- Swedish Medical Center
- SMC Emergency
- SMC Orthopedic Institute
- CCH – ED Expansion
- CCH – West Modular Building
- CCH – Cath Lab Relocation
- CCH – Special Procedures
- Heart and Trauma Center
- Holmes Hospital: Hurricane Hardening
- HRMC - Obstetrics Unit
- HFBC – Data Center Expansion
- Morsani Advanced Health Care
- PBCH – 60 Bed Expansion
- PBCH – Operating Room #4 Addition
- Eli Lilly - ICOS - CMC
Healthcare
Life Sciences

Projects and Experience
Swedish Medical Center: Emergency Department, Swedish First Hill
An Effective Upgrade and Improvement of Patient Experience

ProjectTeam
Lee Bruch
Project Advisory
CBRE
Project Managers
Clark — Kjos Architects
Architect
Sellen Construction
General Contractor
What we made happen
The emergency department of Swedish Medical Center’s First Hill campus in
Seattle occupied 28 year old outdated space. Swedish decided to increase and
its size to 22,000 square feet and update the entire space. The overarching
goals were to:
1 Increase efficiency and patient throughput.
2 Improve the patient and staff experience.
3 Avoid adversely impacting the ED’s 7x24 operations while maintaining infection control
and safety provisions.
The facilities Vice President Darren Redick, the administration of the ED, and the project manager Lee Bruch formed collegial teams of staff, designers, and contractors that fleshed out and achieved the goals.
The design and construction was accomplished in several sequential projects and multiple highly choreographed phases spread over 4 years.
A new imaging area with CT-Scan and two X-Ray rooms removed the need to transport patients to remote wings. The greatest challenge of this was to alter the building’s HVAC and other systems to meet the equipment’s needs.
With Lee leading the project team the improved ED operational processes drove the following changes:
Space re-configuration to allow more efficient
patient and staff flow.
Addition of five more exam rooms.
Addition of a new
negative air system for 6 infection control rooms including installing its
exhaust duct up through 6 occupied patient care floors.
Expansion and functional
improvement of the waiting and triage areas.
Replacement of the existing
disparate data, phone, medical monitor,
and security systems with new structured Cat 6 cabling.
Installation of new wireless monitor systems and
wireless EMR data systems.
Revised nurse stations for increased functionality
updated medical gas, fire detection,
and other infrastructure throughout, and improved aesthetics throughout.