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  A Major Addition to Union HospitalA Major Addition to Union Hospital


The Estopinal Group
903 Spring Street, Jeffersonville, IN 47130

General Description

Location: Terre Haute, Indiana
Date Bid: Oct 2007 Construction Period: Nov 2007 to Jan 2010
Total Square Feet: 492,348 Site: 7.93 acres.
Number of Buildings: One; Hospital 236 bed capacity; 236 patient rooms, 12 OR’s, 2 MRI, 4 CT, 5 general radiation, 3 ultrasound, 36 ER treatment.
Building Size: Basement, 150,035; first floor, 144,142; second floor, 71,674; third floor, 71,674; fourth floor, 54,823; total, 492,348 square feet.
Building Height: Basement, 16’; first floor, 16’; second floor, 15’ 4"; each additional floor, 15’ 4"; total, 62’ 8".
Basic Construction Type: Addition.
Foundation: Cast-in-place, pier & grade beam, reinforced concrete, slab-on-grade. Exterior Walls: Brick, curtainwall, architectural precast concrete. Roof: Membrane. Floors: Concrete, composite deck. Interior Walls: Metal stud drywall.

Construction Team

Structural Engineer: TRC Worldwide Engineering - 217 Ward Circle, Brentwood, TN 37027
General Contractor: Garmong/Pepper - 1850 W. 15th Street, Indianapolis, IN 46202
Mechanical & Electrical Engineer: The Estopinal Group - 903 Spring Street, Jeffersonville, IN 47130

Union Hospital is a not-for-profit health care system that was established in 1892. In April of 2007 Union Hospital began planning for a major addition to their hospital in hopes that they could redefine healthcare delivery for Terre Haute and West Central Indiana.

Union Hospital was uniquely designed to incorporate a four-story atrium with a sloping glass curtain wall system as the building's central unifying element. The atrium extends from the lower level to the third-floor and injects natural daylight into the building. Within the atrium are two major feature walls, which playfully highlight solid and void forms to create a dynamic space. The 492,348-square-foot facility has four floors above grade with a lower level that houses dietary, chapel, meeting and waiting spaces. The atrium acts as public circulation and access to all of the building's outpatient functions.

In addition to the atrium, the remainder of the building's exterior skin is primarily composed of brick veneer and architectural precast concrete with metal stud back up. The palette of materials and colors unifies the building with the previously established campus aesthetic.

The first floor becomes a procedural platform where co-located functions will improve staff efficiency and patient experience. The hospital's major ancillary functions including Emergency Department, Diagnostic Imaging, and Surgery are located here with shell space for future cath labs.

The second, third and fourth floors house the nursing units of this new addition. These floors utilize a combination of centralized and decentralized nursing work areas, a concept that was a part of a specific planning effort that focused on reducing nursing travel distances. Evidence based design suggests that moving the care giver closer to the patient will improve clinical outcomes. The core support spaces are arranged so that the travel time from supply areas to patient care areas is minimized. A staff only internal corridor reduces traffic and noise in the patient corridors to enhance the patient experience and promote healing. Patient rooms face either the exterior or the atrium to provide visually stimulating views for both patients and visitors that helps enhance comfort and well being.

A strong emphasis was placed on staff and patient safety. This resulted in a design that embraces a consistent patient room layout as well as patient rooms and patient restrooms designed specifically to accommodate bariatric patients. Bariatric patient lifts and other design features were incorporated to ensure the optimum safety of the staff and comfort for the patient.

The building's natural daylight, open public spaces, warm and inviting finishes and well designed patient areas have made Union Hospital a truly distinct healthcare provider. This new addition will ensure that Union Hospital is able to continue providing efficient and highly functional healthcare for West Central Indiana.

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