This page contains document links to Construction Criteria Base

Clinic / Health Unit

by WBDG Staff

Last updated: 04-21-2011

Overview

The Clinic/Health Unit space types are facilities where outpatient ambulatory health services are provided. Sub-space types, such as office spaces, private toilets, and filing and storage areas are included.

This space type does not include provisions for invasive surgery, in-patient services, medical diagnostic categories I, II, and III equipment (including exam lights and medical gas systems), radiological diagnostic services (including special structural elements and radiation shielding on ceiling and floor areas), darkroom revolving door systems, or medical laboratory spaces. Clinics where general anesthesia, invasive procedures, or overnight care are provided require Institutional Occupancy construction types and are not included.

See Health Care, Hospital, Nursing Home, Outpatient Clinic, and Psychiatric Facility for more information about inpatient and specialized care facilities.

Space Attributes

The Clinic/Health Unit space type should provide a sanitary and therapeutic environment in which patients can be treated by medical practitioners quickly and effectively. Typical features of clinic/health unit space types include the list of applicable design objectives elements as outlined below. For a complete list and definitions of the design objectives within the context of whole building design, click on the titles below.

Accessible

Functional / Operational

  • Cleanliness and Sanitation: The cleanliness of a facility is not only related to a patient's medical recovery, but can also affect the perceived level of care. To maintain a sanitary environment, spaces should be easy to clean and maintain. Use durable finishes and sterile/antimicrobial surfaces as necessary. For more information, see WBDG Therapeutic Environments.
  • Occupancy: The occupancy classification for the Clinic/Health Unit space type is Business Occupancy B2, with sprinklered protected construction and GSA Acoustical Class C2.

Productive

  • Efficiency and Flexibility: The layout of the Clinic/Health Unit should promote prompt and reliable medical attention. Relationship and flow diagrams created at the beginning of the design process will ensure a sensible programming of space. Office support spaces such as workrooms, file rooms, copier areas, coat storage, and lockers typically will be integrated into the clinic environment. Flexibility must also be a basic feature of any health care facility to keep it from rapid obsolescence in the face of changing needs and technologies.
  • Acoustic and Visual Privacy: The new HIPAA (Health Insurance Portability and Accessibility Act) regulations address the security and privacy of "protected health information" (PHI). These regulations put new emphasis on acoustic and visual privacy, and may affect location and layout of workstations that handle medical records and other patient information-both paper and electronic-as well as patient accommodations. Flow diagrams created in the beginning of the design process should address controlled access areas.

Secure / Safe

  • Emergency Backup Systems: Typically, this space type will require emergency battery backup for 25% of lighting. Refer to individual utility requirements for specific medical equipment.

Example Program

The following building program is representative of Clinic/Health Unit spaces.

HEALTH UNIT

Description
Tenant Occupiable Areas
Qty. SF Each Space Req'd. Sum Actual SF Tenant Usable Factor Tenant USF
Entry Lobby       240    
    Waiting 1 120 120      
    Reception/Registration 1 60 60      
    Payee Window 1 60 60      
General Patient Care       684    
    Physician Office/Consult 1 120 120      
    Exam Room 3 108 324      
    Nurse Work Area 1 40 40      
    Patient Toilets 1 60 60      
    Clean/Supply Room 1 60 60      
    Medications Storage 1 20 20      
    Soiled Utility Room 1 60 60      
Medical Records       60    
    Medical Records Files 1 60 60      
Staff Support Spaces       216    
    Staff Toilet (Male) 1 60 60      
    Staff Toilet (Female) 1 60 60      
    Staff Break Room 1 60 60      
    Housekeeping 1 36 36      
             
    Tenant Suite     1,200 1,200 1.53 1,840
             
Tenant Usable Areas           1,840

Example Plans

The following diagram is representative of typical tenant plans.

Health service clinic space type

Example Construction Criteria

For GSA, the unit costs for the Clinic/Health Unit space type are based on the construction quality and design features in the following table (PDF 57 KB, 5 pgs). This information is based on GSA's benchmark interpretation and could be different for other owners.

Relevant Codes and Standards

The following agencies and organizations have developed codes and standards affecting the design of health facilities, including clinics. Note that the codes and standards are minimum requirements. Architects, engineers, and consultants should consider exceeding the applicable requirements whenever possible:

Major Resources

WBDG

Building Types

Community Services, Youth Centers, Educational Facilities, Child Development Centers, Training Facility, Health Care Facilities, Office Building, Research Facilities

Design Objectives

Accessible, Aesthetics—Engage the Integrated Design Process, Cost-Effective, Functional / Operational, Productive, Secure / Safe, Sustainable

Products and Systems

Section 23 05 93: Testing, Adjusting, and Balancing for HVAC, Federal Green Construction Guide for Specifiers, Building Envelope Design Guide

Project Management

Building Commissioning, Project Planning, Delivery and Controls

Publications