Designed for the future of children's and women's health:
U-M Health System reveals new look for replacement hospital
Regents approve new U-M C.S. Mott Children's Hospital and Women's Hospital schematic design, revised project scope and budget, plans to pursue LEED certification
ANN ARBOR, MI – The future of children’s and women’s health care at the University of Michigan Health System will span the length of two football fields, and include private pediatric patient rooms with wireless computer access and family areas, a dedicated pediatric emergency and urgent care center with Hazmat capabilities, space to accommodate an estimated 4,500 births each year, and even an outdoor garden park.
Today, the U-M Board of Regents approved the schematic design for the new U-M C.S. Mott Children’s Hospital and Women’s Hospital, which will replace the existing children’s and women’s hospitals.
UMHS also received Regent approval for the revised project scope – from 1 million square feet to 1.1 million square feet – as well as a budget of $523 million to support incremental space for an optimal operation layout, and to accomplish Leadership in Energy and Environmental Design (LEED) certification. The project, designed by HKS Architects, will be funded through philanthropy and hospital reserves and is scheduled to open in spring 2011.
Already, UMHS has raised $46 million toward the new hospital building project, including a $25 million grant from the Flint-based C.S. Mott Foundation. UMHS will continue its successful fund-raising campaign, led by U-M Regent David Brandon and his wife, Jan, and U-M head football coach Lloyd Carr and his wife, Laurie, for the duration of the building project.
“We’ve designed a magnificent state-of-the-art facility that will be a warm and compassionate environment for our patients and their families to receive care, as well as provide us with the space and flexibility for future medical advancements,” says Robert P. Kelch, M.D., Executive Vice President for Medical Affairs at the U-M Health System. “We’re proud that the facility’s design will enable us to provide the highest standard of care to our patients for many more years to come, and maintain our longstanding commitment to environmental stewardship through pursuit of LEED certification.”
Located on the terrace site of the medical campus, the facility will consist of two conjoined towers – a 9-story clinic tower and a 12-story inpatient tower – that will bridge inpatient and outpatient services within the same medical disciplines to create a programmatic approach to patient care on each floor. For example, the obstetric and gynecological clinics will be linked to the Women’s Hospital Birth Center, and the world-renowned Michigan Congenital Heart Center will reside on its own floor in the facility.
Prominent in both size and scope, the facility will host wide spans of glass to bring natural lighting into the facility, and will provide inpatient rooms with scenic views of the Nichols Arboretum and Huron River. The design also will incorporate curved forms and building insets that relate to the arboretum – humanizing the scale of the hospital. A sky-lit canopy will greet patients and guests while a two-story lobby and waiting area – overlooking outdoor courtyards – will create an inviting entry into the facility.
Within the 1.1 million-square-foot facility, 855,000 square feet will be designated for inpatient space and 245,000 square feet will be devoted to clinic and office space, which includes about 180,000 square feet of shell space for future growth and expansion.
Plans for the facility include 16 pediatric operating rooms, four pediatric surgical procedure rooms, four cesarean section suites, 20 rooms for antepartum or postpartum care, and 264 private inpatient beds upon opening with capacity for an additional 84 beds in the future. The 264 bed count will consist of 30 for women’s birthing, 26 adult and 26 pediatric for bone marrow transplants, 46 for pediatric intensive care and pediatric cardio-thoracic, and 40 for neonatal intensive care – a far cry from the 240 beds currently allocated to the children’s and women’s hospitals. Plus, all inpatient rooms will be equipped with special Hepa filtering air handling.
“In our current facility, it's become a challenge for us to keep up with increasing patient demand and make room for current advances in medical technology and treatment,” says Patricia A. Warner, MPH, associate hospital director for Children's and Women's Services. “That’s why we’ve designed this new facility with the future in mind to not only fit today's medicine, but also tomorrow's innovations. The new C.S. Mott Children’s Hospital and Women’s Hospital is truly an investment in our patients' health today, the education of our future doctors and Michigan’s health care services.”
Focused on creating a family-centered environment within the new facility, the building project coordinators sought feedback from patients and their families in the current Mott and Women’s hospitals. Their input proved integral to the layout and design of patient rooms, and also in the creation of space dedicated to accommodate family care and support needs.
Based on feedback from patients and their families, all patient rooms will be private, have a window and a place for a family member to stay with them. Within the Women’s Hospital Birth Center, the labor, delivery and recovery rooms will be 300 square feet to 360 square feet to allow for access to state-of-the-art care, as well as space for families to celebrate the birth of their new baby.
“Having access to the most modern technology in combination with continuous development of new knowledge will provide the best medical care possible,” says Cosmas J.M. van de Ven, M.D., director, Division of Maternal Fetal Medicine in the U-M Women’s Hospital. “The new hospital provides us with an optimal environment to become the premier pediatric and obstetric facility in the country.”
The planned 300-square-foot pediatric inpatient rooms all will include a computer capable of connecting children to their classrooms and those at home, and providing access to the Internet and other educational programs during their stay. All rooms will be configured for wireless technology, which can be utilized by parents as well as the child’s health care providers.
“We wanted to create an environment that not only maximized patient care, but that is comforting, caring and welcoming to our patients and their families, and that’s why their feedback was so important to this project,” says Loree Collett, RN, operational planning lead for the Children’s and Women’s Building Project. “Beyond technology in the inpatient rooms, our plans will give children the ability to make their room feel more like their own. We’ve designed the rooms to include areas outside and inside of the room that they can display pictures and artwork, and really showcase their personalities.”
Families also will feel more at home in the new facility. A family resource center – complete with a library, teaching rooms, computer access and a place to meet in private with social workers and other health care providers – will be located in the main lobby. The main lobby will offer entertainment and other activities to help reduce stress for parents, siblings and other family members of patients, and will open into an outdoor garden park that will have play space for children and a reflection area. A meditation space, a gift shop and a food services area will be located nearby.
Also incorporated into the design are a family workout room, a family accommodation area – a dorm-style living area for parents with children in the pediatric ICU – and greeters on every floor to increase security and provide wayfinding for visitors.
Teams of more than 450 current Mott and Women’s faculty and staff also were instrumental to the design and layout of the facility. To optimize patient care on such large inpatient floors, communication stations for physicians, nurses and other health care providers will be located through the floors to keep staff close to patients and in communication with each other. Additionally, floors will include staff team rooms to provide social workers, Child and Family Life experts, and other health care providers with a confidential area to discuss patients’ care and map out care strategies. Plus, the entire facility includes plans for wireless and paperlight operations for staff.
The new facility will enhance the inpatient and outpatient services within the current Mott Hospital, the world-renowned Michigan Congenital Heart Center, the Birth Center and the Holden Neonatal Intensive Care Unit, and the ability to move toward the next generation of technology and communication.
"Advances in diagnoses and treatment will continue to be driven by new technology and devices, that in turn place specific demands on a hospital building and its environment," says Valerie P. Castle, M.D., chair of the Department of Pediatrics at the U-M Health System. "The hospital will have the infrastructure necessary for us to continue to deliver the very best care available anywhere, and ensure the next generation of physicians and nurses go out into practice with the most advanced experience possible."
Looking toward the future, the operating rooms, for example, have been designed in anticipation of advancements in portable imagining technology, such as Magnetic Resonance Imaging, or MRI. Plans further call for increasing imaging technology and interventional radiology in the facility, and expanding Mott’s ability to do minimally invasive surgery.
"Beyond building a premier site for caring for children with surgical and medical problems, the new hospital will allow us to provide specialty training in a state-of-the-art setting to the future surgeons of Michigan's children," says Ronald B. Hirschl, M.D., Surgeon-in-Chief at Mott Hospital.
Additionally, Mott will be home to one of the only pediatric emergency medicine centers in the state. With a separate entrance off East Medical Center Drive, the emergency center will be staffed by dedicated pediatric health care workers, and will be Hazmat capable, allowing it to be fully prepared, like the main University Hospital’s Emergency Department, to care for patients in the event of a major outbreak or disaster. A helipad atop the 12-story tower with direct elevator access to the pediatric emergency center will provide young patients flown in by Survival Flight, the UMHS air medical service, with immediate access to emergency and urgent care.
In all, the new C.S. Mott Children’s Hospital and Women’s Hospital has been designed to provide a new and larger home for specialty services for newborns, children and pregnant women – not offered anywhere else in Michigan – such as the pediatric liver transplant program, the Level I Pediatric Trauma Program, the Pediatric and Adolescent Home Ventilator Program, and the Craniofacial Anomalies Program, high-risk pregnancy services and specialty gynecological services.
The facility also will be home to numerous pediatric specialty clinics, including Psychology, Autism, and Orthopaedics, all within the U-M Department of Pediatrics and Communicable Diseases. There will be a committed area for both adult and pediatric bone marrow transplant patients and pediatric non-cancer infusion, too, with a dedicated infusion pharmacy on the floor.
Since the Mott and Women's hospitals opened in 1969 and 1950 respectively, patient care, research and medical technology have made extraordinary advances, making the need for a new facility to meet increasing patient demand and accommodate future research, education and clinical care innovations that much more vital.
In fiscal year 2005 alone, 11,955 children were admitted to or born at the facility — a far cry from the 3,500 in the hospital's first year. There were 257,900 outpatient visits by children and infants to U-M clinics in 2005, compared with 25,000 annually in the late 1960s. In addition, demand for pediatric surgical services has increased an average of 5 percent to 10 percent each year, with more than 8,400 surgical procedures performed in Mott’s eight operating rooms. Deliveries at the Women’s Hospital Birth Center, too, have risen dramatically, from 2,401 in fiscal year 1996 to 3,838 births in fiscal year 2005.
Adding to the demand were more than 20,220 emergency visits by infants and children under age18 in 2005 to the U-M Pediatric Emergency Department, located adjacent to the adult Emergency Department in University Hospital. Of those, more than 5,380 were trauma cases.
Once this building project is complete, the existing Mott hospital will be used to benefit the entire Health System, primarily adult services.
To learn more about the fund-raising campaign and the new building project, visit www.med.umich.edu/mott.
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Written by Krista Hopson
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