LA/AIA COMMITTEE ON ARCHITECTURE FOR HEALTH

MINUTES OF THE MEETING: CAH No 10-09

Date: October 21, 2009

Time: 4:30 p.m.

Place: CANNON DESIGN

1901 Avenue of the Stars, Suite 175
Los Angeles, CA 90067 (Century City)

Subject: International Roundtable Discussion

Speakers: Lee Brennan, AIA, Principal / Western Region Healthcare Market Leader - Cannon Design
Raymond C. Pan, AIA, Design Principal – HMC Architects
Richard Ramer, AIA, Principal – Ramer Architecture

Healthcare Committee Co-Chairs Present:

Hal Sibley (HMC Architects): CAH Co-Chair ( Hal.Sibley@hmcarchitects.com )

Carlos Amato (RBB Architects Inc.) CAH Co-Chair camato@rbbinc.com

Attendees: See attached spreadsheet.

LA/AIA-CAH ANNOUNCEMENTS:

1. Next Meeting
a. Our next meeting will be held Wednesday, November 18, 2009 at 4:30pm at the AIA Los
Angeles Chapter office, located at 3780 Wilshire Blvd., 8th floor, Los Angeles CA 90010. This
month’s speakers, John Grounds and Carlos Amato from RBB Architects Inc. will present the
Orlando Healthcare Design 09 Conference highlights. We encourage you to arrive at 4:30,
socialize and network with your colleagues. Presentation starts at 5pm
b. Please RSVP to Steve Tanner at steve@aialosangeles.org if you plan to attend.
c. 1.5 HSW Continuing Education Hours will be provided for attendees who sign in.

2. Committee Business
a. Hal Sibley provided the monthly update.
b. Ideas for upcoming presentations were discussed.

3. Upcoming Committee Meetings / Presentations

Note: Calendar is tentative unless noted otherwise. Topics and details will follow as we get close to
meeting dates.

2009
Nov.: RBB Architects Inc. – Healthcare Design 09 (Orlando, Florida) Conference Update. (CO
Architects was cancelled and will be re-scheduled in 2010)
Dec. Healthcare Construction Roundtable (DPR / Turner / McCarthy)

2010
January: Rebecca J. Wise, COO, DNV Healthcare Inc.
February: Perkins + Will – Current international work
March: Jeff Davis, President of the Society of American Military Engineers (S.A.M.E.)
April: David Drake – Drake Systems Group Inc. (A/V Technology for Healthcare)
May: OPEN
June: OPEN
July: OPEN

4. PRESENTATION HIGHLIGHTS:
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The presentation covered the following topics:

1. CANNON DESIGN

a. Lee Brennan, AIA, Principal, Western Region Market Leader for Healthcare for Cannon Design,
presented one of Cannon's recent Healthcare International projects, the King Faisal Specialist Hospital
and Research Center. King Faisal Specialist Hospital and Research Center (KFSH & RC), one of the
Middle East's top medical institutions, is known for high-caliber medical professionals and state-of-the-art
techniques.
b. To expand KFSH & RC's presence in cancer treatment and research, support the medical campus's
functionality and image, and accommodate a full range of evolving clinical care, practice, and research
modalities, an expansion initiative currently under way features four landmark projects that incorporate
the latest in building, medical equipment, and healthcare system technologies and accommodate future
expansion.
c. The 360-bed, 72,000 sm (775,000 SF) King Abdullah Cancer and Liver Disease Center, featuring
inpatient nursing units, ambulatory clinics, treatment areas, and diagnostic, support, and technical
services, will be connected with the existing hospital on all floors.
d. The 38,000 sm (410,000 SF) National Biotechnology Center, comprising a biotechnology research
facility, allied health training unit, common public and support areas, multi-story parking, and new gate
and access road network, is envisioned as the prime research laboratory and training center in the
Kingdom of Saudi Arabia and the larger region.
e. The 45,000 sm (484,000 SF), four-story Royal Wing, designed for future expansion to 10 stories, has its
own helipad, access road, and evacuation tunnel and is linked at the ground floor with the existing
hospital for instant access to the emergency department, VIP outpatient clinics, medical imaging, and
support facilities. A dedicated gate and road network serves the VIP population. A new block connected
to the existing hospital on all levels includes an emergency department, polyclinics, family health clinics,
lobby, reception areas, visitor’s center, retail shops, public amenities, technical/support facilities, and
helipad.
f. A Central Plant and Service Tunnel System includes a 18,000 sm powerhouse facility and 1,800 m of
tunnels to contain service utility systems. Underground parking for 1,200 vehicles provides convenient
access to all medical and research buildings
g. In addition to providing design services for all four projects, Cannon Design will draft KFSH & RC's
institutional master plan. Lee also indicated the project was a collaboration between three Cannon
Design offices.
h. Lessons learned shared, included the importance of understanding the local culture, building inefficiency
into the A/E team work plans and addressing the client’s high expectations for expertise in all areas.

2. HMC Architects

a. Raymond Pan, AIA, presented the winning entry for a major international design competition for the First
People's Hospital at Shunde District, China. The project is a 2.2 million square feet hospital of 1,500 beds
on 33 acres green field site.
b. Raymond’s role in the competition was the Design Principal. As a Chinese American familiar with the
culture and language, he was instrumental in working with HMC’s Chinese partners and others in
developing the responsive, award winning design concept. Raymond worked with HMC’s Project Director
in China for several weeks providing direction to the local staff of the Shunde Architectural Design
Institute, as well as with HMC’s US based team.
c. The hospital campus was designed for a region with unique healthcare delivery practices by integrating
the most advanced design and planning ideas from the west with the best local practices.
d. The design engages the local context through the use of local, sustainable construction materials and
technologies, as well as architectural references to the heritage of the region.
e. The team’s winning concept offers a hospital that celebrates the longstanding traditions of Eastern
medicine, culture, and design, as well as the innovative Western approach to healthcare design that
minimizes hospital errors, maximizes productivity, promotes efficiency, and incorporates sustainable
design choices.
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f. The design itself combines a series of organized buildings linked by a dynamic, curved spine element,
which creates a grand interior promenade and ‘eco-atrium,’ connecting and harmonizing the elements of
the hospital. A tower intersects the spine and marks the location of the main plaza and serves as the
symbolic heart of the campus. The curving spine structure and main tower work together to organize the
site into four distinct quadrants—public access, outpatient services, support space, and quiet zone. The
separation of these functions serves to avoid conflicts, improve privacy, and enhance wayfinding.
g. By incorporating indoor and outdoor green spaces and healing gardens, the campus honors both Eastern
and Western ideas regarding the therapeutic properties of nature and provides places for patient healing,
family gathering, and privacy. Local materials and products used to construct the facility will help
stimulate the local economy and add to the sustainable features, which include recycled water features
for cooling. The water features also serve to mask ambient noise and provide visual comfort for patients.
The hospital campus will be a vital component of the new master planned urban community in which it
resides, tying directly into the urban transportation system for patient access.
h. Abundant natural light in the interior spaces serves to support the healing environment and reduce
energy consumption. Additional sustainable design features include photovoltaic panels on the roof,
chilled beams in the eco-atrium, and non-toxic paints throughout the hospital to limit indoor air
contaminants.

3. RAMER ARCHITECTURE

a. Richard Ramer, AIA, LEED AP, the principal of Ramer Architecture, presented a 2008 international
competition for the Taiwan Centers for Disease Control.
b. Part of a team of architects and engineers, based in both California and Taiwan, collaborated on the
design. The competition entry was awarded an honorable mention.
c. The project is 300,000 square feet including laboratories and administrative space and required the
equivalent of LEED certification.
d. Located in Hsinchu City, near Taipei, the facility will establish an Asia Pacific Test Consulting and
Research Center to provide disease control and prevention of contagious diseases and epidemics for the
country of Taiwan. Since the facility is located in an earthquake-prone region, the design included a
seismic base isolation system.

On behalf of the membership of the Los Angeles Chapter of the AIA’s Committee on Architecture for Health,
we wish to express our thanks to Lee, Raymond and Richard for presenting their work. We would also like to
thank David Summers, Affiliate AIA/LA, for coordinating the speaker panel, Rita Spring (Cannon Design) for
hosting the event and Steve Tanner, the AIA Membership Director, for his logistic support.

Meeting Notes taken by:

Carlos L. Amato, AIA, ACHA, LEED AP

Co-Chair, LA/AIA Committee on Architecture for Health

cc: All attending and non-attending members of the CAH.

Nicola Solomons, Executive Director, LA/AIA Chapter