Miller Presentation Book

8/3/2019 Miller Presentation Book

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a d v a n c e d i n t e r v e n t i o

p a i n m a n a g e m e n


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P M p a i n m a n a g e m e n ta d v a n c e d i n t e r v e n t i o n a l

AdvancedInterventional PainManagement is agroup of health careprofessionals in Winston-Salem who specialize inthe treatment of chronicpain. The practiceconsists of physicians, apsychologist, physicianassistants, nurses andadministrative staff.Treatment options includeinterventional procedures,psychiatric evaluationand/or counseling,medication managementand surgical procedures.


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M iller Furniture Company, until 2007 theoldest furniture store in Greensboro, openedin 1893 and moved into its fnal location on

Elm Street in the early 1930s. The businesssurvived the depression but not the changesin the furniture industry that followed. Thebuilding has been vacant since the currentowner, Quinn Miller, closed the doors on hisretail furniture operation.

314316

elmwest


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the support system iscomprised of closely spaced

columns and a wide wall.

the existing buildingposes some problems

he building is actually two adjoined buildings.Te downstairs o thebuilding has solid tongue-

in groove maple oors.Columns are steel whichrest on granite and sup-port double I-beams.


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The problem of limited natural light is solved by replacing existing small windows with

much larger ones and adding a large oval sky-light in the center of the building. An opening

is created under the skylight which extendsthrough all four oors so that most of the build -ing will receive natural light from the skylight.

The closely spaced columns are replaced with steel beams in order to install the skylight and allow for the large opening under it. The other bene t fromthis upgrade are fewer restrictions on where walls are

placed which allows for a more ef cient oor plan.


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evidence-based design

The design process used in the AIPM acility incorporated evidence-based design, thepractice o making design decisions based on the best available in ormation and practiceevaluations (Hill, p. 3). Roger Ulrichs report The Role of the Physical Environment in the Hospital for the 21st Century: A Once-in-a-Lifetime Opportunity was particularly use ul. In the reportUlrich Indicates ve key actors that are essential or the psychological well-being o patientsand their amilies:

Design elements incorporated in the plans that embody these principles include:

(Hill, p. 4)

access to nature or views o the outdoorsharvested daylight

use o materials that evoke nature

provide access to naturereduce or eliminate environmental stressors

give a sense o controlprovide positive distractions

provide social support spaces

Hill, Tara R. Using Color to Create Healing Environments. http://www.hand-hygiene-sink.com/downloads/white-paper---using-color-to-create-healing-en.pdf. 9 May. 2011.


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Tara Rae Hill, ASID, rom the LittleFISH Think Tank, inher paper Using Color to Create He aling Environments ,provided in ormation which in uenced colorselections in the space. She says,

Evidence based design shows a strong correlationbetween healing and interiors that are stimulating-

spaces that are not overly neutral, have interestinguses o color, and use positive distractions that ocuson nature and color(p. 6).

...patients surrounded by vibrant surroundingsrecover three-quarters o a day aster, and needed

ewer pain medicationsthan those who did not (p. 7).

..colors previously considered too bright orhealth care settings, such as vibrant golds, citrusgreens, crimsons and Carribean blues are consideredtherapeutic tools that directly promote healing (p. 7).

hospital green is a thing o the past

Hill, Tara R. Using Color to Create Healing Environments.LittleFISHTHINKTANK. Mar. 2008. 11 May. 2011.


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the value o art or healing is a simple equation:

arta ects

emotions

&emotions

a ectoutcomes

Haggith, David the art of healing. healthcare designMar. 2011: 62a-b63.


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P M p a i n m a n a g e m e n t

a d v a n c e d i n t e r v e n t i o n a l

ancient wisdom assists new technology


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Bold color, sinuous lines,liberal quantities o glass andthe juxtaposition o strongvertical and horizontalplanes are the elementswhich directed the designo the building. The largewindows combined withmultiple patio spaces blurthe boundaries betweenindoors and outdoors.Materials - concrete, steeland copper - providecontrast in both color andtexture. The patient entranceestablishes the tone o therest o the building with itsgarden, outdoor seating andcircular components.


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Spaces are organized based on public and sta use, with the rst oor being themost public and the ourth the most private. There are two entrances to the building:

the patient entrance is on Elm Street and the sta entrance is on the alley parallelto it. The center o the building is open through all our oors with a large skylight

above the opening. Due to the act that most o the small rooms in the interior o thebuilding do not have access to natural light, clearstory windows on interior walls are

planned in order or them to bene t rom it. Curved lines are used throughout theplan to create movement and to avoid long, narrow hallways in spite o the multiple

small rooms required in the space.

foor plans


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waiting and receptionnurse stationexamination rooms

psychologyEven be ore entering the building it is apparent that the design includes

necessary accommodations or the large percentage o the patient populationwith ambulatory issues. A covered outdoor area with seating is provided or

patients who need to wait or a driver to pick them up. Spacious pathwaysare allowed or wheelchairs and other mobility aids. Receptionists are able to

supervise any problems patients may encounter with clear views to the outdoorwaiting, indoor waiting and examination area rom their work space.


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procedure and surgerypatient recoverysta exercise

Employee health issues are taken into account with boththe provision o an exercise room and the option o having

treadmill desks. Issues to be considered on this oor arehallways wide enough to maneuver st retchers, lead installed

in procedure/surgery room walls to contain radiation romuoroscopy machines and the potential or adding physical

therapy services in the uture.


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administrativele storage

con erence

Sta can exit the building or go to the exerciseroom without going through patient spaces via the

rear re escape stairs. There is easy access to thedining room, which is one oor up. Both covered

patios are available during meals and breaks.


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physiciansphysician assistantsdiningcon erence

The dining room is large enough to be usedor meetings or presentations or the entire

sta and the kitchen area is well equipped toaccommodate catered meals. All three o the

physician ofces are generously sized withample windows.


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north

N

W


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entrance and waiting room

patient entrance waiting_view 1

patient entrance

waiting_view 1

waiting_view 2

1st oor


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central stairs & examination area

3rd oor_central stairs 1st oor_examination area


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The ountain is constructedo 3 orm panels supportedby a rame o 1 aluminumtubing.

water ountain

Water is pumped throughthe tubing and ows out o multiple 1/4 openings atthe top o the structure.

A sheet o waterpours into the pool.


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recovery & examination2nd oor

drawer pull


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physician ofce & dining room

4th oorphysician ofce

dining room


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waiting room urnishings

item custom cocktail tableabricator Charleston Forge

Boone, NCdescription 48d. x 16ht.

base: iron withantique pewter nishtop: 48x 3/4

at edge glassprice $1000quantity 3


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waiting room nishes wa

Eco Sa ety Products2921 W. Culver St #4BPhoenix, AZ 85009

TimberSoy Natural WoodStainColor: Natural

Benjamin Moore PaintGuil ord Building Supply1621 Battleground AvenueGreensboro, NC 27429

paint product: Naturalpaint color: Ox ord Whitehigh gloss

gypsun board wallsto be painted

existing maple oorsto be repaired and stained

(the actual appearanceot the wood oors will bedarker than the sample )


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item door knobsmanu acturer A.S.Hardware Limited,

3 Central Court,Finch Close,Lenton Lane Ind Est,Nottingham,NG7 2NN UK

product ASH900copper solid round barlever handle with50mm dia. round rosecustom backplates o copper and steel to be

abricatedprice $150 interior doors 2) sets

$600 exterior door,1)set

waiting room xtures

itm

p

p

itm

p

p


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item plywood s-chairsketchup design

abricator Adrian Boggsdescript ion depth 39, width 36

height 39,seat height 19,seat depth 20

material plywoodprice $1000quantity 2

physician ofce urnishings


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item desk

abricator Charleston Forgedescript ion width 72depth 39,

height 29,

material base-steeltop-3/4 at edge glass

price $1000quantity 1



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item custom upholsterysketchup design

abricator Michael ThomasLiberty, NC

description side chairdepth 39, width 36height 39,seat height 19,seat depth 20

abric Sunbrella 5403Canvas Jockey Red

price $1,000


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physician ofce nishes

Eco Sa ety Products2921 W. Culver St #4BPhoenix, AZ 85009

TimberSoy Natural WoodStainColor: Natural

Benjamin Moore PaintGuil ord Building Supply1621 Battleground AvenueGreensboro, NC 27429

paint product: Naturalpaint color: Ox ord White

high gloss

gypsun board wallsto be painted

existing maple oorsto be repaired and stained

(the actual appearanceot the wood oors will bedarker than the sample )


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dining room urniture

item custom upholsteryabricator Michael Thomas

Liberty, NCdescription side chairdepth 39, width 36height 39,seat height 19,seat depth 20

abric Sunbrella 5446canvas green

price $550quantity 40


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CATEGORY LinoleumITEM NUMBER LP153Cool WhiteFORM Sheet$5.25 per square oot

CATEGORY SheetITEM NUMBER 88213White Sand

FORM Sheet

door and door hardware to bethe same speci cations as in physicians ofce3 orm wall same speci cations as in waiting room

ooring ARMSTRONGP.O. Box 3001Lancaster, PA 17604

Benjamin Moore PaintGuil ord Building Supply1621 Battleground Avenue

Greensboro, NC 27429

paint product: Naturalpaint color: Ox ord Whitehigh gloss

gypsum walls to be painted

dining room nishes

it

m

si


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dining room xtures

item custom cabinetryabricator The Cabinet Studio

Winston-Salem, NCdescription maple cabinets with concealed hinges

copper countertops banded with steel32 linear eet o base cabinets17 linear eet o wall cabinets

price $12,000


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item

Benjamin Moore Paint5/8 dry wall partition w/ metal studs1/2 drywall ceilingre nish wood foor vinyl baseboardHalo recessed downlights

copper & iron window detaildropped ceiling detailLynden Doors interior doorsA.S. Hardware Limited int. door handlesSteiner Door exterior doorsA.S. Hardware Limited ext. door handles3 orm wallMichael Tomas sectional so asCharleston Forge cocktail

grand total

quantity

3334222011341134103137132221112

units

square eetsquare eetsquare eetsquare eetlinear eet

setset

price per unit

$1.913.761.671.300.71

162000400200150

2000300

18000120001000

total

$3461525669153866

219220001200400300

4000600

18000120003000

$61773

waiting room budget


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Miller Presentation Book

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