The 10-story Sky Tower includes 84 emergency center treatment positions, of which 10 are trauma rooms, 35 operating rooms and 420 new private rooms. Perkins + Will, with offices in Dallas, designed the building to fit the needs of the growing community with an art-filled, patient-centered design.

Emphasis on Art

The design of the Sky Tower emphasized the integration of local and international art. In a community with a longstanding appreciation for the arts, the incorporation of art was a dual effort between the surrounding community and health system officials. The art installations in the Sky Tower is an important and visible part of the patient, visitor and staff experience, according to Steve Milner, LEED AP, senior medical planner with Perkins + Will.

“The spirit of the art program with this project and this client was to create a familiar and reassuring cultural response, creating a sense of place uniquely San Antonio by employing color, pattern, form and known cues, integrated with the architecture and the site,” Milner said.

Eight countries and 21 states are represented in the art program. However, the art program placed a large emphasis on local artists with the majority of artists being from the San Antonio area. All framers and installers were also local. Coupled with the inclusion of design enhancement, which Milner defines as development of narrative or lyrical ideas into the building and site, the art in the building is integrated into the construction process as a collaborative engagement between the architect, interior designer, artist and contractor, not simply an after fact measure, Milner said.

“When art and architecture meet, there are opportunities to go beyond the common expectations,” Milner said.

A Healing Atmosphere for Patients and Staff

The interior of the Sky Tower promotes a healing atmosphere with abundant daylight, gardens, lounges and extensive views.

“Several studies have linked healthy, sustainable environments as having positive effects on people in those spaces,” Milner said. “Patients have had very positive results in hospital rooms with access to views and daylight, and now research is being used to support improvements to staff environments for positive effects on staff.”

The design focuses on reducing as many stressors as possible not only for patients, but for staff as well, which is equally important to consider, as patient safety is dependent upon health care staff, Milner said. With the amount of intensity and concentration required of health care staff, the built environment must reflect a calming atmosphere.

“The project team is focused on creating a healing environment where anxiety and stress are reduced. Positive distraction will provide psychological relief for patients, visitors, and staff,” Milner said. “Employing active and passive design strategies —such as a quality sense of arrival, dedicated staff spaces, both indoor and outdoor, and additional support programs — help encourage staff well-being.”

Sustainable Focus

The building is currently pursuing LEED Gold certification, and with Perkins + Will’s sustainable health care design, the energy-efficient goals aligned with the sustainable integrity of Perkins + Will.

“We saw early on that the health system’s deep level of stewardship to create an environmentally responsible project was very much in alignment with long time missions of Perkins + Will,” Milner said. “UHS was extremely supportive of the sustainable design strategies, systems and technologies that addressed our common goals for the project.”

The building uses one-third less energy than required by code. Sustainable practices include recycled water for landscaping irrigation and rooftop gardens. The gardens contain vegetation and art program sculptures that, in addition to adding to aesthetics, help reduce the radiant heat of the site and reduce demand on the building’s cooling systems, Milner said. The project also maximized the use of local and regional materials.

“The 1 million-square-foot-plus project is a study in how innovative design can maximize resources to minimize environmental impact,” Milner said.

The construction management team for the project was a joint venture between locally based Zachry Construction Corporation, J.T. Vaughn Construction, with offices in San Antonio, and Salt Lake City-headquartered Layton Construction Co.

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The San Antonio location will be an 11,000-square-foot, 10-bed facility. The New Braunfels facility, at 12,000 square feet, will also house 10 beds. Both are expected to open later this year.

“The new centers will emphasize excellent customer service and offer a full range of round-the-clock emergency services to children and adults in areas not currently served by a hospital emergency department,” said Patrick Carrier, president and CEO of the San Antonio-based Christus Santa Rosa Health System.

The system will partner with Austin, Texas-based medical management firm Emergency Service Partners, which will staff both facilities with board-certified emergency room physicians and manage their medical services. Emergency Service Partners has provided medical management for the health care system’s existing New Braunfels hopsital since 2002.

Free-standing emergency departments provide an easy way for people to get to the emergency room without having to go too from their neighborhoods, said Dennis Watts, executive vice president of business integration for Emergency Service Partners.

“Christus Santa Rosa Emergency Centers will operate just as an emergency room in a hospital facility, complying with all of the same requirements for hospital-based emergency departments,” he said. “All operational and construction requirements must be consistent with those of any other hospital emergency department.”

The centers will be open 24 hours a day year-round and handle all levels of emergencies, from chest pain and stroke symptoms to high blood pressure and general children’s emergencies.

Patients requiring inpatient hospital care will have access to emergency transportation to the facilities.

Like hospital emergency departments, the centers will be staffed with nursing and clinical staff and be equipped with comprehensive imaging services and outpatient imaging services

The new centers will be the latest to open under Christus Santa Rosa. Earlier this year, the system opened an Alamo Heights facility. The 7,000-square-foot, 36-bed short-stay surgical hospital was built in addition to two existing outpatient surgery buildings on the campus.

“This hospital has a special partnership with its physicians,” Carrier said. “Their input was instrumental in the planning of this facility and our doctors are, and will continue to be, an integral part of the decision-making process here.”

The construction project, which broke ground in December 2010, cost approximately $25 million.

“While trends to build new hospitals in areas of suburban growth are valid, convenience for patients and physicians in established neighborhoods holds value as well,” Carrier said. “By complementing inpatient facilities with outpatient services at one location, we create convenience for patients and physicians alike to extend the healing ministry of Jesus Christ.”

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