flexiblefullpage -
billboard - default
interstitial1 - interstitial
Currently Reading

As cities scramble for hospital beds to treat COVID-19 patients, Leo A Daly offers a hotel-to-hospital solution

billboard - default
interstitial1 - interstitial
Coronavirus

As cities scramble for hospital beds to treat COVID-19 patients, Leo A Daly offers a hotel-to-hospital solution

The firm has devised three conversion models, for different levels of healthcare required.


By John Caulfield, Senior Editor | March 31, 2020
As cities scramble for hospital beds to treat COVID-19 patients, Leo A Daly offers a hotel-to-hospital solution

This cutaway rendering shows some of the changes that would need to be made to convert a hotel room to a hospital room capable of handling patients infected with the coronavirus. Images courtesy of LEO A Daly

   

Several states and municipalities are aggressively investigating the conversion of hotels into makeshift hospitals in order to free up much-needed beds in hospitals for patients who have contracted COVID-19.

Leo A Daly is currently negotiating with several hoteliers about converting large portfolios of hotels into healthcare facilities that follow the firm’s Hotel2Hospital prototype, which would conform with design guidelines released last week to state governments by the U.S. Army Corps of Engineers, which relax some of the hospital safety standards.

The Nebraska-based firm is working with several national design-build contractors to get such conversions started.

“Hospitals and hotels have several common characteristics that make this a promising solution,” says Joshua Theodore, ACHE, EDAC, vice president and global health practice leader for Leo A Daly. “Both are comprised of private, individual rooms with a dedicated toilet and HVAC systems. Air handling is critical to patient and staff safety in infectious disease environments, so hotel rooms have an instant advantage over other typologies in terms of viability.”

Leo A Daly did not disclose the healthcare systems or contractors it is speaking or working with about its conversion proposals.

 

Three modes for hotel-to-hospital conversions for COVID-19

The average hotel could accommodate up to 80 patients, Leo A Daly estimates. And many are located near existing hospitals.

Hotels also have food service, cleaning service, waste removal and laundry service, all of which are critical to any inpatient healthcare facility, says Theodore. He notes, too, that hotels are currently experiencing high vacancy rates that are likely to persist until the coronavirus dissipates.

Hotel2Hospital offers three adaptive reuse models. Each will require different levels of biocontainment and intervention to the physical building.

Reuse Model 1 would be to quarantine suspected or asymptomatic COVID-19 patients. Reuse Model 2 would be for symptomatic isolation of patients with underlying risk factors who are already sick but aren’t likely to require full ICU inpatient treatment. (Ventilators and telemetry would likely be used for this facility type). Reuse Model 3 would be for non-infected patients who currently are being hospitalized and could potentially receive treatment in alternative care environments so as to free up hospital beds for more acute COVID-19 patients.

For Reuse Model 1, the hotel furniture could be used, but the bed would require medical linens. A nurse station would be created in a room opposite the elevator core, and the floor would also have an eye/hand washing station. In this model, the reception and office areas in the lobby would be repurposed for patient check-in. Any retail area would be converted to a pharmacy. And offices could be converted to lab space. The converted room would also need to be modified with a larger exhaust fan system to its existing toilet exhaust duct system to create negative pressure.

 

The Reuse Model 2 would, among other changes, convert the hotel's reception area into a patient check-in, and make retail and office spaces into pharmacies and labs. The carpeting in the rooms and corridors would be removed.

A conversion of a hotel to Reuse Model 2 would undertake the measures spelled out for Reuse Model 1, and then some. Carpeting, polishes, and concrete floor sealing would be removed from the rooms and corridors. Hospital-grade vinyl would replace fabric on furniture. Curtains would be replaced with motorized shade systems. Mobile headwall units and portable med gas bottles would be installed, as would electronic wireless patient surveillance and monitoring devices. The converted hotel would also need to create storage areas for portable medical equipment. (Medical gases would have to be portable.)

Reuse Model 3 would require all of the modifications described in Reuse Models 1 and 2. Leo A Daly suggests that exhaust modifications may not be necessary in all rooms. But infrastructure changes would include providing an exterior emergency generator system and transfer switch equipment for connection to the building’s power infrastructure. The IT infrastructure would be upgraded. Treatment and procedure spaces would be identified and equipped with recirculating HEPA filtration units to increase the room’s air changes per hour.

Theodore acknowledges that the Hotel2Hospital prototype conversions would need to address challenges that include staffing, HVAC, building codes, medical equipment management, the building’s power infrastructure, and meeting cleaning/support standards.

He says that Leo A Daly’s design teams have been meeting with hospitals, federal officials, developers and hotel owners to work through these complexities

Related Stories

Coronavirus | Jul 20, 2021

5 leadership lessons for a post-pandemic world from Shawmut CEO Les Hiscoe

Les Hiscoe, PE, CEO of Shawmut, a $1.5 billion construction management company headquartered in Boston, offers a 5-point plan for dealing with the Covid pandemic.

Resiliency | Jul 15, 2021

A new report urges federal investment in healthier buildings

The National Institute of Building Sciences also calls for code changes and greater cooperation between building owners and the AEC community.

Multifamily Housing | Jul 7, 2021

Make sure to get your multifamily amenities mix right

​One of the hardest decisions multifamily developers and their design teams have to make is what mix of amenities they’re going to put into each project. A lot of squiggly factors go into that decision: the type of community, the geographic market, local recreation preferences, climate/weather conditions, physical parameters, and of course the budget. The permutations are mind-boggling.

Multifamily Housing | Jun 30, 2021

A post-pandemic ‘new normal’ for apartment buildings

Grimm + Parker’s vision foresees buildings with rentable offices and refrigerated package storage.

Multifamily Housing | Jun 23, 2021

COVID-19’s impact on multifamily amenities

Multifamily project teams had to scramble to accommodate the overwhelming demand for work-from-home spaces for adults and study spaces for children. 

K-12 Schools | Jun 20, 2021

Los Angeles County issues design guidelines for extending PreK-12 learning to the outdoors

The report covers everything from funding and site prep recommendations to whether large rocks can be used as seating.

Coronavirus | May 17, 2021

Future pandemic preparedness at the medical district scale

The current COVID-19 pandemic highlights the concern that we will see more emergency events in the coming years.

University Buildings | Apr 29, 2021

The Weekly Show, April 29, 2021: COVID-19's impact on campus planning, and bird management strategies

This week on The Weekly show, BD+C Senior Editor John Caulfield interviews a duo of industry experts on 1) how campus planning has changed during the pandemic and 2) managing bird infestations on construction sites and completed buildings.

Multifamily Housing | Apr 22, 2021

The Weekly Show, Apr 22, 2021: COVID-19's impact on multifamily amenities

This week on The Weekly show, BD+C's Robert Cassidy speaks with three multifamily design experts about the impact of COVID-19 on apartment and condo amenities, based on the 2021 Multifamily Amenities Survey.

Industry Research | Apr 9, 2021

BD+C exclusive research: What building owners want from AEC firms

BD+C’s first-ever owners’ survey finds them focused on improving buildings’ performance for higher investment returns.

boombox2 -
native1 -

More In Category



Multifamily Housing

Make sure to get your multifamily amenities mix right

​One of the hardest decisions multifamily developers and their design teams have to make is what mix of amenities they’re going to put into each project. A lot of squiggly factors go into that decision: the type of community, the geographic market, local recreation preferences, climate/weather conditions, physical parameters, and of course the budget. The permutations are mind-boggling.


halfpage1 -

Most Popular Content

  1. 2021 Giants 400 Report
  2. Top 150 Architecture Firms for 2019
  3. 13 projects that represent the future of affordable housing
  4. Sagrada Familia completion date pushed back due to coronavirus
  5. Top 160 Architecture Firms 2021

 


Magazine Subscription
Subscribe

Get our Newsletters

Each day, our editors assemble the latest breaking industry news, hottest trends, and most relevant research, delivered to your inbox.

Subscribe

Follow BD+C: