This complex, multi-phased design houses one of the nation’s most esteemed comprehensive digestive disease programs.
Description
Phase one of this complex multi-phased project included the complete demolition and renovation of the second floor of the existing Ambulatory Care Center (ACC), creating an 18,500-square-foot space featuring four state-of-the-art interventional endoscopy rooms and 18 pre- and post-procedure rooms. This phase includes dedicated program support areas for scope decontamination, cleaning, and storage, alongside staff support spaces such as a lounge and locker rooms. A highlight of this phase is the integration of the Center for Advanced Endoscopy, Research, and Education (CARE), equipped with six advanced endoscopy suites and cutting-edge audiovisual technology for live procedure broadcasts to a global physician audience. Designed to be entirely self-sufficient, this phase ensures uninterrupted patient care and operational efficiency.
Phase two consisted of constructing a new four-story facility that houses one of the nation’s premier comprehensive digestive disease programs, encompassing luminal gastroenterology, pancreatology, inflammatory bowel diseases (IBD), motility, and hepatology services. This phase added six interventional procedure rooms—three equipped for airborne infectious isolation and four with fixed imaging equipment—and a dedicated entrance for the interventional endoscopy program. Additional features include a security vestibule, a new lobby and registration area, two guest elevators, a large waiting area, and expanded clinical support spaces. These enhancements include two more procedure rooms, 12 prep/recovery bays, a new service elevator, administrative offices, a research area, a 10-exam room pancreatic clinic, and a two-procedure room motility clinic. A new mechanical penthouse services the building's addition.
RLF tackled the complex challenge of constructing a four-story building snugly between an existing Cancer Center and Ambulatory Care Center—each with unique constraints—while maintaining uninterrupted 24/7 healthcare operations. The project required innovative solutions to navigate crisscrossing utilities that fed both facilities. RLF engineered a multi-phased approach, suspending electrical duct banks with temporary support systems, relocating 18-inch sewer and storm lines, and constructing temporary steam and medical gas systems along the ACC’s façade.
To ensure long-term infrastructure stability, the team excavated over 15 feet to create a 5-foot by 7-foot utility tunnel beneath the construction site, utilizing approximately a quarter million pounds of rebar to form the mat slab. When shallow foundations of the ACC began to shift, a structural diagnostic team was brought in to implement shoring and deepen the foundations, ensuring structural integrity and project progress. Six months later, the tunnel was completed, and all utilities—including chilled water and high-pressure steam—were successfully re-routed and integrated into the building expansion.
The final act of precision engineering involved relocating the Cancer Center’s transformer, ensuring continuous power and patient care throughout the project. This innovative approach not only maintained uninterrupted healthcare operations but also showcased RLF's engineering expertise and commitment to delivering complex solutions in challenging environments.
Phase one of this complex multi-phased project included the complete demolition and renovation of the second floor of the existing Ambulatory Care Center (ACC), creating an 18,500-square-foot space featuring four state-of-the-art interventional endoscopy rooms and 18 pre- and post-procedure rooms. This phase includes dedicated program support areas for scope decontamination, cleaning, and storage, alongside staff support spaces such as a lounge and locker rooms. A highlight of this phase is the integration of the Center for Advanced Endoscopy, Research, and Education (CARE), equipped with six advanced endoscopy suites and cutting-edge audiovisual technology for live procedure broadcasts to a global physician audience. Designed to be entirely self-sufficient, this phase ensures uninterrupted patient care and operational efficiency.
Phase two consisted of constructing a new four-story facility that houses one of the nation’s premier comprehensive digestive disease programs, encompassing luminal gastroenterology, pancreatology, inflammatory bowel diseases (IBD), motility, and hepatology services. This phase added six interventional procedure rooms—three equipped for airborne infectious isolation and four with fixed imaging equipment—and a dedicated entrance for the interventional endoscopy program. Additional features include a security vestibule, a new lobby and registration area, two guest elevators, a large waiting area, and expanded clinical support spaces. These enhancements include two more procedure rooms, 12 prep/recovery bays, a new service elevator, administrative offices, a research area, a 10-exam room pancreatic clinic, and a two-procedure room motility clinic. A new mechanical penthouse services the building's addition.
RLF tackled the complex challenge of constructing a four-story building snugly between an existing Cancer Center and Ambulatory Care Center—each with unique constraints—while maintaining uninterrupted 24/7 healthcare operations. The project required innovative solutions to navigate crisscrossing utilities that fed both facilities. RLF engineered a multi-phased approach, suspending electrical duct banks with temporary support systems, relocating 18-inch sewer and storm lines, and constructing temporary steam and medical gas systems along the ACC’s façade.
To ensure long-term infrastructure stability, the team excavated over 15 feet to create a 5-foot by 7-foot utility tunnel beneath the construction site, utilizing approximately a quarter million pounds of rebar to form the mat slab. When shallow foundations of the ACC began to shift, a structural diagnostic team was brought in to implement shoring and deepen the foundations, ensuring structural integrity and project progress. Six months later, the tunnel was completed, and all utilities—including chilled water and high-pressure steam—were successfully re-routed and integrated into the building expansion.
The final act of precision engineering involved relocating the Cancer Center’s transformer, ensuring continuous power and patient care throughout the project. This innovative approach not only maintained uninterrupted healthcare operations but also showcased RLF's engineering expertise and commitment to delivering complex solutions in challenging environments.
To support the mission of establishing a premier institution for complex digestive health, the interior design solution harmoniously blends technology and nature. This approach merges modern advancements with organic elements to create a balanced and distinctive environment. Inspired by nature’s fluid forms, the design features flowing floor and ceiling patterns, thoughtfully arranged seating groups, and hexagon-patterned materials that foster a sense of harmony and wellbeing for both patients and staff.
This design approach reflects the belief that medical technology, when thoughtfully integrated, can enhance and support the healing process. By working in tandem with nature-inspired elements, the design achieves a cohesive and welcoming environment that promotes comfort and confidence in care.
Description
Phase one of this complex multi-phased project included the complete demolition and renovation of the second floor of the existing Ambulatory Care Center (ACC), creating an 18,500-square-foot space featuring four state-of-the-art interventional endoscopy rooms and 18 pre- and post-procedure rooms. This phase includes dedicated program support areas for scope decontamination, cleaning, and storage, alongside staff support spaces such as a lounge and locker rooms. A highlight of this phase is the integration of the Center for Advanced Endoscopy, Research, and Education (CARE), equipped with six advanced endoscopy suites and cutting-edge audiovisual technology for live procedure broadcasts to a global physician audience. Designed to be entirely self-sufficient, this phase ensures uninterrupted patient care and operational efficiency.
Phase two consisted of constructing a new four-story facility that houses one of the nation’s premier comprehensive digestive disease programs, encompassing luminal gastroenterology, pancreatology, inflammatory bowel diseases (IBD), motility, and hepatology services. This phase added six interventional procedure rooms—three equipped for airborne infectious isolation and four with fixed imaging equipment—and a dedicated entrance for the interventional endoscopy program. Additional features include a security vestibule, a new lobby and registration area, two guest elevators, a large waiting area, and expanded clinical support spaces. These enhancements include two more procedure rooms, 12 prep/recovery bays, a new service elevator, administrative offices, a research area, a 10-exam room pancreatic clinic, and a two-procedure room motility clinic. A new mechanical penthouse services the building's addition.
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