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A Design For A Community Health Center P
A Design For A Community Health Center P
Abstract
This round table will discuss the needs to engage the medical community in the programming and design
process of Community Health Facilities. The case studied is an interdisciplinary design collaboration
between architecture students and interior design students at the College of Architecture at the University
of Oklahoma, the Urban Design Studio in Tulsa, the Architecture for Health Design Studio at Texas
A&M University, the clinical program development at the OU Wayman Tisdale Specialty Center, School
of Community Medicine and the Tulsa Economic Development Corporation. The studio also worked with
community partners, collaborators in the field of the build environment and partnering healthcare provider
and professionals in the medical field with a focus on community healthcare facilities and public health in
the community. Community participation and involvement in academic projects are often challenging.
This project developed a communication concept and built a bridge through the web as public interface
(Wiki and Blog), a project steering committee comprised of public service organizations and focus groups
lead by neighborhood organizations. The project will point out the lessons learned and the possible
interface between healthcare providers and health facility design education.
Purpose
The project presented is a design collaboration between architecture and interior design students
at the College of Architecture University of Oklahoma, the Urban Design Studio in Tulsa, the
Architecture for Health Design Studio at Texas A&M University, the clinical program
development at the OU Wayman Tisdale Specialty Center, School of Community Medicine and
the Tulsa Economic Development Corporation. The studio worked with community partners,
collaborators in the field of the build environment and partnering healthcare provider and
professionals in the medical field with a focus on community healthcare facilities. 37
architecture, 20 interior design, six urban design students and six faculties from the University of
Oklahoma and Texas A&M University engaged in this collaboration to design a community
health facility and the adjacent Northland Shopping Center in Tulsa Oklahoma (exhibit 1).
The interaction with the clinical development program at the OU School for Community
Medicine and the exchange with the Tulsa Economic Development Corporation encouraged the
understanding of diverse disciplines, methods, perspectives, and approaches in the development
of the project.
The collaboration aims for the two participating institutions was sharing resources and networks
and develop a research infrastructure in community health design. For example, the Texas A&M
University maintains the Center for Health Systems and Design as a research center associated
with the College of Architecture which can be a resource for undergraduate and graduate
students of both Universities.
The aim for the students was to benefit from the 40 year long Health Design Studio experience at
Texas A&M, the diverse lecture series put together for the course and the partnering with health
provider and economic development specialists. The students also benefited from the
interdisciplinary collaboration of Architecture, Interior Designer and Urban Planning students. In
addition, the College of Nursing at the OU Health Science Center, School of Community
Medicine in Tulsa, and the architecture firms HKS in Dallas and Rees Associates in Oklahoma
City advised the students.
Method
Interdisciplinary design studio settings provide education to instill effective teaming skills and
actively entrench collaborative techniques for problem solving and design solutions for students
to succeed in their future careers. The industry indicates importance of a multi-disciplinary team
approach in developing successful projects and our industry partner HKS and Rees Architects
helped the participating students to understand and apply teaming skills and acted as a bridge
between the two institutions.
All project phases required student team work and a pre-defined deliverable which was presented
verbally and visually to all other constituencies. The project developed a communication concept
through the World Wide Web as public interface (Wiki and Blog) to enable all stakeholders in
the project to be updated on current developments without waiting for scheduled meetings and to
enrich the student learning experience through constant feedback and reflection.
The students and faculty from both institutions met in Tulsa Oklahoma at the School of
Community Medicine to kick-off the project with lectures and learning activities (exhibit 2) lead
by health design experts, researchers and clinic staff from the Health Science Center and staff
from the Tulsa Economic Development Corporation. Students and faculty also visited the
building site of the health center and met with public service groups and neighborhood
associations for interviews.
The midterm project review brought all participants together in Dallas at the HKS office.
Students presented design concepts and schematic solutions to each other, graduate students
from the health facility design program at Texas A&M, faculty of both institutions and to design
professionals.
A final project review was scheduled in Tulsa and included the Tulsa Economic Development
Corporation, city council members, and other community service organizations.
Invited speakers through web-cast, enriched the concept of multi-disciplinary contributions to the
process (exhibit 3).
To enhance collaboration and increase effectiveness of the project outcome, the participants
employed technology in designated teaming spaces where students shared and discussed design
concepts using Mediascape ™. Skype and video conferencing supported the weekly live lectures
from Texas A&M University including Q&A sessions. Skype was also employed for student
discussion and interaction between the two institutions.
Outcomes
Interdisciplinary collaboration between architecture and interior design students at OU have been
offered for 3 years prior to the cross-institutional collaboration of the project introduced in this
narrative. Student surveys reflections indicated that they perceived the cross-institutional
participation more enriching through exposure to another institutional culture and student body.
Interior design and architecture students particularly reported on the value of the cross-
disciplinary integrated design solution and the collaborative process. The students also benefited
from the experience of the Health Design Program Texas A&M brought to the project, while
Texas benefited from the Interior Design component offered at OU and not available at Texas
A&M. The shared resources proved to be cost effective and enabled higher quality feedback to
the students, which would have been difficult to reach for each institution on its own. Comparing
interdisciplinary student design outcomes from previous years with the design outcomes of the
cross- institutional collaboration, project issues where solved in more depth and higher level of
problem solving.
Community Health and
Environmental Design
Site Visit
Architerior Innovations
Sustainable Urban
Community Design Studio
Site Analysis
For this project, we have decided to focus
our efforts towards a concept centered
around community growth and
sustainability. In that, our design solution
will reflect an interconnectedness which
incorporates the idea of transparency and
wellness.!
Next week:
Architerior Innovations
Community Health and
Environmental Design
Arial View
Entrance Perspective
Architerior
XXX Innovations
Community Health and
Environmental Design
Architerior Innovations
Sustainable Urban
Community Design Studio
Seating Materials:
Entrance Perspective
Architerior
XXX Innovations
Community Health and
Environmental Design
Seating Materials:
Architerior Innovations
Sustainable Urban
Community Design Studio
Architerior
XXX Innovations
Community Health and
Environmental Design
KCJ[2]
Principal Architects:
Jeff Slajer and Jason Clements
Principal Interior Designers:
Kelci Fitch and Christina David
Site Description Our building design aims to bring people from the
Our site is located in North Tulsa. The surrounding areas into our clinic and facilitate their needs as
cross streets are 36th St N and Hartford best as possible. Taking into consideration the location of the
site, we wanted to make sure and meet the demands of the
people both clinically and economically.
KCJ[2]
Sustainable Urban
Community Design Studio
Week One
The first week we analyzed the site and its
context. It is located in North Tulsa,
surrounded by neighborhoods. There is an
alzheimer’s clinic located to the
NorthWest on a very high hill. We decided
to keep the current community center to
be sustainable and leave less of a carbon
footprint. Also, the structural integrity is
already solid, made of CMU and
reinforced concrete.
KCJ[2]
Community Health and
Environmental Design
Week Two
This is where it started to become difficult in
coming up with the form for our clinic. We
decided that we want to mimic what was
already there by having it form a continuing
datum from the existing building. Also, it is
an L-shape that turns south, just like the
demolished section was formed.
KCJ[2]
Sustainable Urban
Community Design Studio
Week Three
We began building the massing model
for the site as well as a more detailed
model for our clinic. The three masses
that raise above the roof plane are
mechanical systems for elevators as
well as stairwells. We could not decide
whether we wanted these to be fully
glazed but decided to only leave the
western fire stair open and
transparent.
KCJ[2]
Community Health and
Environmental Design
Week Three
Our goal for this week was to have our
floorplan finalized and starting to render.
We wanted to completely finish the
floorplan so we could check it off of our final
rendering list!
KCJ[2]
XXX
Sustainable Urban
Community Design Studio
Week Four
Finishing Up
KCJ[2]
XXX
Community Health and
Environmental Design
Week Five
With the project coming to a close, the
interiors have been developed and
rendered using the Autodesk 3ds Max
computer program. We feel that this
describes not only the feel and
atmosphere of our clinic, but also
displays our space planning and
materials well. Next on the list, putting
together our final presentation—which
will include the Architecture Design, Fly
Through, and more Renderings.
KCJ[2]
XXX
Sustainable Urban
Community Design Studio
KCJ[2]
XXX
Community Health and
Environmental Design
ELEVATION
Rachel Franklin.
Jenhuang Chen.
Harold Barnes III.
Denisa Rocabado
This clinic is centered around a holistic Elevation: arch & design as a firm aims to create dynamic, high-
approach dealing with the whole concept spaces that create inviting exteriors and interiors that reflect
person. the people whom inhabit them as well as the local area. Taking what
This building is not only meant to heal currently exists and elevating it to a place of true design is the
the people but meant to heal a measure of a successful design and execution of the clients wants
community. and needs.
Respecting the present day condition of
both the site and the people, this
building invites the landscape and the
tumultuous nature of the community
into the architecture.
Elevation
Sustainable Urban
Community Design Studio
Week 1
Distinguishing shape language and a
language for how the building, both
interiors and exteriors would speak
to one another, was the critical
design problem attacked.
Elevation
Community Health and
Environmental Design
Week 2
Elevation
Sustainable Urban
Community Design Studio
Elevation
XXX
Community Health and
Environmental Design
Elevation
XXX
Sustainable Urban
Community Design Studio
Central Areas
The atrium
Elevation
XXX
Community Health and
Environmental Design
Plan view
Bottom left:
Flooring changes designate areas for equipment and
pathways for users to navigate the large wellness
center. The repeated materials from the main entry
are seen in the patina bronze mullions and privacy is
executed through blue glass and waved 3Form in the
pool area.
Bottom right:
The second floor running track is open to the first floor
to allow for maximum exposure to the extensive
grounds. 3Form is once again used in the railing to
give personality and visual interest from both floors of
the center.
Elevation
XXX
Sustainable Urban
Community Design Studio
Green roof
A sedum treated
rooftop on the second
floor allows for those
entering the building
from the second floor
drop-off to experience
an outdoor space
without leaving the
facility. It has a
covered portion created
by the third floor and
has a true outdoor area
that repeats the
structural articulation
seen in other areas on
the window wall to the
adjacent waiting area.
Elevation
XXX
Community Health and
Environmental Design
CORR Design
Sustainable Urban
Community Design Studio
CORR Design
Community Health and
Environmental Design
CORR Design
Sustainable Urban
Community Design Studio
CORR Design
Community Health and
Environmental Design
CORR Design
Sustainable Urban
Community Design Studio
CORR Design
Community Health and
Environmental Design
CORR Design
Sustainable Urban
Community Design Studio
CORR Design
Community Health and
Environmental Design
AKxFY: Architecture & Interior Design Studio is an interdisciplinary collaboration with dedication to not
AKxFY Architecture & only interior and exterior aesthetics, but also a strong emphasis to the sustainable, functional, and ease of
interaction of the end design regarding all aspects of space. Our philosophy is to deliver an innovative design
Interior Design Studio solution that reflects the unique characteristics of the community and the people within them.
Site Description
Our site is located in Tulsa, Oklahoma at Site Analysis, Adjacencies, & Blocking
36th St North and Hartford
AKxFY Architecture & Interior Design Studio
Sustainable Urban
Community Design Studio
The first floor spaces are clearly separated into the two wings, with the common spaces and highest traffic
located on the central diagonal axis. We were challenged with the circulation of space and issues of privacy
due to patient needs. The main entrance is on the southeast corner of the building where the majority of the
parking will be located, however each end of the wings are emphasized with designated parking and secondary 2F
entrances.
The second floor is laid out similarly to the first, with the specialty areas located on the north end of the
building, while the majority of the common spaces are concentrated on the other end. In addition to the
spaces required we decided to include a learning center that is specific for lectures as well as educational
seminars and classes to educate the community on the new healthcare bill and the changes that concern
them.
At the mid point review we had decided that the 8,000 square foot developed interiors include part of the
entry, waiting on the first and second floor, part of imaging, and part of the upstairs circulation.
8000sq ft
Mid-Point Review:
“After the mid-point review and critique
with our professors we got a few pointers
about and about 30 minutes later we decided
that we were going to move a few simple
things in our building… we’re scrapping all of
our hard work pre-Dallas. We’ve addressed
some issues, have better design ideas, and
we believe that we’ve all got a better grasp
on the direction of our facility.
Points of considerations:
-revamping the exterior with special features
-opening up an additional atrium space
-slicing part of the building on the west side
-integrating our egresses “As a team we have begun to work more cohesively. We have been spending more time with each other and
-outdoor area that we are incorporating as an have learned each others strengths and weaknesses as workers. When we review our critiques and main
additional patio/waiting for days with nice points of concern we are able to easily communicate with each other and we have really seen our ideas begin
weather/retention wall to mesh and become one design. ”
- work with the topography that will ease the
building into a split level with purpose
-rearranging interior space to focus on the
different departments and the purpose and
connections between then
-relate the entire space and entire site
-two main entries, one focused on the retail
and one on the clinics/vertical circulation in
the clinic area/spaces radiating out from this
main traffic area
-more windows for the clinic rooms and still
maintain privacy for the patients
AKxFY Architecture & Interior Design Studio
Sustainable Urban
Community Design Studio
AKxFY Architecture
XXX & Interior Design Studio
Community Health and
Environmental Design
During the sixth week of development, the team divided up significantly and started
Interiors have been finalizing the details
working on different aspects of our project. With this, it means to approach everything with
of the atrium glass for our main entry. It was
creative responsibility. Take what has been developed and go a step further in completing
a bit of a challenge trying to figure out how
the design, calling the shots, while making sure that it will be a smart choice for the group,
to arrange it so that we created clear
clinic, and community. The architects have been trying to straighten some details on the
circulation and distinct, purposeful spaces
structure, final materials, and exactly how the roof will function in relation to our floor plan.
for our end users. Because this was such a
They have also been addressing mechanical rooms and structural details.
large area, we struggled to create more
intimate spaces within the open lobby. In
our second open atrium area, the architects
are still evaluating the pros and cons of using
a completely glass roofing or using shading
systems. We discussed as a team and
decided that it was necessary to continue
the elements in the main lobby.
In the upcoming week, we were challenged
to get everything finalized and details
worked out before Thanksgiving break.
AKxFY Architecture
XXX & Interior Design Studio
Community Health and
Environmental Design
Closing up!
Architects on Collaboration:
INTERIORS ON COLLABORATION
At the end of our project we made EXPERIENCE OVER THE YEARS:
it down to College Station, TX for a “There were times where we had to
few days toured, presented, and spent figure out how to work around each
time together as architect and interior of our work habits and schedule, but
students and we’ve also visited Tulsa, the end result proved successful, I
OK for our final presentation as a think. I’m glad we did this project
more formal wrap up. Our group together.” –Aileen Yang
overall received positive feedback at
both locations and we definitely “I think we did a really good job and
would call this project a success. worked well together. I am glad that
Thank you for all the critiques and we worked together and I think it
support and hope that you all have was clear to the people that we
enjoyed this project and final design. presented to as well.” –Taylor Fleck
PLEASE VISIT:
ONEAKFY.TUMBLR.COM
FOR OUR WEEKLY BLOGS
AKxFY Architecture
XXX & Interior Design Studio
Community Health and
Environmental Design
This clinic, to be built at 36th street North and Hartford in Tulsa, Oklahoma will focus on specialty care as
well as provide a community center for he citizens of Tulsa North.
Our studio will aid in facilitating a first look at the relationships between community health, healthcare
design and the role a community health center can take to foster Healthy Environments.
Urban
XXX Community Health Alliance
Community Health and
Environmental Design
Community Center
Information Area
Art Display Feature
Lounge
Wheelchair Storage
Classrooms
Restrooms
Kids Space
Miltimedia Library
Indoor/Outdoor Café
Health Foods Market
Fitness Center
Dialysis
Treatment Area
Separation Room
Exam Room
Patient Restroom
Staff Restroom
Chemical Mixing Room
Water Treatment Room
Clean Supply
Soiled Holding
Equipment Repair
Medications/Nourishment
Housekeeping Closet
Cardiovascular Lab
Chemotherapy Center
Laboratory
Operations
Urgent Care
Outpatient Surgery
Urban
XXX Community Health Alliance
Community Health and
Environmental Design
Urban
XXX Community Health Alliance
Community Health and
Environmental Design
NEXUS:
1. A means of connectedness; tie; link
2. A connected series or group
3. The core or center, as of a matter or
situation
Week 2 Process
This week we focused on completing the
floor plan, making the massing more
concrete, coming up with ideas for our bus
stop, and situating the building on the site
with vehicle and pedestrian circulation.
For our site we created a direct pathway
from the bus stop on the corner past the
entrance and connecting to the existing
sidewalk of the strip mall. Along those
We also played routes be placed our farmer's market area
with ideas for and an additional covered drop off area
green roofs and a from the parking lot. We developed the
water retention split between in the clinic and the mall by
pond. created a two-sided drive-trough and drop
off area for the pharmacy and Urgent
Our bus stop Care. We also played with ideas for green
imitates the roofs and a water retention pond.
outside of our
building's main For our site we created a direct pathway
facade in order to from the bus stop on the corner past the
create a strong entrance and connecting to the existing
connection sidewalk of the strip mall. Along those
between the two routes be placed our farmer's market area
and an additional covered drop off area
from the parking lot. We developed the
split between in the clinic and the mall by
created a two-sided drive-trough and drop
off area for the pharmacy and Urgent
Care.
Week 3 Process
This Monday was our trip to HKS in Dallas for
our half-way critiques. It was nice to see a
professional firm, and have them comment on
our work.
Week 4 Process
In Week 4 our group focused on redefining
the floor plan to make sure it is all lined up
on the axes. Also we eliminated one of the
openings to the above, leaving us only with
the central atrium. That allowed us more
square footage on the send level and made
our central atrium a focal point. Our
Conference/Class Room moved towards the
back of the building. The public restrooms
are placed in the most convenient location.
Week 5 Process
Week 6 Process
NEXUS Design
XXX Group
Community Health and
Environmental Design
Week 7 Presentations!!!
Week 7 Presentations!!!
NEXUS Design
XXX Group
Community Health and
Environmental Design
Holistic
XXX Design Group
Community Health and
Environmental Design
The Model
Firm/group name
XXX
Sustainable Urban
Community Design Studio
The first garden is the Zen garden that is located right outside the chemotherapy and dialysis treatment areas
to create a calm and healing environment
The middle garden is the living machine garden that will purify gray water (used water from sinks, toilets, etc.)
with plants without smelling. By the time the water reaches the end of the garden it is clean enough to drink,
but in this case will only be used for landscaping.
The third garden is the Family Garden that is located between the Outpatient and Urgent care wings for
families to wait for loved ones.
Holistic
XXX Design Group
Community Health and
Environmental Design