UCSF Institutional Assumptions

MASTERPLAN STUDY SUMMARY BOOK

UCSF developed the following assumptions regarding future development
of the Mt. Zion Campus. They address issues of special interest to patients,
staff and the community as a whole. Such assumptions were shared at
community meetings and modified in response to issues raised by neighbors.

• Commitment to the existing Cancer Center, Women’s

Health Center, outpatient services and clinical research

• Commitment to a new Osher Center for Integrative

Medicine facility

• Commitment to additional space for clinical research

• Commitment to cancer related inpatient services in

Hospital Buildings A and B through 2008/2013

• Consolidation of related services at Mount Zion

• Maintain high quality medical services and access

to them

• Provide additional off-street parking and encourage

alternative modes of transportation to and from the site

• Strive to be a good neighbor

DEVELOPMENT GUIDELINES
UCSF
MOUNT ZION 5
 UCSF Planning and Design Guidelines
Recommended Floor Heights: Planning Guidelines for Hospital Buildings:
In keeping with the need to insure adequate flexibility for future All rooms are to be single occupancy universal rooms, for planning
change in buildings to be constructed within the next decade, the purposes a 13’-6” wide room was assumed. This dimension suffices
following building assumptions were made about floor to floor for Intensive Care Rooms (ICU) and Labor Delivery Recovery rooms
heights: (LDR). Since final use cannot be identified, this universal room serves
as a contingency to meet all future needs.
Hospital Building - upper floors 15’
lower floors 16’ In modern hospital planning the resulting 28 foot building grid
Research Building - all floors 18’ accommodates both the patient rooms and the larger open spaces,
Parnassus Relocation - all floors 15’max.flexibility such as operating rooms.
Ambulatory Care - all floors 15’max.flexibility
Faculty Offices - all floors 15’max.flexibility Planning Dimensions and Functional Areas:
For optimal efficiency the ability to co-locate departments requires
The underlying assumption is that all new space should be sufficiently
floor plates between 60,000 to 70,000 GSF per floor. Smaller floor
flexible to accommodate all kinds of ambulatory care, clinics,
plates are possible, but efficiency is lost when departments cannot
diagnostic and therapy services and research, except for those major
be contiguous to each other. For example, all interventional rooms
inpatient hospital services and sophisticated research laboratories
(surgeries and cath labs), Post Anesthsia Care Units (PACU) and
that require even higher floor to floor intervals.
ICU beds should be on one level; or labor, delivery, recovery, Neo-
natal Intensive Care Units (NICU) and post-partum beds should be
In many of the proposed options, the final gross square footage of
co-located together. For preliminary planning purposes, hospitals
building area is less in Phase Two than in Phase One. This is due to
can be zoned and stacked.
the increased floor to floor height of the proposed replacement
buildings. The increased efficiency of the new modern and flexible
After analysis of many teaching and community hospitals, KMD
floor plates will accommodate a greater range of future services
recommends 2100 (Square Feet) per bed for a modern urban
and functions.
teaching hospital. The approximate breakdown by classification for
the entire hospital building is as follows:

In-Patient Floors - 900 SF/bed

Diagnostic & Treatment - 700 SF/bed
JANUARY. 2 0 0 3

Building Support - 400 SF/bed

Public/Amenities - 100 SF/bed
Total 2100 SF/bed

All options with hospital components have followed this breakdown

as closely as possible.

6 KMD
ARCHITECTS
Utilities:
Currently the two eight-story Mount Zion Hospital buildings, A & B,
intersect and share the elevator core in Building A. These buildings
are interdependent; both rely on the boilers in the basement of
Building B and the utility plant, centrally located on the Main Block.
It is difficult to raze one without the other and most schemes reflect
this situation. However, because Building A is stronger seismically,
some of the proposed alternatives indicate that it may remain in use
for a longer time than Building B, if supported from a new power
source.
Options 1, 4, 5 and 6, all consisting of a 250-bed hospital on the
Mount Zion Campus assume inclusion of a below grade utility plant
of 32,500 SF to serve the main hospital building only. The Office of
the State Hospital Planning and Development (OSHPD) requires all
buildings sharing a central utility plant with a hospital to comply fully
with OSHPD requirements. The cost implications on adjacent
buildings mitigate any efficiency achieved with a centralized power
source. For the purposes of this study, all buildings in all options are
assumed to be utility self-sufficient.
Parking:
MASTERPLAN STUDY SUMMARY BOOK
Parking demand assumptions are based on a combination of San Francisco
Planning Code requirements and KMD experience with similar projects.
These numbers are estimates only and will need further refinement when
buildings are programmed in more detail.
The San Francisco Planning Code’s requirement for only one parking
space for every eight hospital beds is both outdated and inadequate. The
percentage of ancillary and support spaces within modern hospitals has
increased, and will continue to do so, while the proportional number of
beds will decrease over time with patients spending less time in hospital
beds. Based on past experience with similar projects and the trend towards
increased diagnostic and treatment services requiring more visits to Mount
Zion, the options presented assume a need for three parking spaces for
each hospital bed.
For medical office buildings, the Planning Code requires one parking
space for every 300 SF of building area. The options assume three
parking spaces for every 1000 SF of building area for the ambulatory
care, faculty offices and unidentified programs relocated from Parnassus.
Hotels within this zone are required to provide one parking space for each
hotel room. The cooperative care center, catering to patients and their
families, assumes one parking space for each of its 172 hotel rooms plus
additional spaces to serve the conferencing functions.
DEVELOPMENT GUIDELINES
UCSF
MOUNT ZION 7
 Parking Structures:
Options include both free-standing parking structures and/or below
grade parking beneath buildings. The first type is less expensive
and more efficient. These parking structures are assumed to be a
long span with a 65-68’ structural bay. This open plan configuration
allows maximum flexibility, mixing standard and compact spaces.
The second type, parking below buildings, is more costly and requires
deep excavation, yields fewer parking spaces and limits the flexibility
of the building configuration above, as the structural grid for the
parking dictates the building layout.
Existing Facilities:
JANUARY. 2 0 0 3
8 KMD
ARCHITECTS
The economic viability of underground parking is affected by soil
and subsurface water conditions. A maximum depth of four levels
(approximately 39 feet) was assumed for the options. This was based
on the depth of the existing below grade parking at the 1701
Divisadero Medical Office Building. When geotechnical reports are
available for the Mount Zion sites proposed for underground parking,
the feasibility of achieving these depths should be reevaluated.
In none of the options was parking assumed beneath the hospital.
OSHPD requires the entire building, including the underground
parking, to be compliant with OSPHD regulations, making the parking
prohibitively expensive.