Hospital Design

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Dr. Bill Wodiske, a 1982 Washington State University graduate and owner of three veterinary hospitals in the greater Phoenix area, has worked with architects and contractors to complete five separate building projects, including three leasehold designs, a leasehold remodel, and a free-standing facility. And apparently, the fifth project was the charm: Mountain Park Ranch Animal Hospital and Pet Resort took home a Merit Award in Veterinary Economics' Hospital Design Competition.

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At Cat Clinic of Destin, cats are considered top dog, and Dr. Dorothy Flynn designed her Florida hospital to accommodate feisty felines and their occasionally finicky owners.

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As a senior in veterinary school, Dr. Glenn Park worked on a class project with an architecture student to create the hospital of his dreams. Eleven years later, Dr. Park made his project a reality. And his 10,000-square-foot Courtyard Animal Hospital won a merit award in Veterinary Economics' 2001 Hospital Design Competition.

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When Dr. Marcel Florax set out to find a new practice site, he knew that not just any property would do. He wanted the flavor of his hospital to shine through. A 3,500-square-foot barn from the mid-1800s ended up being the perfect home for his 150-year-old practice--one of the oldest in England.

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Converting a 7,200-square-foot shell into a high-tech surgical hospital required skill, patience, and compromise from the six owners of Veterinary Surgical Associates in Concord, Calif. The resulting clinic took home a Best Specialty Hospital Award--a new category in the Veterinary Economics 2001 Hospital Design Competition.

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Studying Norwalk Veterinary Medical Center in Norwalk, Ohio, from a distance is like watching clouds on a summer day. Some people see a barn; others see a train depot. And everyone is right. "We wanted to build a charming facility, inspired by old barns and train depots, that evoked the veterinary profession's farm roots," owner Dr. Ronald G. Hendrikson says. This vision led him to create an award-winning floor plan in just 2,736 square feet.

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Judging by the design of this year's best veterinary hospital, "form follows function" may be the trend of the new millennium. Meadow Hills Veterinary Center in Kennewick, Wash., showcases a classic design based on this hospital's dual functions--a traditional small animal practice by day, an emergency clinic by night. With its second-story atrium windows illuminating the hospital like a beacon, this 6,524-square-foot facility shines above the rest as the 2001 Hospital of the Year.

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After 25 years of traveling to Garberville, Calif., to visit her family members, Dr. Judy Horvath and her husband, Steve Horvath, decided to simplify their lives and settle in the northern California village. Back in 1991, just two years after Dr. Horvath graduated from the University of California-Davis, the couple bought the only veterinary practice in the 1,200-person town.

You'd probably like to own an ultrasound machine, but before spending your hard-earned money, take time to determine whether you really need and will use one. "Ultrasound is to soft tissues what radiographs are to the bone, and we certainly see more soft tissue injuries than we do bone injuries," says Dr. Tracy Turner, Professor of Large Animal Surgery at the University of Minnesota in St. Paul, Minn. "You can't live without an ultrasound machine if you do lots of reproduction and lameness work. And it's also useful for visualizing the heart, lungs, pleural cavity, intestines, and other internal organs."

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The premise of the TV show "Ed" isn't original: lawyer Ed opens a professional practice in a bowling alley. Dr. Kovacic beat NBC to the punch in 1988 when he moved Animal Emergency Center in Milwaukee into a leased space in a bowling alley. Dr. Rebecca Kirby, Dipl. ACVIM, Dipl. ACVECC, once a partner and now sole shareholder, remembers the location fondly: "We couldn't tell if it was thundering or someone made a strike," she says.

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If you think constant barking is maddening, add the steady pounding of jackhammers. Then work under those conditions for a year. Partners Drs. Scott Griffin, Ann Allen Salter, and Bill VanHooser sacrificed quiet to add 6,613 square feet to their 7,295-square-foot Carriage Hills Animal Hospital and Pet Resort in Montgomery, Ala.

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Dr. Timothy J. Thompson wanted to own a practice so much, he says he would've bought a lemonade stand with a dog run attached. So he and his wife, Dr. Shannon A. Thompson, both 1994 Texas A&M University graduates, only spent a year as associates before buying Hope Animal Clinic in Marble Falls, Texas. They leased the 850-square-foot building and within a year bought land to build the mixed animal facility of their dreams.

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There's strength in numbers, the saying goes. But for the veterinarians at Findlay Animal Hospital in Findlay, Ohio, strength comes not only from the number of doctors but also from the number of hospitals they own around town.

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Looking at the 18,832-square-foot Veterinary Referral Center of Colorado in Englewood, Colo., it's hard to imagine the practice's humble beginnings. In 1991, Dr. Sam Romano's emergency practice merged with Dr. Steve Wheeler's internal medicine practice and Dr. Marlon Neely's mobile surgical practice in an 1,100-square-foot garage. Three years later they added oncologist Dr. Robyn Elmslie, Dipl. ACVIM, and moved into a 5,600-square-foot converted dental facility.

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Good luck and support from her family made all the difference when Dr. Sue A. Stiff was building a new facility for Kiln Creek Animal Care in Newport News, Va. Most business owners in this seaside locale can't afford land. But fortune smiled when Dr. Stiff secured a 2.7-acre site in an exclusive golf community--for half its value. In addition, her husband, a local emergency veterinarian, kept an eye on the practice while she devoted her time to the building project.

When people shop for used cars, they kick the tires and check under the hood. When they shop for veterinary services, the evaluation is more subtle. But in both cases, they form lasting opinions based on first impressions. That's why it's critical to minimize noise and odor. Simply put, if your clinic stinks, clients may worry that your medical care stinks, too.

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Consulting with clients over a picnic table, housing patients in the restroom, and stacking portable cages to the ceiling may sound like a bad dream to most veterinarians. Dr. Neil Shaw and his team endured this daily reality for more than two years at Florida Veterinary Specialists, a 1,500-square-foot leasehold hospital in Tampa, Fla.

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How often does a knock on the door make your dream come true? Once was enough for Drs. James McGill and Linda Miller, two veterinarians who worked in separate practices north of Seattle. Despite a virtually invisible location, Dr. McGill's 2,300-square-foot leasehold was growing 30 percent each year. And Dr. Miller wanted to offer 24-hour care, but a surgical hospital rented the facility during the day. Both doctors wanted new hospitals, but the cost held them back.

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When you mention Colorado, most people picture spectacular views. But from their tiny strip-mall leasehold, staff members at Centennial Valley Animal Hospital in Louisville, Colo., could barely see the parking lot, much less the Rocky Mountains beyond.

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Drivers passing East Lake Veterinary Hospital in Dallas do a doubletake when they see dogs running across the roof of the facility. To offer obedience training in her new practice, owner Dr. Karen Ann Fling added a 2,500-square-foot roof deck. This amenity garners plenty of attention, especially when training classes are in full swing.

You know the benefits of offering a complete in-house lab. You--and anxious pet owners--can get quick answers on complex cases, and you can begin treatment immediately rather than hospitalizing the patient until you receive test results the next morning. In addition, owning high-tech gadgets lets you practice high-quality medicine.

Whether you're building a new facility or updating your hospital, don't overlook wall finishes. Wayne Usiak, AIA, a Veterinary Economics Editorial Advisory Board member and principal of BDA Architecture PC in Albuquerque, N.M., suggests you consider these options for your practice:

When you dream about new equipment, also consider replacing existing units that no longer meet your needs. As you compose your wish list, ask these questions to determine whether an item is still efficient:

Sidestep sticker-shock

You've spent a year researching the benefits of laser surgery, and you think this new service will enhance your practice's surgical options. You've even selected the unit and considered financing options. But have you done all your homework? Before you buy expensive equipment, take time to calculate the financial benefits--and hidden costs.

Q. In my practice's kennel and grooming areas, staff members can encounter noise levels OSHA calls damaging. To keep noise from invading other areas, I've contained it in these sections. Short of a major redesign, how can I reduce exposure?