MODULAR MEDICAL FACILITIES

Intermountain Health Care was in need of a healthcare clinic that could be flexible for their changing clinic space needs and give them the room to provide much needed health services. The space was comprised of two four-plex buildings put together to create one larger building to provide the square footage the customer needed. This also provided flexible options for future relocations. The final space provided room for Insta-care, four pediatric doctors, a curtained exam area, 2 laboratory areas and a diagnostic imaging room.

The addition of a diagnostic imaging room required additional engineering that had to be done with the building to properly set up the imaging room in a modular building - as opposed to traditional hospital construction.

At the end of the 18-month usage of this building the two four-plexes will be split and sent to two different rural areas of Utah to provide care in other areas that Intermountain Healthcare currently does not hold a presence. The anticipated re-location of the buildings is a cost-effective solution to meet the ever-changing needs of the customer.

EXAMPLE 2

Designed for use by a pediatrician, this medical office is equipped with four exam rooms, a break room, office areas, a Lab and X Ray station, and file rooms. Well-baby and sick-baby waiting rooms were also incorporated.

In keeping with local New Iberia, Louisiana architecture, the exterior of this building was designed with a charming lattice work wrap-around porch and customized mansard roof to mimic that of an authentic Acadian style home. Integration of a split HVAC system and storm windows allowed for energy efficiencies.

EXAMPLE 3

Douglas County faced a difficult situation-it lacked a central behavioral health facility for treating its growing population of adolescents, adults and seniors suffering from mental illness. Mercy Medical Center, based in Roseburg, Ore., found a way to fulfill this urgent need. The center, which is owned by Catholic Health Initiatives, serves as the county's local 126-bed hospital. To operate as an inpatient mental health facility, the new center was required to have an I-3 (Uniform Building Code) occupancy rating. This would be the state's first ever-modular building with this rating.

Within 100 days, the 13,424 square foot Behavioral Health Center was open and, by fall 1998, at full capacity. The building now totals 20,240 square feet and consists of 24 modules. If Mercy Medical Center built the structure via conventional methods, it would have taken at least ten months to a year for the center to be ready for occupancy. The floor plan of the facility is similar to that of a hospital. The Behavioral Health Center has 24 patient rooms that are divided into sections for adolescents, adults and seniors. To produce the long hallways typically found in medical centers, the patient wing corridors were constructed on-site. After the modular units were installed, the corridor floors, walls and ceilings were added.

Other accommodations include a kitchen, dining and reception area along with treatment and consultation rooms, administrative space and physicians' offices.To give the facility a "conventional" feel, the interior of the patient wing hallways were panelized. The mechanical systems were arranged in the same way as a traditionally built building, with pits set in the back and ducted underneath to the air handlers. Due to the amount of rain in the Northwest, stucco is not used much for exterior coverings. Instead, a synthetic counterpart was used so that the Behavioral Health Center's exterior, even though made of a different material, still matches the other facilities on Mercy Medical Center's 90-acre campus.

Now the Behavioral Health Center serves as a regional resource for inpatient and outpatient mental health services. Besides centralizing all of Mercy's existing mental health programs, the Center has placed greater emphasis on providing assessment and treatment programs for adolescents and seniors who suffer from depression, behavioral disorders and other conditions.

As outpatient services move from city hospitals to local community based care, the need for smaller, flexible, regional healthcare facilities increases. Mercy healthcare, a leading regional healthcare organization in Roseburg, Oregon faced this situation when they hired a group of doctors to provide family, pediatric, and urgent care for the Roseburg area. The healthcare network needed a semi-permanent facility to house the physician group , and time was critical. Mercy Healthcare hoped to open the doors to its new clinic within four months.

This is a ten unit, 8,400 square foot modular complex in only four months from the project approval date. The new health clinic was fully operational, housing exam rooms, an x-ray facility, minor OR procedure area, labs, administrative space, and a spacious reception area. Each module of the complex was crane set onto a concrete perimeter foundation, creating a semi-permanent structure built to Mercy Healthcare's specifications. These specifications included manufacturer installed lead lined walls for the x-ray area and a special reinforced floor for the records room.

Benefits
• Faster speed of modular construction offered a space solution within the healthcare network..
• Modular construction gave Mercy Healthcare all the benefits of a permanent structure for exactly the amount of time they needed it, and the flexibility to move or change the building to meet the future needs.
• Custom exterior and interior finishes, including cabinetry installed during the manufacturing process, give the building a professional appearance, creating a comfortable, secure, and functional environment for patients.

EXAMPLE 6

Located in Tucson, Arizona, the University Medical Center (UMC) is the primary teaching hospital for the University of Arizona's Health Sciences Center. During its history, UMC has experienced enormous growth and continues to add health care services. This growth, coupled with obsolete facilities and space limitations, prompted UMC officials to expand its medical center.

Modular buildings are flexible and can be adapted for many purposes. The design of the new modular building included space for a patient representative's office, a registration/ reception area, a laboratory/frozen-section room, two surgical suites, eight exam rooms, a phototherapy room, a nursing station, a charting/resident-work area, equipment storage, a staff break room, staff restrooms, four faculty offices, a residents' office, six support-staff offices, record storage/photo-copying room and a conference room.

The outside of the building features pleko siding - a stucco-like exterior that complements other UMC buildings. Two store-front doors and four steel doors offer aesthetic qualities as well as security at entrances. Tinted double-glasses windows create privacy and block out the hot Arizona sun, while roof-mounted air-conditioning units are hidden from view. The building's rubber roof system helps to conserve energy inside of the facility. Inside, the building features 9-foot drywall ceilings in the dermatology clinic's two surgical suites to support the specialized lighting fixtures that are required for surgery. The surgical suites also contain customized air-conditioning units to continually pump in fresh air. In addition, the building includes safety features such as sprinkler and fire-alarm systems.

The cost of conventional buildings can be staggering as is the possibility of lengthy delays and unexpected problems. The modular buildings for UMC were delivered, erected and ready for occupancy within 90 days from the receipt of the order.

The ravaged Gulf Coast of Louisiana left so many displaced for so long. Private school students at Our Lady of Lourdes in Slinell, Louisiana in the midst of learning were among those affected. Fortunately, Our Lady of Lourdes was able to resume classes with minimal disruption thanks to the speed of modular construction.

When all was said and done with the project, 32 floors total were added, including 24 classrooms with restroom facilities, a fully functioning kitchen with cooking facilities and a dining area, student aid space and of course administrative offices. In a mere sixty days, these displaced students were back to the business of learning in a fully functioning campus environment.

Setting modular units off the ground is by no means extraordinary; no one would argue that. But setting them off the ground on an average from six to seven feet throughout the entire campus is not something you see everyday - and yet that's precisely how the units are set at Our Lady of Lourdes. This was constructed deliberately in an effort to be above grade due to flood considerations. A custom aluminum deck, canopy and walkway connecting all the buildings together complement the design and allow for ease of accessibility as well as piece of mind in the event of a flood. The exterior of the units are finished in Dura Temp T1-11 siding.

Time was certainly of the essence in the case of Our Lady of Lourdes. So much had already been lost by so many in the wake of Hurricane Katrina, that any time that could be saved by utilizing modular construction to resume classes quicker was precious time. And MedBuild delivered. From the time the first module was set, to when conditional occupancy was declared, less then 60 days had passed. The interior of the units were finished with VCG walls, 26 oz. carpet in classrooms and offices and VCT in the cafeteria and kitchen. And with a place to call home, the students at Our Lady of Lourdes couldn't be happier!