Healthcare Design - November 2019 - 20

A B OV E : Family respite

areas are located on
each inpatient floor
and include bright
colors and different
styles of furniture.
OPPOS I TE : The doubleheight main lobby
features a prominent
art piece by Deanna
Marsh that comprises
back-lit glass panels
printed in a pattern
abstracted from
examining medical
gauze under a
microscope.

IMPLEMENTING IPD

Recognizing that a project of this size would carry a lot of risk, including
potential schedule and cost overruns, the healthcare organization began
discussing the idea of an integrated project delivery (IPD) agreement to
drive the project. There were few precedents at the time, especially for a
project of this size, but Sutter Health had some experience using the delivery method and saw the value of an integrated team to align stakeholders and keep everyone accountable to project goals and deadlines, says

20

NOVEMBER 2019

HCDMAGAZINE.COM

┬ęTIM GRIFFTH

I

N THE EARLY 2000s, Sutter Health, a not-for-profit health
system based in Northern California, began looking at its
five California Pacific Medical Center (CPMC) campuses
in San Francisco to assess how to meet the state's 2030 seismic requirements while also repositioning some of its major service lines. Two sites, specifically-CPMC Pacific and
CPMC California-stood out. Pacific supported adult care
and California was a center of excellence for women and children, and both had outdated interiors and semiprivate patient rooms that
didn't meet patients' evolving care expectations. Because neither was ideal
for updating, Sutter Health began looking to consolidate the two into one
new location in the city. "It was an opportunity to create essentially a new
integrated model of care for them," says Heather Chung, vice president at
SmithGroup (San Francisco) and senior strategic planner and programmer on the project. A greenfield project could also be designed to comply
with the state's Seismic Safely Bill, which requires all hospitals by 2030 to
be capable of remaining operational following an earthquake-something
the existing facilities couldn't achieve.
This big vision, however, also required a significant amount of real estate
in an already tight urban market. As the organization began looking for locations, Sutter Health was presented with the option to buy an entire city
block in San Francisco, between Geary and Post streets and along the city's
bustling Van Ness corridor. With the site secured, planning and design on
the new 1 million-square-foot California Pacific Medical Center Van Ness
campus hospital began in 2007, with the goal to deliver the 274-patient bed
facility by Jan. 1, 2020.

Kent Hetherwick, principal at SmithGroup and
project manager on the Van Ness project. Sutter Health began looking for project partners
who were willing to go through the process
with them, including SmithGroup to deliver
the architecture and interior design, and HerreroBoldt (a joint venture of Herrero Builders and The Boldt Co.) to serve as construction
manager and general contractor. The owner and
partners created an integrated form of agreement with shared risk and reward among the
team members, which eventually grew to 17
partners and more than 300 people working together. "The team grew as necessary, as the project became more real and got into more detailed
design work," Hetherwick says.
For the next decade, key team members were
collocated in a big room near the project site,
which helped build trust and collaboration as
well as enable team members to quickly resolve
issues as they arose. "One of the formidable
statements of the project team was 'Don't admire a problem too long,' because the people
who are necessary to solve it are two desks
away," Hetherwick says. Communication and
reporting protocols were implemented to guide
decision-making, and weekly meetings were
held to address issues and keep everyone up on
project progress. Furthermore, the 17 risk partners met once a month to talk about how their
individual progress was affecting the overall
project. "These discussions helped to engender
the common bond we shared to deliver the job
and ensure that we were rightsizing the project's
team and bringing all the expertise and resources necessary to make the dates and meet the
project's objectives," Hetherwick says.
Engaging partners early in the process also allowed for innovative systems to be incorporated
into the facility, especially when it came time to
address the seismic design needs. For example,
an early plan called for using a traditional seismic structural solution of an isolation system
for the podium and patient tower, but the system
was becoming expensive, Hetherwick says. So,
the team came together to rethink its approach.
One suggestion was to use viscous wall dampers, which had been used extensively in Japan
but never for a healthcare building in North
America. The system works by placing two sets
of dampers in opposing directions (north/south
and east/west) around the perimeter of the floor
plates to absorb the vibration of earthquakes.
"The floor plates work against each other and
stop the motion," eliminating the need for a base
isolation as well as seismic joints leading up the


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Healthcare Design - November 2019

Table of Contents for the Digital Edition of Healthcare Design - November 2019

Healthcare Design - November 2019
Contents
EDITORIAL
SHOW TALK
NATURE INSPIRED
EXPLORING STANDARDIZED POE
FIRST LOOK
GOLDEN OPPORTUNITY
STEP INSIDE
DESIGN INTUITION
AIMING HIGH
PLANNING AND DESIGN
PRODUCT SPOTLIGHT
THE CENTER
PROJECT WATCH
PRODUCT GALLERY
FACE TIME
Healthcare Design - November 2019 - Healthcare Design - November 2019
Healthcare Design - November 2019 - Cover2
Healthcare Design - November 2019 - 1
Healthcare Design - November 2019 - 2
Healthcare Design - November 2019 - Contents
Healthcare Design - November 2019 - 4
Healthcare Design - November 2019 - 5
Healthcare Design - November 2019 - 6
Healthcare Design - November 2019 - 7
Healthcare Design - November 2019 - 8
Healthcare Design - November 2019 - EDITORIAL
Healthcare Design - November 2019 - SHOW TALK
Healthcare Design - November 2019 - 11
Healthcare Design - November 2019 - 12
Healthcare Design - November 2019 - NATURE INSPIRED
Healthcare Design - November 2019 - 14
Healthcare Design - November 2019 - 15
Healthcare Design - November 2019 - EXPLORING STANDARDIZED POE
Healthcare Design - November 2019 - FIRST LOOK
Healthcare Design - November 2019 - GOLDEN OPPORTUNITY
Healthcare Design - November 2019 - 19
Healthcare Design - November 2019 - 20
Healthcare Design - November 2019 - 21
Healthcare Design - November 2019 - 22
Healthcare Design - November 2019 - 23
Healthcare Design - November 2019 - 24
Healthcare Design - November 2019 - 25
Healthcare Design - November 2019 - 26
Healthcare Design - November 2019 - 27
Healthcare Design - November 2019 - STEP INSIDE
Healthcare Design - November 2019 - 29
Healthcare Design - November 2019 - 30
Healthcare Design - November 2019 - 31
Healthcare Design - November 2019 - 32
Healthcare Design - November 2019 - 33
Healthcare Design - November 2019 - 34
Healthcare Design - November 2019 - 35
Healthcare Design - November 2019 - 36
Healthcare Design - November 2019 - 37
Healthcare Design - November 2019 - 38
Healthcare Design - November 2019 - 39
Healthcare Design - November 2019 - 40
Healthcare Design - November 2019 - 41
Healthcare Design - November 2019 - DESIGN INTUITION
Healthcare Design - November 2019 - 43
Healthcare Design - November 2019 - 44
Healthcare Design - November 2019 - 45
Healthcare Design - November 2019 - 46
Healthcare Design - November 2019 - 47
Healthcare Design - November 2019 - 48
Healthcare Design - November 2019 - 49
Healthcare Design - November 2019 - AIMING HIGH
Healthcare Design - November 2019 - 51
Healthcare Design - November 2019 - 52
Healthcare Design - November 2019 - 53
Healthcare Design - November 2019 - 54
Healthcare Design - November 2019 - 55
Healthcare Design - November 2019 - 56
Healthcare Design - November 2019 - 57
Healthcare Design - November 2019 - 58
Healthcare Design - November 2019 - 59
Healthcare Design - November 2019 - 60
Healthcare Design - November 2019 - 61
Healthcare Design - November 2019 - 62
Healthcare Design - November 2019 - 63
Healthcare Design - November 2019 - 64
Healthcare Design - November 2019 - 65
Healthcare Design - November 2019 - 66
Healthcare Design - November 2019 - 67
Healthcare Design - November 2019 - 68
Healthcare Design - November 2019 - 69
Healthcare Design - November 2019 - 70
Healthcare Design - November 2019 - PLANNING AND DESIGN
Healthcare Design - November 2019 - 72
Healthcare Design - November 2019 - 73
Healthcare Design - November 2019 - PRODUCT SPOTLIGHT
Healthcare Design - November 2019 - 75
Healthcare Design - November 2019 - 76
Healthcare Design - November 2019 - 77
Healthcare Design - November 2019 - 78
Healthcare Design - November 2019 - 79
Healthcare Design - November 2019 - 80
Healthcare Design - November 2019 - 81
Healthcare Design - November 2019 - THE CENTER
Healthcare Design - November 2019 - 83
Healthcare Design - November 2019 - PROJECT WATCH
Healthcare Design - November 2019 - 85
Healthcare Design - November 2019 - 86
Healthcare Design - November 2019 - 87
Healthcare Design - November 2019 - 88
Healthcare Design - November 2019 - 89
Healthcare Design - November 2019 - 90
Healthcare Design - November 2019 - PRODUCT GALLERY
Healthcare Design - November 2019 - 92
Healthcare Design - November 2019 - 93
Healthcare Design - November 2019 - 94
Healthcare Design - November 2019 - 95
Healthcare Design - November 2019 - 96
Healthcare Design - November 2019 - 97
Healthcare Design - November 2019 - 98
Healthcare Design - November 2019 - 99
Healthcare Design - November 2019 - 100
Healthcare Design - November 2019 - 101
Healthcare Design - November 2019 - 102
Healthcare Design - November 2019 - 103
Healthcare Design - November 2019 - FACE TIME
Healthcare Design - November 2019 - Cover3
Healthcare Design - November 2019 - Cover4
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