Adaptability topped the jurors' priority list in judging healthcare settings for the ninth annual Design Awards Competition.
Sponsored by MODERN HEALTHCARE and the American Institute of Architects' Academy of Architecture for Health, the competition recognizes excellence in the design of new and remodeled healthcare facilities for built and unbuilt projects.
"Flexibility is the No. 1 issue," said David Allison, this year's jury chairman. Mr. Allison joined eight other jurors in selecting two awards and two citations for built projects, and two citations for unbuilt projects.
In the category for completed facilities, Boston-based Brigham and Women's Hospital won an award for its Center for Women and Newborns. The $60 million project consists of a 12-level facility with eight protruding floors, which allowed average floor areas of 20,000 square feet on a 17,000-square-foot site.
An award also was given to the Germaine Lawrence Residential Treatment Center, an adolescent residential treatment facility in Arlington, Mass. The $762,500 facility comprises 16 residential units, including bedrooms, living rooms and kitchens. It also houses classrooms, conference centers and a group meeting area.
Earning a citation in the completed facility category was Kaiser Permanente's Sherman Way Regional Reference Laboratory in North Hollywood, Calif. The $23.7 million high-tech research facility was designed to enhance employee comfort, according to the jury.
Also cited was Yuma (Ariz.) Regional Medical Center's Maternal and Child Health Center. Southwestern images combined with flexible design strategies to form an aesthetic $11.1 million facility for obstetrics/gynecology and pediatric services, the judges said.
In the category for uncompleted projects, citations were awarded to Central Arkansas Radiation Therapy Institute in Little Rock, and to Saint Francis Hospital and Medical Center in Hartford, Conn., for its partial replacement patient-care tower.
This year, the jury granted fewer awards and citations than in previous years.
In 1993, for example, the jury handed out eight awards and two commendations.
"Defining excellent, efficient facilities is like trying to freeze a moving target," explained juror Eugene Mackey.
The winners possessed the design ability to expand or renovate and to adapt to organizational or structural changes in the future, according to the jury.
Because of changes in the administrative structure and the physical setup of healthcare organizations, judges agreed that architects must constantly update design strategies. Projects are taking much longer to design and build because of tight capital budgets and changes in delivery systems, they said.
Healthcare architects on the jury said it's rare to work with the same administrator or chief executive officer throughout the life of a project-which typically runs three to 10 years.
"If you're going to do something bold, you'll need consistent leadership," said jury member Janet Porter.
The judging panel, which included hospital administrators, and design and healthcare architects, met in Chicago Aug. 18 and 19 to review submissions for 158 built projects and 71 unbuilt projects.
The criteria for excellence were:
effective use of site
attention to social concerns
accessibility to the handicapped
flexibility of design.
"The jury sought to identify quality work that represents a unified design vision-projects that demonstrate a holistic integration of the art and science of architecture, as measured by the judging criteria," said Mr. Allison.
The nine judges were:
Mr. Allison, associate professor and director of graduate studies in architecture for health at Clemson (S.C.) University.
Mr. Mackey, president of Mackey Mitchell Associates, St. Louis.
Ms. Porter, chief operating officer at 312-bed Children's Hospital, Columbus, Ohio.
Georgeann Burns, 1994 president of the AIA's Academy of Architecture for Health and principal at the Austin Group, White Plains, N.Y.
Barbara Geddis, managing partner at The Geddis Partnership, Stamford, Conn.
Timothy Keener, assistant to the president and director of the hospital replacement program at 480-acre Genesys Health System, Flint, Mich.
Ricky Langford, managing director of the $580 million redevelopment project at Northwestern Memorial Hospital, Chicago.
David Moon, principal of Moon Mayoras Architects, San Diego.
Amy Weinstein, principal at Weinstein Associate Architects, Washington.