A ground-breaking ceremony marked the start of construction of the Harlem Hospital modernization project. The concept integrates innovative health care planning and design excellence with an expression of Harlem’s history and culture. The plan includes a new patient pavilion and the renovation of key nursing and clinical units in the Martin Luther King Jr. Pavilion. With 180,000 square feet of new construction and 120,000 square feet of renovated space, all major clinical elements — specifically the emergency department, surgery, invasive procedures, imaging, and critical care beds — are organized to provide state-of-the-art care and treatment. The new design will preserve and highlight the WPA murals from existing buildings slated to be demolished. The murals, initially commissioned in 1936, were the first major U.S.-government commissions awarded to African-American artists. The architects will incorporate restored mural images into the building’s architecture at the scale of the 80-foot-high façade by using transparent images integrated within a sustainable, high-performance curtain wall. The design for the new pavilion received an AIANY 2005 Design Award.