Healthcare Design - December 2015 - 56


REMODEL/RENOVATION - EMERGENCY/URGENT CARE

Cedars-Sinai Medical Center Emergency Department Expansion LOS ANGELES
Submitted by: HMC Architects ONTARIO, CALIF.
Cost/sq. ft.: $474
Design team: HMC Architects
(architecture and interior
design); Arup (acoustics);
Davidovich and Associates (mechanical/electrical); Degenkolb
Engineers (structural); TTG
Engineers (MEP); Miles and
Kelly (contractor)

56

BEFORE

center project. This 8,220-square-foot
expansion to the existing ED includes
10 new beds, a nurses' station, and
administration spaces that include an
educational classroom and offices.

Healthcare Design * special supplement

Jury comments:
* Good use of combination
of color and form to
define space compared to
drab existing lighting and
materials.
* Spaces feel open, yet private
with comfortable levels of
light, warm materials, and a
sense of clarity.
* Good operational process,
better sight lines and flow.

DAVID WAKELY (AFTER IMAGES)

Renovating and expanding an
emergency department within a
licensed, functioning hospital is always very difficult. Cedars-Sinai had
the usual challenges of high volume,
inefficient flows, and long wait times.
The design team collaborated closely
with the client, as well as specialists in
acoustics and lighting, to explore improvements to the care environment
that go beyond typical ED project
requirements with the ultimate goal
of improving the patient experience.
The task was to provide several additional treatment bays and
renovate and expand nurses' stations
significantly-all while remaining
operational in a very tightly constrained footprint. While solving the
functional problems within a phased
construction sequence, the design
team also engaged in design charrettes to evaluate costs/benefits and to
prioritize design options arising from
observations, literature research,
environmental audits of existing
acoustical and lighting conditions,
and computer modeling of light and
sound distribution. As a result of the
evidence-based design approach,
changes to the ceiling plane and materiality were incorporated to minimize the distribution of noise from
the clinical workstation. A series
of custom-designed acoustical fins
prevent certain wavelengths of sound
from traveling down the long axis of
the nurses' station. A multilevel lighting system provides illumination that
is both more comfortable for patients
and staff and supportive of urgent
and complex medical care.
The ED project followed an aggressive schedule to coincide with
the completion of an adjacent cancer

BEFORE



Table of Contents for the Digital Edition of Healthcare Design - December 2015

Healthcare Design - December 2015
Contents
HCDmagazine.com
Editorial
Show Talk
Monitor
The Center
The Inside Story
Hitting the Mark
View From the Top
Echoing the Landscape
Master Class
Research
Special Supplement: 2015 Remodel/Renovation Competition
Remodel/renovation Competition
Special Advertising Section: Remodel/Renovation Directory
Special Supplement: 2015 Product Innovation Awards
Product Innovation Awards
Special Advertising Section: Product Innovation Gallery
First Look
Healthcare Design - December 2015 - Healthcare Design - December 2015
Healthcare Design - December 2015 - Cover2
Healthcare Design - December 2015 - 1
Healthcare Design - December 2015 - Contents
Healthcare Design - December 2015 - 3
Healthcare Design - December 2015 - HCDmagazine.com
Healthcare Design - December 2015 - 5
Healthcare Design - December 2015 - Editorial
Healthcare Design - December 2015 - 7
Healthcare Design - December 2015 - Show Talk
Healthcare Design - December 2015 - 9
Healthcare Design - December 2015 - Monitor
Healthcare Design - December 2015 - 11
Healthcare Design - December 2015 - 12
Healthcare Design - December 2015 - 13
Healthcare Design - December 2015 - 14
Healthcare Design - December 2015 - 15
Healthcare Design - December 2015 - The Center
Healthcare Design - December 2015 - 17
Healthcare Design - December 2015 - The Inside Story
Healthcare Design - December 2015 - 19
Healthcare Design - December 2015 - 20
Healthcare Design - December 2015 - 21
Healthcare Design - December 2015 - 22
Healthcare Design - December 2015 - 23
Healthcare Design - December 2015 - 24
Healthcare Design - December 2015 - 25
Healthcare Design - December 2015 - Hitting the Mark
Healthcare Design - December 2015 - 27
Healthcare Design - December 2015 - 28
Healthcare Design - December 2015 - 29
Healthcare Design - December 2015 - 30
Healthcare Design - December 2015 - 31
Healthcare Design - December 2015 - View From the Top
Healthcare Design - December 2015 - 33
Healthcare Design - December 2015 - 34
Healthcare Design - December 2015 - 35
Healthcare Design - December 2015 - 36
Healthcare Design - December 2015 - 37
Healthcare Design - December 2015 - Echoing the Landscape
Healthcare Design - December 2015 - 39
Healthcare Design - December 2015 - 40
Healthcare Design - December 2015 - 41
Healthcare Design - December 2015 - 42
Healthcare Design - December 2015 - 43
Healthcare Design - December 2015 - Master Class
Healthcare Design - December 2015 - 45
Healthcare Design - December 2015 - 46
Healthcare Design - December 2015 - 47
Healthcare Design - December 2015 - 48
Healthcare Design - December 2015 - 49
Healthcare Design - December 2015 - Research
Healthcare Design - December 2015 - 51
Healthcare Design - December 2015 - 52
Healthcare Design - December 2015 - Special Supplement: 2015 Remodel/Renovation Competition
Healthcare Design - December 2015 - Remodel/renovation Competition
Healthcare Design - December 2015 - 55
Healthcare Design - December 2015 - 56
Healthcare Design - December 2015 - 57
Healthcare Design - December 2015 - 58
Healthcare Design - December 2015 - 59
Healthcare Design - December 2015 - 60
Healthcare Design - December 2015 - 61
Healthcare Design - December 2015 - 62
Healthcare Design - December 2015 - 63
Healthcare Design - December 2015 - Special Advertising Section: Remodel/Renovation Directory
Healthcare Design - December 2015 - 65
Healthcare Design - December 2015 - 66
Healthcare Design - December 2015 - 67
Healthcare Design - December 2015 - 68
Healthcare Design - December 2015 - 69
Healthcare Design - December 2015 - 70
Healthcare Design - December 2015 - 71
Healthcare Design - December 2015 - 72
Healthcare Design - December 2015 - 73
Healthcare Design - December 2015 - 74
Healthcare Design - December 2015 - Special Supplement: 2015 Product Innovation Awards
Healthcare Design - December 2015 - Product Innovation Awards
Healthcare Design - December 2015 - 77
Healthcare Design - December 2015 - 78
Healthcare Design - December 2015 - Special Advertising Section: Product Innovation Gallery
Healthcare Design - December 2015 - 80
Healthcare Design - December 2015 - 81
Healthcare Design - December 2015 - 82
Healthcare Design - December 2015 - 83
Healthcare Design - December 2015 - 84
Healthcare Design - December 2015 - 85
Healthcare Design - December 2015 - 86
Healthcare Design - December 2015 - 87
Healthcare Design - December 2015 - First Look
Healthcare Design - December 2015 - Cover3
Healthcare Design - December 2015 - Cover4
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