Emory Customizes Musculoskeletal Care – HCD Magazine


Emory Healthcare’s musculoskeletal carrier line has been increasing for many years, rising in products and services in addition to footprint across the metro Atlanta space. It’s most up-to-date addition—the brand new 180,000-square-foot outpatient Emory Musculoskeletal Institute in Atlanta, a part of Emory College’s Emory Healthcare—embodies a large number of the teachings and concepts accrued alongside that adventure.

“The ability was once an evolution of design, take a look at, iterate over 30 years,” says Dr. Scott Boden, professor and chair of the Division of Orthopaedics in Emory College Faculty of Drugs and director of the institute and the visionary in the back of the venture.

After arriving at Emory College in 1992, Dr. Boden initiated the verdict to transport the musculoskeletal staff to its first freestanding facility off campus. Its earlier location wasn’t environment friendly, with parking and visitors problems that created a time-consuming arrival and departure revel in for sufferers and personnel.

Relocating two miles away, the crowd retrofitted a former book place right into a 19,000-square-foot sports activities and backbone heart. And whilst the positioning addressed one of the most earlier problems (it had its personal parking, as an example), the prevailing structure wasn’t ultimate for accommodating all its medical wishes, together with examination rooms, X-ray apparatus, and make stronger personnel workplaces.

The group spent the following a number of years looking for the fitting are compatible, together with transferring right into a renovated workplace construction in an government park in 2004. Then, in 2016, the group relocated its sports activities medication department into a brand new 100,000-square-foot complicated inbuilt collaboration with the Atlanta Hawks skilled basketball crew at the identical government park campus.

That surroundings, on 55 acres obtained via Emory, was once nearer to what Boden envisioned as the most productive design—however nonetheless, there have been constraints. As an example, whilst there have been higher sight traces to sufferers, the construction structure supposed that medical areas needed to wrap across the Hawks’ skilled follow courts, which separated make stronger personnel from affected person care spaces.

All through the design and construct of the sports activities medication venture, Boden was once requested to guide a job power to come to a decision at the optimum use for the land adjoining to the power.

The duty power really useful a well being innovation district, which would come with a brand new central house for Emory’s musculoskeletal carrier line, together with orthopedics and backbone care, bodily remedy and rehabilitation, imaging, ambulatory surgical procedure, and analysis—all in combination below one roof with an optimized design for a extremely environment friendly affected person and personnel revel in.

Opened in October 2021, the 180,000 square-foot, six-story Emory Musculoskeletal Institute accommodates 117 examination rooms, 4 ambulatory surgical procedure suites, six injection process suites, a bodily remedy gymnasium, complicated imaging suites, and a complete flooring devoted to schooling and analysis area. “We had been in spite of everything in a position to design all the facility from scratch, and not using a constraints,” Boden says.


Outpatient making plans and design

Invoice Leggett, most important at HKS (Atlanta), the company in the back of the venture’s structure and inside design, says a guideline all the way through the design and making plans of the brand new facility was once the theory of the use of the construction shape to keep up a correspondence the construction’s function. In particular, cushy curved partitions and corners are designed to mirror the fluidity of movement that the establishment in the long run objectives to assist sufferers deal with or go back to, he says.

Some other design objective was once to inform the tale of the musculoskeletal device’s key parts—bones, muscular tissues, cartilage, and nerves—the use of the construction flooring, partitions, ceilings, and glass constructions. “All over, we took good thing about the place we will be able to make the most of parts of the frame within the design of the construction,” Leggett says.

As an example, at the external, precast panels have a texture that’s designed to mirror the construction of the bones, whilst graphics at the glass curtain wall constitute nerve veining.

Inside of, wavy patterns within the terrazzo floor and ceilings at the first flooring are designed to reference muscular tissues. Moreover, the partitions of the lobbies at the hospital flooring function glass graphics and pictures, reminiscent of bone below a microscope, with accompanying textual content that explains what audience are seeing. “It’s in reality an academic construction,” Leggett says.


Musculoskeletal care and analysis

To create an simply navigable and environment friendly affected person shuttle, the construction is arranged to mirror the standard adventure of musculoskeletal care, make stronger an built-in care idea, and assist sufferers keep away from useless steps and orient them all the way through.

As an example, the use of the principle access or a secondary access (by the use of the elevators from the adjoining parking deck), sufferers input a light-filled, double-height foyer at the first flooring, the place they are able to get entry to a centralized registration space, café, or imaging and diagnostics.

Moreover, a spacious bodily remedy room was once strategically positioned on the a long way finish of the primary flooring, visual upon arrival. “From a adventure point of view, the affected person can see the top in their adventure,” Leggett says. “Bodily remedy is incessantly the overall piece in their care.”

Shifting up in the course of the facility, surgical procedure is positioned on the second one flooring whilst hospital areas are on flooring 3 to 5; there’s additionally a canopied deck for respite at the 3rd flooring, which gives perspectives of downtown Atlanta within the distance.

Every hospital flooring homes X-ray rooms so sufferers don’t need to shuttle backpedal to imaging at the first flooring. To assist create consistency at the flooring for extra potency, public areas, together with ready spaces and checkout desks, are the similar on every flooring, organized alongside the entrance external glass with perspectives of the principle front to assist with orientation, Leggett says.

Doctor paintings zones on hospital flooring have an open structure to permit visibility in the course of the clinics and facilitate simple collaboration and session, Boden says.

Some other key objective of the venture was once to deliver analysis into the construction to make it extra simply out there and assist deliver new medical therapies to the bedside sooner, Leggett says.

Situated at the 6th flooring, the analysis lab juts out at a pointy attitude to constitute the state of the art analysis that can happen there. Inside of, the dep. homes a big convention heart, bio-skills coaching room, animal retaining room, and a big lab set alongside the entrance of the construction to deliver herbal gentle into the gap.


Inside design main points

For the inner design, the venture crew created a restrained, recent aesthetic that’s accomplished via blank traces combined with the waves and curves of the fluidity idea.

In particular, a impartial colour palette is complemented via heat picket accents and pops of colour, together with a blue gradient at the glass partition partitions of the registration desks and furnishings. This blue accessory colour, additionally featured on the elevator lobbies as an example, ties into Emory’s branding.

Fabrics, together with patterned metals used at the ceilings of elevator lobbies to constitute the porous nature of bones and picket wall panels in the back of the reception table representing muscle and bone below a microscope, had been selected to constitute key musculoskeletal parts.

Moreover, greater than 200 artistic endeavors, with just about part created via metro Atlanta artists, assist improve the theme of dynamic motion, via colourful, abstracted bureaucracy evocative of muscular tissues, tendons or even molecules says Nancy Sokolove, an artwork guide with Would possibly Structure (Atlanta), the artwork guide for the venture.

“Explicit attention was once given to the use of colour as a technique of wayfinding all the way through the construction’s six flooring.”

As an example, the ready spaces at the medical flooring function equivalent imagery at the forward-facing wall—birch picket circles screen-printed with main points of a sequence of summary art work via an area artist—that’s carried out within the assigned colour for that flooring (the 3rd flooring is blue, as an example), with the opposite paintings on every flooring following the similar colour cues, says Sokolove.


Long run of musculoskeletal care

Along with analysis and built-in medical care, the Emory Musculoskeletal Institute gives make stronger for 10 regional workplaces and has set the bar for a way Emory will evolve the campus into an cutting edge well being district.

“The 2 subject matters we got here up with all over the duty power had been wholesome society and cutting edge,” says Boden. “Over the following a number of many years, the land can be advanced in make stronger of the ones two subject matters in addition to some are living/paintings/play infrastructure.”

Within the intervening time, the brand new institute will proceed to provide sufferers a extra handy and holistic solution to musculoskeletal care. “Our solution to musculoskeletal care is bringing in combination the entire disciplines so they're seamlessly built-in,” says Boden. “We take the confusion and ambiguity out of who you will have to see when, and it’s all in the similar facility.”

Joann Plockova is a contract author primarily based between Jupiter, Fla., and Prague, Czech Republic. She will also be reached at joann.plockova@gmail.com.


Undertaking main points

Undertaking title: Emory Musculoskeletal Institute

Undertaking location: Atlanta

Undertaking final touch date: October 2021

Proprietor: Emory Healthcare

Overall construction space: 180,000 sq. toes.

Overall building price: $90 million

Value/sq. toes.: $470

Structure: HKS Inc. Atlanta

Inside design: HKS Inc.

Common contractor: Brasfield & Gorrie, Structor Staff

Engineering: Newcomb & Boyd Specialists and Engineers (MEP), Uzun & Case (structural), Kimley-Horn (web page/civil), Newcomb & Boyd Specialists and Engineers (telecom)

Builder: Brasfield & Gorrie, Structor Staff

Artwork guide: Would possibly Architects

AV apparatus/electronics/instrument: Bogen, Ericsson, Notora, Aruba, AT&T

Carpet/floor: Mannington Business, Interface, Studio Marmi, Tilebar, Sassuolo, Iris Us, Teroxy, Stonehard, Nora, Mannington, Altro, Armstrong, Gerflor, Plae

Ceiling/wall methods: Armstrong International Industries USG, Arktura, Focal Level, Carnegie, Altro, Plyboo

Doorways/locks/{hardware}: Allegion

Furnishings—seating/casegoods: Herman Miller

Handrails/wall guards: CS Acrovyn, Alvarado

Headwalls/booms: Skytron

Lights: Imply Smartly, Precision Lights

Signage/wayfinding: The KMA Staff

Surfaces—cast/different: Wilsonart

Wallcoverings, wall coverage: Forbo, MDC, Building Particular Ties


Fish Lab Eq Dealer: Aquaneering

Booms, shelving, SPD pieces: Skytron

Meals Carrier: Imaginative and prescient Builder

Undertaking main points are supplied via the design crew and no longer vetted via Healthcare Design.