Los Angeles, California
907,000 GSF, 84,263 M2
Architecture, Campus Planning, Interior Architecture, Master Planning, Programming, Urban Planning and Design
2014 Healthcare Interior Design Competition - Honorable Mention, Community/Academic/Teaching Hospitals
acute care, ambulatory care, ambulatory surgery, cancer, cardiology, catheterization, children's hospital, clinical laboratory, cool roof, critical care unit (ccu), daylighting, diagnostic & treatment, efficient lighting, emergency department, energy efficiency, family-centered care, healing garden, health system, healthcare, high-efficiency irrigation, high-performance glazing, high-performance lighting, hospital, imaging, indoor environmental quality, infection control, infusion, inpatient, intensive care unit (icu), landscape for stormwater control, ldrp, life-cycle cost analysis, multispecialty, neonatal intensive care unit (nicu), neurology, ob/gyn, oncology, outpatient, patient resource center, patient safety, patient satisfaction, patient-centered care, pharmacy, privacy, radiation oncology, replacement hospital, specialty hospital, staff satisfaction, surgery, sustainability, thermal comfort, thermal mass, transit-oriented development, transparency, walkable community, women & children
Kaiser Permanente's largest hospital, the 400-bed LAMC, could aptly be compared to a dinosaur prior to SmithGroupJJR's replacement design. While it provided an array of vital medical and surgical services across a broad spectrum of disciplines, the flagship hospital was an unsustainable, jumbled sprawl across three full city blocks in Los Angeles—an outmoded healthcare platform in need of a focused evolution.
The replacement had to fit within a highly constrained urban footprint: 100,000 square feet and no higher than seven above-grade stories. To maximize the use of this limited space, the design team used the concept of "hospitals within a hospital." Like cells making up a larger organism, the series of specialty hospitals is vertically integrated within the building, encompassing a suite of 20 ORs and interventional imaging rooms, an integrated heart hospital, a children's hospital, and a women's hospital.
Departments share support services, optimizing efficiency of space and delivering a streamlined operational flow. The result is a ratio of net square feet to total floor area as tight as a tertiary level hospital can practically achieve, and a level of efficacy that sets a high bar for the healthcare industry.