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Sanjay Gangal
Sanjay Gangal
Sanjay Gangal is the President of IBSystems, the parent company of AECCafe.com, MCADCafe, EDACafe.Com, GISCafe.Com, and ShareCG.Com.

Shriners for Children Medical Center in Pasadena, California by CO Architects

 
June 21st, 2020 by Sanjay Gangal

Article source: CO Architects

Program: Pediatric orthopedic care facility with an outpatient surgical suite, diagnostic clinic and radiology department, rehabilitation clinic, orthotics and prosthetics manufacturing, patient and family support services, and administrative offices. It also includes an outdoor rehabilitation therapy garden, outdoor gathering/event space, conference space, and subterranean parking garage.

Image Courtesy © Nils Timm

  • Architects: CO Architects
  • Project: Shriners for Children Medical Center
  • Location: 909 South Fair Oaks Ave., Pasadena, CA 91105
  • Client: Shriners Hospital for Children
  • Size: 74,800 square feet; three stories with three levels of underground parking for 210
  • General Contractor: DPR Construction
  • MEP Engineer/Lighting: EXP
  • Structural/Civil Engineer: KPFF Consulting Engineers
  • Medical Equipment Planner: Mazzetti + NL
  • Photographers: Nils Timm and Tom Bonner

Image Courtesy © Tom Bonner

Design: The Shriners for Children Medical Center in Pasadena combines a threestory building for surgery, clinical services, rehabilitation, and healing landscapes. As part of a campaign to replace and renovate its aging facilities, Shriners’ new 74,800-square-foot center focuses on outpatient services to better meet its mission of providing care to young patients. The design leverages evidence-based design strategies, the redevelopment of a suburban site, and an outward-facing building design that provides a positive emotional journey for patients and families.

The two-acre site is divided into the medical building on the northern half of the property and therapeutic gardens and outdoor gathering areas on the south side. The contemporary architecture of sweeping horizontal planes, cantilevers, and setbacks, along with region-sensitive landscape, is consistent with the modernist legacy of Pasadena. Local landmarks include designs by architects Greene and Greene, Richard Neutra, and Craig Ellwood, and landscape architects Garrett Eckbo and Lawrence Halprin.

The medical center’s glass-lined walls present an open and inviting character and reveal the activity within the building. A generous garden forecourt and upper-story terraces draw people outside to connect with nature and their surroundings. Three levels of underground parking provide 210 spaces for patient families, visitors, and staff.

Image Courtesy © Tom Bonner

Image Courtesy © Tom Bonner

Collaborative Design for Shriners’ New Business Model

The project is collaboratively designed by CO Architects of Los Angeles, SRG Partnership of Portland, Oregon, and Rios Clementi Hale Studios of Los Angeles. The team combined their talents of medical planning, sustainable design, healthcare interiors, and landscape architecture to develop creative solutions to this complex urban project, and worked with general contractor DPR Construction of Redwood, CA, to achieve them. Consulting with Shriners’ national and local board members, administrators, and clinicians along with residents, builders, and subcontractors the partnership tapped ideas from all stakeholders to create a facility supportive of well-being, healing, and community.

Efficient Building Organization for Healthcare Delivery

The new medical facility is half the size of the Los Angeles hospital, but is able to service three times the number of patients. The ground floor houses patient checkin, exam rooms, and x-ray areas, including a low-dose imaging system and prosthetic limb manufacturing space.

Image Courtesy © Tom Bonner

Image Courtesy © Tom Bonner

Architecture of Permanence and Environmental Sensitivity

Metal, glass, and stone on the building exterior establish the medical center’s institutional presence. The stone anchors the building to the ground, while the glass and metal connect the structure to the sky. The colors of the materials become lighter from the ground to the top to visually reduce the apparent building mass.

Environmentally sensitive strategies shape the architecture to improve patient comfort, promote healing, and save energy and operating costs. The design team integrated natural lighting throughout the building so it would not feel like a dark, sterile facility. Glass on the exterior reflects solar heat, and redirects and diffuses visible light into the building, while maintaining transparency. Natural light shines into interior spaces through windows with glare-preventing shades. LED lighting is used in all hallways and exam and x-ray rooms where patients can change the color of the illumination, which acts as a pleasant distraction from the clinical processes taking place.

Rooms are configured so light is passed from perimeter spaces to the interior, and internal courtyards allow daylight to reach the center of the building. On the roof, light monitors with automated louvers control peak summer sun to save energy. Deep cantilevered canopies shade public spaces on the ground floor to reduce solar gain.

Other green features contributing to a LEED Silver (equivalent) certification include PVC roofing with a high solar reflectance index, recycling of 50 percent of construction waste, water use reduction by 30 percent, low-VOC paints, an onsite water retention basin for collecting storm water, and bicycle storage areas. In addition, the project is located on a previously developed lot to take advantage of existing infrastructure.

Image Courtesy © Tom Bonner

Image Courtesy © Tom Bonner

Child-Centered Interior Design

CO Architects and SRG created the interiors with a focus on color and shape, while steering clear of childish clichés. Custom-designed murals depicting flora and fauna in colorful silhouettes run along the corridors, inviting discovery on the way to waiting areas and treatment room (which also sport similar graphics), while acting as positive distractions for children under stress. The colorful forest theme starts in the main lobby, which also sports swirls of colored terrazzo flooring. An interactive feature wall draws kids into the space and changes images with kinetic motion ignited by touch. Furnishings are comfortable and colorful in a variety of seating arrangements to accommodate families.

Pre-operative and post-anesthesia care units (PACU) are private, both visually and acoustically, to preserve patient dignity. Patients can control room lighting, entertainment, and education systems, as well as nurse assistance needs, giving them greater autonomy and sense of control. For continued privacy, consultation spaces are provided for confidential conversations.

Daylight is an integral part of the healing and well-being factor. Pre-op and PACU rooms are located on the north side of the second floor with windows for direct access to daylight, while indirect daylight is provided to operating rooms, boosting surgeon and staff awareness and energy. An interior courtyard is located adjacent to the surgery waiting room to provide daylight and outdoor access. Large-scale graphics of trees and plants are subdued in their coloration and wrap the walls in the waiting room and courtyard, providing a seamless exchange between indoors and outdoors.

Image Courtesy © Tom Bonner

Image Courtesy © Tom Bonner

Landscape for Healing and Rehabilitation

Rios Clementi Hale Studios designed the multi-level landscape for healing, reflecting, and gathering. Each of three outdoor areas is inspired by a different ecological and cultural aspect of the Pasadena region, including the grasslands of the San Gabriel foothills, farmland of the region, and annual Rose Parade.

The building is set back on the south side by about 180 feet to provide a landscaped courtyard as an open space amenity. All the elevator lobbies, public waiting rooms, gathering areas, and roof terraces are on the south side of the building overlooking the courtyard. Generous canopies creating sheltered transitional areas between outside and inside establish a welcoming character that frames the expectations for the healthcare experience. The solar orientation of the building, courtyard, and upper story terraces is organized to take advantage of the sun as a daily amenity to be enjoyed by all.

Image Courtesy © Tom Bonner

Image Courtesy © Tom Bonner

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Categories: Hospital, Medical Center




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