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Application�&�Portfolio�of�Susan�K.�Stewart,�AIA,�LEED�AP,�ASHE�for�Certification�by�the�American�College�of�Healthcare�Architects

Portfolio�of�Representative�Work�forSusan�K.�Stewart

Submission�to�the�American��College��ofHealthcare�Architects

June�2008


Letters�of�Recommendation�from�Architects

Patrick�B.�Davis,�Jr.,�AIA,�NCARBHealthcare�DirectorGresham�Smith�and�Partners3595�Grandview�Parkway,�Suite�300Birmingham,�Alabama�35243

Ross�V.�Amaro,�AIACLA�Architects�Incorporated504�Brookwood�BoulevardBirmingham,�Alabama��35209

James�M.�SplawnJames�M.�Splawn�Architect,�LLC1509�South�Smith�Street,�Suite�CEast�Ridge,�Tennessee��37412

Steven�M.�Alby,�AIABirmingham�Healthcare�Studio�DirectorGresham�Smith�and�Partners3595�Grandview�Parkway,�Suite�300Birmingham,�Alabama�35243


Letters�of�Reference�from�Clients

Nan�PriestChief�Strategy�Officer�and�Sr.�Vice�PresidentSt.�Vincent’s�Health�System3000�Galleria�Tower�Suite�1700Birmingham,�Alabama�35244

Charles�WoosleyFormer�Vice�President�of�Ancillary�Services�Coosa�Valley�Medical�Center25�Willow�Wood�Alexander�City,�Alabama��35010

Vanessa�C.�Green�Vice�PresidentSenior/�Support/�Marketing�DivisionCoosa�Valley�Medical�Center315�West�Hickory�Street�Sylacauga,�Alabama

Victoria�W.�JonesVice�President�of�OperationsJackson�Hospital�&�Clinics,�Inc.1725�Pine�Street�Montgomery,�Alabama�36106


Project�Experience�Examples

Outpatient�Diagnostic�Imaging�CenterFourth�Floor,�North�Tower��P.O.B.St.�Vincent’s�Health�SystemBirmingham�CampusBirmingham,�Alabama�

Neurosurgical�CenterSeventh�Floor,�North�Tower�P.O.B.St.�Vincent’s�Health�SystemBirmingham�CampusBirmingham,�Alabama

West�Wing�Addition�Phase�Two�Hospital�ReplacementCoosa�Valley�Medical�Center�Sylacauga,�Alabama

Outpatient�Diagnostic�Imaging�CenterJackson�Hospital�and�Clinic,�Inc.Montgomery,�Alabama

Mountain�View�Medical�and�Rehabilitation�Center

Skilled�Nursing�CenterBall�Healthcare�NorthBirmingham,�Alabama


Existing�Floor��Plate

Service�Elevator/Access

Diamond�designations�along�building�perimeter�indicate�break�out�windows�for�fireman’s�access.��Windows�must�remain�unobstructed.

Public�Elevator

Glassed�Panoramic�View�of�Birmingham

Hatched�area�indicates�limited�MRI�transport�routes�supportable�by�structure.��Crane�access�available�from�this�side�only.

Gold�bullets�indicate�MRI�isocenter�locations�where�additional�rebar�was�added�during�construction�to�support�magnet.��Only�one�magnet�per�beam.

Existing�ductwork�chases�serving�tenants�below�had�to�be�maintained.

Dashed�lines��indicate�beam�locations�beneath�post�tensioned�concrete�structure.

Mech. Roof

Seventh Floor Neurosurgical Center

Sixth Floor Women’s OB Services

Fifth Floor Medical Services

Fourth Floor Diagnostic Imaging

Third Floor Labor/ Delivery/ C-Section

Second Floor Outpatient Surgery Center

Parking

Levels A-E

Vertical��Building�Analysis

Hoisting�of�the�Magnet

Mech

St. Vincent’sHEALTH SYSTEM

Elec



Patient�Reception�Area

Patient�Circulation

Reception�Lobbies

Patient�Reception

CT�Scan�Suite

MRI�Suite

Radiographic�Suite

Comprehensive�Breast�Center

Spatial�Diagram�of�Suites

Curved�forms�along�the�major�patient�corridor�define�the�Sub�Waiting�areas�for�each�Imaging�Suite.

The�Reception�provides�a�hotel�style�concierge�desk�with�computerized�self�check�in�desks.

The�artwork,�custom�furnishings,�and�lighting�reinforce�the�hospitality�appearance.

Mech

Elect.



Section�through�MRI�Room

3T�MRI�Room

Ramp�entry�required�at�isolated�

floor.

Silicon�Shielding�on�

Floor

Raised�computer�floor�in�

equipment�room

Fourth�Floor�Plan

ExistingLDRP�#20

ExistingLDRP�#19

ExistingElectrical

ExistingPassage

MRI�ControlElect. MRI�

Room�#�1


Existing�Seventh�Floor��of�North�Tower�POB�Addition�and�Parking�Deck

Roof�above�Parking�Deck

Existing�Neurosurgical�Associates�Tenant


Hospital�Campus�Plan

Hospital

POB

POB

POB

Women’s

NorthTowerPOB

POB

SurfaceParking

Gateway

Pkg.Deck

Drive Tenant�Shell�inSpace

Roof�above�Parking�Deck

Connector�to�Hospital�on�Third�Floor



2 HOUR FIRE PROTECTION

2 HOUR FIREPROTECTION

2 HOUR FIRE PROTECTION

1 HOUR TENANT SEPARATION

1 HOUR FIRE/ SMOKE BARRIER

1 HOUR TENANT SEPARATION

1 HOUR SMOKE SEPARATION: SMOKE BARRIER SEPARATION REQUIRED AMBULATORY HEALTHCARE OCCUPANCY TO DIVIDE IT INTO 2 COMPARTMENTS (NFPA 101)

2 HOUR FIRE PROTECTION FOR TENANT AND OCCUPANCYSEPARATION

EXEX

TENANT "B" OCCUPANCY:BUSINESS

TENANT "A" OCCUPANCY:NEW AMBULATORY HEALTHCARE (NFPA 101) BUSINESS (SBC)

56'-2"

35'-6"

35'-10"

8'-10" 9'-10"

55'-0

"

78'-2"

62'-4"

96'-0"

96'-0"

81'-0"6'-1

0"

BUSINESSOCCUPANCYTENANT B

TENANT "B" OCCUPANCY:BUSINESS (SBC AND NFPA)

TENANT "A" OCCUPANCY:NEW AMBULATORY HEALTHCARE (NFPA 101)BUSINESS (SBC)

AMBULATORY HEALTHCARE (NFPA)BUSINESS OCCUPANCY (SBC)TENANT A

NOTES FOR SOUND ATTENUATION INSULATION

TO DETAIL 1 ON A5.0

HEIGHT. REFER TO DETAIL 2 ON A5.0

TRAVEL DISTANCE TO EXIT FROM OUTSIDE ROOM

TRAVEL DISTANCE TO EXIT FROM WITHIN ROOM

EXIT LIGHT - SHOWN AT PROJECT AREA ONLY

1 HOUR FIRE RATED/ SMOKE PARTITION - REFER

FIRE DEPARTMENT VALVE CABINET

SMOKE COMPARTMENT DESIGNATIONNUMBER DESIGNATION = FLOOR LEVEL

FIRE EXTINGUISHER CABINET

FIRE EXTINGUISHER

ARROW INDICATES DIRECTION OF EXIT

EXISTING STAIR EGRESS - 2 HOUR ENCLOSURE

NON-RATED SMOKE TIGHT PARTITION - FULL

NON RATED PARTITION - SEE GENERAL PARTITION

2 HR PARTITION OR SHAFT WALL

FE

FDVC

FEC

SC-1

DETAIL 1 ON A5.01 HOUR FIRE RATED PARTITION - REFER TO

HAZARDOUS AREA (NFPA 13-3.2.1)

PROJECT SCOPETENANT "A"

1 HOUR FIRE/ SMOKE BARRIER

5'-0

"

5'-6"

5'-0

"

HOLD #2

8'-0

" CLE

AR20'-0" CLEAR

20'-0" CLEAR

8'-0" CLEAR

5'-0

"

8'-0"

CLEAR

EXIST.

FURN. FROMDR. POCZATEK'SEXTG. OFFICE

ALL NEWFURNITURE

MELISSACATHY'SDESK

KAREN'SDESK

5'-0"

5'-6"

STORAGE

STOR

STR

ETC

HER

HOLD #1

CORRIDOR

490 SF. MIN.

EXISTING

EXISTING

DR. WILSON

DR. HARSH

DR. McRAE

SHARON

DR. POCZATEKDR. CLARK

SEMI-RESTRICTED

PAIN

RECORDS

LOUNGE

CORR.

CHK. OUT

EXAM. 1 EXAM. 2 EXAM. 3 EXAM. 4

CONFERENCE

CORR.

CORRIDOR

NURSESEXAM. 6 EXAM. 5

54'-11" CRITICAL 17'-1

" CR

ITIC

AL

5'-0"

6'-0" MIN.

W.C.ALCOVE

SCRUB

PATIENTPATIENT

ANESTH.

STAFF

STAFF

STAFF

EQUIP.

TELE.

PATIENT

STAFF

PATIENTPATIENT

RECOVERYRECOVERYRECOVERY

REC.

HC

EQ

UIP

.

ADMIN.

PR

OJEC

T

SC

OPE

PR

OJEC

T

SC

OPE

TANK

11'-7

"11

'-7"

11'-6

"

7'-0

1/2

"

HC

6'-0"

ELEV. LOBBYM

W

ELECTRICAL ROOM

STAIR

TOILET

MECHANICAL ROOM

STORAGE

EXAM. 7

L. EXAM.

STAFF LKRS.

TOILET/SHOWER

CLN. CRTS

LOCKERS

TOILET/SHOWER

JAN.

STAFF LOUNGE

ELEV. LOBBY

CORRIDOR

OPER. RM. #1

CLEAN UTILITY

ALCOVE

PASSAGE

WAITING RM.

RECEPTION

RECEPTION

PROCEDURE ROOM

PAIN PROCEDURESUB-STERILE

OPER. RM. # 2

MULTI-PURP. RM.

WORKROOM

S.U.

PASSAGE

STATION

PATIENT #5PATIENT #6

PAT. TOILET

PATIENT #7

PACU

S.U.

NOURISH.

MEDICINE

TOILETTOILET

C.U.

PAT. TLT.

CLOSET

TOILET

RECOV. PAT. #8

REC. PAT. #10

DTY. CRTS

PA

TIE

NT

HO

LDIN

G B

AYS

ALC

OV

E

ALC

OV

E

STERILE CORRIDOR

RECOV. PAT. #9

RECOV. PAT. #1

TOILET TOILET

RECOV. PAT. #2

RECOV. PAT. #3

PATIENT TOILET

RECOV. PAT. #4

TOILET TOILET

STORAGE

D

A

A

A

A

AA

BB

C

PHARMACY

A

A

A



Neurosurgery�Associates

Operating�Room�

Recovery�Rooms

Neurosurgery�Associates

Perimeter�windows�provide�natural�light�in�all�Operating�Rooms�and�Pain�Procedure�Room.

The�Neurosurgical�medical�practice�share�the�floor�with�their�surgery�center.�Transom�windows�in�physicians�offices�allow�

natural�light�to�interior�spaces.

Individual�rooms�provide�privacy�for�families�and�the�patient.

Mech

Elect.

Seventh�Floor�Plan

Neurosurgical�Center


P.O.B.

West�WingAddition Ambulatory�

Care

SportsFirst

Nursing�Home

Spring�Street

West�Hickory�Street

CampusMain�Entrance

Walnut��Street

Mob

ile��A

venu

e

Ann

iston�Avenu

e

Dou

glas�Avenu

e

GatewayGateway

Office

Res.

Res.

Ground�Floor

Hospital�Campus�Plan

Service/�LoadingEntrance

Mech.

OutdoorDining

Dining

PublicConcourse

Concourse

PublicDiningAccess

AmbulanceEntrance

MainEntrance

EmergencyWalk�in

Atrium

E.�R.

Waiting

Mat.�Mngmt.

Existing�Hospital

COOSA�VALLEYMEDICAL�CENTER

Hospital



NursingUnit�A

Existing�HospitalThird�Floor�is�similar�except�Nursing�Unit�B�is�shelled�for�

future�fit�out.

Existing�Hospital

ICU

Labor�andDelivery

Second�and�Third�Floors

NursingUnit�B

PublicConcourse

Elev.

Concourse

Staff

First�Floor�includes�shelled�area�for�future�Endoscopy�fit�out.

Existing�Ambulatory�Care�Center

OR�SuitePACU

AtriumSurgery�Waiting

Cen.Suply.

DayHospitalRooms

First�Floor


Coosa Valley Medical Center

North�Elevation

Coosa�Valley�Medical�CenterWest�Wing�Addition

ROOF @ STAIR

ELEV B

ELEV A

EX. FIRST FL

ELEV. 606.04EX. FOURTH FL.

ELEV. 596.37EX. THIRD FL.

ELEV. 586.70EX. SECOND FL.

EX. GROUND FL.ELEV. 562.40

ELEV. 577.03

GROUND FLOOR

FIRST FLOOR

SECOND FLOOR

THIRD FLOOR

ROOF AT

EL. 562.40'

CONNECTOR

ROOF

STAIR/ ELEV. ROOF

EL. 606.04'THIRD FLOOR

EL. 577.03'

EL. 591.36'

FIRST FLOOR

SECOND FLOOR

EL. 562.40'GROUND FLOOR

CORRIDORBEYOND

CONCOURSE

CONCOURSE

CONCOURSE

VESTIBULE

CORRIDORBEYOND

CORRIDORBEYOND

CONCOURSE CORRIDOR

LOBBYVESTIBULE


Building�Section�thru�Public�Concourse

New�AmbulanceEntrance

LoadingDock

OutdoorDining

ExistingACC�Building

3rd – MSU

2nd – MSU

1st – LDR

West�Wing�Addition

West�Wing�Addition


HC

HC

HC

HC

HC

HC

HC

HC

VAN

Outpatient�CampusMain�Entrance

Service�Drive

Service�Drive

Gateway

Outpatient��Campus

Proposed�Land�Use�Concept

Outpatient�Campus�Site�Plan

Hospital�Campus

OfficeBuilding

OutpatientSurgeryCenter

Completion�2008

Hospital

DiagnosticImagingCenter


Floor�Plan – Imaging�Center

F.E.C.

F.E.C.

F.E.C.

F.E.

C.

COPIER/FAX

DEFIBCART

REF

PARKINGPATIENT

PARKINGSTAFF

patient entryon stretcher

staff entrypublic entry

SLO

PE

SLO

PE

SLOPE SLOPE

FLAT PANEL TV

CR

R

EAD

ER

PC

LINE OFFUTURE EXPANSION

HC

Patient�Reception

CT/�PET�CT�Scan�Suite

MRI�Suite

Radiographic�Suite

Women’s�Center

Spatial�Diagram�of�Suites


PATIENT DROP-OFF

Central�Lobby�and�Entry�Canopy�Perspective

Elevation�at�Outpatient�Campus�Entry

Elevation�at�Outpatient�Campus�Entry


Departmental�Organization

ExistingClinic

DementiaUnit

Rehab.Unit

Admin.

SkilledNursingUnit

MedicalSpecialtyUnit

DiningService

Site�Analysis

Lomb�Avenue

Property�Line

Setback�Line

Existing�Medical�Clinic�–two�story

Dashed�lines�indicate�closest�proximity�of�occupied�space�to�bulk�liquid�oxygen�tank

Minimumclearance�

Serviceaccess

ExistingService


REFERENCES ADPH CHAPTER 420-5-10-.18 NURSING FACILITIES, UNLESS OTHERWISE NOTED.

FOLD-UP 29" GRAB BAR (U.S. ACCESS BOARD REPORT 'BEST PRACTICES IN THE DESIGN OF TOILETING AND BATHING FACILITIES FOR ASSISTED TRANSFER', AUGUST 1, 2001)

PERMANENTLY INSTALLED CUBICLE CURTAIN TRACK, FOR RESIDENT PRIVACY, IN MULTI-RESIDENT ROOMS (ADPH 6(c))

BEDSIDE, AND TOILET ROOM, ELECTRIC NURSE CALL SYSTEM (ADPH 4(v)2,3 & 6(d)4)

BEDROOM DOOR, WITHOUT LOCKING MECHANISM, SWINGS INTO ROOM (ADPH 4(n)2,3)

TOILET DOOR SWINGS OUT (ADPH 4(n)4) WITH HARDWARE OPERABLE FROM OUTSIDE THE ROOM (ADPH 4(n)1), AND IS 34" WIDE CLEAR MINIMUM (ADPH 5(c)4).

OPERABLE WINDOW AT LEAST 36" AFF,THIS WALL, AND NOT LESS THAN 1/10 OF FLOOR AREA (ADPH 6(b)1,2)

MINIMUM FLOOR AREA FOR A PRIVATE ROOM IS 100 SQUARE FEET, CLEAR (ADPH 6(b)6), ACTUAL IS 150 SQ FT. MINIMUM FLOOR AREA PER RESIDENT FOR A MULTI-RESIDENT ROOM IS 80 SQUARE FEET, CLEAR (ADPH 6(b)6), ACTUAL IS 100 SQ FT.

3'-0" CLEAR, MIN, AT THE FOOT OF THE BED, IN A PRIVATE ROOM (ADPH 6(b)7) 3'-0" CLEAR, MIN, BETWEEN BEDS AND AT THE FOOT OF THE BED, IN A MULTI-RESIDENT ROOM (ADPH 6(b)7)

ADJUSTABLE RESIDENT BED (ADPH 6(d)1)

CHAIR AND BEDSIDE TABLE (ADPH 6(d)2)

STORAGE FOR CLOTHES, TOILETRIES, AND PERSONAL BELONGINGS, REFER TO ELEVATION (ADPH 6(d)3)

WASTE RECEPTACLE (ADPH 6(d)5)

OVERBED LIGHT, WITHIN REACH FROM BED (ADPH 6(d)6)

HAND WASHING LAVATORY LOCATED IN ADJOINING TOILET (ADPH 6(d)7)

PERMANENT SHELVES FOR PERSONAL ITEMS AND TOILETRIES, FOR EACH RESIDENT IN A MULTI-RESIDENT ROOM (ADPH 6(d)3)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Enlarged�Plan�Legend

11

12

10

10

8

11'-0"

Floor�Plan

ServiceDrive

ServiceDrive

Semi�private�Room

DementiaCourtyard

Sun�Porch

Staff

Drop�Off

Connector

Sun�Porch

O2Tank

Rehab.Rooms

Loading

MedicalSpecialty�Wing

Sun�Porch

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