Killing the "Visual Noise"

February 24, 2012
Cleveland Clinic Twinsburg Family Health & Surgery Center, Twinsburg, Ohio. Photo by Jennifer Kovacs Silvis.

As mentioned in blogs by my colleagues Associate Editor Shandi Matambanadzo and Healthcare Building Ideas Editor-in-Chief Jennifer Kovacs Silvis, last week we were given a tour of two Cleveland Clinic facilities designed by Westlake Reed Leskosky--Twinsburg Family Health and Surgery Center in Twinsburg, Ohio, and Hillcrest Hospital's major campus expansion in Mayfield Heights. What struck me the most, as it did my two colleagues, was a comment by Westlake Reed Leskosky's Ronald A. Reed, FAIA, within a few minutes of our entry into the Twinsburg facility.

Reed mentioned that the two buildings--and indeed all of the new wave of Cleveland Clinic buildings going up in the area--are designed to minimize, if not explicitly eliminate the "visual noise" that one typically encounters in a modern healthcare facility. The fairly sparse, pale environments fly in the face of the typical notion of the healing environment, prone to positive distractions (which are, at the end of the day, still distractions, after all). Reed explained that the concept for the minimal design was that of a quiet reflecting pool, designed to encourage contemplative thoughts via access to outdoor views (and it should be noted that the Twinsburg facility especially sports some spectacular views to nature, embedded in the heart of protected wetlands), simple wayfinding motifs intuitively designed around views and orientation to the outdoors, and an eye-catching modern art program. Furniture is of uniform design (including real leather seats at Twinsburg), in simple solid colors, as are the walls and floors.

While the idea that less equals more may seem to reject many of the established design notions of the evidence-based healthcare design age, I would argue that in fact it is simply a different way of tacking the same issue, and is no less effective for it. Those that attack the recent wave of Cleveland Clinic buildings as being too much like art museums are missing the point; I don't know anyone who isn't more comfortable in an art museum than they are in a healthcare facility. I know when I enter a facility as a patient, the thing that stresses me out more than anything else--including whatever procedure I might be there for--is not being able to find where I'm going. Eliminating the "visual noise" and designing with a simple, back-to-nature approach certainly helps combine that. My hats off to the Cleveland Clinic leadership and the team at Westlake Reed Leskosky for finding a better way to build this particular mousetrap.

Comments

Killing the Visual Noise

Very much agree. However, for those of us who do not have the opportunity to actually see the facility and see the work that illustrates your point; are there any photos? Has any of it been published.
LKootsey IIDA, CAPS
H & K INTERIORS

Photos are here!

Pleased to announce that we have been delivered professional photography of both of the projects mentioned above. Watch for a blog post tomorrow highlighting the images.

We're working on it!

We took a few photos while we were there (mainly of the exteriors because there were patients around inside), but there is professional photography. We'll work on getting it posted -- we've had some other requests!

Kill the Real Noise Too

Most people associate what they see with what they hear. Reduction of real noise along with visual noise will go a long way to improving the patient experience.

If the visual aspect is more relaxing, it makes sense for the aural to follow.

There are acoustical guidelines for noise, FGI and ASHRAE. FGI recommends NC40 background noise levels for patient rooms and ASHRAE NC35.

This discussion topic and more are on the LinkedIn Group "Hospital Acoustics".

Ed Logsdon, Group Leader

Good Point, Ed

Agreed with all of that, Ed. Both facilities were VERY quiet indeed (we were there on a fairly busy weekday, right around lunchtime), but I would have to check back with Westlake Reed Leskosky about any specific noise reduction built into the facilities.

There definitely was thought given to sound issues in the design, however, in public areas and specifically in waiting areas - we all noticed it and remarked on it, in fact. The Twinsburg facility is also sited in such a way that keeps noise from the nearby highway at a minimum.

But you are correct that noise reduction is very important.

Killing the "Visual Noise

Perhaps using the word "noise" was not the ideal choice given that so much these days is written about the deafening audible noise in healthcare facilities and most of it needs to be put in the right context. Visual "distractions" might have been a better choice of words but then it would have gone undetected by the acoustical people such as myself and Ed.

However, as an acoustician it is good to hear Todd state that this place was "quiet"; not an easy task most of the times for a number of challenging reasons and some of this I presented in an educational session bach in November 2011 at the Healthcare Design Conference in Nashville. So if you want to learn more about the real noise then go track it down.

Chris Papadimos - PRINCIPAL
_________________________________________________
PAPADIMOS GROUP - Acoustic & Vibration Consultants
300 Montgomery Street, Suite 908, San Francisco, California 94104
Tel +1 (415) 986-9100

A quote!

I get your point about the use of the word "noise" here, Chris, but please bear in mind that the term "visual noise" appears in quotation marks because I am quoting someone -- I can't just change it to "distractions" because I think it reads better! :-)