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ICONIC DESIGN +
CLINICAL EXCELLENCE
You can have both
PROGRAMMING, PLANNING, AND DESIGN
ICONIC DESIGN +
CLINICAL EXCELLENCE
You can have both
PROGRAMMING, PLANNING, AND DESIGN
PPRESENTERS:
Louis Meilink, Jr., AIA, ACHA, ACHE
Principal, Ballinger
Dr. Randall Oyer, MD
Medical Director, Oncology Program,
Lancaster General Health
Christina Grimes, AIA, LEED AP BD+C, EDAC
Senior Associate, Healthcare Planner, Ballinger
Amy Floresta, AIA, LEED AP
Senior Associate, Project Manager, Ballinger
EVALUATE DESIGN DECISIONS AFTER
ONE YEAR OF OCCUPANCY.
DESCRIBE THE IMPACT OF PATIENT
CHOICE AND ENVIRONMENTAL CONTROL
ON PATIENT SATISFACTION.
IDENTIFY HOW NEW OPERATIONAL
MODELS IMPACT STAFF COMMUNICATION
AND COLLABORATION.
ASSESS THE EFFECTIVENESS OF
ON-STAGE AND OFF-STAGE
CIRCULATION.
PROVIDE AN EXTRAORDINARY
EXPERIENCE EVERY TIME
VVISION
TO REDUCE THE BURDEN OF
SUFFERING DUE TO CANCER IN
THE COMMUNITIES WE SERVE
MMISSION
THE EXPERIENCE BEGINS…
PHILADELPHIA
NEW YORK
LANCASTER, PA
LANCASTER GENERAL HEALTH
PENN MEDICINE HEALTH SYSTEM
102,700 TOTAL SF
86,700 SF new
16,000 SF renovation $37M CONSTRUCTION COST
$46M PROJECT COST
54%DONOR FUNDED
TTREATMENT
DIAGNOSIS
MMULTIDISCIPLINARY CLINIC
5 NEIGHBORHOODS
38 EXAM
1 PROCEDURE
9 CONSULT
5 TEAM ROOMS
6 PHLEBOTOMY
IINFUSION THERAPY
4 NEIGHBORHOODS
24 BAYS
7 PRIVATE ROOMS
2 FAMILY LOUNGES
RADIATION ONCOLOGY
4 EXAM + 1 HOLDING AREA
6 RADIATION TREATMENT
MODALITIES INCLUDING
CYBERKNIFE
2 TEAM ROOMS
HEALTHCARE DESIGN AWARD
AAIA/AAH · 2014
HONORABLE MENTION
Healthcare Design Architectural Showcase · 2014
EXCELLENCE AWARD
IIDA, Philadelphia Chapter · 2014
AWARD OF EXCELLENCE
Associated Builders & Contractors · 2014
BEST OF YEAR HONOREE
Interior Design Magazine · 2013
DESIGN AWARDS
11. MASTER PLANNING
HOW VISIBLE SHOULD THE CANCER CENTER BE AND
HOW WILL IT INTEGRATE WITH THE EXISTING CAMPUS?
22. IDENTITY AND ICON
IS THERE A DESIRE FOR AN ICONIC
OR SIGNATURE BUILDING FORM?
33. BUILDING INTEGRATION
HOW CAN TREATMENT NEEDS BE BALANCED WITH
SOCIAL AND BIOPHILIC NEEDS OF THE PATIENTS?
44. PROGRAM
HOW WILL A MULTIDISCIPLINARY CARE MODEL
ALTER PATIENT AND STAFF INTERACTIONS AND
EXPERIENCES?
55. PROGRAM
TO WHAT DEGREE MAY PATIENTS HAVE
CONTROL OVER THEIR ENVIRONMENT?
66. PROGRAM
WHAT RELATIONSHIP SHOULD THE CANCER
CENTER HAVE TO THE EXISTING FACILITY?
WHAT SORT OF CONNECTIONS?
77. MASTER PLANNING
WHAT ARE THE DEMANDS FOR FUTURE GROWTH
AND EXPANSION STRATEGIES?
SSCHEDULE
SURVEY OF PATIENTS
SURVEY OF STAFF
ONSITE OBSERVATION
• Before and after daily interviews the
team investigated the building issue
and conversations
ONSITE INTERVIEWS WITH STAFF
• 60+ Participants
• 3 Days of Meetings
DDATA COLLECTION TYPES
DDEMOGRAPHICS OF RESPONDENTS
STAFF PATIENTS
DDEMOGRAPHICS OF RESPONDENTS
STAFF PATIENTS
IICONIC SUCCESS
STAFF PATIENTS
BBiophila
STAFF PATIENTS
CCULTURE SHIFT: OPERATIONAL MODELS
INFUSION – PRE WORK NEW INFUSION – PRE WORK
CCULTURE SHIFT: COLLABORATIVE SPACE / TEAM ROOM
CCULTURE SHIFT: CARE COORDINATION
STAFF PATIENTS
CCULTURE SHIFT: OPERATIONAL MODELS
STAFF PATIENTS
PPATIENT CARE SPACES
STAFF PATIENTSSTAFF PAT
PPATIENT EXPERIENCE : INFUSION
STAFF PATIENTS
PPATIENT EXPERIENCE : INFUSION
STAFF PATIENTS
PPATIENT EXPERIENCE : INFUSION
STAFF PATIENTS
PPATIENT EXPERIENCE : INFUSION
ACOUSTIC PANELS
PRIVACY PANELS
VIEWS/BIOPHILIA
PPATIENT CARE MODEL
STAFF PATIENTS
PPROGRAM
CLINICAL PROGRAM
61%
CONFERENCE
INFUSION
CLINICAL
SUPPORT
STAFF
INFUSION
PPROGRAM
CLINICAL PROGRAM
61%70%
CONFERENCE
CLINICAL
SUPPORT
STAFF
INFUSION
PPATIENT EXPERIENCE : BUILDING AMENITIES
STAFF PATIENTS
PPATIENT EXPERIENCE : BUILDING AMENITIES
STAFF PATIENTS
““IT’S NICE TO HAVE A
BEAUTIFUL PLACE TO GO
WHEN YOU ARE NOT
FEELING YOUR BEST”
STAFF PATIENTS
STAFF PATIENTS
STAFF PATIENTS
ICONIC DESIGN +
CLINICAL EXCELLENCE
You can have both
PROGRAMMING, PLANNING, AND DESIGN

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