September 21, 2023

Clovis Group Medical Heart, Clovis, Calif.

Town of Clovis lies in California’s central valley, in an space that’s booming, partially, as a result of it’s among the many state’s most inexpensive locations to reside. In response to that increase, the Clovis Community Medical Center wanted to develop—quite a bit. And shortly.

The truth is, says Kirk Rose, healthcare apply chief for HMC Architects (Los Angeles), “Group development, and the ensuing hospital companies demand, occurred greater than thrice quicker than executives anticipated.”

To assist tackle these altering wants, Clovis employed HMC in 2016 to double the scale of the hospital, which had already been expanded considerably in 2013.

“The paint on the earlier five-story tower was solely dry for 3 years after they requested us to do one other one,” Rose says.

The most recent enlargement, accomplished in summer time 2022, comprised that new 148-bed tower together with a large surgical procedure/emergency addition; meals service, upkeep, and supplies administration division expansions; out of doors area design; a brand new double-height most important entrance and foyer; and extra.

Emergency and surgical procedure enlargement

One of many key objectives of the undertaking was to extend the medical heart’s capability for surgical procedure and emergency companies. A two-story addition accomplishes this with six working rooms on the second flooring and a very new trauma bay emergency division enlargement on the primary.

“Due to all that further capability, we doubled the emergency foyer on the opposite aspect of that constructing with a one-story addition,” Rose says. The addition of all these features additionally required the crew to double the kitchen, eating, and supplies administration departments.

The purposeful enhancements launched with the brand new emergency division are important, starting with the drop-off. For one factor, George Vangelatos, HMC’s director of healthcare design, says, “We created a greater place for the ambulances to stack and be capable to offload with out impacting the general public.”

For sufferers, there’s new out of doors area within the shade for ready, and the crew made efforts to enhance each different area that touched the affected person expertise.

“For the check-in areas and ready areas, we added daylighting to all these areas,” Vangelatos explains. “That complete entrance finish was one of many key features of the design addition. It wasn’t simply including area. It was additionally attempting to make all the things work extra seamlessly and effectively.”

Useful enhancements

The undertaking crew checked out Clovis’ Emergency Severity Index (ESI) to deal with operations and discovered that “lots of sufferers have been coming in with very minor illnesses, however they have been getting clogged up ready [in the ED],” Rose says.

There have been a few present triage rooms, however for the enlargement, HMC launched the hospital to the idea of a speedy evaluation screening space inside the ED to assist alleviate congestion. This space—manifested right here as a room with six therapy bays—is the place sufferers with extra minor complaints (reminiscent of easy cuts, minor sprains, and so on.) might be handled.

“It takes lots of the site visitors out of the guts of the ED,” Rose says. (For extra on speedy evaluation models within the ED, learn this Healthcare Design article.)

On the opposite finish of the care spectrum, because the suburbs have grown, the hospital was seeing extra trauma circumstances and sufferers presenting with psychiatric points. The ED had three present pods for basic therapy: “We retrofitted one of many pods to offer some psych restraints and antiligature options,” Rose says.

“And within the trauma bays we designed a pair that have been pretty excessive acuity. They weren’t licensed as a Stage 1 or Stage 2 Trauma Heart, however they supply the identical affected person cures and extra tools in case [a trauma patient] can’t make all of it the way in which to downtown.”

Welcoming aesthetic

A few yr and half into the undertaking, the hospital was ready so as to add $55 million to the undertaking price range, which allowed the design crew to (amongst different issues) add a catheterization enlargement and create a extra outstanding most important foyer with an inviting, daylit aesthetic.

“They’d a small space with a two-story quantity proper close to the place we have been constructing the brand new foyer, and we expanded that,” Vangelatos says.

The brand new area options an overhead 35-by-15-foot customized lighting sculpture, which was created by HMC and Yellow Goat Design (Cambridge, Ontario, Canada). The design, impressed by the central valley’s pure landscapes and colours represented in close by orchards, incorporates 679 one-inch-wide resin stems with built-in pin lights.

Two smaller, equally designed fixtures within the affected person ready space prolong the lighting motif all through the foyer.

The aesthetics of the brand new foyer, mixed with a robust and considerate panorama design created in partnership with Broussard Associates (Clovis, Calif.) and a regionally legendary foodservice program—the  hospital cafeteria, the Grove Café, has 4 and a half stars on Yelp—are essential investments within the expertise, Rose says.

“They need the campus to be one thing individuals choose to go to,” he says. “A high-caliber, stunning place the place you possibly can go for therapeutic, but in addition solace within the panorama gardens and good meals.”

Kristin D. Zeit is a contract author and editor and a contributing editor for Healthcare Design. She might be reached at [email protected].


Mission particulars for Clovis Group Medical Heart Section C Enlargement

Mission location: Clovis, Calif.

Mission completion date:  August 2022

Proprietor: Group Medical Facilities

Whole constructing space: 390,000 sq. ft.

Whole development price: $300 million

Value/sq. ft.: $770

Structure: HMC Architects

Inside design: HMC Architects

Basic contractor: Clark Development

Engineering: Saiful Bouquet, New England Sheet Metallic, Howe Electrical

Builder: Clark Development

Artwork marketing consultant:  HMC Architects

Artwork/footage: Moran Brown

Lighting Sculpture: Yellow Goat Design, 3Form

AV tools/electronics/software program:

Carpet/flooring: Shaw Contract, Mannington Business, American Olean

Ceiling/wall techniques: Emerzian Woodworking (wooden wall)

Material/textiles: Maharam, Pallas

Furnishings—seating/casegoods: Bernhardt

Handrails/wall guards: Acrovyn C/S

Surfaces—strong/different: Cambria, Corian, Icestone, Walker Zanger, Hello-Macs, Wilsonart, Types+Surfaces,

Wallcoverings: Koroseal, Wolf Gordon, Designtex, Carnegie, Arc-Com


Mission particulars are offered by the design crew and usually are not vetted by Healthcare Design.