2021 Showcase Merit Award: Nature Lovers
Strive to comply with California’s latest seismic standards, MarinHealth Medical Center: Oak Pavilion It is a 265,000 square foot hospital replacement hospital that provides new hospitalization, diagnosis, intervention and emergency services. Community members in Greenbrae, California requested that the new building not detract from the surrounding natural landscape, thereby inspiring biophilic design inside and outside. Inside, the ward, waiting area and staff lounge are organized around a unique view, while outside there are many gardens. In addition, each treatment room is provided with a solarium, which is an indoor/outdoor space that allows patients to have direct access to fresh air.This project is created by Perkins EastmanHere, the project leader, Perkins Eastman (Los Angeles) director and executive director Jason Haim shared his insights on some of the most famous design solutions of the jury.
Healthcare design: The community expresses its desire for architecture integrated into the natural landscape. How do you design to ensure that the structure is almost obscured on site?
Jason Heim: The project is located in a sloping site, making the building look smaller than it actually is. The four-story above-ground building bottomed out on the west facade, but the south and east facades were excavated from the hillside and extended to the existing five-story wing. The lower level of this existing wing and oak pavilion has a terraced garden filled with boulders and flora native to Northern California. This garden is 40 feet from the public waiting room and connects the new wing of the project to the existing wing of the medical center.
Stacking green plants on the building and using reflective glass curtain walls to cover the project in the natural landscape, rather than building on it-this is very important to the Marin County community. The parking lot around the Oak Pavilion has also been lowered a few feet so that the ground floor can see the opposite river bank area [the street] And Tamalpais Mountain instead of looking at the front of parked cars.
The project uses artificial rock retaining walls and a large number of local tree species and ground cover to help the building adapt to its natural environment. The roof garden covers most of the low-rise roofs, providing pleasant views for patients and convenience for residents who overlook the Marin Medical Center from above.
The outdoor solarium is a prominent feature. Where did this idea come from?
We want a way to immerse the community in nature and stay connected with the beauty of Marin County, even if they are in the hospital. With our understanding of how nature promotes health, and our desire to create a building that literally and metaphorically reflects health, the solarium is a perfect architectural solution that can satisfy the connection between humans and the landscape, nature and environment Deep desire.
Internally, the biophilic reaction runs through. How does this goal affect the way indoor organizations are organized?
For various important reasons, we hope that patients, family members and staff can enjoy as much natural light and landscape as possible. We know that exposure to natural light and natural landscapes can help improve the health of patients and staff.
The project enables users to know their location in the building at any time, and can continue to obtain natural light and landscape, as well as the ability to interact with nature. Each patient unit can use a solarium or indoor/outdoor living room. The living room can lead to a large outdoor terrace, which can be opened to the unit from the inside. This continuous connection with daylighting, supplemented by the concept of wayfinding related to nature (and repeated on all floors), improves staff efficiency.
Especially through the thinking of control and individual elements, the patient experience is enhanced. What elements of this approach impressed you?
When patients and their families are able to make choices that affect their experience—such as room temperature, ability to be outdoors, lighting above the bedside, etc.—this will return some control elements to the patient. Studies have shown that when patients and their families feel more in control, their anxiety is reduced. Research shows that this can lead to more positive results.
With the doctor’s approval, even if it is tied to an IV stand, the patient can go outdoors to breathe fresh air. Patient bedside controls provide many functions, including lighting and curtains. Advanced lighting and window shading systems include preset controlled automatic lighting levels for daylight, occupancy, shading and patient care.
This is also about things that are not in the room. Perkins Eastman worked very hard to provide staff with enough support space to store all the equipment and carts needed for patient care outside the wards and corridors-the idea is that by hiding items that feel more clinical, we can create a passion Hospitable sensory experience rather than clinical experience.
The project also provides an opportunity to simplify operations. How can you improve the efficiency of nursing services?
Oak Pavilion fundamentally changes the existing patient and staff workflow, enabling the layout of the building to enhance the hospital’s functions and operational efficiency. Support services are stacked under the operation, and supplies are transported by a special elevator. The surgical recovery area is six times larger than the existing area, and the preoperative preparation and postoperative recovery can be carried out flexibly. Due to the large size of the unit, we can disperse nurse stations of appropriate size around the unit. The support space is distributed in the middle of the floor and is accessed by the staff-only corridor.
Jennifer Kovacs Silvis is the editor-in-chief of Healthcare Design.Her contact information is [email protected].