Healthcare October Minutes

LA/AIA COMMITTEE ON ARCHITECTURE FOR HEALTH MINUTES OF THE MEETING: CAH No 10-09 Date:

October 21, 2009

Time:

4:30 p.m.

Place:

CANNON DESIGN 1901 Avenue of the Stars, Suite 175 Los Angeles, CA 90067 (Century City)

Subject:

International Roundtable Discussion

Speakers:

Lee Brennan, AIA, Principal / Western Region Healthcare Market Leader - Cannon Design Raymond C. Pan, AIA, Design Principal – HMC Architects Richard Ramer, AIA, Principal – Ramer Architecture

Healthcare Committee Co-Chairs Present: Hal Sibley (HMC Architects): CAH Co-Chair ( [email protected] ) Carlos Amato (RBB Architects Inc.) CAH Co-Chair [email protected] Attendees:

See attached spreadsheet.

LA/AIA-CAH ANNOUNCEMENTS: 1. Next Meeting a. Our next meeting will be held Wednesday, November 18, 2009 at 4:30pm at the AIA Los Angeles Chapter office, located at 3780 Wilshire Blvd., 8th floor, Los Angeles CA 90010. This month’s speakers, John Grounds and Carlos Amato from RBB Architects Inc. will present the Orlando Healthcare Design 09 Conference highlights. We encourage you to arrive at 4:30, socialize and network with your colleagues. Presentation starts at 5pm b. Please RSVP to Steve Tanner at [email protected] if you plan to attend. c. 1.5 HSW Continuing Education Hours will be provided for attendees who sign in. 2. Committee Business a. Hal Sibley provided the monthly update. b. Ideas for upcoming presentations were discussed. 3. Upcoming Committee Meetings / Presentations Note: Calendar is tentative unless noted otherwise. Topics and details will follow as we get close to meeting dates. 2009 Nov.: Dec.

RBB Architects Inc. – Healthcare Design 09 (Orlando, Florida) Conference Update. (CO Architects was cancelled and will be re-scheduled in 2010) Healthcare Construction Roundtable (DPR / Turner / McCarthy)

2010 January: February: March: April: May: June: July:

Rebecca J. Wise, COO, DNV Healthcare Inc. Perkins + Will – Current international work Jeff Davis, President of the Society of American Military Engineers (S.A.M.E.) David Drake – Drake Systems Group Inc. (A/V Technology for Healthcare) OPEN OPEN OPEN

4. PRESENTATION HIGHLIGHTS:

LA/AIA COMMITTEE ON ARCHITECTURE FOR HEALTH MEETING MINUTES FOR October 2009 Page 2

The presentation covered the following topics: 1. CANNON DESIGN a. Lee Brennan, AIA, Principal, Western Region Market Leader for Healthcare for Cannon Design, presented one of Cannon's recent Healthcare International projects, the King Faisal Specialist Hospital and Research Center. King Faisal Specialist Hospital and Research Center (KFSH & RC), one of the Middle East's top medical institutions, is known for high-caliber medical professionals and state-of-the-art techniques. b. To expand KFSH & RC's presence in cancer treatment and research, support the medical campus's functionality and image, and accommodate a full range of evolving clinical care, practice, and research modalities, an expansion initiative currently under way features four landmark projects that incorporate the latest in building, medical equipment, and healthcare system technologies and accommodate future expansion. c. The 360-bed, 72,000 sm (775,000 SF) King Abdullah Cancer and Liver Disease Center, featuring inpatient nursing units, ambulatory clinics, treatment areas, and diagnostic, support, and technical services, will be connected with the existing hospital on all floors. d. The 38,000 sm (410,000 SF) National Biotechnology Center, comprising a biotechnology research facility, allied health training unit, common public and support areas, multi-story parking, and new gate and access road network, is envisioned as the prime research laboratory and training center in the Kingdom of Saudi Arabia and the larger region. e. The 45,000 sm (484,000 SF), four-story Royal Wing, designed for future expansion to 10 stories, has its own helipad, access road, and evacuation tunnel and is linked at the ground floor with the existing hospital for instant access to the emergency department, VIP outpatient clinics, medical imaging, and support facilities. A dedicated gate and road network serves the VIP population. A new block connected to the existing hospital on all levels includes an emergency department, polyclinics, family health clinics, lobby, reception areas, visitor’s center, retail shops, public amenities, technical/support facilities, and helipad. f. A Central Plant and Service Tunnel System includes a 18,000 sm powerhouse facility and 1,800 m of tunnels to contain service utility systems. Underground parking for 1,200 vehicles provides convenient access to all medical and research buildings g. In addition to providing design services for all four projects, Cannon Design will draft KFSH & RC's institutional master plan. Lee also indicated the project was a collaboration between three Cannon Design offices. h. Lessons learned shared, included the importance of understanding the local culture, building inefficiency into the A/E team work plans and addressing the client’s high expectations for expertise in all areas. 2. HMC Architects a. Raymond Pan, AIA, presented the winning entry for a major international design competition for the First People's Hospital at Shunde District, China. The project is a 2.2 million square feet hospital of 1,500 beds on 33 acres green field site. b. Raymond’s role in the competition was the Design Principal. As a Chinese American familiar with the culture and language, he was instrumental in working with HMC’s Chinese partners and others in developing the responsive, award winning design concept. Raymond worked with HMC’s Project Director in China for several weeks providing direction to the local staff of the Shunde Architectural Design Institute, as well as with HMC’s US based team. c. The hospital campus was designed for a region with unique healthcare delivery practices by integrating the most advanced design and planning ideas from the west with the best local practices. d. The design engages the local context through the use of local, sustainable construction materials and technologies, as well as architectural references to the heritage of the region. e. The team’s winning concept offers a hospital that celebrates the longstanding traditions of Eastern medicine, culture, and design, as well as the innovative Western approach to healthcare design that minimizes hospital errors, maximizes productivity, promotes efficiency, and incorporates sustainable design choices.

LA/AIA COMMITTEE ON ARCHITECTURE FOR HEALTH MEETING MINUTES FOR October 2009 Page 3 f.

The design itself combines a series of organized buildings linked by a dynamic, curved spine element, which creates a grand interior promenade and ‘eco-atrium,’ connecting and harmonizing the elements of the hospital. A tower intersects the spine and marks the location of the main plaza and serves as the symbolic heart of the campus. The curving spine structure and main tower work together to organize the site into four distinct quadrants—public access, outpatient services, support space, and quiet zone. The separation of these functions serves to avoid conflicts, improve privacy, and enhance wayfinding. g. By incorporating indoor and outdoor green spaces and healing gardens, the campus honors both Eastern and Western ideas regarding the therapeutic properties of nature and provides places for patient healing, family gathering, and privacy. Local materials and products used to construct the facility will help stimulate the local economy and add to the sustainable features, which include recycled water features for cooling. The water features also serve to mask ambient noise and provide visual comfort for patients. The hospital campus will be a vital component of the new master planned urban community in which it resides, tying directly into the urban transportation system for patient access. h. Abundant natural light in the interior spaces serves to support the healing environment and reduce energy consumption. Additional sustainable design features include photovoltaic panels on the roof, chilled beams in the eco-atrium, and non-toxic paints throughout the hospital to limit indoor air contaminants.

3. RAMER ARCHITECTURE a. Richard Ramer, AIA, LEED AP, the principal of Ramer Architecture, presented a 2008 international competition for the Taiwan Centers for Disease Control. b. Part of a team of architects and engineers, based in both California and Taiwan, collaborated on the design. The competition entry was awarded an honorable mention. c. The project is 300,000 square feet including laboratories and administrative space and required the equivalent of LEED certification. d. Located in Hsinchu City, near Taipei, the facility will establish an Asia Pacific Test Consulting and Research Center to provide disease control and prevention of contagious diseases and epidemics for the country of Taiwan. Since the facility is located in an earthquake-prone region, the design included a seismic base isolation system. On behalf of the membership of the Los Angeles Chapter of the AIA’s Committee on Architecture for Health, we wish to express our thanks to Lee, Raymond and Richard for presenting their work. We would also like to thank David Summers, Affiliate AIA/LA, for coordinating the speaker panel, Rita Spring (Cannon Design) for hosting the event and Steve Tanner, the AIA Membership Director, for his logistic support. Meeting Notes taken by: Carlos L. Amato, AIA, ACHA, LEED AP Co-Chair, LA/AIA Committee on Architecture for Health cc: All attending and non-attending members of the CAH. Nicola Solomons, Executive Director, LA/AIA Chapter