A Seamless Patient Experience, Designed to Reduce Stress and Anxiety, Keeps the Focus on Healing

On April 24, 2018, NewYork-Presbyterian (NYP) celebrated the opening of the David H. Koch Center, a world-class ambulatory care center that combines innovative clinical approaches and cutting-edge technology to provide exceptional care and a seamless patient experience.

The design is a collaboration among Ballinger as Medical Architect, HOK as Architect, and Pei Cobb Freed & Partners as Consulting Architect for building envelope and lobby.

The approximately 740,000-sq.-ft. facility, located at the NewYork-Presbyterian/Weill Cornell Medical Center campus on York Avenue and 68th Street, is home to a wide range of ambulatory care services, including outpatient surgery, interventional radiology, diagnostic imaging and infusion services, as well as an Integrative Health and Wellbeing program that will open in June.

“Our goal in creating the NewYork-Presbyterian David H. Koch Center was to develop a new vision for what ambulatory care could be by focusing first and foremost on patients’ needs and the delivery of exceptional care,” said Dr. Steven J. Corwin, president and CEO of NewYork-Presbyterian. “Every decision about the design and operation of this building was made with the patient in mind, from the quick and easy check-in to the private prep and recovery rooms, light-filled treatment areas and real-time status updates. This is truly an environment that was designed for healing, and we believe it represents the future of ambulatory care.”

For patients, the NYP David H. Koch Center will serve as a one-stop destination for individualized, coordinated care from diagnosis to treatment. Multidisciplinary teams of physicians from Weill Cornell Medicine, working collaboratively under one roof, will consider each patient holistically, whether they are being treated for digestive diseases, cancer or other conditions, or coming for outpatient surgery, interventional radiology or diagnostic imaging.

Smart technology and smart spaces are central to the design and function of the building to make patient visits as smooth and pleasant as possible. For example, patients can complete their paperwork remotely and securely before their visit, on their mobile phone or online. Upon arrival, they will be offered a personalized “smartband” that provides access to the building and receive information about their visit and step-by-step directions to their room through the NYP app. Each patient’s visit has a clear, planned flow that begins and ends in the same space for patients having a procedure — a private prep and recovery room that serves as “home base” for them and their companions throughout their visit.

Technology is central to delivering exceptional, cutting-edge care. A prime example is the NYP David H. Koch Center’s MRI/PET/Angiography suite, the first of its kind in the world. Combining all of the key imaging technologies used for minimally-invasive procedures, including MRI/PET, fluoroscopy, ultrasound, and rotational CT, it enables clinicians to diagnose, plan, and precisely guide procedures and verify their completeness. The NYP David H. Koch Center features three linear accelerators, including New York’s first MRI-guided linear accelerator for precision radiation treatment of tumors.

Additional clinical features include:

  • 12 operating suites, 6 interventional radiology procedure rooms, and 11 endoscopic procedure rooms, including an operating room dedicated to breast surgery with mammography and ultrasound equipment.
  • Decentralized clinical care with stations directly outside private patient rooms, offering patients easier access to their care team.
  • Radiation oncology services located on the light-filled 4th floor, thanks to the building’s unique engineering. Unlike many institutions, there are no basement treatment areas here.
  • Easy access to discharge instructions, test results and video follow-up appointments with physicians through the NYP app.

Sustainability and Resiliency
The NYP David H. Koch Center is designed to be highly sustainable, from its green roof, which can detain up to six inches of storm water, to its high-performance building envelope. The distinctive “skin” consists of triple-paned insulated glazing with a slatted wood screen, which significantly reduces solar glare, building heat gain, and the need for solar and privacy shading.

The building is also resilient in the case of an extreme weather event or disruption to city power, with heating equipment, air handling units, emergency generators and other key operational equipment located on higher floors above potential flood levels.

Enhanced Care for Patients
The design features a soothing palette of materials including wood and stone. A typical procedure floor has a sky lobby, 12 flexible procedure rooms, and 36 private prep and recovery rooms. Procedure preparation and recovery occur in the same dedicated room, which helps minimize patient movements and provides peace of mind for the patient, family, and care team.

Circulation is clear, with a separation of “on-stage” and “off-stage” flows so patients and families can travel along the light-filled perimeter corridors with clear wayfinding, and staff can move efficiently throughout the building, minimizing disruption to guests.

Infusion and radiation oncology areas – typically located on lower levels – are co-located on the 4th floor of the building. This allows patients and staff access to natural light, an example of the extraordinary accommodations made at the NYP David H. Koch Center to prioritize patient-centered care. The infusion area features a variety of treatment environments ranging from private rooms to warm and inviting community spaces.

NewYork-Presbyterian Alexandra Cohen Hospital for Women and Newborns
Beginning in 2020, the top five-and-a-half floors of the building will become home to the NewYork-Presbyterian Alexandra Cohen Hospital for Women and Newborns, the first of its kind in the tri-state area, offering compassionate, personalized care to pregnant women, newborn babies and their families. The 220,000-square-foot hospital within a hospital will feature 75 private rooms, 16 labor and delivery rooms, five cesarean section operative suites, 20 maternal critical assessment and treatment unit rooms and 15 ultrasound rooms, which will offer state-of-the-art visualization. The neonatal intensive care unit features 60 positions in private rooms, and is set to be the first facility in New York City to have MRI capabilities and an operating room in its neonatal intensive care unit.

 Team
NewYork-Presbyterian David H. Koch Center
Medical Architect: Ballinger
Architect: HOK
Consulting Architect (building envelope and lobby): Pei Cobb Freed & Partners
Interior Design: Ballinger and HOK
Structural Engineer: Thornton Tomasetti
MEP: Syska Hennesy Group
Construction Manager: Turner Construction Company
Lobby Art: Paqutá (2018) by Beatriz Milhazes