Texas Health Hospital Mansfield
The 206,802- SF acute care community hospital feature 95 patient bed, a 24/7 emergency room, general surgery, women's services, orthopedics, interventional cardiology, gastroenterology, imaging, lab and pharmacy. The campus also includes a four-story, 80,000-SF medical office building housing primary care and specialty practices to support outpatient services.
The 206,802- SF acute care community hospital feature 95 patient bed, a 24/7 emergency room, general surgery, women's services, orthopedics, interventional cardiology, gastroenterology, imaging, lab and pharmacy. The campus also includes a four-story, 80,000-SF medical office building housing primary care and specialty practices to support outpatient services.
Community Growth
Building a modern hospital to serve a community’s growing healthcare needs
Texas Health Hospital Mansfield, a joint partnership project between faith-based organizations Texas Health and AdventHealth, created a new North Texas campus on a 34-acre greenfield site in Mansfield, TX. The Beck Group collaborated with the owner as an integrated team of architects, contractors, and prefabricators to design and build this new healthcare campus that will expand access to healthcare for the Mansfield community and beyond.
The community’s need to create a new hospital was evident in regional growth seen in Mansfield, TX, which covers parts of Tarrant, Ellis, and Johnson counties. The region has experienced 10 percent growth between 2010 and 2017. Additionally, the area’s housing boom is far from over, with the residential population expected to balloon to 250,000 by 2023. Over the next decade, job growth is expected to be more than 40 percent higher than the national average of around 33 percent.
Collaboration
A Collaborative Project Delivery Approach to Designing the Hospital of the Future
The client partnered with Beck’s integrated design-build team because of their unique approach to project delivery. The design and construction approach reduced the owner’s risk through enhanced team collaboration, target value design, and schedule certainty. Beck’s multi-disciplinary team utilized a project big room and digital tools with the owner and stakeholders throughout the project to ensure the team was collaborative and that the design intent was realized. The design-build team also engaged trade partners early in the design process to ensure the design was efficient and constructable.
A key guiding principle for the project was thoughtful site design and planning on this greenfield site. This included ensuring that patients would be able to access the hospital and medical office building in a seamless way through well-considered wayfinding solutions—including siting the building for maximum visibility from the highway. Knowing the building needed to expand long-term, the interior flow is planned to handle the growth of multiple programs. This includes constructing a new bed tower, an emergency department, and a surgical platform expansion. For a near-term solution, the design team included a significant amount of shell space that could be built out with minimal operational disruptions.
The team designed an intuitive wayfinding system that enables the hospital to separate the staff and public circulation areas. The public and patient spaces emphasize natural light and provide a comforting view of a healing reflection garden. Various amenities and finishes were also used throughout the building, conveying a sense of serenity, timelessness, and confidence. The building also includes an outdoor dining patio with a pergola and double-height lobby space with natural light to provide a warm welcome to patients, visitors, and staff alike.
The bed tower patient rooms are standard, repeated same-handed beds for caregiver familiarity and efficiency as they move between units. The ICU unit was planned with mirrored patient headwalls for the caregivers to see at least four or more patients from their care station. The patient rooms feature large windows to let daylight penetrate the room and inpatient corridor. Ample space for seating and storage is included to allow loved ones to stay in the room comfortably without obstructing the caregiver’s space. To care for the caregivers, the units include light-filled lounges and sleep rooms to provide respite space to reduce fatigue and stress while caring for patients.
Prefabrication
170 On-site Prefabricated Exterior Panels
The framing trade partner was brought on early to coordinate with our design team in order to panelize and develop a uniform system optimal for prefabrication. The framing system was engineered so that the design intent was maintained while reducing overall manpower and construction duration. The construction team enabled on-site prefabrication by planning and designating a portion of the new concrete parking lot for prefabrication. Zones were developed within the lot for various sequences of work similarly to a manufacturing plant. Zones included framing, sheathing, waterproofing, staging, and ready for final setting. The panels were then hung with a crane and each panel could be hung in approximately five minutes.
By building the panels on the ground in lieu of elevated on scaffolding reaped many benefits including controlled quality of work, reduced waste from waterproofing horizontal application, accessibility for inspection, elimination of risk and safety hazards from elevated/scaffold work, and overall reduced labor and man power by half compared to traditional stick-built construction. With prefabricated exterior panels, the envelope duration was reduced from 22 weeks to 12 weeks. The project was able to capitalize on benefits of prefabrication by accelerating the building-dry in schedule.
56 Off-site Prefabricated Patient Bathroom Pods
Traditionally bathrooms are the most labor intensive scope of work due to various number of trade involvement, sequences of work, and required attention to detail. By prefabricating the pods off-site, the labor was able to be distributed and dedicated to the project early without constraint of prerequisite work (like building-dry in). We utilized our project trade partners to install their scope of work in a controlled setting of manufacturing plant, where each scope was monitored, quality was continually checked, and production was optimized. Upon completion, the pods were then fully sealed with projection, delivered on a truck, and set with a crane in recessed slabs immediately upon completion of the structure. The pods were fully outfitted with framing, drywall, plumbing, electrical, ceramic tile, ceilings, light fixtures and paint even before the envelope was complete.
By utilizing the pods, the project to reduce interior manpower by more than half and redirected that dedicated manpower to completion of other critical path items. The quality and consistency of a prefabricated bathroom pod was far superior than any on-site construction could achieve.
Prefabricated elevator
Prefabricated elevator assemblies were also installed at the Professional Office Building. Elevator shafts were constructed off site in two sections, transported to the site, and installed during steel erection. Prefabricated elements included the shaft structure and enclosure, rails, cabs, and hydraulic systems.
