Type of facility: Obstetrics building
Client: Brigham and Women's Hospital
Project architect: Tsoi/Kobus & Associates, Cambridge, Mass.
Construction manager: William A. Berry & Son,
Completed: August 1994
Size: 265,000 square feet
Total cost: $60 million
Cost per square foot: $226
Fitting this 12-level urban facility into a 17,000-square-foot site in the middle of a dense hospital campus was no small feat.
The masonry and exterior facade of the building complement the adjoining buildings and strengthen the urban character of the entire campus, according to the jury. This is an important detail, since the top eight floors extend beyond the site base toward adjoining buildings.
A crucial aspect of the plan was to provide space for the world's first interventional magnetic resonance imaging system, dedicated primarily to use in invasive surgery and other interventional procedures.
"This building was one of the best projects we saw in terms of its high level of consistency, detailing and restraint," Mr. Mackey said.
The project also includes space for labor/delivery/recovery services; triage, postpartum and newborn intensive-care suites; and large ambulatory spaces to accommodate women's health practices.
Accommodating large patient volumes in a well-organized circulation flow helps make this project successful, according to Ms. Langford.
Separation of staff and patient areas with a "work corridor" and well-equipped labor/delivery/recovery rooms emphasize the project's commitment to patient privacy and comfort. For example, family areas added to the neonatal intensive-care unit provide comfort to families in and out of the care environment. Separate spaces for clinicians, patients and visitors are intended to maximize staff efficiency.
Direct access to the children's hospital and patient tower ensures integration with surrounding services and provides a unified solution to a complex project, according to the jury.
Design detailing, millwork and other interior elements are consistent throughout the facility.
Soft lighting and signs on walls and ceilings diminish the facility's institutional image.
Because the Center for Women and Newborns must be accessed from "the pike," the hospital's quarter-mile-long primary circulation route, the main lobby enhances the pike's environment while giving the facility an image of its own.
"The jury agreed with the architect's statement that good design is the dominance of the whole over the parts," explained Mr. Allison. "With 9,000 births per year, this project transforms a high-tech birthing `factory' into what appears to be a comfortable family-centered facility."