View finder: MarinHealth Medical Center

Marin County is just across from San Francisco and the Golden Gate Bridge. It provides a magnificent natural environment and attracts people who have lived in the city for a long time. They seek more space and are directly connected to nature. The Marin Regional Hospital Marin Health Medical Center (formerly Marin General Hospital), located in Greenbrae, California, benefits from its unique environment with views of Mount Tamar Pais, the highest peak in the county; Cole Corte Madera Creek; and the adjacent 27-acre park.

When it came to meeting California’s 2030 earthquake compliance standards, the medical institution decided to replace the outdated hospital with a new 265,000 square foot facility called Oak Pavilion, combining most of the hospital’s basic services with The inpatient beds have been moved here while still remaining connected to some existing campus buildings. The new acute care facility will improve and improve the experience of patients and staff through larger rooms, modern materials and color palettes, and clinical spaces designed to accommodate new technologies and new therapies, while enhancing interaction with the outside world through biophilic design Links to natural beauty. “The uniqueness of Marin’s geographic location fully illustrates why biophilic design must be part of the project,” said Jason Haim, the company’s principal and executive director. Perkins Eastman (Los Angeles), served as the architect and healthcare planner for the project. “After all, people move to Marin to connect with nature, so you can’t take them away from them in the buildings where they seek care.”

The goal of the healthcare organization is also to achieve this goal and work closely with architects to bring outdoor activities into the outdoors. “MarinHealth is committed to providing an excellent rehabilitation environment, therefore, the use of natural healing power has always been the core of the design process, said Vernon Moreno, vice president of support services at the Marin Health Medical Center.

Natural environment

This new $315 million facility opened in August 2020 and includes 171 private wards, six operating/intervention rooms, new radiology and imaging services, and a larger emergency room and trauma center. The four-story building is divided into two parts and always has design details inspired by nature. “The connection with nature has been proven to be effective in curing patients in the hospital environment,” said Joe Runco, the head of the project’s landscape architect SWA Group (San Francisco). “The design of the new hospital ensures that patients and staff can view and/or enter the natural environment in the spectacular natural environment on site and in the controlled roof garden space.”

From the outside, the building is covered with glass and metal panels. It features a front balcony and a multi-level green roof terrace between the two sides, which can be used by patients and staff, and is equipped with elevated planting beds and chairs. The indoor/outdoor solarium is located in all patient rooms. It is a well-lit “living room” with a circular skylight on the top and connected to a balcony. Even if the patient is tied to an IV stand, the patient and his family can choose to go out. Haim. The spacious staff lounge is located next to the solarium, in sharp contrast with the sun lounge in the old building, which includes small windows, and also provides an opportunity for nurses to quickly get out of the outdoor breathing fresh air through the solarium.

In the ward, floor-to-ceiling windows bring natural light and unobstructed views of the surrounding environment or gardens and terraces. Haim said: “Anywhere you can see from the ward, you can see nothing but green.” In order to further expand the horizons and help patients, employees and families adapt to the direction of the building, the project team worked in the entire public space (even in At the end of the corridor) large areas of glass are used.

On the north side of the building, there is a 6,300-square-foot garden on the roof of the loading dock. The plants can be admired from the adjacent ward, while a layered sunken garden contains natural boulders and serves as a retaining wall. Walls, and lower and lower upper terraces with seating and various plants. Haim said: “We staggered all the waiting rooms around the area for imaging, surgery, maternity care and treatment in patient wards.”

Look and feel

Barbara Best (Barbara Best) said that in addition to softening the clinical environment by shifting the focus to the natural environment, the interior design also uses natural wood tones and nature-inspired colors (such as green and green inspired by the Marin headland). Brown) and other finishes to support the biophilic principle. -Santos, principal Forrest Perkins (San Francisco), interior design studio, merged with Perkins Eastman in 2016 and acted as a consultant for the project. Best-Santos said: “It’s very calming.” “You don’t see dazzling colors.” She said that in addition, the furniture is arranged in groups rather than fixed lines to “create more attractive, It’s almost like the layout of a hotel”.

The design also includes an extensive art plan, including 240 works (many of them from Marin) by 52 artists (many of them from Marin) in public spaces and staff lounges. “The surrounding landscape and environment are one of Marin’s greatest wealth, and it is also one of the elements that make the design and tone of MarinHealth so special and unique,” said Joe, the art consultant principal of Artsource Consulting (San Francisco). Said Jody Brunk Knowlton. project. “Art celebrates and enhances these assets.” Among the many works, there is “Bloom” by Katy Stone, which the artist said implies that the hillside is full of California poppy flowers, or It is the 50 individual paintings of Bay Area painter Michael McConnell for specific locations, depicting animal life found in California. that area.

In addition to aesthetics, the project also made the hospital’s clinical and medical staff areas “fit” by improving earthquake resistance, thereby improving operational efficiency. “In the old building, we are on top of each other,” said Karin Reese, Chief Nursing Officer and Chief Administrative Officer of MarinHealth Medical Center. Most existing wards account for 50% of the wards [should be] According to current scale standards, Haim added, it is also semi-private. As a result, the new building accommodates 114 private wards, each with a medical/surgical bed area of ??1,150 square feet. In addition, the size of the emergency room has almost tripled to 17,500 square feet, including five trauma wards and 20 private wards, including negative pressure and decontamination rooms, which can safely care for highly infectious patients. Three new operating rooms have been added to the existing surgical operating rooms, two of which can accommodate robot-assisted procedures and a comprehensive rehabilitation area. Efforts are also made to place related departments closely together to improve patient mobility, such as radiology and imaging next to the emergency room, while creating separate corridors and elevators for the public and staff to address infection control and patient privacy issues.

Parent-child disease is the future

In the next few years, improvements to the MarinHealth Medical Center campus will continue. Haim said that the future lobby will add a rock garden to the front. The rock garden will be designed together with the existing rock garden in the sunken garden of Oak Pavilion, “making visitors feel as if they are in the natural environment of Marin.” Once realized, the lobby will be designed. Its front garden will complete the overall biophilic conception of the project team.

“We believe that the connection with nature provides direct benefits for health and reducing stress; Heim said: “Obviously, this is an important factor in patient care and family management in times of stress. “Our focus on biophilicity helps the MarinHealth Medical Center building affect patients in a positive way. “

On the roof

One of the design focuses of the Oak Pavilion at MarinHealth Medical Center is energy saving. With the addition of an aluminum shading system on the façade, the three roof gardens have reduced the energy consumption of the building by 51% compared to previous facilities. Green roofs have contributed to energy conservation in a variety of ways. SWA Group (San Francisco), the landscape architect of the project. First, he said that natural greenery is less reflective and reduces the glare and heat normally emitted from traditional roofs. Secondly, since the roof is covered with lively water transpiration plants, the water transpiration/evaporation of the plants will produce a natural cooling effect. Finally, compared to conventional roofs, the soil layer and the plant layer provide additional insulation. As a result, Runco said: “Compared with the high fluctuations that often occur with other types of roofs, the temperature of the roof remains constant.”


Project details:

Project Name: Oak Pavilion at Marin Health Medical Center

Project completion date: September 2020

Owner: Marin Medical District

Total floor area: 265,000 square feet

Total construction cost: $315 million

Cost/square foot: $1,190

Architecture: Perkins Eastman (Design Architect, Records Architect, Healthcare Planner)

Interior design: IA Interior Architects, ForrestPerkins

Design and Construction Contractor: McCarthy Construction Company

Structural Engineer: KPFF

MEP: Mazzetti Engineer

Civil Engineer: KPFF

Geotechnical Engineer: Fugro

Design and Construction Contractor: McCarthy Construction Company

Art consultant: Art Source

Audiovisual equipment/electronic products/software: JCI/Wood Herald

Carpet/Floor: Johnsonite, Shaw

Ceiling/Wall System: USG Armstrong Ceiling System

Door/Lock/Hardware: Assa Abloy

Fabric/Textile: DesignTex

Furniture—seats/bags: PeopleSpace

Handrail/Wall Panel: Inpro

Lighting: lighting design studio (indoor lighting), DSA (site lighting)

Signage/Wayfinding: Propp + Guerin

Surface-solid/other: Corian, A stone

Wall decoration: Sherwin Williams

Landscape architect: SWA Group

Medical equipment planning: McCarthy Construction Company, CallisonRTKL

Shield Consultant: Therapeutics

Sustainable Development/LEED

Consultant: Thorton Tomesetti






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