项目信息
LEED 金级认证
地点:美国 纽约
规模:68,190 平方米
服务:建筑设计、环境健康设计、室内设计、总体规划、可持续发展设计
奖项:IIDA医疗设计大奖 – 癌症门诊中心
欧洲医疗设计奖 – 医疗设计类别
欧洲医疗设计奖 – 质量改进创新设计
工程新闻记录 (ENR) 纽约 – 最佳医疗项目奖
Chicago Athenaeum 美国建筑奖
建筑设计与施工 团队奖 – 银奖
加强医疗,培育社区
当纽约长老会医疗系统的领导者们着手在曼哈顿上东区建立一个门诊医疗中心时,首先提出了两个简单的问题:未来世界一流的医疗服务会是什么样子?我们如何即刻实现这个愿景?
问题的答案正是大卫 H. 科赫中心 —— 一个三合一的医疗设施,其灵活的设计可以支持医学和护理的发展进步。
HOK与纽约长老会医疗系统密切合作,为医疗中心赋予了一个新的城市环境。这座17层的建筑包含三个不同的医疗项目:门诊护理;亚历山德拉·科恩妇幼医院;以及与威尔康奈尔医学院共同运营的综合医疗与健康计划。
这是一个真正专为患者的康复而设计的环境,我们深信它代表着门诊护理的未来。
Steven J. Corwin博士
纽约长老会医疗系统总裁兼首席执行官
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提供综合性照护的城市庇护所
门诊护理中心占据大楼的底部11个楼层,在现代和舒缓的环境中提供门诊手术、内镜检查、介入性放射科、影像诊断、肿瘤放射治疗、输液、消化系统疾病治疗等。
整体的功能策划及设计优先考虑以患者和家人为中心的护理。玻璃封装的木屏风立面和透明的底层为社区呈现了明亮的面貌。私密的驾车落客点和宽敞的采光主大堂欢迎着从城市拥堵的交通中赶来的患者及其家人。
大堂空间的设计灵感来自酒店设计,包括舒适的客厅风格的休息区、醒目的艺术品和温暖质感的木制天花板。通过使用木材、石材和天然材料来体现舒适和轻松的感觉。醒目的接待台和清晰的导向牌有助于优化就诊动线并减少压力。
从大堂上升的引人注目的楼梯鼓励健康的运动。通过楼梯可以到达静音区、休息室和拥有提供餐厅品质的餐饮以及果汁和咖啡吧的夹层用餐区。位于三楼的员工会议中心可以俯视大堂和夹层,并设有可分隔使用的大型董事会议室、私人会议室和多功能培训空间。
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高层空间通过设计明亮且通风的空中大厅和通行空间关注并提高患者的舒适度。在临床楼层,带有封装木屏风的三层玻璃幕墙提供明亮的光线和视野,以便引导人们在空间中方便移动。
标准临床层手术区设有私人术前准备室/苏醒室,专供患者及陪护家属在就诊期间使用。这会减少患者的移动并让患者安心。在这些房间外设置分散的护理站,方便就近观察护理患者。
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许多医院把输液和放射肿瘤科室置于地下,但为患者提供城市景观和自然光的纽约长老会医院将其放置于四楼。
妇幼护理
亚历山德拉·科恩妇幼医院位于大楼的顶部六层,大堂设有单独的电梯厅,为孕妇与新生儿提供产前、分娩、产后的个性化护理。
医院的75间产前和产后病房由HOK和Ballinger合作设计,让每位患者都有自己的房间。这样可以保护隐私、有助于家庭成员关系并提高患者舒适度。
拥有60个床位的新生儿重症监护室(NICU)同样设有私人病房。四级NICU为新生儿提供最高水平的重症监护,是纽约市第一个拥有专用MRI和手术室的NICU。
母亲空间提供精心安排的就医体验,旨在为妈妈、新生儿和家属提供一个舒适安逸的分娩过程。自然光充满病房和走廊,偏离中心的天花板照明创造了视觉趣味,并使环境不那么冷冰冰。
病房室内借鉴酒店设计元素,如床头阅读灯、迷你冰箱、带照明的浴室镜子和温馨的家具,让患者与陪护家属感到舒适。
柔和的色调与简洁的材料营造出视觉上舒缓的空间。生动活泼的艺术品吸引人们的目光。艺术品顾问Salon 94为项目精心挑选了女性艺术家的作品。
私人家庭餐厅设有大型石顶桌,并使用石材餐具柜、浅色木材、色彩缤纷的艺术品和带纹理的墙纸。长椅提供了一个可以为新生儿拍照的空间,以便家人们能够在社交网络平台上分享照片。餐桌上活泼的雕塑灯既实用又增添了热情好客的感觉。
全面的治疗
纽约长老会医院的综合医疗与健康计划为患者的身心和精神提供个性化、全面的护理。该计划通过给患者提供每天都可以使用的自我保健和康复方法来帮助患者生活得更加健康。
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位于三楼的健康中心拥有独立的临街入口,并设有冥想花园、资源图书馆、集体健身室和营养站。访客抵达的瞬间就会感到一种温暖而温馨的感觉。引导式曲面、舒适的座位区、柔和的间接照明和壁灯都鼓励人们积极关注自己的健康并在将来再次访问。
设计关注自然对康复过程的影响,提供融合了医疗、酒店和健康空间的设计。为提供使人平静的感觉,设计采用了包括天然材料、绿色植物、生动的艺术品和从自然中吸取灵感的触觉元素等设计元素。木制家具和细节让人想起森林浴 ——一种日本的预防保健和疗愈方法。
灵活性和气候适应力
大卫 H. 科赫中心的设计需要高度的灵活性以增添新的功能和增强气候适应力来应对气候变化。
当2012年初开始设计时,纽约长老会医院计划使门诊护理中心占据11楼层的大部分,但顶部六层将保持空置。这需要团队的精心规划,因为未来的施工不能影响到医院其他楼层的运营。
设计进行了几个月后,飓风桑迪给纽约市带来了灾难性的洪水和停电。纽约长老会医院要求设计团队创建一个能够抵御未来自然和人为紧急情况的医院。
维持建筑正常运作必不可少的建筑系统位于较高楼层,以保护它们免受气候变化而导致的洪水的影响。加固的备用系统提供更强的抵御灾害的气候适应力,以确保在城市电网出现故障时也能持续四天的运营。
升高机械系统创造了一个缓冲区,可以在上层施工期间最大限度地减少噪音。
在施工期间,纽约长老会医院决定将大楼的顶部六层用于亚历山德拉·科恩妇幼医院,并将三楼的一部分用于综合医疗与健康计划。HOK提供了所需的功能策划,以在不干扰患者或医院运营的情况下进行预留空间的施工。
内外皆健康
该建筑的可持续和弹性化设计特点包括绿色屋顶、高性能外墙和高效机械系统,专为在灾害天气和城市电力中断期间连续运行而设计。
设计团队专注于影响患者体验和员工工作效率的关键因素,以促进健康。这包括舒适和合适的声学设计;为提高使用者的舒适度和灵活性而精心设计的照明和灯光控制系统;低排放材料和污染源控制;以及热舒适度检验。
大卫H·科赫中心是纽约市第一个获得绿色认证的医疗项目,也是纽约州在更为严格的LEED医疗评级体系下获得金级认证的第一个项目。
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NewYork-Presbyterian David H. Koch Center
Project Facts
LEED Gold
Location: New York, New York
Size: 734,000 sq. ft. / 68,190 sq. m.
Services: Architecture, Health + Well-Being, Interiors, Planning + Urban Design, Sustainable Design
Awards:
IIDA Healthcare Design Awards – Ambulatory Cancer Center
European Healthcare Design Awards – Healthcare Design
European Healthcare Design Awards – Design Innovation for Quality Improvement
ENR New York – Best Healthcare Project
Chicago Athenaeum American Architecture Award
BD+C Team Award – Silver
Strengthening Healthcare, Fostering Community
When NewYork-Presbyterian’s leaders set out to develop an ambulatory care center on Manhattan’s Upper East Side, they started with two simple questions: What will world-class healthcare look like in the future? How can we begin to make that vision a reality today?
The result is the David H. Koch Center, a three-in-one facility designed with the flexibility to support advancements in medicine and patient care.
HOK worked closely with NYP to create a new urban context for the medical center. The 17-story building houses three distinct programs: ambulatory care; the Alexandra Cohen Hospital for Women and Newborns; and the Integrative Health and Wellbeing program operated in collaboration with Weill Cornell Medicine.
This is truly an environment that was designed for healing, and we believe it represents the future of ambulatory care.
Dr. Steven J. Corwin
President and CEO of NewYork-Presbyterian
An Urban Sanctuary for
Integrated Care
Occupying the first 11 floors of the building, the ambulatory care center offers outpatient surgery, endoscopy, interventional radiology, diagnostic imaging, radiation oncology, infusion, digestive disease treatments and more in a contemporary and soothing environment.
The holistic programming and design prioritized patient and family-centered care. With its glass-encapsulated, wood screen facade and transparent lower floors, the building presents a bright face to the community. A private drive-through drop-off and a generous daylit main lobby welcome patients and their families from the congestion of the city.
The hospitality-inspired lobby space includes comfortable living room-styled seating areas, bold artwork and a warm wood ceiling. Wood, stone and natural materials evoke comfort and ease. A prominent reception desk and clear wayfinding facilitate an intuitive journey that minimizes stress.
A dramatic stair ascending from the lobby encourages healthy movement and leads to quiet zones, lounges and a mezzanine dining area with restaurant-quality offerings and a juice and coffee bar. A staff conference center on the third floor overlooks the lobby and mezzanine and features a large divisible board room, intimate conference rooms and a multipurpose training space.
Upper levels continue the focus on patient comfort with bright, airy sky lobbies and circulation areas. On the clinical floors, a triple-glazed facade with encapsulated wood screens provides light and views that orient people as they move through the space.
A typical clinical floor procedure area features private prep/recovery rooms dedicated to the patient and family for the duration of their visit. This reduces patient movement and provides peace of mind. Locating decentralized caregiver stations outside these rooms bring care closer to the patient.
Many hospitals place infusion and radiation oncology services below grade. Here they are on the fourth floor, where they offer patients access to windows with city views and restorative natural light.
Maternal and Newborn Care
Located on the top six floors of the building with a separate elevator corridor in the lobby, the Alexandra Cohen Hospital for Women and Newborns provides individualized care to pregnant women and their newborn babies before, during and after childbirth.
Designed as a collaboration between HOK and Ballinger, the hospital’s 75 antepartum and postpartum rooms allow each patient to have her own room, promoting privacy, family bonding and comfort.
The 60-bed neonatal intensive care unit (NICU) also features private rooms. The Level IV NICU offers the highest level of critical care for newborns and is the first in New York City to have a dedicated MRI and operating room.
Spaces for mothers offer a choreographed experience designed to comfort mom, baby and family throughout the birthing process. Natural light fills patient rooms and corridors. Off-center ceiling lighting creates visual interest and makes the environment feel less clinical.
Patient rooms adorned with hospitality elements such as bedside reading lights, mini fridges, illuminated bathroom mirrors and soft furnishings help families feel comfortable.
A muted color palette creates a visually calm space complemented by simple materials. The colorful art becomes the point of interest. Consultant Salon 94 selected works exclusively by women artists.
A private family dining room has a large stone-top table that anchors the room, which also features a stone sideboard, light wood textures, colorful art and textured wallcovering. A banquette provides a space to capture an Instagram moment with the new baby. A dramatic sculptural light over the dining table is functional while adding to the hospitality feel.
Holistic Treatment
NYP’s Integrative Health and Wellbeing program provides personalized, comprehensive care for mind, body and spirit. The program helps patients lead healthier lives by offering self-care and self-healing tools they can use every day.
Located on the third floor with its own street entrance, the center features a meditation garden, resource library, group exercise room and nourishment station. From the moment a visitor arrives, the environment feels warm and welcoming. Curved surfaces that guide movement, comfortable seating areas, soft indirect lighting and wall sconces all entice people to be proactive about their health and return in the future.
The design celebrates the influence of nature on the healing process, embracing a fusion of healthcare, hospitality and wellness spaces. Calming design elements include natural materials, greenery, vivid artwork and nature-inspired tactile elements. Wood furnishings and details call to mind forest bathing, a Japanese method of preventive healthcare and healing.
A Story of Flexibility and Resilience
The design of the David H. Koch Center required flexibility to add new programming and resilience to respond to climate change.
When design began in early 2012, NYP know that ambulatory care would occupy most of the first 11 stories. The top six floors would remain vacant shell space, this required the team to meticulously plan for the unknown with the understanding that future construction could not interrupt hospitals operations.
A few months into design, Hurricane Sandy brought catastrophic flooding and power outage to New York City. NYP challenged the design team to create a hospital that could withstand new types of natural and human-caused emergencies.
Critical building systems essential to maintaining building operations are located on upper floors to protect them from flooding associated with climate change. Reinforced back-up systems offer additional resilience, ensuring the building can support four days of operations if the city grid goes down.
Elevating the mechanical systems created a buffer that minimized noise during construction of the upper floors.
During construction, NYP committed the building’s top six floors to the Alexandra Cohen Women and Children’s Hospital and a portion of the third floor to the Integrative Health and Wellbeing program. HOK led the planning required to enable the fit-out of the shelled spaces without disrupting patients or building operations.
Healthy Inside and Out
The building’s sustainable and resilient design features include a green roof, high-performance facade and a high-efficiency mechanical system designed for continuous operations during extreme weather events and city power disruptions.
To promote health and well-being, the team focused on critical elements affecting the patient experience and staff productivity. This includes comfortable and appropriate acoustic design; highly curated lighting and controls for occupant comfort and flexibility; low-emitting materials and pollutant source control; and thermal comfort verification.
The modular, open-office floor plan includes a series of centrally located work cafes and meeting nodes.
资料来源、版权所有:HOK设计