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Kaiser Permanente, Northern California
Caritas Consortium 2013

Integration of Caring Science into San Leandro Hospital Build
Caritas in Action
How Caring Science informs and inspires KP caregivers and affirms our commitment to provide our
patients and their families exceptional care
Integration of Caring Science into San Leandro
Hospital Build
Intent to Contribute Statement:
(4) Medical center practice setting for both patients and staff. We would like to highlight the
caring science integration into the new San Leandro medical Center. The highlights we will
demonstrate on the poster are the colors chosen for the center. The pallet of colors chosen are
reflective of Cultural Diversity. We will also show the leaf pattern through out the hospital. Will
also see if we can show some of the artwork as well.

Page 2
Integration of Caring Science into San Leandro
Hospital Build
Inspired Contributor(s) 1 :
 Linda Daniel
 Yvone Hobbs
 Grace Tesorero
-----Service Area: GSAA
Medical Center: HAY
Affiliation: PCS
------

Year Shared: 2013
Venue: Caritas Consortium
Format: Poster, PowerPoint
ID #: H08

Page 3

Keyword TAGs:
Identifier
 Consortium2013-July, GSAA,
Hayward, Podium, Poster, Patient
Care Services
 Healing Environments

Descriptor
 Building Design
Integration of Caring Science into San Leandro
Hospital Build

Page 4
Page 5
Caring Science Definition
“A caring science perspective is grounded in a
relational ontology of being-in-relation, and a world
view of unity and connectedness of All. Transpersonal
Caring acknowledges unity of life and connections that
move in concentric circles of caring – from individual,
to others, to community, to world, to Planet Earth, to
the universe.”
– Jean Watson

Page 6
Total Health Environment
The overall branding concept for the San
Leandro Medical Center (SLMC) facility is the…

“Total Health Environment”(THE), which
allows compassion, wisdom, love, and
caring in our facilities.

Page 7
San Leandro Med Center Total Health Environment
(THE) and Interior Design Direction
• How do we design “Total Health Environment” into
our facilities?
 The built environment is a physical expression
of our brand and our values as an
organization. It must communicate our
understanding of our consumers, their needs,
emotions, and outlook on health.
• We have 21 key concepts from “THE” built into the
San Leandro Medical Center design for each person
to experience and enjoy.
Page 8
21 Total Health Environment Key Experiences

Page 9
Page 10
Aesthetic Inspiration
Cultural Heritage
concept is the design theme chosen by the Medical Center
Leadership.

This concept celebrates the diversity of the area’s many
cultures

Page 11
Cultural Heritage
Celebrates the richness of Alameda county’s diversity and
reinforces Kaiser Permanente’s culture of inclusiveness.
Historical link:
• The first inhabitants of San Leandro, who arrived between 3500 and
2500 BC, were the ancestors of the Ohlone Nation, called Costenos
or “coast people” by Spanish settlers. In 1772, Spanish soldier,
Captain Pedro Fages, discovered San Leandro
• Between 1800 to the present there have been four waves of
Portuguese immigration into San Leandro and surrounding areas
•Today:







European
Asian
Hispanic
African American
Native American
Pacific Islander

http://quickfacts.census.gov/qfd/states/06/0668084.html
Page 12
Cultural Heritage
The design principles of ‘Cultural Heritage’ reflect
the ‘Caring Science’ philosophy



Refuge



Whimsy, surprise, enjoyment



Page 13

Support emotional states

Connect to nature
Cultural Heritage

Sample Artwork: Lake Chabot Regional Park

Page 14

Ceramic tile mosaic
“Ethnic Interiors,” by Dinah Hall
“It is interesting to realize that ethnic cultures,
even those from opposite corners of the world,
have always shown a striking similarity of
expression and inspiration, the ethnic motifs
and artifacts from one continent often sit
happily with those of another.”

Page 15
Cultural Heritage

16
Wayfinding Icon for Hospital
Leaf = Rest

Destination = Color
Square

Movement =
Sticks

Page 17
Wayfinding Enhancements for MOB

Wait
(Leaf)

Movement
Around Corners
(Ribbon)
Page 18
Color Distribution SLMC Patient & Nursing Wings

19
Page 19

ICU
Patient Room

20
Café
Communication, connectivity,
and escape

21

15
Public Corridors
Wayfinding, Clarity and Calm
10

22
Page 22
Outdoor Spaces
Respite and inspiration

23

14

14
Waiting Area

Waiting should be an “active process
by supporting work, respite,
education, or play.”

Page 24
Meditation Room
There is a
meditation room
in San Leandro
(2nd floor Hospital)

which is a place
of healing,
spiritual
awakening, and
relaxation

Page 25
Summary
San Leandro Medical Center reflects the „Caring Science‟ philosophy of a “world
view of unity and connectedness of All”

Through the use of...
• Total Health Environment (THE) – 21 Key Experiences
• „Cultural Diversity‟ theme - Diverse color pallette

Page 26
Sources
1. SLMC – INTERIOR + BRANDING CONCEPTS, Ellerbe Becket, Hawley
Peterson, and Snyder, April 3, 2009
2. San Leandro Medical Center INTERIOR Way finding and Aesthetic
Direction, Ellerbe Becket, Hawley Peterson, and Snyder, May 29, 2009
3. Total Health Environment and Interior Design Direction, Ellerbe Becket,
Hawley Peterson, and Snyder, February 2010
4. San Leandro Medical Center Total Health Environment Briefing, for Mark
Brna, October 21, 2010
5. Marlite Custom Graphics document, 7/30/12
6. NFS Infozone, www.kp.org
7. Caring Science website http://watsoncaringscience.org/

Page 27

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Integration of Caring Science into San Leandro Hospital Build

  • 1. Kaiser Permanente, Northern California Caritas Consortium 2013 Integration of Caring Science into San Leandro Hospital Build Caritas in Action How Caring Science informs and inspires KP caregivers and affirms our commitment to provide our patients and their families exceptional care
  • 2. Integration of Caring Science into San Leandro Hospital Build Intent to Contribute Statement: (4) Medical center practice setting for both patients and staff. We would like to highlight the caring science integration into the new San Leandro medical Center. The highlights we will demonstrate on the poster are the colors chosen for the center. The pallet of colors chosen are reflective of Cultural Diversity. We will also show the leaf pattern through out the hospital. Will also see if we can show some of the artwork as well. Page 2
  • 3. Integration of Caring Science into San Leandro Hospital Build Inspired Contributor(s) 1 :  Linda Daniel  Yvone Hobbs  Grace Tesorero -----Service Area: GSAA Medical Center: HAY Affiliation: PCS ------ Year Shared: 2013 Venue: Caritas Consortium Format: Poster, PowerPoint ID #: H08 Page 3 Keyword TAGs: Identifier  Consortium2013-July, GSAA, Hayward, Podium, Poster, Patient Care Services  Healing Environments Descriptor  Building Design
  • 4. Integration of Caring Science into San Leandro Hospital Build Page 4
  • 6. Caring Science Definition “A caring science perspective is grounded in a relational ontology of being-in-relation, and a world view of unity and connectedness of All. Transpersonal Caring acknowledges unity of life and connections that move in concentric circles of caring – from individual, to others, to community, to world, to Planet Earth, to the universe.” – Jean Watson Page 6
  • 7. Total Health Environment The overall branding concept for the San Leandro Medical Center (SLMC) facility is the… “Total Health Environment”(THE), which allows compassion, wisdom, love, and caring in our facilities. Page 7
  • 8. San Leandro Med Center Total Health Environment (THE) and Interior Design Direction • How do we design “Total Health Environment” into our facilities?  The built environment is a physical expression of our brand and our values as an organization. It must communicate our understanding of our consumers, their needs, emotions, and outlook on health. • We have 21 key concepts from “THE” built into the San Leandro Medical Center design for each person to experience and enjoy. Page 8
  • 9. 21 Total Health Environment Key Experiences Page 9
  • 11. Aesthetic Inspiration Cultural Heritage concept is the design theme chosen by the Medical Center Leadership. This concept celebrates the diversity of the area’s many cultures Page 11
  • 12. Cultural Heritage Celebrates the richness of Alameda county’s diversity and reinforces Kaiser Permanente’s culture of inclusiveness. Historical link: • The first inhabitants of San Leandro, who arrived between 3500 and 2500 BC, were the ancestors of the Ohlone Nation, called Costenos or “coast people” by Spanish settlers. In 1772, Spanish soldier, Captain Pedro Fages, discovered San Leandro • Between 1800 to the present there have been four waves of Portuguese immigration into San Leandro and surrounding areas •Today:       European Asian Hispanic African American Native American Pacific Islander http://quickfacts.census.gov/qfd/states/06/0668084.html Page 12
  • 13. Cultural Heritage The design principles of ‘Cultural Heritage’ reflect the ‘Caring Science’ philosophy   Refuge  Whimsy, surprise, enjoyment  Page 13 Support emotional states Connect to nature
  • 14. Cultural Heritage Sample Artwork: Lake Chabot Regional Park Page 14 Ceramic tile mosaic
  • 15. “Ethnic Interiors,” by Dinah Hall “It is interesting to realize that ethnic cultures, even those from opposite corners of the world, have always shown a striking similarity of expression and inspiration, the ethnic motifs and artifacts from one continent often sit happily with those of another.” Page 15
  • 17. Wayfinding Icon for Hospital Leaf = Rest Destination = Color Square Movement = Sticks Page 17
  • 18. Wayfinding Enhancements for MOB Wait (Leaf) Movement Around Corners (Ribbon) Page 18
  • 19. Color Distribution SLMC Patient & Nursing Wings 19 Page 19 ICU
  • 22. Public Corridors Wayfinding, Clarity and Calm 10 22 Page 22
  • 23. Outdoor Spaces Respite and inspiration 23 14 14
  • 24. Waiting Area Waiting should be an “active process by supporting work, respite, education, or play.” Page 24
  • 25. Meditation Room There is a meditation room in San Leandro (2nd floor Hospital) which is a place of healing, spiritual awakening, and relaxation Page 25
  • 26. Summary San Leandro Medical Center reflects the „Caring Science‟ philosophy of a “world view of unity and connectedness of All” Through the use of... • Total Health Environment (THE) – 21 Key Experiences • „Cultural Diversity‟ theme - Diverse color pallette Page 26
  • 27. Sources 1. SLMC – INTERIOR + BRANDING CONCEPTS, Ellerbe Becket, Hawley Peterson, and Snyder, April 3, 2009 2. San Leandro Medical Center INTERIOR Way finding and Aesthetic Direction, Ellerbe Becket, Hawley Peterson, and Snyder, May 29, 2009 3. Total Health Environment and Interior Design Direction, Ellerbe Becket, Hawley Peterson, and Snyder, February 2010 4. San Leandro Medical Center Total Health Environment Briefing, for Mark Brna, October 21, 2010 5. Marlite Custom Graphics document, 7/30/12 6. NFS Infozone, www.kp.org 7. Caring Science website http://watsoncaringscience.org/ Page 27

Notas do Editor

  1. You will see in our presentation today how Jean Watson’s philosophy is built into the branding and interior design theme of San Leandro.
  2. The Total Health Environment (THE) project enables Kaiser’s built-environment to manifest the ‘Caring Science’ attributes of compassion, wisdom, love, caring into our facilitiesWhen our members come to Kaiser Permanente – whether in California or Washington, D.C. – they expect to experience the “total health” promise they see in our Thrive TV commercials.
  3. Kaiser San Leandro Design has incorporated 17 of the 21 “Total Health Environment” (THE) key concepts. Exploring the key experiences through-out Kaiser Permanente is a private journey for each individual.
  4. National Facilities Services’ research demonstrates there are 21 key experiences that influence our members when they visit Kaiser Permanente's facilities. From our parking lots to our exam rooms, the Total Health Environment is infusing our brand into our buildings to create a better, more consistent experience for our members.
  5. The San Leandro Medical Center design team applied the key experiences as shown on this diagram.
  6. The underlying design theme that links San Leandro Medical Center to its regional character is “Cultural Heritage”Graphic images were selected for their ability to crossover between cultural references, emphasizing the commonalities among various cultures.The essence of this concept is captured through the use of color, finish materials, pattern, and imagery, expressed in such things as floor patterns, furniture fabric, and artwork.Inspiration comes from a breadth of ethnicities including European, Hispanic, Asian, and African influences. Patterns and graphics are then abstracted to express a more global and inclusive interpretation.
  7. 1. As just stated in the previous slide the Artwork in San Leandro medical center not only provides a caring and healing environment, connects to nature, is whimsy but also supports local artists, and reflects the community and uniqueness of San Leandro. 2. The 90 foot interior courtyard wall will feature a ceramic tile mosaic of butterflies. There are only two places in CA where monarch butterflies migrate to each year (most popular of course, is Pacific Grove, CA). But San Leandro receives them too at Monarch Bay golf course, a (short 1 mile walk toward the water from new medical center). 3. Other Art work throughout the medical center will reflect views of east bay hills, mount diablo and other local landmarks bringing the outdoors inside.
  8. Color pallets for San Leandro Hospital and MOB. Inspired from different cultures. And used to provide intuitive way finding for members and staff. Each floor has it’s own color pallet.
  9. The cultural design theme weaves in the ‘Caring Science’ theme of rest, relaxation, movement, stress free. These intuitive way finding devices are used throughout the medical center.
  10. Consistent with the cultural diversity theme, additional way finding tips were added to the MOB.In this slide, we see how the ribbons in the flooring guide you around the corner to the waiting area for the perioperative area.
  11. Every floor has it’s own color theme. This aids in way finding, and adds to the calming effect of the coordinated colors. In addition, there are natural image themes that announce the entry, the door ways to add to the healing environment.
  12. The guest/patient room should “create a calm environment that balances emotional and physical patient needs with clinical care.” Patients should feel a sense of “comfort, privacy, confidence, and personal control that leaves them feeling resolves and satisfied with their total care experience.” This is one of the most important experiences in a hospital, one where the patient’s emotional state is critical and should be treated in such a manner; patients and family should be at ease and confident with the care provided. By creating specific zones: nurse, patient, family, foot wall, headwall, and bathroom, space is maximized and made functional. Such a functional and controllable space empowers the patient and supports communication between caregivers and patient/family; the ideal total care experience. And with the use of a warm color palette, all parties can relax and heal.
  13. Areas for respite are placed along the corridors, as well as large pieces of art to assist with breaking up the space.
  14. Outdoor spaces “create environments that support escape and respite, and inspire.” Members, staff, and patients can venture outside into the courtyard to renew, relax, and eat. The central courtyard’s glass walls travel up all six levels allowing light to pass through the corridors and into some patient rooms, illuminating spaces while also healing, activating, rejuvenating; supporting the many behavioral and emotional needs of visitors and staff. The landscape design closely integrates site conditions and Kaiser Permanente’s project goals and site planning standards. These standards include better protecting our natural resources by specifying drought-resistant, water-conserving, disease-resistant, and low maintenance plant materials while discouraging the use of pollen and litter producing toxic plants.” San Leandro’s outdoor spaces have been linked with the interior environmental and the cultural heritage aesthetics, colors, and patterns.
  15. Often, stress is associated with waiting areas, but with a more interactive layout and playful color scheme, stress can be diverted to relaxation, productivity and fun. Various seating options support the many ways people prefer to wait, from lounging, perching, working, to playing.