The hospital exceeded its projection of visits within the first year of operations. The hospital had 5,200 admissions, 22,000 emergency room visits, 1,100 surgeries and 1,470 births in the first year. The acute care hospital has been at full capacity for at least two to three days each week.

Because Martin Health Systems saw the possibility of expansion, they made sure the facility was built for the change during planning. “Fortunately, our leadership and design team had the foresight to build flexibility into the hospital’s initial phase and develop a six-floor hospital that could easily be expanded to meet future demand,” said Mark Robitalle, president and CEO of Martin Health, in a statement.

Construction on Phase II of the Tradition Medical Center began on Oct. 21 after the Port St. Lucie community celebrated with a groundbreaking ceremony attended by citizens and leaders from Martin Health System, according to a statement. The expansion will include the addition of 170,000 square feet and three stories to the building. When the facility is complete, the Tradition Medical Center will feature nine stories and 90 new patient rooms. To make for a more efficient vertical expansion, the mechanical mezzanine is located on the third floor instead of the roof.

Along with the addition to the size of the buildings and number of patient rooms, the expansion will include a catherization lab for cardiac care, interventional radiology and vascular procedures, an expanded maternity, neonatal intensive care and emergency departments, and an 18-bed observation unit, which will help improve the efficiency of moving emergency patients who need to be hospitalized. Next to the hospital will be a new outpatient surgery center and a medical office building.

The smart design features in the hospital that allowed for a high-quality and -efficiency medical facility, which was finished on time and on budget, was applauded, as was the project management team. The hospital also received a LEED Gold certification less than a year after opening, due to its environmentally conscious, green building.

“The enormously positive response from the community in support of this hospital has been gratifying. We designed Tradition Medical Center to meet the growing needs of the surrounding community and provide the most efficient, effective and comfortable care possible to our patients and their facilities. This is our commitment to the people of Port St. Lucie,” Robitalle said in a statement.

The commitment to the community has created approximately 550 new jobs within the area, and with this growth, Martin Health is determined to keep up with the quickly growing community, which is expected to grow 79 percent by 2030. This growth has brought new employees, physicians, patients and visitors to St. Lucie and Tradition Medical Center.

CBRE Healthcare, which served as the project manager for Phase I of Tradition Medical Center, will be working as the project manager for Phase II. The construction in Phase II has begun with work starting on the parking lot, the North, South and Tower expansion as well as renovations to the existing interior. According to CBRE Healthcare, the targeted date for the completion of the expansion is in Spring 2018.
 

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Located on the Tradition Center for Innovation Campus in Port St. Lucie, the new $110 million building includes emergency services, an intensive care unit, labor and delivery, neonatal intensive care unit, general and specialized surgery, inpatient oncology, diagnostic imaging, clinical research and gastrointestinal endoscopy. The facility was designed and built at a time when many health care systems were waiting out the recession and the uncertainty over the impact of national health care reform on medical reimbursement.

HKS Architects designed the approximately 200,000-sqaure-foot health care facility and Balfour Beatty Construction served as construction manager. Both firms hold regional offices in Orlando, Fla.

The center, which is expected to see 30,000 emergency department visits, 6,000 patient admissions and 1,500 births in its first year of operation, was designed with flexibility in mind. Traditional Medical Center has the ability to expand to 300 beds in order to meet future growth.

Strong Collaboration

The project team worked closely, using the Integrated Project Delivery (IPD) method to maximize efficiency. According to Roy Gunsolus, AIA, LEED AP BD+C, director of sustainable health care with HKS, the IPD method allowed for strong collaboration from the outset of the project.

Six “component teams” were established with a diverse set of players, Gunsolus said. The teams included site; exterior envelope/structural; interiors; MEP/sustainability; technology; and schedule/general conditions. Each team had members representing the owner, design team and construction team on the project, which brought about more informed decisions as well as unique perspectives.

“It intentionally varied in who was involved,” Gunsolus said. “Regardless of whether somebody was the stereotypical leader of that group or just loosely allied, everyone had an equal voice.”

The IPD method also allowed the team to design the project to budget rather than design and price later only to be over budget and require redesign, Gunsolus said.

BIM Technology

The project used BIM modeling and Constructware software to further foster collaboration across the project team. By using BIM technology, Gunsolus said, the contractor was able to view models and make comments or identify potential construction issues before decisions were made.

The team also took on a sort of lean methodology to the BIM process. Architects and engineers can end up drawing the same thing twice, Gunsolus explained.

“We tried to have people take ownership and do everything once,” he said. “We discussed as a group who would be the logical person to implement whatever feature it was into the model.”

For example, lighting fixtures would be a responsibility dedicated to the electrical engineer with guidelines given by the project team.

Sustainable Goals

The project team, which is seeking LEED Gold certification for Tradition Medical Center, made sustainability goals clear from the outset. The team began with a sustainability workshop.

“We talked about the advantages of being sustainable and why it made sense to do this not only from a cost savings standpoint, but also from more of an intangibles perspective, such as patients healing quicker when they have connections to nature,” Gunsolus said.

The acute care hospital, which overlooks a large retention pond, used connections to nature and natural light as an overarching design driver. In addition to typical public spaces such as the main lobby, dining and waiting areas, daylighting was also used via high windows in uncommon areas such as the receiving area, pharmacy, lab and the kitchen.

Approximately 83 percent of construction waste was diverted from the landfill. Additional green features included a heat recovery chiller, LED lighting and a reflective roof. The siting of the building, which also provides connectivity to a medical office building developed in collaboration with Mann Research, also created energy-efficiency opportunities.

“The natural inclination might have been to site the building in the middle of the site to maximize proximate parking,” Gunsolus said. “The project team considered a variety of factors and ultimately located the building more proximate to the retention pond to maximize patient views while minimizing eastern and western exposures to maximize energy efficiency. This location reinforced the overall master plan, which was developed to allow for future ambulatory services and structured parking while separating public and service traffic.”

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