2. 1000-person firm
65 years of service
400 LEED Accredited Professionals
Consistently ranked as one of Modern Healthcare’s top ten design firms
Former hospital administrators, clinicians and researchers on-staff
Operational facility programming and campus planning teams in-house
Dedicated healthcare interior design studio
Internationally recognized for project performance
3. performance
by design
Healthcare
4
A
dvocate Lutheran General Hospital and
Lutheran General Children’s Hospital
he new Patient Care Tower was designed to the highest standards of patient
T
and staff safety, and environmental sustainability.
10
Featured Projects
We create customized solutions to meet the unique needs of our clients.
Whether it is an academic medical center or community hospital, our designs
reflect our clients, not our ego.
32
Campus Planning
ositioning your campus as a real estate asset, our experienced planners
P
can establish the “highest and best use” for facilities within the context of
your strategic goals and determine current and future facility needs.
60
Operational Facility Programming
Our in-house programming experts work with healthcare providers
across the country to analyze volumes, increase throughput and improve
operational efficiencies.
62
Healthcare Interior Design
Our dedicated healthcare interior design studio is committed to creatively
solving the environmental challenges of our clients and developing smart and
responsible design solutions.
4. Cannon Design Healthcare
Performance Focus Our facility solutions
workload analysis, bed capacity analysis and
focus on performance outcomes. From capital
various research activities. As one of only
resource allocation, space management,
six of the Center for Health Design’s EDAC
operations, maintenance, technology,
Champion Firms, we have demonstrated a
sustainability, staffing and throughput, we
clear understanding of the components of the
look at how your facilities can perform to
evidence-based design process and base our
their highest potential to help you meet your
design decisions on available, credible evidence.
strategic, financial, operational and clinical goals.
Healthcare Interior Designers
Thought Leadership Cannon Design
Our interiors studio, dedicated exclusively
is a member of many forward-thinking
to designing healthcare environments,
organizations including the Healthcare Advisory
understands the complexities of healthcare
Board, Center for Health Design and Planetree.
spaces. We appreciate that it is necessary for
As one of only a few architectural firms that are
products and designs to perform efficiently,
members of The Healthcare Advisory Board,
adhere to regulatory guidelines and provide
Cannon Design understands healthcare business
long-term value. Evidence-based research has
objectives and how technology will impact the
demonstrated that positive healthcare spaces can
future delivery of care.
influence patient outcomes, reduce medication
usage and influence consumer preference.
Clinical Emphasis We possess in-house
Calming, daylight-filled spaces with positive
clinical expertise with registered nurses and
distractions improve the experience for both
hospital administrators on-staff. This allows
patients and staff.
us to challenge our clients to pursue progressive
care models and measure the outcomes to
Client Service We achieve the best solutions
demonstrate the achievement of efficient
by effectively engaging all stakeholders–
delivery processes and user-centered design.
administration, medical staff, facilities teams
and clinical caregivers–throughout the process.
In-house Programming and Planning
enables us to assist our clients in improving
levels of healthcare planning, including campus
operations, outcomes, and cost-effectiveness
master planning, detailed pre-design functional/
through high-quality, well-coordinated planning
operational programming, departmental volume
2
This approach, combined with process leadership,
Our multi-disciplinary team focuses on all
and design.
Healthcare
5. “ annon Design has created a concept
C
that revolves around patient needs
with well-planned interior spaces,
and an abundance of natural light
which will serve nurses, physicians
and patients well. I am confident that
the Cancer Hospital’s distinct form
and the way the building relates
to its surroundings—particularly its
landscape—will not only be received
well by our patients, but will enhance
the architectural quality of the city
of Cleveland.
”
Thomas F Zenty III, Chief Executive Office , University Hospitals Case Medical Center
.
Performance by Design
3
6. Advocate Lutheran General Hospital and
Advocate Lutheran General Children’s Hospital
The new 192-bed, eight-story LEED Gold
tower was designed to be 23% more efficient
than code required and 54% more efficient
than an average hospital,with estimated
annual savings of $190,015 and equivalent
to $3,800,300 in revenue per year.
4
7.
8. Advocate Lutheran General Hospital and
Advocate Lutheran General Children’s Hospital
“ annon Design provides great customer-oriented architecture
C
design services that have consistently exceeded our
expectations. I can unequivocally recommend Cannon Design
for any building or renovation project and believe they are
second to none in the industry. ”
Julie Schaffner, RN, Chief Operating Officer / Chief Nurse
Executive, Advocate Lutheran General Hospital
6
Healthcare
9. by the numbers
Bed floors have been laid out in
PROJECT SIZE
virtual pods with decentralized nursing
– 384,000 sf addition
stations to decrease noise levels
414,000 sf
– 30,000 sf renovation
construction Cost
and travel distances. By utilizing a
$374/sf
“non-mirrored” approach for inpatient
Service Lines
room design, staff is easily oriented,
General Pediatric Inpatient Unit
with a standard template for care
delivery, access to technology and
easy supply distribution.
Adult Medical / Surgical Inpatient Units
Pediatric ICU
Medical and Coronary ICU and Interventional Unit
Oncology / Bone Marrow Transplant Inpatient Unit,
Neurology / Stroke Inpatient Unit
Mother-baby Unit with Newborn Nursery
MRIs
Public Lobby and Reception
Notable
LEED Gold
Same-handed room layouts
93% of construction waste recycled
“Why Green?” Sustainable Design
Education Center
Recognition
Sustainable Architecture for Health
Healthcare Facilities Symposium
User-Centered Award
key idea
Use operational programming to reduce costs and
increase market share
Interior Design magazine
Facility Care magazine
Chicago Architect magazine
ASHRAE Excellence in Engineering Award
Illinois Chapter
performance
20% reduction in material
stock on bed floors
through inventory control
procedures managed with
“just-in-time” delivery
performance
50% more energy efficient than a peer inpatient
facility in this climate, yielding an annual savings of
$190,015 and equivalent to $3,800,300 in revenue
per year
Reduced noise levels and infection rate with
private room environment
Reduced patient transfers, staff injuries with
patient lifts
Reduced staff sick calls due to the “healthier
building”
Direct floor-to-floor integration with existing
inpatient building allowed for the effective re-use
of the old facility
Corrected vertical transportation deficiencies in
the existing bed tower with additional elevators in
the addition
Patient satisfaction at 73% on campus, the highest
level achieved on record
23% better energy efficiency than code
requirements
10. Advocate Lutheran General
Children’s Hospital
While achieving high marks for its excellence in pediatric care, Lutheran General Children’s Hospital sought to
increase its profile. The team set to create a building that provided a distinctive branding opportunity for the
Children’s Hospital aligned with the mission and values of Advocate Health and aligned with project goals.
The main lobby provides positive distractions for children through its interactive moving light wall. The senses
are engaged by the inclusion of art and children’s prose throughout the hospital, complementing their art
and music therapy programs.
8
Left: A “wishing-well” stresses the importance of hand
washing to pediatric patients and their visitors. Right: The
first-floor lobby with interactive LED wall and suspended
Healthcare
bird sculptures creates a distinct pediatric entrance.
11. “ orking with Cannon Design was an exciting and inclusive process that resulted in high-performing and beautiful state of the art
W
inpatient Pediatric and Pediatric Intensive Care Units for Advocate Lutheran General Children's Hospital. The project has helped to
raise the profile of our pediatric services in the region and has contributed to our increase in admissions. Since its opening we are
experiencing increased satisfaction by patients, families and staff. The knowledge of healthcare operational issues and sensitivity
to the specific needs of children were translated by Cannon Design into innovative and thoughtful amenities that have supported
our provision of family-centered care and excellence in service.”
Marilyn Eils, MS, RN, NEA-BC, Director, Operations Women's and Children's Services
Advocate Lutheran General Hospital
Top: A pediatric rooftop deck
with playful colors, artwork
and furniture provides positive
distractions and a place of respite.
Right: Private rooms with overnight
guest accommodations foster a
place where family partakes in
the healing process.
12. featured Projects
brigham and women’s hospital
p12
Shapiro cardiovascular center
UC San Diego Health System
p30
Jacobs Medical Center
Ministry of health of turkey –
ETLIK campus
banner MD Anderson
King faisal specialist hospital
AND RESEARCH CENTER
p16
university center for advanced medicine
p34
cancer center
p48
barnes jewish healthcare / washington
Stony Brook University Medical Center
p36
Major expansion program
p50
University of Arizona Medical Center
South Campus, Behavioral Health
Pavilion and Crisis Response Center
p52
13. University Hospitals
p18
NORTHWEST COMMUNITY HOSPITAL
Froedtert the Medical College
p22
of Wisconsin Clinical Cancer Center
Seidman cancer Center
p40
South Pavilion
baptist medical center
Northwestern Memorial Hospital
p42
Kaleida Health, Clinical and Medical
Research Building: Gates Vascular
heart hospital at baptist
Institute and UB Clinical Translational
Research Center
Advocate Lutheran General Hospital
Center for Advanced Care
p54
University of Wisconsin Cancer Center
at Johnson Creek
p26
Prentice Women’s Hospital
p58
p46
14. by the numbers
PROJECT SIZE
420,000 sf
The Center enhances Brigham and
construction Cost
Women’s Hospital’s stature as one of the
$417/sf
world’s leading medical centers. Its strong
Service Lines
connectivity to the existing hospital and
Pathology Labs
Wet Labs
Ambulatory ORs
Recognition
Building of America Award
Real Estate Construction Review
Associated General Contractors Build New
campus is the culmination of thoughtful
planning and responsive architectural
articulation—striking a balance between
public spaces and more intimate areas.
England Award
By consolidating cardiovascular services
Notable
into one world-class facility, the Center
LEED Silver
Six residential structures on site were reused and
re-sited to vacant areas of the neighborhood
Utilized unique Cannon Design invention:
Universal Grid Theory
Recycling of more than 90% of
construction waste during the three-year
construction schedule
enhances the patient experience, yielding
operational efficiencies and encouraging
collaboration and communication among
the specialists.
performance
Unique use of patient suite layout for maximum
efficiency, comfort and privacy
Ability for re-allocation and linking of space
key idea
Accommodate a flexible model of care for diversity of disease base
performance
Flexible and adaptable
nursing model allows range
of nurse-to-patient ratio
to increase from 1:1 to 1:8
12
Healthcare
15. BRIGHAM AND WOMEN’S Hospital
Shapiro cardiovascular center
Performance by Design
13
16. “ he Cannon Design team brings talent,
T
skill and experience to the project, as
well as the very important qualities of
understanding, sincerity and commitment
in working with our staff and patients.”
Arthur Mombourquette
Vice President, Support Services
14
Healthcare
17. A welcoming, light-filled patient room offers comfort to patients, families and visitors, along
with sweeping views of Boston.
The Center sets an excellent standard of patient care, that is elegant and unvarying throughout,
with views of the Boston skyline and surrounding neighborhoods.
18. barnes jewish healthcare / washington university
center for advanced medicine
“A sucessful design for a healthcare
facility strives to find a balance in all
things great and small...It’s a patientfriendly ambulatory setting...great accessibility with superb functional relationships, and a logical, bold plan that
fosters orientation both to patients and
staff using a very large facility.
”
Modern Healthcare / Academy of
Architecture for Health
16
Healthcare
19. by the numbers
Created a high-efficiency environment
PROJECT SIZE
through the use of modular space planning
– 624,000 sf new
concepts resulting in 18% fewer exam
744,000 sf
– 120,000 sf renovation
construction Cost
rooms while supporting increased
$239/sf
patient volumes
service lines
Faculty Practice
Private MD Practices
Breast Center
Endoscopy
Minor Procedure
Radiology
Lab
Surgery
Cancer research
Oncology center
Ambulatory care
Orthopedic
Catheterization lab
Imaging
Notable
Cost / benefit analysis models were used
to understand the first cost premiums in
comparison to long-term potential savings to
determine optimal building components
key idea
Consolidate 32 different sites into one location
Energy management savings were reviewed
for their first cost versus long-term savings.
Drill-down analysis was completed to determine
facility operations savings as well as energy
conservation strategies
performance
Reduced the number of
exam rooms by 18% and
increased volume
Recognition
2001 Award of National Cancer Institute
Modern Healthcare / AIA Academy of Architecture
for Health - Honorable Mention
Healthcare Design Citation of Merit
Center for Healthcare Design - Honorable Mention
AIA/AHA ASHE Vista Award
Performance
Design allowed cancer program to achieve
the highest Comprehensive Cancer Center
designation from the NCI
Used staffing models to create highly efficient
operational departmental configurations
Levels of clinical complexity were linked
with construction building types to closely
manage cost
Blocking and stacking of the building was
melded to maximize the capital ROI
20. by the numbers
PROJECT SIZE
370,000 sf
This facility is dedicated exclusively to
construction Cost
the care of adult cancer patients and their
$357/sf
service lines
Comprehensive Cancer Center
– Research Offices
– Clinical Trials
– Breast Care Center
– Day Hospital
– Radiation Therapy
– Medical Oncology
Breast Center
families in a protective environment that
provides for staff, physician and caregiver
collaboration, operational efficiency and
technological development. Patients’
needs and their experiences are at the
heart of interior space arrangements.
Diagnostic Imaging
Teaching and Conference Facilities
Faculty and Administration Offices
Notable
CM fast-track delivery process
National Cancer Institute Comprehensive
Cancer Center
Recognition
The Chicago Athenaeum: Museum of Architecture
and Design, American Architecture Award
Green Guide for Healthcare Certified
Performance
Structural grid that fully integrates the
present use and could accommodate a range of
new future functions
Consolidation and expansion of current programs
into a dedicated facility designed to enhance a
multidisciplinary approach of cancer diagnostics,
key idea
Consolidate regional programs into a single, dedicated
facility that leverages expertise and resources
treatment and research
Uses interior solar shades to protect occupants
from undesirable glare
performance
Adoption of the Universal
Grid philosophy to fully
integrate the present uses,
and accommodate new
future functions
18
Healthcare
21. University Hospitals
Seidman cancer Center
The new facility will consolidate and expand the
current programs/services into a single, dedicated
facility designed to enhance a multidisciplinary
approach of cancer diagnostics, treatment and
research in keeping with NCI recognition.
22. Clarity and simplicity of pathways, proper scale and introduction of natural light characterize the interior architecture.
The Cancer Center is an architectural icon for the campus, creating a new front door. The facility houses 120 private inpatient rooms,
sized and designed to promote a family-centered model of care.
20
Healthcare
23. In Outpatient Waiting, natural daylight and views of nature provide positive distracters for patients and their families–helping to reduce stress levels.
24. froedtert and the medical college of wisconsin
clinical cancer center
The design supports the hospital’s disease-based
interdisciplinary care model and reinforces the
pre-eminence of their program. Consolidating
caregivers and support staff, the Center’s clinics are
developed around a unique “hub” model where
specialists come to the patient, increasing
collaboration of care strategies.
22
Healthcare
25. key idea
by the numbers
Eliminate weeks of delay between specialist visits for patients
PROJECT SIZE
performance
Improves coordination of
care and decreases time to
treatment by 40% through
specialist consolidation
and coordination
508,000 sf
– including 166,000 of subterranean parking
construction Cost
$158/sf
Service Lines
Comprehensive Cancer Services:
– Cancer Clinics
– Research Offices
– Clinical Trials
– Breast Care Center
– Day Hospital
– Radiation Therapy
– Medical Oncology
Quality-of-Life Center
Salon and Wellness Center
Pharmacy
Café
Parking
Notable
Center for Health Design Pebble Project
Quality of Life Center: Researching whether the
incorporation of a center offering social, financial
and spiritual support will create more awareness
and use of these services
Interdisciplinary “Hub” Model: Researching how
organizing clinics around the patient where all
specialists work in a single location will improve
the timeliness of appointments, efficiency and
convenience for patients and patient satisfaction
Day Hospital: Researching how the variety of
settings for infusion including varying degrees of
privacy, abundant natural light, views to nature and
socialization will influence the patterns of use and
patient, family and staff satisfaction
Recognition
The Wall Street Journal
Contract
ARCHITECT
Healthcare Design
Chicago Architect
Performance
28% reduction in energy use over baseline building
Process improvements resulted in higher patient
satisfaction, improved throughput and increased
patient volumes
Consolidated clinical support spaces reduced
redundancies and decreased necessary program
space size by 12%
26. “The architects, designers, and engineers of Cannon Design are able to
“
I have had the pleasure of working with the Cannon Design team since 2004…
articulate and actualize their promise to create effective, sustainable,
The Cannon Design team provided excellent leadership throughout the
and inspiring environments. At Northwest Community Hospital, we
engagement. I witnessed an effective combination of organizational skills,
are the benefactors of Cannon Design’s collaborative approach... and [I
strategic thinking, planning, and generation of creative solutions by Cannon
am] confident that the outcome will be felt by many clinicians,
Design… I offer my unqualified endorsement and support of Cannon Design…”
S
ue Derus, Executive Director, Cancer Services,
Froedtert and Community Health
24
Healthcare
physicians, patients, and our community for years to follow.”
Dale Beatty, Vice President of Patient Services and Chief Nursing Officer,
Northwest Community Hospital
27. Infusion areas offer varying levels of privacy and natural daylight while giving patients and staff breathtaking views of neighboring wetlands.
The first floor lobby welcomes visitors and engages the community by providing spaces for public education and community events.
28. Northwestern Memorial Hospital’s
Prentice Women’s Hospital
by the numbers
PROJECT SIZE
940,000 sf
The 328-bed women’s hospital supports
construction Cost
patients and caregivers alike, enabling
$396/sf
Service Lines
Medical / Surgical Inpatient Beds
Comprehensive Breast Health Center
Inpatient and Outpatient Diagnostic Services
First Floor Obstetrics Triage
Labor and Delivery with Well-Baby Nursery
Postpartum
Surgery
Level II and III NICU
Medical Oncology
Women’s Health Education Center
Auditorium
a unified and comprehensive approach
to healthcare for women through
all stages of their lives. The design of
the replacement hospital was viewed
by management as an opportunity
to respond to the expressed needs
and preferences of women, both for
themselves and their family members.
Conference Space
Grand Lobby with Retail
Dedicated Patient Exit Lobby
Restaurant
Green Roof
Notable
key idea
One of only a dozen dedicated women’s hospitals
Position and brand comprehensive women’s
in the country
health services
One of the largest medical facilities in the country
to be certified LEED Silver
More than 3,836 tons of debris were removed from
the construction site. Of that amount, 84% was
recycled (steel, copper, glass) or reused (concrete
as filler for other construction projects)
Recognition
Metropolis
Chicago Tribune
Chicago Architect
performance
Patient satisfaction with the pleasantness of
room décor increased 30 points
Patient satisfaction with the healing promoted by
room environment increased more than 20 points
Patient satisfaction with the accommodations
and comfort for visitors increased 12 points
32% reduction in total building energy cost
for lighting
50% savings in lighting costs compared to
the prior facility
26
Healthcare
performance
30-point increase in
Press-Ganey patient
satisfaction scores
31. Clockwise from left: Generously sized LDRs feature daybeds for family members and expansive views of Lake Michigan or
downtown Chicago; a gift shop offers women-focused selections; the Level II and Level III NICU has 86 bassinets with privacy
options; the welcoming public lobby. Opposite page: The main lobby has a separate and protected discharge area created to
afford patients privacy and dignity while awaiting pick-up.
“ MH and Cannon Design have maintained a strong relationship over the
N
years. The firm’s work has consistently met the budget and schedule
parameters for the project. Cannon Design is always sensitive to NMH’s
functional needs, and brings creativity and innovation to the process and
the design.”
Jim Bicak, Vice President of Campus Development,
Northwestern Memorial Hospital
32. UC San Diego health System
Jacobs Medical Center
Value stream mapping concepts discussed during the programming phases resulted in developments including an
electronic admission system and a one-stop patient intake center. The second floor Invasive Services Hub breaks
down silos between surgery and procedure spaces, as well as inpatient and outpatient, maximizing throughput and
leveling peaks and valleys throughout the day. A new, isolated HEPA-filtered unit allows BMT patients to maneuver
around the floor. In-room webcams allow patients to interact with their families, connecting them to their lives, so
that they are not only surviving but living.
30
Healthcare
33. by the numbers
UCSD is transforming the La Jolla
PROJECT SIZE
campus into a 245-bed, LEED Silver
– 436,000 sf new
academic medical and regional referral
499,000 sf
– 63,000 sf renovation
construction Cost
center focused on cancer, cardiovascular,
Confidential
special surgical services, and womens
service lines
and infant care.
– Cancer
Patient Rooms:
– Special Surgery
– Womens and Infants
DT Support:
– Imaging
– Neurology
– Pulmonary
– Surgery
Notable
Pursuing LEED Silver
Transforming a community hospital
to an academic medical center
Performance
Value stream mapping process
“Lean” planning sessions
Detached central plant to accommodate
long-term growth
Electronic admission system
One-stop patient intake center
key idea
Use multidisciplinary “lean” planning sessions with
value-stream mapping
performance
Optimized processes
shaped design, resulting in
efficiencies that drive
increase of patient, provider
and staff satisfaction
Invasive services hub
Hepa-filtered bmt unit
Webcam access in patient rooms
34. Campus Planning
University of Michigan Health System
Virginia Commonwealth University Health System
Strategic facilities master plan for the clinical core of the medical campus that evaluates the feasibility of options to meet
continuing growth on the main medical campus
Campus master plan for the hospital portion of this dense
urban environment that will support both the hospital’s and
university’s visions for growth
6.5 million sf
3.4 million sf
university of california at san diego
King Faisal specialist hospital and research center
Strategic campus master plan to transform the UCSD
La Jolla campus from a community hospital into an
academic medical center and regional referral center
focused on cancer, cardiovascular and surgical services
Institutional master plan and expansion at Saudi Arabia’s largest medical center featuring four landmark projects: the 360-bed,
72,000 sm King Abdullah Cancer and Liver Disease Center; a
38,000 sm National Biotechnology Center; a 45,000 sm, four-story
Royal Wing; and a Powerhouse and Service Tunnel System
400,000 sf new
750,000 sf total
32
Healthcare
1.86 million sf
35. Anyone can identify problems,
but we are more than problem solvers;
we’re idea generators.
If we think creatively about how
to adapt our processes
to support and encourage excellence,
the question shifts from
“What needs fixing?”
to “What is possible?”
Performance by Design
33
36. Banner MD ANDERSON
Cancer center
“You and your team have done a great job with the building. I am positive the patients and staff will appreciate everyone’s effort to
create a warm and welcoming place.”
Susan Lipka, Associate Vice President,
Capital Planning and Management, University of Texas MD Anderson Cancer Center
34
Healthcare
37. by the numbers
A partnership between world renowned
PROJECT SIZE
MD Anderson Cancer Center and
- 133,000 sf new construction
Banner Health, one of the largest
188,000 sf
- 55,000 sf renovation
Construction Cost
nonprofit healthcare systems in the
$360/sf new
U.S., the Banner MD Anderson Cancer
service lines
Center begins the consolidation and
- Radiation Oncology
expansion of metropolitan Phoenix’s
- Outpatient Diagnostic Imaging
oncology services into a single
- Intake Center
comprehensive campus that facilitates
- Laboratory
a multidisciplinary approach to cancer
diagnostics and treatment.
Outpatient Oncology Services:
- Infusion Therapy
- Multispecialty Clinics
Related Services:
- Pharmacy
- Bone Marrow Transplant Beds
- Physician Offices
Notable
Leveraged existing services on the Banner
Gateway Medical Center campus to create a
comprehensive cancer center requiring only
133,000 sf of new construction, carefully sited to
accommodate a controlled build-out
Working in close on-site partnership, Cannon
Design and construction manager DPR completed
this project in a compressed schedule of 30
months, from programming to completion
Used BIM live in client meetings to demonstrate
key idea
Process Led Design to establish ideal patient flows for the
effect of design decisions, achieve consensus,
document decisions in real time, and ultimately
reduce change requests during construction
various types of oncology services: radiation, infusion,
imaging, surgery, urgent needs, inpatient care
Recognition
performance
Featured tour at ASHE Planning,
Adjacencies function well now
and with future addition,
complemented by creation of
Welcome Center where patient
navigators and care coordinators
greet all new patients and
facilitate care
Illuminating Engineering Society,
AIA St. Louis – Unbuilt
Distinguished Award 2010
Design and Construction Summit 2012
Illumination Award
Featured project, Medical Construction Design
Best Health Care Project Southwest,
McGraw Hill/ENR
Performance
Evidence-based design including access to
nature merges high-tech world of medicine with
high-touch needs of cancer patients
Iconic 68-foot-tall “Lantern of Hope” uses RGB
color-changing LEDs to provide a precisely
controlled glow that meets energy consumption
limits and Arizona’s dark-sky guidelines
Innovative interior lighting scheme including
daylighting, daylight sensors, and T5HO fixtures
meets both owner requirements and ASHRAE
90.1-2007
38. by the numbers
PROJECT SIZE
354,000 sf
– 154,000 sf new construction
– 200,000 sf renovation
construction Cost
This major modernization project provides
a striking new public space from which
each of the clinical areas can be accessed.
$339/sf
In addition, the new lobby provides a
Service Lines
clearer drop-off and a better relationship
Emergency Department
Women and Infant Center
State-of-the-Art Surgical Suite
to the parking area.
Pharmacy
NICU
Imaging
Obstetrics
Lobby
Concierge Desk
Information Desk
Meditation Room
Conference Center
Hospital Auxiliary Gift Shop
Café
Helipad
Parking
Recognition
LEED Silver Eligible
performance
Floating blocks of clinical spaces provide
key idea
shared spaces to address daily shifts in
Improve patient flow through campus; triple emergency
patient populations
More than a 20% improvement in energy
efficiency above state mandates
department space to expand capacity to as many as 100,000
visits per year
Positioning of public and private spaces clarifies
circulation while introducing flexible connections
performance
Yielded 20% increase of
patient volume capacity
in emergency services
beyond planned program
36
Healthcare
40. Sun-filled, private patient rooms are in-touch with today’s inpatients and ease the discomfort commonly felt by patients and their
families upon admission to a hospital.
The revamped infrastructure and striking new entryway creates a new, modern image for the overall campus.
38
Healthcare
41. The design of the new entryway allows more
efficient connections to various department
areas, improves segregation and security, and
significantly increases connection to existing
parking facilities, while providing a new and
welcoming image for the campus.
42. Northwest Community Hospital
South Pavilion
Since 1991, Cannon Design has
been working with Northwest
Community Hospital to improve
their facilities and meet their
strategic business objectives.
“ annon Design was able to articulate and actualize their promise to create effective, sustainable and inspiring environments. At Northwest
C
Community Hospital, we are the benefactors of [their] collaborative approach in designing a building that works from the inside out. We engaged
and immersed ourselves into the evidence-based content that exist in our industry and incorporated this knowledge into our design.”
ale Beatty, Vice President of Patient Services and Chief Nursing Officer, Northwest Community Hospital
D
40
Healthcare
43. by the numbers
The tower’s form shortens travel
distances for staff and expands
the support core, providing the
opportunity for in-unit procedure
and diagnostic areas.
PROJECT SIZE
225,000 sf
construction Cost
$358/sf
service lines
Inpatient Units
Adult and Pediatric Emergency Department
ICU
Labor and Delivery
C-Section Suite
Diagnostic Imaging
Notable
LEED Silver Registered
Registered Green Guide for Health Care project
Preserves 3.37 acres of open green space
80% of construction waste diverted from
the landfill
79% of wood products certified by the Forest
Stewardship Council
Cannon Design’s 34th project for the hospital
Over 800,000 sf affected by Cannon Design
since 1991
Performance metric tracking of over 25 clinical,
satisfaction and financial metrics
Recognition
The Wall Street Journal
key idea
Provide a planning concept that adapts to higher acuity
populations and their needs
Medical Construction Design
Achieving Business Excellence
Chicago Architect
First Canadian Healthcare Architecture
Conference - Feature Project
performance
Performance
Rapid design process of inpatient units reduced
Work-flow process
mapping yielded
improved throughput in
the ED and reduced time
to diagnosis by 1.5 hours
programming and schematic planning time by
four months
Reduced noise levels in patient units by
20 decibels
Increased bed utilization to 95% with
all-private room model
Reduced total patient transfers
Increased compliance with hand-washing
protocols by at least 50%
Reduced nosocomial infection rate
Improved obstetric patient intake process
and volume capacity with dedicated triage/early
labor area
44. by the numbers
PROJECT SIZE
203,000 sf
The Heart Hospital signals Baptist
construction Cost
Medical Center’s leadership in
$238/sf
Service Lines
Cardiovascular
Emergency Department
Pediatrics
Neurosciences
Minimally Invasive Medicine and Surgery
Oncology
Orthopaedics
Women’s Health
cardiovascular care and establishes a
new landmark along Jacksonville’s
riverfront. The 203,000 sf heart
hospital, an expanded emergency
department and parking garage
offers patient rooms that are easily
Parking
adaptable to patient acuity ensuring
Notable
long-term flexibility in managing
Certified Stroke Center
AIA St. Louis Honor Award
changing patient profiles.
AIA Central States Region Citation of Excellence
in Architecture
Modern Healthcare/AIA Academy of Architecture
for Health Citation for Design Excellence
AIA Jacksonville Award of Commendation
performance
185% increase in EP studies
27% increase in diagnostic caths
25% increase in PTCA
244% increase in AICD
key idea
243% increase in ablation procedures
Create a signature building that increases program
44% increase in open heart procedures
awareness in the market place
53% increase in CV surgeries
56% increase in invasive surgery volumes
performance
Four-point increase in
cardiovascular market share
in first 3 years and 4,900
new patient encounters
42
Healthcare
46. An aerial view of the Baptist Campus, including the water-front Heart Hospital at Baptist.
Warm and inviting public spaces provide comfort to patients.
44
Healthcare
47. The building itself responds to the flowing form of the nearby river, affording all patients views across the waterway to the Jacksonville skyline.
48. by the numbers
PROJECT SIZE
340,000 sf
The Gates Vascular Institute is a one-of-a-
CONSTRUCTION COST
kind facility planned as a cornerstone of
$455/sf
Service Lines
Emergency Services
Minimally Invasive Surgery
Cardiac Catheterization
Neurovascular Intervention
Electrophysiology
Peripheral Vascular Intervention
Cardiac Surgery
Neurosurgery
Peripheral Vascular Surgery
Post-Operative “hotel” Recovery Suites
Collaborative Floor for Physicians and Researchers
Biomedical Laboratories
Biomechanical Laboratories
Ancillary Services
Patient Outreach
a world-class academic medical center
being developed by Kaleida Health
Systems and the University of Buffalo
School of Medicine. The facility features
emergency services, minimally invasive
procedures, bio-medical/mechanical
research labs, operating rooms, a floor
of unique pre- and post-operative “hotel”
rooms, and a floor intended as a
collaborative “oasis” for physicians,
researchers and entrepreneurs.
Teaching and Research Spaces
Imaging
performance
Use of Rapid Care Protocol (RCP) to improve speed
and quality of care
key idea
Create a building that becomes an incubator for translational medicine
performance
The “Rapid Care Protocol”
effort strives to efficiently assess
high-risk patients suspected of
acute cardiac or neurovascular
events, streamline their transition
through the emergency
department and bring patients
to the appropriate care area in
the shortest amount of time
46
Healthcare
49. Kaleida Health, Clinical and Medical Research Building:
Gates Vascular Institute and UB Clinical Translational
Research Center
The institute will become an incubator for collaboration and interaction among staff and physicians from the
various fields of vascular disease diagnosis and treatment, including cardiac catheterization, neurovascular
intervention, electrophysiology, peripheral vascular intervention, cardiac surgery, neurosurgery and peripheral
vascular surgery. At the base of the new heart and vascular center will be a full-service emergency department with
immediate vertical access to procedural suites within the facility, catering to the notion of “rapid care protocol”
.
50. ministry of health of turkey –
e tlik campus
First large-scale project in the Turkish
government’s re-imagination of the
public health system.
A large, shared diagnostic and treatment base
punctuated by outdoor courtyards to maximize
natural light within the departments. Two full levels
of underground parking beneath the entire facility
offer immediate access to the departments and
preserve landscape views. The six specialty
hospitals are designed with three ‘wings’ of rooms
on a typical floor. Their shape creates a fluid
exterior silhouette while their orientation offers
views to the landscape from every patient room.
48
Healthcare
51. by the numbers
PROJECT SIZE
5,500,000 sf
Construction Cost
$110/sf (in-country cost)
service lines
Six Freestanding Hospitals and Related Clinics:
– General Hospital
– Cardiovascular
– Neurology
– Pediatric
– Women
– Oncology
Emergency Department
Parking
Notable
Sustainably designed, incorporating green roofs
Recognition
Architectural Record
Architecture Daily News
World Architecture News
Performance
Design completed in 90 days as a result of
Rapid Design Process
key idea
Create a hospital campus with easy access and
movement between specialty hospitals and clinics
with shared resources
performance
Balances demands of a sixhospital campus including 90
operating rooms and an
emergency department that
can accommodate up to
2,500 visits per day
Decentralized support and nursing
Modular Planning Grid
52. by the numbers
PROJECT SIZE
1,862,170 sf
Master plan and expansion at Saudi
CONSTRUCTION Cost
Arabia’s largest medical center featuring
$214/sf
Service Lines
Biotechnology Center
Cardiovascular Center
Pediatrics
Liver Disease Treatment
Cancer Treatment
Cancer Research
four landmark projects: the 360-bed King
Abdullah Cancer and Liver Disease Center,
National Biotechnology Center, a Royal
Wing and a Powerhouse and Service
Tunnel System.
Ambulatory Clinics
1200-Car Parking Deck
Allied Health Training Unit
Helipad
Evacuation Tunnel
Retail Space
Performance
Reclaims natural features by directing parking
below grade
Converts a suburban sprawl hospital to a vertical
high-rise, reclaiming natural attributes
key idea
Transform a 1970s community hospital and convert to a 1000-bed,
21st century academic medical center and research institution
performance
Doubles the size of the
medical center while
integrating the highest
medical technology, including
biosciences, research and
education with focus of
advancing oncology and liver
disease services in the region
50
Healthcare
54. University of Arizona Medical Center, South Campus
Behavioral Health Pavilion and Crisis Response Center
A design approach consisting of parallel “bars”
of served and servant spaces allows each facility
to “plug in” to the common service court and
mitigate potentially conflicting traffic flows of
patients, staff and visitors.
52
Healthcare
55. key idea
by the numbers
Create a comprehensive center for behavior
health services from emergent to outpatient with
PROJECT SIZE
appropriate services in appropriate locations
186,000 sf
– 119,000 sf Behavioral Health Pavilion
– 67
,000 sf Crisis Response Center
performance
Increases the facility’s
acute psychiatric bed
count by 50%
CONSTRUCTION Cost
$163/sf
Service Lines
Acute and Sub-Acute Psychiatric Beds
Court Room
Psychiatric Emergency Services
Medical Emergency Department
Outpatient Treatment
Residency Program
Adult and Youth Crisis Assessment and Stabilization
Notable
Industrial Perforators Association Award,
Honorable Mention
Recognition
Modern Healthcare
Behavioral Health Magazine
performance
Decreases use of emergency departments
Decrease inappropriate use of the
detention facilities
On-site courtroom limits patient transfers
Behavior Health Pavilion and the Crisis
Response Center are connected on grade
through a secure connection.
50% increase in acute psychiatric beds
56. Advocate Lutheran General Hospital
Center for Advanced Care
A change catalyst, the building redefines
the hospital’s brand image for ambulatory
and cancer services and sets the tone for
future growth.
key idea
Revitalize a 1960s-era, under-utilized building in
a prime location on campus
performance
200% increase in patient
volumes within the first year
54
Healthcare
57. by the numbers
PROJECT SIZE
136,350 sf
– 39,500 sf renovated
– 54,500 sf addition
– 42,350 sf reutilized
construction Cost
$183/sf
Service Lines
Cancer Institute:
– Radiation Oncology
– Oncology Specialists / Medical Oncology
– Gynecologic Oncology
Advanced Imaging Center
– CT, MRI, Nuclear Medicine, General Radiology
Breast Health Center
– Screening
– Diagnostics
– Stereotactic Biopsy
AWARDS
AIA National Healthcare Award
Modern Healthcare / AIA Design Award,
Honorable Mention
American Society for Healthcare Engineering
(ASHE) of the American Hospital Association
(AHA) and the American Institute of Architects
Academy of Architects for Health (AIA/AAH)
Vista Award
Healthcare Design Magazine Architectural
Showcase Citation of Merit
User-Centered Symposium Distinction Award
Sponsored by FacilityCare Magazine in association
with the Healthcare Facilities Symposium Expo
Healthcare Environment Awards
Sponsored by Contract, The Center for
Health Design, and Healthcare Design.07
,
Honorable Mention
RECOGNITION
Modern Healthcare
Healthcare Design Magazine
Health Facilities Management
Contract
Performance
Increased clinical staff recruitment and
improved staff retention
58. The existing building suffered from limited floor-to-floor heights, scarce natural light and poor air circulation; the design of the renovation and addition created an
open, welcoming, and light-filled environment and leveraged the existing infrastructure to decrease capital investment costs.
“ ith our Center for Advanced Care,
W
[Cannon Design] visualized how an old,
under-utilized hospital building from the
1960s could be an award-winning, state-ofthe-art ambulatory center. It was transformational and beyond our wildest dreams.
E
very aspect of the development and design
was a very positive experience for the many
users that included staff, patients, and
physicians. The Center has exceeded our
most aggressive forecast for patient
volumes and the patient satisfaction is
in the upper quartile, unlike our previous
in-hospital services.”
ulie Schaffner, RN, Chief Operating Officer /
J
Chief Nurse Executive, Advocate Lutheran General Hospital
Breast Center Facility
Overall Facility
Patient Satisfaction Percentile
Clinical Staff Satisfaction Percentile
Jan-Sep 2006 vs. Jan-Apr 2007
Jan-Sep 2006 vs. Jan-Apr 2007
99
96
37
18
2006
A patient and family education center offers resources and information frequently requested
by consumers.
56
Healthcare
2007
2006
2007
59.
60. University of Wisconsin
Cancer Center at Johnson Creek
by the numbers
PROJECT SIZE
14,300 sf
Construction Cost
$242/sf
Service Lines
Medical Oncology
Radiation Oncology
Clinical Trials
Awards
Contract Interiors Award Winner,
Healthcare Category
Modern Healthcare Design Award
Citation Winner
Buildings Magazine Project
Innovations Award
Recognition
Contract
Architectural Record
Sustainable Architecture for Health
Healthcare Design Magazine
Medical Construction Design
Performance
Exceeded geographic and demographic
standards
Captured increased marketshare from
wider area than anticipated
Patient volumes increased each year
key idea
since opening
Respond to the clients’ need for a patient-friendly environment
New patient volumes increased by
that can accommodate rapid growth in patient volumes
15 percent
Treatment volumes increased 10 percent
in radiation oncology
Treatment volumes are up 20 percent in
medical oncology
performance
Continuous annual growth of
20 percent in medical oncology
and 40 percent growth in
radiation therapy volumes
58
Healthcare
61. The structure defines the program both
literally and metaphorically. It is a signature
building that sets the facility apart from its
competition and reflects how patients are
treated inside–with honesty, optimism, and
the latest technology.
“ he Cannon Design team provided thoughtful and creative guidance to
T
further the direction of our mission and operational vision for the facility...
Throughout our relationship, the team helped guide our vision of creating a
building that served the community and also made a statement in itself...
It is with great confidence that I recommend Cannon Design.
”
Lynda Persico, Director, UW Cancer Center at Johnson Creek
62. Operational Facility Programming
The Cannon Design healthcare practice offers
comprehensive programming and planning as
a mainstay of our service offerings.
In addition to providing traditional functional
and space programming services, our staff
specializes in research and benchmarking,
capacity analysis, activation/occupancy planning
and process engineering.
Our goal is to partner with you to create functional, therapeutic and innovative
environments and to provide an appropriate level of service to most effectively
enable a successful transition to your new environment. We look forward to building
a partnership with you.
For more in-depth information on our programming and planning capabilities,
please send us an e-mail to performance@cannondesign.com.
60
Healthcare
63. Research and Benchmarking
–
Primary and secondary research
–
White papers
– Internal metric benchmarking
–
Hospital initiative support
–
Funding Assistance
– Mock-up studies
–
Collaboration with independent
national studies
–
Best practice benchmarking
Capacit y maximization
–
Current- and future-state process mapping
–
Process improvement analysis
– Resources utilization
–
Capital cost implications
–
Throughput analysis
–
Contribution margin impact
Process engineering
–
Operational redesign
– Throughput maximization
– Workflow mapping
Activation / Occupancy Planning
–
Early occupancy support
– Programming through activation continuity
–
People, equipment and facilities
preparation
–
Tasks and timelines
–
Framework for new care models,
technologies and work processes
64. healthcare Interior Design
Banner MD Anderson Cancer Center
Northwestern Memorial Hospital
Prentice Women’s Hospital
Advocate Good Samaritan Hospital
Greenbriar Outpatient Center
Northwest Community Hospital
South Pavilion
62
Froedtert Health Clinical Cancer Center
Millard Fillmore
Suburban Hospital Expansion
Healthcare
65. “ annon Design has done
C
an excellent job utilizing
colors, textures, and materials
that support the openness
of the building, even in the
treatment areas.
It has been shown that where
you are affects how you feel,
and this building was designed
to help soothe the anxiety
associated with being in and
visiting a hospital.”
Keith Golden, Director of Support Services, Sherman Hospital
Performance by Design
63
66. Cannon Design is a major international architectural,
engineering and interior design firm recognized for design
excellence and technological innovation. Founded over
65 years ago, Cannon Design has a staff of over 1,000
dedicated people, operating 16 offices throughout North
America, Asia and the Middle East. Long recognized as one
of the top ten architectural/engineering firms in the U.S.,
Cannon Design has planned, programmed and designed
over one billion square feet of healthcare facilities in ten
countries around the world.
Building upon our commitment to improve the performance
of facilities and to create a positive experience for patients,
families and caregivers,we look to forge long-lived
collaborations with our clients.
As we bring you Performance by Design, we welcome
the opportunity to develop a partnership with you.
Services
Architecture
Interior Design
Campus Master Planning
Operational Facility Programming
Engineering
Sustainable Design
Consulting
64
67. Among our clients Abrazo Health Care • Adventist Healthcare • Acibadem Healthcare Group • Advocate Healthcare • Arizona State
Hospital • Baltimore Washington Medical Center • Banner Health • Baptist Medical Center • BJC Healthcare • Berkshire Health Systems •
Bermuda Hospitals Board • BJC HealthCare • Blue Ridge HealthCare System • Boston Medical Center • Botsford General Hospital
•
Brigham and Women’s Hospital • Cedars-Sinai Medical Center • Center for Addiction Mental Health • Centers for Disease Control and
Prevention • Centre Hospitalier de l’Universite de Montreal • Children’s Hospital of Boston • Children’s Hospital of Illinois • Children’s
Hospital of New Orleans • Children’s Hospital of Philadelphia • Children’s Medical Center of Israel • Condell Medical Center • Decatur
Memorial Hospital • Delnor Hospital • Detroit Medical Center • Essex County Hospital Center • Fraser Health Authority • Friendship
Village • Froedtert and Community Health • George Washington University Medical Center • Hauptman-Woodward Research Institute
Hospital for Special Surgery • HSA | PrimeCare • Iasis Healthcare • Illinois Vascular Institute • INCA Instituto Nacional de Cancer
•
•
Indiana University Health • Infrastructure Ontario Healthcare • Interior Health Authority, BC • John C. Lincoln Healthcare • Johns Hopkins
Medical Center • Kaiser Permanente • Kaleida Health System • Karmanos Cancer Institute • King Faisal Specialist Hospital • Lake Forest
Hospital • Lindner Center of HOPE • Loma Linda University Medical Center • Loyola University Medical Center • Mayo Clinic • Medical
College of Virginia • Medical College of Wisconsin • Memorial Sloan-Kettering Cancer Center • Mercy Hospital and Medical Center
Methodist Hospital • Milwaukee Regional Medical Center • Mount Sinai Hospital Medical Center • National Institutes for Health
•
•
New Women’s College Hospital • New York Presbyterian Hospital • New York University Hospitals Center • Niagara Health System
•
Northern Health Authority, Prince George, BC • Northwest Community Hospital • Northwestern Memorial Hospital • North Carolina
Department of Health • Oak Park Hospital • Ontario Shores Centre for Mental Health Services
•
OSF Healthcare • Pima County Hospital
•
Phoenix Baptist Hospital • Phoenix Children’s Hospital • Rainbow Babies Children’s Hospital • Rhodes Rehab • Resurrection Health
Care • Roswell Park Memorial Institute • Royal Ottawa Hospital • Rush-Copley Medical Center • Saint Anthony Hospital • Saint Francis
Hospital • Saskatoon Health Region • Scripps Health • Sherman Hospital • Silver Cross Hospital • St. Anthony’s Medical Center
•
St. Joseph’s Healthcare Hamilton Province of Ontario • State of Virginia • Stony Brook Medical Center • Tata Healthcare Group • Tel Aviv
Medical Center • United Health Services • University Hospitals • U.S. Department of Veterans Affairs • University of Arizona • University
of California, San Diego • University of Chicago Hospitals • University of Colorado Hospital • University of Illinois at Chicago Medical
Center • University of Iowa Hospital and Clinics • University of Kansas Hospital Authority • University of Massachusetts Medical Center
University of Michigan Health System • University of Pennsylvania Health • System University of Wisconsin Hospital and Clinics
•
•
UW Cancer Center at Johnson Creek • Valley West Community Hospital • Vancouver Island Health Authority • Veterans Administration
Hospital • Village Medical Center • Virginia Commonwealth University Health System • Washington University Medical Center • Yale New
Haven Medical Center • Zhejiang University Medical Center
ACKNOWLEDGEMENTS Barnes Jewish Healthcare/Washington University Center for Advanced Medicine: Hellmuth,
Obata+Kassabaum (HOK) – Associate Architect/Shell and Core | Brigham and Women’s Hospital , Shapiro Cardiovascular
05/2012
Center: Chan Krieger Associates – Associate Architect/Urban Planning | King Faisal Specialist Hospital Research
Center: Dar Al Riyadh Consultants – Associate Architect | University of Arizona Medical Center, South Campus, Behavioral
Health Pavilion and Crisis Response Center: CDG Architects – Associate Architect | University Hospitals, Seidman Cancer
Center: Array Healthcare Facilities Solutions – Associate Architect/Interior Designer/Corporate Architect