Overview

Cathedral Hill Hospital

California Pacific Medical Center, a Sutter Health Affiliate

This 1.2 million sf urban replacement hospital isn't just state-of-the-art; it's breaking new ground in multiple areas of design and operations. Working with Sutter Health, an industry leader in the Lean process, SmithGroup is delivering this large, complex hospital using the techniques of Lean Design -- which has never before been achieved on a healthcare project of this scale. Designed to accommodate 555 beds for adults and women/children, the new hospital is organized around comprehensive centers of care rather than traditional departments, enhancing the delivery of patient care while improving space efficiencies, workflow and productivity.

 

Applying Lean management techniques pioneered by the automotive industry, Sutter and CPMC are using a progressive project delivery approach called Integrated Project Delivery (IPD) -- collocating client representatives, designers, contractors and key trade partners in a single location to ensure collaboration in all aspects of design and delivery. This collaboration is enhanced by the use of Building Information Modeling (BIM), an advanced virtual modeling process that allows real time design changes and reduction of potential errors; CPMC is one of the largest and most complex projects to be designed with this new method. Finally, the project is being designed to meet a LEED Silver rating, making it one of the largest hospital projects ever to seek LEED certification.

 

Location
San Francisco, California

 

Size
1,160,000 gsf (including parking)

 

Cost
Confidential


Industry


Specialized Service

Approach

The building's efficient design, dictated by both its site and program, unites two of CPMC's existing programs currently located on different urban campuses -- combining two hospitals, adult acute care and women's and children's, into one superblock. The diagnostic and treatment functions, requiring sizable floor plates to house needed adjacencies, are placed in the four-story podium of the steel and glass building.  The nursing tower rises 15-stories from the base, affording breathtaking, panoramic views of the city, the Bay and the Golden Gate Bridge.

 

Lean programming efforts led to a tactical re-examination of current models of care, targeted toward achieving space efficiencies and productivity without compromising patient care. Larger nursing units and bed floors allow greater sharing of support and distributed supply storage. The final program developed calls for universal/modular room sizes for exam, procedure, and patient care spaces, imbedded in a universal structural. The use of standardized spaces allows for maximum service line adaptability and acuity flexibility in the future.

Sustainability

The Cathedral Hill Hospital aspires to improve the resource and energy effectiveness of an inherently inefficient building type, while improving the quality of the environment as a place of health and healing.  Filtered outside air is coupled with strict attention to natural, non-toxic building materials.  Highly-diverse green roofs provide missing habitat for several displaced species while interior garden walls enhance the healing experience. Guided by the proposed LEED for Healthcare standards, the team is giving priority to those measures best aligned with goals of both the client and the city.

Recognition

  • Honor Award--Integrated Practice, AIA San Francisco, 2009 


 

"Lean Construction in California Health Care," Modern Steel Construction, November 2008