BOSTON—HGA has announced the completion of the new Center for Advanced Heart Failure & Cardiomyopathy Care at Beth Israel Deaconess Medical Center (BIDMC) in Boston. HGA reimagined the patient and provider experience, to create the new outpatient clinic through a full-gut renovation of approximately 11,000 square feet on BIDMC’s West Campus.

BIDMC is part of Beth Israel Lahey Health, the current leading cardiovascular services provider in eastern Massachusetts, seeing more than 5,000 patients each year with advanced heart failure. A chronic condition, heart failure can be treated, managed, and sometimes cured.

The newly designed outpatient clinic accepted its first patients in June 2024. It consists of 10 exam rooms, and several specialized spaces for performing echocardiograms stress-tests, ultrasound, and two infusion treatment rooms specific to the care of heart failure patients. Staff spaces were uniquely designed, balancing off-stage areas to allow for respite and focus, with on-stage open nurse stations and carefully positioned sightlines. Footsteps and travel distances were of paramount focus throughout the design, both for staff operational efficiency and patient experience.

The design creates a warm, welcoming, and anxiety-reducing setting for patients while incorporating BIDMC’s design standards by featuring shades of blue, purple, and beige. In addition to modern flooring and innovative lighting, HGA designed a contemporary ceiling feature in the waiting area. This organically shaped and naturally patterned lighting feature provides a soothing, calm environment for patients and their families. This feature was inspired by the fractal patterns and shadows found with the leaves of forest canopies, immediately creating a sense of comfort and reduction in stress.

During the early stages of the design process, HGA’s design team, including members of the Design Insight Group, met with key stakeholders for a two-day workshop focused on developing the new clinic with a comprehensive patient care model that serves patient treatment and testing needs. In advance of the workshop, HGA researched current state assessments to identify Critical to Quality (CTQ) metrics, laying the groundwork for a productive and informed collaboration with the clinical staff and key stakeholders. The HGA research team worked with the clinic manager to plan for anticipated volumes.

“The HGA team was able to collaboratively identify the design that best met the goals for the new clinic,” said Kevin Wyrsch, HGA principal. “The purposefully designed facility required technical healthcare design for groundbreaking technology that supports the Center for Advanced Heart Failure & Cardiomyopathy Care’s support of the  Beth Israel Lahey Health heart transplant program.”

Goals that guided the clinic design included:

• Human Experience: clear wayfinding and easy access, quality of environment to match quality of care, bring the services to the patient, right size staff lounge, provide soothing views of Boston’s Emerald Necklace
• Operational Efficiency: sufficient storage, conveniently located, Universal, flexible exam rooms and infusion spaces, staff visualization flow, easy to maintain finishes and materials
• Clinical Outcomes: safe waiting for immunocompromised patients, exam rooms close to phlebotomy, space to accommodate a six-minute walk test

The project included HGA’s architects, medical planners, interior designers, and lighting designers, in addition to HGA’s Design Insight Group to collect data and develop processes.

Specialty Consultants and Partners:

• MEPFP Engineer: Fitzemeyer & Tocci Associates, Inc.
• Structural Engineer: Souza True & Partners. Inc.
• Construction Manager: Suffolk Construction

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Contractors who work on renovation and remodeling projects in hospitals and healthcare facilities face special challenges when it comes to dust control, and the stakes are high. It could even be a matter of life or death. This is not something that many people would realise, and issues like this might become more apparent if people read a Contractors Blog for a day in the life of the profession. It is one of the most dangerous jobs in the world.

Invasive aspergillosis (IA) is a fungal infection responsible for severe illness and mortality, particularly in immunocompromised patients. According to a 2009 report published in Medical Mycology, most hospital outbreaks of aspergillosis have been linked to failure to control the spread of contaminated dust or debris on hospital internal construction and renovation projects.

Because of the well-documented risks of dust in healthcare settings, the Centers for Disease Control and Prevention (CDC) requires hospitals to perform an Infection Control Risk Assessment (ICRA) before any construction, renovation or repair project takes place – and to include a dust control plan as a part of this assessment. A growing number of contractors are using the ZipWall Dust Barrier System as a key component of their dust control plan.

An Essential Tool in the Commercial Contractor’s Toolbox

Jacob Bowler, project supervisor for Suffolk Construction, a large commercial construction company that works in the healthcare space in Greater Boston, says ZipWall dust barriers are a go-to solution for dust control. “The ZipWall system is fast and easy to set up and take down. It doesn’t disturb the existing structure and it does a great job of dust containment,” he says. “It’s also easy to set up negative air with a ZipWall barrier.”

The ZipWall Dust Barrier System is a comprehensive dust protection solution for construction, remodeling, and renovation. Contractors use it to isolate the work area and prevent airborne dust from dispersing. The patented ZipWall spring-loaded poles can be set up in just a few minutes without ladders or tape, and without damaging surfaces. Specialized accessories complete the system, adding important features such as tight sealing and entries in the barrier.

Flexible and Adjustable For Many Hospital Dust Control Situations

In hospitals and healthcare facilities, the multiple ways contractors use the ZipWall system depend on the ICRA requirements for the particular project.

“Hospitals have four levels of controls, depending on patient needs,” says Patrick Brower of Wise Construction in Boston, who has worked on many projects in major hospitals in Greater Boston. “These controls dictate what we have to do to protect the area.”

Brower says he appreciates the ZipWall system’s ability to quickly adapt to control dust at any jobsite, from narrow hallways to large spaces with high ceilings.

“We use the ZipWall system because it provides a flexibility that traditional building materials do not,” says Brower. “It’s flexible and the tools are manageable enough that we can quickly create a barrier of any size for any location.”

The ability to set up temporary dust protection walls quickly makes the ZipWall system uniquely suited for emergency projects and those that need to be completed fast, particularly on nights and weekends when time is limited.

Keeping Dust Under Control When Building Semi-Permanent Barriers

For longer-term projects, CDC regulations require the construction of semi-permanent barriers using paneling, bracing, and drywall. Lynchburg drywall contractors can come and build the structures but the process of building these temporary walls creates dust that also must be kept under control.
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“Whenever we build temporary enclosures out of drywall or other materials, we use ZipWall barriers for dust control to create a vestibule around it,” Brower says. “It’s clean going up, it goes up and comes down fast, and it works.”

Suffolk Construction recently geared up to start a longer term project – a new garage addition and pedestrian walkway at a large hospital in Boston.

The project required construction of a semi-permanent containment wall, but before the wall could be built, a temporary dust protection barrier was needed. Suffolk has been using ZipWall products for this purpose and many others for several years.

Contractors also say they often use ZipWall dust barriers to build temporary vestibules at the entrances to large projects to abide by CDC regulations.

“We create sort of an ante-room to provide construction workers with a place to prepare for entry and exit to and from the jobsite,” says Bowler of Suffolk Construction.

Time Saved, and the Bottom Line

The contractors who use the ZipWall Dust Barrier System say it saves them a significant amount of time and money. On some off-hours hospital and healthcare facility projects, barriers must be put up and taken down frequently, sometimes on a daily basis. The ZipWall system takes minutes, rather than hours, to install and remove, and it only takes one worker to do it, not several. The time saved on these projects can even mean the difference between a profit and a loss on some jobs.

“Cost is definitely a factor,” says Brower of Wise Construction. “The biggest expense in our industry is labor. Anything you can do to save minutes saves dollars.”

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