Healthcare Studio Leader, Eddie Marcey, sits down with us to discuss how to design behavioral health facilities to benefit the staff, families, and most importantly, the patients.
Category: Thought Leadership
Director of Science Strategy Kerrie Julian discusses how the new building code impacts landlords and life sciences tenants.
High-hazard areas, often referred to as “H-rooms,” allow scientists to conduct research, and companies to manufacture, process, or store different types of hazardous substances in quantities greater than what is permitted in standard control areas. Control areas have been established in the International Building Code (IBC) and National Fire Protection Association (NFPA) to limit the number of hazardous materials that are used in a space to keep the occupants of the space, and adjacent spaces, safe. As you go vertically up in a building, control areas increasingly restrict the amount of these materials allowed in the space. This is because higher up in a building, it is more difficult for the local emergency teams to control the hazards, such as for a fire department to contain a large fire when their ladders cannot reach the floor where it is located.
There are different types of high-hazard spaces, classified by the IBC as H-1 through H-5. These classifications are based on the types of materials used in them and the hazards that are present. No matter the classification, high-hazard spaces can add substantial cost to a project, so their use is often limited to areas critical to a company’s business operations.
Why Companies Need High-Hazard Space
Different industries and site types utilize high-hazard spaces to perform functions critical to their business operations. For instance, medicinal chemists working in pharmaceutical laboratories often require these spaces to store larger quantities of flammable liquids for their experiments to proceed efficiently. Central chemical storage rooms, classified as high-hazard spaces, may free up more allowance for in-use chemicals across a floor or within a building or suite.
Manufacturing facilities often designate parts of their facility to high hazard working areas to ensure their process is happening safely, minimizing risk to their employees and avoiding disruptions to their production. Raw materials can be stored in high hazard areas as well.
Hazard Categories
The IBC classification of high hazard space is a numerical system H-1 through H-5. This is often considered to be a 5-level ranked numbering system, like the category ratings assigned to hurricanes or tornados, but that is only partially true. The first three levels, H-1, H-2, H-3, do represent similar hazards in decreasing severity, but H-4 and H-5 are for different categories of hazards altogether.
The differences among the levels include:
- H-1 spaces contain materials with detonation potential.
- H-2 spaces contain materials that promote accelerated burning.
- H-3 spaces contain materials that are easily combustible or pose a physical hazard.
- H-4 spaces contain materials that pose a health hazard, including toxic and corrosive chemicals.
- H-5 spaces are specially classified to contain materials typically used in semiconductor fabrication facilities.
All these hazardous materials can cause significant damage and risk in the event of an incident, so extreme care should be used when designing for any level of high-hazard space.
Determining a Spaces Hazard Level
Before entering lease negotiations, a company should assess whether they require high-hazard space, since not all properties can accommodate such spaces. The company’s Environmental, Health, and Safety (EH&S) department, along with the end users and design team, should work with a code consultant to confirm the types of hazardous materials used in the facility. Sometimes, a hazard analysis is necessary to better understand the materials being stored and used. This analysis can also help identify ways to make the process safer or more efficient.
A local fire department or other city official may need to be involved in the design process to address any safety concerns early and prevent delays during the permitting and construction process. If a space needs to accommodate multiple hazards, the code requirements for the most restrictive level must be followed, and appropriate segregation of hazardous materials must be managed.
Cost and Schedule Implications of High-Hazard Spaces
The construction requirements for maintaining safety in high-hazard spaces are very strict and go beyond those for a typical laboratory, manufacturing, or storage space. Architectural elements such as fire-resistant walls, ceilings, and flooring materials are required to separate hazardous spaces from adjacent areas, and special finishes are required within the space itself.
Shorter egress routes are a requirement for high-hazard spaces, which limits their placement within a building. In some cases, they may even need to be situated on an exterior wall. High-hazard spaces are limited in size, usually to no more than 500 square feet. Both new and existing buildings often require modifications to the construction of the space to comply with the requirements for a high-hazard space.
Mechanical, electrical, plumbing, and fire protection considerations are also more complex than for non-hazard spaces. Higher amounts of ventilation, as well as dedicated exhaust, may be required. Explosion-proof electrical devices are frequently required due to the possibility that chemical vapors could ignite from an electrical arc. There must be adequate containment to capture any potentially contaminated water if the sprinkler system goes off.
When creating high-hazard spaces, having an experienced design and construction team onboard is critical. To successfully design and construct the space, it is important for end users to provide as much information as possible during the programming and design phases. By doing so, any additional costs for special fixtures, finishes, equipment, etc. can be identified early on, and the construction schedule can be streamlined to accommodate long-lead items and special installations.
In this video, Principal Marilyn Shen discusses how to design for inclusivity.
By Milly Baker, AIA, ACHA, LEED AP, Senior Medical Planner at Margulies Perruzzi
Many hospital administrators feel pressure to increase the size of their healthcare spaces despite a shortage of capital available to support facility investment. Even with efforts to tighten up space and increase efficiency to cut costs, hospitals need larger and larger buildings. The outcome is more space per patient and provider and, therefore, increased costs.
Why is everything getting larger? A combination of many program developments has added area to hospitals. These changes include technology, general improvements in diagnostic and treatment methods that require bigger clinical teams and larger equipment sizes, more robust mechanical, electrical, and plumbing (MEP) systems, the introduction of robotics, an increase in team collaboration space, and revised requirements for accessibility. Each of these changing requirements adds increments of additional square footage.
Technology
Technology, the equipment that continues to improve patient care, requires greater infrastructure capacity. Years ago, there were 20 square foot data closets, but now, data rooms as large as 180 square feet are needed to accommodate all the digital equipment racks. Cutting-edge features throughout hospitals drive this growth, including the interconnectedness of different clinical and monitoring systems, intelligent boards in patient rooms, smart boards in conference rooms, digital communication at the patient room entrance, signage and tracking systems, and direct clinical access to patient records. Because of the continued increase in technology use, it is critical to build specific data room requirements into the program from the start.
Robotics
For many institutions, robotics are being introduced to augment surgery, save on staffing costs, and increase safety. While robotics in operating rooms, pharmacies, and labs is nothing new, re-engineering supply management through robotics is becoming more common. Robotic devices provide improved services, but they take up space both when in use and stored. Planners for new buildings should consider adding space to supply rooms and depots with dedicated corridors and elevators for this equipment. Isolating robotics equipment movement from staff and public circulation may also double circulation requirements.
MEP Infrastructure
Particularly since the start of the pandemic, hospitals require better air flow and humidification. While new technology and equipment increase typical floor-to-floor dimensions, the MEP infrastructure should grow to serve the larger space requirements. Concerns for preventing contagions from spreading have also increased the demand for protective isolation wherever patients are treated. These robust systems need flexibility and capacity for future changes as well.
Equipment
Equipment size has increased, challenging staff to accommodate the need for more space within current program standards. An example that requires more space is the reliance on ECMO (Extracorporeal Membrane Oxygenation), a form of life support for patients with life-threatening illnesses, often used to combat COVID. An ECMO setup for an inpatient requires large elevators, wider doors, and greater patient room clearance than current standards. Introducing ECMO into current, smaller patient rooms has proven difficult.
Hospital room size creep is frequent in treatment areas, including Operating Rooms, Nuclear Medicine Rooms, Radiation Treatment Rooms, and MRI Rooms. These spaces are vital to each hospital’s mission but require more space than traditional planning methods. It is now not unusual for surgeons and patient staff to request 800 – 1,000 square feet for specialty and hybrid operating rooms.
Collaboration Space
As recruiting clinical staff has become increasingly challenging in recent years, many organizations have started paying more attention to the functionality of their workspaces. Many hospitals have inadequate meeting areas and workspaces to accommodate all the staff meetings. The historic administrative model, including a nurse station and one physician’s office, is no longer sufficient for an inpatient unit. Staff now include clinical nurses, physicians, residents, case managers, social workers, educators, and nurse management. Workstations are needed for this range of support staff to do their jobs efficiently.
The ability for staff to collaborate in appropriately sized areas supports teamwork and protects patient confidentiality but is missing from minimal space standards in the Facility Guidelines Institute (FGI) guidelines. Both patient-facing workstations and private areas are needed to support team workflow. Many institutions have also started to request rest space for staff, particularly in high-stress areas, such as emergency departments and intensive care units. Breakrooms and other areas should be carefully designed to support staff respite.
Accessibility
As Americans get larger, FGI guidelines are requiring a whole new category of room sizes for “patients of size” and a newly required expansion of the American Disabilities Act (ADA) Standards turning radius. These new requirements to build larger inpatient rooms, exam rooms, and bathrooms, have been put in place to improve patient care and staff safety. However, they come with added space and cost requirements.
Program needs are driving hospitals to increase space. The challenge to planners, architects, and builders is how to manage client expectations, specifically during the programming phase when space requirements are established. The old space requirement formulas for area per bed or area per operating room need to be carefully re-examined and revised. It is critical to take account of these conditions when developing conceptual fit plans and pinpointing scope feasibility to ensure that clients understand this new paradigm. The old rules no longer apply.
In this video, Jenna Meyers, Senior Interior Designer and Partner, discusses three key factors to make your office space a workplace amenity for employees.
What if we could help you save time and money on your lab design project? Jane Kepros, Director of Lab Programming, explains how her unique approach to surveying lab equipment can save you money during the design and construction phases of lab fit-outs.
How can we design an experience for current and prospective future tenants of suburban office buildings? Associate Principal and Partner Tim Bailey, AIA, LEED AP discusses methods for creating a welcoming journey from the moment they arrive.
By Principal & Partner Janet Morra, AIA, LEED AP
During the early days of the pandemic, we collectively embraced the notion that once vaccines became available, things would return to a “new normal,” and a mass return to the office would follow.
In reality, the hybrid work environment – long a staple in certain high-tech industries and made possible through advancements in technology – was mainstreamed. At the time, Margulies Perruzzi’s workplace strategy report, “Embracing the Hybrid Workspace,” affirmed the logic of transitioning from a traditional to hybrid model.
Our survey of 8,600 people across multiple business sectors revealed that 44 percent of workers planned on being in the office three days a week, and 25 percent planned on two days. Only 9 percent responded that they would return to a pre-pandemic office presence.
A Buzzword Is Back
It seems appropriate to resurrect a late-1990s buzzword, “paradigm shift,” because the pandemic is almost solely responsible for a fundamental change in the basic concepts and practices related to the traditional, corporate 9-to-5 in-office model.
Corporate managers who make real estate and facility decisions are facing the new reality of altered employee expectations. We know of one company that had an epiphany when they realized that the 100,000-square-foot building they own sits mostly empty, because in their new hybrid work environment, they have never had more than 50 people show up to work in the office on any given day.
So where are we now, and what does the future look like?
According to JLL’s third-quarter U.S. office outlook report, return-to-office metrics have trended upward this year, with most Fortune 500 employers gravitating to around three or more days of in-office attendance and pivoting away from fully remote hiring.
CBRE reported in their September office occupier sentiment survey that in the U.S., 65 percent of companies have a formal attendance requirement in place versus 31 percent one year ago. The average weekly office utilization rate varies by region; in the Asia-Pacific region 45 percent of respondents report their spaces to be highly utilized, while in the U.S. that figure is only 24 percent.
Many Look to Alter Spaces
We recently launched a new initiative to find out how our clients are approaching hybrid work, and the results align with what other industry leaders are reporting.
Sixty-three percent of our clients said had no formal hybrid or flexible attendance plan prior to the COVID-19 pandemic. However, 70 percent have one in place now.
Only 40 percent of our clients required attendance in the office a specific number of days per week, while 60 percent had “suggested” in-office targets. Meanwhile, 40 percent of our clients said they were an “office first” organization, with 20 percent identifying as “remote first” and the remainder saying they had a “true hybrid” character.
And while only 40 percent of our clients said they had reduced their office footprint, half said they had altered their office space in some way.
Occupiers’ Options Abound
There are many options available for implementing a full or partial return to the office, but there is no “one size fits all” solution. For the company I mentioned with a 100,000-square-foot, underutilized building, alternatives included selling it, relocating to a smaller space and designing it for how their staff works now, subletting half the square footage and redesigning the space they occupy, or keeping the building and initiating a mandatory in-office schedule.
Companies opting to redesign current or new space to bring workers back to the office are using various tactics. Creating a more home-like atmosphere might translate into softer seating and less dependence on fixed workstations. Now that virtual meetings are routine, private offices can be transformed into huddle rooms where one or two people can conduct an online session with acoustic and visual privacy. There is also a move towards even more collaboration and team space, as well as organized events, activities and amenities designed to appeal to the basic human need to be together.
Sometimes the reconfiguration or downsizing of space boils down to pure math: If a company requires everyone to come in three days a week on the same days, then there is no option to reduce seating or decrease space. The only way this type of hybrid policy would work is if attendance is staggered throughout the week, and it is easy to imagine how quickly this could become complicated and counterproductive.
In the end, the most successful solution is one that is uniquely tailored to a company’s business model, strategic plan and corporate culture. Ultimately, flexibility of both thought and design are the keys to cultivating a successful hybrid work environment.
By Director of Lab Programming Jane Kepros, LEED GA
There are many misconceptions about lab design. In this article, we will delve into some common myths and explain why these may not be applicable for a particular project.
Myth #1: Lab Design Is Highly Regulated
While there are multiple regulations that need to be adhered to in an operational laboratory, clients are often surprised to learn that outside of general building, plumbing, and fire code requirements, there are often minimal (and sometimes zero additional) design regulations that are required solely because a space is designated as a lab. Most lab regulations have to do with the operations taking place within the lab, and the safe storage or transport of materials and waste in and out of the lab.
Of course, every project is unique. During the programming and planning phases it is best for clients to work with their design team and consultants to identify any special functions, hazards, or limitations of their site that may trigger special codes or regulations based on where they are located or the type of work they do.
Myth #2: You Cannot Use Certain Finishes or Products in Labs
Lab design involves the selection of many finishes and products, including flooring, wall paint, cabinetry, worksurfaces or lab benches, ceiling tiles or paint, piping, and plumbing fixtures. Many people think that certain finishes or products are never allowed in laboratories. This is generally not the case. Typically, certain materials are selected based on multiple factors including their durability, cleanability, resistance to chemicals or mold, sustainability, and availability. There are certain rules of thumb for using different materials that are considered best practice in particular environments, but they are rarely mandatory.
When selecting finishes and products, clients should work with their project, operations, facilities, and design teams to consider all the above factors, in addition to the upfront cost, including cost for both material and installation, and long-term cost, including maintenance or replacement.
Myth #3: The Rules of Lab Design are Absolute
There are many myths within lab design that are conveyed using “always” or “never” language, such as “sinks should always be located near the entrance,” or “wood casework should never be used in a biology lab.” The reality is that it depends.
Often a client will make a request for their project design and use the “always” or “never” language themselves. This does not mean that all future clients think the same way. Their processes, safety program, material use, maintenance schedule, and even design aesthetic may dictate the exact opposite of the previous request. It is best to ask follow up questions to the client about why they have a specific preference and use that background information to inform your approach on future projects.
Just because you can do something does not mean that you should, and just because a material or product is available to use, does not mean that it is a good option. It is best to take multiple factors into account, weigh the options, and at the end of the day remember that except for code requirements, the client is the final decision maker. They are going to be the ones to work in and be responsible for cleaning and maintaining the space in the immediate future. The final layout and selection of products and materials must work with how they operate.