Rebuilding from the Ground Up

Responding to a shifting focus from inpatient care to outpatient care, existing medical facilities get re-birth as outdated bedded facility chasses are converted to primary care. Razing the building down to the bones, yields greater space utilization, energy conservation evidence based design, flexibility and recaptures outlying functions allowing excess inventory to be vacated, while minimizing construction cost and schedules.

Learn how and when to reuse existing structures. Case study projects will illustrate the benefits and limiting factors in reusing building for new and future uses and provide examples to help establish guidelines for making the determination on what can be rehabilitated and what should be changed in buildings. This session enables attendees to: Develop the optimal approach to
reusing an older healthcare building and assess the defining, but not limiting factors prevalent in revitalizing older healthcare buildings in the current focus toward outpatient care.

Possible project case study examples of Re-configuration (i.e. guting floor plate and reworking for efficient layout from inpatient to outpatient)
Construction Complete (Little Rock; Barksdale; Luke)
Construction Ongoing (USAF Academy; Vandenberg)
Planning (Langley; Offutt)

Presentation would also briefly touch on our efforts to converting buildings of opportunity to medical functions to give existing buildings a second life (shrinking costs, schedules and impact on environment over new construction) as well as our efforts in razing and raising buildings bringing new life to medical mission and preserving medical campuses in the USAF (such as planned for Keesler BRAC tower; Andrews and Lackland with our tight campus constraints and their chasses just being too constrained for new requirements which may include tight floor to floor heights, etc.)