Memorial Sloan Kettering Cancer Center, one of the premier cancer treatment hospitals in the world, had a problem. A recent analysis of patient volumes showed that it would run out of space for new construction at its Upper East Side campus in Manhattan in just a few years. It did own a site at East 61st Street and York Avenue, near the East River and seven blocks from its main campus at 1275 York. But the parcel was only 100 by 115 feet. On top of that, it was also within a floodplain.
MSK had never built on such a small site. “We realized that we would be developing a new paradigm,” says Suzen L. Heeley, IIDA, LEED AP, MSK’s Executive Director of Design and Construction. The design would have to take into account all support services and staff needs, since staff would be in the building for their entire shift.
The solution: go vertical. The result, devised by MSK and its architect, Perkins Eastman, is the 179,000-sf, 16-story Josie Robertson Surgery Center, which opened in December 2015.
Perkins Eastman addressed the floodplain problem by moving the mechanical systems to higher floors, “hardening” the building against flooding, says Jeffrey Brand, AIA, EDAC, Principal. Several variances were also required, including one for the surgical program, which called for uninterrupted floor plates. Operating rooms were stacked vertically on three floors, with care areas designed for specialty procedures.
Accommodating three elevators (one each for the public, patients, and service staff) reduced the floor plate to about 8,000 sf, forcing the hospital and its Building Team to come up with what Heeley calls “a new architectural and operational model.”
A key goal of the center is to limit patient stays to a few days, so encouraging patient mobility is important. (Only a small percentage of the surgery center’s patients get admitted to MSK’s main hospital.) The recovery area includes a figure-eight corridor to encourage patients to move around. They have to leave their beds to get breakfast.
The patient experience has been enhanced from admission to release, says Heeley. The waiting area features The Beehive, a reception kiosk for checking in. Patients are assigned a designated caregiver and given a location badge, which tracks their movements throughout the stay in real time. In the first six months of operation, the badges (from HealthLoop) recorded 248,000 patient touch points.
The waiting area also has “campsites,” where patients and families can gather without having to move a lot of furniture. Brand says these areas are like living rooms, with a food bar, a business center, a library, and places where children can play Wii.
Staff comforts were not ignored. The design infuses plenty of daylight throughout the core of the building. The staff-only top floor, known as The Mixing Bowl, provides food service, conference and business areas, and spaces where clinical staff can mingle informally. Other rooms include The Soap Box (for dining and meeting) and places for computer workstations.
The building has become so popular with staff members that there’s currently a waiting list of employees who want to work there.
Josie Robertson borrows many of its design and construction ideas from the hospitality sector. Perkins Eastman collaborated with the New York–based interior design firm iCrave—known primarily for its restaurant and airport work—to make the interior spaces emulate a home-recovery experience.
The walkways in the post-anesthesia care floors are filled with artwork. There’s room for patients to exercise and socialize. Wood finishes, with their soothing, organic texture, are prevalent throughout.
“We wanted something different,” says Heeley. She admits that MSK’s leadership was nervous about bringing in iCrave, but felt confident that Perkins Eastman, which has been designing for MSK for decades, had the healthcare chops to keep the project on track. Controlling the budget did take some “curating,” she says, when it came to choosing lighting, furniture, and flooring.
Heeley says that elements of the Josie Robertson concept will inevitably find their way into future MSK projects, including the 750,000-sf Robert Koch Center for ambulatory care. “We’re designing in a flexible way to be able to make changes quickly,” she says.
Related Stories
Healthcare Facilities | Feb 18, 2021
The Weekly show, Feb 18, 2021: What patients want from healthcare facilities, and Post-COVID retail trends
This week on The Weekly show, BD+C editors speak with AEC industry leaders from JLL and Landini Associates about what patients want from healthcare facilities, based on JLL's recent survey of 4,015 patients, and making online sales work for a retail sector recovery.
Healthcare Facilities | Feb 5, 2021
Healthcare design in a post-COVID world
COVID-19’s spread exposed cracks in the healthcare sector, but also opportunities in this sector for AEC firms.
Healthcare Facilities | Feb 3, 2021
$545 million patient pavilion at Vassar Brothers Medical Center completes
CallisonRTKL designed the project.
Modular Building | Jan 26, 2021
Offsite manufacturing startup iBUILT positions itself to reduce commercial developers’ risks
iBUILT plans to double its production capacity this year, and usher in more technology and automation to the delivery process.
Healthcare Facilities | Jan 16, 2021
New patient pavilion is Poughkeepsie, N.Y.’s largest construction project to date
The pavilion includes a 66-room Emergency Department.
Healthcare Facilities | Jan 9, 2021
As mental healthcare is destigmatized, demand for treatment centers is rising
NBBJ is among the firms tapping into this trend.
Giants 400 | Dec 16, 2020
Download a PDF of all 2020 Giants 400 Rankings
This 70-page PDF features AEC firm rankings across 51 building sectors, disciplines, and specialty services.
Healthcare Facilities | Dec 10, 2020
The Weekly show: The future of medical office buildings, and virtual internship programs
This week on The Weekly show, BD+C editors spoke with leaders from SMRT Architects and Engineers and Stantec about the future of medical office buildings, and virtual internship programs
Healthcare Facilities | Dec 4, 2020
What hospitals can learn from research labs
5 infection control principles used in high-containment facilities.
Giants 400 | Dec 3, 2020
2020 Science & Technology Facilities Giants: Top architecture, engineering, and construction firms in the S+T sector
HDR, Jacobs, and Turner head BD+C's rankings of the nation's largest science and technology (S+T) facilities sector architecture, engineering, and construction firms, as reported in the 2020 Giants 400 Report.