Structural design for hospitals, medical centers and laboratories

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Health Care
INDIANSPRING HEALTH CARE – Cincinnati, OH This new two-story facility includes an 80-room nursing center, 105 assisted-living units, and 31,000 sq ft of retail space. Approximately 89,000 sq ft, the nursing home is built on a sloping site and includes two main floors with a full basement to be used for retail space. An elevated terrace encompasses the entire south elevation. The building features common lounges, workshop and cooking areas, and in-house rehabilitation facilities. The nursing center is a steel framed building with a wood trussed roof. There is a cupola roof at the center core of the building supported by a glu-lam beam and truss system. There are both restrained and cantilevered concrete retaining walls outlining the basement due to unbalanced lateral earth pressure. Although the site proved challenging, conventional shallow spread foundations are used, with a lowered allowable bearing pressure.	Larger View

KING'S DAUGHTERS MEDICAL CENTER OUTPATIENT IMAGING CENTER – Ashland, KY This $7 million, facility whose futuristic design illustrates the space-age technology available inside, is a two-story, 20,000 sq ft building with a steel frame that is designed to accommodate an additional three floors. A composite steel beam and concrete slab system frame the elevated floors. The curved accent wall is a steel tube frame infilled with cold-formed metal framing. Aluminum sun screens on the west-facing wall and lobby wall are attached to a continuous steel tube on the edge of the elevated slabs. Lateral loads are resisted by reinforced concrete shear walls at the stairs and elevators, and by steel strut braces. Poor soil conditions and large column loads necessitated the use of an augercast pile foundation system.	Larger View

KINGS DAUGHTERS HEART AND VASCULAR CENTER – Ashland, KY The Heart and Vascular Center is a $43.5 million 35,600 sq ft facility – the third phase of a major expansion for KDMC. Initial construction includes five floors, with a steel frame designed to be expanded to ten floors. The second floor includes a skywalk and dedicated elevator that provides direct access to the medical center. In order to minimize the depth of the steel framing members and eliminate bracing obstructions in the medical rooms, lateral loads are resisted by twelve inches thick reinforced concrete shafts at the two elevator shafts and two stair shafts. The floors of the building are framed with steel composite beams and a lightweight concrete slab. Due to poor soil conditions, the main structural components are supported on an augercast pile foundation.	Larger View

THOMAS MEMORIAL HOSPITAL – South Charleston, WV MEDICAL OFFICE PAVILION Completed in 2004, the Medical Office Pavilion is a five-story 85,800 sq ft building adjacent to the existing hospital. The project includes a two-story 17,000 sq ft wing connecting the new facility to the main hospital. Underpinning was required for portions of the existing building foundation in order to provide a new ground floor elevation that is 14 ft below the ground floor of an adjacent building. The floors are framed with structural steel beams and a steel roof deck. Lateral loads are resisted by moment frames in the east-west directions and braced frames in the north-south direction. The foundation system was designed to accommodate a future five-story clinical wing adjacent to the Medical Office Pavilion. CLINICAL PAVILION ADDITION This $70 million 117,000 sq ft in-patient wing will add private rooms, obstetrics unit, surgical center, satellite gift shop, cafe and kitchen. The new cafeteria replaces one the hospital has used since the 1950’s. The first floor will feature three operating rooms, representing a 44% increase in the hospital's operating room capacity. This six-story building is constructed with steel framed floors and roof and a deep foundation system. The facility was finished and opened to the public in June 2010. See the June 3, 2010 article in the Charleston Daily Mail about this project!	Larger View