The Challenge
Children’s Hospital of Richmond at VCU (CHoR) is dedicated to improving children’s health in the Richmond community. Driven by a passion to put children first, the building expands the existing Children’s Pavilion, creating a consolidated location for pediatric healthcare — an entire city block dedicated to serving the children of Richmond, the Commonwealth of Virginia and the region. The project’s goals included establishing a destination for health and well-being for children of any age, creating a clinical care environment that enhances interprofessional team collaboration, and engaging care team members, patients, families, and the community throughout the design process.

The Design Solution
The team first studied operations at the existing Main Hospital’s seventh floor pediatric unit, shadowing staff throughout their day to understand what worked and what didn’t. An ideal future state was developed based on these findings.

Patients and family members were invited to visioning sessions to hear about their challenges when visiting the hospital. A community design fair engaged more than 100 children and family members in the design process, with an opportunity to vote on concepts, themes and color palettes.

As the building and its departments began to take shape, the project team referred to evidence-based design concepts and processes to inform decision making. The team conducted a literature review in collaboration with the University of Virginia to identify a range of drivers that are transforming pediatric healthcare. The team also created a series of physical and virtual mock-ups so staff could experience and test department and room layouts to help determine the best configuration to support future operational workflows.

Plan analytics and rapid prototyping helped designers optimize adjacencies to reduce travel distances for care team members, while maximizing visibility to patient rooms and among peers. The design team created a full reference guide to use during operational planning and activation that ensured care team members had a grasp of the design intent, strategies and supporting evidence.

Built on a tight urban site, the tower maximizes the available footprint by expanding the upper levels 15 feet wider than the lower levels in three directions. Two additional floors of vertical expansion capacity are included in the structural design of the space above the Pavilion, providing even more growth potential.

The Tower’s colorful interior architecture draw inspiration from the James River and its diverse habitats. Each level features an animal mascot native to the river along with a color theme for improved wayfinding. An interactive shadow play zone, discovery boxes and colorful local artwork add to the playful experience and help reduce the anxiety of a hospital visit.

The Design Impact
The Children’s Hospital of Richmond at VCU Children’s tower is a success story 30 years in the making. ChoR and VCU Health leadership, staff, and the patients and families they serve came together to develop an oasis for healing. Like the children it cares for, it is designed for future growth.

The building’s private, standardized universal patient rooms offer flexibility for various levels of care and staffing utilization. Rooms are larger to accommodate families and future technologies. Soft space, shell space and future vertical expansion capacity provide ChoR with the ability to grow and adapt to the ever-changing healthcare environment. Dedicated spaces for care team members, including respite rooms, off-stage breakrooms with daylight and views, and workplace choice, ensure that the health and wellbeing of those providing care is a top priority.

Since opening, the new hospital has changed how kids and adolescent young adults experience healthcare in the Richmond region. The whole building and its diverse spaces were designed to suit their needs and desires, making the experience of going to the hospital more comfortable. Post-occupancy performance evaluations will provide insights into design and operational strategies, as well as opportunities to further enhance key elements for continuous improvement, helping the ChoR team continue their legacy of providing world-class care in a place where generations of children and adolescents will come to heal and grow.

Design: HKS Inc.
Photography: Garrett Rowland