Massachusetts Department of Transportation initiated the Intersection and Signal Improvements at First Street and North Street to improve traffic circulation, overall safety, and multimodal accommodations in Pittsfield, MA. The $8.8 million project provides safer and more efficient access to Berkshire Medical Center—one of the region’s largest health care providers—for employees and patients, while maintaining a high level of service for through traffic on Route 7, one of the region’s two primary north-south arterials.  The project replaced a confusing multi-leg, stop-controlled intersection with a modern, efficient roundabout; and it improved multiple pedestrian crossings at the hospital site. Concurrently, the project transformed one of the city-owned streets through the BMC campus (North Street) from two-way to one-way traffic made upgrades to pedestrian crossings, and added a Rectangular Rapid Flashing Beacon to improve driver awareness of pedestrian activity. The new roundabout simplifies traffic movements, reduces conflict points, and promotes slower, more consistent speeds. This improves safety and provides smoother traffic flow without the delays associated with signals. For patients, visitors, and staff, the redesigned layout creates a more intuitive and less stressful experience entering and exiting the hospital. Emphasizing multimodal access by redesigning the corridor to better serve pedestrians, bicyclists, and transit users alongside vehicles proved especially important given the project’s location near a major hospital with high foot traffic.