This project marks one of the first major renovations since the Landmark Medical Center was founded in 1988. The hospital provides health care services for more than 175,000 patients on a yearly basis.

“We are excited to see the completion of this outstanding facility,” said Tony Cavallaro, president of JACA Architects, in a statement. “We are proud to contribute to the overall quality of care provided by the Landmark Cancer Center, and hope that Landmark patients will benefit greatly from the considerations designed within the center.”

To incorporate a more sustainable design, Landmark Medical center replaced an outdated exterior storefront and installed, larger, more heat reflective windows, according to a statement. A new, energy-efficient HVAC system was also installed to heat and cool the building.

Designers also incorporated large windows and used natural light to help facilitate a calmer and more healing environment, according to a statement.

In order to make patients as comfortable as possible during their stay at Landmark, designers included individual lighting controls, video controls and Wi-Fi in each room. Additional accommodations were included for families who are spending the night.

One major challenge JACA faced was developing a design that matched the floor plan of other facilities located on the Rehabilitation Hospital of Rhode Island’s campus. During the design process, architects were able to maintain the majority of the patient room layouts and plumbing features while creating the enough space for different departments in the hospital.

According to a statement from JACA, the project cost over $3 million to build and design and construction began in fall of 2015.

JACA Architects has been involved in large-scale construction projects since 1991. They specialize in designing medical and senior-living facilities as well as health care centers.

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The beam was placed at the project’s 15-acre site in Carterville, Ill., last week, and signifies a major milestone in the construction of the upcoming 42,000-square-foot facility. Before positioned, the beam was displayed at various SIH locations where viewers who have been impacted by cancer were encouraged to sign the landmark beam.

“We wanted this to be a symbol for strength and support that all of us at SIH work for,” said Jennifer Badiu, SIH system director of Cancer Care Services, in a statement. “But it also represents all of the community who have given friends and family members the strength and support they need through their journey.”

The beam was given a special placement in the entrance of the facility, so all cancer patients, health care provides and visitors will pass under it.

The $24 million facility, which will combine the health care center’s existing radiation therapy locations and its medical oncology clinics, features two radiation vaults, medical oncology infusion spaces, medical clinic suites, administrative offices, lab, rehab gym, meeting rooms, retail space and a self-service eating area.

The project received unanimous approval from the Illinois Health Facilities and Services Review Board in May 2013. The new cancer center will be the region’s first freestanding cancer center and the community is anticipating the new center’s positive impact.

“From the beginning, this project has received substantial community support by way of the many letters sent to the review board on our behalf and fundraising support through our SIH Hope is Home campaign. We look forward to building the region’s first comprehensive, state-of-the-art cancer center,” said Rex Budde, president and CEO of SIH, in a statement.

The new center is also centrally located, which eases the stress of traveling long distances to receive care, according to project leaders. The cancer center is situated in a wooded site, east of Crab Orchard National Wildlife Refuge and north of Illinois Route 13.

“This will improve quality and coordination of care, not to mention convenience for patients in the region who are at risk for or are fighting cancer,” Badiu said.

The project is serving one of the most at-risk populations in the state of Illinois. The Hope to Home campaign is seeking to raise $10 million for the state-of-the-art cancer care facility.

“Of the 16 counties in our primary and secondary service areas, Franklin, Johnson and Alexander fall in the top 10 for cancer incidence rates in the state. With the exception of Jackson County, the majority of counties in deep southern Illinois have cancer rates that are higher than the state average,” Badiu said.

The project broke ground in September 2013 and is on track to be completed in December 2014. Lawrence Group, headquartered in St. Louis, is the project architect and McCarthy Building Companies, with offices in Collinsville, Ill., Inc. is the contractor.

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The Memorial Sloan-Kettering Josie Robertson Surgery Center will be a new 16-story, 179,000-square-foot building constructed on Manhattan’s Upper East Side. Designed by the architectural firm Perkins Eastman, it will feature 12 operating rooms equipped to provide technologically advanced surgical care on an outpatient basis. The facility is scheduled for completion in 2015.

The center will include an ambulatory surgery extension with 12 operating rooms, a pre-surgical assessment are with 18 observation beds, and a 28-bed unit for post-anesthesia care and extended-stay recovery.

The observation beds are for stays up to 23 hours and will not alter the number of beds the center is licensed to provide. The surgery center is intended to free up capacity at the main hospital. Sloan-Kettering estimates that the new center will handle 6,393 patient visits within the first year and will accommodate 8,304 visits by the third year.

A $50 million commitment in funding has come from the Robertson Foundation, with the rest coming from other philanthropic sources, as well as some institutional funds.

“We are deeply grateful to The Robertson Foundation and the entire Robertson family. By supporting initiatives that focus on high-quality cancer treatment as well as today’s most creative research, the foundation has provided the means to honor Josie Robertson in a way that goes to the heart of this institution’s mission,” said Craig B. Thompson, President of Memorial Sloan-Kettering Cancer Center in a statement.

In addition, the Robertson Foundation is also creating the Josie Robertson Investigator Program, which will support the recruitment of young physicians and scientists. People who early in their careers, have attained significant insights into cancer and devised groundbreaking approaches to prevention and treatment will be targeted for the program.

Josie Robertson was elected to Memorial Sloan-Kettering’s Board of Overseers in 2004. Prior to her death in 2010, she worked with her husband, investor Julian H. Robertson, to support a range of causes in education, medical research, and other areas.

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The IPD agreement — a three-party contract between Lawrence & Memorial Hospital, Suffolk Construction and architecture firm TRO Jung|Brannen — requires all risk and reward on the project be shared with all project stakeholders, including mechanical/plumbing/controls, electrical and site work contractors.

“IPD is an extension of lean construction, as it formalizes the collaboration from the beginning in the contract,” said Suffolk Construction’s Josh DiGloria, senior project manager for the Cancer Center.

Construction on the $34.5 million project begins this spring, with completion scheduled for September 2013. Boston, Mass.-based Suffolk Construction is the construction manager and TRO Jung|Brannen is the architecture firm, with Pamela Mace as the lead architect and project manager.

The 47,000-square-foot facility will provide extensive radiation and medical oncology programs and state-of-the-art treatment technologies. Part of Lawrence & Memorial Hospital’s master facility plan, the Cancer Center’s design incorporates plenty of natural light and will seek LEED Silver certification.

Lawrence & Memorial is a not-for-profit, general, acute care, private hospital licensed for 280 beds and providing patient care to medical, surgical, pediatric, rehab, psychiatric and obstetrical patients. It operates satellite facilities in various areas throughout southeastern Connecticut and manages eight physician practices.

Innovative Process

The facility is Suffolk’s first project with Lawrence & Memorial and while Suffolk has completed projects using the principles of IPD, this is its first true formal IPD contract.

The hospital wanted to move away from the traditional design-bid-build process where, after years of design work, bids may come in higher than anticipated and the general contractor may encounter gaps in design that need to be changed, explained DiGloria.

“Lawrence & Memorial was looking for a way to solve both of those problems,” he said. “How do you bring the contractor in early so the contractor is responsible to help prevent all those gaps in the design and really be a teammate to solve them during the design process?”

Lean construction techniques foster early collaboration among the various project team members and enable the general contractor and subcontractors to work more closely together to build sections of an entire building in stages, increasing efficiency and accountability.

To this end, the hospital launched the design process with a “Three P” event — production, preparation and process — that brought together about sixty people including staff, patients, design teams, materials management, physicians and others.

Participants discussed issues such as how material enters and leaves the building, patient movement and work flow. Moveable mockups were utilized and estimators attended to address the cost of the ideas.

“From that three-day event, the hospital executives felt that we really shortened the design process by six months,” said DiGloria. “It was really a positive event to be a part of.”

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The hospital spans 516,000 square feet and features 14 floors, 168 private patient rooms, 12 operating rooms, radiation therapy and several integrated imaging technologies.

“When planning for Smilow Cancer Hospital began in 2002, sustainable strategies, including LEED certification, were not easily attainable in health care facilities because of their high energy demands and other constraints,” said Marna Borgstrom, president and CEO of Yale-New Haven Hospital. “We are very pleased with this recognition knowing that Smilow Cancer Hospital is the largest healthcare facility in Connecticut to receive LEED certification.”

The hospital, which was completed in 2009, was designed by Boston-based Shepley Bulfinch architecture firm with optimum circulation of natural light in its lobbies, corridors and waiting areas to reduce energy consumption and the use of occupancy sensors in non-patient spaces to further reduce energy usage.

The facility also features pumps with variable speed drives and room pressure monitors to reduce power usage for enhanced air supply.

In addition, reflective roofs, an exterior sun screen on the west façade, a high-efficiency unitized curtain wall system and a terra cotta rain screen all work to reduce heat gain in the building, according to hospital staff.

The hospital’s air handling units were also upgraded to provide improved indoor air quality, low-flow water fixtures, low-VOC paints and finishes, easy-to-clean solid surface finishes and epoxy paints in operating rooms to combat infections effectively. Similarly, an epoxy floor coating has also been used in a number of rooms throughout the facility as epoxy floors are able to withstand heavy traffic while still meeting strict hygiene requirements.

“In addition, construction crews were able to recycle 97.7 percent of construction waste while building Smilow,” Borgstrom said.

In addition to its LEED certification, the hospital also received a 2011 Award of Merit by the Connecticut Green Building Council and a 2010 Award of Merit by the Connecticut Business Journal. The hospital’s 7th floor healing garden received a 2010 Award of Merit from the Connecticut chapter of the American Society of Landscape Architects.

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“[Providence Saint Joseph] was looking for a cutting-edge cancer treatment center with state-of-the-art technologies but also a comforting environment that had a non-clinical feel for cancer patients,” says Dan Bise, senior project manager at SWA Architects. “The project design prominently features water elements, as water was a large part of the competitive yachting activities of Roy Disney and his family, who were major donors to the project. The use of water in both the interior and exterior of the building perfectly aligned with the goal of incorporating natural elements into spaces."

 

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Construction will begin next year to the tune of $57 million.  Last summer the medical center added 68 single patient rooms to its East wing. Expansion to the Emergency Department will increase its space to 40,000 square foot, three times its current size. The expansion is expected to cost $33 million.

The Emergency Department will feature 40 single-patient rooms with private bathrooms — which will be able to expand to accommodate up to 60 people — a private bereavement area and a behavioral health area. It will also be designed in four “pods” that can be opened or closed depending on the number of patients it is handling. The department’s top walls made of glass so the staff can see what is happening in each pod. The walls will also be soundproofed to keep the department quiet. Other features, such as radiology, may also be added to increase patient comfort and convenience.

The helicopter pad will be moved to the department’s roof, and a 12,000-square-foot building for the paramedic garage and office space will be added. It is estimated that this phase of the expansion will cost $24 million and will be completed in 2013. Mount Nittany plans to issue bonds to pay for it.

The new cancer center will pull together in to one site the services Mount Nittany currently offers in different areas of the hospital and add services such as physical and speech therapy. Radiation oncology will be expanded and an infusion site, pharmacy and a clinic area will also be added. The center will support research and clinical trials being done by the Penn State Cancer Institute.

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