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A rapid response to a health emergency

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Building Team Awards

A rapid response to a health emergency

Baptist Hospital of Miami’s 233-bed Hope Tower receives BD+C’s Bronze Building Team Award


December 7, 2021
Baptist Hospital's five-story Hope Tower benefited from accelerated construction to meet COVID-driven demands.
The project team’s ability to quickly buildout two additional floors hinged on adopting a creative strategy for accelerating the design and construction work without reducing the quality standards established for Baptist Hospital patients and staff. Images: Peter Leifer/Miami in Focus

BRONZE AWARD

Baptist Hospital of Miami Hope Tower and Central Energy Plant, Miami, Fla.

 

Project Information

Project size: 240,000 sf

Project cost: NA

Construction time: February 2018 – July 2020

Delivery method: CM at Risk

 

Building Team

Submitting firm: Robins & Morton

Owner: Baptist Health South Florida

Architect: Array Architects

Interior architect: Wilmot Sanz

Structural engineer: Bliss & Nyitray

MEP engineer: TLC Engineering Solutions

General contractor and Construction manager: Robins & Morton

Mechanical contractor: William R. Nash

 

Judges’ comments

“Complex site challenges; mission-driven during/for Covid health support; complex coordination, permitting and building of different areas to maximize speed of project.”

 

Essay from submitting firm:

The team creatively reworked the project’s schedule around the COVID-19 outbreak, and redirected resources to meet pressing bed capacity needs. This allowed Baptist Hospital of Miami to support frontline healthcare workers by bringing 233 new beds online to accommodate COVID-19 patients and overflow.

Dozens of meetings with hospital staff and support service stakeholders revealed crucial information to the design and logistics team that led to a practical, safe, and well-communicated movement and circulation design, aligned in advance with the weekly construction schedule to eliminate surprises or disruptions within the dense campus.

 

Staff input contributed to the tower's design.
During design and construction, the project team sought hands-on participation from hospital staff for both functional and aesthetic improvements. One result was providing ample space for family members to stay with and support their loved ones in treatment. Exterior components include sloped metal barrel tile roofing, a precast concrete mass, and insulated impact-resistant glazing, each contributing to resilience.
 

Longer term, the five-story Hope Tower is adjacent to the Miami Cancer Institute—home to the Institute’s inpatient bone marrow and immunotherapy programs—and serves as a visible symbol for the Institute’s expanding services in cancer care. A 20,000-sf central energy plant was designed and built to futureproof the hospital campus, supporting planned expansions at this fast-growing institution.

A shift in priorities

After the pandemic was called in the spring of 2020, the project team shifted scope, schedule, and purchasing activities to achieve the urgent need to complete the two floors under construction and build out the second and fourth floors previously slated as shell space. The owner released the team to perform simultaneous overlaps of design, permitting, and construction, with the architects handing off documents to the construction manager before 100 percent completion.

Robins & Morton was able to accelerate work to complete the first and fifth floors in February 2020. The sixth floor was completed in June 2020, providing additional space for non-COVID ICU patients.

Plans for onsite work were shifted to offsite prefabrication wherever feasible, and the team established virtual inspection procedures that allowed the state to maintain its schedule of field inspections and signoffs through remote “visits” aided by photos and live video.

Because of the pandemic, screening and safety protocols became priority one for the 200-plus team members working on this project. As not to lose valuable construction work hours, Robins & Morton proposed that dedicated screening be set up at the existing project site entry, using the identical protocols of health screening, questionnaires, and temperature checks, masking, and hand sanitation. This step allowed workers to be more comfortable with the screening and testing protocols, and it avoided the resource drain on productivity and budget.

Design connections

 

This project added 233 new beds.
Hope Tower provides an additional 233 beds for the growing present and future needs of Baptist Hospital of Miami. The new tower also included the renovation of approximately 8,000 sf  to accommodate new intensive care unit support services. Longer-stay rooms for stem cell transplant patients are 400 sf, allowing an entire clinical team to gather together, to talk with the patient and family in the privacy of the patient room.
 

The design program included the demolition of a medical office building and relocation of related roadways. A bridge skywalk connection on the fourth floor allows direct access from the upper levels of the adjacent building previously separated by a busy highway. One of the design challenges was to identify family/visitor flow to the new bed tower from existing points of entry since the new building has no front-door entrance of its own.

The exterior design solution extends the Spanish Mediterranean motif prevalent on the campus. The bed tower includes three internal courtyards, one programmed for family waiting to support the ICU. Exterior components include sloped metal barrel tile roofing, precast concrete mass, and insulated impact resistant glazing for hurricane resilience.

The tower and energy plant are designed to withstand, at a minimum, a Category 5 hurricane with wind speeds of more than 180 miles per hour. Onsite generators can supply up to 21 days of power in the event of an electricity loss.

Working around underground infrastructure

This project overcame extensive infrastructure obstacles, as utilities were layered underground, directly below the tower’s footprint and extending out to the entire campus. Rather than relocate underground duct banks and force shutdowns, the structural design was adjusted to allow the foundation to bridge over the duct banks.

Chilled water pipes were relocated since the team did not want pressurized pipes beneath the building. A custom trench system was created to allow a bypass solution, not unlike a heart bypass concept, that allowed efficient relocation and tie-ins for these large, chilled water pipes and avoided service shutdowns.

Among the more technical and complex issues was “marrying up” the older, existing system components and their myriad of scattered connection points above and below ground, all while not shutting down service to the active hospital complex. For example, the team installed two, 225-MW electrical generators and integrated them with the plant’s three existing ones. The plant is designed to integrate a total of six generators, a capacity which will provide a lot of future stability and redundancy when needed for future buildings.

To avoid power shutdowns, the team brought in large-capacity temporary generators and other backup equipment. When a shutdown could not be avoided, the team joined with hospital department heads and facilities staff months ahead of time to map out potential scenarios and risk mitigation.

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