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ASHE's Vista awards recognize collaborative excellence in facility design and construction

March 22, 2013

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The annual Vista awards, presented by the AHA’s American Society for Healthcare Engineering, honor outstanding teamwork in health care design and construction.

Vista winners must demonstrate a team approach to planning, developing and implementing high-quality work while meeting the challenges of a complex health care project.

This year’s winning projects are: MultiCare Good Samaritan Hospital’s patient care tower in Puyallup, WA (new construction); John C. Lincoln North Mountain Hospital’s specialty surgical care unit in Phoenix (renovation); and Swedish Medical Center’s campus in Issaquah, WA (infrastructure). 2013 Vista Award for new construction – MultiCare Good Samaritan Hospital. The Dally Tower, as the patient tower is known, includes 162 inpatient rooms; an emergency department with 47 patient stations; a surgery department with eight operating rooms; and imaging, special procedures and express services departments.

The project also involved the design and construction of a new hospital entrance and lobby, connections to existing buildings, a parking structure for 380 cars and a central utility plant.

A collaborative process helped to earn the project a LEED (Leadership in Energy and Environmental Design) Gold designation for sustainable design and to complete
the project under budget, despite dedicating the original budget contingency to adding another patient floor to the tower. LEED is a system for rating the design, construction and operation of high performance energy-efficient buildings. “There was a palpable sense that everybody was on the same team,” MultiCare Good Samaritan Hospital President Glenn Kasman says of the project. 2013 Vista Recipient for Renovation – John C. Lincoln Health Network. To increase bed capacity at John C. Lincoln Health Network’s North Mountain Hospital, an underutilized hospital floor was stripped down to its structural frame, then rebuilt as a 28-bed, post-surgery unit.

With construction occurring immediately above the hospital’s surgical suite and post-cardiac care unit –which remained open throughout the project –the team was challenged to complete the renovation with minimal disruption to hospital operations. They also were required to squeeze modern health care infrastructure, including patient-lift supports, into a building older than 40 years with a floor-to-floor height of just 12 feet.

The team had a tight schedule to meet to open the unit in time for the hospital’s high-volume winter season. The unit was open to patients in January 2012.
2013 Vista Recipient for Infrastructure – Swedish Medical Center. The central utility plant (CUP) at Swedish Medical Center’s Issaquah campus supports a new, five-level, 375,000-squarefoot acute care community hospital. In building the hospital, Swedish Medical Center set an aggressive target for energy usage: 150,000 Btu per square foot per year, more than 40% less than the amount of energy used in a typical hospital in the Seattle area.

The CUP includes six highefficiency, low-temperature condensing hot water boilers; three fire-tube process steam boilers; one 300-ton heat recovery chiller piped in series with three 530-ton, variable-speed chillers; three induced-draft, vertical discharge cooling towers with ultra lownoise fans; and three 1,750-watt standby diesel generators.

The project team calculated the incremental cost of all energyefficiency measures used in the design at slightly more than $3 million. This is balanced by rebate and grant funding of just less than $3 million from the local utility, Puget Sound Energy, plus an ongoing estimated operating cost-savings of more than $500,000 per year.

“Designing a plant like that gives you a building with a lifetime of savings,” says Lee Brei, the hospital’s director of facilities services. “It gets down to lowering the cost of health care.”

Eagle is a Homewood, IL-based freelance writer. This is an excerpt of an article that first appeared in the March issue of Health Facilities Management magazine, www.hfmmagazine.com, a publication of the AHA and Health Forum.

By Amy Eagle