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HEALTHCARE REAL ESTATE, CONSTRUCTION, DESIGN & FACILITY PLANNING

To Renovate or Rebuild? … That Is the Question

The Florida population • Building code and organization and plan your process represent a viable renovation project.
explosion in the 1970s and AHCA updates have man- before designing your buildings. Tight hospital sites might or might not
1980s of full-time residen- dated new patient require- Architects and hospital staff need to be have adequate area for an addition. The
cy led to the creation of ments, ventilation stan- open to a process where planning groups addition to a hospital campus is not the
those support services nec- dards, stronger buildings are not immediately led by design profes- simple act of placing a building where
essary to service the pub- and new flood criteria, all sionals, but by staff and facilitators where one does not exist. It is critical to under-
lic. Hospitals and medical of which serve to identify the designers sit and listen to grasp the stand the relationship of medical servic-
facilities were constructed existing vulnerabilities. big picture. Generating information, es, support services, excessive distances
throughout the state. • Patient-centric design, technical evaluations and scientific data and family access, to confirm a viable
These buildings are now family-focused design and will lead to better designs. There is an solution that works appropriately.
40 and 50 years old; par- the therapeutic benefits of expectation of change in the patient Technology, healthcare changes and spa-
tially modernized over the nature are new hospital experience. New designs, family spaces tial relationships incorporated into the
years along with the cos- design concepts which and new technology will not only design process will represent the best
metic facelift and still BY CHARLES A. change the patient experi- increase patient satisfaction and staff designs of the future. A beautifully
functioning. The critical MICHELSON, AIA, ence. retention, it will lead to better outcomes designed building, based upon an incor-
question many hospital LEED AP • Most significantly, the and shorter hospital stays. rect or inefficient premise is a conse-
owners face today is “Do recent requirement of sin- The values and goals described above quence the hospital owners will live with
we renovate or is it time gle-patient rooms man- can be achieved in existing buildings. for the rest of their lives.
for a new facility?” dates the analyses of our buildings There might not be two- or three-story To renovate or rebuild will be a ques-
Regardless of the location or the regarding usage and the requirements for tall lobbies, but the desired experiential tion of consequence which will be dis-
owner, the question is still the same. efficient nursing units. and sequential activities can occur. cussed in many upcoming planning ses-
• Over half the technology that is used The list can go on, but you clearly get The floor plan of the existing facility sions. The answer to the question will be
on a daily basis did not exist when the the point. must be reasonable. A 16 semi-private determined by what it will take to have a
building was constructed. Technology To answer the original question with a floor plate from the 1960s might leave process that works.
requires coordination with building casual “it depends,” is an oversimplifica- you with no place to turn. But a 36 semi-
infrastructure. tion. The decision to renovate or build private room floor plate that eventually is For more information, contact Charles A.
• Evidence-based design provided doc- new is not an architectural design deci- designed into 30 single-patient rooms Michelson, AIA, LEED AP, President, Saltz
umentation regarding safe design stan- sion. along with the missing workspaces, stor- Michelson Architects, at (954) 266-2700 or
dards for patient care. Identify your culture, develop your age and well-designed amenities would cmichelson@saltzmichelson.com or visit
www.saltzmichelson.com.

UNIVERSITY MEDICAL CENTER CORAL SPRINGS SURGICAL CENTER
FOR LEASE / MEDICAL / PROFESSIONAL OFFICE FOR LEASE / MEDICAL / PROFESSIONAL OFFICE

7710 NW 71ST COURT | TAMARAC, FL 33321 1725 NORTH UNIVERSITY DR | CORAL SPRINGS, FL 33071

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CONTACT PETER MESSINA, CCIM
FIRST VICE PRESIDENT
+1 954 816 7538
peter.messina@cbre.com
www.cbre.com/peter.messina
CBRE Inc. | Licensed Real Estate Broker

Specializing in healthcare real estate services, including acquisition and disposition, tenant and landlord representation, relocation, site selection and consulting.

South Florida Hospital News southfloridahospitalnews.com September 2017 35