Augusta Health Emergency Department Expansion and Renovation

Augusta Health Emergency Department Expansion and Renovation | Fishersville, Virginia

Augusta Health is a community hospital located in Fisherville, Virginia that serves approximately 57,000 emergency visits a year to the surrounding communities. With the existing Emergency Department (ED) inadequate to meet the current demand, DPR constructed a new addition and to renovate the existing ED.



The project, designed by AECOM, included the complete renovation of the existing 17,500-sq.-ft. ED and construction of a 16,500-sq.-ft. addition to the ED, with an additional 16,500-sq.-ft. shell space above. This doubled the size of the existing ED and provided a total of 48 treatment rooms that include specialized treatment rooms for trauma and resuscitation, behavioral health, bariatrics, airborne infection control and examination rooms.

The project also included the addition of three nurse stations, staff lounges and locker rooms, and several other administrative and service spaces to provide employees with an efficient layout to help facilitate seeing patients.

Collaborating To


DPR was brought on to the project during the development stage of design to help review site logistics and to add design input. Weekly meetings with the owner and owner’s representative and bi-weekly meetings with the design team allowed the project team to create a collaborative approach with the owner and design team, addressing work that impacted the ED well in advance and communicating decisions that were needed to stay on schedule and budget.

Reaping The

Benefits of VDC

Due to the phasing of the renovation work, allowing the existing spaces to function as normal, the project team elected to do a full laser scan of above-ceiling utilities and turn it into a Revit model used for clash detection.

This allowed for quick access to the above ceiling conditions without having to disturb the active Emergency Department and for full coordination of how new above ceiling utilities were installed and the old removed.

The full Virtual Design & Construction (VDC) program also allowed for prefabrication of mechanical ductwork and piping, stormwater piping, med gas piping, and in-wall electrical to help reduce the overall schedule time of the MEP trades.

Exterior of the hospital in daytime.
A hallway of patient rooms
Exterior of the hospital in daytime.
A hallway of patient rooms
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