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The future of healthcare is about understanding this changing landscape, with a focus on creating innovative solutions that enhance the patient experience.  Healthcare spaces need to foster an environment that is both people-centric as well as supporting cutting-edge technology expressed through an efficient design.

Chapa-De Indian Health South Placer Clinic

This project provided a much-needed renovation of the entire Community Hospital of the Monterey Peninsula (CHOMP) Outpatient Surgery Center, including new supporting administrative space on the floor below, new rooftop HVAC units, and seismic upgrades to the building.

Our design approach began with an intensive Discovery phase to evaluate the space needs, functional requirements, staff and patient flow, and building system efficacy. In addition to regular stakeholder workshops, we embedded ourselves for three days into the surgery center environment to observe workflows and interview staff. This interaction was vital to our team’s understanding of the most critical renovation needs, which included better acoustic and physical privacy for patients, centralized storage, right-sized spaces, and building systems upgrades.

The remodel includes three operating rooms, three procedure rooms, 12 patient bays, two nurse stations, a scope processing department that serves the adjoining hospital, and new administrative space on the lower level. The new design provides staff visibility into the Pre-Op/PACU patient areas from two centralized nurse stations.

The interiors feature calming blue and green tones with warm wood accents inspired by the Monterey coastline. Clean lines and midcentury modern influence are taken from the existing hospital’s architecture. The new layout preserves the exterior views from the waiting room, operating rooms and PACU bays to the surrounding forest landscape, a beloved feature by staff and visitors.

Montage Health, Outpatient Surgery Center Renovation

The Dreyfuss &amp; Blackford team was commissioned to develop a new medical office building, adding to a well-established Sutter Health campus in Roseville, California. This 98,506 SF facility will include a 84,050 SF four story phase 1 with a 14,456 SF two story phase 2 addition. It will serve as the primary site for their Graduate Medical Education program. The addition of this facility will allow Sutter to expand its residency program to include more specialties and serve as a conduit for bringing new physicians to the campus. The project will include a Conference Center, Simulation Lab, Administrative Offices, and several outpatient clinical departments, including Cardiovascular, Bariatric, Patient Education, Dermatology, MOHS, Endocrinology, and Rheumatology.

The design of the new facility accounts for a very specific existing aesthetic and situational context and adds to it in a complimentary fashion. It provides an articulated, distinguished, and contemporary solution that is emblematic of the client’s goals for this project and the residency program that it will house.

The building will sit on a compact site, surrounded by existing Sutter facilities to the north, an apartment complex and commercial plaza to the east and south, and a new Sutter parking garage expansion - also a Dreyfuss &amp; Blackford project - to the west. The location and site characteristics led the project team to develop a highly integrated and multi-pronged design approach that accounts for ease of wayfinding, traffic calming measures, a potential future pedestrian bridge, and optimization of vehicular and pedestrian routes on site.

The project has adopted an exterior envelope design and construction strategy that accounts for the compact site and the aggressive residency program move-in timeframe. A prefabricated thi shell concrete panel system has been chosen as the building envelope.

The building form is informed by the Sutter Health standard clinic pod configuration and presents a layout that maximizes structural efficiency, connectivity, and internal circulation. Access to daylight and outdoor views is also prioritized. The four-story curtain wall adjacent to the lobby and multiple punched windows per level establish a visual connection with nature. Access to outdoors is an important component of the design, which is highlighted in the incorporation of landscaped seating area close to the main entrance and a private patio space for use by residents and staff. These areas serve as places of respite and provide an outdoor alternative to indoor waiting spaces. The above indicated design strategies create an environment rooted in nature, which in a healthcare setting can reduce stress, fatigue, and lower blood pressure. It also caters to the unique programmatic requirements of the residency program by providing a well-designed outdoor space that expands the interior lounge area and provides an enhanced user experience for current and future residents, physicians, and staff.

A well-crafted balance between building efficiency, volumetric expression, façade articulation and enhanced user experience has allowed for a final product that is contextual but also serves as a new landmark addition to the eastern edge of Sutter Health’s Roseville campus.

Sutter Health Roseville Medical Center MOB 7

Sutter SeniorCare Program of All-Inclusive Care for the Elderly (PACE) was designed exclusively for the aging and frail adult community. The focus of PACE is providing high-quality care and services to participants, to maintain their health and independence, preventing premature nursing home placement.

This project merges two existing PACE centers into one comprehensive facility, reducing redundancy, optimizing staff workflow and functionality, and allowing for program growth. The renovated 44,000-square-foot facility provides a large adult day care center with full kitchen, library, gardening and craft areas; adjacent clinic space (OSHPD 3) for medical, dental and physical therapy; and approximately 15,000 square feet of offices for facility staff and Sutter Health employees.

The existing building has light-filled interior and exterior courtyards, providing calming elements, tranquil outdoor views and extra therapy space. The interior design is inspired by the confluence of the Sacramento and American Rivers, representing the merging of two facilities, as well as patient home life merging with PACE life. The overall design incorporates organically-influenced materials combined with modern design elements. to create a high-end, hospitality-inspired interior environment.

Sutter Health SeniorCare PACE Facility

Built in 1947, St. Helena Hospital in the Napa Valley boasts a spectacular setting. Dreyfuss + Blackford set about creating an architectural vision for this unique facility centered on the patient experience, from admission and care through discharge. A multi-year, multi-phase renovation and expansion has transformed the patient and family experience, providing state-of-the-art care facilities that capitalize on the picturesque vistas and views.

Renovation work included Intensive Care Unit facilities, updated family waiting areas and corridor/staff connection zones which access more than 100 inpatient beds; a new Family Birthing Unit with dedicated procedure/exam rooms and a nursery; and Labor Delivery Recovery Postpartum suites.

St. Helena Hospital Project Transform

Thirteen years in the making, a much anticipated Chapel &amp; Spiritual Center, has been realized for Sutter Health Women &amp; Children’s Center in Sacramento.

Serving the needs of patients, families, and hospital staff from diverse religious, spiritual, and cultural backgrounds, the Chapel &amp; Spiritual Center offers an environment promoting renewal of the spirit. Envisioned as a place where visitors can find a sense of solace in the midst of crisis and daily stress, this peaceful space provides opportunity for contemplation, reflection, and prayer.

Local Artist Deanna Marsh, designed a kiln-formed glass sculpture for the chapel’s main feature wall. The rich palette of liquid blues, greens, and iridescent silver and gold on the vertical plane symbolize a spiritual interaction with divine light; and on the horizontal plane, one’s relationship to humankind. Inclusive and layered with meaning for those seeking to contemplate its presence, the abstract sculpture does not impose a particular belief system.

The new chapel’s environment is a source of great pride and inspiration for the campus, representing the spiritual dimension of healing and the care provided at Sutter Health.

Sutter Health, Women & Children's Center, Chapel & Spiritual Center

For over 50 years, San Joaquin County’s Public Health Services (PHS) has been providing various health-related programs and testing for its residents in the same 60-year-old building. In dire need of a modern replacement, we designed a new facility for PHS with a modern work environment, improving customer service and operational efficiencies. The new building also allows a greater flexibility for staffing fluctuations in response to County population increases, along with expected legislative and economic changes over the next 25 years. This new facility includes offices, client service areas, and a BSL-2 Lab space.

Inside the offices, working environments are organized around a central entry space serving as the activity hub for both the public and staff. The entry is designed to provide intuitive wayfinding enabling the public to efficiently locate their service point. The single-story structure utilizes skylights throughout, as well as large expanses of glazing in offices providing ample daylighting for staff. Large overhangs at the public entry and outdoor staff lounges provide an extension of the interior environment to the outdoors.

The new Biosafety Level 2 (BSL-2) Lab is designed in conformance with requirements per the Centers for Disease Control and Prevention guidelines for precautions and contamination isolation. General laboratory spaces were developed with an open floor plan maximizing efficiency, visibility, and natural light.

This facility’s design not only integrates various County programs and their unique requirements under one roof, but also provides an efficient, sustainable, and flexible facility for another 60+ years of continuous use.

San Joaquin County, Public Health Services & Biosafety Lab

We completed design and construction administration services to repurpose former dental hygiene instruction spaces in the Chan Family Health Sciences Learning Center and Clinics building on the University of the Pacific campus. The main goal of the project was expansion of instructional spaces and providing comfortable student study and lounge areas for better learning, patient care and recruitment of highly-qualified students. The building now houses facilities for the Pharmacy School with state-of-the-art lecture classrooms, clinics, faculty offices, and bright, open study spaces for students. In addition, the project expands tele-health teaching, research and services for student health practitioners to reach more Veterans Affairs patients.

UOP, Chan Family Health Sciences Learning Center + Clinics Renovation

The healthcare field has benefited from many technological advances in recent years, some of the most interesting in the areas of patient comfort. We recently completed this “Ambient Experience” suite for the UC Davis Medical Center Radiology Oncology Department that features a near-infinite array of lighting, music and visual imagery.

The project was developed in existing space within the Cancer Center, maintaining full operations for all other services during construction. We are frequently called upon to provide intricate and complex medical renovation projects within hospitals and clinic facilities, and we have developed a reputation for thorough, exacting and timely delivery.

UC Davis Medical Center Radiology Oncology

Spanning two floors of the occupied East Tower hospital building, the new home for the Physical Medicine &amp; Rehabilitation Department offers patient-centered care in contemporary patient rooms (17 M/S beds) and nurturing therapeutic spaces. Soothing color, resilient surfaces, and natural light combine to support patient return to active living.

The therapy floor features a 10,000 square foot Free Exercise Gallery offering focused treatment in five separate modalities and a loft-inspired Active Daily Living suite. The nursing floor features domestic detailing in 16 patient rooms and the addition of needed flex space for dining, recreation, and family counseling. Even the corridors offer comfort in repetitive patterns and forgiving materials. Patients and staff find visual cues in strategically placed signage, plants and art evocative of the Sacramento River delta. The project’s new location required integration of functioning medical services to adjacent floors and coordination with the campus master plan.

UC Davis Physical Medicine & Rehabilitation

We did a series of diagnostic suite renovations at this Kaiser South Sacramento campus, all completed within a continuously operating licensed hospital facility. Our design process follows a well-honed regimen of scoping, determining existing conditions, phasing for minimum disruption, complete and thorough design documents and hands-on site observation to assist the construction team.

The Fluoroscopy suites provide high-demand, state-of-the-art analytical tools to the Radiology Department. Sensitive equipment must be carefully balanced, firmly anchored and fully coordinated with existing hospital systems.

Kaiser South Sacramento Fluoroscopy Suites Renovation

This facility serves more than 44,000 veterans in San Joaquin, Amador and Calaveras counties, as well as San Joaquin General Hospital dialysis patients. It is a joint project between the San Joaquin County Health Care Services and VA Palo Alto Health Care System.

Of the 21,600-square-foot San Joaquin clinic, 10,000 square feet is operated by the VA Palo Alto Health Care System (VA PAHCS). The VA PAHCS portion of the facility accommodates eight medical offices, 16 examination rooms, three conference rooms, waiting area, restrooms, a phlebotomy station, and 80 parking spaces. This project serves a vital health need in San Joaquin County and is next door to <a href="https://dbarch.wpengine.com/project/health-plan-of-san-joaquin-headquarters/">Health Plan of San Joaquin Headquarters</a>.

San Joaquin County & VA Palo Alto Community Outpatient Clinic

In order to meet the needs of the growing population in San Joaquin County, a master plan for a replacement building was completed to consolidate Public Health Services and Health Care Services Agency programs. The project will also include a new health clinic and Public Health Services labs with a Biosafety Lab - Level 3 (BSL-3), for testing tuberculosis, encephalitis, West Nile and other viruses in a modern facility.

The preferred building and site concept takes into consideration employee and visitor safety and separation, increased natural light with a narrower building floorplate, and connection to the outside with outdoor break areas fostering a sense of well-being for all who use the facility. The site and building concept was used for study and test fit purposes to assist the County in planning.

San Joaquin County Public Health Services Master Plan

Dreyfuss + Blackford completed a major expansion project at this regional medical center. The 52,800-square-foot project added a new state-of-the-art emergency room and radiology facility, as well as upgraded existing spaces. Continuous operation of the existing hospital was a prime concern and the goal of the phasing. This facility provides emergency and trauma care for the Sacramento region in a modern, efficient environment.

The project was accomplished in three phases: Site preparation; construction of new expansion space; and renovation of the existing hospital.

Kaiser South Sacramento Emergency/Radiology Expansion

As the first medical office building for Kaiser Permanente in the City of Tracy, this clinic provides a broad range of healthcare services. The project was fast-tracked in 17 months, to meet the demand of this burgeoning Central Valley community.

Facilities include Pharmacy, Radiology Imaging, Primary Care, Pediatrics, OB/GYN and Medical Records, as well as member and staff support services. This clinic is a much-needed asset to a growing community.

Kaiser Tracy Medical Office Building

We completed a major new Medical Office Building in Stockton with a full range of clinic facilities as well as this 25,000 square feet Radiology/Lab wing expansion next door. This 12,500 square foot addition and equal size renovation was divided into five distinct phases to ensure continued operation of the existing hospital throughout construction. The new Radiology/Lab wing provides state-of-the-art imaging and diagnostic facilities including Oncology, Surgery/Recovery, Laboratory, Pharmacy and support offices.

This project complements the existing hospital and the new clinic facilities, providing a full range of medical services for the Stockton area.

Kaiser Stockton Radiology Lab Expansion

We developed a stand-alone psychiatric facility adjacent to the main South Sacramento hospital for Kaiser Permanente. We created a human-scaled healing environment, buffered from the institutional elements of a traditional hospital.

Our solution called for a turning inward, with spaces and views focused on an internal courtyard and generously landscaped gardens. The floor plan satisfies the client’s need for close supervision of the resident patients while minimizing any sense of intrusion. The resulting design, with a carefully chosen palette of finish materials and colors, provides a pleasant, healing atmosphere.

Facilities include: Public Meeting Rooms, Consultation Areas, Occupational/Recreational Therapy, Pharmacy, Library, Kitchen, and various support spaces.

Kaiser South Sacramento Psychiatric Hospital

Thirteen Labor, Delivery, Recovery and Post-Partum (LDRP) rooms were part of the Kaiser South Sacramento hospital expansion and renovation. We developed a unique design solution for these patient-procedure rooms. Based on the philosophy that a comfortable environment contributes to the well being of the mother during birthing, these rooms were designed to resemble a bedroom in a home. All of the medical equipment is hidden behind enclosed alcoves and cabinets. Once in activation mode, the room can be turned into a procedures room within moments providing the mother with a comfortable birthing experience and the hospital the ability to deliver emergency medical procedures within the same space.

Kaiser South Sacramento Labor/Delivery/Recovery/Post-Partum Room Expansion

This project is a freestanding outpatient surgery clinic adjacent to the main Kaiser Morse hospital. Facilities include: Reception, Pre-op, Operatories, Recovery rooms, and support areas.

Construction completion was required within 12 months. Due to the extremely tight schedule, a modular prefabricated system of delivery was selected, with several manufacturers invited to bid. The resulting building was completed within the allotted schedule and is a complementary addition to the overall medical campus.

Kaiser Sacramento Morse Avenue Campus Outpatient Surgery

Parking Structure 4 at UC Davis Health's Sacramento campus is a successful example of a human-centered design solution for an urban medical center. Designed for flow and a safe user experience, the entry and exits to the south side of the structure were relocated from the original plan so vehicular traffic is segregated from the pedestrian flow. This offers the user clarity and sets the tone for various wayfinding and lighting strategies. The use of ECO Falcon cameras for available stall detection and LED lighting provide the most technologically advanced systems available for the parking structure.

Reinforcing the horizontality of the campus’ aesthetics, integral color and form liners throughout the precast elements provide textures and tones. The structural layout reduces columns and increases opening sizes, focusing daylight into the center of the structure. Level indicators are located clearly on column faces, combined with directional signage.

Site design promotes a safe and intuitive user experience. Landscaping softens the impact of the structure on the surrounding residential neighborhood and integrates a nature walk with native species. Shuttle stops, bike shelters and bike share options are available at the main pedestrian exits, giving users safe access to their last mile of transportation. Security is intentional yet not obvious; implementing CPTED best practices.

Parking Structure 4 is designed to achieve Parksmart Silver certification.

UC Davis Health, Parking Structure 4

As Kaiser Permanente expands to serve the growing population of the Central Valley, we have been tapped for design of new hospitals,  Medical Office Buildings (MOBs) and clinics. The Stockton MOB presented special design challenges, as the building had to nestle between two existing structures and provide for a new site circulation plan. We created a new front door and dedicated parking lot for this MOB on the west face, away from the congestion of the existing east entrance to the hospital.

The new three-story clinic provides a fresh face while respecting and complimenting the architectural style, materials and palette of the existing campus. From the site entry to the building’s internal layout, attention to patient circulation is evident throughout, providing a welcomed clarity and efficiency.

Facilities include: Pharmacies (2), Optical Sales, Optometry, Conference, Members Services, Charts, Adult Primary Care Clinics (2), and a Pediatrics Care Clinic.

Kaiser Stockton Medical Office Building

UC Davis Health, Parking Structure 5

The Health Plan of San Joaquin (HPSJ) is a “home-grown” nonprofit, managed-care health plan that was founded to meet the needs of a diverse range of clients in and around San Joaquin County. A decade of rapid growth to more than 80,000 clients and 120 employees led to the decision to create a consolidated office. A site was selected adjacent to San Joaquin County Hospital, and we went to work creating a distinctive headquarters building.

Public outreach and health education are cornerstones of the HPSJ program, so we created a rich array of community resources. The new Community Room seats 200 people lecture style and can be configured for training, presentations, and even banquets. This room allows for consolidated on-site meetings for over 120 employees and 160 health providers. “We could even hold a mini health fair here,” said Spokesman David Hurst.

The project provides office space; meeting, training, and community rooms; computer and telecommunications support; as well as records and related support spaces. The distinctive sloping roof forms are readily visible from the Interstate just east of the site. The project was completed for less than $240 per square foot; very economical  for a class ‘A’ office building.

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Health Plan of San Joaquin Headquarters

For the past ten years the University of California, Davis Health System's medical center in Sacramento has been transforming itself from a sprawling suburban-like campus to a compact and efficient urban medical center. A key support element in that transformation is structured parking.

Dreyfuss + Blackford was selected along with International Parking Design, Inc., to design a new facility that will be economical and efficient, plus a graceful addition to the medical campus and good neighbor to the adjacent residents.

Parking Structure III (or PS3, as we call it) serves as the new front door for patients and family members arriving at Sacramento’s largest and most complex medical campus. The 7-level structure adds 1,200 spaces, advanced parking technology, individual parking stall availability indicators, and a lots of natural light in the interior for safety and security. Suspended over the precast concrete structure, a louvered shade screen veils the building from the street and creates privacy for the adjacent patient rooms. Made of nearly four thousand extruded aluminum fins, each blade is rotated at a distinct angle designed to reflect light inside the structure, creating a gentle textured facade above the street and a visually intriguing landmark for visitors.

The project received the Precast Concrete Institute's Best Hybrid Parking Structure Award in 2015 and a Design Award Honorable Mention in 2014. In 2013, the project received international recognition as a finalist in the Architizer Awards; a Merit Award from the International Parking Institute Award; Metal Architecture Magazine's Judges Award; AIA California Council Merit Award; AIA Central Valley Design Award for Divine Detail; and was named the National Parking Association's Innovative Facility of the Year. It also received a special Judge's Award from Metal Construction News Building Awards in 2012.

More images of PS3 can be found <a href="https://www.flickr.com/photos/dreyfussblackford/sets/72157624874988973/" target="_blank" rel="noopener">here</a>.

UC Davis Health System Parking Structure III

Dignity Health acquired 30 acres in the City of Elk Grove, a fast-growing city suburb south of Sacramento. We were commissioned to develop a master plan for a full-service medical campus. We worked closely with hospital administrators, real estate staff and Elk Grove city planners to create a vibrant campus that is responsive to Dignity Health clientele as well as the community at large.

At full build-out, the hospital will contain more than 340 beds in multiple towers, providing Maternity Care, Emergency, Urgent Care, General and Outpatient Surgery, Pharmacy and related support services. Additional on-site facilities will include two Medical Office Buildings to provide a broad range of outpatient services, parking garage, on-site par course and lush healing garden.

Dignity Health, Elk Grove Medical Campus Master Plan

The Asclepius Medical Building at 5120 J Street in Sacramento was completed in 1964. It contains 7 medical suites and was designed for client Dr. John Babich, a pediatrician. The site is an interior lot on a busy city street. The parking lot is recessed below the street to reduce its impact on the building and the surrounding residential area. The project originally included a bronze sculpture cast locally by artist Helen Post, a personal friend of the client's family. It depicts Asclepius helping pain.

Received Masonry Institute Honor Award, 1964.

Asclepius Medical Building

This project is a unique blend of a large Medical Center for Kaiser and a regional shopping center serving the Folsom area. The 100-acre site is divided in half by a shared boulevard that provides access deep into the complex. The centers are located adjacent to each other and linked by a pedestrian plaza.

The Medical Center contains nearly 1,300,000 square feet of medical space and includes a 430-bed hospital, three medical office buildings, an ambulatory surgery center and two parking structures.

The master plan envisions the site being developed in 7 phases over 20 years. The entitlements for both the shopping center and the Medical Center will go through the City of Folsom concurrently.

Kaiser Folsom Medical Center Master Plan

Our work with Chapa-De Indian Health is grounded in a shared respect for community, culture, and care. The new facility is more than a place for healing — it’s a reflection of the land it stands on, the people it serves, and the values it upholds. Through thoughtful design, the project supports Chapa-De’s mission to treat the whole patient while honoring the deep connection between wellness, environment, and identity.

This project provided a much-needed renovation of the entire Community Hospital of the Monterey Peninsula (CHOMP) Outpatient Surgery Center, including new supporting administrative space on the floor below, new rooftop HVAC units, and seismic upgrades to the building.
Our design approach began with an intensive Discovery phase to evaluate the space needs, functional requirements, staff and patient flow, and building system efficacy. In addition to regular stakeholder workshops, we embedded ourselves for three days into the surgery center environment to observe workflows and interview staff. This interaction was vital to our team’s understanding of the most critical renovation needs, which included better acoustic and physical privacy for patients, centralized storage, right-sized spaces, and building systems upgrades.
The remodel includes three operating rooms, three procedure rooms, 12 patient bays, two nurse stations, a scope processing department that serves the adjoining hospital, and new administrative space on the lower level. The new design provides staff visibility into the Pre-Op/PACU patient areas from two centralized nurse stations.
The interiors feature calming blue and green tones with warm wood accents inspired by the Monterey coastline. Clean lines and midcentury modern influence are taken from the existing hospital’s architecture. The new layout preserves the exterior views from the waiting room, operating rooms and PACU bays to the surrounding forest landscape, a beloved feature by staff and visitors.

c1014_sutter-roseville_mob_7_13_o

C1014_Sutter Roseville_MOB_7_13_O

The Dreyfuss &amp; Blackford team was commissioned to develop a new 98,506 SF medical office building as an integral addition to the esteemed Sutter Health campus in Roseville, California. This facility includes an 84,050 SF four-story phase 1 and a 14,456 SF two-story phase 2 addition, designed to house Sutter&#8217;s Graduate Medical Education program. By expanding its residency program to accommodate more specialties, the facility serves as a pivotal hub for attracting new physicians to the campus.
Key features of the facility include a Conference Center, Simulation Lab, Administrative Offices, and outpatient clinical departments such as Cardiovascular, Bariatric, Patient Education, Dermatology, MOHS, Endocrinology, and Rheumatology.
The design embraces the existing aesthetic context while introducing a contemporary, distinguished solution aligned with the client’s vision. Situated amidst surrounding Sutter facilities, an apartment complex, a commercial plaza, and a newly expanded parking garage (also a Dreyfuss &amp; Blackford project), the building integrates seamlessly into its compact site.
A prefabricated thin-shell concrete panel system was selected for the exterior envelope, ensuring efficiency and meeting the aggressive residency program move-in timeframe. The building&#8217;s form optimizes structural efficiency, connectivity, and internal circulation, prioritizing access to daylight and outdoor views. A four-story curtain wall adjacent to the lobby and multiple punched windows per level establish a visual connection with nature.
Outdoor spaces, including landscaped seating near the main entrance and a private patio for residents and staff, provide areas for relaxation and outdoor alternatives to waiting areas. These elements contribute to a healing environment known to reduce stress and enhance well-being in healthcare settings.
Balancing building efficiency, volumetric expression, façade articulation, and user experience, the project stands as a contextual landmark on the eastern edge of Sutter Health’s Roseville campus, embodying innovation and functionality.

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B6007 Sutter Health SeniorCare PACE Facility Relocation, 2016

b6007-sutter-health-seniorcare-pace-facility-relocation-2016-5

Sutter SeniorCare Program of All-Inclusive Care for the Elderly (PACE) was designed exclusively for the aging and frail adult community. The focus of PACE is providing high-quality care and services to participants, to maintain their health and independence, preventing premature nursing home placement.
This project merges two existing PACE centers into one comprehensive facility, reducing redundancy, optimizing staff workflow and functionality, and allowing for program growth. The renovated 44,000-square-foot facility provides a large adult day care center with full kitchen, library, gardening and craft areas; adjacent clinic space (OSHPD 3) for medical, dental and physical therapy; and approximately 15,000 square feet of offices for facility staff and Sutter Health employees.
The existing building has light-filled interior and exterior courtyards, providing calming elements, tranquil outdoor views and extra therapy space. The interior design is inspired by the confluence of the Sacramento and American Rivers, representing the merging of two facilities, as well as patient home life merging with PACE life. The overall design incorporates organically-influenced materials combined with modern design elements. to create a high-end, hospitality-inspired interior environment.

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B1008 St. Helena  Hospital, Project Transform, 2011

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B7002 Sutter Health Women &amp; Children's Center, Chapel &amp; Spiritual Center, 2018

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Thirteen years in the making, a much anticipated Chapel &#038; Spiritual Center, has been realized for Sutter Health Women &#038; Children’s Center in Sacramento.
Serving the needs of patients, families, and hospital staff from diverse religious, spiritual, and cultural backgrounds, the Chapel &#038; Spiritual Center offers an environment promoting renewal of the spirit. Envisioned as a place where visitors can find a sense of solace in the midst of crisis and daily stress, this peaceful space provides opportunity for contemplation, reflection, and prayer.
Local Artist Deanna Marsh, designed a kiln-formed glass sculpture for the chapel’s main feature wall. The rich palette of liquid blues, greens, and iridescent silver and gold on the vertical plane symbolize a spiritual interaction with divine light; and on the horizontal plane, one’s relationship to humankind. Inclusive and layered with meaning for those seeking to contemplate its presence, the abstract sculpture does not impose a particular belief system.
The new chapel’s environment is a source of great pride and inspiration for the campus, representing the spiritual dimension of healing and the care provided at Sutter Health.

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B7016 San Joaquin County, Public Health Services Building &amp; Biosafety Lab, 2017

For over 50 years, San Joaquin County’s Public Health Services (PHS) has been providing various health-related programs and testing for its residents in the same 60-year-old building. In dire need of a modern replacement, we designed a new facility for PHS with a modern work environment, improving customer service and operational efficiencies. The new building also allows a greater flexibility for staffing fluctuations in response to County population increases, along with expected legislative and economic changes over the next 25 years. This new facility includes offices, client service areas, and a BSL-2 Lab space.
Inside the offices, working environments are organized around a central entry space serving as the activity hub for both the public and staff. The entry is designed to provide intuitive wayfinding enabling the public to efficiently locate their service point. The single-story structure utilizes skylights throughout, as well as large expanses of glazing in offices providing ample daylighting for staff. Large overhangs at the public entry and outdoor staff lounges provide an extension of the interior environment to the outdoors.
The new Biosafety Level 2 (BSL-2) Lab is designed in conformance with requirements per the Centers for Disease Control and Prevention guidelines for precautions and contamination isolation. General laboratory spaces were developed with an open floor plan maximizing efficiency, visibility, and natural light.
This facility’s design not only integrates various County programs and their unique requirements under one roof, but also provides an efficient, sustainable, and flexible facility for another 60+ years of continuous use.

b7010_uop_chan_health_sciences_renov_02_w

B7010_UOP_Chan_Health_Sciences_Renov_02_W

We completed design and construction administration services to repurpose former dental hygiene instruction spaces in the Chan Family Health Sciences Learning Center and Clinics building on the University of the Pacific campus. The main goal of the project was expansion of instructional spaces and providing comfortable student study and lounge areas for better learning, patient care and recruitment of highly-qualified students. The building now houses facilities for the Pharmacy School with state-of-the-art lecture classrooms, clinics, faculty offices, and bright, open study spaces for students. In addition, the project expands tele-health teaching, research and services for student health practitioners to reach more Veterans Affairs patients.

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A7832_UCDMC_Rad_Wnc_14_W

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UCDMC Physical Medicine &amp; Rehab, 2010

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A8847 Kaiser Permanente South Sacramento, Fluoroscopy, 2010

We did a series of diagnostic suite renovations at this Kaiser South Sacramento campus, all completed within a continuously operating licensed hospital facility. Our design process follows a well-honed regimen of scoping, determining existing conditions, phasing for minimum disruption, complete and thorough design documents and hands-on site observation to assist the construction team.
The Fluoroscopy suites provide high-demand, state-of-the-art analytical tools to the Radiology Department. Sensitive equipment must be carefully balanced, firmly anchored and fully coordinated with existing hospital systems.

san-joaquin-veterans-administration-dialysis-outpatient-clinic-2006-4

San Joaquin Veterans Administration Dialysis Outpatient Clinic, 2006

This facility serves more than 44,000 veterans in San Joaquin, Amador and Calaveras counties, as well as San Joaquin General Hospital dialysis patients. It is a joint project between the San Joaquin County Health Care Services and VA Palo Alto Health Care System.
Of the 21,600-square-foot San Joaquin clinic, 10,000 square feet is operated by the VA Palo Alto Health Care System (VA PAHCS). The VA PAHCS portion of the facility accommodates eight medical offices, 16 examination rooms, three conference rooms, waiting area, restrooms, a phlebotomy station, and 80 parking spaces. This project serves a vital health need in San Joaquin County and is next door to Health Plan of San Joaquin Headquarters.

In order to meet the needs of the growing population in San Joaquin County, a master plan for a replacement building was completed to consolidate Public Health Services and Health Care Services Agency programs. The project will also include a new health clinic and Public Health Services labs with a Biosafety Lab &#8211; Level 3 (BSL-3), for testing tuberculosis, encephalitis, West Nile and other viruses in a modern facility.
The preferred building and site concept takes into consideration employee and visitor safety and separation, increased natural light with a narrower building floorplate, and connection to the outside with outdoor break areas fostering a sense of well-being for all who use the facility. The site and building concept was used for study and test fit purposes to assist the County in planning.

Dreyfuss + Blackford completed a major expansion project at this regional medical center. The 52,800-square-foot project added a new state-of-the-art emergency room and radiology facility, as well as upgraded existing spaces. Continuous operation of the existing hospital was a prime concern and the goal of the phasing. This facility provides emergency and trauma care for the Sacramento region in a modern, efficient environment.
The project was accomplished in three phases: Site preparation; construction of new expansion space; and renovation of the existing hospital.

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Kaiser Tracy Medical Office Building, 2004

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Kaiser Stockton Radiology Lab Expansion, 2004 - 2005

We developed a stand-alone psychiatric facility adjacent to the main South Sacramento hospital for Kaiser Permanente. We created a human-scaled healing environment, buffered from the institutional elements of a traditional hospital.
Our solution called for a turning inward, with spaces and views focused on an internal courtyard and generously landscaped gardens. The floor plan satisfies the client’s need for close supervision of the resident patients while minimizing any sense of intrusion. The resulting design, with a carefully chosen palette of finish materials and colors, provides a pleasant, healing atmosphere.
Facilities include: Public Meeting Rooms, Consultation Areas, Occupational/Recreational Therapy, Pharmacy, Library, Kitchen, and various support spaces.

This project is a freestanding outpatient surgery clinic adjacent to the main Kaiser Morse hospital. Facilities include: Reception, Pre-op, Operatories, Recovery rooms, and support areas.
Construction completion was required within 12 months. Due to the extremely tight schedule, a modular prefabricated system of delivery was selected, with several manufacturers invited to bid. The resulting building was completed within the allotted schedule and is a complementary addition to the overall medical campus.

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C0004 UC Davis Health, Parking Structure 4, 2020

Parking Structure 4 at UC Davis Health&#8217;s Sacramento campus is a successful example of a human-centered design solution for an urban medical center. Designed for flow and a safe user experience, the entry and exits to the south side of the structure were relocated from the original plan so vehicular traffic is segregated from the pedestrian flow. This offers the user clarity and sets the tone for various wayfinding and lighting strategies. The use of ECO Falcon cameras for available stall detection and LED lighting provide the most technologically advanced systems available for the parking structure.
Reinforcing the horizontality of the campus’ aesthetics, integral color and form liners throughout the precast elements provide textures and tones. The structural layout reduces columns and increases opening sizes, focusing daylight into the center of the structure. Level indicators are located clearly on column faces, combined with directional signage.
Site design promotes a safe and intuitive user experience. Landscaping softens the impact of the structure on the surrounding residential neighborhood and integrates a nature walk with native species. Shuttle stops, bike shelters and bike share options are available at the main pedestrian exits, giving users safe access to their last mile of transportation. Security is intentional yet not obvious; implementing CPTED best practices.
Parking Structure 4 is designed to achieve Parksmart Silver certification.

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Kaiser Stockton Medical Office Building, 2004

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C1026, UC Davis Health, Parking Structure 5, 2021

On UC Davis Health’s Sacramento campus, Parking Structure 5 provides exceptional space for patients, visitors, and staff to feel safe, clearly find their way, and efficiently park their vehicle in a very open and day-lit space. With all vehicles entering and exiting the structure through a subterranean entrance off the adjacent mid-block intersection, the cross-campus flow of pedestrians and bicycles is uninterrupted.
Serving the Cancer Center and new California Tower, the structure brings stalls with a flexible layout, focused on accessibility on every floor with the potential to accommodate loading areas for patient drop-off inside the structure. Using architectural precast concrete, extruded aluminum fins, solid and perforated aluminum panels and fully glazed elevator towers, the architectural form and material expression celebrate the high-quality spaces and representation of the design-focus for the medical campus.
Photovoltaic panels installed on the top floor provide electricity to the structure. There is also short term bike stalls, and long-term secure bike parking for 125 inside the structure.
Parking Structure 5 is designed to achieve Parksmart Gold certification.