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AS I SEE IT


Interior renovation of GI Associates in Kenosha, Wisconsin, formerly a car dealership.


wanted to expand their practice into new geographic areas. The building they were interested in was right on the outskirts of a booming retail and com- mercial area in what was becoming a major thoroughfare for the community. The location was perfect, even if the building was not. We first helped the client understand exactly what was needed to transform the building into an ambulatory center by surveying the facility and preparing a full report that explained what was needed and


why. Considerations included: ■


site improvements including re-


grading around the building and parking lot, re-striping of stalls and drive lanes and an increase in handi- cap parking spaces;





insulation and vapor retarder upgrades to the building enclosure walls, roof and window frame systems to account for the humidification being intro- duced into the building and for current energy code requirements;





structural review and modification to account for structurally supported utilities, ceilings and equipment;





introducing emergency power to the site,


■ verifying ■ existing water supply


capacity was adequate for an ASC; ■ providing medical gases on site; and


installing a new sprinkler system to the building. Despite all the hurdles, the loca- tion proved worth the effort and the client opted to proceed with the ren- ovation. While not a driving factor, another bonus of this decision was knowing that one of the most sus- tainable choices is to reuse a build- ing, leaving less carbon impact on the environment while simultane- ously rehabilitating an existing part of the community. Upon completion, our client had a like-new facility that gave no hint to its previous function and, because it was a car dealership, with ample parking.


Regardless of where and how


an ASC or ACC is being built, the same due diligence is required by the architect and provider to ensure the facility is designed and constructed properly. It is the architect’s respon- sibility to fully understand the build- ing code requirements and the prac- tice’s specific accreditation criteria by reviewing the International Build- ing Code and standards published by


12 ASC FOCUS JUNE/JULY 2021 | ascfocus.org


the National Fire Protection Associa- tion, American Society of Heating, Refrigerating and Air-Conditioning Engineers, Code of Federal Regula- tions, American National Standards Institute, Accreditation Association for Ambulatory Health Care and oth- ers. The provider is responsible for early critical design considerations, including confirming the total num- ber of procedure rooms and operat- ing rooms desired, deciding whether preop/recovery


bays will be open


with curtains or private rooms, and how instrument reprocessing will be handled for the facility. With any undertaking to retrofit,


renovate or build a new healthcare facility, the stakes are high, but if done right, the return on investment can be a game-changer for the practice. “So, can it be done?” The answer is a resounding, “yes, it can,” and in a mul- titude of ways at that.


Tony Breitlow, is a senior project manager and associate in EUA’s Healthcare studio in Milwaukee, Wisconsin. Write him at tonyb@eua.com.


PHOTOS COURTESY OF EPPSTEIN UHEN ARCHITECTS


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