Press

PHOTO TOUR: Jordan Valley Cancer Center

by Kristin D. Zeit | December 2, 2016,   Published in Healthcare Design Magazine

Jordan Valley Cancer Center (JVCC), part of the Iasis Healthcare network, is the first full-service cancer center in Utah’s western Salt Lake Valley. The center provides medical, surgical, and radiation oncology services in diverse specialties including hematologic, gynecological, urological, head and neck, gastrointestinal, and breast care.

Designed by TSA Architects and built by Layton Construction, ground was broken for the two-story, 25,000-square-foot facility in June 2015 and the center opened for service in September 2016.

Challenged by the involvement of multiple owner stakeholders and entities coming together for the first time, coordination and collaboration were of key importance. Early visioning meetings of the stakeholders facilitated open channels of communication, allowing streamlined dialogue and fostering an environment where all concerns could be mitigated rapidly. An eye toward the center’s future operational demands was critical, which resulted in a design that allowed for expansion overhead of the radiation vault, as well as an optional, adjacent vault should the need arise.

In support of the client’s vision of a holistic center to “treat, prevent, and thrive,” JVCC houses all disciplines under one roof and promotes ease of access as one specialty clinic flows to the next. With both an autonomous exterior entry as well as a direct connection to the main hospital, consideration of both inpatient and outpatient exams and procedures were met with flexible procedure rooms designed to function for both. Patients also have the choice to receive treatment in several flexible infusion zones, allowing them the option to socialize, be alone, or even sit fireside while controlling their individual lighting and entertainment. Great care was taken to keep medical equipment out of sight, ensuring that the patient is only exposed to equipment that is absolutely necessary.

Patient and staff needs were at the heart of the design, enabling staff to easily collaborate with shared conferences, breakrooms, and support spaces. To assuage patient fears and offer a more engaging, positive atmosphere, the sterile feel of a traditional medical office building was replaced with a much more hospitality-themed environment. This was accomplished by utilizing materials and design that evoked the healing elements of nature: earth, fire, wind, water, and wood. Upon entering, “earth” and “fire” are present in both the main lobby as well as 2nd floor waiting areas in the form of a dual-level, dual-sided brick fireplace, providing both comfort and a wayfinding landmark. Suspended resin panels encase floral features, softening concrete walls. Floor-to-ceiling glass reveal “wind” as patients view swaying native grasses and plants of the extensive gardens. “Water” is first introduced on a large, teak-framed digital screen projecting water scenes from across the West and culminates in a glass and resin architectural sculpture in the radiation treatment room titled, “Behind the Waterfall.” Bamboo and teak wood paneling, ceilings, and cabinetry are present throughout the center.

 

 

Prime Insurance Addition + Remodel

Published Architect Magazine December 22, 2016

PROJECT DESCRIPTION

Prime Insurance (a specialty insurer) of Sandy, Utah has continued to grow and expand their services. Their headquarters of 30 years was in need of a transformation to better integrate and humanize the work environment for staff. In visioning with the leadership team, TSA recognized that there was the opportunity to express the uniqueness of their brand in their new expansion and renovation. As a specialty insurance provider, Prime is a company that underwrites insurance for unique business models that carry unusual or higher risks such as outdoor outfitters, race car drivers, specialty ventures and the like – where other insurers dare not go.

The solution was to express their bold approach and unique service through a new wing that, though connected and aligned with the regimented and stoic main building, launches in a seemingly untethered curve towards the street. It showcases the well-founded yet daring nature of their business model. An abundance of low-lead glass serve dual purposes – to carry light and transparency from the outside to the interiors from private to open offices, and to telegraph the inner workings of the interior to the outside world. The “heartbeat” of the company, their staff, is allowed to be seen in action from outside like never before.

The addition is composed of 2 levels of offices and a meeting room. Herman Miller-designed work pods are integrated to the workspace, encouraging interactivity throughout different departments. Its organic design allow company culture to flow cohesively.

Photos courtesy of Fairchild Creative.

PROJECT NAME
Prime Insurance Addition + Remodel
LOCATION
Sandy,UT USA
PROJECT STATUS
Built
YEAR COMPLETED
2016
SIZE
27,000 sq. feet
CONSTRUCTION COST
$4,900,000
CLIENT/OWNER
Prime Insurance
ARCHITECT
TSA Architects
TEAM
Tracy Stocking
Nathan Murray
CONSULTANTS
General Contractor: City Creek Construction
TYPE
Commercial
SCOPE
Addition/Expansion
Renovation/Remodel
STYLE
Modern

 

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Cancer Center announced, brings care to West Jordan

By , Deseret News    Published: Friday, July 11 2014 6:37 p.m. MST

 

WEST JORDAN — The Jordan Valley Medical Center announced a new cancer treatment center Friday that will keep patients close to home.

Angela Evatz, who will be the director of the $10 million cancer center, said the medical center is currently able to aid cancer patients with surgery and chemotherapy, but it is not equipped to offer radiation therapy.

“This new center brings that piece to our campus,” she said. “We just feel very strongly that we wanted to close that loop and be able to provide that service for the patients that we served in the west and in the southwest valley.”

The cancer center will be added to the existing hospital to offer inpatient and outpatient cancer care Evatz said, and will be the only center with those services west of I-15 in the Salt Lake Valley.

Construction will begin in the fall and is expected to be finished a year later in the fall of 2015.

Friday’s announcement comes about a month after the groundbreaking of the new Primary Children’s and Families’ Cancer Research Center at the Huntsman Cancer Institute, a 220,000-square-foot expansion to the existing institute doubling its research space.

Evatz said the addition at Huntsman did not influence the decision to develop a cancer center at the Jordan Valley Medical Center.

“Our decision was based on our community need and what we felt that we could offer to our patients and make it so that for treatment, if they wanted to remain close to home, they have that option,” she said.

There have been no formal discussions between Huntsman and Jordan Valley, Evatz said, but she said it is likely that as clinical research and trials are developed at Huntsman, the new cancer facility in West Jordan could host those clinical trials.

Representatives from the Huntsman Cancer Institute were not available for comment Friday.

Jill Vicory, spokeswoman for the Utah Hospital Association, said Utah has one of the lowest cancer rates in the country, but that these cancer centers are relevent and necessary.

“We’re still having a growing population and aging population,” she said. “Cancer is going to be one of the service lines that’s going to continue to grow in demands and need for treatment.”

She said Jordan Valley’s cancer center is a response for the need for cancer care services closer to home and for those living on the west side of the valley.

The new cancer center will also offer radiation therapy equipment called Versa HD, a system that allows doctors to treat a broad spectrum of tumors.

“You’re able to treat a lot of types of cancer,” Evatz said, listing brain, skin, breast and prostate cancer specifically. “It has a full complement of treatment methodology so it’s very comprehensive, in one machine.”

Evatz said the other advantage of the Versa HD is that it reduces the amount of time patients need to spend in the hospital receiving radiation treatment.

“They spend less time having to be on the table and actually be in our center and can spend more time at home with family trying to feel better.”

jvcc-exterior-sideThe Jordan Valley Cancer Center, opening in 2016, will offer comprehensive cancer services for inpatient and outpatient care in a new state-of-the-art facility

West Jordan, Utah (PRWEB) Published May 21, 2015

Jordan Valley Medical Center will host a groundbreaking event on Thursday, May 28, 2015 at noon in celebration of the Jordan Valley Cancer Center set to open in 2016. In addition to the cancer services already provided, the new two-story facility will offer comprehensive cancer care from diagnosis through treatment and on to survivorship.

In partnership with Utah Cancer Specialists, Gamma West Cancer Services, and other surgical specialists, Jordan Valley Cancer Center will use a multidisciplinary approach to provide personalized care and treatment in medical, surgical, and radiation oncology. The Cancer Center’s specialties include hematologic services, breast care, urological, gynecological, head and neck, and gastrointestinal treatments.

“The opening of this new cancer center means extended service, improved technology, and greater access to cancer treatments for our community,” said Steven Anderson, CEO of Jordan Valley Medical Center. “Cancer diagnosis and treatment are complex and difficult processes for the patient and his or her family. As a committed and compassionate team, our cancer care specialists and medical staff will guide our patients every step of the way, working together toward recovery.”

What: Jordan Valley Cancer Center Groundbreaking Event

When: Thursday, May 28, 2015 at noon

Where: Jordan Valley Medical Center
3580 West 9000 South
West Jordan, Utah 84088

Speakers: Steven Anderson, CEO of Jordan Valley Medical Center
Carl Whitmer, President and CEO of IASIS Healthcare
Mayor Kim Rolfe of West Jordan City
Garner Meads, M.D., South Valley ENT
Anne Kieryn, M.D., Jordan Valley Surgical Specialists
Richard Frame, M.D., Utah Cancer Specialists
Mark Reilly, M.D., Gamma West Cancer Services
Chaplain LeNae Peavey-Onstad, Jordan Valley Medical Center

About Jordan Valley Medical Center
Jordan Valley Medical Center is a 183-bed, state-of-the-art hospital located in West Jordan, Utah. Jordan Valley Medical Center is equipped with the most advanced medical technology and offers comprehensive health care services, including emergency care, cardiac care, orthopedic care, advanced surgical procedures, diagnostic imaging, maternity care, sports medicine, and help for a broad range of medical conditions. With an experienced medical staff of more than 600 and a dedicated health care team, Jordan Valley Medical Center is committed to providing high-quality care in a friendly hospital environment. Jordan Valley Medical Center is directly or indirectly owned by an entity that proudly includes physician owners, including certain members of the hospital’s medical staff. For more information, visit jordanvalleymc.com or call 1-866-431-WELL (9355). Follow Jordan Valley Medical Center on Facebook at http://www.facebook.com/jordanvalleymedicalcenter.

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First Phase of Mountain View Emergency Department Expansion

By Michelle Tennis, Published: Medical Construction and Design Magazine, Project News, September/October, 2014 issue

TSA Architects recently completed an emergency department at Mountain View Hospital in Payson, Utah.

The project  included  demolition of the existing Emergency Department and adjacent physical therapy treatment space, doubling the size of emergency services to 10,000 square feet. The renovation is designed to be constructed in two phases Batten and Shaw Inc. served as the general contractor.

The expanded department has 10 exam/treatment rooms and 2 trauma rooms located around an enlarged central nurse station, improving visibility and access to each patient room. The exam rooms are organized around the concept of efficient staff use and reduction of visual clutter by creating custom millwork to cover the headwall when not in use. Two of the exam rooms can also be used as psychiatric holding rooms. The exam rooms are designed to allow registration to be completed at the bedside. In addition to the main emergency treatment area, there is a Fast Track zone with triage space and two exam rooms, a new bereavement and consult room for family use, and greatly improved staff and support spaces.


Specialization Facilitates Success in Healthcare Market
Small-to-mid-size design firms like Salt Lake-based TSA Architects are finding that clients prefer to work with firms that thoroughly understand their unique design needs.

By Brad Fullmer, Utah Construction and Design, Trends in Healthcare, October 2014

In 2009 while the recession was wreaking havoc on the economy, Tracy Stocking was diagnosed with cancer, which further compounded the impact on his architectural firm, Salt Lake-based TSA Architects (formerly Tracy Stocking & Associates), as he effectively missed eight months of work while going through chemotherapy treatment. “We were able to just hang on; we had enough of a backlog to keep us busy,” said Stocking, who established his firm in 1996 and has been working in Utah’s commercial design industry for 30+ years. “When I was laying flat on my back in the hospital (he was treated at IMC’s Huntsman Cancer Center in Murray) I realized my practice was okay, but not great. I wanted it to be great. I knew I needed people better than me. I didn’t want myself to be the limiting factor. I’m a jack of all trades; my strength is developing long-term relationships.”

Stocking specifically looked at the healthcare market as one that held considerable promise, based strictly on favorable demographics within Utah, including the nation’s highest internal birthrate and an aging Baby Boomer population.

To that end, he brought in healthcare specialist Nathan Murray, Design Principal, in January 2012 and Doug Banks, Sr. Project Manager, in January 2013. He also brought on board Christiane Phillips as another Sr. Project Manager. Since Murray’s arrival at the firm, Stocking said overall revenues “will have tripled” from 2012 to 2014, while the percentage of the firm’s work coming from healthcare projects is up from 30% pre-2009 to 90% now, a staggering increase, but also an interesting indicator of how firms are responding to the healthcare market.

“I had the realization that when I wasn’t focused (on one specific market), I wasn’t an expert,” said Stocking. “To be great, we needed to be experts and healthcare was the most appealing market where we felt we were closer to being experts in it than in other (markets).” Murray is the firm’s expert on healthcare design, having designed IMC’s Huntsman Cancer Center while at Anshen+Allen, among a host of other impressive projects. He is currently designing projects like the $2.6 million Mountain View Hospital Emergency Department Expansion in Payson, the $4 million Uintah Basin Medical Center in Roosevelt, and the $10 million George E. Wahlen VAMC Emergency Deparment in Salt Lake. In addition, the firm is designing the Jordan Valley Cancer Center at Jordan Valley Medical Center in West Jordan, a 24,000 SF comprehensive facility that will be the only cancer center in the western half of Salt Lake valley.

“We’re riding a tidal wave of ER’s right now,” said Murray. “We’re designing our fourth in two years. Our clients appreciate the benefits of a specialist, considering the rate of change, the rate of innovation demands within the industry. Sustainability is becoming more important to the typical patient. We don’t just create pretty waiting rooms – it takes a patient focused approach throughout.”

He says, for example, that in an exam room space is designed for equipment that can be tucked out of sight as a way to perhaps lessen a patient’s apprehension and fear. “Why heighten their anxiety by exposing them to apparati they don’t need?” asks Murray. “We’re also trying to create predictability, transparency, and sense of navigation. We want patients to see things unfold in an intuitive way, which has an impact on their stress level.”

The firm also tries to specialize within the healthcare sector, primarily by going after projects that are better suited to Murray’s design expertise, like emergency rooms. On the Mountain View ER expansion, not only did they need a larger facility, they needed one with greater flexibility due to changes in how care is given.

One of the key design aspects was a need for culture change. The staff needs to quickly be able to assess a patient’s need on a scale of 1 to 5 and respond to that. There are higher (rates) of behavioral and mental health patients. We needed to design in flexibility for patient volumes that peak and contract.”

 

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Hybrid OR New Facility opens at McKay Dee Hospital

By Michelle Tennis, Published Medical Construction and Design Magazine, Project News, January/February, 2015 issue

McKay Dee Hospital in Ogden, Utah has started a new era with the grand opening of its Hybrid Operating Room. Designed by TSA Architects, an interventional radiology room was completely remodeled to create the Hybrid OR suite. The room can be used by specialists for both open and endovascular procedures in addition to the majority of the previous interventional procedures.

The 900 square foot room has a stepped ceiling to organize the clutter of boom mounted lights, monitors and equipment, the imaging system rails and other room lights and air diffusers. To reduce the visual height of the room a wainscot effect was created with the wall protection panels. The pattern in the flooring reflects the movement of the C-arm. Wood grains are part of the color palette to bring warm tones to the room.

The room uses a Steris iQ3600 integration system to route images to any of six monitors in the room including a Philips 56” Flexvision screen.

 


Natural Wayfinding, Soaring Glass Canopy Define new ED at Uintah Basin Medical Center

Published in Medical Construction & Design – Projects completed July/August 2015 issue

As the primary referral hospital for Emergency Care in the growing area, the recently completed emergency room at the Uintah Basin Medical Center in Roosevelt, Utah once was undersized and disjointed. It has evolved into a new 11 bed ER that accommodates a new public entry covered in a soaring glass canopy, an Ambulance Entry and Parking. The project team included TSA Architects and Big D Construction.

Separate public and ambulance entries was to help patients and visitors easily find their way. The design concept includes a floor plan highly accessible for patients and visitors with natural wayfinding and grouping of related spaces. Trauma and treatment rooms have direct visual connection to the nurses station. Support spaces are outbound from the central core care areas.

The interior architecture and finish palette were developed with consideration for serving ER patients across the acuity spectrum. The TSA design team created an interior environment with a strong regional aesthetic to promote comfort and healing. Forms and finishes are earthy, modern and reflective of the surrounding Uintah Basin landscape including crystalline blues, cool sages and the striated rim-rock of surrounding canyons and mountains.

 

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Emerging trends in Operating Room Design
Published in Utah Construction and Design – Design Trends October 2015 issue
I remember the first time I set foot in an operating room. I was a young father of 4 and had blown out my knee in a weekend warrior basketball game. As I was wheeled into the sterile, celestial white room (where I was to receive a new ACL to be crafted from a couple of my own hamstring tendons), I was immediately met by a colorfully dressed tech who asked about my favorite tunes. I was taken aback as the room was filled with the sound of new age jazz. Thankfully, it is the last thing I remember as I started counting backward from 100 before everything went dark.

This unexpectedly pleasant experience left a deep impression in my mind that has carried through my career as an architect focused on healthcare. It has been found in too many of these “surgical stages” toured since, that patients and caregivers alike are asked to work in an environment that has all the humanity and warmth of a computer chip clean room. The equipment and technical needs are accommodated, but the end effect frequently resembles an uninspiring collection of gadgetry set in a large storage room.

As a setting for crucial life enhancing procedures and the workspace for highly trained professionals, I knew it could and should be different, and vowed to be a champion for change if the chance came.

A revolutionary concept for Operating Room design has been introduced into the Utah healthcare market that merges traditional surgery with advanced imaging technology. TSA has had the recent opportunity to partner with Intermountain Healthcare in crafting two leading edge Hybrid Operating Rooms at McKay Dee Hospital and Intermountain Medical Center (IMC) with their accompanying support facilities. It has been an opportunity to bring together the complexities of the surgery and imaging worlds and create an environment where the patient and the surgery team are treated with an inspiring, well ordered space. A setting where the medical, technical, and human needs are synthesized into an architectural whole.

Hybrid Operating Rooms allow surgeons to perform interventional radiology with traditional surgical functions of the operating room all in one place. New imaging devices enable minimally-invasive surgery, which is less traumatic for the patient. Minimally invasive means that the surgeon does not need to cut the patient open completely in order to access the area needing surgery but can insert catheters or endoscopes through a small hole of the body while viewing the procedure on screen. The benefit to patients who receive treatment in a Hybrid Room is that they typically experience less scarring, less trauma and faster recovery. (note: cut this paragraph if too long.)

Hailey Bello, RN at IMC, said by “By investing in a hybrid interventional operating suite the hospital becomes more efficient and reduces costs to the patient by significantly decreasing risk of infection and hospital stay time after the procedure.”

While the size of a typical large OR is around 600 to 700 square feet, a hybrid OR with Control Room can be up to 1000 square feet, plus additional space for an Equipment Room and Substerile support space. There can easily be 5 to 12 people in the room in addition to support staff in the Control Room during an operation. The layout of the imaging equipment, and the relationship between the OR, the Control Room, the Nurse Desk and Storage area, drives the design. Our design team typically works with the doctors and nurses for two months through various layout iterations and room adjacency combinations until the right setup is achieved. Full size mock-up with actual surgical equipment for props may be provided so the physicians and nurses can test the design concept to help solidify the final design.

Hybrid OR designs lean toward a solid understanding of the equipment used and how this type of medical care is given. One of the key design aspects is the network of infrastructure and utilities for appropriate electrical configuration which is absolutely critical to the outcome of merging super-high-definition imaging capabilities with surgery.

By thoroughly understanding the equipment and surgical setting, thoughtful design can be applied to organize the chaos of the operating room and create a pleasing setting for surgical personnel, who spend long hours under stressful conditions.