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Repurposing Unconventional
Sites for Healthcare
2
REPURPOSING UNCONVENTIONAL SITES FOR HEALTHCARE
NYC: 3rd Annual Hospitals & Medical Facilities Summit
Jeffrey Drucker
Vice President
Northeast | New England Regions
ARRAY ARCHITECTS
8 LOCATIONS NATIONWIDE
#1 Ranked
Healthcare-Only Architecture Firm
BOCA RATON / BOSTON / CLEVELAND / COLUMBUS /
DALLAS / NEW YORK / PHILADELPHIA / WASHINGTON
3
Challenges of Evaluation
Process of Site Selection for
“Repurposing
Unconventional Sites”
• Hotel Foundation
• Garages
• Housing
• Retail
• Commercial - Office
• Manufacturing - Warehouse
4
Site Selection
Considerations
• System strategy
• Competition
• Site location/assessment
evaluation
• Team organization
• High visibility
• Market coverage
• Payer mix
5
Determinations When
Looking At Properties
• A good property manager who
understands your needs
• Determine length of time you
plan to be in the building
• Infrastructure
• Ceiling heights
• Generator hookup
• Dedicated ventilation
• Appropriate floor plates
• Transportation – parking/mass
transit
• Accessibility
6
Determinations When
Looking At Properties
• Urban business model vs.
suburban business model
• Desirable location?
• If new location, is it close to the
old?
• Can it be zoned for medical
use?
• Can you have signage in the
lobby?
• Structural considerations –
imaging and vibrations
• Is Article 28 a factor?
7
BRONX, NY
Montefiore Medical
Center Ambulatory
Care Center
• 280,00 SF Ambulatory
Care Center
• 12 ORs/ 4 Procedure
Rooms
• 64 Bay Recovery Area
20,000 SF Imaging Suite
• Large Entry Canopy
• RFID and Tracking System
• Electronic Bedside
Registration
Hotel Foundations
8
• Grandfathered Hotel
foundations
• Elevators
• Egress stairs &
passageways
• Toilets
• Infrastructure & Mechanical
floors
• Multifunctional Ambulatory
Building “Hospital without
Beds”
What are the
CHALLENGES?
9
STACKING PLAN
ENT/ORL Ophthalmology
Pediatric/Adult Primary Care
Medicine
Central Sterile Supply Mechanical Pathology
Plastic Surgery/Dermatology Pharmacy
Heart Center
Gastroenterology Urology General Surgery
Parking Service Discharge
Diagnostic | Imaging Patient Intake | Lobby
Ambulatory Surgery Recovery
Procedure Ambulatory Surgery Pre-Op
Roof
12
11
10
9
8
7
6
5
4
3
2
1
Entrance
Faculty Practice
Treatment
Diagnostic
Support
Patient Intake
LegendVertical Circulation
Soiled Elevator
Staff Ele./Stairs
Patient Transport
Clean Elevator
Main Elevator
Patient Intake
Patient Discharge
Pain Management
10
GARAGE SITES
• Sloped Floors/Ramps
• Low floor to floor heights
• Large Elevator/Car lifts
• Infrastructure/
Structural considerations
• Medical floor plate design
/ DOH
What are the
CHALLENGES?
11
GARAGE SITES
12
13
What are the
CHALLENGES?
• Residential layouts/ Stairs
& Plumbing shafts
• Low floor to floor heights
• Windows
• Infrastructure/Structural
considerations
• Medical floor plate design
/Community
Considerations
HOUSING - Harlem Park – 124th Street
14
Harlem Park – 124th Street
15
Harlem Park – 124th Street
16
Harlem Park – 124th Street
18
What are the
CHALLENGES?
• Mall retail layouts
• Signage/Access Points
• Parking
• Infrastructure/Structural
considerations
• Medical floor plate design /
DOH
RETAIL - Colombia Tarrytown
19
COLOMBIA TARRYTOWN
20
COMMERCIAL – 156 William
21
STACKING DIAGRAM
What are the
CHALLENGES?
• Strategy/Floor availability
• Low floor to floor heights
• Sprinklers
• Infrastructure/Access
considerations
• Ambulances, patient, deliveries
• Medical floor plate design / DOH
22
MANUFACTURING – Warehouse
23
MANUFACTURING – Warehouse
What are the
CHALLENGES?
• Mall retail layouts
• Signage/Access Points
• Parking
• Infrastructure/Structural
considerations
• Medical floor plate design /
DOH
24
FIRST FLOOR COLOR PLAN
25
MANUFACTURING – Warehouse
26
Matrix Breakdown
• Develop selection criteria
with all key members
• Prioritize criteria
• Real Estate can use this to
identify potential sites
• Evaluate sites and score
criteria
• Use Tableau to review data
with leadership
• Identify best candidates for
test fits and detailed research
• Use for more site selection if
needed
Real Estate
Selection
ARCHITECTURE
Criteria 1
Criteria 2
Criteria 3
X
X
X
00 = 00
00 = 00
00 = 00
00 = 00
00 = 00
00 = 00
00 = 00
00 = 00
00 = 00
+
+
+
+
+
+
SITE 1 SITE 2 SITE 3
TOTAL TOTAL TOTAL
Thank you!

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Repurposing Unconventional Sites for Healthcare

  • 2. 2 REPURPOSING UNCONVENTIONAL SITES FOR HEALTHCARE NYC: 3rd Annual Hospitals & Medical Facilities Summit Jeffrey Drucker Vice President Northeast | New England Regions ARRAY ARCHITECTS 8 LOCATIONS NATIONWIDE #1 Ranked Healthcare-Only Architecture Firm BOCA RATON / BOSTON / CLEVELAND / COLUMBUS / DALLAS / NEW YORK / PHILADELPHIA / WASHINGTON
  • 3. 3 Challenges of Evaluation Process of Site Selection for “Repurposing Unconventional Sites” • Hotel Foundation • Garages • Housing • Retail • Commercial - Office • Manufacturing - Warehouse
  • 4. 4 Site Selection Considerations • System strategy • Competition • Site location/assessment evaluation • Team organization • High visibility • Market coverage • Payer mix
  • 5. 5 Determinations When Looking At Properties • A good property manager who understands your needs • Determine length of time you plan to be in the building • Infrastructure • Ceiling heights • Generator hookup • Dedicated ventilation • Appropriate floor plates • Transportation – parking/mass transit • Accessibility
  • 6. 6 Determinations When Looking At Properties • Urban business model vs. suburban business model • Desirable location? • If new location, is it close to the old? • Can it be zoned for medical use? • Can you have signage in the lobby? • Structural considerations – imaging and vibrations • Is Article 28 a factor?
  • 7. 7 BRONX, NY Montefiore Medical Center Ambulatory Care Center • 280,00 SF Ambulatory Care Center • 12 ORs/ 4 Procedure Rooms • 64 Bay Recovery Area 20,000 SF Imaging Suite • Large Entry Canopy • RFID and Tracking System • Electronic Bedside Registration Hotel Foundations
  • 8. 8 • Grandfathered Hotel foundations • Elevators • Egress stairs & passageways • Toilets • Infrastructure & Mechanical floors • Multifunctional Ambulatory Building “Hospital without Beds” What are the CHALLENGES?
  • 9. 9 STACKING PLAN ENT/ORL Ophthalmology Pediatric/Adult Primary Care Medicine Central Sterile Supply Mechanical Pathology Plastic Surgery/Dermatology Pharmacy Heart Center Gastroenterology Urology General Surgery Parking Service Discharge Diagnostic | Imaging Patient Intake | Lobby Ambulatory Surgery Recovery Procedure Ambulatory Surgery Pre-Op Roof 12 11 10 9 8 7 6 5 4 3 2 1 Entrance Faculty Practice Treatment Diagnostic Support Patient Intake LegendVertical Circulation Soiled Elevator Staff Ele./Stairs Patient Transport Clean Elevator Main Elevator Patient Intake Patient Discharge Pain Management
  • 10. 10 GARAGE SITES • Sloped Floors/Ramps • Low floor to floor heights • Large Elevator/Car lifts • Infrastructure/ Structural considerations • Medical floor plate design / DOH What are the CHALLENGES?
  • 12. 12
  • 13. 13 What are the CHALLENGES? • Residential layouts/ Stairs & Plumbing shafts • Low floor to floor heights • Windows • Infrastructure/Structural considerations • Medical floor plate design /Community Considerations HOUSING - Harlem Park – 124th Street
  • 14. 14 Harlem Park – 124th Street
  • 15. 15 Harlem Park – 124th Street
  • 16. 16 Harlem Park – 124th Street
  • 17.
  • 18. 18 What are the CHALLENGES? • Mall retail layouts • Signage/Access Points • Parking • Infrastructure/Structural considerations • Medical floor plate design / DOH RETAIL - Colombia Tarrytown
  • 21. 21 STACKING DIAGRAM What are the CHALLENGES? • Strategy/Floor availability • Low floor to floor heights • Sprinklers • Infrastructure/Access considerations • Ambulances, patient, deliveries • Medical floor plate design / DOH
  • 23. 23 MANUFACTURING – Warehouse What are the CHALLENGES? • Mall retail layouts • Signage/Access Points • Parking • Infrastructure/Structural considerations • Medical floor plate design / DOH
  • 26. 26 Matrix Breakdown • Develop selection criteria with all key members • Prioritize criteria • Real Estate can use this to identify potential sites • Evaluate sites and score criteria • Use Tableau to review data with leadership • Identify best candidates for test fits and detailed research • Use for more site selection if needed Real Estate Selection ARCHITECTURE Criteria 1 Criteria 2 Criteria 3 X X X 00 = 00 00 = 00 00 = 00 00 = 00 00 = 00 00 = 00 00 = 00 00 = 00 00 = 00 + + + + + + SITE 1 SITE 2 SITE 3 TOTAL TOTAL TOTAL