Randall Lamb Association

INsight: Updating Our Hospitals, Expansions

October 24, 2011

Updating Our Hospitals: Expanding into the Future

In order to keep up with demand and technology, some hospitals have implemented major expansions of their existing sites. In children’s hospitals, the increasing prevalence of chronic conditions such as diabetes, developmental disorders and the rising rates of infant prematurity and childhood obesity are placing added stress on pediatric hospitals nationwide. Advances in medical care for chronic conditions have improved and might require specialized care for children throughout their youth, including frequent and lengthy hospital admissions.

National standards of care set the optimal occupancy rate for pediatric specialty hospitals at 65%, so that beds are available for emergency admissions and unpredictable disease outbreaks. In order to avoid a high occupancy rate and provide availability for a growing population, expansion may be paramount.


Rady Children’s Hospital San Diego, Acute Care Pavilion, San Diego, CA

In order to accommodate the current and future patient demand of a highly respected and award-winning children’s hospital, and after securing the supplemental funding needed from other sources, Rady Children’s Hospital San Diego implemented a $260 million expansion on their health center campus. Just off the I-805, Rady Children’s new 279,000 sq ft, 4-story Acute Care Pavilion is located on a 148,650 sq ft site, adjacent to the Hospital’s Rose Pavilion and connected via a bridge.

The Acute Care Pavilion includes a surgical center, neo-natal intensive care center, cancer center and new emergency generator building. The facility has 16 operating rooms with associated support departments, a 28-bed hematology and oncology unit, 10-bed bone marrow transplant intensive care unit, 32-bed neo-natal intensive care unit, and 84 acuity adaptable medical surgery beds. The project was completed last year, two weeks early.

Rady Children’s Hospital Acute Care Pavilion is one of the first LEED certified OSHPD facilities in California, and one of the first LEED certified healthcare facilities within San Diego County. Randall Lamb’s electrical engineering team contributed to the team’s energy efficiency goals.

Designed by San Francisco-based architectural firm Ashen + Allen and built by McCarthy, the new Children’s Hospital Acute Care Pavilion features a glass-fiber reinforced, precast concrete exterior; dimensional travertine stone; storefront and curtain wall glass systems with colored accents; and metal panels, railings and canopies.


Rady Children’s Ronald McDonald House and Parking Garage, San Diego, CA

Randall Lamb also provided electrical engineering for the addition of a $25.4 million, 1-story, 45,000 sq ft, 47-guest Ronald McDonald housing atop an existing 6-story, 1,016 car parking garage, also a Randall Lamb project. The 19th Ronald McDonald House to be built, it is home to the families of patients who are receiving critical care at the Hospital, and four times the size of the hospital’s previous patient parent/family housing facility. With an impressive list of amenities, it serves families by offering dining services, a living room, quiet rooms, a chapel, a teen center, laundry facilities, computer resources, a beauty salon, exercise room, outdoor play space and healing gardens.

Since the hospital and parking structure operate 24/7, particular attention was paid to passive security systems, with open architecture meeting many of the objectives of Crime Prevention Through Environmental Design (National Crime Prevention Council). The structure is well lit with energy-efficient lighting. Four elevators serve the parking structure and the Ronald McDonald House. Front and back cab doors were designed to orient pedestrians toward their destinations and provide better passive security in the lobbies. Since its completion in 2009, the Ronald McDonald House has received an impressive list of awards, including:

  • San Diego Associated General Contractors – 2009 Build San Diego Award – Private Work
  • International Parking Institute (IPI) – 2010 Award of Excellence, Award of Merit
  • California Construction Magazine – Best of 2009 Awards Competition, Southern California Overall Top Project
  • California Construction Magazine – Best of 2009 Awards Competition, Outstanding Project Management Award, Small Projects
  • California Construction Magazine – Best of 2009 Awards Competition, Top Honor in Green Building

This project was a labor of love for the entire design and construction team, and a significant amount of the time and effort was donated to the Ronald McDonald House by all parties involved for this most worthy cause – with the endless satisfaction of making a difference.

Posted in Project Insights