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
| Sep 22, 2014
Sound selections: 12 great choices for ceilings and acoustical walls
From metal mesh panels to concealed-suspension ceilings, here's our roundup of the latest acoustical ceiling and wall products.
| Sep 20, 2014
Healthcare conversion projects: 5 hard-earned lessons from our experts
Repurposing existing retail and office space is becoming an increasingly popular strategy for hospital systems to expand their reach from the mother ship. Our experts show how to avoid the common mistakes that can sabotage outpatient adaptive-reuse projects.
| Sep 19, 2014
8 hot healthcare projects win interior design awards
Winners of IIDA's 2014 Healthcare Interior Design Competition include Perkins+Will, AECOM, Buffalo Design, and SmithGroupJJR, for projects from Cincinnati to Toronto.
| Sep 15, 2014
Ranked: Top international AEC firms [2014 Giants 300 Report]
Parsons Brinckerhoff, Gensler, and Jacobs top BD+C's rankings of U.S.-based design and construction firms with the most revenue from international projects, as reported in the 2014 Giants 300 Report.
| Sep 15, 2014
Perkins+Will unveils design for Ghana's largest hospital
The new hospital will be home to numerous hospital services including public health, accident and emergency, imaging, obstetrics, gynecology, dental, surgical, intensive care and administration.
| Sep 9, 2014
Using Facebook to transform workplace design
As part of our ongoing studies of how building design influences human behavior in today’s social media-driven world, HOK’s workplace strategists had an idea: Leverage the power of social media to collect data about how people feel about their workplaces and the type of spaces they need to succeed.
| Sep 7, 2014
Ranked: Top state government sector AEC firms [2014 Giants 300 Report]
PCL Construction, Stantec, and AECOM head BD+C's rankings of the nation's largest state government design and construction firms, as reported in the 2014 Giants 300 Report.
| Sep 7, 2014
Hybrid healthcare: Revamping inefficient inpatient units to revenue-producing outpatient care
It's happening at community hospitals all over America: leadership teams are looking for ways to maintain margins by managing underutilized and non-revenue producing space. GS&P's David Magner explores nontraditional healthcare models.
| Sep 7, 2014
Behind the scenes of integrated project delivery — successful tools and applications
The underlying variables and tools used to manage collaboration between teams is ultimately the driving for success with IPD, writes CBRE Healthcare's Megan Donham.
| Sep 4, 2014
Hospital CEOs, architects sound off on state of healthcare design
Healthcare construction will continue to feel the effects of radical changes in the delivery of care, according to healthcare leaders attending the annual Summer Leadership Summit of the American College of Healthcare Architects and the AIA Academy of Architecture for Health.