7. San Antonio Military Medical Center an addition to the Brooke Army Medical Center; Fort Sam Houston, Texas
RTKL Associates, Inc.
The San Antonio Military Medical Center (SAMMC) is the largest inpatient medical center for the U.S. Department of Defense and the agency’s only American Burn Associated-verified burn center. The building, which opened in 2011, adds 102 beds, a rehabilitation clinic, expanded operating room capabilities, a new emergency department and a new patient bed tower. It also includes a parking structure for 5,000 vehicles, and ancillary support and infrastructure. RTKL was commissioned to design the new 760,000 -square-foot, LEED Silver certified building after working on a number of other projects for the U.S. Army Corps of Engineers in support of their 2005 Base Realignment and Closure (BRAC) initiative. Photos: Charles Davis Smith courtesy RTKL
Category C: Unbuilt
8. Sheikh Khalifa Medical City; Abu Dhabi, UAE
Skidmore, Owings & Merrill in a joint venture with ICME & Tilke as ITS
Sheikh Khalifa Medical City (SKMC) is an 838-bed medical complex in the heart of Abu Dhabi. Designed by Skidmore, Owings & Merrill LLP (SOM) in a joint venture with ICME and Tilke, SKMC contains three hospitals under one roof, combining a General Hospital, tertiary Women’s Hospital, and Pediatric Hospital. This model enhances patient care through specialization while improving efficiency through shared services. Envisioned as a city within a city, the design creates a bustling campus-like environment of distinct character and is based on the notion of patients as guests. The project’s lobbies and public spaces convey a sense of serenity through spaciousness, natural materials and diffused natural light. Renderings: SOM
Category D: Innovations in Planning and Design Research, Built and Unbuilt
9. Brigham and Women's Hospital, Advanced Multimodality Image Guided Operating Room (AMIGO); Boston
Payette
In the groundbreaking clinical research facility, Brigham and Women’s Hospital’s AMIGO Suite, an operating room is linked to adjacent imaging suites, enabling the patient to remain static while the machines—including a 33,000-pound MRI—move from one chamber to another in the midst of a surgical procedure. The array of infrastructure necessary to enable this technology was deftly concealed behind walls and above ceilings, which were kept neutral in appearance so as not to compete with critical patient information displays. The kinetic qualities of the suite are captured on the floor, where the arc of the operating table’s rotation and the limits of the magnet’s Gaussian surfaces are vividly rendered in a palette of colors derived from the facility’s cutting-edge equipment. Photos: Warren Jagger Photography
10. Rethinking the need for emergency department beds
Lennon Associates
The project was to reduce the number of beds, staff and patient waiting times in a major teaching hospital emergency department while at the same time, increase patient safety and comfort. This study concluded that 60% of emergency department patients did not need to be in a bed, but could be seen in a less intense setting. Building less beds, needs less staff and requires a new physical layout to accommodate the new patient flow. That gave rise to new possibilities of enhanced patient spaces with amenities resembling that of airline first class accommodations. Computer simulations were liberally used to establish the size and staffing required for the new patient flow model. That was further buttressed by physical trials using actual patients. Renderings: Lennon Associates
11. Kaleida Health, Gates Vascular Institute and UB Clinical Translational Research Center; Buffalo, New York
Cannon Design
Photo: Thomas Mayer Photography
The spirit of collaboration was the driving force uniting Kaleida Health and the University at Buffalo within a single structure, and the building strives to bring several disciplines and its patients, surgeons and researchers, together to exchange knowledge and ignite innovation. The 476,000-square-foot facility achieves this by stacking a translational research building over a clinical vascular institute. The first four floors of this 10-story “vertical campus,” house the Gates Vascular Institute, with the Clinical Translational Research Center occupying the top half of the building. Sandwiched between the two, is a two-level “collaborative core”—the binder that connects doctors and researchers from varying specialties to meet in a variety of dynamic situations to accelerate medical discoveries—moving science from the bench to the bedside.
Photo: Bjorg Magnea Architectural & Interior Photography
Photo: Thomas Mayer Photography
Photo: Tim Wilkes Photography
Photo: Bjorg Magnea Architectural & Interior Photography
![](/sites/default/files/22-GVICTRC_0.jpg)
Photo: Tim Wilkes Photography
Category E: Master Planning Urban Design for Healthcare Settings
12. Focal Point Community Campus; Chicago
HDR Architecture, Inc.
Located in Southwest Chicago, it is one of the most vibrant, yet blighted, neighborhoods in the city. Acting as both an anchor and a change agent, the hospital is envisioned as an urban campus that fosters a relationship between the hospital and its community. The two are intrinsically linked by a “circulatory system” – a band of food and retail markets, fitness centers, etc. that runs along the third floor of the building. This system serves as the interface between the world of healthcare and the world beyond, and it literally brings the two together – a new paradigm in the industry. Furthermore, the building treads lightly on the site. Its ground floor is wrapped with glass and its grounds are replete with wellness gardens, soccer fields, and basketball courts. Renderings: HDR Architecture
For more, see the AIA press release.
Related Stories
| Nov 29, 2010
Data Centers: Keeping Energy, Security in Check
Power consumption for data centers doubled from 2000 and 2006, and it is anticipated to double again by 2011, making these mission-critical facilities the nation’s largest commercial user of electric power. Major technology companies, notably Hewlett-Packard, Cisco Systems, and International Business Machines, are investing heavily in new data centers. HP, which acquired technology services provider EDS in 2008, announced in June that it would be closing many of its older data centers and would be building new, more highly optimized centers around the world.
| Nov 29, 2010
New Design Concepts for Elementary and Secondary Schools
Hard hit by the economy, new construction in the K-12 sector has slowed considerably over the past year. Yet innovation has continued, along with renovations and expansions. Today, Building Teams are showing a keener focus on sustainable design, as well as ways to improve indoor environmental quality (IEQ), daylighting, and low-maintenance finishes such as flooring.
| Nov 29, 2010
Renovating for Sustainability
Motivated by the prospect of increased property values, reduced utility bills, and an interest in jumping on the sustainability bandwagon, a noted upturn in green building upgrades is helping designers and real estate developers stay busy while waiting for the economy to recover. In fact, many of the larger property management outfits have set up teams to undertake projects seeking LEED for Existing Buildings: Operations & Maintenance (LEED-EBOM, also referred to as LEED-EB), a certification by the U.S. Green Building Council.
| Nov 23, 2010
The George W. Bush Presidential Center, which will house the former president’s library
The George W. Bush Presidential Center, which will house the former president’s library and museum, plus the Bush Institute, is aiming for LEED Platinum. The 226,565-sf center, located at Southern Methodist University, in Dallas, was designed by architect Robert A.M. Stern and landscape architect Michael Van Valkenburgh.
| Nov 23, 2010
Honeywell's School Energy and Environment Survey: 68% of districts delayed or eliminated improvements because of economy
Results of Honeywell's second annual “School Energy and Environment Survey” reveal that almost 90% of school leaders see a direct link between the quality and performance of school facilities, and student achievement. However, districts face several obstacles when it comes to keeping their buildings up to date and well maintained. For example, 68% of school districts have either delayed or eliminated building improvements in response to the economic downturn.
| Nov 16, 2010
Architecture Billings Index: inquiries for new projects remain extremely high
The new projects inquiry index was 61.7, down slightly from a nearly three-year high mark of 62.3 in September, according to the Architecture Billings Index (ABI). However, the ABI dropped nearly two points in October; the October ABI score was 48.7, down from a reading of 50.4 the previous month. The ABI reflects the approximate nine to 12 month lag time between architecture billings and construction spending.
| Nov 16, 2010
Brazil Olympics spurring green construction
Brazil's green building industry will expand in the coming years, spurred by construction of low-impact venues being built for the 2016 Olympics. The International Olympic Committee requires arenas built for the 2016 games in Rio de Janeiro meet international standards for low-carbon emissions and energy efficiency. This has boosted local interest in developing real estate with lower environmental impact than existing buildings. The timing couldn’t be better: the Brazilian government is just beginning its long-term infrastructure expansion program.
| Nov 16, 2010
Green building market grows 50% in two years; Green Outlook 2011 report
The U.S. green building market is up 50% from 2008 to 2010—from $42 billion to $55 billion-$71 billion, according to McGraw-Hill Construction's Green Outlook 2011: Green Trends Driving Growth report. Today, a third of all new nonresidential construction is green; in five years, nonresidential green building activity is expected to triple, representing $120 billion to $145 billion in new construction.
| Nov 16, 2010
Calculating office building performance? Yep, there’s an app for that
123 Zero build is a free tool for calculating the performance of a market-ready carbon-neutral office building design. The app estimates the discounted payback for constructing a zero emissions office building in any U.S. location, including the investment needed for photovoltaics to offset annual carbon emissions, payback calculations, estimated first costs for a highly energy efficient building, photovoltaic costs, discount rates, and user-specified fuel escalation rates.