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1 Tocci Building Companies TOCCI MARLBOROUGH HOSPITAL CANCER PAVILION Tocci Building Companies 660 Main Street Woburn, MA c o o l c a l m constructed

2 Marlborough Hospital Cancer Pavilion Marlborough, MA The Marlborough Hospital Cancer Pavilion (MHCP) is a 14,538 square-foot project with a new cancer treatment wing and a 2,000 square-foot renovation. The project centers on a state of the art Linear Accelerator for radiation oncology, a CT Simulator for diagnostic imaging, and ten chairs for infusion oncology. Tocci, The S/L/A/M Collaborative, and Marlborough Hospital, along with key consultants and subcontractors, delivered the project under a full IPD contract.

3 Aspirations of Marlborough Hospital Cancer Pavilion A cancer diagnosis is traumatic. Coping with that reality alone is daunting. For those who go through treatment, as well as their families and loved ones, there is much more to deal with than being ill. It is the stress of rearranging busy lives for lengthy chemotherapy treatments or frequent visits for radiation. Long drives in traffic, parking hassles, waiting as the treatment is prepared and given, and an exhausting drive home. This is what takes over the life of an individual with cancer. No more. In 2013, a new Malborough Hospital Cancer Pavilion opened. The state-of-the-art facility is part of the UMass Memorial Health Care Cancer Center of Excellence and combines the skills and knowledge of multidisciplinary teams of cancer specialist and an accredited cancer program all in one location. A nearly14,000 square-foot addition on the north side of the hospital will house cancer care services including medical oncology, radiation oncology, exam space and a healing garden. Currently, medical oncology is located on the second floor of the hospital s 1952 building while radiation oncology is only available off site. The new pavilion will bring all cancer services together under one roof with dedicated patient entrance and parking. The new Cancer Pavilion makes possible a team approach to cancer care by providing: A spacious medical oncology area with eight open chemotherapy infusion bays and two private infusion rooms The most sophisticated linear accelerator technology available with Varian TrueBeam radiation and CT Simulation for optimal radiation treatments Access to UMass Memorial/UMass Medical School clinical trials Comfortable exam rooms and offices An oncology center where experts share their knowledge for the best possible treatments and outcomes for patients Electronic medical records for efficient, shared consultation by all medical team members Open educational spaces where clinical experts discuss and present advanced prevention, care, research, and treatment options to their colleagues and community Compassionate and highly skilled oncologists, oncology nurses, pharmacists, and support staff to care for patients and support family members A healing garden to reduce stress on patients, families, and caregivers by providing an area for respite and meditation Designed to be constructed and maintained with environmentally friendly materials, the new Cancer Pavilion will be built according to the LEED-certification process (Leadership in Energy and Environmental Design). The new Cancer Pavilion brings the most advanced technology available to cancer care. This includes TrueBeam radiation therapy, a fully integrated system that coordinates imaging, patient positioning, motion management and treatment to: Provide more precise dosages Increase patient safety and comfort Tackle the most complex treatments, including radiosurgery and moving tumors Produce high quality/4d images with a 25 percent lower radiation dose Cut treatment time in half or more Linear Accelerator 4 Tocci Building Companies c o o l c a l m constructed 5

4 8' /2" 10' - 9 1/2" 19' - 2 1/2" 10' - 8 1/2" 11' - 5 1/2" 10' - 5 1/2" 1' - 1 5/8"7' /8" 9' - 2 1/2" 6' - 9 5/16" 9' - 4 1/2" 10' - 2 1/2" 9' - 3 1/2" 9' - 9 1/2" 10' - 9 1/2" DN UP DN DN NO DATE DESC Clash Detection LINAC The project centers on the state of the art LINAC. Tocci s approach to the LINAC and vault is detailed on the following pages. The hospital, Tocci, SLAM and key subcontractors are reaping the benefits of clash detection, BIM s low hanging fruit. 1 Laser Scan 2 Tocci used a laser scan of the building to coordinate new and relocated utilities. 3 4 REVISIONS Code Clearance 5 Verification Tocci added installation, maintenance and code clearance to objects ranging from VAV s to windows -- facilitating construction and operations. Using the BIM, Tocci and the electrictian verified cable tray requirements against the owner s stock, reducing the new tray purchase by a third. PRJ MGR SUPER BIM LEAD QAQC PROJECT NO ISSUED n Street MA SDC-E4.0 GROUND FLOOR CABLE TRAY Cable Tray Schedule Family Length IN STOCK? Cable Tray with Fittings 25' - 0" IN STOCK Cable Tray with Fittings 18' - 0" IN STOCK Cable Tray with Fittings 19' - 0" IN STOCK Cable Tray with Fittings 32' - 0" IN STOCK IN STOCK: 4 94' - 0" Cable Tray with Fittings 24' - 3" NEW Cable Tray with Fittings 28' - 3" NEW Cable Tray with Fittings 9' - 1 1/2" NEW Cable Tray with Fittings 19' - 7" NEW Cable Tray with Fittings 17' - 7" NEW Cable Tray with Fittings 18' - 4" NEW Cable Tray with Fittings 15' - 5" NEW Cable Tray with Fittings 8' - 9" NEW Cable Tray with Fittings 39' - 6" NEW Cable Tray with Fittings 14' - 5" NEW Cable Tray with Fittings 10' - 8" NEW Cable Tray with Fittings 5' - 1 1/2" NEW Cable Tray with Fittings 4' - 9" NEW NEW: ' - 9" Grand total: ' - 9" JC JW JG CANCER PAVILION Checker 07/02/ UNION STREET MARLBOROUGH, MA

5 Linear Accelerator LINAC Vault The project will provide new additional exam rooms, but the program centers on a state of the art Linear Accelerator (LINAC) for radiation oncology, a CT simulation for diagnostic imaging and 10 chairs for infusion oncology. Tocci, S/L/A/M, and key subcontractors modeled the LINAC, it s vault, and mechanical systems extensively. Immediately before forming the 745 CY concrete LINAC vault, Tocci and S/L/A/M reviewed and finalized layout of access panels and pull boxes. While explaining conduit sweep radii to the Architect, Tocci pulled in the Electrician and HVAC foreman for their input on the layout. The team was able to use the model to optimize an item being built a few feet away. The above photo shows the blank slate of the LINAC, before all of the equipment arrives. The sub-slab, 5 below grade, supported the staging needed while the roof cured and will provide a clean smooth surface for underground installation. 8 Tocci Building Companies c o o l c a l m constructed 9

6 LINAC Installation Tocci modeled the LINAC installation path to better understand how to sequence casework and finishes, as well as to conform the overall geometry of the corridors. S/L/A/M designed the LINAC space with healing in mind. Murals and all visualizations being an element of nature, balanced by light wood and clean colors. 10 Tocci Building Companies c o o l c a l m constructed 11

7 TOCCI 660 Main Street Woburn, MA t f

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