Healthcare

Communities, corporations, and educational institutions are drafting plans to reopen during the COVID-19 pandemic, employing policies around personal protective equipment; keeping a 6-foot distance from co-workers, peers, and clients; and reconfiguring their physical spaces. Another potential mitigation strategy is to adjust a facility’s mechanical system to better protect the occupants, though that should not be considered the primary solution, cautions Michael Walsh, PE, LEED AP, senior mechanical engineer and principal at R.G. Vanderweil Engineers, LLP. “There’s no silver bullet,” he says.

The International WELL Building Institute launched the WELL Health-Safety Rating for all building and facility types in June of 2020. The evidence-based, third-party-verified rating system focuses on operational policies, maintenance protocols, and design strategies for the post-COVID-19 environment.

Implementation of a remote workforce and a restructuring of their onsite physical space have helped to improve employee retention rates while also increasing overall productivity and quality at Vanderbilt University Medical Center (VUMC) in Nashville, Tenn. Calls from patients looking to schedule appointments are initially answered by one of the 260 phone agents who comprise the Patient Access Services department. Answering more than 10,000 calls on average every day and handling a total of 4.2 million inbound and outbound calls annually, these phone agents have a fast-paced, demanding position that experiences approximately 25 percent turnover each year. This turnover rate is low compared to the 32 percent national average for call centers, says Elizabeth Nix, director of service quality and development for the department.

Access to quick, reliable, and repeated testing has been one of the greatest challenges for businesses, institutions, and individuals during the SARS-CoV-2 crisis. HOK has partnered with Germfree Laboratories to design a mobile testing lab that will help large organizations to meet this urgent need. These self-contained biocontainment facilities can provide advanced, onsite capabilities for any setting.

The South Australian Health and Medical Research Institute will begin construction in July of 2020 on the SAHMRI 2 building in Adelaide. Designed by Woods Bagot, the AUD$500 million project will accelerate the delivery of leading-edge clinical care as well as accommodating growing research programs in health analytics, artificial intelligence, and machine learning. Standing 12 stories above grade with three underground levels, the facility will house the Australian Bragg Centre for Proton Therapy & Research and the SAiGEN Cancer Institute.

Amid sobering reports of job losses in commercial real estate, coupled with months-long construction shutdowns in major markets like Boston and New York, the life sciences sector is poised to experience a less dramatic disruption, and possibly emerge from the pandemic even stronger than it was before. “COVID is a healthcare crisis, so it needs a healthcare solution, and that life sciences and biophparma solution has to be constructed,” says Kevin Chronley, vice president of A/Z Corp. and immediate past president of the Boston Area Chapter of International Society for Pharmaceutical Engineering (ISPE). Chronley predicts that construction will run the gamut from medical device manufacturing and biopharma laboratories to education and training facilities.

The University of Nebraska Medical Center is renovating the Munroe-Meyer Institute for Genetics and Rehabilitation in Omaha. Designed by Altus Architectural Studio, the $86 million project includes the redevelopment of an existing structure to create an integrated 220,078-sf facility for the treatment of patients with developmental and intellectual disabilities. Doubling the current size of the institute, the building will house the interdisciplinary Center for Autism Spectrum Disorders, the Warren G.

E4H Architecture presented a webinar on modular facilities for accelerating vaccine development on May 8, 2020. Now available as an on-demand recording, the exciting session is led by Jeff Schantz, Director of Health Sciences and Technology at E4H. Jeff reviews planning strategies for adapting multi-therapeutic cGMP/BSL-3 cleanroom modules for SARS-CoV-2 response and cell therapy development. Presentation topics include regulatory guidelines, HVAC requirements, design and flow considerations, and decontamination strategies.

Price Industries is significantly increasing production of its air filtration systems in response to the SARS-CoV-2 pandemic. Instantly creating a negative-pressure isolation room, the company's fan filter unit can draw airborne virus out through a biosafety filter for expulsion through the building's exhaust vent or directly to the outside. The units can dramatically reduce airborne virus in healthcare environments such as nursing stations and temporary hospitals, and can even be used in hotel rooms that have been repurposed as care facilities.

The International WELL Building Institute (IWBI) has assembled a task force to address the role of the built environment in reducing the impact of SARS-CoV-2 and other respiratory infections. Aiming to define the critical role that buildings, organizations, and communities play in infectious disease management, the work will take a broad approach in considering both new and recurring agents that can affect large populations.

An untold number of construction projects have put on hold as a result of the COVID-19 pandemic, but that doesn’t mean all work has to stop. In fact, owners should focus on preparing those projects to resume the moment it is safe to return to the job site. “The best thing for an owner to do is get these projects shovel-ready so they will be in the driver’s seat,” says James Vermeulen, managing principal of Vermeulens. “Whether the project can start construction or is delayed, it is important to be in the driver’s seat. If there’s a schedule slip, you can have an even better set of 100 percent construction-ready documents.”

Federal financial measures have been approved in the past few weeks to shore up the economy during the COVID-19 pandemic, with direct monetary assistance and business loans totaling $5.5 trillion, and more support and flexibility for research universities and government contractors. The federal stimulus package—the Coronavirus Aid, Relief, and Economic Security (CARES) Act—is intended to pump $2.2 trillion dollars into the economy, primarily in the healthcare and research sectors, and to provide emergency relief to institutions, businesses, and workers whose livelihoods have been impacted by the pandemic. The specifics of how it will be implemented are still evolving, and it is likely that additional stimulus bills will be considered in the coming months, including investments in infrastructure for the nation’s research enterprise.

ASHRAE, the American Society of Heating, Refrigerating and Air-Conditioning Engineers, has created an epidemic task force to respond to the global SARS-CoV-2 pandemic and provide guidance on how to ensure that buildings are prepared for current and future epidemics. The ASHRAE Epidemic Task Force has been established to deploy ASHRAE’s technical resources to address the impact of HVAC systems on disease transmission in healthcare facilities, workplaces, homes, public spaces, and recreational environments.

Vermeulens has released its market outlook report for the fourth quarter of 2019. Key points include:

Oregon Health & Science University is constructing the $50 million Elks Children's Eye Clinic Building in Portland. Designed by NBBJ, the freestanding 64,000-sf building will be physically connected to the existing Casey Eye Institute by a striking glass sky bridge. The five-story structure will accommodate translational research labs, an 11,500-sf pediatric eye clinic, and space for clinical trials.