Ambulatory Surgery Center Experience

AMBULATORY SURGERY 1
CENTER EXPERIENCE

Design to elevate people’s potential | EUA

We believe at its core, architecture and engineering is not about bricks,
mortar, wood, glass and steel. It’s not really even about plans or aesthetics.
Sure, these are all important but anyone can give you these things.
We believe at its heart, design is about people.
We believe design has the power to unleash true human potential. The
power to enable people to be their best. The power to inspire people to be
better human beings.
This is a big promise.
We don’t make it alone. Our team includes our clients. It includes everyone
who uses and enjoys the spaces we create. Delivering on the promise
requires dedication, listening closely, working diligently, collaborating
relentlessly and executing brilliantly. It’s no small task; we can only
accomplish it together.
We believe great design is about more than elevating the environment.
We believe great design is about elevating people’s potential.

Cover: Orthopaedic Associates of Wisconsin | Delafield, WI

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1. Ascension Wauwatosa Outpatient Center 2. Wisconsin Institute of Urology 3. Froedtert & MCW McKinley Health Center 4. Orthopaedic Associates
of Wisconsin 5. ProHealth Mukwonago 6. Froedtert Pleasant Prairie Hospital 7. Orthopaedic Associates of Wisconsin 8. Froedtert Pleasant Prairie
Hospital 9. Wisconsin Institute of Urology

Design to elevate people’s potential | EUA 3

EUA BY THE NUMBERS:

115 250+ 125+ 50+ 7 5

Years in Talented Registered LEED® Accredited Client Office
Business Employees Architects Professionals Markets Locations

Since our 1907 inception, EUA has actively worked to retain the core values of “doing the right thing,” treating clients
and partners with respect, ensuring a quality product and delivering proactive planning and design solutions. Our
employees demonstrate unparalleled commitment to the markets, communities and clients they serve. Our
multi-faceted architectural firm specializes in several markets including Healthcare, Learning, Living, Community,
Science + Technology, Industrial and Workplace.

We believe that informed and effective design has the ability to elevate people’s potential.

To make sure this happens, we bring a fierce curiosity so we thoroughly understand the needs of the people who live
and work in the environments we create, conduct our work in a way that encourages clients to share their thoughts and
ideas and use a design philosophy that puts our clients’ visions first.

eua.com Ambulatory Surgery Center Experience

milwaukee : madison : green bay : denver : atlanta

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HEALTH + WELLNESS STUDIO

EUA’s dedicated healthcare team consists of architects and interior designers with a variety of health and wellness
experience. From campus-wide facility master planning to new construction and renovation projects, to ambulatory
care centers and specialized clinics for cancer care and women’s health, our staff has dedicated significant time to the
pursuit of advancing health and wellness environments across the country. With diverse backgrounds and a wealth of
experience, our team has the knowledge, design expertise and technical skills to develop spaces for the future.

30+ DEDICATED HEALTHCARE EXPERTS 3,700 HEALTHCARE PROJECTS IN 10 YEARS

Assessment + Pre-Design Engineering Services
ADA / Accessibility Study Electrical Engineering
Code Review HVAC Engineering
Existing Facility Survey MEP Design Assistance
Facility Assessment Plumbing Engineering
Project Feasibility Study Structural Engineering
Preventative + Corrective Maintenance System Design

Building Location Communication + Graphics
Rezoning Change Management
Site Planning Community Engagement
Site Selection Evaluation Computer Animation + Visualization
Environmental Branding
Architectural Services Exhibit + Interactive Design
Building Design + Planning
Building Systems Coordination Life Cycle Services
CM / Contractor Selection Facility + Enterprise Design Standards
Furniture Selection Historic Preservation
Interior Design Sustainable + Wellness Design
Master Planning Strategic Planning
Programming Workplace Strategy

Design to elevate people’s potential | EUA 5

FROEDTERT + MEDICAL COLLEGE OF WI

DREXEL TOWN SQUARE
HEALTH CENTER

OUTPATIENT + NEW CONSTRUCTION

Focus on efficiency to provide
quality + patient-centered care
well into the future

The client’s goal was to develop a functional, practical
and flexible campus; creating a signature statement for
the hospital system and enlarging Froedtert & MCW’s
presence in southeastern Wisconsin. This new health center
is designed to be a destination medical facility with multiple
specialties at one location.

With a focus on efficient operations, dual access exam
rooms and core staff work areas immediately adjacent
to all patient areas help reduce staff distance and
footsteps. The registration areas, waiting rooms, staff
break rooms, conference rooms and offices combine
functions, allowing for improved operations. A centralized
registration offers a multi-suite setup, enabling one central
registration desk to direct patients to waiting areas closer to
individual departments.

The campus is designed for the future. As a component of
the new Oak Creek town center, this facility enhances the
lives and contributes to the attractiveness of the community.

View Froedtert’s experience working with EUA:
eua.com/Video-FroedtertMCW

DETAILS 110,000 sq ft Ambulatory Surgery Center Experience
Oak Creek, WI
AWARDS • Ambulatory surgery center
• Cancer care center
6 • Retail pharmacy
• Physical therapy + rehabilitation
• Urgent Care (capable of transitioning to

Emergency Dept)
• 450 car, three-story parking deck

• Top Project Award - Daily Reporter
• Best New Development: Healthcare -

InBusiness Magazine

“EUA HAS A TERRIFIC TEAM OF PEOPLE ASSIGNED TO THE John Balzer
FROEDTERT HEALTH PROJECTS AND THOSE INDIVIDUALS Vice President, Facility
HAVE PROVEN THESELVES OVER THE YEARS.” + Planning
Froedtert + MCW
Design to elevate people’s potential | EUA
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ORTHOPAEDIC
ASSOCIATES
OF WISCONSIN

OUTPATIENT + NEW CONSTRUCTION

Consolidate practices to create a warm
+ inviting healing destination

Positioned alongside Interstate 94 for maximum visibility
and access, Orthopaedic Associates of Wisconsin,
combines two autonomous operations into a single
location for maximum patient and staff efficiency.

With an intent to create a community destination for
health and wellness and increase patient referral
numbers, the patient experience was improved by
offering a variety of personalized spaces. Quiet zones,
open seating, hospitality lounges, clear wayfinding
and abundant daylighting contribute to the serene,
welcoming environment. To support workflow and allow
increased caregiver access to patients, staff efficiency
is optimized by clustering private exam pods around a
central workstation, with centrally-placed exam tables to
allow access from all sides and support varying patient
acuity. Moving away from private offices at the previous
locations, physicians utilize pod-style work zones with a
high-end physician retreat.

DETAILS 86,000 sq ft

Pewaukee, WI
• Orthopaedic physician clinic
• 48 clinic exam rooms
• Physical therapy center
• Ambulatory surgery center
• 4 operating rooms
• MRI imaging suite
• General radiology

8 Ambulatory Surgery Center Experience

“EUA WAS ALWAYS CARING, PROFESSIONAL, AVAILABLE Mark Smith
AND ACCESSIBLE.” Chief Administrative Officer
Orthopaedic Associates
Design to elevate people’s potential | EUA of Wisconsin

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WISCONSIN
INSTITUTE OF
UROLOGY

AMBULATORY SURGERY CENTER +
NEW CONSTRUCTION

Focus on providing exceptional
patient care to deliver a comfortable
+ high-quality patient experience

EUA and Miron Construction worked to design a new
urology clinic and ambulatory surgery center that delivers
a comfortable and high-quality experience for patients.
The team equipped the client with options for efficient
design and long-term maintainability strategies. To
minimize patient steps and reduce anxiety, care was
placed in streamlining patient flow and separating pre-op
and post-op traffic. Analyzing procedures done at four
different facilities and appointments at two, the team
developed a facility that could meet and flex to future
demand for the combined practices.

The design concept, inspired by a “Respite in the Woods”
theme, offers a calming and serene environment for
patients. Natural elements are incorporated through
the use of wood and organic patterns and large
back-lit art bring light into the space. This intentional
use of materials and lighting creates clearly identifiable
areas and points of reference for patient wayfinding.
Large canopies create a visually appealing entrance while
assisting in easily navigable areas. The reception areas
are designed with flexibility for advances in patient care
and future technology.

DETAILS 35,000 sq ft
AWARD Neenah, WI
• Ambulatory surgery center
• Clinic
• Imaging
• Corporate offices

• Best New Development or Renovation -
Healthcare - InBusiness Magazine

10 Ambulatory Surgery Center Experience

“EUA HAS BEEN AN INCREDIBLE PARTNER. THEY WERE Omar Atassi, MD
PASSIONATE ABOUT UNDERSTANDING OUR VISION AND Wisconsin Institute
BRINGING IT TO LIFE IN BOTH STRUCTURE AND AESTHETIC.” of Urology

Design to elevate people’s potential | EUA 11

FROEDTERT PLEASANT PRAIRIE HOSPITAL

OUTPATIENT
SURGERY CENTER

AMBULATORY SURGERY CENTER + ADDITION +
RENOVATION

Bring best-in-class services to the
community + deliver superior patient +
employee experiences

Driven by nearby competition and to be the provider of
choice in the area, Froedtert South’s new surgery center
expands services and improves the patient experience.
The four-story advanced surgical wing addition
accompanies the medical office building completed
by EUA in 2011. To increase speed-to-market, early
collaboration across trades reduced the design schedule
from 18 to 10 months.

To maintain a cohesive aesthetic, the design incorporates
exterior elements from the main hospital. A 65-foot
tower bookends the campus and references an existing
tower on the site. Inside, a three-story hospitality-inspired
lobby is surrounded by floor-to-ceiling windows and a
monumental stair with a wraparound mezzanine. The
cafe and courtyard are connected to the hospital’s atrium
area for ease of access. To increase patient safety, day
surgery is immediately adjacent to the main hospital, and
within prep/recovery, a centrally-located staff core and
nurse stations have high visibility into patient rooms.

Designed with flexibility in mind, the ASC can be
converted to a hospital-based reimbursement model
should the need arise.

DETAILS 252,540 sq ft addition
21,000 sq ft renovation
AWARD Pleasant Praire, WI
• Grand lobby, lounge, courtyard + cafe
12 • Registration + waiting
• ORs + private pre-op rooms
• Recovery bays
• Central sterile + materials management
• Skywalk connects to the main hospital

• Forward Award, 2018 Ovation Awards - BizTimes

Ambulatory Surgery Center Experience

Design to elevate people’s potential | EUA 13

ASCENSION

MOUNT PLEASANT
HEALTH CENTER

NEW CONSTRUCTION

A new site + a new model of care
focusing on expanding services
in the community

In order to capitalize on the growing workforce in this
industrial area, speed-to-market was a major driver for
this new clinic and ambulatory surgery center (ASC). The
new facility consolidates several services into one location
while expanding imaging and outpatient services in
the community.

Working within the Ascension standards, the planning
maximizes patient convenience and staff efficiency. First
floor departments are organized around a large, daylit
waiting area with clear entries to the various services. The
second floor surgery center has six operating rooms and
three procedure rooms. All ASC recovery rooms are fitted
as PACU rooms to reduce patient movement and
increase efficiency.

An innovative reception layout creates a patient focused
retail feel during the registration process. Standard exam
room layouts allowed the building shell to advance quickly
while interior planning was confirmed. The result is a
distinctive building with flexible planning that provides the
best experience for patients and staff while allowing for
future flexibility as care needs change in this fast-growing
community. The team met the speed to market goal with
the design and construction duration lasting a mere 16
months from programming to occupancy.

DETAILS 72,541 sq ft Ambulatory Surgery Center Experience

14 Mount Pleasant, WI
• Primary + specialty care
• Ambulatory sugery center
• Urgent care
• Imaging + lab
• Occupational health
• Rehabilitation
• Retail pharmacy

ASCENSION

WAUWATOSA
OUTPATIENT CENTER

OUTPATIENT + NEW CONSTRUCTION

Design a new way to deliver care to
patients and their families

EUA, in association with BLM Architects, designed a five-
story facility with 215,000 sq ft for an ambulatory care
center and 22,000 sq ft for medical offices. The center
serves Ascension’s outpatient and urgent care programs.

The project includes six operating rooms, in-house central
sterile, and a full PACU with twenty-six-room day surgery
suites, as well as a master plan that includes a larger
expansion strategy. Also included are outpatient Pain and
GI minor procedure rooms.

The building is clad in natural stone with a prominent
curved glass wall creating a warm, welcoming entrance
for patients.

DETAILS 237,000 sq ft
AWARDS Wauwatosa, WI
• 24-hour urgent care
• Adult + pediatric rehab
• Ambulatory surgery
• Imaging center
• Pharmacy + lab

• Silver Award - ASID Wisconsin
• Best Design - Midwest

Construction Magazine
• Showcase Award - Healthcare

Design Magazine

Design to elevate people’s potential | EUA 15

AMBULATORY HEALTHCARE CENTER EXPERIENCE

Ascension Healthy Village Froedtert & MCW Orthopaedic Sports + Plastic Surgery Associates
Brown Deer, WI Spine Center Pewaukee, WI
65,000 sq ft facility Menomonee Falls, WI 25,000 sq ft plastic surgery suite
42,500 sq ft medical center
Ascension Mount Pleasant Medical Center ProHealth Mukwonago
Mount Pleasant, WI Froedtert & MCW West Bend Health Center Mukwonago, WI
72,000 sq ft medical center featuring West Bend, WI 65,000 sq ft freestanding emergency center
ambulatory surgery center + physical therapy 42,500 sq ft medical center
UnityPoint Health – St. Luke’s SunnyBrook
Ascension Wauwatosa Outpatient Center Froedtert Pleasant Prairie Hospital Medical Plaza
Wauwatosa, WI Pleasant Prairie, WI Sioux City, IA
237,000 sq ft ambulatory surgery center 60,000 sq ft ambulatory surgery center, rehab 87,000 sq ft MOB
+ MOB + physician office space
UW Health Heart & Vascular Center
Children’s Hospital of Wisconsin GI Associates at ProHealth Care
Greenfield Clinic Kenosha + Racine, WI Waukesha, WI
Greenfield, WI 37,000 sq ft freestanding specialty clinic
40,000 sq ft orthopedic clinic Heart & Vascular Institute of WI
Appleton, WI Valley Hospital Design
Froedtert & MCW Drexel Town Square 31,000 sq ft cardiology clinic Paramus, NJ
Health Center 85,000 sq ft phase I MOB
Oak Creek, WI Medical College of Wisconsin 85,000 sq ft phase II MOB with 600-car parking
110,000 sq ft ambulatory surgery center Wauwatosa, WI
+ MOB 80,000 sq ft MOB in the Milwaukee County Vista Health
Research Park Lindenhurst, IL
Froedtert & MCW McKinley Health Center 60,000 sq ft class A MOB
Milwaukee, WI Milwaukee ASG Endoscopy Suite
41,000 sq ft medical center Milwaukee, WI Wisconsin Institute of Urology
15,000 sq ft suite Neenah, WI
Froedtert & MCW Mequon Health Center 35,000 sq ft
Mequon, WI Orthopaedic Associates of Wisconsin
42,500 sq ft medical center Pewaukee, WI
86,000 sq ft orthopaedic clinic featuring
ambulatory surgery center + physical therapy

16 Ambulatory Surgery Center Experience

What Services Are Shifting to the ASC Setting?

AMBULATORY SURGERY CENTERS
+ OUTPATIENT DESIGN CONSIDERATIONS

CONSUMER CONVENIENCE

Ambulatory Surgery Centers (ASCs) Projected Five-Year Service Line Volume Growth Rates 1+2 HOPD ASC Physician Office

have become a popular choice By Outpatient Site of Care, 2016-2021 39%38% 43%
among healthcare organizations and
their patients for same-day surgical 20%22% 19%23%21% 25% 28% 29%27% 30% 20%
services. Projections show that many 11% 24% 17% 21% 16%
services performed at ASCs are on 16%
track to outpace those at hospitals and 11% 15% 10%
physicians’ offices.1 These centers bring
-10%

ENT Other 2 General Orthopedics Ophthalmology GI Pain Spine
Surgery Management

together specialists, creating an efficient, n=7M n=16M 1nS=o1uMrce: Advisorny=1B1oMard n=10M n=5M n=2M n=.2M

2 Includes urology, dermatology, cosmetic procedures, gynecology and obstetrics
more affordable healthcare center for patiAesnsthso.wn in the graph, major ASC volume drivers such as orthopedics, gastroenterology, ophthalmology, and pain

management are projected to grow significantly in the ambulatory surgery setting. Spine is also growing significantly in

the ASC setting, but this specialty’s volumes are nevertheless limited.

At EUA, we understand the importance ofAsptohesiAtSioCnbiunsigness grows, progressive health systems' ASCs are beginning to offer more advanced procedures, like

these facilities for maximum visibility, patiatehnoloswteeclrisocteondsvtb,eeplrnoowiger.aAnmncsdemwuhsilet woeffiegrhinbgatrhrieesres procedures in the ASC setting affords more convenient care to patients at
to entry associated with offering these procedures.

and safety. Important design considerations for these

facility types are:

Emerging ASC Differentiators: Procedures Progressive ASCs Are Starting to Perform

1 . PAT I E N T + S TA F F E X P E R I E N C E• Spine: simple to complex fusion, decompression, microdisectomy, kyphoplasty, disc replacement
• Pain Management: stellate ganglion block procedure, intrathecal pump implant, disc nucleoplasty, MILD procedure

An ASC can act as a one-stop shop bringin•g Otophgtheatlmhoelorgy: eye muscle surgery, vitreoretinal surgery/retinal surgery, femtosecond laser to perform cataract surgery

operations for maximum patient and staff efficiency. With• GI: video capsule endoscopy, endoscopic retrograde cholangiopancreatography, esophageal manometry, stretta
• Orthopedics: total joint replacement

a focus on patient experience, a variety of spaces offer• OB/GYN: minimally invasive hysterectomy (including vaginal (VH), laparoscopic (LH), or robot-assisted)
• Bariatrics: laparoscopic RouxenY gastric bypass, laparoscopic sleeve gastrectomy
quiet zones, open seating, hospitality lounges and clear
Orthopaedic Associates of Wisconsin
wayfinding. When possible, bringing in abundant natural1) ASC site of care includes ASCs and endoscopy centers. N-values represent projected
2020 ASC/endoscopy volumes. Source: See introduction page for complete list of sources; Service
Line Strategy Advisor research and analysis.
2) Includes in order of estimated 2015 ASC volume, Urology, Dermatology, Cosmetic
Procedures, Gynecology, and Obstetrics.

lighting and a warm color scheme creates an environment©2017 Advisory Board • All Rights Reserved 3 advisory.com

that is serene and welcoming.

The cornerstone of these facilities is providing exceptional
patient care and a comfortable space for both patients
and staff. By focusing on efficient design, it can streamline
patient flow and reduce patient anxiety.

Addressing the initial impression, the use of natural stone Wisconsin Institute of Urology
and glass in the entrance can create a feeling of welcome
before a patient steps through the front door.

Ascension Wauwatosa Outpatient Center

Design to elevate people’s potential | EUA 17

AMBULATORY SURGERY CENTERS
+ OUTPATIENT DESIGN CONSIDERATIONS

2. COMPETITIVE SITE LOCATION Froedtert & MCW Orthopedic Sports and Spine Center
Selecting the right location is important to ensure Ascension Shorewood Clinic
consistent patient volumes throughout the year. Providers
should take into account a number of considerations
besides traffic flow and visibility:

• A growing population (young consumers + families)
• Nearby retail
• High traffic or busy intersection
• Emergency department nearby
Exterior signature colors and signage heighten awareness
of the provider’s brand and consistency of care.

3. FLEXIBLE ROOM DESIGN
Creating a flexible exam room ensures all patient needs
are met. Moveable computer screens and dedicated
patient table space encourages interaction between
patient and provider while fostering conversation.
Multifunctional furniture can maximize smaller spaces
with adaptable exam chairs or beds. This enables patient
choice for comfort for physical examinations, while
couches or chairs provide space for family members.

4. CENTRALIZED REGISTRATION
Centralizing the registration desk creates a single stop
for patient check-in, avoiding multiple check-ins across
physician practices and improving patient flow. Some
pre-visit steps, like registration, do not require the patient
to be physically present. Installing an electronic kiosk or
implementing an online solution minimizes wait times,
streamlines the process and optimizes provider to
non-clinical staff ratio. The design will flex to support the
intended registration process and facility goals.

ProHealth Care Waukesha Memorial Hospital

18 Ambulatory Surgery Center Experience

REFERENCES 19

ASCENSION
Bernie Sherry
Chief Executive Officer
314.733.8000
[email protected]

FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN
Ryan Marks
Managing Director
414.335.5909
[email protected]

ORTHOPAEDIC ASSOCIATES OF WISCONSIN
Mark Smith
Chief Administrative Officer
262.650.7406
[email protected]

WISCONSIN INSTITUTE OF UROLOGY
Dr. Omar Atassi
Physician
920.722.7747
[email protected]

Design to elevate people’s potential | EUA

Froedtert & the Medical College of Wisconsin Drexel Town Square Health Center | Oak Creek, WI

PAUL STEFANSKI, AIA, EDAC, LEED AP ED ANDERSON, MBA, EDAC
Healthcare Studio Director Healthcare Market Leader
[email protected] | 414.291.8198 [email protected] | 608.442.3962

milwaukee : madison : green bay : denver : atlanta eua.com

20 Ambulatory Surgery Center Experience