Dale Paegelow, A.I.A.  Cromlech Architect, P.C.
 paegelow@cromlech-architect.com  www.cromlech-architect.com


Health Care Design



Essential Questions:

  1. Can I as a single practicing architect design health care facilities? Yes, as you will see from the list of completed projects of mine below, I have!
  2. Can I as a single practitioner "team up" with another office of architects who have specialized knowledge of some particular area of health care? Yes again! I have done this myself. I am expected to hire the best consultants available for my client if I do not know about a particular specialized subject matter. The consultant is hired for this specialized knowledge, such as a specialist who just designs MRI rooms in a hospital.
  3. Will I as a single practitioner bring you better service than a larger firm? I will bring you a more personalized service. I will bring you an answer direct from my knowledge, promptly and you will not be asked to wait for some third party to get back to you as is common in larger firms. If you want and enjoy direct contact with people you rely upon, this may be a more comfortable path for you to follow.
  4. Does a single practitioner offer less potential communication problems? In my opinion, yes. I have helped to run firms that are some of the largest in the country and it is just a fact of life that a single practitioner is easier to find and speak to than searching for that "one" in a firm of 4,500.
  5. Are Nursing Homes, Day Care Centers and Half Way Homes considered health care projects in the same way as Hospitals? Sure. The same laws cover all of these facilities for design and construction, the State Health Codes.
  6. Are these challenging projects for me as an architect? Yes they are very challenging for me and they are also one of the more emotionally rewarding projects I can design. Knowing that what I do will have a direct positive effect on some other individuals life truly causes me to pause and smile. I have been thanked personally by patients' in a renial dialysis ward that I designed, for helping to save their life's. Now really, wouldn't you smile too?

Health care facilities are among our most important building type and all of us will at one time or another need to use them. They are also among the most heavily legislated and protected building types that an architect can design. There are laws that govern every design aspect of a health care facility, from room size to the number of bedrooms allowed, to what type of service the hospital will provide overall. Each health care facility is uniquely designed to meet a Community or Regional need after approval by the State Board of Health. In New York State for example, a whole section of the state law that consists of 11 books of code, are written just for this subject, health care.

I have many years of experience working for other architects while I was in training, designing health care facilities. Since opening my own practice, I have continued to work in this very complex and rewarding area of my profession while understanding fully that this is indeed a specialized area of architectural design requiring constant review of the latest codes, medical improvements and community needs.


Listing of completed projects:

 

  1. Westchester Medical Center Complex. White Plains, N.Y. (Project architect in association with another architect ( Sal Vasi, AIA) for complete ADA study, cost analysis, working drawings & specifications and supervision of contract documents and construction at three major buildings.)
  2. Westchester County Building. White Plains, N.Y. (Project architect in association with another architect (Sal Vasi, AIA) for complete ADA study, cost analysis, working drawings & specifications and supervision of contract documents and construction at main County Exhibit Building.)
  3. Renovation and Alterations, Martha Lawrence Day Care Center, Peekskill, N.Y. (Principal Architect of 30,000 S.F. renovation of a old school into the largest Day Care Center in New York State. Meets all ADA requirements.)
  4. Physical Survey "MRI" Building, St. Francis Hospital, North Street, Poughkeepsie, N.Y.  (Principal Architect-Survey to confirm compliance with all NY State Board of Health and ADA requirements.)
  5. Alterations and Expansion to Renal Dialysis Unit, St. Francis Hospital, North Street, Poughkeepsie, N.Y. (Principal Architect of 10,000 S.F. alteration, while patient care continued, and additional sky lighted waiting room was created on a roof top area. Meets all ADA requirements.)
  6. ETO Certification of Main Sterilizing Rooms, St. Francis Hospital, North Street, Poughkeepsie, N.Y. (Principal Architect of new system to bring ETO emissions into compliance with new international laws for toxic gas dispersal into the air. Meets all ADA requirements.)
  7. Central Sterile Supply Alterations, St. Francis Hospital, North Street, Poughkeepsie, N.Y. (Principal Architect of 450% increase to the sterilization capability of the Central Sterile Unit. Meets all ADA requirements.)
  8. Replacement of Emergency Underground Fuel System, St. Francis Hospital, North Street, Poughkeepsie, N.Y. (Principal Architect of special concrete fuel tanks, gas and diesel, consisting of three 10,000 gallon #4 oil tanks, one 6,000 gallon #2 oil tank, one 2,000 gallon diesel oil and Gasoline tank (split down center) for an state of the art, remote fill, above ground storage system meeting all the latest NYS-DEC and Federal requirements requirements.)
  9. Replacement of Emergency Underground Fuel System, St. Francis, Hospital--Beacon, Beacon, N.Y. (Principal Architect of special 10,000 gallon #4 oil tank above ground storage system and creating a dual oil/gas capability for the boilers meeting all the latest NYS-DEC and Federal requirements.)
  10. Study for Alterations to accommodate Mobile Lithotripter Unit, St. Francis Hospital North Street, Poughkeepsie, N.Y. (Principal Architect of special building to accommodate "semi-trailer, MRI mobile unit". Meets all ADA requirements.)
  11. Pediatric/Rehabilitation Evaluation Study, St. Francis Hospital, North Street, Poughkeepsie, N.Y. (Principal Architect--Study for expansion capabilities and ADA compliance.)
  12. Community Residence, Pawling, N.Y. New York State DHCR. (Principal Architect of the total conversion of single family housing unit into multi-family housing for emotionally challenged out patients of the Hudson Valley Psychiatric Hospital.)
  13. Flushing Hospital Medical Center/Parsons Division, Flushing N.Y. (Project manager for a 50,000 S.F. total redesign and renovation of a four story, 100 bed hospital, including all Plumbing, Electric, H.V.A.C., Mechanical, Medical gases, Boilers, Roofs, Kitchen, Cafeteria, Patient rooms plus all medical areas -with Architecture for Health, Science & Commerce.)
  14. Total "GUT" Renovation and Alteration, Parsons Medical Facility, Flushing Medical Center, Parsons Blvd. and 45th Street, Flushing, N.Y. (Architect for Gut--Renovation of 120 bed teaching hospital, including all gases, electric, plumbing, electric, HVAC, energy conservation devices, interior design, wards, operating suites, kitchen etc. Meets all ADA requirements - with Architecture for Health, Science & Commerce.)
  15. Out Patient Day Care Center, Nyack, N.Y. New York State Facilities Development Corp. (Designer of the total conversation of 2,000 S.F. retail store on two floors into a medical treatment center for drug rehabilitation - with Schoefield Cogan Architects.)
  16. Out-patient Day Care Center, Nyack Plaza, Nyack, N.Y. (Designer of 20,000 S. F. Drug and Substance Abuse Center in concourse area of Main Street building - with Schoefield Cogan Architects.)
  17. Alterations to Operating Suites, Phelps Memorial Hospital, Route 9 North, North Tarrytown, N.Y. (Designer of new HVAC and lighting system - with Schoefield Cogan Architects.)
  18. Alterations and Renovations, Ruth Taylor Psychiatric Center, Valhalla, N.Y. (Designer with other architects of Gut--Renovation of over 200,000 S. F. of hospital wards with Schoefield Cogan Architects.)
  19. Rehabilitation of Cottages # 42, 43, 44, and 45, Letchworth Development Center, Thiells, N.Y. (Designer for all maintenance alterations and general up-dates to kitchen and bath room units - with Schoefield Cogan Architects.)
  20. Nyack Seminary College, South Boulevard, Nyack, N.Y. (Project architect for the alteration of administrative building and dormitory facilities. 3 buildings of about 90,000 S.F. total -with Schoelfield Colgan Architects)
  21. Nyack Seminary College, South Boulevard, Nyack, N.Y. (Project architect for the total redesign and rehabilitation of a 4,964 S.F. church and rectory with Schoelfield Colgan Architects.)
  22. Ruth Taylor Institute, Psychiatric Center, Valhalla, N.Y. County of Westchester, (Project designer of a 500,000 S.F. total renovation of all patient and professional staff and visitor areas in a four story, 75 year old building -with Schoefield Cogan Architects.)
  23. Letchworth Development Center, Thiells, N.Y. New York State Facilities Development Corp. (Project designer for the rehabilitation's of serving areas in "cottages" 42,43, 44 and 45, the kitchens, dining and bath areas, of about 10,000 S.F. with -Schoefield Cogan Architects)
  24. Phelps Memorial Hospital, North Tarrytown, N.Y. (Designer of alterations to main operating and X-ray suite, consisting about 10,000 S.F. with -Schoefield Cogan Architects)
  25. Community Residence, Strawtown Road, New City, N.Y. New York State Facilities Development Corp. (Designer of the total conversion of 4 single family housing units into multi-family housing for drug rehabilitation - with Schoefield Cogan Architects.)


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