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GREENSBORO, GA
ST MARY’S GOOD SAMARITAN HOSPITAL
ENTRANCE PHOTOGRAPHER Scott Wang @ Scott Wang Photography Inc.
INTRODUCTION
The St. Mary’s Good Samaritan Hospital, part of St.
Mary’s Health Care System, is a Regional Health Ministry
in Catholic Health East Trinity Health. As a not-for-profit
healthcare system, St. Mary’s Health Care System is
committed not only to their patients, but also to the
communities they serve.
HISTORY OF GREENE COUNTY HEALTHCARE
St. Mary’s Good Samaritan Hospital has a rich history
serving Greensboro, GA and the Greater Greene County
areas. Originally founded in 1949 as the Minnie G. Boswell
Memorial Hospital, it was the Nation’s first Hill-Burton
hospital. After a series of acquisitions over the past decade,
the facility eventually became part of St. Mary’s Health Care
System and the name was changed to St. Mary’s Good
Samaritan Hospital. Despite a few modifications to the
original facility, it has changed little over the course of its
64-year existence; however, the delivery of healthcare has
drastically changed in that time period. In 2012, St. Mary’s
Health Care System acquired a Certificate of Need and
began the process of planning a new hospital in order to
better serve the community.
The new hospital is intended to improve access to
services for the community and also improve the patient
experience. It is designed and structured to provide an
efficient layout that is “right-sized” for the community,
while at the same time, allowing flexibility for future growth
and expansion. The design is grounded on extensive
research establishing that elements such as natural lighting,
access to nature, and accommodations for emerging
technologies improve both patient and staff satisfaction.
WHY THE EA TEAM
Following a competitive request for proposals and
interview process, Earl Architects was selected to design
the new facility for several reasons:
• Our use of evidence-based design. Our Best Practice
Matrix focuses on many factors affecting facility
performance, patient satisfaction, sustainability, safety and
efficiency.
• Our proven track record. We have a solid reputation for
completing the planning and design process on time and
within budget.
• Our focus on optimization of facility performance. Our
recent projects have reduced annual operating expenses,
helping these facilities hold down costs and expand
services.
• Our excellence in comparable projects. In Coffee County,
for example, we were part of a design/build team that
delivered a new replacement hospital four months ahead of
schedule and with savings of $2 million.
DESIGN INTENT
IDENTIFYING THE NEEDS
The Earl Architects team began the design process by
integrating concepts of the Daylight Hospital, the Planetree
Hospital and the Lego Hospital into a single facility that
focuses on:
• Daylight and Health: to improve health outcomes,
provide positive experiences for patients, staff and visitors,
improve productivity and safety.
• Planetree and Health: to promote dignity and choice,
provide personalized care, involve the family in the healing
process, focus on non-institutional design and patient-
centered care, and the integration of art and meaningful
activities.
• Facility Growth and Health: to provide a clear plan for the
future, anticipate change and accommodate growth with
minor disruption, improve facility longevity, reduce life-
cycle costs, and increase patient safety.
THE SITE AND CONCEPTS
The 24-acre site for the new replacement hospital was
selected because of its strategic location near current
and future development in the community, and its
convenient access to State Route 44 and the Interstate.
The nearby Reynolds Plantation, the presence of Lake
Oconee, and the community’s desire to be an oasis of
relaxation, recreation and rejuvenation have influenced the
architectural concepts. Furthermore, the natural beauty
of the verdant hills that surround the site provide unique
views to nature and opportunities to access the outdoors.
During Design Development, the EA team developed four
separate concepts, each embodying a unique architectural
language, inspired by these natural qualities. All of these
characteristics were inspiration for the concept of a
“Modern Lodge.”
OPTION 1
OPTION 2
OPTION 3
OPTION 4
Lobby
Outpatient Rehabilitation
Administration
Emergency Department
Radiology
Lab
Facility Support
Food Service
Inpatient Care
Pharmacy
Surgery Department
Chapel
THE MODERN LODGE:
The Modern Lodge concept is exemplified best in the
design of the Lobby and Main Entrance to the hospital.
The use of wood, stone and metal are indicative of other
lodge facilities in the area. The decorative glass and
artwork are intended to evoke the Georgia pines and the
unique natural characteristics of the surrounding area.
The large windows and facility orientation are intended
to maximize natural light and views to nature, for which a
large portion of the site was left undisturbed in order to
support this objective.
The facility is intended to operate as a hospital and as a
community center, thus supporting the healthcare needs of
the sick and the well, of the individual and of the public at
large. The growing importance of health maintenance and
preventative medicine are supported by the inviting and
non-institutional atmosphere of the facility. Greensboro is
a relatively small town, therefore, various public spaces are
provided to encourage use of the facility in other ways, not
just by healthcare providers.
The hospital is divided into zones, to support clear way-
finding and to separate the public circulation paths from
staff, stretcher and service circulation. This front of house
/ back of house distribution of service and access further
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aids in the efficiency and deinstitutionalization of the
facility. Patient rooms have been located to maximize their
views of the surrounding woodlands, and the structure
has been put in place to provide an additional bed
unit if future growth demands expansion of the facility.
Additional considerations were also made for future
expansion capability in Radiology, Imaging, Surgery and
the Emergency Department.
12
Lobby
Outpatient Rehabilitation
Administration
Emergency Department
Radiology
Lab
Facility Support
Food Service
Inpatient Care
Pharmacy
Surgery Department
Chapel LEVEL 1
LEVEL 2
1
2
34
56
7
8
910
11
12
ABOVE/RIGHT: Groundbreaking ceremony held August 16, 2012
TOOLS WE USED
BUILDING INFORMATION MODELING
Despite a tight budget, Earl Architects worked with the
entire project development team to create architecture that
programmatically fit the needs of the facility’s users and the
community, without compromising design or functionality.
It is always our intent to achieve great design in a cost-
effective way.
The project development team was able to meet the
accelerated schedule dictated by the owner through the
use of Revit and other Building-Information-Modeling
software. By carefully managing the design process,
construction documents were completed within a
remarkable 4-month time period. By carefully managing
the construction process, the building was completed on
time and on budget. It is our goal to work closely and
cooperatively with the entire project team, because our
success is dependent on their success.
EARL ARCHITECTS’ BEST PRACTICE MATRIX
For planning the programmatic needs of the new
hospital, the team collaborated with the medical staff
and hospital administration to fully understand and
encompass the needs of the patients, family, visitors and
staff. Earl Architects also utilized an in-house tool called
the Healthcare Best Practice Matrix (BPM) that focuses
on 241 concepts related to utilization of operational
efficiencies, lean and sustainable factors that impact facility
performance and the project’s success. The BPM has been
designed to simplify and prioritize many of today’s leading
industry benchmarks of good design. By utilizing the matrix
throughout the programming, planning and design stages,
EA can easily identify and cross-reference these priorities
for a comprehensive design strategy that leads toward a
successful outcome.
LEVEL 1
MAIN LOBBY
The Lobby is intended for both hospital use and
community functions. The use of natural materials, such
as wood and stone, reflects the familiar characteristics of
the surrounding community. Specialty slab benches made
of natural walnut provide a place for pause, reflection and
respite at the Main Entrance, Chapel and at the Emergency
Room. The outdoor fountain at the hospital’s Main
Entrance is intended to support intuitive way-finding and
provide a positive distraction.
A Heritage Wall has been incorporated to reflect the
history and legacy of the Good Samaritan Hospital and
the impact it has had on the local community. Designated
areas have also been provided for religious artwork and
donor recognition.
Private, handicapped accessible, registration rooms are
provided for discrete patient exchange. Registration
stations are connected with those in the Emergency
Room to streamline communications and improve patient
experience, through-put and staff efficiency.
Front-of-house and back-of-house circulation has been
incorporated into the project. Staff, supplies and patient
transport can occur out of the Public Way, and there is also
a separation of the public elevators from the elevator for
staff, supplies and stretcher transport.
PHOTOGRAPHER LEFT: Scott Wang @ Scott Wang Photography Inc.
SERVERY AND DINING
The new Café boasts a modern-concept kitchen and a
spacious dining area that encourages patients, visitors
and staff to customize their dining experience. Both the
dining facilities and servery are intended for hospital and
community use. Banquette seating has been designed
with decorative glass intended to reflect the surrounding
woodlands. The dining room and outdoor terrace
provide seating with natural light and views to the natural
surroundings.
PHOTOGRAPHER RIGHT: Scott Wang @ Scott Wang Photography Inc.
EMERGENCY DEPARTMENT
All private treatment rooms are provided in the Emergency
Department, including: two rooms for major emergencies,
an Isolation Exam Room and a Secure Room for psych
patients. Triage is provided for initial evaluation and
throughput and a Fast-Track Area is provided for quick
turn-around of minor cases, in order to reduce wait times
and keep the main Emergency Department available
for more complex conditions. From the treatment areas,
direct access is provided to Radiology and the 64-Slice
CT Scanner. The department boasts first-class patient
monitoring for emergency care, contributing to a higher
quality of nursing care.
Separate entrances are provided for Ambulance and Walk-
In patients, in order to provide optimal patient care and
an ideal patient experience. Registration in the Emergency
Room is connected to the Lobby Registration stations in
order to streamline communications and improve patient
experience, staff efficiency and through-put.
An outdoor terrace is accessible from the Waiting Room
to provide family and visitors with a place to decompress
and find respite. The Helipad is located adjacent to the
Ambulance Entrance for immediate patient transfers.
PHOTOGRAPHER LEFT/ABOVE: Scott Wang @ Scott Wang Photography Inc.
RADIOLOGY & SUPPORT SERVICES
The Diagnostic Imaging Area has state-of-the-art equipment including:
a 64-slice computed tomography (CT) machine; digital radiography
and fluoroscopy (R&F) machine; digital radiography machine (R/T). The
facility supports outpatient cardiac diagnostics, including plans for a
nuclear medicine lab, leading to an increased local cardiology presence.
Adjacent access to the Emergency Department is provided to improve
patient care and diagnostics. Adjacent access is also provided to an
outdoor mobile imaging platform for MRIs.
A separate Imaging Area has been dedicated to Women’s Health
for private, discrete patient care with services including: digital
mammography, diagnostic ultrasound and bone densitometry. A private
Waiting Room has been designated for Women’s Imaging with views to
nature, specially designed inspirational art work and decorative glass.
Expanded facilities are intended to improve patient care and staff
support for comprehensive laboratory services, including: industrial
drug screening, hair specimen screens, basic and complete metabolic
profiles, chemistry, hematology, coagulation, blood banks, cardiac
profiles, HIV testing and microbiology. Separate areas are provided
for specimen collection and hospital deliveries in order to improve the
patient experience and staff efficiency. A Pneumatic Tube system has
been integrated for materials transport, with stations at key departments
throughout the facility, in order to increase efficiency and reduce costs.
PHOTOGRAPHER LEFT/ABOVE: Scott Wang @ Scott Wang Photography Inc.
LEVEL 2
MEZZANINE AND LOBBY
The design of the Lobby purposefully uses the region’s
natural materials to reinforce the Modern Lodge Concept.
The Mezzanine design supports the non-institutional
character of the facility by creating areas for positive
distractions, views to nature and intuitive way-finding.
Access is provided from the Mezzanine to the Surgery
Center, the Inpatient Bed Unit and the Chapel.
PHOTOGRAPHER LEFT: Scott Wang @ Scott Wang Photography Inc.
THE CHAPEL
The Chapel is located near Inpatient Care and the
Surgery Center for convenient access by patients, family,
caregivers and staff. The Chapel doors have been
designed, fabricated and donated to the hospital by Earl
Architects to reflect EA’s commitment to philanthropy in
the communities and hospitals we serve. The hospital
has commissioned a local monk, Father Methodius of
the Monastery of the Holy Spirit, to design and fabricate
stained glass artwork that will become the focal point of
the Chapel and include the 14 Stations of the Cross.
PHOTOGRAPHER ABOVE/RIGHT: Scott Wang @ Scott Wang Photography Inc.
SURGERY CENTER
The facility includes six Prep & Recovery Rooms and six
PACU (Post-Anesthesia Care Unit) recovery positions,
including one Isolation room. The Prep & Recovery
Rooms are all private in order to reduce the risk of HAIs
(hospital acquired infections), and improve patient
privacy and satisfaction; furthermore, surgery prep
and phase II recovery are intended to occur in the
same room to optimize space efficiency and provide a
consistent experience for the patients. Large windows
are provided for access to natural light and views to
nature in order to provide positive distractions. The
Nurse Work Areas and support services are co-located
for the Prep & Recovery Area and the PACU to maximize
PHOTOGRAPHER LEFT/ABOVE: Scott Wang @ Scott Wang Photography Inc.
access in minimal space, promote staff interaction to
reduce errors, improve staffing efficiency and optimize
patient visibility.
The facility includes three fully-outfitted surgical suites.
Advanced modern technologies are provided to attract
the finest surgeons in varying specialties and provide
optimal patient care. The facility includes a Minor
Procedure Room and an Endoscopy Procedure Room
with adjacent instrument processing and storage. The
expanded facilities are intended to improve patient care
and staff support for the following services: general
surgery, colonoscopy, endoscopy, orthopedic surgery,
eye surgery, podiatry, ENT, female surgical services,
urological procedures, plastic surgery, and pain blocks.
The Surgery Center Waiting Room overlooks the Lobby
and also has large windows with views to nature, all to
provide positive distractions and natural light for family
and visitors. Pre-Admission Testing is provided in space
adjacent to the Waiting Room to improve the patient
experience: all services come to the patient, rather than
forcing the patient to find the services throughout the
facility.
INPATIENT CARE
The facility has 25 all-private patient rooms, with many unique
characteristics. Eight patient rooms are handicapped accessible,
increasing the required capacity for ADA compliance, but also
improving care for patients with limited mobility. Four patient rooms
support higher-acuity patients, three of which include patient lifts;
these are located directly across from the Nurse Station. Two patient
rooms provide isolation to improve infection control and reduce
the transmittance of airborne infections. One patient room is larger
to support needs of bariatric patients and includes a patient lift for
patient and staff support and safety.
Within the rooms, large windows allow for access to natural light
and views to nature for positive distractions and to promote healing.
There are separate zones for staff, patient and family use to improve
efficiency and safety. Advanced telemetric patient monitoring and
enhanced IV systems contribute to a higher quality of nursing care
and best-in-class beds support optimum patient care and comfort.
Medical equipment items are integrated into the millwork in order
to provide a functional, organized and aesthetically pleasing
headwall and footwall for optimal patient care.
On the Unit, a Meditation Area is provided at the end of the North
Corridor to provide a place of respite, overlooking the adjacent
woodlands. An Administrative Suite is provided for greater access
by nursing administrative staff to their department. Furthermore,
in order to support the future needs of the facility, it has been
structured for future expansion of an additional 25 beds.
PHOTOGRAPHER LEFT/ABOVE: Scott Wang @ Scott Wang Photography Inc.
PHOTOGRAPHER RIGHT: Scott Wang @ Scott Wang Photography Inc.
OPTIMIZED PATIENT CARE
A Centralized Nurse Work Area is provided on the Inpatient Bed Unit to support the
needs of the patients in the facility. The character of this area is intended to carry out
the Modern Lodge concept, by incorporating natural materials and artwork; however,
it is also intended to provide the optimal work environment for the facility’s staff.
With good observation capability to the entire unit and adjacent support services, it
operates as the central point of control to monitor patients and visitors entering the
Unit.
POSITIVE DISTRACTIONS
Many characteristics of the Modern Lodge concept are
intended to provide positive distractions and promote a
non-institutional character. The use of wood and stone
are intended to reflect the natural surroundings. Special
Respite Areas are located throughout the facility in order
to provide views to the adjacent woodlands. For example,
the Meditation Area provided on the Inpatient Bed Unit is
intended to provide a place of respite for patients, family
and staff. The Specialty slab benches located at the Main
Entrance, Chapel and at the Emergency Room, made
of natural walnut, offer a place for pause, reflection and
respite.
PHOTOGRAPHER LEFT/ABOVE: Scott Wang @ Scott Wang Photography Inc.
GRAND OPENING
NOVEMBER 25, 2013
The Grand Opening to the new St. Mary’s Good Samaritan Hospital included a Blessing Ceremony, attended
by more than 300 invited guests, where the Most Rev. Wilton D. Gregory, Archbishop of the Diocese of
Atlanta blessed the new hospital and a Community Open House that welcomed over 1,000 visitors.
ENTRANCE PHOTOGRAPHER Scott Wang @ Scott Wang Photography Inc.
Earl Architects
301 N Main St. 17th Floor Greenville, SC 29601
www.earlarchitects.com