PRESENTATIONVILLAGE OF RIDGEWOOD

10 March, 2014

Education

Master of Architecture, Syracuse University

Bachelor of Architecture, Drexel University

Registrations

Registered Architect: New Jersey, New York

LEED Accredited Professional

Professional Affiliations

American Institute of Architects (AIA)

The National Council of Architectural Registration Boards (NCARB)

The U.S. Green Building Council (USGBC)

JAMES D. MAY, AIA, LEED APManaging Principal, NE Regional Practice Leader

PERKINS+WILL HEALTHCARETransformative spaces that promote health and wellness

Perkins+Will named ‘Firm of the Year’ by Healthcare Design Magazine

AREAS OF EXPERTISE • Academic Medical Centers • Ambulatory Care + Outpatient • Cancer Centers • Children’s Hospitals • Community Hospitals • Critical Access Hospitals • Healthcare Planning + Strategies • Medical Education • Medical Office Buildings • Senior Living + Hospice

NOTABLE PROJECTS • Rush University Medical Center Chicago, Illinois • Kenya Women & Children’s Wellness Centre Nairobi, Kenya • Hospital Universitario San Vicente de Paul Rionegro, Medellín, Colombia • The Johns Hopkins Hospital Baltimore, Maryland

Relevant Experience

Memorial Sloan-Kettering

Inpatient Oncology Center

New York, New York

Mount Sinai

Neonatal Intensive Care Unit

New York, New York

Mount Sinai

Pediatric Intensive Care Unit

New York, New York

LEED-CI Gold

Long Island University

Pharmacology Lab

Brooklyn, New York

New York University

Men’s Health Center

New York, New York

Memorial Sloan-Kettering*

Cancer Center

Infill Infrastructure and

Associated Fit-Out Projects:

- Anatomic Pathology Laboratory

- Interventional Platform

- Pediatric Intensive Care Unit

- Pediatrics Day Hospital

- Mechanical Platform

- Decating and Support Areas

New York, New York

North Shore-LIJ Health System*

Southside Hospital Campus Renovation

Bayshore, New York

Montefiore Medical Center*

Weiler Lobby Reorganization and renovation

Montefiore Pain Management Project

Bronx, New York

North Shore-LIJ Health System*

Steven and Alexandria Cohen Children’s

Hospital of NY PICU

New Hyde Park, New York

North Shore-LIJ Health System*

West Wing Project at

North Shore University Hospital

Manhasset, New York

AtlantiCare - Atlantic City Medical Center*

George F. Lynn Harmony Pavilion

Atlantic CIty, New Jersey

North Shore-LIJ Health System*

Katz Women’s Hospital at North Shore

University Hospital

Manhasset, New York

JAMES D. MAY, AIA, LEED APManaging Principal, NE Regional Practice Leader

HISTORY OF HEALTHCARE

A timeline of change

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MID 1700’SAlmshouses

• 1000 beds+• Pennsylvania hospital of 1751 first to

treat medical conditions

Blockley Almshouse later became Penn Hospital

1751 Penn Hospital

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1800’SNineteenth Century Hospitals

• Hospitals serve socially marginal or poor• Middle class treated at home, even for

surgery• Mass General Hospital founded in 1811

1811 Mass General Hospital

1875 Gross Clinic surgery

1893 Emergency Ward at Penn Hospital

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EARLY1900’SHospitals serve paying middle class

• Shift to expensive modern hospitals of technology and science

• By 1925, hospitals functioned with x-rays, laboratories and aseptic surgery

• Competition created by paying public• 13 hospitals existed in major cities at

beginning of twentieth century

Early x-ray machine

1925 OR at Penn Hospital

1900’s Women’s Inpatient ward John’s Hopkins

1910 Newark City Hospital

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MID1900’SDemand surges

• 1947 Hill Burton Act provides funds for new & expanded hospitals

• NIH expands in 1950-1960’s• 1965 Medicare and Medicaid

established• Intensive Care Units become prevalent

1955 first ICU at Dartmouth

1950 Surgery Children’s Hospital Westmead

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1970’S – 1980’SComprehensive Care

• AHA lists 7,123 hospitals in 1970 • Community hospital bed capacity up

32.7% from 10 years prior• TB, Psych, and Long-term Care

declined• Community hospitals offer

comprehensive and new technologies such as open heart surgery & radioisotope procedures

1980’s South Shore Hospital Patient Room

1970’s Jefferson Davis Hospital Nursery

1970’s Surgery

1970’s St. John Hospital Building

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1990’S TO 2010Innovations

• Focus moves to outpatient services and ambulatory care centers

• Hospices and Nursing Homes created for chronically ill

• Focus on prevention instead of treatment w/ holistic medicine & coordination of care

• Rising costs force closures; focus on cost containment

Univ of Miami Wellness Center

Yawkey Center at Mass General

Johns Hopkins Hopsital

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NOW AND FUTUREChange

• Affordable Care Act• Telemedicine• Patient-centered Medical Homes:

physician as coach, providing holistic, 24 hr. access

• Consolidated patient information (finally)

• More…

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HEALTH CARE TRENDSImpact facility growth

1. Health care systems will continue to expand their continuum-of-care services within the communities they serve

2. Baby Boomers are aging with high expectations which require more intensive services offerings even in the local community hospitals

3. Health care overhaul = more patients with insurance showing up at the emergency room door.

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PATIENT ROOMSWards to semi-private rooms to private rooms

Mid 1900’sEarly 1900’s Now

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2010 FGI Guidelines for Design and Construction of Health Care Facilities

2.2-2.2 Medical/Surgical Nursing Unit 2.2-2.2.1 Reserved 2.2-2.2.2 Patient Room 2.2-2.2.2.1 Capacity (1) The maximum number of beds per room shall be one …

A P P E N D I X A2.2-2.2.2.2 (1) In new construction, single patient rooms should be at least 12 feet (3.66 meters) wide by 13 feet (3.96 meters) deep (or approximately 160 square feet, or 14.86 square meters) exclusive of toilet rooms, closets, lockers, wardrobes, alcoves, or vestibules. These spaces should accommodate comfortable furniture for family members (one or two) without blocking access of staff members to patients. Efforts should be made to provide the patient with some control of the room environment.

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OPERATING ROOMSIntro of Aseptic Surgery to Minimally Invasive Surgery to Hybrid Surgical Procedures

Mid 1900’sEarly 1900’s Now

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RADIOLOGYIntro of Radiology treatment to Modern Imaging Techniques to Hybrid Imaging Modalities

Mid 1900’sEarly 1900’s Now

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TECHNOLOGY OF TODAY AND THE NEAR FUTURE

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SUBTITLE

SITE COMPARISONS

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VALLEY HOSPITALRidgewood, NJ

451 Beds Currently (454 Proposed) on ±15 Acres

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BINGHAMTON GENERAL HOSPITALBinghamton, NY

500 Beds on ±10 Acres

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GENEVA GENERAL HOSPITALGeneva, NY

477 Beds on ±20 Acres

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ELLIS HOSPITALSchenectady, NY

432 Beds on ±14 Acres

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HUNTINGTON HOSPITALHuntington, NY

289 Beds on ±14 Acres

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LONG BEACH MEDICAL CENTERLong Beach, NY

344 Beds on ±5 Acres

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HOLY NAME MEDICAL CENTERTeaneck, NJ

311 Beds on ±16 Acres

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SAINT VINCENT'S MEDICAL CENTERBridgeport, CT

407 Beds on ±10 Acres

Saint Vincent's medical center

REGIONAL MAPHOSPITAL COMPARISONS

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CURRENT PLANNING STANDARDSRelative to a 450 Bed Hospital

1.35 M Total Square Feet

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PRESENTATIONVILLAGE OF RIDGEWOOD

10 March, 2014