North Bay Regional Health Center

Several design principles were adopted for the NBRHC. The patient’s point of view were considerably studied. Patients have control over their rooms by having the opportunity to adjust lighting and food, while providing convenience and universally accessible layout, thus the NBRHC is designed with the well-being of the patients, staff and visitor in mind.[1] First and foremost, however, a focus of the design was to engage the five senses;

• Sight: the sense of sight is represented in the design as the concept of a village on a hill. This gives residents and patients a room with a sense of  familiarity by conveying views that evoke a feeling of a home, as opposed to that of an institution. Additionally, pleasant visual cues are dispersed though the facility, including many artworks from local artists.[1] Another key aspect in the visual design are the south facing acute care beds, allowing natural light to penetrate each room.[2] Further, the patient rooms are divided into four wings, each assigned its own season. Visual and written cues in these color coordinated wings aim to help patients and visitors find their way through the 3-storey hospital.[1]  
• Sound: both music and quiet areas have been added throughout “Main Street”, in to provide visitors and patients a calm and peaceful place.[1]
• Touch: a series of natural materials are noticeable throughout the hospital. This ranges from wood to water, demonstrated using glass, in order to provide patients and residents a sensory experience with the textural components of the building.[1]
• Taste / Smell: multiple food services are included to resonate with the senses of taste and smell.[1]

Another major component in the design was to provide patients with a connection to nature, as part of the Biophilic Design, this one considers how the users are connected with nature as its main design aspect. Evans Bertrand Hill Wheeler Architecture Inc. wanted to provide an appropriate amount of space for staff members to efficiently work, while also providing a connection for the patients with the surrounding natural environment.[1] In order to achieve this, found throughout the hospital are gardens, greenhouses, sweat lodges and the spiritual labyrinth were added.[1] In addition, the actual implemented design scheme of the NBRHC has one main circulation hall on the ground floor level which cradles the topography of the hillside located North of the building. This hallway, named “Main Street” is a bright, spacious corridor that highlights the use of wood as a decorative and structural elements, this one connects the Regional Mental Health Center with the District Hospital.[1] With this design, the NBRHC breaks the usual standards of hospital layouts, with the intention of portraying the facility as a neighborhood of network, rather than an institution.

The use of wood as a healing element is one of the main design initiatives that architect Brian Bertrand implemented into this project. A study by the University of British Columbia determined that wood as a design feature is known to calm individuals and reduce stress.[5] Therefore, every patient room is designed with wooden doors and cabinetry to reduce the institutional atmosphere of a traditional health center.[1] Since the Algonquin Park is located a few kilometers south of North Bay, the wooden materials were locally sourced, thus associating the design of the hospital with the history of North Bay as part of the Boreal Forest.[1]  

As part of the B-2 Occupancy Code, which includes any health care related unit, the NBRHC is the first hospital in Ontario to incorporate wood into its design. By doing so the firm was rewarded three Wood WORKS! awards in 2010.[2] Additionally, a Heat Exchange Unit was implemented to provide fresh air into every room while recovering heat when the exterior temperature is low.[1] As part of the stress-free environment, most patients’ rooms are facing south, large windows are strategically placed to allow sunrays to reach the patient’s bed.[2]

The architecture team, along with the hospital administrators, aimed to reduce the impact on the environment and communities that surrounds the NBRHC by making the hospital as "green" as possible. Therefore, reducing the energy that is consumed to operate the hospital, improving the air quality within and extending the overall life of the building made the NBRHC LEED certified. Consequently, the cost reduction for electrical and mechanical equipment was reduced by $825,000. Additionally, the "green" design resulted in a reduction of 1,890 tons of greenhouse gas emissions annually. These initiatives all meet the LEED policies.[1] Further, the hospital has two supplementary fuel sources; cogeneration and biomass, which can heat and power the hospital when maximum patient capacity is reached.[3] The use of Biomass is manifested through the hospital's sustainable strategy, since this one uses slash to produce heat and electricity, which is wood debris lef tover from logging.