HONORABLE MENTION – 2019 Healthcare Design Showcase

In 2008, NYU Langone Health launched a Campus Transformation initiative to reshape NYU Langone as a world-class, patient-centered, integrated academic medical center. The remaking of the Manhattan campus both reflects and enables the larger transformation of the institution, which in the same period doubled its research funding and is now consistently ranked among the top hospitals in the country. The Helen L. and Martin S. Kimmel Pavilion, a quaternary-care hospital housing thirty-four operating and procedure rooms and 374 all-private patient rooms, anchors this transformation for the campus and its approach to care. The 21-story tower projects a new identity for NYU Langone Health, creates a new front door to the campus, and establishes a new standard for patient and staff experience, safety, efficiency, sustainability, and resilience.

Built atop four rail tunnels on a brownfield site susceptible to flooding, the tower occupies the last development opportunity on the 10-acre campus. Unlocking the potential of the site allowed NYU Langone to add over 800,000 square feet to the campus. To avoid placing any new loads on the aging tunnels, the new hospital structure was designed as a bridge, spanning across the tunnels at the sixth-floor mechanical level. The bridge supports the bed tower above, while the OR floors are suspended below.

The new hospital created an opportunity for NYU Langone to redesign how NYU Langone provides patient care, from the ways in which material moves through the building, to how post-operative care is delivered, and how family members can be accommodated overnight in the patient room. Each process and environment was designed to optimize the quality of the care, the efficiency and effectiveness of the caregiver, and the experience of the patient and family. The building also houses the Hassenfeld Children’s Hospital, a 64-bed facility that takes advantage of the resources within the main hospital while creating a separate environment for children and families.

The new patient experience begins as one arrives on the campus. The front door and lobby are set back from the street within a landscaped plaza, allowing patients to transition to a calm, welcoming, and safe environment. Inside the main lobby, a six-story atrium opens to a series of stepped, curving balconies that house the surgical reception areas above. Daylight, transparency, and views to the outside help patients and visitors to understand intuitively where they are and how to navigate the building.

The tower is designed to maximize the efficiency and value of the clinicians’ work. Supplies and equipment are distributed to the point of care by automated vehicles so that nurses spend more of their time with patients. Rooms accommodate bedside charting and in-room imaging, reducing the need for patient transport. A variety of collaboration spaces across each bed floor allows the multi-disciplinary care team to come together quickly, access patient information, and discuss care. All workspaces have access to daylight, which penetrates deep into the center of the floor, and a true “off-stage” service corridor keeps the “on-stage” areas exceptionally quiet for patients and clinicians.

Nursing units are supported by providing patients extensive control over their environment. Using a bedside digital tablet, patients can adjust lighting, window shades, and temperature in the room; the interactive footwall allows patients to post photos, watch video, order meals, and track the schedule of their care. E-glass within the sliding patient room door replaces privacy curtains, reducing the risk of healthcare-acquired infections while allowing families to control the privacy of the room. Even with a heliport just outside, advanced window-wall design and triple glazing has led to the highest possible patient satisfaction scores for acoustics.

The new inpatient tower is a critical component of a campus-wide sustainability and resiliency plan, which includes a 7.5-megawatt cogeneration plant, elevated infrastructure, and a perimeter flood barrier with operable flood gates. The hospital is designed to maintain operations through major flooding, utility outages, and other emergencies, and the building is on track to receive LEED Platinum certification

Project category: New construction

Chief administrator: Vicki Match Suna, senior vice president and vice dean for Real Estate Development and Facilities

Provider: NYU Langone Health

Firms: Ennead Architects, www.ennead.com; NBBJ, www.nbbj.com

Design team: Ennead Architects (design architect); NBBJ (associate architect); NYU Langone Health, Real Estate Development and Facilities (owner’s development team); Leslie E. Robertson Associates, RLLP (LERA) (structural engineer); Jaros Baum & Bolles (MEP/FP and telecommunications/data consultant); Langan Engineering and Environmental Services Inc. (civil engineer); Hargreaves Associates (landscape architect)

Total building area (sq. ft.): 830,000

Completed: June 2018