Ambulatory Outpatient Facility Prototype: Kettering Health Network

posted October 23rd, 2020 in Case Studies

by E4H


Kettering Health Network front view and sign with logo, surrounded by flowers

E4H was engaged to assist Kettering Health Network, a regional not for profit healthcare provider in 2016 in developing a consumer-based response plan for community outreach in the greater Dayton, Ohio market. E4H was tasked with creating an Ambulatory Outpatient Facility approach incorporating multiple outpatient initiatives in three distinct communities with three distinct response designs and resultant facilities. The resultant facilities incorporate key strategic components with hospitality and retail initiatives to create the response for each location.



  • State of the Art Outpatient Facilities convertible to Institutional utilization
  • Anchor components based on community demographic and strategic need
  • Ambulatory Surgery Center/OP Diagnostic/Freestanding Emergency Department (FSED) anchor components
  • Multi-discipline/Multi-Specialty anchor components
  • Significant emphasis on “Healthcare Retailing” and “Hospitality” derived amenities


Waiting area with chairs, couches, lamps and tables in front of a staircase


The consumer approach providing central access allows patrons to traverse up to three floors via a retail “Medical Mall” design for access to multi-specialty, orthopedic, occupational medicine, outpatient imaging center, outpatient rehab, lab, retail pharmacy, and the core Ambulatory Surgery Center and/ or core Free standing Emergency Center. Access is provided horizontally and vertically via the retail mall circulation component. Retail and patron amenities include a central concierge and Bistro with indoor dining.

Check-in area of a medical center and three exam tables, chairs, monitors and sets of equipment

  • Master planned 20,000 GSF 4 OR Ambulatory Surgical Suite
  • Outpatient Diagnostic Suite (MRI, RF, CT, Ultrasound)
  • Free standing Emergency Department anchor with 20 positions
  • Multi-Specialty Outpatient Medical Specialties @ 40,000 GSF
  • Pharmacy
  • Retail Bistro


  • 4 Operating Room 12,500 GSF Ambulatory Surgical Suite
  • Outpatient Diagnostic Suite (MRI, RF, CT, Ultrasound)
  • Multi-Specialty Outpatient Medical Specialties @ 65,000 GSF
  • Retail Pharmacy
  • Retail Bistro


  • Outpatient Diagnostic Suite (MRI, RF, CT, Ultrasound)
  • Freestanding Emergency Department anchor with 14 positions
  • Multi-Specialty Outpatient Medical Specialties @ 20,000 GSF
  • Retail Pharmacy
  • Retail Bistro


Beginning in July 2017 and commencing in September 2020 all three facilities have been completed and opened.

Kettering Health Network, Troy, OH

Kettering Health Network, Middletown, OH

Kettering Health Network, Piqua, OH

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