Owner: Access Community Health Centers
The 22,500 square foot facility includes maternal and prenatal care services, pediatric care, adult and chronic care, dental care, behavioral health services, pharmacy and patient resource services.
Given the available land and related zoning ordinances and development requirements, it was necessary to stack the desired program on two floors. Storm water management requirements had to be balanced with the parking requirements. Urban design guidelines required the building to address the street, which created priorities with how these various requirements would overlay on the building and site design. It also was necessary to accommodate the arrival and departure of patients via the public transportation system, which added “program” and “building” space to the landscape, and its interaction with the streetscape.
The Patient Centered Medical Home Model provided principles for the planning and design response, centered on the integrated care team for primary and specialty care. Because this program has the highest volume of patient visits on a daily basis, these exam and consultation spaces were organized on the first floor. Daylighting and views in the integrated care team space also allowed the exam and consultation rooms to be organized internal to the floor plate, promoting easy wayfinding for patients and an efficient operational process and flow.
Conversely, the dental care spaces were placed on the second floor with the dental treatment spaces organized around the perimeter of the floor plate as evidence based research indicates daylighting and views for dental treatment spaces does significantly reduce patient stress and increases positive perceptions of their encounter.
Photos: William Fritsch & Loren Zemlicka