Margulies Perruzzi completed renovations for the radiation oncology department at Beth Israel Lahey Health’s Winchester Hospital. Located at 620 Washington Street in Winchester, Mass., the radiation oncology department is part of the hospital’s Center for Cancer Care.
The radiation oncology renovation project was driven by Winchester Hospital’s need to install a new linear accelerator. It will allow the clinical team to treat more complex cases with a higher level of precision and efficiency. The vault reconstruction also provided an opportunity to upgrade support spaces and refresh the aesthetics throughout the department.
The project team strategically planned the construction and equipment installations for the shortest construction duration possible to minimize the diversion of patients to other BILH cancer centers during the renovations. Over the course of four months, the existing linear accelerator was removed, the vault, control room and CT sim room were renovated inclusive of new shielding and below slab conduit runs, the new equipment was installed, tested and the department was back open for patient care. Cosmetic upgrades and custom millwork were designed to fit the accessories and equipment associated with radiation treatment.
Photography by David Pires Photography
The Ambulatory Surgery Center of Southwest Ohio is located in an existing two-story building that has undergone extensive renovations. The Ambulatory Surgery Center (ASC) is located on the first floor and medical offices are on the second floor. The 13,400 SF ASC includes four operating rooms with the ability to add a fifth, laser procedure room, patient prep and recovery, central sterile processing, and support spaces.
With 16 patient prep and recovery bays and two screening/consultation rooms, the ASC is able to move patients into the clinical areas efficiently and minimize time in the waiting room. The patient prep and recovery bays have side panels for privacy and infection control and are used for patient dressing to reduce the number of areas that the patient encounters during their stay. Three enclosed recovery bays are provided for negative pressure, extended stay, and pediatric patients. One of the rooms is designed to double as a laser procedure room.
The ASC is designed for one-way patient travel. Patients check in by phone or online and wait until they are instructed to enter; they are then escorted directly to a patient bay where they are gowned, prepped, and vital signs are taken. The prep and recovery suite has separate doors to and from the semi-restricted OR corridor. The suite is designed with separate prep and recovery zones that can flex to accommodate the demand. A separate patient discharge exit is provided in recovery so that patients do not have to pass through the prep and waiting areas to leave the ASC after surgery.
The ASC renovation included all new infrastructure upgrades, including new air handling units with HEPA filtration and humidity controls.
Photography by Josh Beeman Photography
The MRI renovation and expansion project included a building addition and renovations to the existing MRI department to incorporate a new Philips Ingenia Ambition 1.5T MRI, equipment room, patient holding area, control room, offices, support spaces and a refreshed waiting room.
The design team at MP worked closely with the equipment vendor, user group and consultant engineers to resolve technical challenges inherent to the project while providing an enhanced patient experience.
Driven by eminent domain requirements within the Village of Brookline, this project required the relocation of the senior administration and administrative support services of Brigham & Women’s physician organization to Needham. The new space enabled BWPO to also consolidate staff from three different locations into one centralized office. This included the call center group, which was accommodated into the plan. A training center was provided at the heart of the project with the flexibility to configure it as a large classroom or two smaller classrooms. The program also introduced a multipurpose collaboration hub that could function for impromptu team meetings, staff meetings, and as a location for catered events.
Sustainability
This project is certified LEED-Gold.
Margulies Perruzzi provided design services for a 160,000-square-foot office building in Norwood, MA. This class A office building is LEED-Gold certified and provides office space for Hobbs Brook, as well as facilities for a medical office building tenant. Conveniently located on Route 1, the building will help to create a Hobbs Brook campus, allowing employees direct access to training facilities and other amenities in existing company buildings nearby. The building has four floors and includes a cafeteria and fitness center.
The building was designed with a central core that was split in two with a demising wall (half of the core slated for use by the tenant, half by Hobbs Brook); the intent being that it could easily become one core again in the future should the building be converted to single tenancy. There are three distinct main entries to the building, a covered front drop off for patients, a primary entry for Hobbs Brook, and an entry from the back parking lot for the tenant’s employees. In addition, one of the primary exit stairs, shared between Hobbs Brook and the tenant, was located at the front of the building and made it into a dramatic feature stair visible from the exterior.
MP worked closely with the medical office building tenant throughout the process and was able to incorporate unique programmatic elements (such as an MRI dock), seamlessly into the design. A basement was added during the construction documentation process when it was determined that the difference in elevation between level one and the required footing depth meant that it made economic sense to do so.
Margulies Perruzzi designed the 10,000 square foot New England Scope center for Reliant Medical Group (formerly Fallon Clinic). The outpatient endoscopic center includes four procedure rooms with recovery areas, patient prep areas, waiting areas, and exam and consult rooms.
Formerly an open warehouse, the largely windowless building was transformed into a welcoming, comfortable outpatient services facility. The project team created a new building from the existing structure, reusing only the slab and steel frame to create the new exterior and interior design.
MP developed a new workplace strategy to accommodate a 30% growth in the department since their administrative space was designed. The team evaluated each individual program element for utilization and the requirement of proximity to the surgery department. This information informed the new space program that relocated complex and intensive tasks, creating a short term touchdown space for the anesthesiologists and a café lounge that can function as a multipurpose room for large presentations.
A key departure from typical healthcare interior was the introduction of a glass corridor wall to allow for the transfer of natural light into the staff corridor. The project also allowed the department to create a dedicated education center and simulation lab.
Margulies Perruzzi is currently helping Partners Urgent Care as they expand quickly throughout the Boston area, providing urgent medical care services as an affordable and fast alternative to the emergency room. With three locations currently (Brookline, Watertown, and Newton), Partners will soon be expanding to Medford, Cambridge, and Waltham, with further satellite locations becoming a reality over the next two years. Each location is designed with the patient in mind, ensuring a smooth and efficient flow of care in a family-friendly environment, with operating hours from 9am-9pm seven days a week.
Spaulding Rehabilitation Hospital’s 6,000 square foot addition in Cape Cod includes two new physician exam/treatment rooms and eight new outpatient therapy rooms. A patient/family resource room was created, and a new multi-purpose room on the first floor will be used for wellness and education programs and community-based support groups.
MP redesigned the front entrance and expanded the lobby, registration, and waiting areas to improve workflow, enhance accessibility for patients with mobility impairments, and provide private spaces for registration. The expansion and renovation of the hospital was a complex, multi-phase project that required careful coordination among the clinical staff, design team, and contractors. Phased over ten months, MP worked closely with construction manager Columbia Construction to sequence construction work, permitting the hospital to maintain normal operations without impacting inpatient and outpatient care.
As part of an on-going relationship with Reliant Medical Group, Margulies Perruzzi designed the new ReadyMED Plus facility: a 14,000 square foot outpatient clinic prominently located on Shrewsbury Street in Worcester.
The “PLUS” at this ReadyMed location represents a new concept for ReadyMED: the addition of a 10-bay infusion suite for a variety of needs, from hydration to antibiotics, and expanded diagnostic imaging services including CT scan, X-ray and ultrasound. The facility will also become the new home of Reliant’s adult and pediatric urgent care services.
Based on the successful delivery model in Reliant’s other centers, the ReadyMED PLUS facility features three medical suites (urgent care, imaging, and infusion) and a large reception area with electronic self-service check-in kiosks and a concierge-style greeter for information and assistance. Reliant recognized the symbiosis of care between the three medical spaces, as urgent care patients often need several services and greater medical supervision. Reliant and MP utilized the Lean design process to design a welcoming, efficient clinic that optimizes space, improves operational flow and provides a positive patient experience.
MP’s design splits the waiting area into two spaces, with one designated for healthy infusion patients only and the larger main waiting area containing a child-friendly space. A wall of glass separates the waiting area from the clinical spaces, providing patients with a glimpse of activity. The interior finishes were chosen to give the waiting area a “living room” quality.
