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  Orthopedic Center at Lancaster General Hospital, Page 36Orthopedic Center at Lancaster General Hospital

IKM Incorporated 
One PPG Place, Pittsburgh, PA 15222

LOCATION: Lancaster, Pennsylvania
Date Bid: Aug 2003
Construction Period: Sep 2003 to Jan 2006
Total Square Feet: 327,000 Site: 5.1 acres.
Number of Buildings: Three.
Building Size: Garage, 17,000; first floor, 57,000; second floor, 51,000; each additional floor, 28,000; 3 and 4th floor, 45,000 each, floors 5 thru 8, 28,000 each; total, 327,000 square feet.
Building Height: Garage, 15’4”; first and second floor, 15’4”; each additional floor, 15’4”; total, 119’4”. 
Basic Construction Type: New Construction & Addition; Structural steel, flat plate structural slab.
Foundation: Cast-in-place, pier & grade beam, reinforced concrete, slab-on-grade. 
Exterior Walls: EIFS panels, brick, curtainwall, granite/limestone. Roof: Membrane. Floors: Concrete. Interior Walls: CMU, metal stud drywall.

STRUCTURAL ENGINEER: Atlantic Engineering Corporation - 650 Smithfield Street, #1200, Pittsburgh, PA 15222
ELECTRICAL & MECHANICAL ENGINEER: PWI Engineering - 327 North 17th Street, Philadephia, PA 15222
CONSTRUCTION MANAGER: L.F. Driscoll Company - 9 Presidential Boulevard, Bala Cynwyd, PA 19004
GENERAL CONTRACTOR - Orthopedic Center & Lime Street Overbuild: Benchmark Construction - P.O. Box 806, Brownstown, PA 17508
GENERAL CONTRACTOR- Atrium: Wohlsen Construction Company - P. O. Box 7066, Lancaster, PA 17604
COST ESTIMATOR: Project and Construction Services - 1360 East 9th St. #910, Cleveland, OH 44114
MEDICAL PLANNER: Metis Associates Ltd. - 10255 W. Higgins Road, #840, Rosemont, IL 60018

In the spring of 2001, Lancaster General Hospital (LGH) concluded that they could improve patient care and outcomes for orthopedic surgery patients if that service line was moved into a separate, yet co-joined facility. The decision to create a new orthopedic hospital integral with the existing campus challenged many longstanding assumptions about the facility; provided a way to fundamentally change the organization of the campus and aligned it with this new vision as LGH moves into the new century. 

The project includes a four-story orthopedic hospital, new main entrance atrium building, screen for an existing parking garage, and a 5 ˝ story vertical expansion of an existing building for new bed tower.

The new four-story building reestablishes the sidewalk boundary and garden yard for the neighborhood. The new facade presents a studied scale that is sympathetic to the neighboring row houses. The entrance retreats from the street as a concave motor court inviting both vehicles and pedestrians through an elegant walled garden approach to the building. The existing garage has a new screen wall that mimics the exterior language of the Orthopedic Center and extends the new unifying architecture across the south end of the campus. 

The entrance atrium has a bridge that sweeps through a stand of structural column trees, connecting the Orthopedic Center with the Existing Hospital. Opposite the front door, an interior water wall offers allure and retreat as a separating screen for the new Chapel area. Other amenities include concierge, gift shop, reception desk, grand piano lounge, patient resource center, and gourmet cafe. 

Two second floor waiting areas serve the Perioperative Services. Each is set in the atrium and is designed to make the family time for surgical patients more relaxed. Features of these lounges include seating to accommodate laptops, wireless connections for the public, and family sized, "Romeo & Juliet" balconies to accommodate larger extended families in Lancaster County. The noise of children's play and television viewing has been managed by providing areas for these activities, leaving the lounges free for social conversation. 

The new 10 Operating Room Suite is organized with 5 rooms on either side of a sterile core providing better infection control and a location where case carts are staged, to facilitating room turnaround. The operating rooms are identical and fully digitized. The multi-boomed 720 square foot rooms have cameras in the light heads as well as throughout the room giving complete visual access of the surgical field to remote locations. The information management system allows for automated room set-ups as well as the ability to send still and video images to all web enabled locations for instruction and consultation.

The project also built 5˝ floors for patient unit expansion including a vertical transportation core for patient circulation. This dedicated patient transport core allows for the movement of inpatients without overlapping public and staff circulation. 

After surgery, the patient is moved to one of two orthopedic units on the fourth floor. Two nursing units, an 18 bed total joint unit and a 24 bed general orthopedic unit, share this floor with a dedicated physical and occupational therapy suite. Hospitality sensibilities have been designed into the private patient rooms providing for family/caregiver, patient, and staff. Patient rooms array around the perimeter with a central nursing/support core. Nursing care is delivered using a hybridized model. A primary team station is near the unit entrance and supports the work of the Unit Clerk. Physician consults and dictation occur in a discreet room off of this station. Other nurse work areas are distributed through the core.

The success of this project is tied to the client's desire to be the undisputed leader for orthopedic care in the community. Careful planning and standards of excellence have been applied in detail to this project, leading to a clear increase in patient satisfaction and physician loyalty. The new Orthopedic Hospital and associated additions for Lancaster General have placed it on solid foundations to face the competitive healthcare environment of the new century. 

DIV. 2: Pavers: Hanover Architectural Products.
Div: 3: Moisture Control: Munters.
DIV. 4: Brick: Endicott; Granite: Cold Spring Granite; Stone: Arriscraft Block. 
DIV. 7: Roof: Firestone; Finishes: Rimex Materials; Expansion Joints: C/S Group; EIFS: Dryvit.
DIV. 8: Curtainwall, Windows: National Glass & Metal; Glazing: PPG Sungate(R) 500 Low E, PPG Gray; Automatic Door Openers: Besam; Louvers: Aerolite.
DIV. 9: Flooring: Toli, Forbo, Stonhard; Access Panels: Airtight Panels by Panel & Louvre Group; Paint: M.A. Bruder.
DIV. 12: Furniture: Steelcase; Steel Benches: DuMor® Site Furnishings, Inc.
DIV. 14:
Elevators: Otis, Pheumatic Tube: Pevco
DIV. 15: Mechanical: Carrier, Trane.

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