design viii

PATCH ADAMSCOMMUNITY HEALTH CLINIC

VKBRyan Kane Nate Ellenberger Josh Voshell

team

Professor Chungd8

DESIGN INTENT

to promote health as a cultural lifestyle through an active system of healthcare capable of keeping people healthy in mind and body,

with an emphasis on wellness over sickness.

TABLE OF CONTENTS

CONCEPTUAL RE VIE W

SCHEMATIC RE VIE W

MIDTERM RE VIE W

P.A. RE VIE W

3/4 RE VIE W

FINAL RE VIE W

CLIENT + PROGRAM

SITE

humor is an ant i tode to a l l i l l s .

CLIENT + PROGRAM

CLIENT + PROGRAM

PATCH ADAMS COMMUNIT Y HEALTH CLINICGESUNDHEIT INSTITUTE

Located in a low-income Phi ladelphia neighborhood,

this c l in ic wi l l provide communit y- based health

care that i s genuinely non-prof i t , prevent ive,

humane and fun.

I t i s a refuge for doc torsand nurses who want t ime

to heal pat ients. I t i s a refuge for pat ients who

want to be t reated with dignit y.

GENERAL HEALTH CLINIC

LIBRARY

FITNESSCENTER

DENTAL +OPTICAL

ADMIN

DAYCARE

PHYSICALTHERAPY

CLIENT + PROGRAM

PROGRAM FOUNDATIONheal ing | learning | p lay | food | work

PROGRAM ISSUESpr icac y & HIPAA | safet y & secur i t y |

af ter-hours use | c l in ic af ter-hours use

PROGRAM COMPONENTS {17,500 SF]general health c l in ic

dental depar tmentopt ical depar tment

massage/ chiroprac torpharmac y

communit y spacescafe/demo k itchen/ restaurant

l ibrar ydaycare

Patch Adams administrat ioncirculat ion + ser v ices

FITNESSCENTER

PHYSICALTHERAPY

COMMUNIT Y RESOURCES

food + grocer y storeshealthcare centersl ibrar ies + schoolsdaycares

SITE ACCESS

septa bussepta regional ra i lpedestr iansubwayvehicular

SITE

17th ST & ALLEGHENY AVEPHILADELPHIA, PA

WESTMORELAND AVE

ALLEGHENY AVE

WESTMORELAND AVENOR TH SITE CONDITION

The nor th condit ion creates par t of the boundar y bet ween the West Al legheny and N icetown-Tioga neighborhoods of Phi ladelphia . This area suffered a large decl ine in populat ion over the last several decades due to deindustr ia l izat ion.

ALLEGHENY AVESOUTH SITE CONDITION

The south condit ion provides the main access route through the area as wel l as the major publ ic t ranspor tat ion nodes such as bus routes and regional ra i l .

SITE

WESTMORELAND AVE

ALLEGHENY AVE

17

TH S

T

17TH ST & ALLEGHENY AVEPHILADELPHIA, PA

The area was once home to an industr ia l

complex that has s ince been demol ished. The

s i te’s past became an understudy due

to i ts current status as a brownfie ld. I t i s

contaminated on the nor theast s ide with

petrochemicals and heav y metals on the western

edge where the regional ra i l forms the border.

Prel iminar y sec t ional study of pul l ing l ight deep into a mult-storey space

S chematic study of pass ive dayl ight ing strategies in atr ium space

Plan study of programmatic spaces di f fus ing into one another. I nter ior-inter ior as wel l as inter ior- ex ter ior

CONCEPTUAL RE VIE W

55 degrees F balance point 43 tons cool ing load

CONCEPTUAL RE VIE W

The success of the atr ium becomes paramount. I nterac t ions with

adjacent programs, movement through the space, and

re lat ionships to the s i te begin to take shape as precedents are

studied.

Sec t ional study of pass ive vent i lat ion through the atr ium with s ight l ines as an addit ional focus

S chematic study of seat ing steps in the atr ium as a gather ing area that fac i l i tates spat ia l re lat ionships through s ignage

SCHEMATIC RE VIE W

36 degrees balance point31 tons cool ing load

SCHEMATIC RE VIE W

The charac ter of the atr ium begins to inform the adjacent

programmatic spaces. The nor thern and southern plazas

become the key l ink age f rom space to s i te to contex t

Spat ia l s tudy on nor thern entr y with overhead plane creat ing inter ior- ex ter ior encosure

Study of nor th plaza with introduc t ion of splash fountain for neighborhood chi ldren surrounded by seat ing steps for places of pause on the threshold of the inter ior

Schematic study of health suite organizat ion with the charac ter of the atr ium’s mater ia ls as a focus

MIDTERM RE VIE W

34 degrees balance point 43 tons cool ing load

MIDTERM RE VIE W

Programmatic e lements maintain locat ion but form begins to be

molded as we determine to reduce the bui lding to t wo f loors.

Study of the charac ter of the atr ium with emphasis on struc ture

Study of the introducion of a windowbox form and prel iminar y ideas for func t ion

Study of the t ypes of ac t ive programmatic e lements to be included in the bui lding

��

��

check in

P.A. RE VIE W


$7.6 mi l l ion cost analys is

��

medical provider station

strorage

rest roomrest room

copy room

chec

k ou

t

chec

k in

call

cent

er

waiting area

examroom

a3

examroom

a2

examrooma1

examroomb1

examroomb2

examroomb3

examroomb4

examroomb5

GENERAL HEALTH CLINIC PLAN1/4”=1’-0”

to promote health as a cultural lifestyle through a system of healthcare

EXAM ROOMperspective

capable of keeping people healthy in mind and body.the emphasis is placed on health rather than sickness.

GENERAL HEALTH CLINICperspective

��

atrium

daycare

cafe

Patch Adams

admin

library

�tness center

mens & womens locker room

group�tness

FIRST FLOOR PLAN1/16”=1’-0”

SOUTH ENTRYperspective

SECOND FLOOR PLAN1/16”=1’-0”

��

physical therapy

check in

denta

l + optic

al

general health clinic

computer resource center

semi-private sitting areacheck in

SOUTH ENTRYperspective

P.A. RE VIE W

Af ter conferr ing with Physic ian’s Ass istant Facult y to study the

layout of the Health Cl in ic Suite the func t ion and prac t ical i t y of

the space begins to inform i ts presence within the bui lding.

Wood s lat system becomes housing for HVAC and l ight ing systems

Study of the windowbox func t ion within the l ibrar y

3/4 RE VIE W


$5.7 mi l l ion cost analys is605 solar panels

3/4 RE VIE W

At the 3/4 stage, we begin to ref ine the systems within

the bui lding as wel l as the re lat ionships bet ween the s i te,

facade, and the inter ior.

36 degrees balance point14 tons cool ing load$4.73 mi l l ion cost analys is295 solar panels

FINAL RE VIE W

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

pass ive dayl ight ing

pass ive vent i lat ion

rainwater col lec t ion

defensible space

DEFENSIBLE SPACE

A design issue that was focused on throughout the design was defensible space. Through a system of s ight l ines in and around the bui lding a higher degree of safet y was created on the 5-acre s i te.

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W

passive dayl ight ing



defensible space

RAINWATER COLLEC TION

The footpr int of our bui ld ing provided adequate sur face area for the bui lding to col lec t enough ra inwater to feed the water features in the nor thern and southern plazas. Excess col lec ted water would be used to water the ra ised beds which would not be in contac t with the contaminated soi l .

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

PASSIVE VENTILATION

Atr ium ut i l izes hoppers and c lerestor y windows on the lower s ide of the south and a higher point in the nor th to ass ist in pass ively vent i late the largest space in the bui lding.

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

PASSIVE DAYLIGHTING

Atr ium maximizes dayl ight ing in the win-ter with the sun’s rays hi t t ing the seat ing steps which are a thermal mass. At noon in the winter the harsh sun is b locked, whi le st i l l a l lowing dayl ight ing. I n the summer, the bui lding maximizes dayl ight whi le minimiz ing solar heat gain .

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

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3

4

5

6

7

11

10

9

8

7

6

STRUC TURE

The struc ture creates a rhythm in the atr ium space, but disappears into the wood s lat system as i t reaches the east and west wing. W 24 steel i s used in the atr ium to create a sense of qual i tat ive depth within the space.

L IBRARY

FITNESS CENTER


DAYCARE

CAFEADMIN

ATRIUM

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

LIBRARY

FITNESS CENTER

HVAC

The HVAC is housed within the wood s lat systems within each wing. On the r ight and lef t corners of the atr ium’s nor th facade, the t runks ex tend f rom underneath the seat ing steps which is where our mechanical system is housed. The information bar l in ing the unders ide of the 2nd f loor of the south facade provides HVAC from the s ide to condit ion to atr ium.

LIBRARY

FITNESS CENTER


DAYCARE

ADMIN

ATRIUM

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

LIBRARY

FITNESS CENTER

LIGHTING

Linear recessed l ight ing is used at a l l points in the wood s lat system. The degree of l ight ing was considered by a programs required lux in addit ion to the pass ive dayl ight ing that was provided.

L IBRARY300 LUX

FITNESS CENTER300 LUX

GENERAL HEALTH CLINIC1000 LUX

DAYCARE300 LUX

ADMIN500 LUX

ATRIUM100 LUX

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

LIBRARY300 LUX

FITNESS CENTER300 LUX

ACOUSTICS

Acoust ic blankets were la id on top of the wood s lat system in the health c l in ic suite to provide increased pr ivac y measures. I n the c l in ic the wood s lat system is a lso made of acoust ic per forated wood mounts. A f loor under layment was used in the atr ium to help counter the level of noise radiat ing into adjacent spaces.

L IBRARYper forated wood mountsabsorpt ion blanket

FITNESS CENTERper forated wood mountsabosrpt ion blanket

GENERAL HEALTH CLINICper forated wood mountsabsorpt ion blanket

DAYCAREper forated wood mountsabsorpt ion blanket ATRIUM

per forated wood mountsabsorpt ion blanketglass t i lef loor under layment

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

LIBRARYper forated wood mountsabsorpt ion blanket

FITNESS CENTERper forated wood mountsabosrpt ion blanket

ENVELOPE

The envelope of the bui lding was inherent ly connec ted to the func t ion of the windowboxes. The levels of pr ivac y, the locat ion and the overal l func t ion a l l were to show with the placement among the concrete panel system that c ladded the rest of the bui lding.

L IBRARY

FITNESS CENTER


DAYCARE

ADMIN

ATRIUMGENERAL HEALTH CLINIC

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible spaceLIBRARY

FITNESS CENTER


EXAM RM9h 8w 3d

ADMIN9h 8w 2d

DAYCARE11h 15w 4d

LIBRARY9h 8w 3d

WINDOW BOX T YPOLOGIES

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

PG 1

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

PG 2

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

PG 3

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

FINAL BOARDS

MASSING MODEL1/16”=1’ -0”

M ass ing with windowboxes, wood s lat systems, and immediate contex t

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

STRUC TURAL MODEL1/8”=1’ -0”

Struc tural understanding of members in atr ium and the t ransit ion to the east and west wing.

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

CLINIC SPACE MODEL1/2”=1’ -0”

A larger, detai led model of a por t ion of the health c l in ic space with a study of the movement through the space.

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

SEC TIONAL MODEL1/4”=1’ -0”

M odel showing the re lat ionship of the windowbox with the struc ture and height of the sec t ion.

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

SITE MASSING MODEL 1”=40’

Mass ing of bui ld ing showing re lat ionship of the struc ture within the 5 acre s i te.

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

FINAL DE TAIL MODEL3”=1’-0”

Large scale detai l model which provided an understanding of the t ypes of connec t ions and the scale of inter ior and ex ter ior mater ia ls with an emphasis on the assembly.

struc ture

l ight ing

hvac

acoust ics

envelope

documentat ion

F INAL RE VIE W




defensible space

design viii

Documents

i t i s contaminated

s i tes

nonprof i t

ant i tode

s ight

dignit y

t y af terhours

s ince