Master's Thesis

W E L L N E S S

C A M P U S

BY NAMRATA TU L S I ANE Y

NTU L S I ANE Y@ GMA I L . COM

Wellness Campus : The New Era In Healthcare

A Thesis Project

Presented to the Faculty of

California State Polytechnic University, Pomona

In Partial Fulfillment of the requirement for the

Master of Architecture

By

Namrata Tulsianey

Summer, 2015

MASTERS OF ARCHITECTURE | 2015

Wellness Campus : The New Era In Healthcare

Author: Namrata Tulsianey

Date Submitted: _____________________________________________________________

Department of Architecture

Thesis Advisors

George Proctor RA, Professor

Dennis McFadden FAIA

Technical Consultant

Liz Mahlow, PE

Graduate Coordinator

Kip Dickson

California State Polytechnic University, Pomona

Summer 2015

MASTERS OF ARCHITECTURE | 2015

ACKNOWLEDGMENT

Firstly, I would like to express my sincere gratitude to my advisor Prof. George Proctor, RA for his

continuous support during my Masters in Architecture thesis study and research. His guidance,

motivation and immense knowledge has helped during all times. There could not have been a

better advisor and mentor for my thesis and master’s program.

Besides my advisor, I would like to thank my thesis committee: Dennis McFadden, FAIA, Elizabeth

Mahlow, PE and Prof. Kip Dickson, Graduate Coordinator for their insightful comments and

encouragement. They have always motivated me to widen my research from various

perspectives.

Last but not the least, my deep appreciation goes to my family. Special thanks to my husband

Ashish Thakwani, for his patience and tireless support and contribution of knowledge and

assistance.

My gratitude to people cited in the credit or bibliography for information, photographs that

contributed to this work.

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111

Contents

I. Abstract/Thesis Statement

II. Research

A. The Issue

B. The Role of Architecture

C. Case Studies and their analyses

D. Program

1. Program Narrative

2. Detailed Program Matrix, spaces quantiied

E. Location & Site

III. Ideas

A. Architectural Narrative

1. design strategies, methods, and tactics

2. form, space, organization

B. Scapes Narrative

1. cultural, economic, environmental context

2. context, site, and landform strategies, methods, and tactics

C. Technical Narrative

1. structures, material, construction

IV. Design

A. Ideagram and Design Description

B. Massing Options

C. Diagrams

D. Site Plan

E. Floor Plans

F. Sections / Elevations

G. Exploded axonometric

H. Vignettes inside key spaces

I. Wall Section(s)

J. Model Photos

K. Presentation Boards

V. Appendices

A. Annotated Bibliography

B. General Plan Constraints & Applicable Building Codes Documentation

C. Room Data Sheets

D. Preliminary Cost Model

THESIS STATEMENT

With the reorganization of the medical industry, hospital campuses

are changing. Campuses will need to be significantly reconfigured

with the introduction of a wellness element, which will require

changes to the relationships between principal programmatic

components and reorganization of the campus grounds.

Abstract/Thesis Statement | 7

RESEARCH

There are many definitions and interpretations of

wellness, all of which establish a healthy balance

in the components of an individual’s life. In order

to define wellness I have referred the six dimen-

sions of wellness from National Wellness Institute.

The institute was established in the year 1977 with

the mission to serve professionals and organiza-

tions that promotes optimal health and wellness in

individual and communities.

It defines wellness as an active process through

which people become aware of and make

choice towards a more successful existence. The

interdependent model developed by Dr. Bill Het-

tler, co-founder of the National Wellness Institute,

breaks down wellness into eight categories: Physi-

cal, Spiritual and Emotional, Social, Occupational

and Intellectual wellbeing. The interconnected-

ness of these dimensions in a balanced way

defines wellness.

Wellness

Research | 9

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F RESNO

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Humboldt

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Kern

Kings

Lake

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Madera

Marin

Mariposa

Mendocino

Merced

Modoc

Mono

Monterey

Napa

Nevada

Placer

Plumas

R ivers ide

S acramento

S an Benito

S an Bernardino

S an Diego

S an F ranciscoS an J oaquin

S an Luis Obispo

S an Mateo

S anta Barbara

S anta C lara

S anta C ruz

S hasta

S ierra

S iskiyou

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S onoma

S tanis laus

S utter

T ehama

T rinity

T ulare

T uolumne

Ventura

Yolo

Yuba

Los Angeles

Orange

34% 38% 42% 47% 51%

Health Epidemic Statistic

Americans are in the midst of a “lifestyle disease”

epidemic. The Centers for Disease Control and

Prevention has identified four behaviors which

are, inactivity, poor nutrition, tobacco use, and

frequent alcohol consumption as primary causes

of disease in the United States, causing increasing

prevalence of diabetes, heart disease, and

chronic conditions in both men and women.

Adults with heart disease, diabetes, asthma, or fair

or poor health status are considered to have a

chronic disease.

In fact chronic diseases have become a major

burden in the United States, as they lead to dimin-

ished quality of life, account for severe disability in

25 million Americans, and are the leading cause

of death, claiming 1.7 million lives per year.

The Issue

Research| 10

The bar chart shows the health care

spending as per chronic condition.

12%

60%

12%

16%

11%

36%

12%

41%

7%

28%

9%

56%

10%

42%

10%

37%

10%

42%

11%

16%

Uninsured

Private

Medicaid/Other Public

Medicare

CPOD/AsthmaDiabetesHeart Disease Hypertension All Adults

Insurance Coverage,

by Target Condition and Payer, Adults

Heart Disease Diabetes Hypertension CPOD Asthma All Californians

$12,900.00

$7,900.00$7,200.00

$5,600.00

$2,400.00

High Economic Expenditure Statistics

The current economic model of healthcare deliv-

ery is extremely inefficient and expensive due to

two primary reasons. First, most of the medical

costs are paid for by government and employers

instead of patients, so they have little concern

about costs. Second, payment is on a fee-for-ser-

vice basis encourages both providers and users of

medical services to increase the number of pro-

cedures.

To make matters worse, the costs attributed to

treating chronic disease are estimated to

account for over 75 percent of national health

expenditures. This is an additional burden on an

already inefficient system. Furthermore, while

chronic disease was once thought to be a prob-

lem of older age groups, the number of work-

ing-age adults with a chronic condition has grown

by 25 percent in ten years. Health care costs are

high for Californians with any of the target condi-

tions. But the health care cost per capita for

people with heart disease is by far the highest:

more than five times that of the general adult

population.

Need for Wellness

Research | 11

PERCEPTION

WELLNESS

Fitness Center

Sports Stadium

Dance Studio

Yoga/Meditation Studio

Hospitals

Prison / Detention Centers

Home

Work place

Community Centers / Parks

Cemetery

ARCHITECTURE ISOLATED/DETACHED

FROM SOCIETY

ARCHITECTURAL ASSOCIATED THE

PRIVACY/ INDIVIDUALISM ARCHITECTURAL ASSOCIATED

WITH HAPPINESS MORE COMMUNITY ACTIVITY

ARCHITECTURE ASSOCIATED

WITH PSYCHOLOGICAL FEAR

- VE

Research | 12

Society is forever in the state of metamorphosis.

Ideology and need drive societies to bring about

the change but the process is a slow one. The

effort of one individual may take a lifetime or

more to become the calling of an entire move-

ment. In a similar manner, American society

displays the symptoms of the problem with the

healthcare system which has become the con-

cern of not one but many individuals.

Considering the American healthcare crisis the

medical organizations and government have

taken considerable steps to improve the system.

The Affordable Care Act will have a huge impact

on how healthcare facilities are going to be

designed.

Currently the hospitals are dense and a con-

strained clustered spaces which if not physically,

psychologically isolated from the community. The

design strategies and location evoke a feeling of

fear in patients. The thesis attempts to change the

perception of the hospital by reconfiguring the

medical campus incorporating the wellness com-

ponent into the campus. This is an interdisciplinary

approach to redefine hospital architecture from

a sick care institution to total health environment.

The transformation is from a single use land devel-

opment to an integrated, multi-use setting. In

essence, the hospital becomes a new form of

civic architecture.

Wellness Campus

The central community resource acts as a cata-

lyst to bring overall wellbeing. Patient healing is

greatly influenced by its environment. Conducive

environments dissipate the feeling of fear and

negativity associated with traditional hospital

setting. By integrating the wellness component

into current configuration it re-energizes the hos-

pital campus which increases the speed of recov-

ery. The goal is to revitalize the hospital environ-

ment with focus on overall healing rather than

treatment of particular ailment.

The thesis attempts to change the percep-

tion of the hospital by reconfiguring the

medical campus incorporating the well-

ness component into the campus.

Research | 13

Evolution of Healthcare & Hospital Architecture

health care“The moral imperative comfort”

Post World War II & Centers for Disease

Control and Prevention was established

Advancements in Diagnostic tests and vaccines

led to eradication of many diseases, decreasing

symptoms and fixing immediate problems.

Establishment of insurance companies.

1893

1800 & Prior

Home based remedies

was prevalent. Doctors

used to visit for serious

conditions. This practice

was called

"Domestic Medicine"

1843American Medical

Association (AMA)formed with focus on

regulating practice of

medicine

1945 & 1946

John Hopkins University

Medical School established

“The scientific imperative treat”

which shift the focus towards

The primary focus in

hospital design was on

ward dimensions

courtyards & window sizes

for abundant light and

ventilation.

Monasteries places

of healing focus on

holistic health.

Connection with nature

a strong therapeutic element

Research | 14

health

care“The moral imperative comfort”

Advancements in Diagnostic tests and vaccines

led to eradication of many diseases, decreasing

treat”

health

2015

2010

Health is achieved through

wellness/flexibility/adaptability

outdoor environment changing

the perception of healthcare

architecture by making it more

accessible to people.

1950

care

1990 & 1993

Communication advance-

ment like Internet and the

World Wide Web bought

awareness about healthcare.

Non profit center for health

design critical examination of

hospital building

To make health care more afford-

able, accessible and of a higher

quality, for families, seniors, busi-

nesses, and taxpayers alike.

Major impact on Healthcare Archi-

tecture

Affordable Care Act

The modern hospital

after post war period.

“The economic imperative

prevents” which shift the focus

The connection between nature

and healing superseded by tech-

nical approach.

Landscaping was merely seen as

a decoration to offset hospital

building or attract prospective

customers.

Hospital buildings became

sealed with limited or no access

to natural light and ventilation.

1990 - 2000Springing of separate disor-

ganized facilities with focus

on overall wellbeing - spas,

gymnasiums, yoga studios

was on the rise.

These facilities helped high

stressed individuals recon-

nect back to nature which

aided in disease prevention

and relaxation.

However these facilities are

completely separate from

hospitals.

2011

Small Hospital, Big Idea Competition

Kaiser Permanente

Research | 15

Case Studies | 16

Case Studies

Three case studies were carried out to study different aspects of wellness.

1. Case Sudy I

2. Case Study II

3. Case Study III

Wellness & Recreation Center, Georgia College and State University

UCLA Outpatient Surgery and Oncology Center

Adamsville Regional Healthcare, Atlanta Georgia

Wellness & Recreation Center

Georgia College and State University

Architect : Canon Design

Area : 57,000 sq.ft

Case Studies | 17

Case Study I

Net Square Footage 44,000 sq.ft

Gross Area 58, 000 SSS

Building Efficiency Ratio = 75%

Gymnasium

Fitness Center

Class Room

Jogging Track

Multipurpose

18,000 sq.ft

800 sq.ft

500 sq.ft

1/16 mile

2500 sq.ft

Exam Room

Counseling

Conference

6200 sq.ft

4500 sq.ft

240 sq.ft

Swimming Pool

Therapy Pool

6000 sq.ft

2000 sq.ft

1500 sq.ft

1560 sq.ft

Locker Rooms

Service

Gymnasium, Fitness Center

Primary Care

Aquatics

Support Areas

Circulation

Level 2

Level 1

Case Studies | 18

Useful Programmatic Components

FITNESS TRACK

1/16 mile elevated track which runs

around the gymnasium.

PRIMARY CARE

Health center has exam room for physi-

cians acts as a primary health care.

THERAPY POOL

Beneficial for patients with orthopedic problems.

MULTIPURPOSE HALL

Studios for yoga, tai-chi & pilates

Case Studies | 19

Case Studies | 20Case Studies | 20

Case Study II

Case Studies | 21

OT

Recovery

5000 sq.ft

3440 sq.ft

Radiology 5500 sq.ft

Operating Theatre

Cancer Treatment

Staff Area

1500 sq.ft

2000 S

Lockers

Lounge

Lab

10,000 sq.ft

Exam Rooms

Receiving

Net Square Footage = 40,000 sq.ft

Gross Area = 50,000 sq.ft

Building Efficiency Ratio = 80 %

Site Area = 250 x 150 = 37,500 sq.ft

FAR = 1.6

Exam Room

Doctors Lounge

Storage Area

Support

2500 sq.ft

2000 sq.ft

3000 sq.ft

Processing

Lobby

Waiting

1000 sq.ftReceiving

2500 sq.ft

1560 sq.ft

Laboratory

Pharmacy

Level 2

Level 1

Case Studies | 22

LIGHT AND VENTILATION

The building has been designed in an efficient

manner using natural light for most areas.

OUTPATIENT SURGERY AND RECOVERY AREA

Layout of operating theatre and recovery area.

EXAM ROOMS

Layout of exam rooms and support functions

Circulation Strategy

Adamsville Regional Healthcare

Atlanta Georgia

Architect : Stanley Beaman & Sears

Area : 34,000 sq.ft

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Case Studies | 23

Case Study III

Level 2

Level 1

Net Square Footage = 28,000 sq.ft

Gross Area = 34, 000 sq.ft

Building Efficiency Ratio = 82 %

Dental

Support Areas

Women Infant Clinic

Daycare Center

Administration

Primary Care Clinic

2000 sq.ft

3500 sq.ft

4000 sq.ft

4500 sq.ft

5000 sq.ft

9000 sq.ft

Case Studies | 24

USEFUL PROGRAMMATIC COMPONENTS

i. DAYCARE CENTER

Since the program has a women clinic the

daycare center is very useful for visiting

patients.

ii. DENTAL CLINIC

Layout is very efficient.

Case Studies | 25

Program Narrative

OVERLAP

Society is always undergoing transformation and the most innovative solutions is to rethink how the current

spaces can be used. It is not possible to destroy and start from the beginning but a overlay of different design

options helps in solving the problem better. As is the case of traditional hospital environments which have a

feeling of fear and negativity associated with them. The thesis attempts to revitalize the hospital campus by

introducing wellness programmatic components into an existing campus. The campus has varying conditions

of public versus private zones, dynamic versus static program and other localized factors, the intention is over-

lay the three strata to form a new hybrid spaces.

Program | 26

VARIATION

HYBRID

layering

existing campus

transformed by adding

new programmatic

components

interaction of old and

new components

gives variation

PROGRAM

STRUCTURE

NEW CAMPUS MORPHOLOGY

TIM

E

25 %

WELLNESS CENTER - TYPE OF USES

PUBLIC SEMI PUBLIC PRIVATE55 % 15 %

WELLNESS PROGRAM

- PHYSICAL FITNESS

- EDUCATION

- RETAIL

OUTPATIENT FACILITY

- OUTPATIENT SURGERY

- PRIMARY CARE

- DIAGNOSTIC

ADMINISTRATION

DIAGNOSTIC

AREA

OUTPATIENT

SURGERY

EXAM

ROOMSEDUCATION RETAILEXERCISE YOGA /TAI CHI

STUDIOFITNESS TRACK PLAZA

Outline Program

AREA 83,825 SQ.FT

OUTPATIENT FACILITY

35,000 SQ.FTWELLNESS COMPONENT

30,000 SQ.FT

OUTDOOR

30,000 SQ.FT

ADMIN

7,000 SQ.FT

Program |27

Fitness

Tai Chi & Yoga

Massage

Education & Retail

Physical / Emotional/

Social Wellness

Mediation

Program | 28

6000 sq.ft

6000 sq.ft

1000 sq.ft

8000 sq.ft

1000 sq.ft

Taxonomy or Activies

Diagnosis & Treatment

Radiology

Clinical

Examination

Treatment

Surgery/Recovery

Blood Donation

Program | 29

2000 sq.ft

2500 sq.ft

13,000 sq.ft

6,000 sq.ft

3,200 sq.ft

Taxonomy or Activies

Legend

Area in sq.ft.

Count

Detail ProgramD

iag

no

stic

SUB WAITING

DRESSING ROOM

BONE DENSITOMETER

OFFICE RADIOLOGY

VIEWING ROOM/PICTURE ARCHIVING

XRAY

RADIOLOGY

MAMMOGRAPHY ROOM

TOILET

ULTRASOUND ROOM

TOILET

CT EQUIPMENT ROOM

CT CONTROL ROOM

CT SCAN ROOM

BLOOD SPECIMEN COLLECTION ROOM

TOILET

LABORATORY CLINICAL CHEMISTRY

LABORATORY GENERAL

STORAGE REFRIGERATED

STORAGE

SHIPPING/RECEIVING

TOILET STAFF

POD I

ALCOVE WEIGHT STATION

ALCOVE HEIGHT ACCESSIBLE STATION

CONSULTATION ROOM

MULTIPURPOSE EXAM ROOM

MULTIPURPOSE PROCEDURE ROOM

TOILET- PATIENT

ALCOVE MEDICATION

ALCOVE RESUSCITATION CART

WORK STATION /TEAM WORK AREA

WORKROOM PATIENT ALIGNED CARE

CLASSROOM

MEDICAL STORAGE

TOILET STAFF

COMMUNICATION ROOM

HOUSEKEEPING AIDS CLOSET

UTILITY ROOM CLEAN

UTILITY ROOM RECYCLED

UTILITY ROOM SOILED

PNEUMATIC TUBE STATION

600

40

40

120

120

180

75

20

20

240

100

240

100

60

60

100

120

20

80

80

100

400

180

300

300

100

100

120

100

100

100

120

300

300

120

150

80

Exa

m R

oo

m

100 200 300 400 500 600 700 800 9000

Program | 30

100 200 300 400 500 600 700 800 9000

Detail ProgramO

utp

atie

nt

Su

rge

ry

RECEPTION & CONTROL

WORK STATION/PATIENT EDUCATION

PREPARATION AREA

PRE-OPERATING ROOM/HOLDING AREA

TOILET

ALCOVE- PATIENT PERSONAL STORAGE

STAFF ROOM DOCTORS

TOILET

LOCKER ROOM MEN & WOMEN

MEDICATION ROOM

STERILIZATION

UTILITY ROOM CLEAN

UTILITY ROOM SOILED

STORAGE

OPERATING THEATRE

SCRUB UP AREA

EQUIPMENT ROOM

CONTROL AND COMMUNICATION CENTER

POST RECOVERY

NURSE STATION

WAITING AREA & RECEPTION

DONOR RECORDS

INTERVIEW ROOM

EXAMINATION ROOM

HEMOGLOBIN SCREENING

COLLECTION AREA

STAFF WORK BASE

LINEN

SCREENING (POST DONATION)

DONOR LOUNGE

PANTRY

BLOOD STORAGE

LABORATORY TESTING

STAFF AREA

CLEANER

WASTE

TOILETS

EXERCISE AREA

TREATMENT CUBICLE

EXAM ROOM

OFFICE THERAPIST

TOILET

STORAGE

150800

100

60

120

400300

10060

100

15040

1206080

12060

200120120

100100

200120

100120

120

12080

10080

700

20

200100

40180

120100100100120

1200

Blo

od

Do

na

tio

n

Ce

nte

rPh

ysi

oth

era

py

100 200 300 400 500 600 700 800 10000 1200

Legend

Area in sq.ft.

Count

Program | 31

Detail ProgramA

dm

inis

tra

tio

n

STAFF LOUNGE

STAFF TOILETS

CONFERENCE

TEAM WORK AREA

SUPPORT AREAS

ALCOVE WHEELCHAIR

VESTIBULE

RECEPTION+WAITING

KIOSK PATIENT CHECK IN

ALCOVE VOLUNTEER

PATIENT EDUCATION

TOILET PUBLIC MALE

TOILET PUBLIC FEMALE

EXERCISE TRACK

GYMNASIUM

LOUNGE

CONTROL DESK

STUDIO

STORAGE

STAFF AREA

LOCKER ROOM

WOMEN LOCKER

MEN LOCKER

LAUNDRY

STORAGE

THERAPEUTIC POOL

POOL

FAMILY CHANGING

PUMP ROOM

CHEMICAL STORAGE

YOGA/TAI CHI STUDIO

GROUP THERAPY

TRANQUILITY SPACE

MASSAGE CENTER

MASSAGE THERAPY

COUPLE MASSAGE

CHIROPRACTOR ROOM

CHIROPRACTOR OFFICE

ALTERNATIVE MEDICINE

OFFICE

CONSULTATION ROOM

LAB

100

1800

90

200

150

100

300100

400240

1503000

200

40

40100

12000

300

6000200

300

10001100

100100

100100100

10001000

120

120

120

1000

100

120

We

lln

ess

100 200 300 400 500 600 1000 2000 30000 6000 12000

Legend

Area in sq.ft.

Count

Count

Program | 32

100

1800

90

200

150

100

300100

400240

1503000

200

40

40100

12000

300

6000200

300

10001100

100100

100100100

10001000

120

120

120

1000

100

120

100 200 300 400 500 600 1000 2000 30000 6000 12000

Detail ProgramC

afe

teri

a

RESTAURANT

KITCHEN

STORAGE & UTILITY

NUTRITION OFFICE

NUTRITION CONSULTATION

FAMILY CONSULTATION

DEMO EDUCATION/KITCHEN

MARKET AND DEMO

MOBILE TEST KITCHEN

GROCERY LAB

OFFICE

CLASSROOM

BUSINESS ROOM

PHARMACY

DRUG DISPENSING SYSTEM

DISPENSING WINDOW

PRESCRIPTION RECEIVING WINDOW

CONSULT ROOM PHARMACY

TOILET STAFF

PHARMACY

DATA PROCESSING

HEALTH STORE

NET AREA

GROSS AREA

GROSSING FACTOR

100

140600

60

120

180

80120

1200

350

120120

800

400200

800120

60

120

Re

tail

100 200 300 400 500 600 700 800 10000 1200

Legend

Area in sq.ft.

Count

83,325 SQ.FT.

Program | 33

Mapping of Hospitals

Legend

34

attempt to map all the hospitals in the area and recognize the suitable campus. The campus which are looking for expansion are

highlighted in orange color. Based on this first step the six criterias of site selection criteria was set up.

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35

Site Selection - Criteria

The case study for my thesis is Los Angeles and

Orange county. The process of selection for a suit-

able hospital campus forms the basis of my project

because the wellness component will be intro-

duced into the existing campus. This component

will form the public interface for the hospital

campus. The first step towards was to identify the

hospitals campus in region and which medical net-

work they belong. The criterias established for site

was divided into following six categories.

Based on above criteria I selected below three

sites.

-

-

Accessibility

Location on campus

36

GOOD SAM HOSPITAL

A B C D E F G H I J K L M N

VALUE

CRITERIA

SUB CATEGORY

10% 25% 30% 20% 5% 10%

MISSION HOSPITAL

KAISER PERMANENTE

LEGEND

A - Innovative

B - Adaptability

C - Extension to

Building

D - Extension to

Campus

E - Adaptive Reuse

F - Outpatient Facility

G - Diagnostic Facility

H - Wellness Facility

I - Open Space

J - No Open Space

K - High Density

L - Low Density

M - Visibility

N - Ease of Use

50%

Preference100%

Preference

Cumulative Points Chart

Good Samaritan

Mission Hospital

Kaiser Permanente

100 %

0 %

Site | 37

Site Selection - Comparison Matrix

NETWORK

Proposed Hospital

Church

Church Affiliation

Medical Affiliation

Affiliated Hospital

The Good Samaritan hospital was established in

the year 1911 to save the community. It is histori-

cally affiliated with the Episcopalian Church. Pas-

toral Care services are available for several

religions denominations. Medically it is affiliated

with USC Keck School of Medicine and UCLA. Situ-

ated in the densely populated community of

westlake it serves the surrounding communities of

downtown & Silverlake, Korea town. Each year,

Good Samaritan Hospital admits approximately

17,000 patients excluding newborns and handles

more than 93,500 outpatient visits. Considering

the transformation in the medical industry the hos-

pital is undergoing expansion. There is a proposal

for a new 193,000 sq.ft medical and outpatient

facility which makes it the ideal site for my project.

DOWNTOWN

LA

VERMONT SQUARE SOUTHPARK

MIRACLE MILE

HOLLYWOOD

W-ADMS EXPO PARK

SILVERLAKEAKAAK

Site | 38

Good Samaritan Hospital - Medical Network

Manufacturing

7.5%

Commercial

30%

Open Space

15%

Residential

40%

Parking7.5%

LANDUSE

Westlake has a mix of multifamily

residential, commercial, open space

and manufacturing uses. The land use

and zoning map have similar uses. The

hospital site falls under commercial

zoning.

£¤101

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7THST

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WASHINGTON BLVD

PICO BLVD

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BEVERLY BLVD

8TH ST

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WILSHIRE BLVD

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Site | 39

Good Samaritan Hospital - Planning & Zoning Regulations

MOBILITY

Proposed Site

Freeways

Metro-link Railroad

Bicycle Friendly Roads

Bicycle Paths

101

101

10

110

110

The proposed site is located in

the community of Westlake

which is easily accessible by I-110,

US-101 & I-10. They are is connect-

ed by Metro-link which goes till

Union Square.10

Good Samaritan Hospital - Mobility

Site | 40

AMENITIES

Proposed Site

Hospitals

Public Open Space

Wellness Centers

Good Samaritan Hospital - Health Related Services

Macarthur Park a public recreation

open space is located on Wilshire

Boulevard a few block away from the

Good Sam hospital. City of Hope hospi-

tal is located next to the site on Wilshire

boulevard.

Site | 41

Inve

stig

atin

g S

urr

ou

nd

ing

Co

nte

xt

Am

eric

an

Be

st V

alu

e

City C

en

ter

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Pa

rkin

g

His

toric

Ma

yfa

ir H

ote

l

Ho

tel H

olla

nd

City Of Hope, Medical Office

Good Samaritan Medical Office

Gu

est

Ho

use

Universal Care Medical & Dental

Kidney Center Of Los Angeles

Acupuncture

Ch

ase

Ba

nk

Gira

rad

i

We

lls F

arg

o

Wilshire Dialysis Center

Fo

od

Fo

r Le

ss

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ion

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za M

ark

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lls F

arg

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TM

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est

&7th

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Pacific Clinics

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hn

H.

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rsity

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lice

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ter

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Good Samaritan Main Hospital

Good Samaritan Medical Office

Good Samaritan Cancer Center

Asi

a J

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l Off

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ste

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ark

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nt

Union Dental Clinic

Stu

art

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tel

Ga

s Sta

tio

n

Wilshire District Medical Group

Fe

lipe

s B

ike

Sh

op

HEALTH

WORK/CONSUME

HEALTH

INSTITUTE

Site Analysis | 42

Ch

ase

Ba

nk

Leg

al C

en

ter

Piero Apartments

Piero Apartments

ParkingParking

Temple City Lights

San Lucas Apartments

Parking

428 Condo

5 storey Apartment Building

5 storey Apartment Building5 storey Apartment Building

442 Apartments

422 Witmer Apartments

476 CondoFourth Street Lofts

481 Hartfort Avenue

Andalucia Heights

Vero Apartments

Residential Apartments

1308 Ingahram Apartments

1319 Apartments

737 Harlseton Apts

Condo Corporation

Tuscan Villas

Ten

Te

n

1050 glo Apartments

Org

an

ic C

afe

Pa

ra L

os

Nin

os

- Eve

lyn

Thu

rma

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Prim

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Visconti Elegant Resort Apts

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Los

An

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les

Art

Ce

nte

r

San Lucas Apartments

In an effort to explore the latent

potential of the surroundings pro-

gram distribution , local idiosyn-

crasies and regional patterns

were documented to reveal local

programmatic I and define new

opportunities.

LIVE

WORK/CONSUME

LIVE

INSTITUTE

Good Samartian Hospital - Surrounding Context

Site | 44

The sections helps in analysing the

vertical street scapes. The entire Wilshire

hcorridor has a height varying from 60’ to 90’.

GOOD SAM: MAIN HOSPITAL

Witmer Street

GOOD SAM: PARKING

Section B

W 6th Street

Section A

GOOD SAM: MAIN HOSPITAL

G

GOOD SAM :CANCER HOSPITAL GOOD SAM: MEDICAL TOWERS

S Lucas Avenue

GOOD SAM: PARKING

Wilshire Boulevard Ingraham Street

GOOD SAM :CANCER HOSPITAL

VERO HOA- HOUSING APARTMENTS

SITE

+ 30’

+ 60’

+90’

+120’

+ 60’

+90’

+120’

DemographicsWestlake

16.56 %9 years or younger

14.38 %10 - 19 years

8.5 %20 - 24 years

19.12 %25 - 34 years

36.09 %35 - 64 years

5.35 %65 years or older

Total Population 2000 : 108,839

2008 : 117,756

White

Hispanic

Asian

Black

ALL

< 15 Years 15 -44 Years 45-64 Years 65+ Years

400

350

300

250

200

150

100

50

0

Site | 46

Good Samaritan Hospital - Site & Surrounding

1. MAIN HOSPITAL 6 STOREY

2. EMERGENCY 3 STOREY

3. PARKING 3 STOREY

4. RADIOLOGY DEPARTMENT

5. WOMEN CARE

6. LINEAR ACCELERATOR

7. AUDITORIUM

8. MECHANICAL PLANT

10. MRI ADDITION

11. MEDICAL OFFICE

12. GUEST HOUSE

Zoning : Commercial (CW)

Area of Site : 7.02 acres

Area of Parcel A: 1.46 acres

Setback: 10 feet, 3ft min + 1 feet for each story

not to exceed 16 feet.

Height Restrictions: unlimited

Parking Requirements : 2 for 1 medical office

6TH ST

WILSHIRE BLVD

WIT

MER

ST

LUC

AS A

VE

1

12

5

2

10

8

4

6

7

11

3

WIT

MER

ST

LUC

AS A

VE

6TH ST

5TH ST

WILSHIRE BLVD

LOM

A D

RIV

E

SHATTO STREET

A

Site | 47

Figure & Ground Open Space

Building Pattern

Good Samaritan Hospital - Site & Surrounding

Vehicular and Pedestrian

Site | 48

Good Samaritan Hospital - View of Campus

6TH ST

WILSHIRE BLVD

WIT

MER

ST

LUC

AS A

VE

WILSHIRE BLVD

WIT

MER

ST

Site | 49

Good Samaritan Hospital - Programmatic Components

Main Hospital

Diagnostic

28%

Emergency

14%

Obstetrics

18%

Inpatient

26%

Administration

14%

Hospital

Radiology &

Cancer Center

56%

Business

22%

Administration &

Education

22%

Medical Office

Administration

24%

Physician

Office

50%

Women Center

13%

Outpatient

Surgery

13%

1

2

3

1 2 3

Site | 50

WILSHIRE BLVD

WIT

MER

ST

Good Samaritan Hospital - Building Analysis

Site | 51

4

3

2

1

Site Plan

SITE

1.

2

3

1.

3

24

1.

2

3

4

1.

2

3

4

1. ENDOSCOPY

2. RETAIL

3. CORE

2

1. RECORDS

2. OFFICES

3. CORE

4. STORAGE

1

1. MEETING ROOM

CONFERENCE ROOM

3. CORE

4. EXAM ROOM

5 - 8

1. WOMEN WELLNESS CENTER

2. DIAGNOSTICS

3. CORE

4. CONSULTATION

2 - 3

1. WOMEN WELLNESS CENTER

2. DIAGNOSTICS

3. CORE

4. CONSULTATION

4

IDEAS

Architectural Narrative

Architectural Narrative | 53

organic chemistry and the study of plants and animals indicates the existence of small openings. In biology and

functionality is associated with circulation and filtration with respect to the external environment.

The thesis re-interprets porosity, in order to be used in a new hospital campus, to guide the production of a

sponge-like building morphology. The table describes the contextual definition of porosity in relation to my

thesis.

would produce positive effects at an campus and building scale, i.e. better air and light circulation, better

accessibility and visibility at an urban scale, and better communication between interior and exterior spaces at

building program.

POROSITY

POROUS, PERMEABLE

SCREEN, NET

SIEVE- LIKE, SIEVE

PORE

HONEYCOMB

SPONGE

OPENING

PERVIOUS

opening up hospital

campus to surrounding

people.

visibility & privacy

material

pattern

transparency versus

opaque

apertures, courtyards

Design Strategies, Tactics & Methods

Network of Visual porosity

Solid & Void

Patterns

Architectural Narrative | 54

adaptive reuse

partial design - addition to

campus

complete design

interdisciplinary team

matrix organization

hierarchies

ecologies

whole

incremental

circulation

Sc

op

eO

pe

ratio

na

l m

od

els

Inc

rem

en

tal

& W

ho

le

Fo

rma

l/Sp

atia

l

Org

. Str

ate

gie

s

function

site

form

al

fun

ctio

na

l

be

ha

vio

ral

pro

ce

du

ral

Theory(ies)

big

sp

ac

es

sma

ll sp

ac

es

tall

spa

ce

s

fla

t sp

ac

es

Spaces/Forms

en

try

ac

ce

ss

serv

ice

pa

rkin

g

Site

ext.

sp

ac

es

orie

nta

tio

n

urb

an

lin

ks

orie

nta

tio

n

pa

ssiv

e

ac

tive

wa

ter

Green

Design Thinking Matrix

Program | 55

The thesis attempts to use landscape as an element of therapy for transformation of the hospital campus.

The site is located in a dense urban environment of West lake which offers no space for gardens However

connection with nature plays an essential role in healing of the individual. The landscape for the wellness

center is divided into two zones semi public and public spaces. The public spaces cater to space for retail

and plaza for community gathering and the semi public cater to yoga & tai chi studios , fitness track which

may be visible but not accessible to everyone. Architecturally landscape will act as a connector between

the old campus and new outpatient and wellness facility helping in transformation of the campus.

+ =

+ =

Scapes Narrative | 56

GRID FIGURE GROUND OPEN SPACE BUILT WITH OPEN

FIGURE GROUND WOVEN LANDSCAPE

HORIZONTALLY &

VERTICALLY

CONNECTING

OPEN SPACE

Scapes Narrative

Factors which play an essential role in landscape

strategies are described in the section below. The

strategies apply for horizontal and vertical open

spaces.

Sense of Control

Research shows that a sense of control whether

actual or perceived affects the person’s ability

positively to cope with a stressful environment.

Experiences related to illness and injury are stress-

ful because the patient needs to undergo

unpleasant diagnostic procedures, medication,

pain and dependency on other people. These

factors are beyond the control. Designed gar-

dens can help patients gain control over their

condition. Easy accessibility whether passive or

active can have a positive psychological effects

on patients. It provides temporary escape from

their present condition.

Socializing plays a major role in reducing stress for

both patients and staff. Gardens help in fostering

social contact which results in emotionally sup-

portive interaction among patients. The design

and planning should facilitate on site access for

patients and staff, gathering spaces for small and

large groups and provide a setting for conducive

atmosphere for social interaction. Although social

support plays an essential role in health improve-

ment it is important to remember privacy plays an

important role in a garden environment.

Physical Movement and Exercise

Exercise is associated with significant health ben-

efits and helps in improving overall wellbeing. It

plays an essential role in cardiovascular health

and alleviating depression especially for elderly

and people suffering from chronic diseases.

There are different types of exercises recom-

mended for different types of illness. However,

mild form of exercise like walking, gentle yoga

are always encouraged by doctors. The gardens

should cater for providing spaces for physical

movement and exercise.


Scapes Narrative

Mild Exercise

Physical RehabilitationAmong patients,

visitors, staff

Temporary Escape,

Access to privacy

Plants, flowers, wildlife

Restorative & Coping Resources

Movement & Exercise Social Support

ControlNatural Distraction

Stress Restoration & BufferingEnhanced Coping

Improved Health Outcomes

Tehnical Narrative | 58

The building is divided into two structural systems. System a is the Skeletal Structure which forms the frame for the

campus on the Wilshire boulevard. System b is the monolithic concrete tube which is inserted into the frame and

connects the inpatient zone to the new wellness center. The two systems also act as the driving force behind the

program distribution where the lower four floors are for wellness activities and the upper two floor are the

outpatient zone. The floor to floor height for the system is 14’ except for the fitness center and theraphy pool

which are double height spaces. The two system are on the third level through itness track which runs on top of

the monolithic concrete structure and punctures the skeletal framewok. Sustainble strategies like cross

ventialation, terrace gardens are will be benefiial for the wellness campus help in lowering the carbon footprint.

STRUCTURE ENVIRONMENTAL ENVELOPE

MATERIAL PALETTE

SKELETON

STEEL STRUCTURE

METAL DECKING

CURTAIN WALL

CONCRETET UBE

SUSTIANABLE STRATEGIES

TERRACE

AIR & VENTILATION

LANDSCAPE

SKELTAL FRAME

CURATIN WALL

Technical Narrative

Tehnical Narrative | 59

Skeletal Framework

Curtain Wall,

Steel Columns

Metal Deck Slab

Monolithic Concrete

Structure

The massing diagram shows the two structural systems. System a is the skeletal

steel structure and system b is the monolithic concrete tube. The skeletal frame-

wok provides tranparency which frames the monolithic concrete tube.

Detail A : Metal Decking Slab Detail B: Curatin Wall

DESIGN

Ideagram and Design Description| 61

Ideagram & Design Description

Ideagram and Design Description| 62

With the reorganization of the medical industry,

hospital campuses are changing. Campuses will

need to be significantly reconfigured with the

introduction of a wellness element, which will

require changes to the relationships between

principal programmatic components and

reorganization of the campus grounds.

Americans are in the midst of a “lifestyle disease”

epidemic. The Centers for Disease Control has

identified four behaviors which are, inactivity,

poor nutrition, tobacco use, and frequent alcohol

consumption as primary causes of disease in the

United States.

Currently the hospitals are dense and constrained

clustered spaces which if not physically, are

psychologically isolated from the community. An

interdisciplinary approach is adopted to redefine

hospital architecture from a sick care institution to

total health environment, making it a new form of

civic architecture.

The thesis re-interprets porosity, in order to be

used in a hospital campus, to guide the

production of a sponge-like building morphology.

The contextual definition of porosity was part of

the “permeability hypothesis” that a porous

morphology produces positive effects at a

campus and building scale, i.e. better air and

light circulation, accessibility and visibility at an

urban scale, and communication between

interior and exterior spaces at a building scale.

Society is always undergoing transformation and

the most innovative solutions is to rethink how the

current spaces can be used. Hence, the Good

Samaritan hospital, Los Angeles is chosen to be

the case study for the thesis. The programmatic

components which help in revitalizing the

campus are a combination of wellness activities

and outpatient facility. The intention is to overlay

the three strata of public versus private zones,

dynamic versus static program and other

localized factors to form new hybrid spaces.

There are three layers to the campus. The first

layer is the existing campus which shows all the

building of the hospital. The second layer explore

the grid lines of West lake which help in defining

the system for the building. The intersection nodes

indicates the point where their are existing

building. The third layers are points and lines

which help in deriving a system for new campus.

Ideagram & Design Description

Massing

Based on the site anaylsis and the design description the design process went through a series of iterations after

which the most suitable one is selected which is massing 3. Each iterations helps in exploring different design

aspects and has certain pros and cons. After running throughthe different options the final massing is selected.

Massing | 63

1

Massing | 64

Southwest Campus View Northwest Campus View Northeast Campus View

2

Massing Options

4

Massing | 65

3

5

Massing Options

Massing | 66

1

Massing Option I

Cafeteria, Nuitrition

& Demo Kitchen

Retail

Blood Donation

Center

Lobby

Gymnasium

Lounge

Changing Room

Fitness TrackMultiprurpose

Studio/Terrace

Therapy Pool

Exam Rooms

Diagnostics

Lobby & Waiting

Operating Theater

Admin

4

Massing | 67

Massing Option II

Retail

Nutrition

Exam Rooms

Gymnasium

Yoga

Changing Room

Fitness

Therapy

Diagnostics & Eam Rooms

Diagnostics

Admin

Operating Theater

Diagrams | 68

wilshire blvd

6

1

2

3

4

5

11

inpatient z

one

outpatie

nt zone

1. PARKING

2. SERVICE AND INPATIENT ZONE

3. MAIN HOSPITAL

4. GUEST HOUSE

5. MEDICAL BUILDING

6. EMERGENCY BUILDING

Selected Massing Option Diagrams

Diagrams | 69

Gateway to Campus:

The campus is divided into two sections the inpatient zone & outpatient zone. While tranforming a hospital the most

important thing was not to distrub the security and the circulation pattern of the inpatient. Therefore the plot facing the

Wilshire boulevard was chosen which behaves as a new face to the campus. Inside this skeleton framewok a concrete

tube is inserted which visually links the inpatient zone to tranformation which is happening in the campus.

Southwest Campus View Northwest Campus View Northeast Campus View

wilshire

boulevard

Selected Massing Option Diagrams

01

1. RETAIL

2. THERAPHY POOL

3. CHANGING ROOM

4. OUTDOOR SPACE

5. RECEPTION

6. OFFICE

7. OUTDOOR CAFETERIA

8. MASSAGE CENTER 1

2

32

4

5

6

8

7

1

2

3

4

A B C E F G J L M NH I

Site Plan

Site Plan/Floor Plans | 70

01 02

1

2

3

4 4

5

6

6

7

8

1. RETAIL

2. MEDICAL LIBRARY

3. CHURCH

4. OUTDOOR SPACE

5. THERAPY POOL

6. YOGA STUDIO

7. FITNESS ROOM

8. CHIROPRACTOR

1

2

3

4

A B C E F G J L M N

First Floor Plan


The wellness campus has four entry points , two vehicular from the inpatient zone and another drop of point from medical building.

The other two are pedestrian from Wilshire boulevard. The idea behind entry points from Wilshire boulevard makes the campus

more accessible to surrounding community aligning itself with the idea of porosity.

03

1. CAFETERIA INDOOR SEATING

2. CAFETERIA OUTDOOR SEATING

3. KITCHEN

4. MEDICAL LIBRARY

5. FITNESS TRACK

6. OFFICE

7. MEETING ROOM

5

3

2

1

4

6

7

04

1. CAFETERIA INDOOR SEATING

2. CAFETERIA OUTDOOR SEATING

3. OFFICE

4. MEETING ROOM

3

4

1

2


1

2

3

4

A B C E F J K L M N

1

2

3

4

A B C J K L M N

Second/Third Floor Plans

03

04 06

5

1

1 5

66

23 1

1. RECEPTION & WAITING

2. DIAGNOSTIC - LAB

3. OFFICE - ADMIN

4. SERVICE AREA

5. RECOVERY ROOM

6. OPERATING THEATRE


1

2

3

4


05

111

2

3

4

5 67

8

1. RECEPTION & WAITING

2. DIAGNOSTIC - LAB

3. OFFICE - ADMIN

4. SERVICE AREA

5. EXAM ROOM POD 1

6. EXAM ROOM POD 2

7. EXAM ROOM POD 3

8. EXAM ROOM POD 8

1

2

3

4


Fourth/Fifth Floor Plan

Elevation | 74

Elevation

Elevations | 75

Progam Diagram | 76

We

lln

ess

Ou

tpa

tie

nt

Examination Room

21,000 sq.ft

Operating theatre

21,000 sq.ft

Diagnostic

14,000 sq.ft

Adminstration

6000 sq.ft

Administration

8000 sq.ft

Cafeteria

12,000 sq.ft

Retail

16,000 sq.ft

Fitness

42,000 sq.ft

Program Diagram

Exploded axonometric | 77

Outpatient volume: The upper -level of

the building is arranged into two floors

accomdating the examination rooms,

diagnostcs, operating theatre and

adminstration. Each floor has two entry

points to allow distribution of circula-

tion load.

Through the design, the outpatient

department is segragerated from the

wellness volume providing clear visual

communication creating an architec-

ture that fosters and promotes faster

healing.

Wellness Volume: The lower-level of

the building is arranged into four floors

which accomdates the wellness

activities including theraphy pool,

fitness center & track, massage center

, retail & health cafeteria. Accessible

from all the sides, the wellness volume

is gateway which frames the hospital

campus.

Outpatient

Wellness

Outpatient

WellnessWellness

Exploded Axonometric

Vignettes inside key spaces | 78

Vignette 1 - Left Side Perspective View


Vignette 2 - Campus Enterance View


Vignette 3 - Fitness Track View


Vignette 4 - Wilshire Enterance View


Vignette 5 - Therapy Pool

1/2” THK PLYWOOD FIXED

THROUGH BLOCKING WHICH

IS NAILED STEEL TO JOISTS

WOOD CEILING IS FIXED

FIXED WINDOW

REINFORCED CONCRETE

OVER METAL DECKING

WOOD/CARPET/TILE FLOORING

DEPENDING ON

THE PROGRAMMATIC FUNCTION

HORIZONTAL STEEL

PROFILE

OPENABLE WINDOW

FLASHING

TRUSS

+ 84’ LEVEL

+ 70’ LEVEL

+ 56’ LEVEL

+ 42’ LEVEL

+ 28’ LEVEL

Sketch shows the pattern for the frosted glass.

Wall Sections | 83

Namrata Tulsianey


Wall Sections

Site Plan

Main Hosital and the Tube

Model Photographs

Model Photos | 84

Model Photos | 85

The model photographs give an overall view

of campus with the surroundings. It also gives

a realistic picure of the space restrictions

and how these limitations have becomes

the guidelines for the new addition to the

hospital.

Elevation

Entrance View

Model Photos | 85

The model photographs give an overall view

of campus with the surroundings. It also gives

a realistic picure of the space restrictions

and how these limitations have becomes

the guidelines for the new addition to the

ElevationElevation

APPENDICES

Annotated Bibliography

Annotated Bibliography | 89

Books

Gallup,Joan Whaley, (1999). Wellness Centers: A guide for design professional, John Wiley & Sons Inc., New

York.

Verderber, Stephen, and David J. Fine, (2000). Healthcare Architecture in an Era of Radical Transformation.

CT: Yale UP, New Haven.

Futagawa, Yukio, (2012). OMA: Recent Projects ,A.D.A. Edita, Tokyo.

McCullough, Cynthia S, (2010). Evidence-based Design for Healthcare Facilities.Sigma Theta Tau International,

Indianapolis.

Guenther, Robin, and Gail Vittori, (2013). Sustainable Healthcare Architecture, John Wiley & Sons Inc., New

Jersery.

Roger Lee, (2006). Healthcare Space No. 3, Visual Reference Publiations, New York

Cama, R. (2009). Evidence-based healthcare design. Hoboken, N.J.: John Wiley & Sons.

David Charles Sloane & Conanat Sloane, (2003). Medicine Moves to Malls, John Hopkins University Prerss, Balit-

more & London.

Koolhaas, R. (1995). Small, medium, large extra-large. New York: Monacelli Press.

Paul Lewis, Marc Tsurumaki, David J. Lewis, (2013), Lewis. Tsurumaki. Lewis Intensities, Princeton Architectural

Press, New York.

Lewis, Paul, Marc Tsurumaki, and David J. Lewis. Lewis. Tsurumaki, (2008). Lewis: Opportunistic Architecture.

Princeton Architectural Press, New York.

Nussaume, Y. (2009). Tadao Ando (English ed.). Basel: Birkhäuser.

Morphosis Architects, (2011), Combinatory Urbanism, the complex behaviour of collective form, Straf Doge Cafe, Culver City.

BIG – Bjarke Ingels Group, (2015), Hot to Cold, an odyssey of architectural adaptation, Taschen, Hohenzollernring.

Sharon Johnston, Mark Lee, (2013), 2G, N.67,Johnston Marklee, Editorial Gustavo Gill, Barcelona.

Anthony di Mari , Nora Yoo, (2012), Operative Design, Catalogue of Special Verbs, The Netherlands: BIS Publishers, Amsterdam.

Mari, Anthony Di, (2014), Conditional Design: An Introduction to Elemental Architecture. The Netherlands: BIS Publishers, Amsterdam.

François Blanciak, (2008). Siteless: 1001 Building Forms. Cambridge, MA: MIT,Print, Massachusetts.

William J. Mitchell , (1999), Etopia Urban Life, Jim -but not as we know it, MA: MIT,Print, Massachusetts.

Francis D.K. Ching, (1999), Building construction Illustarted , Fourth Edition, United States of Amercia.

Gilles Deleuze, Felix Guattari, (1998), A Thousand Plateaus: Capitalism and Schizophrenia, Paperback, London.

Kumar, V. (2013). 101 design methods: A structured approach for driving innovation in your organization. Hoboken, N.J.: Wiley.

Klanten, R. (2008). Data flow: Visualising information in graphic design. Berlin: Gestalten.

Simmons, H., & Olin, H. (2011). Olin's construction: Principles, materials, and methods (9th ed.). Hoboken, N.J.: Wiley.

Pyo, M., & Kim, S. (2013). Architectural and program diagrams. Berlin: DOM.

Lovell, J. (2010). Building envelopes an integrated approach. New York: Princeton Architectural Press.

Boswell, K. (2013). Exterior building enclosures: Process and composition for innovative skins. Hoboken, N.J.: Wiley .

Koolhaas, R., & Cambridge, M. (2014). Elements of architecture. Venice: Marsilio.


Websites

ObamaCare Facts: Facts on the Affordable Care Act. (n.d.). Retrieved July 8, 2015, from http://obamacare-

facts.com/obamacare-facts/

Get 2015 health coverage now. Health Insurance Marketplace. (n.d.). Retrieved July 26, 2015, from

https://www.healthcare.gov/

Global Global. (n.d.). Retrieved July 26, 2015, from http://perkinswill.com/work/willson-hospice-house-site-de-

sign

Southern Regional Technology & Recreation Complex by Sorg Architects. (2014, January 20). Retrieved July

26, 2015, from http://www.archiscene.net/education/southern-regional-techno-

logy-recreation-complex-sorg-architects/

All. (n.d.). Retrieved July 26, 2015, from http://www.folonisarchitects.com/work-all#/ucla/

Minimalist Design: 25 Beautiful Examples and Practical Tips – Design School. (2015, February 18). Retrieved

July 26, 2015, from https://designschool.canva.com/blog/minimalist-design-beauti-

ful-examples-and-practical-tips/

(n.d.). Retrieved July 26, 2015, from http://www.healthcaredesignmgazine.com

The Crossroads of Care. (n.d.). Retrieved July 26, 2015, from http://www.nbbj.com/work/american-universi-

ty-of-beirut-new-medical-center/

Health Facilities Management - Hospital Design, Construction & Operations. (n.d.). Retrieved July 26, 2015.

Discovery Meets Recovery at New LEED Gold Cedars-Sinai Building. (n.d.). Retrieved July 17, 2015, from

http://www.hok.com/design/type/healthcare/cedars-sinai-advanced-health-sciences-pavilion/

Barkow Leibinger. (n.d.). Retrieved July 26, 2015, from http://www.barkowleibinger.com/

(n.d.). Retrieved July 10, 2015, from http://cityplanning.lacity.org/

Good Samaritan Hospital. (n.d.). Retrieved July 26, 2015, from http://www.goodsam.org/


Journals

Zborowsky, T., & Kreitzer, M. (2009). People, Place, and Process: The Role of Place in Creating Optimal Heal-

ing Environments. Creat Nurs Creative Nursing, 186-190.

Rakel, D., & Jonas, W. (n.d.). Creating Optimal Healing Environments. Integrative Medicine, 15-22.

Chandra, C., Kumar, S., & Ghildayal, N. (2011). Hospital cost structure in the USA: What's behind the costs? A

business case. International Journal of Health Care Quality Assurance International J Health Care QA,

314-328.

Tam, D. (2012). Building the "Fable Hospital"--The CEO's Perspective: An Interview with Michael H. Covert,

President and Chief Executive Officer, Palomar Pomerado Health. HERD: Health Environments Research &

Design Journal, 12-20.


Statistics Reports

Mattke S, Liu H, Caloyeras JP, et al. Workplace Wellness Programs. 2013.

Center for Disease Control and Prevention. Mortality in the United States, 2012.

Center for Disease Control and Prevention. Mental Health among Women of Reproductive Age.

Center for Disease Control and Prevention. Infant Mortality, 2014.

Moos, Merry-K. Preconceptional Wellness as a Routine Objective for Women's Health Care: An Integrative

Strategy, Journal of Obstetric, Gynecologic, & Neonatal Nursing, 2003, vol 32, issue 4

Braunstein, Leslie. How Changing Healthcare Delivery Will Affect Land Use. Urban Land Magazine, May 22

2013


The site is located in Westlake which comes

under Central Specific Plan Zone (CW).

The following rules and regulations apply to the site.

1] To permit project with over 100,000 sq.ft of

non-residential floor areawith more than 50% of em-

ployess commuting by single-ocupancy vehicles.

2] To permit commercial building with open space

setbak of zero (0) foot from Wilshire boulevard for 80

ft of frontage and 4 ft for the remaining footage.

3] To permit project with no additional widening on

Witmer Street

4] To permit project on Wilshire boulevard with no

pedestrian plaza

5] To permit commercial project on a lot greater

than 1 acre with a lot co-terminus with a scenic

highway without including a plaza.

6] To permit project with less than 500,000 sq.ft to

provide child care off-site

7] To permit project with over 1000,000 sq.ft of

non-residential floor area without dual plumbing.

8] To permit commercial building a maximum

height 116.6 ft with portions above 45 ft to be

stepped back eight feet from the ground floor exte-

rior wall along Wilshire boulevard.

9] To permit commercial building to observe eight

feet open space setback on Witmer street in lieu of

the required 10 ft .

Planning Code & Bulding Code Documentation

Central City West Specific PlanFr

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Geo

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Fran

cisc

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Bix

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Cambria St

Val

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St

Bla

ine

St

11th St

Connecticut St

8th St

Co

lum

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Av

Bo

ylst

on

Av

Beaudry

Av

5th St

6th St

Har

tford

Av

Bix

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Bix

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St

Luca

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Gar

lan

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v

Har

tfo

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Ingraham St

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ion

Av

Bla

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St

Sun

bu

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tOlympic Bl

Go

lden

Av

Wit

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8th

Pl

8th St

8th StJames M Wood Bl

Wit

mer

StLinwood Av

Wit

mer

Av

Vale

nci

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v

7th St

Wilshire Bl

Shatto St

Ingraham St

6th St

5th St

Wilshire Bl

7th St

Alb

any

St

Co

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bia

Av

R5(CW)-U/6

C4(CW) -U/6

C4(CW) -U/4.5

C2(CW)-U/3

C2(

CW

)-U

/1.5

RC

5(C

W)-

U/6

RC5(CW)-U/6

CM(CW)-U/4.5

RC5(CW) -U/6

C4(CW

)-U/4

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PF(CW

)

PF(CW

)

R5(

CW

)-U

/6R5(

CW

)-U

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R5(CW)-U/6C2(CW)-U/2

C4(CW) -U/4.5

C4(CW)-U/4.5

R5(CW)-U/6

C4(CW)-U/4.5

C4(

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C4(

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PF(CW

)

PF(CW

)-U/6

C4(CW)-U/6

C4(CW)-U/4.5

C4(CW)-U/6

C4(CW)-U/6

C4(CW)-U/6

C4(CW)-U/6

R5(CW)-U/6R5(CW)-U/6

R5(CW)-U/6

R5(CW)-U/6

C2(CW)-U/3

C2(CW)-U/2

C4(CW)-U/4.5

C2(CW)-U/3 C4(CW)-U/4.5

C2(CW)-U/3

C2(CW)-U/3

C2(CW)-U/3

C2(CW)-U/2

C2(CW)-U/1.5

C2(CW)-U/1.5

C4(CW)-U/4.5

C4(CW)-U/6

C2(CW) -U/3

C4(CW)-U/6

C4(

CW

)-U

/6

C4(

CW

)-U

/6

PF(CW

)

C4(CW) -U/4.5

South Subarea Permitted Height and Floor Area

District Boundary

Land Use Category Boundary

General Plan Constraints & Building Codes | 94

Frem

6t

Beaudry

Av

The building occupying portions in the three parcels. IThe existing building are connected to the new building so

as to provide easy circulation and share common functions which helps in increasing te efficiency of the building.

PARCEL A PARCEL B

PLOT AREA: 81,417.4 (sq ft) PLOT AREA: 56,449.8 (sq ft)

PARCEL C

PLOT AREA: 12,164.1 (sq ft)

B

A

C

General Plan Constraints & Building Codes | 95

AREA RELATIONSHIP DIAGRAM

WELLNESS DEPARTMENT

Medical Libaray

Central Space

Doctor’s Lounge

Wellness Center

Yoga Studio

Cafeteria

Building Operations

OUTPATIENT DEPARTMENT

Operating Theatre

Examination Room

Office Area

Room Data Sheet | 96

Room Data Sheets

Medical Library

8,000 sq.ft

Medical Library

4,000 sq.ftGroup Study

Space

300 sq.ft

Faculty

Collaboration

Suite

256 sq.ft

Lounge

Seating

120 sq.ft

Table

Seating

100 sq.ft

Individual Space

20 sq.ft

Central Public Space

4,000 sq.ftWaiting

1,200 sq.ft

Meeting Room

320 sq.ft

Entry Area

300 sq.ft

Security

40 sq.ft

Doctor’s Lounge

2,050 sq.ft

TV Area

320 sq.ft

Kitchen

Table

160 sq.ft

Lounge

Seating

150 sq.ft

Storage

120 sq.ftKitchenette

90 sq.ft

Lounge

Seating

70 sq.ft

Bistro

40 sq.ft

Me

dic

al Li

bra

ryD

oc

tor’

s Lo

un

ge

Ce

ntr

al Sp

ac

e


Exam Rooms

6000 sq.ft

Observation Room

800 sq.ft

Briefing Room

400 sq.ft

Break Room

375 sq.ft

Operating Theatre

6000 sq.ft

Recovery

2000 sq.ft

Control Point

200 sq.ft

Waiting

300 sq.ft

Office

6,000 sq.ftShared

Meeting

Room

400 sq.ft

Shared

Storage

360 sq.ft

Shared

Waiting

200 sq.ft

Admission

Dean

180 sq.ft

Kitchenette

180 sq.ft

Registrar

150 sq.ftVice President

150 sq.ft

Op

era

tin

g T

he

atr

eExa

min

atio

n R

oo

mO

ffic

e


Vice President

Reception

200 sq.ft

Equipment

Room

200 sq.ft

AV Support

200 sq.ft

Clean

Sup. Room

160 sq.ft

Exam Room

130 sq.ft

Staff Room

120 sq.ftLockers

70 sq.ft

Staff

Work Stations

64 sq.ft

Soiled

Linen Room

30 sq.ft

Operating Theatre

130 sq.ft

Staff Room

120 sq.ft

Lockers

70 sq.ftSoiled

Linen

Room

120 sq.ft

Scrub

30 sq.ftStorage

200 sq.ftEquipment

Room

200 sq.ft

Clean

Sup. Room

160 sq.ft

Director

120 sq.ft

Reception

100 sq.ftStaff

80 sq.ft

Copy

Area

100 sq.ft

Work stations

64 sq.ftShared Lockers

64 sq.ft


Yoga Studio

4000 sq.ft

Studio I

2000 sq.ft

Prefuntion

700 sq.ft

Storage

100 sq.ft

Cafeteria

4,000 sq.ft

Seating

2000 sq.ftKitchenette

1000 sq.ft

Storage

100 sq.ftVending Area

80 sq.ft

Service Bar

500 sq.ft

Wellness Center

5,000 sq.ft

Circuit Strength

1,200 sq.ftWeights

600 sq.ft

Lockers

800 sq.ftTheraphy Pool

15,00 sq.ftTherapy Pool

1000 sq.ft

We

lln

ess

Ce

nte

rY

og

a S

tud

ioC

afe

teri

a


Restroom

400 sq.ftIndividual Lockers

1.5

Bu

ild

ing

Op

era

tio

ns

Building Support

1,100 sq.ft

Maintenance

Storage

300 sq.ft

Receiving/

Holding

200 sq.ft

Security Control

Office

200 sq.ft

Custodial Storage

200 sq.ft


Area 7000 sq.ft

Operating Theater

1. STAFF LOUNGE /LOCKERS

2. EQUIPMENT STORAGE

3. OPERATING THEATRE

4. RECOVERY ROOM - PHASE I & II

5. SCRUB AREA

6. STORAGE

7. SOILED LINEN - CLEAN & CONTAMINATED

SOILED HANDLING

9. WAITING AREA / CHANGE ROOM PATIENTS

10. CONTROL POINT

CLEAN CORRIDOR

Room Typologies

1 2 3 3 3 3

3 333

4 4

55

5

6

5

7

6

9

8

10


Area 5000 sq.ft

Examination Room

ONSTAGE

1.

2

3

4 4

4 4

4 4

4

5

6

7

8

8

1. CHILDREN PLAY AREA/WAIT AREA

2. STORAGE

3. RECEPTION

4. EXAM ROOMS

5. TEAM AREA

6. TOILET

7. STORAGE

8. OFFICE


Area 3500 sq.ft

Chiropractor Room

1. THERAPY BAY

2. TREATMENT /MASSAGE

3. DOCTORS ROOM

4. X RAY

5. BREAK ROOM

6. WASHROOM

7. FILES STORAGE

8. RECEPTION/WAITING

1

1

2 2 22 2

3

4

5

6 7

8

6


1. LABORATORY TESTING

2. STERILIZATION AREA

3. WAITING

Area 2500 sq.ft

Laborartory Room


1

2 2

3

1 1

Area 2000 sq.ft

Physiotheraphy Room

1. PHYSICAL EXERCISE

2. TREATMENT BAYS

3. CHANGING ROOM & WASHROOM

4. DOCTORS ROOM

5. STORAGE

6. LOCKERS


1

2

2

33

4

5 6

1. FITNESS AREA

2. LOCKERS/ LOUNGE/ CHANGING ROOM

3. RECEPTION

Area 4000 sq.ft

Fitness Room


1

2

3

Project Cost

BUDGET PROPOSAL

SPACES QTY. NET S.F. TOTAL NET FUNCTIONAL COST NET X F.C. NET S.F. X 1.3 GROSS S.F. x F.C.Administra on 1 12000 12000 235 2820000 15600 3666000Library 1 8000 8000 250 2000000 10400 2600000Cafeteria/Mul purpose 1 3200 5200 185 962000 4160 769600Kitchen 1 1200 1200 355 426000 1560 553800Loading/Trash Room 1 300 300 125 37500 390 48750Janitor Space 5 80 240 125 30000 520 65000Lockers 3 80 240 125 30000 312 39000Restrooms Faculty/Sta 1 240 240 240 57600 312 74880Restrooms 7 120 840 225 189000 1092 245700Restrooms 1st-6th 12 240 2880 240 691200 3744 898560Mechanical 5 120 600 125 75000 780 97500Electrical 5 100 500 125 62500 650 81250Storage 5 170 850 125 106250 1105 138125Massage 2 3000 6000 120 7800Opera ng theatre 2 10000 20000 300 6000000 26000 7800000Examina on Room /Pod 5 4000 20000 175 3500000 26000 4550000Yoga Studio 3 3500 10500 150 1575000 13650 2047500Theraphy Pool 3 1500 4500 125 562500 5850 731250

23675665TOTAL BUILDING CONSTRUCTION COST 13944775

The Good Samaritan hospital is looking to expand its facilities in the next two years. Therefore, a new proposal for

the campus was devised for the upcoming expansion. The current transformation in the healthcare industry plays

an essential role in determining the program of the building which has substantial effect on the cost. The total

cost of the project comes down to $ 80 million .

Project Cost | 108

SITE UNIT COSTS QTY. UNIT COST TOTAL COSTChain Link Fence 1797 16.5 29650.5Concrete Paving 28418 8.85 251499.3Light Pole Per 2500 S.F. 10983 3500 17500Asphalt Paving 39492 6.8 268545.6Site Drainage 246048 0.8 196838.4Curb & Gu er 2617 20 52340Irriga on 161974 0.45 72888.3Turf (Hydro Seed) 154205 0.55 84812.75Landscape (Shrubs) 7770 5 38850Trees 24" Box 40 525 21000Play Area So Scape 1935 9.5 18382.5Play Ground Equip. Allowance 1 50000 50000On Site U li es 1 275000 275000O Site U li es 1 300000 300000Excava on & Recompac on 246048 1.6 393676.8Fine Grading 246048 0.55 135326.4Signage 2 80000 160000Fire Hydrants/Pipe (3) 3 32000 96000TOTAL COST FOR SITE CONSTRUCTION 2,462,310TOTAL CONSTRUCTION COST 16,283,310

SOFT COSTS QTY. UNIT COST TOTAL COSTEscala on 2 Years 2 % Const. 651332

Design Con ngency 15 % Const. 2442496PROJECT COSTSLand 5.65 955000 5395750Survey 1 20000 20000Geotechnical 1 10000 10000Escrow/Closing 1 25000 25000Plan Check Fees 2% Const.

Furniture & Equipment 53610 8 428880Tes ng 2% Const.Inspec on 1 150000 150000

6029630TOTAL SOFT COSTS 69,949,790TOTAL COST OF PROJECT (PROJECT BUDGET) 80,000,000

SITE UNIT COSTS

BUDGET PROPOSAL

SPACES QTY. NET S.F. TOTAL NET FUNCTIONAL COST NET X F.C. NET S.F. X 1.3 GROSS S.F. x F.C.Administra on 1 12000 12000 235 2820000 15600 3666000Library 1 8000 8000 250 2000000 10400 2600000Cafeteria/Mul purpose 1 3200 5200 185 962000 4160 769600Kitchen 1 1200 1200 355 426000 1560 553800Loading/Trash Room 1 300 300 125 37500 390 48750Janitor Space 5 80 240 125 30000 520 65000Lockers 3 80 240 125 30000 312 39000Restrooms Faculty/Sta 1 240 240 240 57600 312 74880Restrooms 7 120 840 225 189000 1092 245700Restrooms 1st-6th 12 240 2880 240 691200 3744 898560Mechanical 5 120 600 125 75000 780 97500Electrical 5 100 500 125 62500 650 81250Storage 5 170 850 125 106250 1105 138125Massage 2 3000 6000 120 7800Opera ng theatre 2 10000 20000 300 6000000 26000 7800000Examina on Room /Pod 5 4000 20000 175 3500000 26000 4550000Yoga Studio 3 3500 10500 150 1575000 13650 2047500Theraphy Pool 3 1500 4500 125 562500 5850 731250

23675665TOTAL BUILDING CONSTRUCTION COST 13944775

SITE UNIT COSTS QTY. UNIT COST TOTAL COSTChain Link Fence 1797 16.5 29650.5Concrete Paving 28418 8.85 251499.3Light Pole Per 2500 S.F. 10983 3500 17500Asphalt Paving 39492 6.8 268545.6Site Drainage 246048 0.8 196838.4Curb & Gu er 2617 20 52340Irriga on 161974 0.45 72888.3Turf (Hydro Seed) 154205 0.55 84812.75Landscape (Shrubs) 7770 5 38850Trees 24" Box 40 525 21000Play Area So Scape 1935 9.5 18382.5Play Ground Equip. Allowance 1 50000 50000On Site U li es 1 275000 275000O Site U li es 1 300000 300000Excava on & Recompac on 246048 1.6 393676.8Fine Grading 246048 0.55 135326.4Signage 2 80000 160000Fire Hydrants/Pipe (3) 3 32000 96000TOTAL COST FOR SITE CONSTRUCTION 2,462,310TOTAL CONSTRUCTION COST 16,283,310

SOFT COSTS QTY. UNIT COST TOTAL COSTEscala on 2 Years 2 % Const. 651332

Design Con ngency 15 % Const. 2442496PROJECT COSTSLand 5.65 955000 5395750Survey 1 20000 20000Geotechnical 1 10000 10000Escrow/Closing 1 25000 25000Plan Check Fees 2% Const.

Furniture & Equipment 53610 8 428880Tes ng 2% Const.Inspec on 1 150000 150000

6029630TOTAL SOFT COSTS 69,949,790TOTAL COST OF PROJECT (PROJECT BUDGET) 80,000,000

Project Cost

SITE UNIT COSTS

Project Cost | 109

NAMRATA TULSIANEY

MASTERS OF ARCHITECTURE

SUMMER, 2015

[email protected]

Documents

Master's Thesis