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The Emergency Department – Considerations for Innovative and Strategic Design

Kaiser Permanente, TLCD Architecture, Emergency Department Design, The Center for Healthcare Design

Kaiser Santa Rosa Emergency Department, completed 2010

I recently had the pleasure of attending a conference focused on Emergency Department design hosted by The Center for Healthcare Design and held at the AIA San FranciscoTLCD Architecture is a corporate affiliate of the CHC which gives us access to a wide array of seminars, webinars and conferences related to healthcare design. The topics presented at the ED Design Conference delved deeply into the current thinking of how Emergency Departments are designed and organized with an eye to better addressing long wait times, delivery of care, and responding to an ever-changing healthcare environment. The presenters were a mix of healthcare providers and designers specializing in Emergency Department design.

Over the course of the discussions, some key themes emerged:

  1. Eliminate Triage

Triage based intake practices are outdated and increase wait times and create backlogs. More and more EDs are going to “Split Flow” patient intake and rapid treatment methods whereby patients are seen immediately and are either treated in a low acuity area or are sent to an ED treatment room. Patients never return to the waiting area, but are constantly kept moving through their care.

  1. Design for Flexibility

Emergency Departments must be designed so that they can respond to all types of patients and all types of events. Rather than designing highly specific treatment rooms, all rooms should be of a universal design that can accept any patient at any time.

  1. Evaluate the Problem

The answer to the problem of overcrowding and long wait times isn’t necessarily adding more treatment rooms or space. Often a thorough evaluation of staffing and patient intake patterns can lead to changes that do not require costly changes to the physical environment.

The Emergency Department is increasingly the primary healthcare access point for many in this country not only for trauma patients but for those with chronic conditions to the mentally ill. As such, EDs must be able to rapidly adapt to these types of patients in addition to everything from an infectious disease outbreak to a natural disaster. Designers and providers can work together to create spaces that can effectively deliver care, provide an organized work environment for staff, and a safe, healing space for patients. Knowing the needs of Emergency Departments and the challenges they face allows TLCD to help our healthcare clients plan their Emergency Departments for the present and future.

Big Stink about Stuck Skunk!

american agcredit, tlcd architecture, construction update, skunk rescued

Animal Control Officer captures rouge skunk

On Friday morning, work crews at the TLCD-designed American AgCredit

headquarters construction site found that a skunk had fallen into a footing excavation overnight. The footings are 8 feet deep, which made it impossible for the skunk to crawl out. The contractor, Jim Murphy and Associates contacted Sonoma County Animal Services and they were able to remove the skunk and relocate it. I have newfound respect for animal control officers after seeing this photo! No news on the skunk, though it’s assumed he’s making a stink in another part of the County… and hopefully avoiding construction sites!

american agcredit, tlcd architecture, construction update, excavation for footing

  Excavation of footing for west side of American AgCredit site

american agcredit, tlcd architecture, construction update, underground electrical conduit

Underground electrical conduit for west building

american agcredit, tlcd architecture, construction update, site water line

Site water line installed at American AgCredit

Lowery Student Center – Transformation Inside and Out

Lowery Student Center Entry and Courtyard View

Lowery Student Center Entry and Courtyard View

From outdated library (view spectacular new Library here: Mendocino College LLRC) to the Lowery Student Center this project shows how an existing building can be repurposed for additional important functions. Since the new library location would essentially displace all existing student center functions on campus (bookstore, student lounge and café / dining) it was decided that the old library location would be a perfect fit for their relocation. To this end Midstate Construction deftly handled the idiosyncrasies of working in an older building.

By opening the western wall of the building a dramatic entry element was realized. Entering the main gathering space, campus users can easily navigate between the student lounge (complete with pool table and gaming devices), bookstore, or the greatly expanded Schat’s Café and dining area. This is a great place to get morning coffee, a Danish, and maybe finish the homework in a relaxed setting! The light filled spaces are accented with warm, rich recycled redwood paneling by Viridian.

It was also a great opportunity to consolidate all of these functions around a wonderful new courtyard. The courtyard now serves large campus gatherings and student activities. In a time where campuses find it hard to persuade students to stay on campus, beyond class time, this consolidation / modernization is sure to help on this campus.

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Wine Business Institute at Sonoma State Receives $3 Million Gift

Sonoma State University, Wine Business Institute, TLCD Architecture RenderingThe press was lighting up this week at the news of a $3 million donation for the Wine Business Institute at Sonoma State University. The transformation of the former University Commons building to the home of the 16 year-old wine program is being supported through generous gifts from key partners in the wine industry such as Marvin Shanken of the Wine Spectator Scholarship Foundation.

TLCD Architecture is pleased to be working with Sonoma State on designs for the Wine Institute and we have enjoyed the opportunity to help create an innovative and collaborative learning center that will support wine business education, both locally and internationally. Look for future updates as this exciting project moves forward!

Read full article in North Bay Business Journal

Read full article in Press Democrat

wine business institute, sonoma state university, tlcd architecture rendering

wine business institute, sonoma state university, tlcd architecture rendering wine business institute, sonoma state university, tlcd architecture rendering

 

Mike Hauser Algebra Academy: Mentoring Students in Math and Technology

mike Hauser algebra academy, Santa Rosa Chamber of Commerce, TLCD Architecture, Student thank you

For the past 3 mornings, TLCD Architecture has hosted 30 freshman high school students attending the Mike Hauser Algebra Academy, now entering it’s 7th year. This is a tutoring program organized by the Santa Rosa Chamber of Commerce to assist students in becoming proficient in algebra to meet graduation requirements. TLCD joined other local businesses – Agilent Technologies, Medtronic Cardiovascular, JDSU, PG&E and the City of Santa Rosa Utilities Department in providing classroom space within their companies. One of the primary goals of the MHAA program is to show the students the connection between math and technology and how it’s used in the real world work place.

Mike Hauser Algebra Academy, City of Santa Rosa Chamber of Commerce, TLCD Architecture demonstrationMike Hauser Algebra Academy, City of Santa Rosa Chamber of Commerce, TLCD Architecture models

Between instructional sessions, TLCD staff offered insights into the architectural profession with presentations on recent local projects, architectural rendering techniques, and 3D design and drafting with a laser cutter demonstration that created a personalized name plaque for each student. A previous MHAA session was held at the City of Santa Rosa’s Utilities Field Office, designed by TLCD and it provided an opportunity for staff to present the design and drafting efforts required to construct a physical space recently used by the students.

The MHAA instructor, Math and Science teacher Aaron Prysock called TLCD’s presentation “spot on” and hopes he can return with next year’s academy classes.

Touring the Largest Collection of Wine Artifacts in the United States

Jim McCormick, California Wine Museum, TLCD Architecture, Museum on the SquareYesterday, a group from TLCD Architecture had the rare opportunity to visit the largest and most diverse single collection of vintage wine related and viticultural artifacts in the United States. Jim McCormick, long-time collector, antique dealer and specialist in wine and viticultural antiquities, led the tour. His collection comprises 30 years of travel, hunting and gathering unique hard-to-find viticultural rarities from the wine regions of the United States and abroad, with an emphasis on California. It includes over 4,500 historical artifacts.

The collection is housed in Jim McCormick’s 2nd floor downtown Petaluma gallery, and in 3 barns located outside of town. We were amazed at the quality and diversity of his collection, but were equally impressed by the excellent condition of the objects; Jim has painstakingly restored each item, arranged them for display, and maintains them in beautiful condition. It is almost incomprehensible that one person can maintain 4,500 objects and the spaces they are housed in. Simply amazing! Jim is knowledgeable about each and every item in his collection, and is exceptionally passionate about what is obviously a labor of love. We feel honored to have been able to visit the collection, and to learn about the intricacies of many of the objects and their historic importance to the wine industry.

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Much of his collection will be housed in the California Wine Museum (CWM), currently being designed by TLCD Architecture in collaboration with exhibit designer David Edquist of EDQ Design. The CWM will be located in Museum on the Square in downtown Santa Rosa and is expected to open in late 2015. The mission of the Museum will be to preserve and exhibit California’s wine heritage, educate visitors about state-of-the-art winemaking plus learn the nuances of wine appreciation.Visitors will be immersed in interactive exhibits of California wine history and wine making that include over a thousand of Jim’s artifacts.

http://www.californiawinemuseum.com (collection)

http://www.californiawinemuseum.org (museum)

http://www.edquistdesign.com (EDQ Design)

It Takes a Team to Skin a Hospital

TLCD Architecture, Kaiser Permanente Santa Rosa, Hospital Reclad, Models

The exterior of the existing Kaiser Santa Rosa Hospital, built in the early 1990s was showing the signs of age and was in need of replacement. TLCD Architecture and Swinerton Builders worked together to replace the exterior building skin with a new composite metal panel system. The project not only provided a solution to a deteriorated exterior, it also reinterpreted the original architecture into a contemporary building. The meticulous installation of the composite metal panels was an important aspect of the design and worked with the complexity of the existing building geometry to modernize the identity of the building and campus. The use of virtual models, physical models and on site mock-ups made the precise installation possible and turned the design intent into reality.

The project needed to be constructed in phases to allow the hospital to remain fully operational throughout construction. The design and construction team worked together with the facility to develop construction sequencing and installation strategies that evolved throughout construction to minimize disruptions to the facility and keep them operational.

TLCD Architecture, Kaiser Permanente Santa Rosa, Hospital RelcadTLCD Architecture, Kaiser Permanente Santa Rosa, Hospital Reclad

It was an amazing process to be a part of and the successful results speak to the teamwork involved to “Skin the Hospital”! Check out this video put together by Swinerton Builders for more on the project.

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