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
| Nov 11, 2012
Greenbuild 2012 Report: Healthcare
Green medical facilities extend beyond hospital walls
| Oct 24, 2012
Loma Linda University Medical Center lets light in with metal wall systems
Designers for the building aimed to create a positive environment for patients and visitors, and wanted to let in as much natural daylight as possible.
| Oct 11, 2012
Hank Adams Named to Lead HDR’s Healthcare Program
With more than 25 years of experience, HDR vice president is tapped to lead firm's healthcare projects.
| Oct 10, 2012
Skanska to Construct Children’s Hospital of Richmond at Virginia Commonwealth University Pavilion
Skanska USA announced that it has been awarded an $80 million contract to construct a new Children’s Pavilion at Children’s Hospital of Richmond at VCU.
| Oct 2, 2012
Bernards working on project at L.A. White Memorial Medical Center
The new facility is a $15-million, 41,000-sf concrete structure which includes three stories of medical office space atop a three-level parking garage.
| Sep 28, 2012
Seattle is home to first LEED-certified modular radiation center
By using modular construction and strategic site design, RAD Medical Systems built the first radiation center to receive LEED certification.
| Sep 20, 2012
Forrester begins construction of freestanding cancer center in Montgomery County, Md.
The new 51,000-square-foot building will include two linear accelerator vaults for radiation equipment.
| Sep 7, 2012
Healthcare architects get a preview of tomorrow’s medical landscape
The topic on everyone’s mind was how the Affordable Care Act would impact healthcare design and construction––and whether the law would even make it past the coming election cycle.
| Sep 7, 2012
Lucile Packard Children’s Hospital breaks ground on expansion
Sustainability and nature at the heart of the new addition at the Stanford University Medical Center designed by Perkins+Will.
| Sep 6, 2012
CPPI awarded $30.3 million contract for University of Florida’s Harrell Medical Education Building
The specialized interdisciplinary learning environment will serve as a focal point for integration and program development for all primary care educational activities in the College of Medicine.