Cleveland Clinic Avon Bed Tow
Cost $143,000,000
Size 250,000 SF
This $143 MILLION PROJECT delivered a new 7-story, 250,000 SF inpatient bed tower to expand the Cleveland Clinic Richard E. Jacobs Health Center, a family health and ambulatory surgical center located at Avon Hospital. The building includes patient support services, general support services, and diagnostic, and interventional programs.
The scope added 126 inpatient beds, 14 medical/surgical patient rooms, 12 intensive care beds, two new operating rooms, a pharmacy, a processing lab, dietary services, and an expansion of the emergency and imaging departments. The project included 3,000 SF of laboratory space for urinalysis, coagulation, hematology, and chemistry analysis, as well as a blood bank.
This project was delivered using DESIGN-ASSIST, as well as the Cleveland Clinic “Owner Controlled Team Project Delivery,” which is their approach to IPD.
INNOVATION
Cleveland Clinic has a well-defined set of building standards. While our team needed to comply with these standards, the Clinic acknowledged building costs were often too high and energy performance could be improved. HEAPY worked with the Clinic in challenging and changing parts of the standards, resulting in an addition that met the budget and reduced energy costs. Avon Hospital is now the HIGHEST PERFORMING AND MOST ENERGY EFFICIENT hospital per square foot in Cleveland Clinic’s entire real estate portfolio.
PREFABRICATION
HEAPY helped drive prefabrication planning early in the design. The regional contractors had limited experience with prefabrication, so HEAPY helped educate the construction team and code officials on opportunities and benefits to maximize cost savings. By prefabricating the corridor racks, we were able to REDUCE FIELD INSTALLATION TIME by nine weeks per floor.
LIGHTING INNOVATION
The lighting consists of energy-efficient LED lights and daylight views to improve the patient experience. The entrance to each patient room is softly illuminated, using indirect lights with limited view of the source. The patient room lighting consists of small aperture, dimmable task lighting for the staff so as to limit disruption of the patient. The indirect LED light source is built into the custom headwall, providing soft illumination of the space to improve patient and family satisfaction. The patient rooms also include a multi-function light with exam features and options for the patient.
The corridors include linear light fixtures, public spaces feature linear light fixtures and downlights. Daylight harvesting is included in the lobby and “dayrooms” on the patient floor, to save energy when the sun naturally lights the space.
ENERGY EFFICIENCY & SUSTAINABILITY
The project was located on an environmentally sensitive site containing wetlands, so HEAPY integrated permeable pavers into the design to reduce stormwater runoff. The parking expansion now represents one of the most extensive use of permeable pavers in the United States.
This facility incorporates energy efficiency into every aspect of its design. The high-efficiency heating system utilizes condensing boilers which achieve up to 95% efficiency. The facility also employs a heat recovery chiller system designed to provide pre-heat for domestic hot water and supplemental heat to the heating hot water system. Furthermore, the air-handling systems serving the Operating Rooms utilize an unoccupied setback allowing the facility to achieve additional energy savings. The chiller system utilizes a variable primary pumping system, saving significant pump energy savings. The heating system consists of condensing boilers that achieve up to 95% efficiency—much higher efficiency than standard 80% efficient boilers. The air handling units serving the operating rooms utilize a desiccant heat wheel to provide cool, dry air, eliminating the operating cost of a supplemental chiller. The operating rooms utilize night setback to reduce airflow while unoccupied, saving fan and reheat energy.
The design team worked with the MEP and drywall contractors during the design phase to develop plans and strategies to reduce construction costs and improve the construction schedule with prefabrication. The contractors will build toilet pods and corridor racks using the 3D BIM software used in developing the drawings. HEAPY also worked with Cleveland Clinic’s vendor to pre-purchase major equipment. The pre-purchase was a significant cost savings and improved coordination for the Cleveland Clinic.
