WINTER PARK, Fla. — Brasfield & Gorrie of Birmingham, Ala., announced a major construction milestone as the leaders of Winter Park and Florida Hospital celebrated the topping out of the Winter Park Hospital Nicholas Pavilion. Crews from Brasfield & Gorrie raised a tree over the structure, adorned with Winter Park’s community symbol — peacock feathers.

The $85 million, 160,000-square-foot project allowed the hospital to convert its existing rooms into 140 all-private patients rooms, which will be used for orthopedic care, surgical, and other services, as well as a new lobby all scheduled to open next year.

The new Nicholas Pavilion aims to help the hospital meet the community’s growing needs, considering nearly 30,000 people live in Winter Park, along with thousands more in the surrounding areas. According to the hospital’s website, Florida Hospital is one of the country’s largest not-for-profit healthcare providers with 22 campuses serving communities throughout Florida. Physicians and clinical teams perform nearly 9,500 surgeries each year, with the hospital also recording more than 75,000 outpatient visits and more than 16,000 inpatient admissions annually, according to a statement released to the media.

Winter Park Memorial Hospital Nicholas Pavilion

“Winter Park Memorial Hospital was founded more than 60 years ago with the goal of creating a world-class hospital to serve the community’s health needs close to home,” Jennifer Wandersleben, administrator of Winter Park Memorial Hospital said in a statement. “It is because of the generous support of Tony and Sonja Nicholson, Brasfield & Gorrie and RLF architects, and the dozens of men and women who have been working tirelessly to give Winter Park this stunning Pavilion, that we are one step closer to delivering the expanded health care services that this rapidly growing area needs.”

In total, crews spent more than 40,000 hours working on the Nicholson Pavilion, using 10,000-cubic-yards of concrete, 979-tons of reinforcing steel and 373,000-square-feet of formwork.

“With this milestone made possible by the hard work and dedication of our employees, subcontractors, and partners, we are one step closer to delivering this facility to meet the needs of the community. We are grateful for our longstanding relationship with Florida Hospital and look forward to the completion of this project in 2019,” said Brasfield & Gorrie Vice President and Division Manager Tim Johnson.

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According to a statement, over 700 workers have worked a total of more than one million man hours on the project so far. As is tradition, the top beam had an evergreen tree and flag on it when it was hoisted into position. The evergreen tree symbolizes good luck, growth, longevity, and the construction crew’s pride in their accomplishment.

Initially, the hospital will open about 70 beds, with the ability to open more in the future. The new tower will include additional operating rooms, a relocated Labor & Delivery department, postpartum beds, newborn nurseries, additional intensive care and medical/surgical beds, and space for expanding clinical departments.

Lexington Medical Center delivers the second highest number of babies in South Carolina each year, performs more than 23,000 surgeries annually, and operates the busiest emergency department statewide. With the population of Lexington County growing quickly, Lexington Medical Center needs to expand its facilities to meet the needs of a growing patient base. The 438-bed hospital remains full, with steady growth annually.

Healthcare Construction + Operations News spoke with Brasfield & Gorrie Vice President and Division Manager Michael Byrd, who oversees the company’s Charlotte, N.C., office, regarding the construction of the new patient tower.

Q: When did construction of the project begin, what is the expected completion date, and what is the anticipated budget?

Byrd: Construction began in June 2016. We’re scheduled to complete the new tower in February 2019. The renovation project extends another year into March 2020. The estimated total construction cost is $293 million currently.

Q: Have there been any challenges to date on the construction of this project?

Byrd: Yes, there have definitely been challenges. We’ve experienced difficulty with weather conditions during the course of the job, including hurricanes. In general, the challenges of working on a site this large in the middle of an active hospital campus include having to work around patients, staff, and the public. In addition to the busy hospital, there are active doctor’s offices surrounding the site, furthering the need to consider public safety. Despite these challenges, the project is on schedule.

Q: What will be the key/notable design features?

Byrd: The expansion includes a 550,000-square-foot, 12-story tower and a 70,000-square-foot, freestanding central utility building. It also includes a new parking deck with more than 900 spaces, and 125,000 square feet of renovations to the interior of the existing hospital. We also installed a new bridge to connect the tower to the existing facility.

Q: How will this addition influence/improve patient care?

The expansion will provide more space and updated facilities, enabling Lexington Medical Center to treat more patients and provide the best care possible. The parking facility will support the traffic and parking needs related to increased patient load.

Q: What best practices did you implement while working on this project that you would suggest to others?

Byrd: At the project’s outset, we focused on addressing patient safety, patient access, and allowing staff to continue to do their jobs effectively amid ongoing construction. In the preconstruction phase of the job, we studied how to manage the flow of traffic, the procurement of cranes, and the delivery and offloading of equipment. Our orientation process has been extensive; every time a new employee is hired, they have to receive training so they know exactly what they’re doing, where they’ll be doing it, and what will be around them to ensure they have the knowledge necessary to do their job in a safe manner.

We have also prefabricated select components for this project, including patient room headwalls, select bathroom features, a tunnel that connects the central energy plant to the parking deck and patient tower, and various mechanical, electrical, and plumbing components. The use of prefabrication for these components has aided schedule, quality, and safety, allowing the team to maximize use of the skilled workforce on site. Prefabricating select components off site has also helped minimize traffic congestion on the active hospital campus.

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The new 35,000-square-foot addition will include 26,000 square feet for a new patient wing, 5,600 square feet for the new Contact Center and a main entrance, and will also include a renovation of an existing 2,800 square feet, according to MLive.

The new unit will be built so the beds can be used for adolescent and/or adults, depending on the greatest need, according to a hospital statement.

“As part of the hospital expansion planning process, extensive meetings with over 15 community stakeholders were conducted, which included representatives from health care, law enforcement, community mental health and others,” said Pine Rest President and CEO Mark Eastburg in a statement. “This unique research indicated that the need was greatest for child and adolescent beds, but the flexibility will help us meet the most crucial need at any given time.”

The project, estimated for completion in spring 2017, is designed by Saint Paul, Minn.-based BWBR Architects, while Holland, Mich.-based Elzinga & Volkers Construction Professionals is serving as the construction manager.

One of the highlights of the expansion is the new Contact Center, which will be located directly off of the main hospital entrance and will add space and improve the admissions process for hospital patients. The Contact Center will include additional client intake rooms, a separate ambulance entrance, a designated waiting area for children and a more welcoming front entrance/lobby, according to a statement.

Hospital officials are eagerly anticipating the completion of the project in order to meet the needs of the patients.

“What is especially exciting about the new unit is our ability to flex to the community need virtually at any time,” said Heather Treib, operations director of Pine Rest Hospital Based Services, in a statement. “Through careful and thoughtful design, we are able to accommodate adolescents and adults on the unit at the same time or completely flex to one population or another. The treatment space allows us to serve both populations programmatically, keeping adults and adolescents separated, but without duplicating spaces.”

The new unit received Certificate of Need (CON) approval from the state of Michigan through the application for 10 flex beds that were available at the state level. Pine Rest also purchased the certificates for 16 adult beds from Carson Health Hospital, according to MLive.

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