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Education
Master of Architecture, Syracuse University
Bachelor of Architecture, Drexel University
Registrations
Registered Architect: New Jersey, New York
LEED Accredited Professional
Professional Affiliations
American Institute of Architects (AIA)
The National Council of Architectural Registration Boards (NCARB)
The U.S. Green Building Council (USGBC)
JAMES D. MAY, AIA, LEED APManaging Principal, NE Regional Practice Leader
PERKINS+WILL HEALTHCARETransformative spaces that promote health and wellness
Perkins+Will named ‘Firm of the Year’ by Healthcare Design Magazine
AREAS OF EXPERTISE • Academic Medical Centers • Ambulatory Care + Outpatient • Cancer Centers • Children’s Hospitals • Community Hospitals • Critical Access Hospitals • Healthcare Planning + Strategies • Medical Education • Medical Office Buildings • Senior Living + Hospice
NOTABLE PROJECTS • Rush University Medical Center Chicago, Illinois • Kenya Women & Children’s Wellness Centre Nairobi, Kenya • Hospital Universitario San Vicente de Paul Rionegro, Medellín, Colombia • The Johns Hopkins Hospital Baltimore, Maryland
Relevant Experience
Memorial Sloan-Kettering
Inpatient Oncology Center
New York, New York
Mount Sinai
Neonatal Intensive Care Unit
New York, New York
Mount Sinai
Pediatric Intensive Care Unit
New York, New York
LEED-CI Gold
Long Island University
Pharmacology Lab
Brooklyn, New York
New York University
Men’s Health Center
New York, New York
Memorial Sloan-Kettering*
Cancer Center
Infill Infrastructure and
Associated Fit-Out Projects:
- Anatomic Pathology Laboratory
- Interventional Platform
- Pediatric Intensive Care Unit
- Pediatrics Day Hospital
- Mechanical Platform
- Decating and Support Areas
New York, New York
North Shore-LIJ Health System*
Southside Hospital Campus Renovation
Bayshore, New York
Montefiore Medical Center*
Weiler Lobby Reorganization and renovation
Montefiore Pain Management Project
Bronx, New York
North Shore-LIJ Health System*
Steven and Alexandria Cohen Children’s
Hospital of NY PICU
New Hyde Park, New York
North Shore-LIJ Health System*
West Wing Project at
North Shore University Hospital
Manhasset, New York
AtlantiCare - Atlantic City Medical Center*
George F. Lynn Harmony Pavilion
Atlantic CIty, New Jersey
North Shore-LIJ Health System*
Katz Women’s Hospital at North Shore
University Hospital
Manhasset, New York
JAMES D. MAY, AIA, LEED APManaging Principal, NE Regional Practice Leader
perkinswill.com 6
MID 1700’SAlmshouses
• 1000 beds+• Pennsylvania hospital of 1751 first to
treat medical conditions
Blockley Almshouse later became Penn Hospital
1751 Penn Hospital
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1800’SNineteenth Century Hospitals
• Hospitals serve socially marginal or poor• Middle class treated at home, even for
surgery• Mass General Hospital founded in 1811
1811 Mass General Hospital
1875 Gross Clinic surgery
1893 Emergency Ward at Penn Hospital
perkinswill.com 8
EARLY1900’SHospitals serve paying middle class
• Shift to expensive modern hospitals of technology and science
• By 1925, hospitals functioned with x-rays, laboratories and aseptic surgery
• Competition created by paying public• 13 hospitals existed in major cities at
beginning of twentieth century
Early x-ray machine
1925 OR at Penn Hospital
1900’s Women’s Inpatient ward John’s Hopkins
1910 Newark City Hospital
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MID1900’SDemand surges
• 1947 Hill Burton Act provides funds for new & expanded hospitals
• NIH expands in 1950-1960’s• 1965 Medicare and Medicaid
established• Intensive Care Units become prevalent
1955 first ICU at Dartmouth
1950 Surgery Children’s Hospital Westmead
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1970’S – 1980’SComprehensive Care
• AHA lists 7,123 hospitals in 1970 • Community hospital bed capacity up
32.7% from 10 years prior• TB, Psych, and Long-term Care
declined• Community hospitals offer
comprehensive and new technologies such as open heart surgery & radioisotope procedures
1980’s South Shore Hospital Patient Room
1970’s Jefferson Davis Hospital Nursery
1970’s Surgery
1970’s St. John Hospital Building
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1990’S TO 2010Innovations
• Focus moves to outpatient services and ambulatory care centers
• Hospices and Nursing Homes created for chronically ill
• Focus on prevention instead of treatment w/ holistic medicine & coordination of care
• Rising costs force closures; focus on cost containment
Univ of Miami Wellness Center
Yawkey Center at Mass General
Johns Hopkins Hopsital
perkinswill.com 12
NOW AND FUTUREChange
• Affordable Care Act• Telemedicine• Patient-centered Medical Homes:
physician as coach, providing holistic, 24 hr. access
• Consolidated patient information (finally)
• More…
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HEALTH CARE TRENDSImpact facility growth
1. Health care systems will continue to expand their continuum-of-care services within the communities they serve
2. Baby Boomers are aging with high expectations which require more intensive services offerings even in the local community hospitals
3. Health care overhaul = more patients with insurance showing up at the emergency room door.
perkinswill.com 14
PATIENT ROOMSWards to semi-private rooms to private rooms
Mid 1900’sEarly 1900’s Now
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2010 FGI Guidelines for Design and Construction of Health Care Facilities
2.2-2.2 Medical/Surgical Nursing Unit 2.2-2.2.1 Reserved 2.2-2.2.2 Patient Room 2.2-2.2.2.1 Capacity (1) The maximum number of beds per room shall be one …
A P P E N D I X A2.2-2.2.2.2 (1) In new construction, single patient rooms should be at least 12 feet (3.66 meters) wide by 13 feet (3.96 meters) deep (or approximately 160 square feet, or 14.86 square meters) exclusive of toilet rooms, closets, lockers, wardrobes, alcoves, or vestibules. These spaces should accommodate comfortable furniture for family members (one or two) without blocking access of staff members to patients. Efforts should be made to provide the patient with some control of the room environment.
perkinswill.com 16
OPERATING ROOMSIntro of Aseptic Surgery to Minimally Invasive Surgery to Hybrid Surgical Procedures
Mid 1900’sEarly 1900’s Now
perkinswill.com 17
RADIOLOGYIntro of Radiology treatment to Modern Imaging Techniques to Hybrid Imaging Modalities
Mid 1900’sEarly 1900’s Now