Fresh Start For Community of Hope Family Health and Birth Center

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Nonprofit Community of Hope (COH) provides healthcare, housing, and supportive services for low-income families in Washington, D.C. One of its three healthcare clinics in Ward 5, the Family Health and Birth Center, serves as the only freestanding birthing center in the capital city.

When the organization learned the building housing that center had been sold, COH turned the situation into an opportunity. Leaders sought out a new, bigger space within its existing neighborhood that could accommodate its nationally accredited birth center and family health services with room for additional exam rooms, counseling services, and a pharmacy.

In September 2019, COH purchased a vacant 1960s-era building. Partnering with Gensler’s Washington, D.C., office, the project team conducted a focus group in March 2020 to gather input from clients and staff. This feedback helped define the project’s design priorities, which included creating a highly visible entry and reducing barriers between staff and patients.

“Urban healthcare centers often make security a highly visible presence, which has the unintended consequence of making patients feel unwelcome and unsafe,” says Bonny Slater, design director at Gensler.

This was solved by using low, open reception desks that signaled to patients that they are welcome and trusted. Additionally, subtle separation of the care team and exam spaces was created by omitting doors in favor of separate patient and staff corridors for circulation.

“The care team area is an open space located at the end of the exam hallways, with no doors separating it from the patients,” Slater says.

Recognizing the building’s role as a birthing center, the design team chose to use elements such as curving ceilings, rounded corners, and furnishings to lend a feminine feel to the space, Slater says.

Vibrant artwork by local artists and artists of color is also incorporated throughout the clinic, another important goal of the project, notes Kelly Sweeney McShane, CEO of Community of Hope.

Once design priorities were identified, the team next had to solve the challenge of fitting the organization’s desired program into the building’s tight structure, says Tama Duffy Day, principal at Gensler. The original plan was to create additions on all three floors, which wasn’t possible due to budget constraints and the rising costs of building materials during the pandemic.

Instead, the project team decided on a ground-floor expansion at the front of the building to create a comfortably sized lobby without sacrificing clinical functions, Slater notes.

Additionally, a third floor was added to the two-story building to house a call center and staff offices.  Within the completed facility, exam rooms are housed on the first floor, and a birthing suite offers two home-like birth rooms and an accompanying family room on the second floor along with counseling rooms, a multipurpose community education room, and pharmacy.

Opened in March, the Family Health and Birth Center ultimately expanded from 8,000 to 20,000 square feet in the new location and accommodates 14 patient exam rooms, up from eight in the old clinic, and provides room to serve 25 percent more patients.

“The design is working really well and people love it,” McShane  says.

Joy Choquette is a freelance writer.

The post Fresh Start For Community of Hope Family Health and Birth Center first appeared on HCD Magazine.

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