Healthcare

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SSOE worked closely with Wayne State University to provide design services for the installation of a new 3T Magnetom Cima.X MRI scanner and associated support spaces within the Eugene Applebaum Building. An existing nuclear magnetic resonance (NMR) machine was relocated within the building to create space for the new MRI procedure room, control room, and equipment room. Support spaces included a patient changing room, toilet room, waiting area, and “mock” MRI space to help patients prepare for their procedure.

The project presented several unique challenges. While design was underway, the cutting-edge MRI equipment was still awaiting FDA approval in the United States. Partially funded by federal grant funds, the project required an aggressive design and construction schedule which did not allow for any delays. To ensure the final completion date, SSOE worked closely with the client, equipment vendors, and contractor to respond to changing equipment needs and identify and specify potential long-lead items.

In addition to the design challenges, an early structural analysis of the facility by SSOE showed the lower level to be the most suitable location for the new equipment. Because the construction access for the new MRI had to be through the existing below-grade exterior wall, the MRI was craned into the building from a main thoroughfare between the WSU facility and an adjacent hospital. Important to the success of the project, SSOE worked with the equipment manufacturer, shielding vendor, and contractor to help ensure a smooth process.

The project scope included new lighting, diffusers, millwork, and finishes, as well as incorporating the shielding and equipment requirements into the construction documents.

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SSOE is providing multi-disciplinary design services to the four Veteran Affairs (VA) medical centers in Michigan as part of an Indefinite Delivery, Indefinite Quantity (IDIQ) contract. The renovation of the second floor of Building 83 is one project from the IDIQ, on the VA Battle Creek campus.

This project focused on the renovation of 18,170 SF of space in the Nursing Home Care Unit (NHCU). The existing space contained large, multi-bed dorm rooms which were reconfigured to private bedrooms and bathrooms in compliance with current VA design criteria. A portion of the rooms were designed to accommodate bariatric residents and other specialized needs.

The entire interior of the second floor was demolished to provide a floor plan that would meet the current and future needs of the residents and staff. The secondary electrical, HVAC, plumbing, and medical gas systems were upgraded and replaced. All items were required to be coordinated with the previously renovated first floor plan and systems.

In addition to privacy, patient safety and security was critical to the success of this project. SSOE’s design services included nurse call systems, upgrades to the building fire alarm systems, wireless network design for improved coverage, IP security camera additions, and Network Video Recorder (NVR) storage expansion to provide adequate video storage.

The future residents of the facility and their care was the leading factor in the design. New nursing stations were created at the center of each patient care area to allow for better patient observation. Open dining and family rooms for visitors, a large dayroom for activities, and bedrooms with adjoining bathrooms are also examples of patient focused care. All of the finishes and space planning focused on eliminating the existing institutional feeling and providing for a welcoming and residential aesthetic.

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The SSOE Group architecture, interior, and engineering design teams worked closely with the Tuomey Hospital clinical and facilities staff to expand and renovate the emergency department in Sumter, South Carolina. The ED was originally constructed in the early 1990s. In addition to expanding the facility to accommodate a greater patient load, the existing space is modified to increase efficiency and reduce wait times. The project was designed and constructed in three phases, which allowed emergency services to remain fully operational throughout the construction process. Phase One included a 17,000 SF addition to establish a new walk-in entrance, security station, and patient / family waiting area.

A Rapid Medical Evaluation (RME) unit featuring six triage rooms, which provides immediate patient assessment. In addition, a 22-seat Results Lounge includes a comfortable space for patients and families to wait while diagnostic testing and lab work is being conducted. Patients requiring more acute care can be quickly transferred to one of the adjacent treatment rooms that encircle a central Team Center, where staff have visual observation of 18 new rooms. A new diagnostic imaging room within the ED provides convenience for all patients.

Phase Two includes 13,000 SF of renovations to enlarge existing treatment rooms, create a family waiting area, expansion of support services, and enhancements to staff amenities. Phase Three, to be completed in the future, is designed to enlarge all remaining original treatment spaces, and upgrade trauma bays, and the original nurse and physician work areas. In addition to the six RME Triage rooms, there are a total of 42 treatment rooms and bays.

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Bon Secours Mercy Health’s St. Vincent Medical Center, a Level I Trauma Center and Level III NICU, selected SSOE to develop a study to document the renovation and refreshing of the Birthing Center. Responding to local needs, St. Vincent’s advanced a portion of the overall plans to transform three existing antepartum rooms into two Labor, Delivery, and Recovery Rooms to meet the Facility Guidelines Institute (FGI) standards while enhancing the patient experience.

New windows provide ample light into the spacious and accessible rooms that create well-defined zones for the mother, baby, family, and clinical staff. The refreshed area creates a warm and welcoming environment.

Due to the accelerated nature of the project, SSOE worked in an integrated manner with clinical and facilities staff, along with the selected contractor, to complete the project within an aggressive schedule. The Birthing Center remained in full operation while renovation progressed on the Labor, Delivery, and Recovery Rooms which were located at the hub of the surgical suite, LDRP rooms, and nursing station.

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Discovery Life Sciences (DLS) hired SSOE for the laboratory programming and planning for a new building to be located at their Huntsville, Alabama discovery center. DLS was looking to consolidate multiple laboratories under one roof to increase efficiency and modernize their laboratory spaces.

SSOE’s planning expert collaborated with the client user groups to create a program and optimized program customized to fit their unique needs. Working alongside the eight different laboratory user groups, the SSOE team generated a program that included space for a planned 25 percent growth across each of DLS’s business units.

After right-sizing DLS’s program, SSOE’s planning team created adjacency diagrams and blocking diagrams to plan out where different business units needed to be located within the building. One area that necessitated special consideration was the bio-repository, which needed to be centrally located within the building due to the potential risk of damage from natural disasters.

SSOE generated a program that consisted of just over 90,000 SF, utilizing a modular planning concept to allow future flexibility and adaptability. Laboratory spaces include wet research labs, a cleanroom, a BSL-3 laboratory, and genomics spaces.

The project’s flexibility and adaptability were tested when the genomics program director changed just as our team was finalizing construction documents. We swiftly pivoted, transforming the genomics space from an open lab into three separate labs, complete with anterooms and pass-throughs to accommodate the product

The genomics sequencing rooms house 30 sequencers, each of which emits a significant amount of heat. To address this, our team meticulously planned the space, incorporating specialized cooling and exhaust systems. These systems are connected to emergency power, ensuring that there will be no interruption to services in the event of a power outage.

Additional spaces include a cell services and processing lab, infectious disease, proteomics lab, donor center, immunohistochemistry services lab, histology, pathology lab, specialized biorepository for tissue samples in freezers, paraffin and slide-based samples, and shipping and receiving logistics room.

SSOE worked with the DLS to select the laboratory equipment and coordinated with equipment suppliers to ensure the required infrastructure was integrated to support the selected equipment. This project led to subsequent initiatives with DLS that persist to this day.

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The first EDGE radiosurgery LINAC of its kind in North America—second in the world.

Henry Ford Health System chose SSOE Group to provide architectural and engineering services, which included the removal of a linear accelerator (LINAC) and installation of a new Varian EDGE radiosurgery system in an existing vault in the basement of Henry Ford Hospital. Initially, the vault was not adequately shielded for the radiation output of the new equipment, as determined by the client’s on-staff physicist. SSOE worked closely with the physicist, shielding contractor, and construction manager to creatively solve this problem and ultimately provided a fully-shielded treatment room to house the first EDGE radiosurgery LINAC of its kind in North America—second in the world.

SSOE has become a trusted partner of Henry Ford Health System over the years, often called upon to provide our expertise in some of the most challenging of circumstances. We pride ourselves on providing the finest solutions in architectural, structural, mechanical, and engineering services to allow our customers to provide their patients with unparalleled healthcare. The EDGE radiosurgery system allows doctors to minimize treatment time and provide more accurate treatment of cancerous tumors, while minimizing radiation damage to normal tissue surrounding the tumor.

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ProMedica Health System, a locally owned, non-profit healthcare organization serving Northwest Ohio and Southeast Michigan established in 1986, has completed the renovation and construction of their new corporate headquarters in downtown Toledo, Ohio. The move to downtown’s waterfront entailed the renovation of the vacant historical Edison Steam Plant, renovation of the adjacent former Key Bank building, and construction of a new multi-level parking structure.

In cooperation with HKS, SSOE was the firm of choice to provide full mechanical, electrical, plumbing, technology, and fire protection (MEPT / FP) design services for the two large commercial office structures. Our team of experts carefully evaluated the existing buildings and the historic aspect of each building that needed to be maintained, and provided detailed engineering design for the HVAC and plumbing systems, the Data / Fire / Security systems, the fire suppression systems, and the electrical system, including site lighting.

The existing Key Bank building will house a new YMCA space in the basement level, the Chop House restaurant on the lobby level, and office spaces on floors two, three, and four. The large variety of mixed building use is unique to this type of project but was successfully handled by the design team. SSOE is proud to be a part of this local project that promotes economic growth and urban revitalization. The project was completed in August 2017.

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Encompass Health commissioned SSOE to develop a design to replace the 50+ year old 96-bed rehabilitation hospital located in Toms River, New Jersey. Encompass Health wanted to keep the new facility in the same area as the existing hospital, however, there was no land available to design and construct a completely new replacement hospital nearby. As a result, SSOE developed a plan to replace the hospital on the existing campus, through renovation and additions.

The new hospital has 98 rehabilitation beds with approximately 53,141 SF of new construction and 32,600 SF of renovation. The design / construction documents were developed to allow the hospital to remain fully functional and to continue serving patients during the construction of the new hospital.

The project was built in four phases. Each phase required approximately nine to 10 months to complete. Phase I was completed and opened in November of 2017. Phase II was completed in June 2020. Estimated total construction cost for all phases of this project is $27 million.

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High Level Of Care

Keeping in line with Prisma Health’s mission to provide patients with the highest level of care, SSOE was hired to perform a number of tenant upfits within the new Parkridge Hospital campus.

Innovative Project Design

Featuring numerous procedure and examination rooms, patient rest areas, and shared teaching and office spaces, this innovative project design combines multiple physician practices into one common layout, creating better staffing efficiencies and a more positive patient experience.

Pockets Of Activity

Additionally, the shared reception area and team centers create pockets of activity around which patient care flows.

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Specialized Care At Baptist Location

SSOE worked with Prisma Health on the design and development of a new 5,000 SF rehab facility located at the recently completed Baptist Parkridge Hospital. Offering specialized orthopedic care for a full range of conditions, patients will be partnered with a team of highly skilled physicians based throughout the Columbia area. The space was designed to allow caregivers the ability to work one-on-one with patients as they are guided through treatment, diagnosis, and recovery. Rehab spaces include an open floor plan with natural views and daylight to energize patients on their path to wellness.

Innovative Work / Flow Space At Northeast Location

Working with the Prisma Health / University of South Carolina Medical Group, SSOE recently completed a full-service Orthopedics clinic with associated rehab space. The clinic is designed around an innovative workflow, which includes semi-independent physician, physician assistant, and nurse / tech within a self-sufficient module. While the overall practice is large, the patient experience remains small and personal. The rehab space was designed to be open and light-filled, helping to encourage patients with their medical rehabilitation.

Open Floor Plan At Downtown Location

This new facility, now home to the agency’s sports training and rehabilitation program, is built within an existing warehouse, with the final design including indoor running tracks, turf play areas, video recording, analysis equipment, and weight therapy. The open floor plan provides access to outdoor training areas via a roll-up garage door and also includes a small basketball court, running lanes, and a sandpit.

SSOE worked with Prisma Health-USC Orthopedics on three new state-of-the-art specialized orthopedic rehabilitation sites: Prisma Health Baptist, Prisma Health-USC Northeast, and Prisma Health-USC Downtown. Each site boasts the development and design of full-service orthopedic clinics and rehab training space.

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Design And Construction

SSOE worked with the South Carolina Department of Mental Health on the design and construction of a new, state-of-the-art Children’s Mental Health Facility.

New And Renovated Buildings

The hospital consists of three fully renovated patient lodges and school buildings combined with new admission and administration buildings.

Industry Best Practice

Important considerations included patient safety and the ability to accommodate a wide range of patient ages, medical needs, and gender for the pediatric population. The final design is based heavily upon industry best practices.

Patient safety and the ability to accommodate a wide range of patient ages, medical needs, and gender for the pediatric population was of utmost importance during the design and construction phases.

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Downtown Presence

When the YMCA of Columbia decided to move from their historic 100-year-old facility, SSOE was brought on to help them envision a new downtown presence that would meet the needs of the Main Street Business community.

Central Location

Located one block from their previous location, the new facility is centrally located within the Business District and convenient for the area’s business community and downtown residents to use.

Modern, Sleek & Inviting

The two-story facility provides a new image for the YMCA and incorporates a modern, sleek, and inviting environment. The main level, which houses the fitness and aerobic equipment, is connected to the upper level by an open stairwell. The second level houses a large group fitness room, a small cardio training room, and yoga / exercise room. Corporate-style locker rooms are also provided for men and women and include a sauna and steam room in each space.

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Reducing Stress, Stimulating Healing & Enhancing Personal Well-Being

Opening its doors in January 2015, the new Healing Waters Spa at Prisma Health Baptist Parkridge offers a number of traditional spa treatments and aesthetic cosmetic services designed to reduce stress, stimulate healing, and enhance the personal well-being of patients.

Incorporating “Transformational Change Principles”

Lead by a team of highly trained professionals, the design highlights the brand’s “Transformational Change Principles” – CALM, BALANCE, CORRECT, RESTORE – which were creatively interwoven throughout the design of the facility.

Spacious Environments

Located on the first floor of the recently completed Baptist Parkridge Hospital, Healing Waters features a spacious retail area, numerous medical procedure rooms with associated office and consultation spaces, esthetician and massage therapy rooms, relaxation area with a food and beverage bar, full-size locker rooms, and customized water features.

SSOE worked with Prisma Health Baptist Parkridge on a new health spa for specialty client, Healing Waters.

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Integrated Primary Care Center

SSOE’s design team worked in tandem with Prisma Health and the local YMCA of Columbia to develop a new facility that combines an integrated primary care medical clinic with a new wellness and fitness center. Designed to further the Prisma Health brand, the new facility is similar in design to Prisma Health Baptist Parkridge.

Inspiring Healthy Lifestyles

The goal of the new Prisma Health Primary Care Center and YMCA Express is to inspire a more healthy lifestyle among the community. The facility seamlessly integrates a primary care clinic with the wellness center programs to create physical and emotional synergy between the idea of health and physical activity.

Shared Spaces

The building entry, lobby, gathering space, and classroom are all shared between the two programs, and the open layout provides interaction with and views to the workout spaces from both the main lobby and clinical check-in desk.

On-Stage / Off-Stage Concept

The primary care clinic design is based upon an “on-stage” / ”off-stage” concept, separating the individualized patient experience from the staff work areas. The clinic includes exam and workspace for four providers, x-ray, and on-site lab. The wellness center includes general cardio equipment, group exercise room, a specialized spin room, and a child-watch area.

The new Prisma Health Ballentine Primary Care and YMCA Express features a number of workout areas, a multi-purpose classroom, primary care spaces, and interactive group areas.

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Cutting-Edge Facility

This contemporary, two-story cutting-edge facility is designed around a new model of care that completely re-evaluates the patient experience with emergency care services.

Innovative Model

The innovative “no wait” model features six rapid medical evaluation rooms with a patient and family “results lounge” for those with quick, in and out needs. For patients requiring further care or observation, the facility combines 12 treatment areas with two trauma / resuscitation rooms.

Architectural Character

The staff work areas are separated from the patient and family areas, creating a quiet, less stressful working environment where doctors and nurses can easily communicate. In addition, the building exterior was designed to harmonize with the architectural character of the community’s Historic Mill District.

 

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Creating An Environmentally Supportive Space

The new STICU is Phase I of an overall $38 million ICU Master Plan for Prisma Health Richland. The Richland Hospital is the tertiary healthcare facility for the Midlands region and is the only Level 1 Trauma Center in the area. Because of their traumas, patients treated in this unit are the most vulnerable to detrimental environmental effects. Great care was taken to create a unit that would environmentally support patients, staff, and their families – focusing on infection control, therapeutic lighting, expanded room size, equipment placement; and coordination and staff views of and access to their patients.

Incorporating Tunable Lighting

A highlight of the design is the use of “tunable lighting” as a therapeutic treatment and environmental enhancement for patients and staff. Tunable lighting, which uses LED lighting to mimic the natural progression of daylight, is utilized throughout the 18-bed unit. Research has begun to show that this type of lighting may help patients heal faster, decrease delirium, and have less long-term negative mental distress from being in the hospital. This type of lighting has also been shown to increase staff alertness, lessen fatigue, and limit health issues associated with night shift work.

Utilizing Shared Spaces

Another feature is the use of disposal rooms in lieu of patient toilets. As these patients are typically too sick to move out of their beds, the unit utilizes a shared disposal room between each pair of patient rooms, giving staff a close disposal location that decreases the infection issues associated with the transport of sanitary waste. In addition, each disposal room is equipped with a special light that is illuminated when the room is not occupied, that has been tested to kill 99.9% of germs and bacteria.

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Longstanding Relationship

Over the past 20 years, SSOE has enjoyed a wonderful partnership with Newton Medical center by responding to their needs with architectural, engineering, and interior design solutions.

Maintaining Top-Level Care

Our renovations and additions have enabled the doctors and staff to provide their patients with the top level of care.

Numerous Projects

Over the years, the SSOE design team has worked on the following additions, renovations, and new construction projects: Birthcare Department Renovation; Imaging Renovations; On-Call Engineering Services; Nursery Renovations; Medical Office Building Tenant Expansion; Third Floor Lab Addition; Fourth Floor Patient Tower; Nurses’ Station; HVAC Modifications; Knox Surgical Center Addition; Women’s Diagnostic Center; Physician’s Pavilion; and Emergency Services Expansion.

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Introducing A New Model Of Care

SSOE, in conjunction with Ernest Bland Associates, P.C., completed design documents for two state-of-the-art 104-bed Veterans Nursing Facilities.

A major objective of the design was to develop an environment for the veterans that resembles a home. Each resident will have a private bedroom with an adjacent private bath. Additionally, each facility will allow members freedom of choice in their activities and routines which may include clinical, therapeutic, extracurricular, and spiritual activities that support the daily needs of Veterans. The environments are focused on the resident as the center of care, thereby enhancing the quality of life and dignity of those residing in the facilities.

A Unique Organizing Design Element

Single-loaded concourses and corridors facing landscaped courtyards are utilized as an organizing design element to maximize direct visual and physical connections to outdoor areas and assist with wayfinding. A broad concourse (“hall”) connects the main entrance to a central lounge and a generous “back porch” seating area facing the main courtyard. This central hall has ample natural light from clerestory windows above.

Building Features & Amenities

Each facility is approximately 142,000 SF, designed as a single-story facility organized around a series of courtyards. These courtyards are surrounded by a central community building and four adjacent neighborhood buildings. Each neighborhood houses two resident homes consisting of 13 private patient rooms with shared living and dining spaces. The community center is approximately 34,000SSF and houses common “gathering” and activity spaces, such as a “bistro,” large group room, activity room, chapel, physical / occupational therapy, and clinical spaces for therapeutic functions and staff / administrative spaces.

A Note From Robby Aull, Principal – Senior Vice President

“By striving to make these buildings feel like real homes, we will create environments that go far beyond the public’s perception of what a traditional nursing home is. These new homes will be welcoming and healing spaces that will enhance the overall quality of life for our veterans.”

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During the planning phase, SSOE collaborated with Beaumont staff to review and refine multiple departmental options prior to the team selecting the appropriate solution that met their changing needs. While the overall design intent for the 6th floor was to match an existing 5th floor ICU, SSOE added many enhancements to cater to the specific needs of the CICU. The design team met with the intensive care nursing staff who had been working on the 5th floor for the past few years and gathered their feedback on what was working well and what could be improved upon to document end-user experiences. The lessons learned captured provided a foundation for discussion with the staff who would be working in the new CICU space.

Taking this input, and that of Beaumont’s internal interior design staff and the facility maintenance team, SSOE was able to incorporate a number of design enhancements. The new CICU includes a family nourishment area with a kitchenette, room amenities for patient guests that include a desk, area to sleep, and personal device charging stations, and individual toilet rooms dedicated to each patient room with an integrated shower. Additionally, the CICU features decentralized nurse documentation spaces for a 1:2 nurse ratio with windows for direct visual observation of the headwall–allowing staff to see both the monitoring equipment and patient, dedicated lighting for both staff and visitors, and three sub-waiting areas within the CICU to provide quiet spaces for patient family members when needed.

A unique challenge that the project team had to overcome was the utilization of existing floor drains and plumbing for the reconfigured private patient toilet rooms—originally set up to accommodate a single unit bathing room and a shared toilet room between two patient rooms. The team used laser scanning to document existing conditions and manipulate the design around these elements in a 3D environment. Another challenge was timing. The COVID-19 pandemic caused Beaumont Health to place construction of the project on hold. Once restarted, the design was altered slightly during the construction phase to become more adaptable in the event of similar future capacity overflow situations. Revisions included additional electrical outlets, medical gas, and a monitor added to each headwall— allowing Beaumont to convert from private to semi-private rooms.

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During a key healthcare client meeting, this client expressed a need to visualize their strategic plan by region, city, and street level. Their goal was to see their current locations by type, competitor locations, and key performance indicators in one map. Unsure how to accomplish this, the Account Manager gathered our Civil Department Manager, BIM/VDC Technical Specialist, and Senior Marketing Coordinator for a brain storming session. As the team discussed the project parameters, it was clear that our typical graphic programs would not provide the dynamic visualization required by the client.

Thinking outside the box, the team began exploring Mapline, a sales and marketing program, as a possible solution. SSOE’s marketing and BIM/VDC technical specialists worked together to explore visualization options, input owner provided detailed data sets, and develop a methodology for the client to visualize a graphic region by isolating or combining data sets. Mapline also provides the ability to overlay information critical to understanding market share by zip code or county borders. This data can be further enhanced by “heat mapping” to add visual clarity to a strategic plan.

The client came to us with the expectation of developing a static graphic poster and was delivered an interactive web-based tool that provided the flexibility to toggle data sets on and off. Upon presentation of Mapline as a strategic analysis tool, the client was pleased with our solution and the possibilities it provided. They were so pleased that they asked us to expand the project scope and map multiple regions.

Managing “big data” is a non-typical project for SSOE. We accepted the challenge and developed a client-specific hybrid team to leverage a web-based tool that allowed our client to analyze market share and explore possible site selection locations via an interactive platform. The result of this collaboration was the perfect solution which exceeded our client’s strategic planning needs and expectations.

“Having a dynamic tool allowed our team to analyze many ‘what-if’ scenarios in real time—a luxury when you are working with multiple layers of data during strategic planning meetings!”

– Confidential Healthcare Client

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SSOE is providing architectural and engineering services to the Veterans Administration (VA) Ann Arbor Health Care System for design of a new Clinical and Administrative Building replacing the existing 1949 Building 4. The new 3-story building was designed to blend with the existing campus architecture and meet all federal VA standards. The structure will house the employee health, human resources, business office, prosthetics, and finance departments.

Services provided by SSOE include: civil, structural, architectural, interior design, mechanical, plumbing, electrical, information technology, and fire protection. Programming was completed with VA engineering and end users to determine how the new facility will meet all department requirements. Shared spaces include conference rooms, a large employee break room, and lobby spaces. The new structure provides for natural light penetrating the open floor plan, a visual interior with large expanses of exterior glazing, and a banded brick exterior to accentuate the horizontal lines of the structure. SSOE’s project scope included an asbestos survey, lead assessment, and examination of the existing site prior to demolition.

SSOE provided all site work, utility connections, communication wiring and connections, as well as handled any disruptions to the existing systems for the new structure. Existing utilities and connections on campus were field investigated for re-use and connection with the new building. Other items considered in the building design were personnel approaches, sidewalks, green areas, visual impacts, parking impacts, and landscaping.

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SSOE was enlisted to provide architectural and engineering services to ProMedica Health System to fit-out the 6,000 SF second floor shell space with a new Innovations Incubator Suite at the Wildwood Medical Center campus.

The concept for the Innovation Incubator was to provide a completely flexible space that can be reconfigured by users and entrepreneurs to support innovation as it relates to healthcare. The space was designed around modular magnetic and glass walls, exposed ceiling, and modular mobile furnishings. The interior design for the space incorporated a white linear stone, stained concrete, and a mixture of carpets and brighter colors to inspire creativity. The suite included four business offices, three conference rooms, administrative offices, prototype area, and associated support spaces.

SSOE teamed with subconsultant, JDRM, who provided mechanical, electrical, plumbing, and fire protection design services.

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SSOE was selected to provide design services to CHI St. Vincent Hot Springs Rehabilitation Hospital. The project included converting an existing 64,000 square foot, 20 bed, surgical hospital into a 40 bed rehabilitation hospital, with the ability to add eight additional beds in the future.

The project included developing documents to repair and renovate the existing hospital and administrative office area. Also included was the addition of a commercial kitchen, dining room, 28 private patient rooms (8 rooms designed for future growth), physical therapy gym, conference room, support space (equipment storage, linen storage, soiled hold, supply storage), dialysis, and patient transfer canopy.

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The technology installed by SSOE is the world’s first and only FDA-approved commercially available LINAC-based, MRI-guided radiation therapy system that can image and treat patients simultaneously. It allows the client to be treated more accurately and in less time— offering an optimal patient experience.

Henry Ford Health System chose SSOE Group to provide architectural and engineering services for the removal of a linear accelerator (LINAC) and installation of a new ViewRay MRIdian LINAC / MRI system in an existing vault on the main floor of Henry Ford Medical Center – Cottage. This LINAC required additional shielding installed in the existing vault to provide radiation protection to the surrounding environment. As a result, SSOE worked with Henry Ford’s team of physicists to develop a comprehensive solution to the existing shielding, which consisted of designing supplemental floor-to-ceiling concrete walls to augment the existing vault structure.

Additionally, SSOE designed a copper fabric enclosure for radio frequency shielding throughout the room. The ViewRay MRIdian LINAC / MRI system is the world’s first and only FDA-approved commercially available LINAC-based, MRI-guided radiation therapy system that can image and treat patients simultaneously. Additionally, Henry Ford is the first in the world to offer patients this advanced radiation therapy with real-time magnetic resonance imaging and linear accelerator delivery for more precise and accurate radiation treatment. While similar ViewRay installations use cobalt as a radiation source, this new system provides the capability to simultaneously use diagnostic imaging with the MRI component and LINAC radiation treatment. The advanced MRI imaging will help Henry Ford physicians provide further accuracy in delivering radiation to a cancerous tumor.

SSOE is a trusted team member to Henry Ford, their shielding and equipment vendors, and construction manager. They entrust us to work quickly and effectively, providing creative solutions to complex project challenges. Delivering the most complex projects on time and on budget is the hallmark of our healthcare services.

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Covenant Healthcare System selected the SSOE interior design team to develop a new Master Interior Standards for their Saginaw and other Michigan locations. The team started their process by evaluating current facilities, conducting interviews of staff and administrators to see what was currently working and not working. We worked with a patient and family peer group, guiding them from their perspective to give feedback on colors, concepts and schemes. Our interior designers used the gathered information combined with their expertise to develop and present three complete interior design concepts for selection.

The design inspiration that was selected by Covenant was “Life – Richness and Beauty”, which included elements of nature and nature images. This concept consists of five color schemes with an updated neutral core color palette, including multiple material options for Covenant to use throughout their healthcare system. The design also included incorporation of branding. SSOE’s interior design team worked with the client to carefully evaluate materials and finishes based on functionality, cost, patient safety, and maintenance. We also incorporated feature walls and lighting elements that align with client’s vision and branding.

SSOE developed a Furnishing Standards package that will be implemented along side renovation projects to ensure a cohesive image consistent with Covenant vision and patient expectation.

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SSOE was selected to provide architectural and engineering services for the phased renovation of Beaumont Health System’s 20-bed Cardiovascular Surgical ICU (SICU). The project included renovations of patient rooms, staff spaces and public areas. Some of the most notable pieces that SSOE worked on were new centralized nurse stations and sliding doors on patient rooms. Our team worked with Beaumont to do a complete overhall of the waiting area as well as the staff offices and lounge.

The SICU has remained completely operational during the construction process.  Additionally, SSOE worked with the CM on-board to build a mock-up of the patient rooms and the decentralized nurse station so the staff would have an opportunity to give their input on the design of the spaces.

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SSOE provided complete architectural and engineering design services for the second phase build-out of the Herbert Perna Center for Physical Health Center. The project included relocation and redesign of the existing mental health and sleep lab space to the lower level of the Herbert Perna Center for Physical Health on the ProMedica Fremont Hospital Campus.

Services included: review, inspection and evaluation of the existing facilities, development and recommendation of alternatives, design development, preparation of construction and bid documents (detailed plans and specifications), conducting pre-bid meetings and walk-through, assistance during the bidding phase including recommendation for contract award. SSOE also assisted ProMedica in establishing overall project schedule and milestone dates for completion of the construction, and is providing complete construction administration services.

In addition to traditional design services, SSOE also provided data / technology, fire protection, security, communication, and access control.

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ProMedica Fremont Memorial Hospital teamed with SSOE Group to design and establish a full-service cancer center to meet the needs of the communities it serves. This new facility offers more convenient access, enhanced privacy, and improved comfort for patients. The center offers the latest protocols for medical oncology, as well as the newest technology in radiation oncology, including a Varian TrueBeam linear accelerator. The design included eight chemotherapy infusion bays, dosimetry, CT simulator, new pharmacy to comply with USP 797 and USP 800 general chapters, laboratory and blood draw, four exam rooms, three nurse stations, and additional staff support spaces. Additional cancer-care services, such as genetic, dietary and family counseling, and rehabilitation services are included in the overall design of this facility.

SSOE was instrumental in aligning the hospital’s programmatic goals with the limited project construction budget, and worked through multiple design options with hospital leadership to minimize the amount of construction within the new facility. Project goals were accomplished by prioritizing necessary patient care spaces, such as linear accelerator vault, infusion bays, exam / treatment spaces, pharmacy and laboratory. Plans also included repurposing some staff areas to minimize demolition, while allowing staff to work contiguously and efficiently within these support spaces. SSOE led the design process from the onset of the project and confirmed and validated strategic and operational plans; determined budgetary and scheduling constraints; and coordinated the overall project quality with consultant engineers, and coordinated equipment layouts, requirements, and manufacturer specifications for specialized equipment. Existing conditions and capacities to projected needs to satisfy functionality, adequacy of spaces, and operational adjacencies were also compared.

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Selected as the national healthcare design lead, SSOE teamed with local architectural firm, Shremshock Design Group, to revitalize the existing Memorial Hospital of Union County campus. The project goal was to create a new, state-of-the-art, high tech and multi-use campus, offering private patient rooms, upgraded clinical services, new on-campus ambulatory services, and medical office space.

The selection was based on several factors, including the strategic master planning process and design approach. Recognizing the organic quality of the process, not a predetermined approach; listening to and identifying what is important to the client; and the team’s experience in designing similar facilities were all attributes contributing to the selection of the SSOE team.

Solutions were offered based on “patient first” design and Evidence-Based Design (EBD) practices. The design process considered staff satisfaction as a way to recruit and retain top talent. In addition, lean design was employed to increase staff efficiency.

Our planners, architects, and engineers thoroughly understood the client’s objectives, aspirations, and needs. The SSOE team supported the client’s goals by understanding the latest trends and national best practices, providing market trend analysis and forecasting to assist Memorial Hospital with “right-sizing” their facility now and into the future.

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Dialysis Clinic, Inc (DCI) teamed with SSOE for the development of a prototype for their End Stage Renal Dialysis Clinic. The DCI-Union project was one of the first prototype facilities to be built in Union, South Carolina. The new, free-standing facility is about 10,000 SF and has twenty-four treatment stations and one isolation treatment room. SSOE worked with DCI’s equipment vendors to coordinate the dialysis equipment and furniture.

We provided each patient station with an abundance of natural light, a heated recliner, television and pillow speaker to help with patient satisfaction surveys. A wide open treatment room aids the visibility of the patients to ensure patient safety. The clinic also houses a home training unit that helps patients be able to perform dialysis in the comfort of their own homes.

This facility had a fast-track schedule for completion due to the increase in patient volumes in the area. SSOE worked closely with the contractor to assure the inspection and approval processes were expedited.

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With overall objectives to create better healing environments and efficiencies in operations, St. Luke’s Hospital selected SSOE to renovate and expand their existing Level 1 Trauma emergency department while remaining fully operational.

The emergency department renovation was the first project of an overall hospital master plan, setting the tone and direction for the remaining projects and phases. The new plan included twenty-four exam / treatment rooms, seven express care exam rooms, new nurse stations, dedicated X-ray, laboratory, and additional staff support areas. In addition, separate waiting areas (main department, waiting, lobby, and express care), a dedicated children’s activity area, a new registration area and triage area were provided.

With the design focused on process flow, comfort, and patient experience, all patient rooms were renovated and converted to private spaces to improve patient satisfaction, efficiency and infection control. A centrally located nursing core and physicians’ station allows nurse and physician teams to have better vision and ability to stay connected to patients. Glass walls provide an acoustical buffer between staff conversations and patients and the nursing core. Plans also utilized adaptive use of latest technologies (incorporating new and old), including full implementation of electronic health records.

A combination of cherry warm maple, earth tone color palette, and natural sticks encased in resin reinforce nature influences within the space, transforming the spaces into healing and comforting environments for patients and their families. Upgrades and new finishes were provided throughout the entire unit, including staff / office areas, treatment areas, and waiting / reception. Additionally, upon completion of the renovation, SSOE coordinated loose furnishings and artwork selections to continue the interior vision of the space and to make a welcoming atmosphere for patients and their families.

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SSOE provided services for renovation of the Covenant Cancer Care Center at the Saginaw campus, including space for medical and surgery oncologist practices, expansion of the infusion suite, relocation of the oncology research suite, relocation of the cardiology and diabetes suites, and the addition of a new front entry.

The intent of the renovation project was to utilize existing clinic spaces where feasible, with modifications and upgrades to meet the needs of the new functions.

The existing building documentation was in 2D AutoCAD format. SSOE converted the existing building area into a BIM model utilizing Revit software. This six-story building was modeled through BIM to allow the team to take full advantage of the 3D capabilities. Having a fully integrated BIM model created a clear vision for hospital administrators and staff. By including hospital administrators and staff in the 3D modeling process, conflicts between construction and operations were easily pinpointed.

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Transformation of the facility from institutional to residential resulted in positive patient and family satisfaction surveys and increased occupancy rates.

Originally designed by SSOE in 1997, Lutheran Village at Wolf Creek is a Continuing Care Retirement Community (CCRC) offering independent living apartments, private assisted living suites, and skilled extended nursing care. To reflect the culture change in senior living, SSOE also renovated the nursing home located on campus at a later date.

Focused on empowering seniors to make choices and express their preferences, resident-centered care is the new philosophy behind providing skilled nursing in a home-like environment. Even the previous clinical-style nurse station was replaced with a resident and family lounge area. SSOE’s updated design for Wolf Creek incorporates a great room, a buffet-style dining room, smaller dining rooms accommodating groups of six to eight for more private entertaining, and a family kitchenette. The “lodge” concept features a fireplace and stone materials creating a warm environment, ideal for resident and family socializing.

Accompanying these facility transformations are changes in the staff care practices. Caregivers now provide more than just personalized care; they serve as extended family members, helping residents plan meals, organize events, and make choices about their activities and diet. These upgrades have increased both resident and employee satisfaction, as well as the facility census. This renovation creates an environment which promotes comfort, autonomy, and relaxed socialization for residents.

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By using BIM, the contractor’s GMP pricing was $500,000 under project budget with no change orders for time or cost.

SSOE provided complete planning and design services to develop a new, full service cancer center. Developed by real estate investor Welltower (formerly Health Care REIT), the freestanding facility spans two floors and is situated on a 4.9 acre site.

To offset the feel of a high technology environment, SSOE’s design features exterior and interior colors and details, which create a warm, inviting setting for patients. The first floor contains a radiation oncology suite and common area. The suite will supports future construction of three new linear accelerator vaults, a CT simulator, CT / PET simulator rooms, and related support spaces. The second floor houses a large medical oncology suite, gynecology suite, additional oncology office, and common area.

The design integrates sustainable design principles, and the facility is LEED® Silver certified. Additional green features of the property include a healing garden with a walking path.

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BIM’s interrelationship of project data allowed for rapid decision making and quality control review, virtually eliminating problems with dimension strings. A flexible design strategy with phasing plans allowed the hospital to be re-built while maintaining all services.

A small, rural community with a strong sense of history, community pride, and support retained SSOE to program and design an on-site replacement for its only hospital. The new Bryan Hospital replaces the existing facility, which was composed of several buildings of varying ages and conditions, none of which met contemporary standards. SSOE’s design supports 60 beds with capacity for expansion to 100. The hospital has been developed according to LEED® principles.

The main project challenge was to replace the outdated, existing facility, which SSOE addressed by proposing a phased demolition and construction plan. The first phase includes construction of a new energy plant, allowing the remaining hospital wing to be reconnected followed by the integration of new components in stages. The hospital includes leased clinic and shell space for future expansion.

Use of BIM was key in our team’s ability to meet the aggressive project schedule and satisfy budgetary constraints. Since 3D imaging allowed quick representation of the proposed design elements for the owner’s review and approval, BIM became the consummate coordination tool. Used to identify potential conflicts such as slab edge coordination, cross bracing, and major duct runs, BIM virtually eliminated problems with dimension strings. The interrelationship of project data allowed for rapid decision making and quality control review. BIM also easily accommodated any last minute owner modifications.

Featured improvements included new surgery, emergency, intensive care unit, laboratory, obstetrics, recladding of existing facility, new lobby / entry, and complete site work.

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With careful planning and design, SSOE was able to reduce the building footprint by 20%, saving the Owner approximately $3 million.

Plans to replace this aging hospital have begun with SSOE’s design of a new healthcare campus on a nearby 38-acre greenfield site.

The campus master plan will accommodate the new hospital, skilled nursing facility, and a full range of support services—including Life Flight. SSOE incorporated a full-service, 24-hour emergency department, a medical / surgical ICU, inpatient and outpatient surgery, rehabilitation services, pastoral social services, along with all of the necessary laboratory, diagnostic, and dietary rooms, and an enhanced patient experience — all of which were major criteria in the design of this facility.

The design of both the facility’s exterior and interior satisfies all of the strategic goals outlined by the client, which include a new hospital identity, a vision of strengthening the community, design accommodations for the future, and the creation of a comprehensive healthcare campus.

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A leader in cancer treatment technology, Slidell Memorial Hospital needed a comprehensive cancer center that consolidated all of their existing treatment options resulting in a new, three-floor building on the hospital campus. The development of this facility also allowed for expanded services increasing the number of patients Slidell could care for.

SSOE provided mechanical, electrical, plumbing, and fire protection, as well as data, fire, and security to this facility in support of AE Design’s architectural services, with whom they have worked on multiple cancer centers. The familiarity of this teaming produced a beautiful, esteemed facility with design features that were showcased in Healthcare Design’s annual project showcase edition, all while meeting schedule and budgetary demands.

This new cancer center houses radiation treatment areas, including multiple linear accelerator vaults requiring a process fluid cooler and chilled water systems that must be fault tolerant, highly reliable, and incorporate the appropriate radiation shielding. These vaults include one new Varian high-energy clinical linear accelerator, relocation of a unit from the existing facility, a brachytherapy vault, a CT simulator suite, on-site mobile PET scanner accommodations, and site and foundation components for a future linear accelerator vault. Other features of this facility include a USP-797 compliant pharmaceutical compounding site with specialty filtration and air controls. SSOE also completed the data backbone for communications, including the nurse call system, fire alarms, and overhead paging.

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The Women and Infants Center is contained in 430,000 SF on seven floors of the 639,000 SF building, housing a two floor, 70,000 SF radiation oncology center. The remainder of the building is earmarked for future growth and will include medical offices and clinics.

SSOE provided fully integrated mechanical, electrical, plumbing, and fire protection (M/E/P/FP) engineering as part of the owner’s design team using a bridging project delivery method.

M/E/P System Features Included:

  • Electrical and HVAC systems designed to comply with ASHRAE 90.1-2004 energy efficiency standard, in accordance with the Green Guide for Healthcare v 2.1.
  • On-site hot water boiler plant with redundant 800 hp bi-fuel boilers.
  • Standby emergency power plant with two 1500kW diesel gensets, with provisions for a third with 5000 AMP paralleling switchgear.
  • A 30,000 gallon underground fuel oil storage and delivery system.
  • Electrical service provided with reliable spot-network served with four 2500kVA transformers and two 4000 AMP main switchgear.
  • Power quality for Radiation-Oncology systems with four 45kVA rotary power conditioners.
  • A 160kVA central uninterruptible power system to support IT and medical systems infrastructure.
  • On-site medical air and vacuum systems.
  • Connection to campus district chilled water and medical gas (oxygen) plants.
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Due to an increase in patient demand and more stringent care requirements, ProMedica Bay Park Hospital’s existing Intensive Care Unit (ICU) department could not adequately serve its patients. Patient care spaces, equipment, and required technology required upgrades if the facility were to retain its reputation for providing exceptional care.

In an effort to continue serving the community with quality healthcare services, ProMedica decided to construct a new ICU on the second floor of the existing hospital. This allowed the facility to continue providing patient care while the new ICU was constructed. The new, 11,000 SF ICU was constructed above the existing first floor of the hospital, with some portions extending over the loading dock and emergency ambulance drop-off area. The project also involved selective demolition and the renovation of adjacent spaces. The addition of a new dedicated patient elevator provides patients with direct and private access to the new ICU from the ground floor.

Sustainable design initiatives were incorporated into the enhanced building envelope and involved natural and artificial lighting, acoustics, and energy reduction / usage. The inclusion of room and headwall mock-ups were integral to the project success by identifying operations, connections, safety, and access prior to mass production. As a result, the completed ICU rooms clearly articulated patient, family, and caregiver zones.

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SSOE worked with facilities and operational staff to reduce the square footage by 15%, saving the hospital nearly $4 million.

Aiming to increase patient access to state-of-the-art medical technology and professional healthcare services, Mercy Tiffin Hospital sought SSOE’s expertise to construct a new, fully integrated hospital and medical office building.

In approaching the project, SSOE partnered with construction manager Lathrop Turner and several key trade contractors. Integrated project delivery collaboration allowed for unrestrained discussion about cost saving strategies and methods of accelerating the project schedule. The result of these incorporated efforts is a new, full-service healthcare facility featuring superior technology and expanded accommodations for guests, visitors, and staff members.

SSOE created a welcoming and modern hospital environment to maximize the patient’s privacy, safety, and comfort during recovery. In addition to increasing patient access to innovative medical equipment, physician offices, and professional health services, the new hospital features a spacious layout which has vastly improved patient flow.

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The expandability of the Uninterruptable Power Supply (UPS) systems will save the client money and the trouble of replacing the entire system.

As a result of a major utility power failure, due to a lightning strike, the main data center for a large regional healthcare system lost all normal and emergency back-up power. This failure affected all operations in every related facility within the organization. The failure also caused damage to the UPS system. SSOE was on-site late that evening and through the weekend, assisting in returning power to the critical systems. During the course of the evening, the emergency generator also failed, requiring the rental of a large trailer-mounted diesel generator.

It was determined that the existing data center lacked the emergency back-up systems required to continue seamless operations in the event of a prolonged outage. The result was approximately a $5 million expansion and renovation project which included a new addition to house the equipment and the installation of redundant services, two emergency generators with paralleling switchgear, and two additional UPS systems.

SSOE’s Data / Fire / Security (DFS) group ensured proper grounding of the existing IT equipment, along with the new UPS, and generator systems. The new UPS systems were sized to fit the client’s current needs and can easily be expanded as the IT load increases. The UPS system and generators are monitored through the client’s network and communicates when there is any trouble conditions within the entire emergency backup power system.

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Designed hospital to meet program goals and saved approximately $2 million by reducing square footage by 10%, reducing to one floor, and minimizing infrastructure system lengths and material costs.

This single-story, freestanding, orthopedic, and spine specialty hospital is located on a satellite outpatient campus of the ProMedica Health System. Support spaces include those required for state licensing and program operation. This facility is ProMedica’s first all digital hospital, complete with electronic health records technology, comprehensive inpatient and outpatient diagnostic services, including CT, MRI, and general X-ray.

This project constitutes Phase II of the campus development for orthopedic services (Phase I, construction of a Medical Office Building [MOB], was completed separately). Phase II involved linking the hospital to the MOB, which houses the primary orthopedic physicians’ practice, via an enclosed, overhead pedestrian connector. Our team of BIM experts utilized 3D modeling to develop and illustrate details of the project.

Since the new hospital is a significant addition to the existing campus, coordinating site access, circulation, parking, and utilities was critical to the project’s success. To address these issues, the orthopedic facility was designed to be consistent with the existing campus master plan. Future expansion needs were considered during the site / facility planning stage, as was the hospital’s environmental impact, to which SSOE responded by incorporating LEED principles into the design.

The construction duration was approximately 15 months. Early civil and structural engineering packages were issued to expedite the construction process. To eliminate the need to fireproof the structural steel, the facility was classified as three buildings (each Type IIB construction). Each building was separated by a two-hour fire wall, with each containing two smoke compartments.

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SSOE performed a complete renovation of the former surgical suite at Oakwood Hospital & Medical Center. The suite was vacated when the North addition (Fitzgerald Pavilion) was opened and inpatient surgery functions were relocated. SSOE designed a new 53-bed, 23-hour Interim Stay Unit (ISU) to infill the vacant suite.

As the largest nursing unit on campus, the ISU houses short-stay patient rooms and observes patients from several hospital areas consolidating the 23-hour function from various outpatient testing and procedure departments. Emergency, special procedures, catheterization laboratory, general radiology, endoscopy, and ambulatory surgery patients requiring short-term observation or recovery remain in this one central unit until they are prepared to leave the hospital under their own care.

SSOE’s design of the ISU recognizes both patient amenities and staff efficiencies. The facility provides for flexible assignment of beds, varying from Emergency Department Observation Unit (EDOU) cubicles to 23-hour rooms with private toilet areas. Conceptually, the space is divided to accommodate 18, three-walled EDOU cubicles, three private, four-walled EDOU enclosed rooms, 24 short-stay / recovery rooms, and eight short-stay recovery rooms.

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SSOE provided architectural design services for a new freestanding 25-bed critical access hospital in Choctaw County, Alabama.

This 70,000 SF project included renovating a 36,000 SF existing manufacturing building and adding 34,000 SF to replace the existing Choctaw County General Hospital. The new hospital with medical office building was designed for 25 private patient rooms with toilets, showers, and a kitchen with a public dining room to seat 60+ people. The hospital was designed with an emergency room, diagnostic facilities, inpatient / outpatient physician’s therapy, pharmacy, lab, outpatient clinical services, and support space for equipment, storage, laundry, and more.

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The project was a multi-specialty ambulatory surgery center build-out, approximately 11,000 SF, in a medical office building. It opened with two operating rooms and one future operating room. The following areas were developed in the available space: waiting room, reception, business office, bulk storage, soiled and clean work, mechanical room, medical gas room, sterile storage, staff lounge / lockers, semi-restricted staff lounge and control station, anesthesia work, prep and recovery stations with medical gases, private recovery room, consultation room, and exam / private prep room.

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The Benjamin Russell Hospital for Children is a new, 12-story, replacement hospital with a central energy plant. This project is the largest medical facility expansion in the history of the state of Alabama. It is located directly north of the current facility and is bridged to the existing facilities.

The new facility accommodates projected growth in patient volume, anticipated medical technology needs, planned consolidation of pediatric services, and features a family centered design that enhances comfort for patients and families. The hospital houses 332 beds, plus 48 Neonatal Intensive Care Unit (NICU) bassinets. The new hospital includes larger rooms, a larger emergency department, and two additional general operating rooms. Additionally, two cardiac operating rooms dedicated to pediatric cardiovascular surgery have been relocated to this facility. The new hospital is expected to become LEED® certified, and will become Alabama’s first LEED certified hospital building.

The design features stunning views, including two roofs with native plants. Facing due north, it makes the most of natural lighting, while ensuring the sun never hits the windows on the broad side of the building. Other green features include a coated roof that reduces heat gain from the sun and a central plant that collects 30,000 gallons of water daily from air conditioning vents for other uses, such as irrigation for green spaces.

SSOE served as the associate electrical and data / fire / security (DFS) engineering firm for this project, provided peer design review, provided construction-period services, and designed the fire alarm systems for the entire facility. Some of the systems incorporated are the systems on the connector bridges to the four existing buildings adjacent to the new structure, as well as systems for the new stair tower at the existing hospital.

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