1. Construction of a brand new two-story, 25,000 SF healthcare clinic in the Belmont Cragin Neighborhood

2. The new clinic has 30 exam rooms that will provide pediatric and adult primary care, as well as specialty services such as dental, social, and medical services including cardiology and endocrinology

3. Construction included a steel frame with a glass exterior shell, a new parking lot, sidewalks and new landscaping

4. This new clinic not only brings high-quality healthcare services to the people of the Belmont Cragin neighborhood, but to residents throughout all of Cook County.

5. It is estimated that the new Belmont Cragin Health Clinic will accommodate more than 50,000 visits annually

F.H. Paschen recently completed this new two-story, 25,000 SF healthcare clinic in the Belmont Cragin Neighborhood that will provide the surrounding community with high-quality healthcare services. Services include social, dental, bariatric, ultrasound, minor procedures, medical check-ups, cardiology, and endocrinology. One of the unique aspects of the project is the steel frame building with a striking glass exterior shell. This glass enclosure houses 30 new exam rooms, doubling the size of the Logan Square Health Center that closed upon the opening of the new facility. The scope of work also included a new parking lot, sidewalks, and extensive landscaping.

High end finishes were installed throughout the building along with state-of-the-art medical equipment to provide superior outpatient care to the surrounding community. The two-story building consists of new exam rooms, office space, common areas, dental rooms, break rooms, and new restrooms throughout.

F.H. Paschen used our established, three-phase quality control program that is modeled after the US Army Corps of Engineers program and includes preparatory, initial, and follow-up inspections for each definable feature of work. F.H. Paschen encouraged full transparency and collaboration with all stakeholders and held numerous prefabrication and pre-pour meetings with the subcontractors and Owner’s representatives to discuss and confirm procedures, schedule, impacts on the community, and construction of mockups to ensure that all parties agreed on the products prior to fabrication and installation. As with all F.H. Paschen projects, quality control was addressed in detail at weekly project meetings to review the previous week and prepare for the week ahead.

The new Belmont Cragin Health Center is double the size of the existing clinic and brings state of the art healthcare capabilities to the Belmont Cragin neighborhood. This new 25,000 SF facility houses 30 exam rooms that can accommodate more than 50,000 visits annually, ultimately increasing the capacity of healthcare services while significantly decreasing wait times for patients. This larger, updated facility also allows the Belmont Cragin Health Center staff to administer COVID-19 vaccinations to community residents. Additionally, the Women, Infants and Children (WIC) food assistance program will be housed inside the clinic. The patient care team includes bilingual Spanish-speaking staff to better serve patients coming for treatment.

The main initiative of this new state-of-the-art health clinic is to provide appropriate care at the right time, in the right place to decrease the amount of preventable hospitalizations.

F.H. Paschen’s commitment to diversity and inclusion in the communities we build is one of our core values. The diversity goals for this project were 24% MBE and 10% WBE. We exceeded both by achieving 26.7% MBE and 13.82% WBE performance on this project. Overall, this project had 48.36% minority and women workforce hours with over 11% being local to the Belmont Cragin neighborhood and surrounding community.

This project had an excellent safety record with over 40,000 trade hours worked and zero lost time and OSHA recordable incidents. To achieve these numbers, F.H. Paschen implemented a robust training program, requiring all supervisors to be 30-hour OSHA certified, first aid certified, and AED trained. We require mandatory Job Hazard Analysis on all self-performed work and implemented a Construction Safety Phasing Plan. Safety stand down meetings were held throughout the project on a variety of topics, to reinforce the safety-first mentality.

• Not just a parking garage or a physical therapy environment, the new Physical Therapy & Sports Health Center and Parking Structure embodies the vibrance of the Lakeview neighborhood and symbolizes Illinois Masonic Medical Center’s commitment to the community and history as the first treatment center for AIDS in the 1980s. The design enables a seamless integration into the community on all facades, with varied aesthetic features depending on whether the viewer is a residential neighbor or commuter on the elevated train.

• With physical therapy and sports health the focal point at street-level, these programs are visible to pedestrians, especially those commuting via the adjacent elevated train, showcasing state-of-the-art services in the heart of this active neighborhood.

• The facility embodies the institution’s commitment to improving the quality-of-care for its patients while improving the quality-of-life for the community. The design enhances the pedestrian and commuter experience, showcases programs that support the community, and carefully considers the perspective of residential neighbors.

• With a commitment to improvements to the urban environment also came a commitment to strong neighborhood relations and communication. Extensive planning resulted in logistics that minimized disruption to street and pedestrian traffic while offering on-site tours to the public to build mutual understanding of challenges and opportunities.

This new Physical Therapy & Sports Health Center and Parking Structure celebrates wellness through physical movement. The facility is located at an active intersection and adjacent to a CTA station serving thousands of commuters daily. Facing two distinct urban environments, the design speaks different languages. Looking towards the neighborhood, the design complements adjacent brownstones with residential proportions of brick panels and punched openings. The contemporary east façade facing the medical campus celebrates architecture as art; a wall of aluminum fins shifts in orientation to appear dynamic to train commuters.

The street-level PT & Sports Health Center showcases activity. Floor-to-ceiling windows maximize daylight and views, energizing the urban experience outside. The industrial interior is purposefully non-clinical, designed to feel like an athletic training facility. Four levels of parking above resolve a deficit on campus, reducing congestion in the neighborhood.

The project featured extensive precast concrete and brickwork provided through two subcontractors brought on early as design-assist partners. The project’s contractor Turner Construction worked with Illinois Masonic, SmithGroup, and the subcontractors to facilitate a proper delivery and erection of the precast paneling to keep the project on schedule.

Lean Approach & Modular Construction
The team implemented a lean construction approach, which was key to finding an appropriate application for modular construction for the project. The urban nature of the campus and its space constraints required thorough evaluation for the best approach. The team assessed where modular construction and prefabrication would be best suited to produce a positive benefit. After a full evaluation, the entire project team determined that exam room pods would be an effective solution that would expedite the schedule, alleviate logistical pressure of a small site, and create a safer environment. Based on the layout of the space, the pods allowed for an easier installation and build sequence with increased efficiency in the workflow.

Pod construction provided the opportunity to tour the pre-fabricated exam room pods with end users prior to installation. This process eliminated changes at the end of the project during activation. Before the pods were wrapped and ready for delivery, all MEP systems were tested in a controlled environment, QA/QC inspections occurred throughout the process, and the design team conducted inspections.

Field Installation
The pods were structurally designed to be hoisted on and off a flatbed truck, and into the building. The locations of the hoisting/rigging points were coordinated per site-specific requirements and were incorporated into the logistical plan. Landscaping and curtainwall installation had to be planned so the pods could be hoisted into the building. “No fly zones” created in the Building Information Model allowed for corridor MEP mains and non-pod walls to be built simultaneously as the pods were fabricated in the factory.

Lean Tools
The team used several lean tools including the Last Planner System, Constraint log, Visual Management tools, and Pull Planning and Milestone Planning Sessions. A3s were used to structure problem-solving and guide more complex decisions. A “Target Value Design” was formulated and enabled the entire team to design within the overall budget and get the best value for the client.

With the successful utilization of these lean practices, the construction schedule was shortened by approximately three weeks, allowing the client to move in earlier and commence their activation period. The project expended 20% less field labor than originally planned, which provided an extremely positive impact for the surrounding community in terms of safety, logistics, parking, and traffic.

In the dense Lakeview neighborhood, patients and clinicians struggled to find parking on campus. The previous solution was a remote parking lot for staff with a shuttle bus in constant circulation through the neighborhood. The new parking structure brings staff and clinician parking back on campus, which reduces neighborhood congestion and allows visitors and patients to park adjacent to their services.

The facility aesthetic enlivens the neighborhood on multiple levels:

• The Physical Therapy & Sports Health Center and Parking Structure offers views to the activity on the inside. This program that was previously hidden within the hospital is now a beacon of wellness. Utilizing significant exterior glazing at the ground level, the program’s exposure and activity acts as an advertisement for Physical Therapy and Sports Health services to residential neighbors.

• A rehabilitation garden designed for outdoor therapy to the north provides green space in a highly urban environment, continuing Illinois Masonic’s commitment to providing community green space as part of each new development.

• Careful study of all design elements including building height and timed security lights ensured immediate residential neighbors were comfortable with design elements.

• The design responds to the building’s urban context and celebrates a legacy of support to the LGBTQ community. To the west, the design complements adjacent brownstones with human-scale proportions of brick panels and punched openings. The contemporary façade facing Wellington Avenue features a rainbow element in support of the LGBTQ community and recognition that Illinois Masonic hosted Chicago’s first AIDS treatment center in the 1980s. The east façade is composed of a computationally generated wall of aluminum fins that shifts in orientation to appear animated to commuters speeding by on the train, simultaneously celebrating architecture as public art.

Communication
It was crucial to keep the community involved throughout the construction process. The vibrant and continuously trafficked Lakeview neighborhood provided several challenges including safety for residents, Illinois Masonic’s staff, and commuters. To resolve these challenges, the team did the following:

• Direct Communication – Turner was directly accessible to the surrounding community. To ensure the most time-effective schedule and best safety logistics, they identified optimal choices for material deliveries, scheduling of trade partner work, and understanding the peak travel times.

• Residential & Hospital Traffic Control – Working adjacent to residential homes, commercial businesses, hospital facilities, and a commuter rail line required a meticulous plan including constant communication between the community and client. A rigid phasing plan was implemented based on the surrounding area to keep any traffic delays as close to zero as possible and prevent any Emergency Department delays, residential traffic bottlenecking, or delays in material deliveries.

• Project Tours – Turner offered community tours of the project with permission from the client and architect. This activity provided opportunities for mutual understanding between the hospital and community.

Turner’s safety program focused on creating and sustaining a culture that promotes an incident-free environment and provides the safest workplace possible for patients, employees, contractors, clients, and the community.

The added challenge of building a healthcare facility during the COVID-19 pandemic brought the necessity to establish a robust protocol to keep patients, workers, and healthcare professionals safe. Safety protocols included daily cleaning of common surfaces, warm water hand washing and hand sanitizer stations, and masking for all on site.

The team led daily huddles, safety stand downs, jobsite safety lunches, and safety perception surveys to engage the entire workforce. With the partnership of Illinois Masonic, every worker went through healthcare-specific safety training and the Turner Safety Orientation prior to starting work.

Total work hours for the Physical Therapy & Sports Health Center and Parking Structure were 100,830 with a RIR of 1.98.

• Horizon uses the most cutting edge technologies to develop and deliver medicines for rare, autoimmune and severe inflammatory diseases. Horizon’s mission is to make a difference in the lives of patients who utilize their medicines and their loves ones. Horizon’s leadership decided to make the exciting move to Deerfield and continue to grow the company’s legacy at their own campus. This new facility gives employees space to collaborate, innovate, and continue to provide patient-first medicines.

• The project is located on a campus in Deerfield comprised of three towers with 40,000-square-foot floor plates called H (six floors), Z and N (five floors each). All towers are connected by one continuous 130,000-square-foot first floor.

• All 11 floors feature perimeter private offices, workstations, two pantries and interior conference rooms. Building N contains some similar floors and an abundance of hoteling space for traveling workers and future expansion. The campus has a total of 650 private offices. To move between floors, the buildings have open stairs at the building’s central location, with Buildings N and Z featuring a unique spiral stairwell.

• The central hub on the ground floor is a space for around 500 employees to gather, take a mental break or access multiple amenities and resources provided by Horizon. This sprawling floor is home to Horizon’s reception space and IT bar, called the Tech Pub. With convenience at the forefront, in the café space, employees have access to an all-inclusive coffee bar and meals from a full kitchen. This dining space can also be transformed to host all-employee meetings, with a portable stage, AV and lighting. In addition to convenience, the new office also prioritizes employee wellness with a full fitness center and locker rooms.

• Exterior work encompassed the construction of an amenity deck and green roof, paving of campus roads, concrete sidewalk and concrete replacement at the loading dock. Clune also completed renovations of campus restrooms, installation for a new DAS system and campus security upgrades.

While exploring new workplace options for their growing company, Horizon Therapeutics made the exciting move of purchasing a campus facility. This campus is comprised of three towers called H (6 floors), Z and N (5 floors each), all connected by one continuous first floor. The project team had comfort, convenience, safety and high-end finishes in mind when envisioning the new space. Additionally, the team was excited to bring this development to the City of Deerfield.

The scope of this project included typical office floors, pantries, conference rooms, a training center with divisible rooms, and a conference center. Additional scope includes a food service area, recording studio, fitness center, locker rooms, amenity deck, and green roof.

Construction took place from April 2020 to October 2021 and the project had zero lost time and zero lost time injuries. With the entire schedule taking place during the pandemic, the project experienced minimal COVID cases that were well contained.

Every tenant improvement project requires collaboration. But for a constantly-evolving campus project of this magnitude, collaboration was paramount. In the fast paced environment needed to complete the Horizon space, Clune worked with the client, designers and trade partners to make sure everyone was on the same page and working toward the same goal.

After the initial award of the project, Horizon determined their best course of action was to build-out the full space for their use, rather than hold off on building out any of their interior space. This changed the phasing and logistics plans as well as the project schedule. Almost immediately after these decisions were made, the COVID-19 virus completely changed the way people worked. Rather than proceed with the original pantry and café plans, Horizon decided to wait until there was more data about the best ways to prevent viral spread, so the new space would be well-suited to protect employees. With these necessary pivots, there was systematic communication among all parties involved to prevent wasted time or resources.

The team determined the best approach was to build the main H and Z buildings concurrent, but separately. Two individual teams started from the top and worked their way down, moving two floors every two weeks. This approach allowed the team to move safely, but at a rapid pace. If there was one Superintendent and Foreman supervising both buildings, it would take them around 20 minutes to get down to the ground floor and up to the parallel floor in the other tower, leaving the job partially unsupervised.

Additionally, because of the project’s scale, safety and security were woven into the logistics plan from day one. Clune provided a Superintendent to exclusively monitor safety, conducted unannounced site visits by Clune regional safety managers, and hired a medical professional to take temperatures and contact trace at each of the dock entrances.

The Horizon Therapeutics Deerfield Campus project is something that will become a case study for Clune, CBRE, the Lamar Johnson Collaborative and the entire team on how to plan for and coordinate a sprawling amount of work. One of the major lessons learned was that when dealing with a multiple building campus, it is safer and more efficient to divide the projects into sections and run them with completely separate teams. This prevents confusion between areas and saves time since Superintendents don’t have to physically travel from building to building.

Additionally, this was one of the first spaces that the team worked on where the design was altered from the original plan due to the COVID-19 pandemic. The ground floor amenities and café was one of the areas most affected by this. The client, designers and construction team collaborated to pivot from a buffet style café, to grab and go. They had to get creative because relatively mundane activities like ordering coffee, now needed to be well thought out to accommodate the needs of around 500 employees and also be contact free. These decisions were made as the newest information was coming out, and have been working well for the end user. This knowledge will help the teams going forward when future clients are looking to make similar decisions.

Additional changes, such as adding in restroom upgrades towards the end of the project, also required constant communication, but also a lot of flexibility and creative thinking. With such detailed and high-end finishes, each design pivot required the input of all involved trades to determine how to protect and work around finished areas without compromising any of the new design.

After daily communication among the project team for nearly two-years, with the project was completed. The team had the satisfaction of knowing the new space has enabled Horizon employees to more efficiently and safely do their jobs, and also have some fun.

The City of Deerfield was thrilled to welcome Horizon Therapeutics to their community. Horizon is an exciting addition to the life sciences industry in the city and surrounding areas, and the Deerfield community was delighted to see this formerly vacant campus be given new life. The relocation of the current approximately 500 employees, which is a number that is rapidly growing, is also expected to benefit local businesses and commerce in the area.

While the Covid pandemic added an extra layer of complication to an already complicated job, the team kept safety at the forefront and was able to complete this large project without any lost time, significant injuries, or major viral outbreaks.