Aditazz’s Net Zero Energy hospital design features an "agora space"---a multi-use outdoor room where the community can put on farmer’s markets, performances, art shows, and more. To the West of the agora on the ground floor of the hospital, patients and staff can watch as chefs "a spectacle of healthy food preparation and the smell of freshly baked breads" emanating from the open kitchen.

The agora space.

The collaboration hub is a place for diagnosticians, clinicians, and other medical care providers to work together on patient care.

The hospital has 118 beds, and can serve a population of just under 200,000.

The hospital has a number of energy efficient features, including a solar roof and solar PV parking trellises. The on-site renewable energy system can provide all of the hospital’s energy

Like Aditazz, Gresham, Smith and Partners came up with a hospital design that features a central green outdoor space, meant to hold aerobic classes, farmer’s markets, and community concerts. This hospital also offers banking, wellness facilities, on-site childcare, and even staff housing (if the design is used in rural areas).

All building materials in the hospital are recycled, contain rapidly renewable content, or are locally sourced.

The Intelligent Headwall contains a monitor with all relevant telemetry information. Specialists can also use the wall to check in on patients.

Automated robotic vehicles transport materials through the facility, and a robotic pharmacy dispenses medication.

The hospital parking lots contain 300,000 square feet of solar PV which shade the pavement, and reduce the heat island effect in addition to collecting energy. One or two wind turbines are also located on site. Daylight harvesting (pictured) cuts down on energy consumption.

This hospital design, from firms Mazzetti Nash Lipsey Burch and Perkins+Will, endeavors to change the way we think about hospitals from "sick care" institutions to "total health environments" where people actually want to be. The hospital grounds feature vegetation (i.e. cooling, moisture retaining shade trees) that support a community “greenway” consisting of bike and walking paths that link the hospital to the surrounding area.

The Smart Patient Cart.

The LED-lit hospital features heat pumps to eliminate boilers, a geo-coupled well-field to replace a cooling tower, and natural ventilation systems. It uses methane flared off from a local landfill to power on-site fuel cells. A wind turbine and solar panels supplement the fuel cell energy production.

Material health is important at this hospital--it avoids harmful products whenever possible

Material health is important at this hospital--it avoids harmful products whenever possible

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The Small Hospital Of The Future: Farmers Markets, Energy Harvesting, And Fresh-Baked Bread

The high-tech hospital of the future might sit in the middle of a large metropolis, but for people living away from urban centers, what is the future of health? Here are three visions of how people might get care in the coming decades.

Sprawling hospitals make sense in cities with large populations, but not in small towns and more rural areas, which can be well-served with smaller medical facilities. As it expands into these smaller communities, health care provider Kaiser Permanante is taking the opportunity to integrate efficiency and good design into its new small hospitals—traits that older, bigger models often lack.

Last year, Kaiser launched its "Small Hospitals, Big Idea Campaign," a design competition asking entrants to design innovative small hospitals are efficient, provide a quality care environment for patients, and cut down on life-cycle costs. This week, the winners—who will get the chance to contract with Kaiser to build a small hospital in Southern California—were announced.

In the slide show above, we look at designs from the three finalists: Aditazz; Gresham, Smith and Partners; and Mazzetti Nash Lipsey Burch with Perkins+Will New York (Aditazz and the M+NLB and Perkins+Will team were both named winners). There are captions on every image—if you can’t see them, try scrolling down.

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  • Erdman healthcare designer

    Yes, often the first costs seem prohibitive but we have to start thinking in terms of long range operational costs, patient healing and environmental impact.  For hospitals we need to consider the long term costs and ROI (return on investment) the same as we think of any cost impacts on our designs.  You also have to consider the costs associated with HAI (healtcare acquired infections) and liability/litigation costs as well as patient healing and medication impacts.  Often you can reduce many of these major operational costs with green and evidence based design options by reducing infections, stress, falls and reducing healing time and pain medication use.  Along with this you can reduce hospital staff stress and turn over with a more healing and positive environment that reduces stress and strain on our aging care giver population.  You can't let your short term vision fog your view of the future.  Obviously the old system isn't working due to many of these operational issues we are trying to address.  Keep an open mind... don't be a penny wise pound foolish.

  • hcbanker

    While this idea is nice in theory and aesthetically, practically and financially it makes no sense.  Rural healthcare in the US is heavily subsidized, CAH hospitals that are rural designated are funded through cost based reimbursement by Medicare.  Such a green hospital, while helping maximize hospital cash flows through somewhat reduced operating expenditures nevertheless may increase total hospital cost and cash outflow through higher capex and maintenance for these expensive technologies that have not reached cost effciences such as with traditional operations.  Furthermore, the capital cost required to build these technologies will only serve to increase the total leverage burden of these hospitals that may subject these new facilities to financial distress and ultimate bankruptcy.  Again, nice idea in images, but not in practice.

    Health care investment banker
    Chicago, IL USA

  • The Content Marketeer

    I would re-locate pretty much immediately to be part of building and running something like this. Inspiring.