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 | Jun 1, 2023
High-rise cancer center delivers new model for oncology care
Atlanta’s 17-story Winship Cancer Institute at Emory Midtown features two-story communities that organize cancer care into one-stop destinations. Designed by Skidmore, Owings & Merrill (SOM) and May Architecture, the facility includes comprehensive oncology facilities—including inpatient beds, surgical capacity, infusion treatment, outpatient clinics, diagnostic imaging, linear accelerators, and areas for wellness, rehabilitation, and clinical research.
Healthcare Facilities | May 19, 2023
A new behavioral health facility in California targets net zero energy
Shortly before Mental Health Awareness Month in May, development and construction firm Skanska announced the topping out of California’s first behavioral health facility—and the largest in the nation—to target net zero energy. Located in Redwood City, San Mateo County, Calif., the 77,610-sf Cordilleras Health System Replacement Project is slated for completion in late 2024.
3D Printing | May 12, 2023
World’s first 3D-printed medical center completed
3D construction printing reached new heights this week as the world’s first 3D-printed medical center was completed in Thailand.
Sustainability | May 11, 2023
Let's build toward a circular economy
Eric Corey Freed, Director of Sustainability, CannonDesign, discusses the values of well-designed, regenerative buildings.
Digital Twin | May 8, 2023
What AEC professionals should know about digital twins
A growing number of AEC firms and building owners are finding value in implementing digital twins to unify design, construction, and operational data.
Design Innovation Report | Apr 27, 2023
BD+C's 2023 Design Innovation Report
Building Design+Construction’s Design Innovation Report presents projects, spaces, and initiatives—and the AEC professionals behind them—that push the boundaries of building design. This year, we feature four novel projects and one building science innovation.
Sustainability | Apr 20, 2023
13 trends, technologies, and strategies to expect in 2023
Biophilic design, microgrids, and decarbonization—these are three of the trends, technologies, and strategies IMEG’s market and service leaders believe are poised to have a growing impact on the built environment.
Design Innovation Report | Apr 19, 2023
HDR uses artificial intelligence tools to help design a vital health clinic in India
Architects from HDR worked pro bono with iKure, a technology-centric healthcare provider, to build a healthcare clinic in rural India.
Healthcare Facilities | Apr 17, 2023
UC Irvine takes sustainability to new level with all-electric medical center
The University of California at Irvine (UCI) has a track record for sustainability. Its under-construction UCI Medical Center is designed, positioned, and built to preserve the nearby San Joaquin Marsh Reserve, to reduce the facility’s solar gain by 85%, and to be the first medical center in the country to operate on an all-electric central plant.
Healthcare Facilities | Apr 13, 2023
Healthcare construction costs for 2023
Data from Gordian breaks down the average cost per square foot for a three-story hospital across 10 U.S. cities.