SHARP GROSSMONT HOSPITAL
The Design Partnership LLP Architects + Planners
THE DESIGN PARTNERSHIP - SEPTEMBER 16, 2009
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To everyone involved in this project, you have given us the gift of a lifetime. Your individual visions and willingness to participate in our process have allowed us to do more than we ever dreamed: Become a part of your community. Thank you.
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FOREWORD
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lifelong partnerships. one design at a time. Since 1979, The Design Partnership LLP has built
Physical Rehabilitation & Mental Health Center;
value for its community through the design of
This unique center was designed to treat mind
socially responsible architecture. This book
and body. The Center consists of multiple build-
recognizes the contributions made by our staff
ings on the hospital campus, which provide both
and Sharp Grossmont Hospital to the San Diego
inpatient and outpatient care for physical behavior
community.
and medicine.
Women’s and Children’s Center;
David & Donna Long Cancer and Cardiovascular
The first of its kind in San Diego County, the
Center; When the David and Donna Long Center
Women’s Center at Sharp Grossmont Hospital
for Cancer Treatment opened in 1993 it was the
provides maternal/infant/pediatric care servic-
first comprehensive outpatient center for cancer
es in a family-centered environment. The Center
screening, diagnosis, treatment and education in
brings together LDRP rooms, a women’s surgery
San Diego County.
unit, a neonatal ICU, and an education center with a resource library.
Emergency Department Addition; Our most recent contribution to the San Diego
Neonatal Intensive Care Unit;
community, the addition at Sharp Grossmont Hos-
Dubbed the “baby barn,” the Neonatal Intensive
pital is a state-of-the-art, 5-story facility which in-
Care Unit creates a sensitive environment for
cludes Acute Care and Critical Care Inpatient Units,
families of seriously ill infants. We worked close-
as well as an Emergency Department. Our years of
ly with the hospital to initiate code changes in
experience working with Grossmont have taught
California, which permitted us to use carpeting
us that we are not just designing beautiful facilities
and acoustic tile in NICU’s for the first time.
– we are building lifelong relationships.
SHARP GROSSMONT HOSPITAL
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a new look on the horizon.
The new critical care wing, often referred to as the “Hilton Hotel” of hospitals, is a prominent addition to La Mesa’s skyline. As light plays on the dramatic, sun-shading forms, the building changes and catches your eye. The contemporary exterior is emblematic of the emergency and critical care housed within. The new structure updates the hospital’s regional vocabulary of sunshades and light colors with San Diego blue-green accents, giving the hospital new presence in this increasingly urban community.
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BRIGHT BEACON
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The new Emergency and Critical Care Tower is a prominent addition to La Mesa’s skyline. Resting atop a terraced hillside and visible from several surrounding major highways, the new building is a beacon which announces the Hospital’s presence in the community.
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SITE PLAN & AERIAL
This five-story, 167,000 square foot facility blends several new concepts in emergency medicine, including: computerized patient tracking and charting, integrated system-wide information systems, and flexible design.
166,420 Square Feet 114 Beds 43 Emergency Treatment Stations 3 Core Nursing Stations
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As light dances on its brises de soleil, the building reflects the natural environment, creating a dramatic display of sunlight and sky.
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Emergency Department Addition La Mesa, California
The Emergency Department, with 43 beds, brings together several new concepts in emergency medicine: computerized patient tracking and charting, integrated systemwide information systems, flexible podular design, specialty tracks and digital imaging including a GE LightSpeed Ultra CT, GE Proteus XR/A Digital Radiography and Fuji Smart CR Digital X-Ray System.
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SHARP GROSSMONT HOSPITAL
Emergency Department Addition
Emergency Department Waiting Room
Trauma Room
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Critical Care Unit La Mesa, California
The addition replaces functions in the existing facility, provides space for new services, as well as meets seismic requirements. All treatment and inpatient rooms are zoned for patient, doctor, nurse, and family areas.
Awarded the “2006 ICU Design Citation� by the Society of Critical Care Medicine: The ICU Design Citation honors critical care units that combine functional ICU design with the humanitarian delivery of critical care. The award is sponsored by the Society of Critical Care Medicine, the American Association of Critical-Care Nurses and the American Institute of Architects.
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COURTYARD
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a sanctuary within.
Earlier designs created a hospital surrounded by a garden. With this expansion, the design team created a garden within the hospital. The central courtyard forms a heart filled with soft light that orients and refreshes, not the windowless core that typifies many hospital structures. A place with no set program, the courtyard has accommodated activities ranging from coffee breaks to consultations, from grieving the ill, to celebrating a wedding.
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As visitors and patients reach the fourth and fifth floors, they are greeted by calming views from the elevator lobby views that celebrate La Mesa’s brilliant blues of day and soothing plums of night
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Two floors of state of-the-art acute care nursing top the new addition at Grossmont Hospital. Each floor has 33 beds in approximately 25,000sf of space. These nursing units are designed for the latest technology such as telemetry and computerized decentralized charting and order/entry systems. A special step down unit has been designed for each floor enabling a variety of care levels, which can respond to the great variety of patients needs. The private patient rooms are large with approximately 230sf of free area each. The headwall in each patient room is uniquely designed to move the bed away from the wall and create space for equipment such as ventilators. Nursing stations have separated medication rooms to assist in avoiding medication errors. Staff support spaces such as a lounge and lockers are located on the unit.
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BEHIND THE SCENES
Mechanical Equipment serving the new tower is located in the Basement and at the top story Mechanical Floor. For the most part, ductwork and utility runs were pushed to the perimeter of the floor plate to facilitate future remodels. Round exterior duct enclosures conceal ductwork located outside the footprint of the building. This ductwork provides ventilation for the ground floor Emergency Department and Levels 1 & 2. A new utility tunnel connects the building to the existing Central Utility Plant.
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SINCERE APPRECIATION
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Bernard Andre - Bernard Andre Photography, Photographer; Bob Burkett - Burkett & Wong, Civil Engineer; Tim Higgens Burkett & Wong, Civil Engineer; William Templeton - Burkett & Wong, Civil Engineer; Andy Damor - City of LaMesa, CA, Community Development; Bob Scott - City of LaMesa, CA, Fire Department; Brad Richter - City of LaMesa, CA, Planning Department; Carol Dick - City of LaMesa, CA, Planning Department; Chris Jacobs - City of LaMesa, CA, Planning Department; Dave Burke - City of LaMesa, CA, Fire Marshall; Dave Witt - City of LaMesa, CA, Community Development Director; Greg McAlpine - City of LaMesa, CA, Fire Department; Jessie Wu - City of LaMesa, CA, Building Division Director; Lisa Curl - Criterion Systems, Equipment Planner; Suzanne Kowarsch - Criterion Systems, Equipment Planner; Tony Freitas - Criterion Systems, Equipment Planner; Tracy Lynne - Criterion Systems, Equipment Planner; Bill Rogers - Cumming LLC, Cost Estimator; Mike Lackey - Cumming LLC, Cost Estimator; Steve Howard - Cumming LLC, Cost Estimator; Mike Spohr - DeLorenzo, Landscape Architect; Frank Domin - Domin Photography, Photographer; Tim Callahan - Fire Protection Counsulting, Consultant; Beth Morgante - Grossmont Foundation, Director; Barry Jantz - Grossmont Healthcare District, Chief Executive Officer; Bob Klaiber - Grossmont Healthcare District, ICBOC Member; Deborah McElravy, R.Ph. - Grossmont Healthcare District, Board Secretary; Dr. James Johnson - Grossmont Healthcare District, ICBOC Member; Dr. Michael Peddecord - Grossmont Healthcare District, ICBOC Member; Dr. Peter Hanson - Grossmont Healthcare District, ICBOC Member; Ellen Arcadi - Grossmont Healthcare District, ICBOC Member; Ernest Ewin - Grossmont Healthcare District, ICBOC Member; George Hawkins - Grossmont Healthcare District, ICBOC Member; Gloria A. Chadwick, R.N - Grossmont Healthcare District, Board VP; James D. Maletic; - Grossmont Healthcare District, ICBOC Member; James Stieringer - Grossmont Healthcare District, Board President; Jeff Scott - Grossmont Healthcare District, Legal Council; Joseph Powell - Grossmont Healthcare District, ICBOC Member; Michael Emerson - Grossmont Healthcare District, Board Treasurer; Michael T. Long, MD - Grossmont Healthcare District, Board Member; Robert Ayres - Grossmont Healthcare District, ICBOC Member; Walter Heiser - Grossmont Healthcare District, ICBOC Member; Shelley Hayden - Hayden Associates, Interiors; Brendan Kildunne - Hesselberg Keesee & Associates, Elevator Consultant; Steve Borgquist - Interspec, Interiors; Allen Carson - Jaynes Corporation, Phase 2 Contractor, Estimator; David Bickle Jaynes Corporation, Phase 2 Contractor; Debbie Luhnow Jaynes Corporation, Phase 2 Contractor, Estimator; Douglas Muirhead - Jaynes Corporation, Phase 2 Contractor, Sr. Project Mgr.; Ken Gilfillan - Jaynes Corporation, Phase 2 Contractor, Sr. Project Manger; Rick Cohen - Jaynes Corporation, Phase 2 Contractor, Exec. Vice President; Steve Yetta - Jaynes Corporation, Phase 2 Contractor, Project Superintendent; Kevin Cos - Jones Lang LaSalle, VP Proj & Development Services; Rene Ray - Jones Lang LaSalle, Project Management; Ron Peluso - Jones Lang LaSalle, Project Management; Carolyn
Korbell - Korbell Associates, Medical Equipment Planner; David Sawchuck - Korbell Associates, Medical Equipment Planner; Matt Lind - Korbell Associates, Medical Equipment Planner; Alan Shulz - OSHPD, RCO Southern Region; Alexis Torrey - OSHPD, Area Compliance Officer; Ali Basharkhah - OSHPD, Structural Reviewer; Carlos Albuerne - OSHPD, Plan Reviewer; Cynthia Martinez - OSHPD, Program Technician; Dave Folz - OSHPD, Area Compliance Officer; Dave Ring - OSHPD, Supervisor South Region; David Castillo - OSHPD, Mechanical Reviewer; Del Kirkish - OSHPD, Electrical Reviewer; Du-un Lee - OSHPD, Architect Reviewer; Glenn Gall - OSHPD, Quality Assurance; John Donelan - OSHPD; Joseph Hwang - OSHPD, Plan Reviewer; Kurt Schaefer - OSHPD, Deputy Director; Paul Coleman - OSHPD, Division Chief, LA; Sudheer Karnik - OSHPD, Sr Architect Reviewer; Terry Clark OSHPD, Fire Life Safety Officer; Wai K. Fong - OSHPD, Architect Reviewer; Arlene Gross Estrada - Pacific Plant Care, Gardens Management; Richard E. White - Parsons, Program Manager; Tim Meehan - Parsons, Project Manager; Aaron Parkington - Randall Lamb, Mechanical Engineer; Barry Alvord - Randall Lamb, Mechanical Engineer; Bruce Kerstetter - Randall Lamb, Principal; Dean Shellenberger - Randall Lamb, Mechanical Engineer; Jessy Chan - Randall Lamb, Mechanical Engineer; Justin Park - Randall Lamb, CAD; Kurt Kohler - Randall Lamb, President; Les Young Randall Lamb; Rosalie Phan - Randall Lamb, Electrical; Tim Short - Randall Lamb, Electrical; Agnes Stippey - Sharp Grossmont Hospital, Pulmonary; Amy Serano - Sharp Grossmont Hospital, Materiel Management; Barb Lewis - Sharp Grossmont Hospital, Medical Records; Bill Hughes - Sharp Grossmont Hospital, Emergency Dept Lead; Bill Keaton - Sharp Grossmont Hospital, Engineering; Bob Ver Voorn - Sharp Grossmont Hospital, Engineering; Bonnie Fleming - Sharp Grossmont Hospital, Grossmont Hospital; Chris Crawford - Sharp Grossmont Hospital, Lab Manager; Colleen Guglielmo - Sharp Grossmont Hospital, Admin Liaison; Connie Davis - Sharp Grossmont Hospital, Emergency Dept Director; Dale Fox, M.D. - Sharp Grossmont Hospital, Physician; Dan McDaniel - Sharp Grossmont Hospital, Dir. Campus Plan. & Development; Dan Sullivan - Sharp Grossmont Hospital, Cardiology Manager; Deniese Foggiano - Sharp Grossmont Hospital, MICU; Denise Jessen - Sharp Grossmont Hospital, ICU Manager; Denise Thompson - Sharp Grossmont Hospital, 2-EastManager; Diana Glanz - Sharp Grossmont Hospital, Human Resources; Dick Cook - Sharp Grossmont Hospital, Pulmonary; Don Stouder - Sharp Grossmont Hospital, Chaplaincy; Donald Butera, M.D. - Sharp Grossmont Hospital, Physician; Donna Berger - Sharp Grossmont Hospital, Behavioral; Doug Smith - Sharp Grossmont Hospital, Pt. Relations; Ed Cooper - Sharp Grossmont Hospital, Security; Erwin Handley, M.D. - Sharp Grossmont Hospital, Physician; J Bollinger - Sharp Grossmont Hospital, Engineering; Jackie Mledoday - Sharp Grossmont Hospital, Critical Care; Janet Erskine Sharp Grossmont Hospital, Mgr COU/CC; Janet Hanley - Sharp Grossmont Hospital, Chief Nursing Officere; Janie Henry - Sharp Grossmont Hospital, Mgr PreHospital; Jean McAteer - Sharp Grossmont Hospital, ICU Manager; Jill Smith - Sharp Grossmont Hospital, 4-East Manager; Julie Hastings-Smith - Sharp Grossmont Hospital, CFO; Kari Cornicelli - Sharp Grossmont Hospital,
Medical Equipment Planner; Alan Shulz - OSHPD, RCO Southern Region; Alexis Torrey - OSHPD, Area Compliance Officer; Ali Basharkhah - OSHPD, Structural Reviewer; Carlos Albuerne OSHPD, Plan Reviewer; Cynthia Martinez - OSHPD, Program Technician; Dave Folz - OSHPD, Area Compliance Officer; Dave Ring - OSHPD, Supervisor South Region; David Castillo - OSHPD, Mechanical Reviewer; Del Kirkish - OSHPD, Electrical Reviewer; Du-un Lee - OSHPD, Architect Reviewer; Glenn Gall - OSHPD, Quality Assurance; John Donelan - OSHPD; Joseph Hwang OSHPD, Plan Reviewer; Kurt Schaefer - OSHPD, Deputy Director; Paul Coleman - OSHPD, Division Chief, LA; Sudheer Karnik OSHPD, Sr Architect Reviewer; Terry Clark - OSHPD, Fire Life Safety Officer; Wai K. Fong - OSHPD, Architect Reviewer; Arlene Gross Estrada - Pacific Plant Care, Gardens Management; Richard E. White - Parsons, Program Manager; Tim Meehan Parsons, Project Manager; Aaron Parkington - Randall Lamb, Mechanical Engineer; Barry Alvord - Randall Lamb, Mechanical Engineer; Bruce Kerstetter - Randall Lamb, Principal; Dean Shellenberger - Randall Lamb, Mechanical Engineer; Jessy Chan Randall Lamb, Mechanical Engineer; Justin Park - Randall Lamb, CAD; Kurt Kohler - Randall Lamb, President; Les Young - Randall Lamb; Rosalie Phan - Randall Lamb, Electrical; Tim Short - Randall Lamb, Electrical; Agnes Stippey - Sharp Grossmont Hospital, Pulmonary; Amy Serano - Sharp Grossmont Hospital, Materiel Management; Barb Lewis - Sharp Grossmont Hospital, Medical Records; Bill Hughes - Sharp Grossmont Hospital, Emergency Dept Lead; Bill Keaton - Sharp Grossmont Hospital, Engineering; Bob Ver Voorn - Sharp Grossmont Hospital, Engineering; Bonnie Fleming - Sharp Grossmont Hospital, Grossmont Hospital; Chris Crawford - Sharp Grossmont Hospital, Lab Manager; Colleen Guglielmo - Sharp Grossmont Hospital, Admin Liaison; Connie Davis - Sharp Grossmont Hospital, Emergency Dept Director; Dale Fox, M.D. - Sharp Grossmont Hospital, Physician; Dan McDaniel - Sharp Grossmont Hospital, Dir. Campus Plan. & Development; Dan Sullivan - Sharp Grossmont Hospital, Cardiology Manager; Deniese Foggiano - Sharp Grossmont Hospital, MICU; Denise Jessen - Sharp Grossmont Hospital, ICU Manager; Denise Thompson - Sharp Grossmont Hospital, 2-EastManager; Diana Glanz - Sharp Grossmont Hospital, Human Resources; Dick Cook - Sharp Grossmont Hospital, Pulmonary; Don Stouder - Sharp Grossmont Hospital, Chaplaincy; Donald Butera, M.D. - Sharp Grossmont Hospital, Physician; Donna Berger - Sharp Grossmont Hospital, Behavioral; Doug Smith - Sharp Grossmont Hospital, Pt. Relations; Ed Cooper - Sharp Grossmont Hospital, Security; Erwin Handley, M.D. - Sharp Grossmont Hospital, Physician; J Bollinger - Sharp Grossmont Hospital, Engineering; Jackie Mledoday Sharp Grossmont Hospital, Critical Care; Janet Erskine - Sharp Grossmont Hospital, Mgr COU/CC; Janet Hanley - Sharp Grossmont Hospital, Chief Nursing Officere; Janie Henry - Sharp Grossmont Hospital, Mgr PreHospital; Jean McAteer - Sharp Grossmont Hospital, ICU Manager; Jill Smith - Sharp Grossmont Hospital, 4-East Manager; Julie Hastings-Smith - Sharp Grossmont Hospital, CFO; Kari Cornicelli - Sharp Grossmont Hospital, CFO; Karolyn King - Sharp Grossmont Hospital, Pt. Relations; Kathleen Lavelle - Sharp Grossmont Hospital, ED Lead; Kathy
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GROSSMONT CONTRIBUTERS
Bernard Andre - Bernard Andre Photography, Photographer; Bob Burkett - Burkett & Wong, Civil Engineer; Tim Higgens - Burkett & Wong, Civil Engineer; William Templeton - Burkett & Wong, Civil Engineer; Andy Damor - City of LaMesa, CA, Community Development; Bob Scott - City of LaMesa, CA, Fire Department; Brad Richter - City of LaMesa, CA, Planning Department; Carol Dick - City of LaMesa, CA, Planning Department; Chris Jacobs - City of LaMesa, CA, Planning Department; Dave Burke - City of LaMesa, CA, Fire Marshall; Dave Witt - City of LaMesa, CA, Community Development Director; Greg McAlpine - City of LaMesa, CA, Fire Department; Jessie Wu - City of LaMesa, CA, Building Division Director; Lisa Curl - Criterion Systems, Equipment Planner; Suzanne Kowarsch - Criterion Systems, Equipment Planner; Tony Freitas - Criterion Systems, Equipment Planner; Tracy Lynne - Criterion Systems, Equipment Planner; Bill Rogers - Cumming LLC, Cost Estimator; Mike Lackey - Cumming LLC, Cost Estimator; Steve Howard - Cumming LLC, Cost Estimator; Mike Spohr - DeLorenzo, Landscape Architect; Frank Domin - Domin Photography, Photographer; Tim Callahan - Fire Protection Counsulting, Consultant; Beth Morgante - Grossmont Foundation, Director; Barry Jantz - Grossmont Healthcare District, Chief Executive Officer; Bob Klaiber - Grossmont Healthcare District, ICBOC Member; Deborah McElravy, R.Ph. - Grossmont Healthcare District, Board Secretary; Dr. James Johnson - Grossmont Healthcare District, ICBOC Member; Dr. Michael Peddecord Grossmont Healthcare District, ICBOC Member; Dr. Peter Hanson - Grossmont Healthcare District, ICBOC Member; Ellen Arcadi Grossmont Healthcare District, ICBOC Member; Ernest Ewin Grossmont Healthcare District, ICBOC Member; George Hawkins - Grossmont Healthcare District, ICBOC Member; Gloria A. Chadwick, R.N - Grossmont Healthcare District, Board VP; James D. Maletic; - Grossmont Healthcare District, ICBOC Member; James Stieringer - Grossmont Healthcare District, Board President; Jeff Scott - Grossmont Healthcare District, Legal Council; Joseph Powell - Grossmont Healthcare District, ICBOC Member; Michael Emerson - Grossmont Healthcare District, Board Treasurer; Michael T. Long, MD - Grossmont Healthcare District, Board Member; Robert Ayres - Grossmont Healthcare District, ICBOC Member; Walter Heiser - Grossmont Healthcare District, ICBOC Member; Shelley Hayden - Hayden Associates, Interiors; Brendan Kildunne - Hesselberg Keesee & Associates, Elevator Consultant; Steve Borgquist - Interspec, Interiors; Allen Carson Jaynes Corporation, Phase 2 Contractor, Estimator; David Bickle - Jaynes Corporation, Phase 2 Contractor; Debbie Luhnow Jaynes Corporation, Phase 2 Contractor, Estimator; Douglas Muirhead - Jaynes Corporation, Phase 2 Contractor, Sr. Project Mgr.; Ken Gilfillan - Jaynes Corporation, Phase 2 Contractor, Sr. Project Manger; Rick Cohen - Jaynes Corporation, Phase 2 Contractor, Exec. Vice President; Steve Yetta - Jaynes Corporation, Phase 2 Contractor, Project Superintendent; Kevin Cos - Jones Lang LaSalle, VP Proj & Development Services; Rene Ray - Jones Lang LaSalle, Project Management; Ron Peluso - Jones Lang LaSalle, Project Management; Carolyn Korbell - Korbell Associates, Medical Equipment Planner; David Sawchuck - Korbell Associates, Medical Equipment Planner; Matt Lind - Korbell Associates,