Thoughtful design elements enhance learning in Veterinary Spectrum of Care Clinic

Wellogy Principal and Architect Rebecca Fox, AIA, LEED® AP, led the team to complete the Frank Stanton Veterinary Spectrum of Care Clinic at The Ohio State University College of Veterinary Medicine, a project celebrating its first anniversary. Becky shares some insights on this unique hands-on learning facility and the thoughtful design elements that encourage and enhance learning and wellness.

What was the basis of the design for this facility? 

Student learning is the focus of the entire facility. Frank Stanton, the primary donor for the facility, realized that a broader approach is necessary to make a difference in veterinary care. He believed in teaching the future veterinarians how to do/treat more, address the entire spectrum of care, and serve clients from all socioeconomic backgrounds. The program also includes an area for community outreach. We incorporated a garage for their outreach vehicle and secure storage for when companies donate goods, whether dog food, veterinary medicine, or other supplies.

Becky Fox, AIA, LEED® AP, Project Manager for the Frank Stanton Veterinary Spectrum of Care Clinic. Photo by Brad Feinknopf.

What were some of the challenges with designing this facility?

Wellogy was the facilitator of bringing a cohesive design with the many vital professionals involved. One of the things we do best is to bring together the best possible team for every project. We worked with BDA (Building Design for Animals) to focus on particular veterinary needs and collaborated with Bostwick Design Partnership on the exterior design. Additionally, there were civil, structural, MEP engineers, landscape architects, university stakeholders, sustainability stakeholders, FFE procurement, and CMR, among crucial players on the team. With a large project team and a global pandemic with changing market and workforce conditions, we had to lead with focus and endurance to the end goal of opening on budget and on time. 

The unique way OSU approached the design of this project was to have the veterinarian (or they saw them as a coach) take a step back and allow the student to experience the responsibility and accountability of assessing the patient and their needs and coming up with a care plan in a safe zone. The coach or veterinarian would observe from an adjacent room out of sight, which is different from having the coach assist or stand beside the student.  

Canine exam room. Photo by Brad Feinknopf.
Coach or veterinarian observing from an adjacent room out of sight. Photo by Brad Feinknopf.

One of the biggest challenges in the design of the facility was acoustics. We needed to make sure that when the student was in the exam room with the client and patient, the veterinarian/professor in the observation room could see and hear the activity (cameras and microphones). Observation is also just as important when the student comes back into the staff/vet tech space or the observation room. Clinical staff noises must not transmit back to the animal owners to maintain privacy for sensitive matters. 

What are some of the unique design concepts?

The facility includes unique exam rooms – (2) feline exam rooms on a separate HVAC system because cats can tell when dogs are around – those pheromones get around! We made feline-specific exam rooms and a dedicated waiting room for them too. There is a driving force in veterinary practice to keep animals calm during visits. It’s difficult for a vet to examine an animal if they are nervous or anxious. 

There are also exam rooms specific for behavioral animals. Not all dogs are friendly to other canines, may be traumatized, or they could have an issue being around other animals, so there is a special side entrance created for any behavioral animal. Not only does this help keep the animal calm during a visit, but it also is easier on the dog owner. There is also an isolation exam room with a dedicated entry. If you have a contagious animal (for example, a puppy that has parvo), they can come through a separate entrance. That entrance leads to an isolation exam room with a special procedure room, isolation holding (with a dedicated janitor’s closet), and a unique isolation yard outside. There are also special HVAC considerations in the isolation area to maintain negative airflow. Views can be had from the treatment room into this isolation bay so that vets can keep an eye on them if they need to, and there are accommodations for both felines and canines in this area.

Feline exam room. Photo by Brad Feinknopf.

Views were a significant consideration in the design of the facility. Students have their Learning Conference Room immediately adjacent to the Treatment Room. If a veterinarian needs any additional assistance or wants to show them something unique as a learning opportunity, they are close and can see who is available. Likewise, it allows the student to do any research or study when there is downtime between patients. From the Treatment Room, which is the hub of the facility, students and staff can see into the Isolation Ward, the Feline Ward, the Student LCR, the Dental Suite, the Recovery Room, and Induction. Dr. Fingland, Executive Associate Dean and Professor Executive Director, and Chief Medical officer for the Ohio State University College of Veterinary Medicinecame up with the surgery window view for students. The window into the surgery suite is just off one of the secure access-only entrances for staff, students, and faculty. It looks into the surgery suite without being close-up- what better way to be excited about what they are learning!                     

Viewing window into the surgery suite.
Surgery suite with student observation window, top left. Photo by Brad Feinknopf.

Wellogy teamed with Bostwick Design Partnership to develop the active learning classrooms. This extensive classroom is an innovative way of teaching that embraces an interactive learning approach, which is different from sitting in front of a lectern and lecturing to students in chairs. By dividing the groups into individual sections (groupings of 8), each has a monitor and whiteboard, groups can be interactive, and teachers can move between groups.  

Interactive learning classroom. Photo by Brad Feinknopf.

The design and construction were a team collaboration to realize OSU’s (and Frank Stanton Foundation’s) vision. BDA (Building Design for Animals) played a vital role in our team’s success with their knowledge of over 1,000 completed projects in animal care. 

Building Facts:

•Total SF: 34,000

•Year Designed: 2019-2020

•Year Completed: 2021

• Cost: $17 M

Team-Role:

Wellogy- Architect of Record

Bostwick Design Partnership- Design Architect

BDA- Small Animal Design Consultant

Korda- Survey and Civil Engineering

Jezerinac Geers- Structural Engineering

Osborn Engineering- MEP & Technology/ Security Engineering

Edge Group- Landscape Architecture

How do you bring new life to a mall?

Wellogy partnered with the Adena Corporation to bring new life to the former Lazarus department store in the Richland Mall. The major renovation from retail to healthcare provides a new maternity unit for the growing Avita Ontario Health System in the Mansfield, Ohio area.

Why We’re Turning our Offices into Blue Zones

by Jennifer M. Bobbitt

What are the Blue Zones? The term “Blue Zone” comes from Dan Buettner, author and National Geographic Fellow, who researches areas of the world where people live long healthy lives. His curiosity with those living into their 100’s led to the discovery of common themes in areas with high numbers of centenarians. Buettner and his team identified places in the world where there are high concentrations of those living over 100 and labeled them “Blue Zones.” What is it about those areas that encourage longevity, and why are we trying to recreate it in our Wellogy (formerly Davis Wince) offices?

“The Power 9” The research uncovered that the “secrets” to longevity aren’t secrets at all but simple, easy to obtain, and maintain lifestyle choices that, when put into action, can benefit people for a lifetime. Buettner brands the everyday lifestyle choices common among the Blue Zone regions as the “The Power 9”.

Wellogy thought it would be interesting to incorporate “The Power 9” into our office culture. Throughout the evolution of our firm, we’ve been exploring how to make a lasting impact and ignite change in health and wellness by rethinking the way we design communities, buildings, and homes. Our journey started when our design experience collided with our passion, and we discovered our purpose- To Create Places of Well Bing to Enrich People’s Lives. We accomplish this by incorporating intentionally designed elements that help communities thrive and proposer- a concept we call Healthy Urbanism™. To thoroughly explore our purpose, we decided to make healthy changes and support opportunities to learn more in the place where we spend our days- at work.

Following the Power 9 areas for improvement, we asked everyone to participate by taking a topic to research and present on at our weekly staff meeting. The presentations have been very informative, interactive, and all very unique.

Stretch time and standing desks in action in our Denver, CO office. Below: Wellogy President and Founding Principal, Buck Wince provides examples of office stretching.

Additionally, we asked a sample group from each office to take the Blue Zone True Vitality Test. According to the Blue Zone website, “calculates your life expectancy and how long you’ll stay healthy.” We also took the Blue Zone True Happiness Test “to improve your environment and maximize happiness.” The tests are based on leading scientific research and make recommendations to improve your well-being. We plan to retake the test at the end of our nine-week challenge to determine if we’ve improved our scores.  More important than the actual score, though, is the impact the changes are having on our day to day wellness. We’ve also explored the “The Blue Zone Kitchen: 100 Recipes to Live to 100” cookbook and shared recipes while encouraging healthy eating at our office Blue Zone breakfast.

Our monthly potluck/ cookouts focus on fresh and healthy foods.

From walking meetings, standing desks, stretching breaks, healthy snack options, and increased awareness of the benefits of plant-based diets, we have all learned something that we have taken home and incorporated into our daily lives. While we may not all live to be 100, working together to make changes to be better and create a healthier way of life for the next generation, benefits us all in hundreds of ways.

Can Architecture Affect Your Health?

by Jennifer M. Bobbitt

Can architecture affect your health? We passionately believe that it can. That’s why we’re working with partners engaged in designing a better way to live. From healthcare, senior housing, higher education, and our other market segments, the goals for each partnership are the same- to enhance and improve the quality of life by creating a new standard in the way we live and interact with the built environment.

We’re on a mission to incorporate elements of Healthy Urbanism™ into every project we deliver. What is Healthy Urbanism™? It’s the integration of intentionally designed elements that helps communities thrive and prosper. No matter what the size of the project, an impact occurs when the built environment is purposely designed for wellness, creating a ripple effect that places a priority on health. The result is a wellness-centered community with the potential for improved physical health, accessibility to medical care, healthy food, activity, and social interaction.

Our projects can be as broad as a surgery center in a new community to ensure better outcomes for its residents, and designing student dining halls with a focus on healthier choices, and as specific as designing buildings with sustainable materials that incorporate walking and bike paths to promote physical activity. At the heart of Healthy Urbanism™ is the drive to reimagine health by creating communities of wellness. We hope you’ll join us on the journey as we create places of well being to enrich people’s lives.

Inside the Design of a New Child Care Center

Wellogy (formerly Davis Wince, Ltd.) registered architect and principal, Matt Canterna, AIA is the architect and project manager for the New 18th Street Child Care Center at Nationwide Children’s Hospital (NCH). The first phase of the design recently wrapped up construction and the facility is open to provide care for the children of NCH employees. To follow, Canterna provides insight and an “inside the design” overview of the many unique elements incorporated into this fun, fresh, and engaging facility for the pickiest of end-users.

EXTERIOR

The exterior design speaks to the brand and aesthetic of the growing NCH campus. The goal of the new facility is to be unique yet still convey the same sense of promise that every child and family feels when entering a NCH facility. A challenge was matching our two-story building to the look and feel of the campus composed predominantly of high-rise buildings. The solution was to use two colors of cast stone to complement the look of the rest of the campus composed mostly of precast panels.

PHASED

The new Child Care Center was designed in two phases to allow for continued operation and the expansion of the building to provide care for more infants and toddlers. Phase 1 matched the current program size of the existing building and is designed and built in the parking lot of the existing facility. The program is operating in the new building and the previous center was recently demolished. Phase 2 builds the second half of the new building, which will double the number of children (and families) that they can serve. Phase 2 will be built in the footprint of the demolished existing building, and will also include a larger preschool playground as well as a staff parking lot.

Every square inch of the site is utilized. The new Child Care Center is located on a narrow, long urban site bounded by an artery street, city alley, and a major thoroughfare to the south. The existing child care center (building, playgrounds, and parent drop off) remained fully operational during the construction of the new facility.

KEY FEATURES

The entire facility was designed to promote transparency and ensure total “sight and sound” of the children. You can see straight through the building in the center; the lobby, art room, extended learning areas- all open to the corridor and each other with full height glass along the corridor that promotes an expansive imagination and interest in other students, classes and activities.

Key features of the design include a large, central lobby with branded wall coverings, abundant natural light, double height ceilings, and a monumental open stair all serve as a great transparent ‘welcome’ to the building.

Also, unique to the design of the lobby is a book nook. This space provides teachers and students with an escape on a wet or blustery day when the playground is closed and promotes impromptu learning while students are waiting for pickup or checking in at drop off.

WHAT’S NEW

New to this facility is a full commercial kitchen and reading room. The kitchen allows for a chef to join the staff and prepare fresh and nutritious meals distinctively designed for the kids, instead of having food shipped over from the hospital’s main kitchen. This enhances the culinary offerings and reduces operating costs. Coming in Phase 2 is a reading room with computers to allow the center to provide break out lessons and activities for preschool and kindergarten students who are reading at an advanced level.

INFANT & TODDLER ROOMS

All infant and toddler rooms are on the first floor, with large open windows and doors to their age-appropriate playgrounds. A few key design elements to ensure continual sight and sound monitoring include an infant changing station positioned so that teachers will never have their back to the room or other students. Infant classrooms are paired, sharing a kitchen. The kitchens are centered and open to one another with a semi-circle design to promote a line of sight into the play area for teachers preparing bottles and food in the kitchens. The pairing of infant rooms also allows for staff flexibility, with aides able to float from room to room to support the needs of either classroom when appropriate.

Toddler rooms kitchens are also paired, but a sliding barn door that can close if one class is engaged in a quiet activity or nap time. The center of the classroom is open and spacious, for the flexibility of learning activities. The teacher desk is along the wall, with computer hookup to a large wall monitor so that teachers can pull up pictures and video to support their lesson plans. Large windows and door connect to their playground. The window sills are intentionally low so that the toddlers can look out. A sink – at child height, of course – is located just inside the playground door so that students can wash their hands coming in from play. Preschool and Kindergarten Rooms are located on the second floor in a similar layout and with the same primary design goals as the toddler rooms.

The new Child Care Center promotes wellbeing and development through unique design details. A quarter circle stair step was designed into a corner in each room, with three 4” steps to allow older infants to learn how to crawl up and down stairs. The stairs are covered in a fun, fuzzy carpet that is waterproof, stain resistant, and easily cleaned. The infant rooms also have a half-wall ‘vestibule’ for parents to check in, complete with a bench for parents to put the booties on their shoes to walk into the classroom if needed, and a built-in car-seat storage cabinet so if one parent drops off and another picks up, the car seat can stay with the child.

SECURITY & SAFETY

Security and safety were the primary design considerations. The facility has many security cameras throughout the interior and exterior. Parents are provided access cards to swipe in at the main door, and a video intercom is provided for guests and visitors. Exit stair doors and the elevator doors are also access controlled, to prevent the little ones from getting stuck/trapped/hide in the elevator or stairs. Additionally, playground gates all have alarmed panic hardware, to alert staff if a passerby is trying to enter the playground.

SITE

The design team worked with the narrow site to create an undulating topography that promotes exploration, changes in materials, and creates ‘destinations’ throughout the play space. The theme is ‘natural playscape’ – to reinforce the branding of the hospital but also provide a unique play experience that promotes learning through exploration rather than just dropping play structures on a flat site.

The design team wrapped the building with playgrounds so that they are accessible from every first-floor classroom and the south end of the building. This provides both security and a natural (and vibrant) extension of the classrooms with large windows connecting the spaces.

BUILDING SCIENCE/ ENERGY EFFICIENCY

Built with all ‘outsulation’ – all insulation was continuous rigid insulation installed outside of the building sheathing to improve thermal performance. No thermal breaks with old school fiberglass batt insulation!

We applied a special UV resistant coating on the CMU wall that separates Phase 1 and Phase 2; this allowed us to protect the finished interior of phase 1 while saving cost vs. installing then removing a temporary cladding system on that wall. Most coatings are not resistant move than 60 days to the UV rays of the sun; we applied a coating that is resistant 180 days in order to provide the construction team time to erect and enclose the Phase 2 building before that coating starts to break down.

The lighting control system includes ‘vacancy sensors’ in each room. The difference between an occupancy sensor and a vacancy sensor is that a vacancy sensor requires a user to manually turn ‘ON’ a light, where the occupancy sensor automatically turns it on upon sensing you enter. This saves energy when the outside natural light is enough to satisfy the needs of the user when they enter a room, instead of the occ sensory assuming you always need more light. Both systems turn the lights off after a programmed amount of time after it senses you’ve exited a room.

The lobby lights also monitor the amount of daylight coming in through the curtain wall and dim or turn them off when they’re not needed.

Buck Wince presents on Healthy Urbanism™ at BOMA 2019 Medical Office Buildings & Healthcare Real Estate Conference

Philip “Buck” Wince, Jr., AIA, LEED® AP is a featured panelist at the 2019 BOMA Medical Office Buildings & Healthcare Real Estate Conference, May 1-3 in Minneapolis, MN. The session titled, “Healthy Urbanism™: The Next Chapter in Healthcare Design” outlines the opportunities in planning and architecture to “create places of well being to enrich people’s lives,” according to Wince.

The annual BOMA conference hosts over 1,300 senior executives and professionals from hospital and health systems, developers, investors and lenders, property and facility managers, architects and design professionals, brokers and leasing agents, physician owners of real estate and health law and real estate attorneys.

Wince is the Founding Principal and President of Wellogy (formerly Davis Wince, Ltd.) an architecture and planning firm with offices in Ohio, Colorado and Florida. Wellogy trademarked the term Healthy Urbanism™ as it is the core driver and passion behind all of their projects. Healthy Urbanism™ is the integration of intentionally designed elements that enable communities to thrive and prosper. The result is improved physical health, accessibility to health care, healthy food, activity, and social interaction. Wellogy incorporates the core elements of Healthy Urbanism™ into every project they design. This can be as broad as developing a planned community with a hospital led medically integrated facility at the core, and as specific as designing buildings with healthy, sustainable materials that incorporate walking and bike paths. According to Wince, “no matter what the size of the project, the impact can be felt when the built environment is intentionally designed for wellness, creating a ripple effect that places a priority on health”.

Wellogy (formerly Davis Wince, Ltd.) is currently working with Ohlson Lavoie Collaborative (OLC) on The Lake Nona Center for Well Being, located in the heart of Lake Nona’s Medical City in Orlando, FL. The Center for Well Being is the seamless integration of a 130,000 sf, 3-story Wellness Center, a 120,000 sf, 5-story Medical Office Building, and 38,700 sf of Class A retail space. This unique, unprecedented architectural statement will serve as the wellness headquarters for a ground-up, master-planned development of housing, retail, corporate headquarters, entertainment, dining, education, hospitality and healthcare destined to be known as the healthiest community in America.

Destination Health & Wellness

HR_0082by Jennifer M. Bobbitt

A place for medically integrated fitness…
The much-anticipated MC Fitness & Health opened in January 2016. A welcome addition to Delaware County, Ohio, it houses the second emergency room in the county, a fully equipped and staffed medically integrated fitness facility, physicians offices, physical and occupational therapy, sports medicine, women’s health, imaging, laboratory, exercise studios, pools, spa, café and community meeting spaces.

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Before the opening of MC Fitness & Health, I had the opportunity to spend a day in the facility directing a photoshoot. As a member of the two firm design teams that produced the project- OLC Architecture, Interiors and Aquatics and Wellogy (formerly Davis Wince, Ltd. Architecture), I finally experienced the result of months of work and planning in our office. The facility was empty of patrons, but not without life. The energy was starting to build as the array of fitness equipment was in place; the pool was filled with calm, clear water, and the staff offices, once empty, now had post-it notes with reminders in place. When we returned three weeks later for a follow-up photoshoot, the grand opening for the fitness facility had just occurred, and the Emergency Department was preparing to open the following day.

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The walls were energized with vibrant graphics, the cafe’ was open, one of the local high schools occupied the 25-meter pool making waves during their daily swim team practice, and the facility was engaging the community in activity previously void on this corner of Delaware County. We witnessed women socializing over tandem treadmill walking, a bariatric patient taking the stairs to the fitness area, a recent heart surgery patient receiving exercise equipment instruction and assistance from a trainer, medical staff enjoying a healthy lunch in the Dash Café, a young woman with a knee injury strength training in the weight area, a man jumping rope in the cardio studio, a couple walking the upper level track, patients in the physical medicine area waiting to see their doctors, training in the laboratory, a senior fitness class in the smaller pool, and preparations for a meeting in both sides of the community conference rooms. It was alive with people on a wellness journey to make their lives better, to make their bodies stronger, to heal. Over 8 hours, we ran into several of the same people utilizing different parts of the facility from the workout area to the café and waiting areas. The years of planning had evolved into photo-ready moments, capturing the vision of the team.

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MC Fitness & Health is nestled in one of Ohio’s fastest-growing counties. Delaware County has seen a 58% growth rate since 2000, according to the Delaware County Community Health Improvement Plan. The updated estimate from the U.S. Census Bureau reports that Delaware County has approximately 189,113 residents.

A case for medically integrated fitness…                                                                                                   

I am one of 189,113. Our family of 5 moved to Delaware County in 2000. Part of the big suburban sprawl in the early 2000’s, we built our home in a new neighborhood full of families with young kids. The community that in 2000 had one public outdoor pool and no indoor pools has seen incredible growth in population and facilities to accommodate the active residents. Over the past three years, I have come to realize the great value of easy access to medical care, the benefits of medically integrated fitness, and the convenience that an all-inclusive facility like MC Fitness & Health can provide to a family or individual with a complex medical condition.

Medical conditions can arise at any given time in our lives and in varying degrees of severity. Having access to outstanding care and convenient follow through for a recovery plan is key in times of medical upheaval. Our family logged thousand of miles traveling for medical needs and we found ourselves assembling and piecing together a plan of recovery to save our 13-year-old son. Three years ago, he suffered a major hemorrhagic stroke as the result of a brain aneurysm caused by a congenital birth defect known as an AVM. The condition was undiagnosed with no sign of distress until the morning it ruptured, a surprise to all of us.

From the onset and through the course of ongoing recovery, we have interacted with medical services requiring five brain surgeries, a two-month stay in the hospital, weekly lab work, speech, physical and occupational therapy, AFO and bracing, Botox injections, weekly visits for serial casting, to name a few. One complicating factor in the recovery plan was the piecing together of multiple services at multiple locations, some days spending more time traveling than the actual appointments. The care was outstanding, the traveling and coordinating- draining. To make life more interesting, our older son had knee surgery due to a bone fragment and was on crutches for six weeks and in physical therapy for three months. Then, to keep things entertaining and because we were getting used to our new life of medical issues, it happened again a year later. Another knee surgery for another bone fragment, crutches, therapy… then a fractured wrist. My older son’s medical appointments were at one location, therapy 15 miles away at another location. All the while, driving our younger son to the hospital (an hour round trip) from home for weekly blood work and to therapy requiring another hour-long round trip drive each visit, three times a week. We bought an exercise bike to have at home, bought lots of therapy aides, and joined a gym at the advice of both boys’ therapists. When you are dealing with medical conditions, life must go on. People must eat, sleep, work, play sports, and tend to everyday demands.

While the story is unique to my family, many face similar challenges when adjusting to life with a medical condition for themselves or a family member. Organizing, coordinating, and participating in healing efforts can be complicated by proximity to services and ease of use. Healthcare needs are best met when they offer convenience and affordability. Facilities like MC Fitness & Health not only offer great convenience in times of medical disruption, but they provide an opportunity to be a proactive player in your health and future wellness. The blending of expert clinical advice and dynamic fitness instruction in a single location is critical in the overall cycle of care.

Inclusive facilities offer health benefits for the support team as well as the patient. Aside from the obvious convenience of scheduling and proximity of appointments, as a caregiver, I would gladly welcome the opportunity to walk off some stress on a treadmill or enjoy a healthy dinner in the café while my son is in therapy. To improve the best possible health outcomes, health systems need to recognize the proactive benefits of uniting clinical care with medically integrated fitness and dedicate resources to develop inclusive and convenient facilities focused on restoring health and preventing future health issues. When this is accomplished and utilized to its fullest, the patients’ cycle of care will improve, as will the entire healthcare system.

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MC Fitness & Health, Mount Carmel Health Systems is located at 7100 Graphics Way in Lewis Center, just north of Columbus, Ohio. Lewis Center is in Delaware County and is approximately 25 minutes directly north of Franklin County, where the State’s Capital and The Ohio State University reside.

Developer: NexCore Group
Architect of Record: OLC Architecture, Interiors and Aquatics
Medical Architect: Wellogy (formerly Davis Wince, Ltd.)
Power Wellness: Fitness Center Management
Construction: Elford

Photography: Pease Photography
Copyright, Scott Pease/Pease Photography

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