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In general, the David H. Koch Center of the New York Presbyterian Church in Manhattan has three different programs: outpatient care; an integrated health and well-being center; and the newly added hospital for women and newborns. The Alexandra Cohen Women’s and Newborn Hospital, which opened in August 2020, was mainly built after the opening of the first two projects in 2018, providing mothers and babies with comprehensive prenatal, intra- and post-natal care, including specialized pre-natal care Nursing and newborn care. ICU. However, it was not a planned tenant from the beginning. Instead, the Women’s Hospital was considered to fill the top six floors of the building with the idea of ??additional outpatient care. However, when the Greenberg Pavilion at the neighboring New York Presbyterian/Will Cornell Medical Center sought to expand its capabilities for women and newborn services, the organization regarded the floors of the Koch Center as the convenience and convenience of a new women’s hospital. Natural fit point. “Relocating to a building across the street allowed us to develop services and provide a physical environment that matches excellent patient care,” said Hilary Shaw, vice president of Alexander Cohen Women’s and Neonatal Hospital and David H. Koch Center . New York.
general Service
The new Alexandra Cohen Women’s and Neonatal Hospital covers an area of ??246,500 square feet and includes ultrasound and prenatal clinic services on the 12th floor; labor and delivery on the 14th floor; and neonatal intensive care with MRI on the 15th floor Room (NICU) and operating room; the three-story building from 16th to 18th floors is dedicated to inpatient postpartum care. The hospital is designed to accommodate 7,000 newborns per year, almost three times the size of the organization’s previous maternal and child care space, including 75 private antenatal and postnatal rooms (increased from 68), and 60 neonatal intensive care beds (previously 50 beds, including 42 private beds), 16 delivery rooms (original 11). The clinical space includes 5 caesarean section operating rooms, 20 shunt/preparation/recovery rooms, 8 private antenatal examination rooms and 15 ultrasound rooms on the 12th floor.
This project is a collaboration between several companies that delivered the early Koch Center project, including hook (New York) As a project architect and Ballinger (Philadelphia), worked as a medical architect and health care planner; the interior design was jointly completed by HOK and Ballinger.
Similar to the existing design of the Koch Center, the women’s hospital provides an oasis away from the urban environment while meeting the specific needs of patients and their families. “[For mothers and their families] Sara Ridenour, Ballinger’s deputy principal, said: “This is an exciting situation, but it is very stressful.” To help solve this problem, the project team developed a clear path to help patients easily complete it from start to finish.
“We designed the experience for all parties through process mapping,” Ridenour said. After arriving at the drop-off area-designed as a quiet internal avenue where patients can avoid the pressure of busy city streets-patients are welcomed in the main lobby of the Koch Center and directed to park only on the 12th floor Dedicated elevator to 18. Inform patients that they are on their way. A staff member will wait in the sky lobby at the corner of each floor with city views upon arrival, and escort the patient to the preparation/rehabilitation room for a scheduled caesarean section or diversion. After giving birth, the mother will be transported to the postpartum ward through a special elevator in the hospital.
Another link between the new hospital and the established Koch Center is the continuation of the on-stage/off-stage operating procedures. The building’s L-shaped floor slabs provide a natural division for the placement of back-office services including staff corridors within the L, while the public and patient spaces are located on the periphery, with views of New York and plenty of natural light (except for the 12th floor, corridors). In the periphery).
Xiao said that focusing on patient-centered care, including private wards and family support facilities, is one of the five “departmental visions and goals for obstetrics and neonatal intensive care units” outlined by the New York Presbyterian Church for the project. Each ward has three areas, including the nursing area from the entrance to the bed; the patient area on the head wall; and a family area, usually by the window. “We turned to private models very carefully,” she said. “Private rooms can allow new family units to establish a closer connection. Mothers, partners and newborns can be connected in the postpartum or neonatal intensive care room. The partner or parents can sleep in, more Take care of their loved ones.”
Ridenour said the private areas of the family are also given priority. “Sometimes family members also need to take a breath; reducing stress and providing comfort for mothers, babies and family members is part of the project’s vision,” she said. For example, each floor has a family lounge, which is centrally located near the entrance for easy access, while on the delivery floor, there is also a partner lounge that can provide a place to rest when needed. The NICU floor has a shower room, a laundry room and a living room for siblings and children. The post-natal floor includes a multifunctional education room and a family restaurant on the 16th floor, where families can enjoy a celebration dinner.
The core staff space consists of three layered areas adjacent to each other, including a nurse station/administrative area, a large team room/touchdown area, and a smaller doctor dictation room at the back. The three connected spaces are wrapped in glass, which allows the staff to get natural light through the ward. Sliding glass doors between the spaces allow the team to open the room for larger meetings. “We are as flexible as possible to provide a certain degree of privacy and collaboration,” Ridenour said. Scattered nurse stations are located between every two rooms in the entire hospital and between every room on the NICU floor.
NICU wards are arranged to operate in different blocks. The 12 rooms on the west side can be divided into one or two blocks, and the 38 rooms on the east side can be organized into two or three blocks. Each block has a dedicated entry point to eliminate travel from one block to another. In addition, a backstage corridor is provided for staff and supplies to reduce noise levels in the patient area and minimize conflicts with family movement. “I think one of the really great things about our NICU is that we bring all services to the floor, so we don’t have to transport these critically ill babies, except in very special circumstances,” Shaw said. “By moving the MRI and operating room to the floor, we truly integrated care into one place in the family.”
Interior
Christine Vandover, senior project interior designer at HOK, said that the project team sought a timeless aesthetic to meet the desire of the New York Presbyterian Church to create a space that will not be out of date for a long time. “It’s a timeless feeling, but simple and clean; it has the qualities of New York City,” she said. Among the features are the stone floor of the sky hall and the wood-like materials used throughout the hospital, including dark walnut in the delivery room and delivery room, and light gray in the postpartum room, to distinguish the two areas and mark the mother’s transition from one to the other .
Another key is to use different lighting equipment in different areas to create different effects. For example, the linear lights in the delivery room and delivery room provide the required brightness there, while the post-natal room has a circular ceiling light with a skylight feel. The room can be dimmed.
Vandover said that the hospital’s art project is another decisive element of the interior design, adding color and vitality to the main pastel tones, helping to create a peaceful and calm environment, as are the rich but soft blue and warm auburn furniture. “As part of the art selection at Alexandra Cohen Hospital, we have very intentionally invested in female artists,” Shaw added, stating that the project team worked with Salon 94 to select works to be exhibited on every floor including the ward. “It’s beautiful and very diverse,” Shaw said.
Special delivery
Shaw said that although some public spaces (such as multifunctional education rooms and family dining spaces) are “temporarily vacant” due to COVID-19, feedback on hospitality methods has been positive. Specifically, patients appreciate the privacy, large rooms, art projects, and plenty of light throughout the entire process—the insight confirms that the organization’s decision to fill the shell floor with a women’s hospital was correct. “[It’s] Allows us to provide the best care for our patients in a bright and nurturing environment where comfort, safety and privacy are prioritized,” Shaw said.
Guiding insights
The planning and design of the New York Presbyterian Alexandra Cohen Women’s and Newborn Hospital in Manhattan was based on feedback from focus groups and interviews with new mothers and their partners, as well as hotel research and virtual collaboration with HOK’s hotel designers. Obtained from travel. Vandover said: “New parents want to feel cared for, comforted and relieved in this special moment of life.” “The hotel is designed with similar ideas in mind and focuses on the overall customer experience. This is what we want to do here, Give the space the same special feeling-a complete guest experience.”
One of the insights gained from this, Vandover said, is that giving patients and their families the right to choose how and where to spend their time can help people feel at ease. In response, the project includes a family area on each floor and a waiting area in the sky lobby with views of the city.
In the interview, the new parents expressed their desire for comfort and control, which led to some details, such as providing a longer sofa bed for partners and family members, designated luggage space to help reduce clutter in the room, and more postpartum rooms The seats and beds with soft reading lights nearby. “When moms are breastfeeding at night or late at night, they can turn on this very soft light without having to turn on the ceiling light in the room,” Vandover said. “This gives them some control in the middle of the night.”
Vandover added that a special surprise moment in the interview was about “education and connectivity.” “The mothers have been in the room, and they are kind of looking forward to going out to meet some other new mothers, contact them and share their experiences.” In response, the education room is located on each postpartum floor where mothers can go there to learn important new skills as well as Socialize with others.
Many mothers also provided feedback on corridors, which are often used by patients to help ease childbirth. The women mentioned that it would be boring to walk around in the hall, so the project team designed geometrical sound-absorbing panels on the corridor walls of the delivery floor to help reduce noise and give the mother something interesting. The floor also has patterns to help set walking goals for the childbirth.
Joann Plockova is a freelance writer who travels frequently between Jupiter, Florida, and Prague, Czech Republic.Her contact information is [email protected].
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