The model for healthcare delivery has changed dramatically over the past 25 years or so, in part by the realization that many surgeries, treatments, and procedures can be better accommodated through the advanced technology now available in highly regulated ambulatory care centers.
This can speed up the treatment and recovery process for patients and alleviate pressure on hospitals. Patients may be treated faster and more efficiently when these choices are made available to them. These outpatient facilities are becoming more specialized as well, from general urgent care clinics to specialized surgery centers and from geriatrics to pediatrics.
Similarly, the model for healthcare facility construction is also changing dramatically. Off-site construction is becoming widely recognized as a faster, safer, more efficient, and inherently greener way to build, and the resulting benefits to the healthcare market are countless.
Building off site doesn’t just pertain to ambulatory care centers. Medical offices, imaging clinics, hospital wings, and even hospitals are being designed and constructed today with permanent modular construction (PMC) technology. This industry also offers advanced building science technology and is highly regulated.
The entire module will be completed at the plant and delivered to the Greenbuild site in one transport load.
Building off site allows the building construction to occur in a controlled environment concurrently with the site development, resulting in improved quality management and a significantly reduced schedule. This means healthcare facilities can open up to 50% sooner and patients can get the specialized care they need in their community faster.
A Greener Way to Build
This alternative project delivery method is gaining momentum as an inherently greener way to build, from the quality of construction and excellent waste management programs at the plant, to the significantly reduced on-site activity. By shortening the schedule and building off site, the noise, pollutants, disruption, and disturbance to the surrounding community or to the hospital, staff, and patients are greatly minimized. Vehicular traffic is reduced due to fewer material deliveries and workforce travel to and from the project site, and safety and security are significantly improved.
Designing with permanent modular construction up front can enhance the effectiveness of the process, and can build in future flexibility of an ambulatory care center as treatment specialties or even demographics change. Additions can be built off site and delivered and installed quickly and efficiently. And in rare instances where a clinic may be no longer practical in a particular geographical location, by its process, modular construction methodology allows the deconstruction, relocation, and reconstruction so that one abandoned facility doesn’t have to remain empty while another is being constructed elsewhere. This is a great example of adaptability and reuse for a more sustainable built environment.
The Greenbuild ‘Pedia-Pod’
For specialized care, whether ambulatory centers or hospital wings, caring for the individual person and providing a suitable environment for him or her is important to the overall well-being of that patient. For this model, we have designed and constructed a pediatric treatment building module called Pedia-Pod that is “kid-friendly,” offering a unique and cheerful environment where a child can feel most comfortable.
Our display model is a 14x42-foot module showcasing a range of interior finishes, a specialized bathroom, treatment/recovery area, workstation for medical staff, and a waiting area for parents that doubles as a play area for children. The unit also displays some of the structural elements, the building envelope, interior and exterior finishes, doors and fenestration, as well as electrical and mechanical, to demonstrate how an entire clinic could be designed and finished. Modular facilities can be customized to suit the particular healthcare facility requirement.
The building has a high recycled content, with structural steel framing, steel deck, and steel stud infill.
The Pedia-Pod concept and its design principles can be applied to any type of healthcare facility, and it displays the high level of architectural detailing, quality, and sustainable design principles that permanent modular construction (PMC) can produce today.
Pedia-Pod Green Building Highlights
The building design, created using REVIT within the BIM platform, blends a welcoming environment with architectural form and medical function and integrates a number of design principles, practices, and products that could make the building worthy of a LEED BD+C Gold application. Materials were carefully chosen for their sustainable attributes, and will be showcased for attendees to see within the Pedia-Pod location.
Structural steel framing, steel deck, and steel stud infill give this durable building a very high recycled content. The building envelope contains closed-cell spray foam insulation with recycled content in the roof and floor, with Greenguard-certified sustainable insulation in the walls, a specialized weather/rain screen barrier, lightweight cement board subfloor, and mold- and moisture-resistant wall sheathing with 95% recycled content. It features a white roof membrane with an SRI index of 99. The exterior cladding is a beautiful architectural fibre cement panel containing FSC wood pulp and fly ash waste from landfills.
One unique interior drywall product actively removes VOCs from the air while the other is a noise-reducing board. Both are moisture and mold resistant. Interior paint is zero-VOC formula, and the floor finish is a long-lasting, slip-resistant product with recycled content requiring no harsh chemicals for cleaning. Millwork contains FSC-certified board.
The building also features high-performance windows, energy-efficient lighting and controls, and water-saving plumbing fixtures.
Modular Construction Process of the Pedia-Pod
Once the structural steel frame is completed in the NRB steel fabrication shop, it is moved to the production area where it will be completed with NRB’s skilled workforce and trades. Materials that are pre-ordered or free-issued for this building are safely stored in the warehouse, for use when needed. Materials that may be left over after construction are often re-inventoried for use in a future NRB project rather than recycled or sent to landfill, reducing waste.
The Pedia-Pod will be 100% completed at the plant, including all interior and exterior finishes, wiring, ductwork, plumbing fixtures, counters, and cabinets, and prepared for shipping. Only one transport load is needed for the complete building to the site.
The Pedia-Pod was designed and constructed by NRB (USA) in Ephrata, Pa., in collaboration with the editorial/business staff of Building Design+Construction. Sustainable products and systems were supplied by sponsoring building product manufacturers.
About NRB
NRB is dedicated to the advancement of permanent modular construction technology and green building practices. NRB is a vertically integrated company that offers building design assistance using BIM technology, off-site construction in a controlled environment, and on-site installation. NRB is headquartered in Grimsby, Ont., since 1979 with a U.S. facility in Ephrata, Pa., since 2003. For more information please visit www.nrb-inc.com.
Related Stories
Multifamily Housing | Dec 20, 2022
Brooks + Scarpa-designed apartment provides affordable housing to young people aging out of support facilities
In Venice, Calif., the recently completed Rose Apartments provides affordable housing to young people who age out of youth facilities and often end up living on the street. Designed by Brooks + Scarpa, the four-story, 35-unit mixed-use apartment building will house transitional aged youths.
Coatings | Dec 20, 2022
The Pier Condominiums — What's old is new again!
When word was out that the condominium association was planning to carry out a refresh of the Pier Condominiums on Fort Norfolk, Hanbury jumped at the chance to remake what had become a tired, faded project.
Cladding and Facade Systems | Dec 20, 2022
Acoustic design considerations at the building envelope
Acentech's Ben Markham identifies the primary concerns with acoustic performance at the building envelope and offers proven solutions for mitigating acoustic issues.
Sponsored | Resiliency | Dec 14, 2022
Flood protection: What building owners need to know to protect their properties
This course from Walter P Moore examines numerous flood protection approaches and building owner needs before delving into the flood protection process. Determining the flood resilience of a property can provide a good understanding of risk associated costs.
Architects | Dec 14, 2022
Carol Ross Barney, FAIA, named 2023 AIA Gold Medal honoree
The Board of Directors and the Strategic Council of the American Institute of Architects (AIA) are honoring Carol Ross Barney, FAIA, with the 2023 Gold Medal. The Gold Medal honors an individual whose significant body of work has had a lasting influence on the theory and practice of architecture.
Healthcare Facilities | Dec 14, 2022
In Flint, Mich., a new health center brings together children’s mental and physical health services
Families with children who experience behavioral health issues often have to travel to multiple care facilities to see multiple teams of specialists. In Flint, Mich., the new Center for Children’s Integrated Services at Genesee Health System (GHS), a public mental health provider, brings together all of the GHS children’s programs, including its behavioral health programs, under one roof. It provides families a single destination for their children’s mental healthcare.
Sponsored | Multifamily Housing | Dec 14, 2022
Urban housing revival: 3 creative multifamily housing renovations
This continuing education course from Bruner/Cott & Associates highlights three compelling projects that involve reimagining unlikely buildings for compelling multifamily housing developments.
Multifamily Housing | Dec 13, 2022
Top 106 multifamily housing kitchen and bath amenities – get the full report (FREE!)
Multifamily Design+Construction's inaugural “Kitchen+Bath Survey” of multifamily developers, architects, contractors, and others made it clear that supply chain problems are impacting multifamily housing projects.
Green | Dec 9, 2022
Reaching carbon neutrality in building portfolios ranks high for organizations
Reaching carbon neutrality with their building portfolios ranks high in importance among sustainability goals for organizations responding to a Honeywell/Reuters survey of senior executives at 187 large, multinational corporations. Nearly nine in 10 respondents (87%) say that achieving carbon neutrality in their building portfolio is either extremely (58%) or somewhat (29%) important in relation to their overall ESG goals. Only 4% of respondents called it unimportant.
Green | Dec 9, 2022
Newly formed Net Zero Built Environment Council aims to decarbonize the built world
Global management consulting firm McKinsey recently launched the Net Zero Built Environment Council, a cross-sector coalition of industry stakeholders aiming to decarbonize the built world. The council’s chief goal is to collaboratively create new pathways to cut greenhouse gas emissions from buildings.