Healthcare Case Studies
Geisinger Health System
Hospital for Advanced Medicine
Construction was recently completed on the new Hospital for Advanced Medicine (HfAM) at Geisinger Medical Center (GMC) in Danville, Pennsylvania. First conceived by Abigail Geisinger in 1915, GMC has evolved into a 485-bed tertiary and quaternary care teaching hospital and is part of the largest rural healthcare system in the United States.
The HfAM was designed as a “hospital within a hospital.” The 308,000 square foot addition houses nine stories of patient-focused space, including acuity adaptable beds that can convert from intensive care to recovery as the patient progresses. This treatment model brings the required level of care to patients while they remain in one room throughout their entire hospitalization.
The HfAM features a “public” concourse on the first floor. The second floor is home to a new 32,000-square-foot surgical suite equipped with a sophisticated boom and communications system. Levels 4 and 5 are home to Geisinger’s Heart & Vascular Institute, which allows a team of cardiologists, cardiothoracic surgeons, and vascular surgeons to provide leading- edge cardiovascular and vascular care. The seventh and eighth floors house two inpatient nursing units; 30 acuity-adaptable cardiovascular care beds on the seventh floor and 30 cardiac care telemetry beds on the eighth. These single-occupancy rooms contain state-of the art wireless monitoring and communication systems.
In the future, additional clinical space will be completed on the lobby level. Interventional cardiology will be relocated from the main hospital to the third floor in early 2012, while Geisinger has the flexibility to expand the surgical suite and add more beds or clinic space on level 6.
The building’s exterior is highlighted by a glass curtainwall and is designed to allow natural light and nature views into patient rooms, offices and corridors, creating an environmentally-friendly and healing atmosphere.
The hospital is LEED Silver certified as part of Geisinger’s continuing commitment to constructing environmentally-friendly facilities. The LEED Green Building Rating System is administered by the US Green Building Council and is aimed at improving occupant well-being and environmental performance.
The work at Geisinger presented many logistical challenges—
- More than $100 million of construction was to be completed in the middle of an active medical center campus, adjacent to several operating hospital buildings.
- The new building’s location was disruptive to site traffic. It terminated what was previously one of the site’s primary automobile thoroughfares; blocked the pedestrian walkway between the main parking lot and the hospital’s entrance; and eliminated the primary access road to the Emergency Department. Traffic management, communication and public safety were essential.
- The new building and the crane used during construction were taller than anything else on campus, including the Medical Center’s rooftop helipad. Again, communication and safety were critical to the project.
- Despite a seemingly expansive site, Geisinger was challenged by a shortage of parking for patients, visitors and staff. Torcon provided remote parking for construction trades and a transportation system to avoid taxing parking at the site and in the surrounding neighborhoods.
- Simultaneous to the HfAM construction, Torcon also built a new parking structure adjacent to the building. To minimize the loss of parking and to bring additional new spaces on line as quickly as possible, Torcon completed the new garage under a separate, fast-track design-build contract. The five-level, 600-space garage is linked to the HfAM by an enclosed pedestrian walkway.