One of the primary challenges facing the project team was to find ways to alleviate the stress of hospitalization for children and their families through design solutions. To accomplish this task, the project's design team, a tri-venture of architects NBBJ and Lothrop Associates and MEP and life-safety engineer, Syska Hennessy Group of Manhattan, created a distinctly child-friendly environment. For example, the outside of the facility has a very non-institutional look, appearing to be a large house to make children feel at home. In fact, since family, fun, and laughter contribute to the recovery process, a small park and a miniature golf course were constructed outside this new "house."
Designed as a child-friendly environment, the facility has numerous features intended to appeal to and amuse children. Lighting fixtures were chosen to create a soft nature/home-like ambiance. The lighting and HVAC systems were integrated into hospital displays, including the lobby's 5,000-gal fish tank, an authentic locomotive, a large doll collection, the David Cone/New York Yankees sports arcade, an actual fire engine cab, a resource center, a stage, a toy store, and a food court.