our spirits
and inspire hope. This is what
motivates me to create spaces that
mitigate the challenges faced by
all who enter a healthcare facility.

Patricia D. Malick, CHID, EDAC, Lean Green Belt


Principal and Practice Leader, Interior Design
Program Highlights:

• 10,000 SF Stand-Alone Building Renovation

• Separate Med Spa with two exam & two treatment


rooms

• Dermatology practice with seven exam and two


procedure rooms

• Provides both surgical and non-surgical aesthetic and


reconstruction services

Top Left: Floor Plan With Connection to


Existing Linear Accelerator Building
Left: Resource Library
Collaborators: Above: Infusion
Below: Waiting
Entech Engineering Photography: Halkin Mason Photography
Mount Sinai Health
System Health & Healing
New York, New York

The Mount Sinai Center for Health & Healing’s primary


focus is on wellness and offers an integrated, preventive
approach to medicine. Their clinic was recognized as one
of the first healthcare spaces in the US to incorporate
sustainable materials as well as Feng Shui principles.
Demand for The Center’s services drove the need to expand
their practice. Array designed an expansion plan which
doubled their practice space onto another floor of the same
building, allowing the original practice to operate during
design and construction.

Array recently completed the renovation of The Center


for Health and Healing incorporating design tenets based
in the Feng Shui design methodology in conjunction with
evidence-based design concepts. The new 10,000 SF
floor includes a gym with physical therapy services and
treatment rooms; reception and waiting areas; clinical
space with consultation and exam rooms; massage room;
and, support areas. Feng Shui findings were based on an
energy profile which consisted of an analysis of compass
orientation, astrological influences, building footprint and
floor plan analysis. Using these findings, space layout was
adjusted to promote harmony with nature, culture and
community.
Reception
Photography: Jeffrey Totaro
Using Feng Shui principles,
space layout was refined to
promote harmony and balance.

Mount Sinai Health


System Health & Healing
Feng Shui tenets:

• Enhanced healing potential throughout the floor was capitalized by adding


mineral quality crystals in wall cavities and ceilings requiring positive energies.
• Enhanced brand recognition and client loyalty by designing bold dramatic
graphics at entry of elevator lobby.
• Natural daylight brought into formerly dark areas.
• Enhanced income generation and business growth by incorporating red, orange
and green accents and special textured materials.

The project accomplished Continuum’s Health Partners’ Center for Health &
Healing’s goal to transform the quality of healthcare and its delivery toward a
more holistic model conscious of the role played by the environment in the healing
process. Demand for the Center’s services grows and is expected to increase as
healthcare in the United States continues to shift from one focused on illness and
reaction to one of wellness and prevention.

Kal

We

Linma

Top Left: Exam

Top

Botto

Bottom Right: Ph

Photography
36

Collaborators:

Alex Stark

llen & Lemelson

exler Associates

ar Construction

m Room Corridor

p Right: Waiting

om Left: Kitchen

hysical Therapy

y: Jeffrey Totaro
Emblem Health
Brooklyn, New York

A new 160,000 SF seven-story Medical Office Building with


elevated parking, is designed to provide outpatient medical
services at a bustling Brooklyn intersection. Serving the
community in this urban setting, the building was strategically
located near major mass transportation to attract patients to
the health system’s expanding services. The project is one of
the largest and newest buildings in the neighborhood and will
act as a catalyst for community growth.

Urgent Care and Imaging, which have high walk-in patient


volumes, were placed at the ground floor, setback and
surrounded in highly visible storefront, under a continuous
marquee, to help connect to the urban fabric. Vehicular traffic
is directed discretely off the street, up a ramp into three levels
of parking, cloaked in a back-lit veil of custom perforated soft
white metal panel. Physician practices are located on the
top three floors of the building with a draped in articulated
glass wall. The folding glass wall was parametrically designed
to respond to mitigate late afternoon solar gain, as well as
provide stunning views of the city from the waiting areas.
Collaborators:
Cauldwell Wingate
Cerami Asscoites
Cosentini
Dewberry
FNA Associates
HDLC
Metropolis
Reuther + Bowen
Thornton Tomasetti
Timothy Haahs
VD Associates

Top: Exterior
Bottom RIght: Infusion
Bottom Left: Waiting
Photography: Halkin|Mason
Creating Environments

We begin each project with the goal of


improving the healthcare experience
by aligning the voice of the customer
with a sustainable operational model.
The projects we have “on the boards”
are illustrations of the progression from
broad concepts to physical realities.

L. Kent Doss, AIA, LEED AP BD+C, Lean Six Sigma Black Belt
Principal and Regional Vice President, Mid-Atlantic Region
Rock Garden Entrance
Photography: Kevin Reeves
Healing Environments
CREATE A SANCTUARY

To create a sanctuary offering users quiet, outdoor space away


from in- and outpatient treatment areas is always a challenge.
Array understands that designing a therapeutic garden is a
cooperative effort, one that involves the entire design team
and key project stakeholders, frequently a donor or Family
Advisory Group.
The goal to all our healing gardens is to provide a place for
respite and relaxation, where you can spend time alone to
think, rest and regain emotional and physical energy.

Optimism…At the core of every design effort is our belief that the
physical environment has the power to nourish and uplift spirits A shared
recognition of, and respect for, the very personal effort and endurance University Hospitals
required to withstand the physical and psychological stresses of battling Healing Garden
a disease is what drives and inspires us. We are committed to finding
ways to evoke a sense of hope, strength and resilience. Inviting natural Far Left: Rock Sculpture

light deep into the building promotes a sense of calm and well-being. Above Left: Healing Garden Memorial

References to nature serve as an affirmation of life. Bottom Left: Walkway through Labyrinth

Above: Water Fountain


Serenity…Patients and families deeply appreciate environments which
Photography: Kevin Reeves
promote a sense of calm as a counterpoint to the chaos inherent in a
disease diagnosis. Simple, intuitive wayfinding is empowering. Colors Garden Design Credit:

Visionscapes Landscape Architecture


and textures which reference the beauty in our natural surroundings are
grounding.
It has been proven that
walking a labyrinth at
any age can lower a person’s
heart rate and blood pressure.

Evidence-based design studies clearly illustrate the benefits of


incorporating healing and wellness gardens into hospital design.
For thousands of years, people have walked labyrinths to find calm
and peace, and it has been proven that walking a labyrinth at any age
can lower a person’s heart rate and blood pressure.
Respite…Providing opportunities for patients to have a quiet moment
of reflection in a beautiful and dignified setting is powerful. During
visioning sessions, patients frequently share the positive impact of
having a place to garner strength, re-center and re-invigorate for
the battle ahead. It is in those quiet, meditative moments that they
are frequently able to re-connect and rally their inner resources.
Healing gardens have universal appeal. Families and caregivers are
also drawn to these sacred places as a source of strength and re-
commitment in times of doubt or fatigue.

Sensory…For patients who are out of balance and whose life


energies are weakened by illness, the environment can provide a
sense of order. Ambient conditions, such as temperature, air quality,
smells, sounds, physical comfort and light are the backdrop for every
patient experience. The layout of the physical space and the entire
design of the clinical environment must be congruent with what
the patient expects to find in that environment. Every patient will
respond to the physical environment in one or some combination of
three ways: physiologically, emotionally and cognitively. Recognizing
the impact of a patient’s vulnerability can and should inform the
simplicity or complexity in any given patient environment.

University Hospitals Healing Garden


Photography: Kevin Reeves
Interior Design

“I strive to create comfortable,


inspiring and supportive spaces for
patients, family and staff. Being WELL
AP certified pushes me to always
have healthy people and buildings at
the forefront of design.”

Clairanne Pesce, NCIDQ, WELL AP, LEED AP ID+C


Senior Interior Designer
Nemours / Alfred I.
duPont Hospital for
Children Multi-Specialty
Outpatient Center
Deptford, New Jersey

When this national children’s hospital decided to move


into a new market, they needed move quickly. As with all
ambulatory projects in today’s competitive environment,
being first to market with the right product at the right cost
is critical.

Patient and Family focused design in the context of


maximum efficiency is the hallmark of the final Ambulatory
project and was achieved through a rigorous process to
define target outcomes and then test solutions.

Current and Future State process mapping, Data


Collection, Visual Programming, Experience Mapping and
Continuous Stakeholder Engagement are cornerstone
tools used to ensure the right space was built at the right
size at the right time. With the rapid evolution of care and
reimbursement models and the uncertainty of the future,
a flexible and adaptable platform was created to be viable
today and tomorrow.
Waiting

Renderings: Array Architects


Nemours / Alfred I. duPont Hospital
for Children Multi-Disciplinary
Outpatient Center
Shifting the paradigm to create a new, integrated
multi-specialty outpatient center.
Array’s Process-led design approach rapidly defined and designed a new, fully integrated multi-specialty outpatient
center that features flexible provider clinics, physical therapy, diagnostic imaging, wellness, and ambulatory surgery.
Our approach, using Lean as a foundation, allowed Nemours to work through complex questions about integration,
resource deployment, and business/revenue implications while studying physical configurations and cost structures
to support them. All of this was achieved without sacrificing commitment to capital budget objectives as well as
schedule.

Patient and Family focused design in the context of maximum efficiency is the hallmark of the final project and
was achieved through a rigorous process to define target outcomes and then test solutions. Current and Future
State process mapping, Data Collection, Visual Programming, Experience Mapping, and Continuous Stakeholder
Engagement are cornerstone tools used to ensure Nemours built the right space at the right size at the right time.
Staffing efficiencies, provider load, throughput, and technology were integrated into the architecture process. With the
rapid evolution of care and reimbursement models and the uncertainty of the future, a flexible and adaptable platform
was created to be viable today and tomorrow.
Montefiore Medical Center selected Array to
consolidate ambulatory services from three campuses
and outpatient clinics into a new, state-of-the-art
Ambulatory Tower that would become the benchmark
for their expanding Ambulatory Care services.

Array provided planning and design services for a new


12-story Ambulatory Surgical Center on a site that
received prior zoning approval for a hotel. To avoid
obtaining a variance, which would result in significant
cost and delays, we could not alter the footprint and
setbacks.

Array developed a unique design solution


incorporating dedicated elevators for staff and
materials within the operating suites and support
areas. Although the 12 ORs and four procedure rooms
(sized to become additional ORs if needed) are split
between three floors, simulation modeling showed that
the dedicated elevators facilitated patient flow and
reduced room turnaround time.

Opposite: Exterior Canopy

Rendering: Array Architects


Montefiore Medical Center
Ambulatory Surgery Center
Bronx, NY
Clinical Transformation

The challenges you face are not


unique, but your solutions should be.
Through a partnership of Strategy
and Transformation we help you
achieve and sustain.

Oriana Beaudet, DPN, RN


Vice President, Transformation Services
Collaborators:
BR+A Engineers
Reuther + Bowen
Shen Milsom Wilke, LLC
Newman Design
Cauldwell Wingate
Jones Lang LaSalle

Top Left: Waiting Area

Middle: Prep/Recovery Bay

Right: Operating Suite

Bottom: Main Lobby & Waiting

Photography: Halkin MasonPhotography


Montefiore Medical Center
Ambulatory Care Center
Bronx, New York
Montefiore Medical Center
Ambulatory Care Center
Bronx, New York

Top Left: Elevator Lobby

Middle: Pre-Op / PACU

Bottom: Exam Room

Opposite: Team Center

Photography: Halkin Mason


Photography
Healthcare Planning

I actually go into every project


with the primary goal of building
less, and if we can avoid it,
building anything at all. It is my
responsibility to help our clients
think critically about each move.

Noah Tolson, AIA, LEED AP BD+C, Lean Green Belt


Principal and Practice Leader, Planning
In order to effectively and rapidly achieve the
system’s expansion goals, a collaborative, multi-
disciplinary, integrated team was assembled. After
thoroughly analyzing transformational options
ranging from sequential renovations of existing
facilities, to major additions, to new facilities – the
team quickly defined a roadmap for project success
and began tackling the most impactful opportunities
for improvement.

Among the critical factors identified for rapid study


were the need to right-size the building program
in order to avoid constructing superfluous square
footage as well as expediting the design and
construction schedules. An optimized program was
achieved by collocating departments such as the
ED, Observation Beds and Pre- and Post-Operative
Care Units which can flex as demand fluctuates.
A common planning grid was employed to ensure
flexibility between stacked patient units and other
program types while also achieving a compact and
patient-centered layout. Concurrent with these
program studies, the team analyzed local market
conditions to determine the optimal logistical,
system and material options that would result in a
cost-effective, sustainable and rapidly constructible
solution.
Inspira Health Network
Replacement Hospital
Mullica Hill, NJ

Collaborators:
Leach Wallace
Mitchell
O’Donnell & Naccarato
Skanska
SSR

Exterior Rendering: Array Architects


“ Array personnel was well versed in the issu
that healthcare faces in the delivery of patie

Click here
Left: Site Plan

Below: Emergency Department Entrance

to view our thought leadership Bottom: Inpatient Unit Reception


on Campus Redefinition Right: Welcome Center

Renderings: Array Architects

Inspira Health Network


Replacement Hospital
Mullica Hill, NJ
ues and problems
ent care.”

BROWSE Our Thoughts

Click on our Thought Leader above


to learn how Array designs to inspire
hope in our healing environments.

By embarking on a highly-collaborative structure from the outset, the integrated team was able to

identify methodologies that have resulted in a significant reduction in square footage from the original

benchmarked program as well as defining a schedule that will result in an operational facility within 33

months from the start of design.


One of just 12 freestanding cancer hospitals in the
nation designated as a Comprehensive Cancer
Center by the National Cancer Institute, the new,
120-bed, 10-story, 370,000 SF University Hospitals’
Seidman Cancer Center in Cleveland, Ohio, is
designed to support all aspects of the healing
process.

As part of a system-wide Facilities Master Plan,


University Hospitals engaged Array to provide
programming and planning services for a new
Cancer Hospital to centralize the various cancer
care components that were dispersed throughout
their 4-city block campus in downtown Cleveland.

Designed with clear exterior and interior circulation


paths, the building improves spatial orientation
for oncology patients under high levels of stress.
Care areas are organized to treat specific patient
populations. Well-conceived floor plans and
attention to detail in the clinical zones afford
efficient, optimal work environments for caregivers.
The facility incorporates space for clinical trials,
diagnostics, outpatient and inpatient treatment,
surgery, patient education programs, radiation
oncology, infusion therapy and teaching space.
University Hospitals
Seidman Cancer Center
Cleveland, OH

Collaborators:
Cannon Design
Gilbane Building Company
MCM Company

Lobby
Photography: Brad Feinknopf
“The abundance of natural light a
finishes were most impressive.”
Click here
Bottom Left: Family Suite

Bottom Right: Patient Room

to view our thought leadership Right: Infusion Bay


on Healing Environments Below: Nurse Station, Inpatient Floor

Photography: Kevin Reeves

University Hospitals
Seidman Cancer Center
Cleveland, Ohio
and selected

BROWSE Our Thoughts

Click on our Thought Leader above


to learn how Array designs to inspire
hope in our healing environments.

Translucency and luminosity are key design elements - the way daylight enters and is filtered deep within
the building contributes to a tranquil, healing environment designed specifically for cancer patients.

This attention to design detail is evident in a letter from a patient’s husband in which he explains,

“Recently my wife was a patient at Seidman Cancer Center. Our experience there,
although unpleasant by nature, was certainly enhanced by the environment your
firm has created. The attention to detail in everything from the patient rooms to
the waiting spaces most definitely has a positive role in the healing process. The
abundance of natural light and selected finishes were most impressive. Thank you for
your contribution helping all who enter feel a little better.”
Boca Raton / Boston / Columbus / New York City / Philadelphia / Washington

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