Southern Maine Healthcare, in partnership with Maine Behavioral Healthcare is expanding access to behavioral healthcare services in Sanford Maine with a new 5-bed emergency department acute psychiatric (EDAP) suite and 38 new inpatient behavioral healthcare beds, distributed on two inpatient floors.

The EDAP is designed around a small commons for patient access to communal spaces other than their patient room within the protective confines of the suite. Security and the staff nurse station use the existing geometry of the building to provide clear sight lines within the suite. The program includes peer counseling for crisis management, and the new EDAP will provide a first step in the behavioral health admissions process to the inpatient floors where patients can be safely evaluated.

The inpatient floors are designed around the community space and individual therapy rooms, including those for group therapy, quiet activities and a new roof terrace on the first floor. The new units are secured with access through an interlocking sally port. Patients are provided with individual bathrooms, and anti-ligature design has been provided throughout the patient occupied areas. Art that highlights nature is incorporated at a variety of seating areas throughout the unit to bring nature inside the building. Seclusion rooms have been provided at both units but other spaces such as comfort rooms are being utilized to de-escalate patients before they need to be restrained.

The units also incorporate new highly efficient anti ligature chilled beams to heat and cool the new floors, utilizing existing duct work to maintain existing ceiling heights, and removing the prior fan coil units at the perimeter windows. The project has also re-used the existing plumbing chases and wet walls to reduce cost and minimize impact of the construction on the operating rooms below.

AWARD-WINNER

Altro Flooring Award

LEAN DESIGN

This project utilized Lean planning practices.

The Lahey Endoscopy Renovation project at Lahey Hospital and Medical Center included the relocation and expansion of the Endoscopy Department within the hospital. The new center totals approximately 14,000 SF and includes 9 Endoscopy procedure rooms, 23 prep and recovery bays, and a new scope processing system.

Two of the procedure rooms are designed for advanced procedures and include fixed Fluoroscopic Imaging equipment. This design is one of the first in the country and the second largest installation in the world of scope pass through washing and drying cabinets which greatly reduces the risks of cross contamination and improved digital tracking throughout every step of the scopes use and reprocessing.

The project also included a cost-effective approach to repositioning the building’s façade to create a dedicated entrance for endoscopy patients and greatly improved the workflows for staff efficiency and improved patient experiences.

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.