ADVERTISING FEATURE OF THE SAN FRANCISCO CHRONICLE Transforming Care. N2 Advertising Feature Sunday, May 22, 2016 Creating the ` trauma center of the future'

By Carey Sweet

As the trauma center for San Francisco and northern San Mateo counties, the new Zuckerberg San Francisco General was designed first and foremost to serve more than 1.5 million residents. Yet as it opens its doors this weekend, it will also be a state-of-the-art home for its staff, embracing the many doctors and nurses on 24-hour duty, as well as first-respond- ers called in during catastro- phes. Critical features include six new trauma resuscitation suites as well as full internal and external decontamination areas for disasters. There are also two new CT scanners in the Emergency Department to facilitate the care of injured patients. Their close proximity allows for the doctors, nurses and staff to provide faster and better care. ™ During the design process we had more than 450 staff involved in user group meet- ings, said the hospital' s Re- build Director Terry Saltz. ™ It' s reflected in every detail, from much more efficient reusable sharps (needles) boxes nurses requested, to breakaway doors PHOTOS BY LAURA MORTON / SPECIAL TO THE CHRONICLE in front of each patient room Dr. Andre Campbell, Professor of Surgery at UCSF, Trauma Surgery and Acute Care Surgeon at Zuckerberg San Francisco General, in to accommodate lots of equip- one of six new trauma rooms. ment being rolled in, to dialy- sis connections in every ICU room so patients don' t have to ª ™ People depend on be moved. us. So we wanted to Perhaps no one is more ready for the new trauma cen- build the trauma ter than 23 year trauma team center of the future, veteran Dr. Andre Campbell, and this is it. Professor of Surgery at UCSF, Trauma Surgery and Acute Dr. Andre Campbell Care Surgeon at Zuckerberg San Francisco General. He long. served on the Blue Ribbon ™ We' ve had to stack pa- Committee on San Francisco tients on stretchers in hall- General Hospital' s Future Lo- ways, he said. ™ That was just cation in 2005. Dr. Campbell how it was done. We had to was part of a panel of adminis- move patients to numerous trators, nurses and other rooms over multiple floors for stakeholders which decided each evaluation and treatment. what would go into the new Putting the CT scanners next hospital to replace the original to the trauma rooms in the 1976-built, outdated trauma new hospital allows us to re- Artist Jetro Martinez created ™ Amate San Francisco, a ceramic tile mosaic mural, at the entrance of center he had worked in for so duce the movement of injured the Emergency Department and Trauma Center. Sunday, May 22, 2016 Advertising Feature N3

Nurse station in the Emergency Department and Trauma Center. patients around the hospital. see into many rooms at once. ™ Amate San Francisco is As he walks through the Hallways are wide and inspired by Mexican amate ª "In the midst of working on the Zuckerberg San new center now, he proudly rounded to make navigating (tree bark paper) folk art paint- Francisco General rebuild, I was involved in an shows off the six trauma large equipment easier, with ing, which acknowledges the rooms, including two with no blind spots. Latino heritage of the Mission accident while running to work. Instead of dedicated CT scanners. A And architect David Fong District surrounding the reporting to the office that day, I showed up on patient moves directly from of San Francisco' s Fong & hospital. site at the hospital – not for work but to undergo the ambulance bay, to the Chan Architects is particularly ™ The original design was evaluation room, with scan- proud of a tiny, but important inspired by amate from the treatment. Upon arrival, I felt a sense of calm in ning as needed, and then detail: unobstructed wall- states of Morelos and Guer- spite of the trauma I had undergone – I felt I was directly onto one of 13 oper- mounted handrails leading rero, but the bird, flower and in good hands and the care I received has enabled ating rooms just steps away. from beds into bathrooms, animal motifs are universal The list of high-tech fea- offering safety where patients symbols used by many cul- me to run again. Thanks to Zuckerberg San tures expands to the intensive historically have been most tures, said Martinez. ™ The Francisco General, not only have I recovered, but I care units, each of which is likely to fall. artwork expresses the global have seen a beautiful building evolve from private and outfitted with what With 58 beds, the emer- nature of the hospital' s staff, Campbell calls ™ treasures like gency department more than patients, visitors and city as a drawings to reality." independent computer work- doubles the capacity of the whole. Rachel Peters, Grateful Patient stations (instead of shared old unit. Each room contains units on-wheels that usually double sets of all equipment needed to be tracked down), needed to make private rooms TRAUMA CENTER POINT IN HISTORY medical equipment installed into doubles in case of a on booms from the ceiling large-scale emergency. for every aspect of injury – and self-contained free-rolling ™ People depend on us, 1968 from prevention through reha- beds to allow doctors 360- Campbell said. ™ So we wanted bilitation. degree patient access. Some to build the trauma center of The hospital is the home of units also feature opaque the future, and this is it. The first Level I Emergency several innovative trauma treat- windows between patient But the new emergency and Trauma Center was estab- ment programs, such as the rooms that can be flipped with department and trauma center lished at Zuckerberg San Fran- Traumatic Brain Injury Program a light switch to clear glass so doesn' t only have technical cisco General and remains the and the Wraparound Project, nurses can monitor multiple advances. It also keeps with only Level I trauma center in the which works with survivors of patients at once. the hospital' s theme of in- city and county of San Fran- violence and community-based Nurse stations are curved, terweaving art, with a ceramic cisco. programs to teach young peo- mimicking the curved footprint tile mosaic mural by artist A Level I Trauma Center is ple about violent crime COURTESY ZUCKERBERG SAN FRANCISCO GENERAL of the building so staff can Jetro Martinez at the entrance. capable of providing total care prevention. HISTORICAL ARCHIVES N4 Advertising Feature Sunday, May 22, 2016

PHOTOS BY LAURA MORTON / SPECIAL TO THE CHRONICLE Above: Margy Hutchison, chair of the Leadership Council of the Nurse-Midwives of Zuckerberg San Francisco General, and Maya Vasquez, nurse manager of the Family Birth Center, in a new patient room. Below: The Neonatal Intensive Care Unit unit at the hospital' s new Family Birth Center features state-of-the-art equipment. Innovative program puts focus on babies, family

By Peggy Spear top-notch maternity care. with a ™ Baby Friendly dis- ™ We pride ourselves on tinction, which honors its com- When a woman is in labor, providing some of the best mitment to both breast-feed- chances are she and her family and most innovative care avail- ing and including all the family are not focusing primarily on able to women, not only in in the birth-bonding process. the soothing colors of the San Francisco but throughout It' s a commitment that maternity ward, the state-of- the country, said Maya Vas- won' t change when the new the-art delivery and post-par- quez, nurse manager of the Family Birth Center opens this tum rooms or even the en- Family Birth Center. weekend, but now, there are chanting mosaic artwork sur- Zuckerberg San Francisco the tools to take it to the next rounding them. General has always provided a level, said Margy Hutchison, But at Zuckerberg San Fran- high-level of maternity care chair of the Leadership Coun- cisco General' s new Family and is recognized by the cil of the Nurse-Midwives of Birth Center, that all becomes World Health Organization as Zuckerberg San Francisco apparent as the family receives the only San Francisco hospital General. Sunday, May 22, 2016 Advertising Feature N5

already been discharged to ª ™ When I see this stay while their baby is in the hospital, I think of the NICU, Vasquez said. Care at the Family Birth word, ` open.' The Center is provided by an in- doors are open; our tegrated team of nurses, doc- arms are open; our tors, midwives and doulas. UCSF doctors bring the medi- minds are open and cal skills necessary to provide our hearts are open state-of- the-art care in the to care for the most case of medical emergencies or high risk births, and the vulnerable who live in presence of midwives – San Francisco. Having members of the longest- this state-of-the-art, standing hospital-based mid- wifery service in San Francisco beautiful hospital not – has led to an environment only will allow us to where all patients, regardless provide cutting edge of who cares for them, are supported during the normal care, but it also processes of childbearing. conveys the respect ™ Every woman deserves the we have for our best care possible, no matter patients and shows her circumstances, Vasquez said. ™ We provide a compre- Above: San Francisco artist Lena Wolff designed mosaic artwork in the Family Birth Center, them that we care hensive team-based approach including ™ Quail and Monkey Branch and ™ Tree of Life. Below: The spacious Neonatal Intensive about them. has led to low C-section rates Care Unit has curtained spaces for increased privacy. and optimal lactation support. Deborah Cohan, MD, MPH- These are just a few reasons Department of Obstetrics, Gynecology & Reproductive we are widely recognized as a Sciences top program. Of course, once a woman That includes private deliv- has safely delivered her child, ery and post-partum rooms, she might be more inclined to exam lights that only come take stock of her surround- down when necessary, deeper ings, including the beautiful and stylishly tiled tubs for mosaic artwork designed by women who want to labor in San Francisco artist Lena the bath and the option of Wolff. pain management with nitrous ™ In planning the project, I oxide for those women who wanted to make images that prefer less invasive anesthesia. would be uplifting and en- Patient rooms provide enough chanting for children, families room to handle all the family a and everyone working in the woman wants with her during hospital in a potentially stress- this special and stressful time. ful situation, Wolff said. ™ In There is also comfortable one piece, in particular, a fold-out furniture for a partner large maternal-looking quail, to spend the night. the state bird of California, ™ We are creating an envi- leans down lovingly toward a ronment for childbearing that very small monkey on a works for all women, she branch. There' s a familial con- said. ™ There is no cookie- nection between them, even cutter approach. Each wom- though they are different spe- an' s experience is unique, and cies. This was just one of the we can honor that. ways that I wanted the works BIRTH CENTER POINT IN HISTORY For those babies with spe- to potentially portray non- cial needs after birth, the new traditional family structures California allowed nurse mid- spacious Neonatal Intensive and relationships. 1975 wives to be licensed in the state. Care Unit (NICU), with a large Indeed, the new Family The program gave the hospi- window overlooking the city, Birth Center does that – tal and UCSF a reputation for offers a soothing environment takes the traditional strengths UCSF and San Francisco medical innovation in obstetrics with private curtained spaces of its old Birth Center, adds General launched a nurse-mid- and gynecology. The Alterna- to help ease the stress of state-of-the-art features, ad- wifery service as part of the tive Birth Center opened at the having a sick or premature dresses the unique needs of Department of Obstetrics, hospital in 1976 and a nurse- Gynecology and Reproductive newborn. There is also a all types of families and lov- midwife certificate program COURTESY ZUCKERBERG SAN FRANCISCO GENERAL space for mothers who have ingly brings them all together. Sciences, just one year after followed. HISTORICAL ARCHIVES N6 Advertising Feature Sunday, May 22, 2016

ì Zuckerberg San Francisco General is a ì We are not just delivering the highest standard of care to San Franciscans; we are quintessential San Francisco institution. The new building is going pioneering treatments for the future. Anybody who lives in this to be a game changer for the entire community. The city has come together to create a new city ñ regardless of what neighborhood they come from ñ could suffer a traumatic injury institution that will not only set a precedent for future public and private hospitals around the and be brought to Zuckerberg San Francisco General - we are here for you.î world but also bene t San Francisco for generations to come.î

- Larry Baer, CEO, San Francisco Giants - Geoff Manley, MD, PhD, Chief, Department of Neurosurgery ì The hospital ì This new building re ectsthe future of emergency is tting of the City of ì Warm and caring staff and trauma care. With this new building, we are more than with a good atmosphere. Great experience!î Saint Francis. doubling the capacity of Zuckerberg San Francisco General to take - Mei Wong, Grateful Patient It extols compassion and love. ì care of its emergency needs. Ití s seismically safe, because we know the ë big oneí is going to hit San Francisco and California in the coming ì This new building is an extraordinary - Sophie Maxwell, decades. Ití s also cutting-edge when it comes to the buildingí s impact Community Leader on the environment. These are all elements of what make a great testament to collaboration, institution, what makes a great building and what continues to make to the values of the city, and to the remarkable capacity of human Zuckerberg San Francisco General the Heart of Our City into the 21st beings to imagine a new, a better and brighter world.î ì Optimal patient healing happens century and beyond.î when patients and their families feel - Gavin Newsom, California Lieutenant Governor comfortable with the place where they - David Chiu, California State Assembly Member are being treated; they need to know they ì The new hospital has much more capacity. are welcome, safe and a top priority. They So, in an emergency, I know Zuckerberg San ì Zuckerberg San Francisco General represents Francisco General can handle the needs of San also want to know the health care team San Francisco values at their best is the best at what they do and they have Franciscans. Zuckerberg San Francisco General and demonstrates that our city is a leader in both innovation and compassion. A is the place where people who need all necessary equipment world -class public hospital with an acute trauma center is absolutely necessary are taken. With this new at the ready. At the new for any world-class city where we invite millions of people every year to come and the most help state-of-the-art facility, there is no better place Zuckerberg San Francisco General, our visit. Zuckerberg San Francisco General is keeping San Francisco healthy, safe and for us to have as a resource here in patients can be assured that they will be affordable by providing high quality healthcare that serves all San Franciscans, San Francisco.î cared for by an expert team of doctors, regardless of their insurance status or ability to pay.î nurses and health care providers using - Anne Kronenberg, state-of-the-art equipment in the most -Edwin M. Lee, Mayor of the City and Executive Director, Department of amazing new facility anywhere.î County of San Francisco Emergency Management - Theodore Miclau, MD, ì Zuckerberg San Francisco General is the heart of the San Francisco Chief, Department of Orthopaedic Surgery Health Network. Not only is it at the heart geographically, ití s also at the ì The new hospital is beautiful, lled with natural light that heart because of the vast array of services it provides - from primary create wonderful healing care clinics, to acute care and trauma, to skilled nursing, to supportive environment for patients ì When I see the hospital, the ancillary therapies like physical therapy and speech therapy. The hospital and an exceptional place to work for our staff. It is a word that comes to mind is will be a tremendous aid in the delivery of care that we re ection of the best of San Francisco!î ëco mmunityí .î provide through the network. The new facility will provide us the space and the resources we need to serve generations to come.î - Richard Santana, RN - Iman Nazeeri-Simmons, MPH, - Roland Pickens, Director, San Francisco Health Network Chief Operating Of cer

ì At Zuckerberg San Francisco General we serve a critical role for ì If something ì San Francisco without Zuckerberg San Francisco General just wouldní t the millions of people that live in, visit and travel through happens to you or your loved one, this is be San Francisco. Weí re so proud of it because ití s so excellent. It is a San Francisco every year. absolutely, without a doubt, the location model for the nation and a source of care to our families. My heart is in nursing, that you want to receive treatment. Ií m very proud of it. The visibility of the new facility, the philanthropy it and the heart of our nurses is in the This hospital is the great has attracted and the attention it has gained, will enable more people diverse community in which we serve. to know what a terri c facility it is and more people to take advantage As Chief Nursing Of cer I am very proud to lead our dedicated equalizer. When you walk in the of it. The more people know about Zuckerberg San Francisco General, nurses into the future with of our new state-of-the-art hospital.î doors, youí re going to get top-notch the more they will use it and the healthier our community will be. We all service, time and time again.î owe a great debt of gratitude to those who worked so hard to make this - Terry Dentoni, MSN, RN, CNL, Chief Nursing Of cer facility possible.î - Malia Cohen, San Francisco Supervisor - Nancy Pelosi, U.S. Congresswoman ì Countless times Ií ve seen lives improved and lives and House Democratic Leader saved by the good work - the incredible, miraculous work in some cases - thatí s done at Zuckerberg San Francisco General. Ití s a symbol of our future, the future of our city and how we will continue to care for the public we serve, be they residents, visitors, or even rst responders. Ií m very excited about the investment made in Zuckerberg San Francisco General.î ZSFGcare.org www.sfhealthnetwork.org sfghf.org - Chief Joanne Hayes- White, San Francisco Fire Department Sunday, May 22, 2016 Advertising Feature N7

ì Anyone living in San Francisco, or even just traveling through, who may have a sudden medical emergency, will be brought to Zuckerberg San Francisco General. ì Congratulations to everyone who ì This hospital is the heart of our city: the heart As a result, these patients, their families and the community-at-large will be very worked so hard to make Zuckerberg which keeps us all alive. This is a well-served by the opening of this new state-of-the art facility. San Francisco General Hospital a state-of-the-art hospital designed for This outstanding hospital re ects well on the reality. The new hospital represents all San Franciscans. generosity of San Francisco, a signi cant milestone in the delivery Regardless of background, I know that every our staff and the patients who use the hospital each and every day.î of top quality care for the entire San San Franciscan will be treated equally here.î Francisco community. The Sheriffí s - James W. Dilley, MD, Chief, Department of Psychiatry Department is proud to partner with the Department of Public - Richard Guggenhime, San Francisco General ì I had an incredible experience at the Health to provide a safe and [Zuckerberg San Francisco General] Birth Center. Although my Hospital Foundation secure environment for Heart of Our City Capital daughter is already 9 years old, the day lives in my memory as if it was just yesterday. patients, staff Campaign Co-Chair My birth plan was followed and respected. I share my birth and visitors.î story with many and I give a lot of credit to the staff for partnering with me during one of the most memorable moments of my life. If I could, I would choose to relive those - Sheriff Vicky L. Hennessy, ì Our new, state-of-the-art hospital enables us to days. They taught me a lot about community and about what it truly means to give San Francisco Sheriffí s Department be an even more vital part of the community. It will support where and when it is needed the most.î be a beacon - not just in times of - and a place - Karla Ayala, Grateful Patient trouble, crisis, or challenge ì Throughout my time in the city for us to come together in the ongoing process of making government, I came to treasure San Francisco a healthier community.ì ì I was once a patient at San Francisco Generalí s San Francisco General Hospital, ì Zuckerberg San Francisco - Susan Ehrlich, MD, MPP, Chief Executive Of cer Emergency Department years ago. and had the opportunity to watch General is the heart of the multiple trauma teams in action. Zuckerberg San Francisco General I know rsthand what a city because we take care In fact, Zuckerberg godsend this hospital of everyone. We take care of San Francisco General has been is to ALL of us. people in need; we take care the number-one place ì Ií ve worked at Zuckerberg San Francisco The new emergency department is going to more of people who are visiting; we for any accident or General for 20 years and, like my other than double in capacity. There are going to be three take care of anyone colleagues, Ií m mission-driven and our mission trauma victim to be taken. additional operating rooms as well as state-of-the- who needs our is serving the people of San Francisco. Many of art technology. Everything is rst-rate!î I, for one, wouldní t want to be sent our patients come to us quite sick and we have and we do it with services anywhere else should I become a the opportunity to make a major difference compassion and respect. We trauma victim of any kind. Looking - Jackie Speier, now can deliver state-of-the- forward, ití s no surprise to me that in their lives. The hospital gives U.S Congresswoman art care in our exceptionally the hospital will continue to lead us the tools to treat stroke patients beautiful new hospital.î the way in cutting-edge health faster and better. With the new Emergency Department and the new, state-of-the-art ì Without Zuckerberg San Francisco General, we care technology and treatment.î - Sue Carlisle, PhD, MD, Neurological Intensive Care Unit, I can get a would not have a complete medical care system in Vice Dean, UCSF School CT scan faster, my team can get to the patient our city. Ití s critically important to our well-being. of Medicine at - Dianne Feinstein, faster, we can get the patient to treatment This new building will be the only hospital built in Zuckerberg San Francisco General U.S. Senator faster and we can provide a better place for San Francisco on base isolators. It will, as necessity them to heal.î demands, survive and be able to care for all those who may need ì As the Director of Health, I am honored to serve a city that has chosen - Claude Hemphill, MD, MAS, Chief, care as a result of a serious to provide a full range of health care and behavioral health services to Department of Neurology earthquake.î everyone who needs them. This new building will help our staff provide extraordinary care for patients who need to be ì Ií ve been a cop for 35 years and I can tell - Mark Leno, California State Senator hospitalized, who suffer trauma, or who give birth to the next generation you thereí s no other hospital that any cop or of San Franciscans. î re ghter wants to get to more when theyí re in trouble. We believe that if you can get to ì This is a hospital for the people - Barbara A. Garcia, MPA, Director of Health, the driveway of Zuckerberg San Francisco and by the people. City & County of San Francisco General and youí re still alive, theyí re going With the same staff, heart, compassion, mission to make sure that you stay that way. In San and purpose we have always had, the hospital ì As a San Francisco native and medical professional in the Mission District for Francisco, we live in the hub of innovation and will now have state-of-the-art facilities that over 30 years, I was thoroughly impressed and proud of the new Zuckerberg should have a state-of-the art hospital. Now provide us with the infrastructure to care for our San Francisco General building after seeing the facility rst hand. The we do. Weí re also in earthquake country and community in a much better way and on a larger modern and extreme high-tech environment will allow the hospital to treat ití s not a question of if, but when, a big event scale.î Our new emergency department will be patients at the highest level currently available. I salute them occurs. This new hospital will improve more than double its current size with the ability for their commitment to the community and to San Francisco for its concern for our ability to respond to any to increase capacity in the event of a disaster.î the wellbeing of all its citizens.î disaster.î - Dr Bernardo D. Gonzalez III, - Malini Kishen Singh, MD, MPH - Interim Chief, - Chief Greg Suhr, Community Leader Department of Emergency Services San Francisco Police Department N8 Advertising Feature Sunday, May 22, 2016 Leaders at the forefront of ` Getting to Zero' By Natalie Feulner

Since 1983, Zuckerberg San Francisco General has been a global leader in HIV/AIDS treatment, prevention, research and education. At the helm of the Division of HIV, Infectious Diseases and Global Health is Dr. Diane Havlir and a peerless team of caregivers and scientists. Havlir and her team are revolutionizing prevention, care and treatment through their leadership in all aspects of San Francisco' s multi-sector and multi-stakeholder Getting to Zero Consortium. The Consortium, strongly supported by the Mayor, city leadership, Health Department and the larger community, aims to make San Francisco the first municipal jurisdiction to achieve UNAIDS goals of zero HIV transmissions, zero HIV deaths and zero HIV stigma. The near-term goals are to reduce new transmissions and deaths by 90 percent by 2020. Zuckerberg San Francisco Gen- eral – with its mission to pro- vide care to all San Franciscans regardless of resources – is a key player in this effort. At its historic and world- renowned clinic, Ward 86, some of the hardest to treat and retain in-care patients are seen. The roughly 2,800 pa- tients comprise over a quarter of HIV patients in the city and the clinic is able to achieve treatment success – undetect- able levels of virus – in almost 90 percent of patients. One of the key innovations of the Get- ting to Zero effort, and one that is now copied around the coun- try and the world, is the RAPID program developed by caregiv- ers and researchers at Ward 86. ™ The program links patients to care and starts them on medications immediately on diagnosis, said Havlir. The Consortium, founded in 2013, has a three-pronged approach. They are working to expand access to pre-exposure LAURA MORTON / SPECIAL TO THE CHRONICLE prophylaxis, expand the reach Dr. Diane Havlir, Chief of HIV, Infectious Diseases and Global Medicine Division at Zuckerberg San Francisco General, is leading a team of the RAPID program within to reduce HIV transmissions and deaths by 90 percent in San Francisco by 2020. Sunday, May 22, 2016 Advertising Feature N9

COURTESY ZUCKERBERG SAN FRANCISCO GENERAL HISTORICAL ARCHIVES COURTESY ZUCKERBERG SAN FRANCISCO GENERAL HISTORICAL ARCHIVES Left: San Francisco General staff were at the forefront of HIV/AIDS research in the 80s. Right: Dr. Paul Volberding founded the first inpatient HIV ward at the hospital. the city and coordinate ser- to HIV has been characterized people are infected globally. vices to insure that people can by an ethos of ` all in' and ` care ª ™ At Zuckerberg San Francisco General, we were ™ Even if we make progress stay on their treatment pro- for all.' We meet people where leaders in the initial response to AIDS in the early getting to zero new infections grams even when they face they are and we work with locally, there will still be over challenges like employment or them to get them healthy and 80' s. That wave of compassion and innovation in 10,000 San Franciscans living insurance changes, which can stable. The larger community is caregiving helped create the San Francisco with HIV. We need to make affect access to clinics or life- tightly integrated into our care Model, which has spread throughout the world. sure we have resources to saving medications. model with community based Dr. Diane Havlir, Chief of HIV, Infectious Diseases and Global Medicine Division at continue to support patients Havlir also discussed the organizations on site helping Zuckerberg San Francisco General and all of their needs. We innovative research toward a provide the care our patients need new tools for prevention, cure for HIV by her team of need. And our team, the best of the new nine-story hospital ™ People sometimes think like a long lasting pre-expo- global leaders in her division and brightest people I have will draw the community' s at- that HIV/AIDS is no longer a sure prophylaxis medication and at the hospital' s Division of ever worked with, care for our tention to the hospital, and the problem and that the problem injected monthly or quarterly, Experimental Medicine. patients with the highest level groundbreaking work being is solved. In reality, we have and we need a cure, she said. ™ At Zuckerberg San Fran- of commitment and compas- done there, especially if it always had unmet needs in ™ Zuckerberg San Francisco cisco General, we were leaders sion, said Havlir. encourages people to find terms of the whole HIV/AIDS General is a place where all of in the initial response to AIDS Havlir also hopes the launch ways to help. response. Today, 34 million this can happen. in the early 80' s. That wave of compassion and innovation in caregiving helped create the HIV/AIDS FIGHT POINT IN HISTORY San Francisco Model, which has spread throughout the In their honor, she began world and continues to be 1987 organizing parties at Ward 5A refined. Through our trans- every other Sunday, putting on formative initiatives in Getting In many hospitals, an in- tap dancing shows and bringing to Zero, which are being patient ward dedicated to HIV/ home-cooked lunches for the adopted around the globe, AIDS patients might have been patients. Her events brought and our cutting edge research, unrelentingly gloomy. some sunshine into the lives of our team and our partners at But at San Francisco General the ward' s patients and staff, and Zuckerberg San Franicisco Hospital, Ward 5A had moments they named a sitting area after General hope to finally bring of brightness and fun. Rita Rock- her in thanks. about an end to this epidem- ett, a single mother and dancer, Zuckerberg San Fransico STEVE KEITH, KATY RADDATZ / THE CHRONICLE ic, she said. was close friends with four men General Hospital is still a leader ™ San Francisco' s approach Rita Rockett and her Brunch Bunch from the early ` 90s. who had AIDS. in treating patients today. N10 Advertising Feature Sunday, May 22, 2016 A vibrant history of caring for others

By Kyla Cathey which reached San Francisco in late 1850 – were difficult to treat At 5:12 a.m. April 18, 1906, a in the tent hospitals that existed violent earthquake shattered the in the city at that time. On April San Francisco morning. Many of 30, 1851, the State Legislature of the buildings that survived the California passed an act creating quake fell to the fires that roared a State Marine Hospital in San through the city. The citizens of Francisco, with $50,000 ear- San Francisco were left refugees marked for its construction. in their own city. Disaster brought 1 1855: The State Marine Hospi- disease in its wake. tal building became the City and But one building survived the County Hospital of San Fran- earthquake: San Francisco Gen- cisco, with Dr. Hugh Toland, a eral remained standing on Potre- doctor from South Carolina, ro Avenue and brought medical serving as the hospital' s surgeon. care and comfort to the city' s 1 shell-shocked residents. 1857: The City and County The hospital, now the Priscilla Hospital purchased the North Chan and Mark Zuckerberg San Beach School, transforming it Francisco General Hospital and into a 150-bed hospital. The Trauma Center, has a tradition of beds were filled quickly, and the helping San Franciscans in need hospital was often overflowing that goes back to its earliest days. with up to 400 patients at a time. From disasters like the 1906 COURTESY ZUCKERBERG SAN FRANCISCO GENERAL HISTORICAL ARCHIVES 1 1873: The Toland Medical earthquake and fire, to epidem- Above: The San Francisco General Hospital expanded in the 1920s. Below left: The original hospital College was gifted to the Univer- ics of cholera, plague, tuberculo- was on Potrero Avenue. Below right: The hospital provided nurse training and some of the first sity of California system, becom- sis and HIV/AIDS, the hospital medical internships. ing the university system' s medi- has been a bastion of care. cal school. Recent years have brought 1 1874: The regents of the big changes to Zuckerberg San Medical Department of the Uni- Francisco General. versity of California, as UCSF was ™ The biggest change, of then known, passed a resolution course, is the new hospital, which allowing women to attend the has state-of-the-art equipment, medical school. Teacher Lucy so we can continue to provide Wanzer was the first to take ad- the kind of diagnostic and in- vantage of the new opportunity, patient services that are available graduating in 1876. at the best hospitals, anywhere in 1 the country, said Dr. Sue Car- 1895: The hospital started a lisle, PhD, MD, Vice Dean, UCSF horse-drawn ambulance service. School of Medicine at Zucker- 1 1897: Physicians at the City berg San Francisco General. and County Hospital began In the 35 years Dr. Carlisle has distributing a diphtheria antitoxin been at Zuckerberg San Fran- to San Franciscans free of charge. cisco General, she has watched COURTESY ZUCKERBERG SAN FRANCISCO GENERAL HISTORICAL ARCHIVES COURTESY OF SAN FRANCISCO HISTORY CENTER, SAN FRANCISCO PUBLIC LIBRARY Diphtheria had been a leading the hospital evolve from a medi- afford treatment. adopted worldwide. tions, it' s a partnership that is cause of death among the city' s cal center and teaching hospital Those aren' t the only positive At the same time, some things more vital than ever, for patients, children throughout the city' s with limited resources to a state changes she' s seen. In her early have stayed the same – such as students, residents and faculty history. of the art research facility and a days at the hospital, it was the Zuckerberg San Francisco Gener- alike . 1 1900: In March, the first bu- leader in a number of global first in the world with an inpatient al' s partnership between UCSF ™ It' s a very active place for bonic plague cases in the conti- health initiatives. HIV/AIDS ward – one in which and the city' s Department of UCSF staff to be, Dr. Carlisle nental U.S. were recorded in San Another change: As many as patients came to live out their Public Health, which goes back said. Francisco' s Chinatown. The epi- 40 percent of the hospital' s pa- final days, because the virus more than 140 years. demic lasted four years and led tients were once uninsured. With could not be treated at that time. ™ We feel that we' re a very Here are some key moments in to 113 deaths, mainly among the advent of the Affordable Care Now, the hospital no longer has important hub not only for clinical the hospital' s long and illustri- Chinatown residents. ous history: Act, that number is down to an inpatient ward, because most care but for research and educa- 1 about 7 percent, Dr. Carlisle said. of its HIV/AIDS patients have tion as well, Dr. Carlisle said. 1906: The historic San Fran- Many are on Medi-Cal, which been living long, full productive With so much going on at the 1 1851: The roots of the hospital cisco earthquake strikes, putting while not the same as private lives after their diagnosis. The hospital, especially with new stretch back to the earliest days San Francisco General at the insurance, is an improvement San Francisco model of care – disease research and a focus on of the city, when the population forefront as first responders. over the city having to fully cover pioneered at Zuckerberg San creating policy for care and treat- was growing rapidly. Crises like 1 1907: In the wake of the earth- costs of patients who could not Francisco General – has been ment of underserved popula- the cholera epidemic of 1849 – quake and fire, a second epidem- Sunday, May 22, 2016 Advertising Feature N11 ic of bubonic plague swept through the city, this time spill- ing outside of Chinatown' s borders. Rats infected with the plague were found in the hospi- tal' s buildings in 1908, and the hospital was condemned and burned. The hospital staff spent three years at the Ingleside Jockey Club. 1 1910: Tuberculosis was the leading cause of death in San Francisco, and the city had the highest mortality rate from the disease among major U.S. cities. 1 1915: A new hospital, called San Francisco General Hospital (SFGH), opened at the Potrero Avenue site with two buildings. The main building was for gen- eral hospital use, and a second building was to house tubercu- losis patients. 1 1918: The Spanish influenza epidemic reached San Fran- cisco, and the hospital strug- PHOTOS COURTESY ZUCKERBERG SAN FRANCISCO GENERAL HISTORICAL ARCHIVES gled with overcrowding and Above: San Francisco General Hospital started a horse-drawn ambulance service in 1895. Below left: Toland Medical College was gifted understaffing as doctors and to the University of California system in 1873. Below right: The hospital had to convert horse stables into extra space for services. nurses were infected. 1 1924: The first psychiatric ward opened at San Francisco General. 1 1938: The Maternity Hospital opened at San Francisco General. 1 1939: San Francisco General opened the first blood bank in Northern California. 1 1960: The hospital estab- lished a premature baby clinic after a large number of prema- ture births. 1 1964: San Franciscans voted to pass a $33.7 million bond to replace the aging hospital, allowing it to expand to 563 grant from the American Cancer 1 1991: San Francisco General to develop guidelines for anti- in general obligation bonds to general beds as well as provide Society let researchers from Hospital Foundation is estab- retroviral treatment of AIDS that build the new hospital. San space to 226 psychiatric SFGH and UCSF begin studying lished by a small group of like- would be used worldwide. Francisco General Hospital inpatients. Kaposi' s sarcoma. minded individuals that in- 1 2004: The hospital opened Foundation embarks on the 1 1975: UCSF and SFGH 1 1983: In January, the hospital cluded local community leaders the Avon Comprehensive Breast Heart of Our City Capital Cam- launched a nurse-midwifery opened Ward 86, the first out- and health care providers, as an Care Center, providing care and paign to raise additional funds service as part of the Depart- patient clinic in the country independent, nonprofit organi- breast cancer screening. to equip the new hospital with zation to raise philanthropic life-saving equipment and ment of Obstetrics, Gynecology dedicated to AIDS patients. In 1 2007: San Francisco General funds through individual, foun- furnishings. and Reproductive Sciences. July, Ward 5B, the first ded- received ™ Baby-Friendly status dation and corporate donations 1 1976: The Alternative Birth icated inpatient AIDS clinic in from the United Nations Chil- to support what is now Zucker- 1 2015: Priscilla Chan and Mark Center opened as part of SFGH. the U.S., also opened. It was dren' s Fund and the World berg San Francisco General. Zuckerberg announce their 1 later moved to the larger 5A. Health Organization. Zucker- 1981: San Francisco General 1 $75M gift, the largest single 1 1992: The AIDS Clinical Re- berg San Francisco General is Hospital first began document- 1987: The hospital and UCSF private gift from an individual to search Center opened at the the only Baby-Friendly certified ing cases of Kaposi' s sarcoma, began running trials of the AIDS a public hospital in the United hospital. hospital in San Francisco. pneumocystis pneumonia, and treatment drug AZT. States and the largest gift San 1 2002: San Francisco General 1 other unusual illnesses, primari- 1 1989: The first students en- 2008: San Francisco voters Francisco General Hospital and UCSF worked together with ly among gay men – the first tered UCSF' s master' s degree in overwhelmingly pass Proposi- Foundation has received since it the World Health Organization AIDS cases in San Francisco. A nursing program. tion A, approving $887 million was incorporated in 1994. N12 Advertising Feature Sunday, May 22, 2016 Sunday, May 22, 2016 Advertising Feature N13 N14 Advertising Feature Sunday, May 22, 2016 Embracing a new model of philanthropy

By Natalie Feulner ª ™ Most San For as long as hospitals have Franciscans are not existed, they have served as places to treat patients. But aware of the amazing some, like Zuckerberg San Fran- work that goes on at cisco General, also serve as the hospital every places to conduct research and train the next generation of lead- day. Once you get ers in patient care. involved like I have, The resources necessary to the hospital just serve those purposes, however, haven' t always been easy to captures your heart. come by, especially for publicly- Connie Shanahan, President of funded institutions. the Foundation' s Board of Enter hospital foundations. Directors San Francisco General Hospital Foundation is an independent, more than $141 million for a new nonprofit organization estab- hospital. She said the foundation lished in 1991 by a small group of has relied increasingly on private like-minded individuals that individual donations from some included local community lead- of the area' s top philanthropists, ers and health care providers. including a historic gift of $75 The foundation was established million from Priscilla Chan and to raise philanthropic funds Mark Zuckerberg that helped put through individual, foundation the hospital over its goal. It' s a and corporate donations to responsibility, Heier said, many support what is now Zuckerberg of San Francisco' s philanthropists San Francisco General, San Fran- welcome. cisco' s only trauma center (Level ™ It is critical to our community 1) and primary health care pro- to ensure that our city' s public vider for San Francisco' s most hospital – the hospital for any- vulnerable residents. body who needs service – is ™ The hospital is ground zero able to provide the most high- for research and innovative com- level, quality care for its pa- munity programs that go beyond tients, she said. the walls of the hospital to serve But it' s not just financial gifts. the city' s most vulnerable pop- Pam Baer, the Foundation Emer- ulations, Connie Shanahan, itus Director, said all hospital President of the San Francisco supporters are critical. General Hospital Foundation' s ™ Donors are important no Board of Directors said. ™ Most matter what they contribute – San Franciscans are not aware of volunteer time, services, small, the amazing work that goes on at medium or large amounts of the hospital every day. Once you dollars – all have impact and get involved like I have, the hos- help steward our mission, she pital just captures your heart. said. Over the last decade, philan- One of the biggest challenges thropy at public hospitals in the foundation faced this past general has grown and experi- year was educating the public enced a shift to include more and making sure people un- public-private philanthropic derstood Zuckerberg San Fran- partnerships. It' s a move many cisco General was much more say is mutually beneficial, for than the city' s hospital. It is a donors, the public and the in- world renowned training and stitutions supported. research institution, most notably Amanda Heier, CEO of the for its excellence in neurotrauma San Francisco General Hospital and orthopedics, women' s and Foundation, said the hospital' s children' s health, mental health connection to community mem- and HIV/AIDS services. PHOTOS BY LAURA MORTON / SPECIAL TO THE CHRONICLE bers was critical in the organiza- As a result, the community Pam Baer, left, the Foundation Emeritus Director, and Judy Guggenhime, Chair of the San Francisco tion' s recent initiative to raise responded, an indication, Heier General Hospital Foundation Board of Directors. Sunday, May 22, 2016 Advertising Feature N15

Connie Shanahan, President of San Francisco General Hospital Foundation Board of Directors, left, and Amanda Heier, Foundation CEO, on the hospital' s new skywalk. said, that more San Franciscans said. ™ It' s very important to the gram or fund a piece of research need the hospital, and donors receive healthcare, she said. are understanding the impor- hospital and donors because that will then enable a program need to understand its impor- As for making a new model of tance of ongoing philanthropy donors can provide things the to grow and attract additional tance and their impact. philanthropy long lasting, Gug- and what it means in terms of city can' t always [fund], she said. funding from other entities such ™ I have found the people in genhime said it is already hap- providing top of the line care that ™ For example, our foundation as the federal government. San Francisco and our surround- pening thanks to a long-standing public dollars alone cannot pro- can give startup money to launch Baer agreed, adding that all ing counties believe strongly in tradition of philanthropy in the vide. Public institutions have the an innovative community pro- residents, visitors and tourists giving and that everyone has to San Francisco area. added benefit of early support from the public which is lever- aged by philanthropy to make an PHILANTHROPY POINT IN HISTORY even bigger impact and difference. the hospital. Judy Guggenhime, Chair of 1991 In 1994, these volunteers the San Francisco General Hospi- incorporated as San Francisco tal Foundation Board of Directors General Hospital Foundation, said, from her perspective, the A group of volunteers saw a with the goal of ensuring that shift is paramount to ensuring need among some of San all of Zuckerberg San Fran- valuable patient care and re- Francisco General Hospital' s cisco General' s patients re- search programs continue and patients for care beyond just ceive the care and comfort giving the hospital a competitive medical help. They collected they deserve, regardless of edge. food, clothing and donations their background. ™ What I find is [philanthropy to aid San Francisco residents Ground broke on the new is] of mutual importance, she in need who sought care at hospital in 2008. PHOTO BY RAY CHAVEZ N16 Advertising Feature Sunday, May 22, 2016

PHOTOS BY LAURA MORTON / SPECIAL TO THE CHRONICLE Left: The entrance of the Zuckerberg San Francisco General Hospital and Trauma Center. Right: Architect David Fong on the steps of the lobby. Constructing a haven for care, healing

By Carey Sweet pital received its certificate of occupancy in Nov. 2015, was ª ™ Zuckerberg San Francisco General is our network' s largest primary care It soars seven stories above licensed by the state health facility and a cornerstone of the San Francisco Health Network. This new ground, with two sub-base- department in May, and had ments, in an impossibly com- been awaiting its first patients, building is going to be transformational, in particular for patient experience. pact footprint tucked between which arrived this weekend. It is a gorgeous setting, which will be healing by its very nature. Our new the original brick hospital built Yet for its designers, it' s Emergency Department will be over double the size of our current in 1915 as a retreat for tu- very much more than a berculosis patients and the 484,000-square-foot center department, so patient wait times will be reduced. Most of the rooms are 1976 concrete structure that where patients – especially single rooms, where patients can have family and friends stay with them. It' s has long contained primary those with life-threatening going to bring out the best in everyone. medical facilities at Zuckerberg injuries – can find answers. San Francisco General. This building is a step into Alice Chen, Chief Medical Officer, San Francisco Health Network A work in progress since the future of public health, 2009, the new hospital project where state-of-the-art meets achievements. chased an assassin in the 1968 everything. was managed by San Fran- cultural art, healing is ap- ™ It was a restricted site movie ` Bullitt' – live with Lead architect David Fong cisco Public Works, designed proached with not only precise between historical buildings, steam lines, sewer, electrical of San Francisco' s Fong & by Fong & Chan Architects technology but organic mind- said the hospital' s Rebuild utilities and phone lines con- Chan Architects, meanwhile, and built by Webcor Builders, fulness and the construction Director Terry Saltz, of the necting north and south build- was busy creating a design with construction management challenges that once stood in construction. ™ And it had a ings. We needed to keep it that functioned as a hospital, by Jacobs Project Manage- its path can now be celebrat- 100-year-old tunnel beneath it functioning, so we had to but felt more like art state- ment Company. The new hos- ed as world-class – where Steve McQueen unravel cables and reroute ment than medical fortress. Sunday, May 22, 2016 Advertising Feature N17

ª ™ We wanted a very contemporary feel, warm, friendly and inviting. Patients should immediately feel cared for, not threatened by an institutional feel, bringing them confidence in the healing process. David Fong, lead architect of San Francisco' s Fong & Chan Architects The look is stunning, reminis- cent of a spaceship, with fluid rounded corners, glass and steel, for a style that is mod- ern and inviting. Yet another goal loomed: achieving Gold LEED status by having at least 60 percent improved water efficiency and 25 percent electrical efficiency, via touches like smart shades to automatically cover the window expanses as the sun shifts. ™ We wanted a very contem- porary feel, warm, friendly and inviting, Fong said. ™ Patients should immediately feel cared for, not threatened by an in- stitutional feel, bringing them confidence in the healing process. Each patient room – 90 percent are private – features broad windows to flood in healing natural light and invite in gorgeous views, augmented Above: The modern lobby features skylights, fluid rounded corners, glass and steel. Below: Rebuild Director Terry Saltz in the lobby. by four central light wells. A rooftop garden is the crowning touch, set with doz- in a moat system that allows ens of lavender plants, rose- the entire facility to move with mary bushes and olive trees, the earth. This means when, brick structure walls echoing not if, a significant earthquake the pattern of the 1915 brick occurs, the building will re- design next door and curved main nearly stationary while balcony glass for stunning city the earth can move up to 30 views. inches horizontally and 6 inch- The hospital' s critical com- es vertically, protecting every- ponents that meet California one and everything inside. law for safety and seismic ™ By the end, I had a five- requirements are a particular pound bag of hospital plan- point of pride for Saltz. The ning criteria I had to meet, building is set in a deep basin, said Fong. ™ But by keeping in made of shoring walls with mind that patient and staff thousands of anchors and an safety and comfort were top innovative foundation of hori- concerns, we made the design zontal plates, pendulums, air not just practical, but actually space and teflon coated discs welcoming. N18 Advertising Feature Sunday, May 22, 2016

PHOTOS BY LAURA MORTON / SPECIAL TO THE CHRONICLE Edgar Pierluissi, Medical Director of the Acute Care for Elders Unit in the rooftop garden. ACE Unit helps seniors get back to their lives

By Peggy Spear ronment, cheerful, community- capacity to live independently garden. But besides the phys- units. oriented staff, state-of-the-art in the community. These haz- ical features, it' s the jovial lead- Indeed he has, as he has The aim of Zuckerberg San rooms and astounding artwork, ards also add significantly to ership of founder and Medical spent his career – including Francisco General' s Acute Care patients may just not want to healthcare costs. ACE units Director Dr. Edgar Pierluissi running the Veterans Affairs for Elders (ACE) unit is simple: leave. have been shown to improve that drives the unit, as he has Hospital' s nursing home– treat and rehabilitate patients It is a response to the many the chances a hospitalized created one of the most unique working on how to treat older as efficiently and quickly as hazards older adults face when older adult will go home rather programs for elderly patients in patients and help them get possible so they can return to they are hospitalized. than to a nursing home. the U.S. back home to their lives. active lives in their Things like worsening disa- The ACE unit occupies the ™ I' ve never seen anything The unit itself welcomes communities. bility and increased confusion top floor of the new building like this, Pierluissi said. ™ And patients and their families with But with its soothing envi- can threaten an older adult' s and offers an enriching rooftop I' ve seen a lot of eldercare soothing, fall-toned colors that Sunday, May 22, 2016 Advertising Feature N19

Pierluissi said helps calm many patients who may be confused or disoriented. The 32 rooms in the ACE unit – 10 more than in the old building – are spacious and designed with elderly patients in mind, including rails from the beds to the bathroom. Light permeates the entire unit with vast views of the city from al- most every room. But if it gets too bright, there are automatic window shades to help control the environment. ™ It helps with dehydration if the patients get too hot, Pier- luissi said. But he adds that increased exposure to natural light helps patients who are disoriented, and also regulates regular sleep patterns. Besides sleep, eating is an important component of care in the ACE unit. Staff works with each patient to get them moving, out of their beds, if possible, and have them eat sitting up in a social setting. There is now a larger communi- Above: Stained-glass artist Alan Masaoka created ™ River of Time, a piece displayed at the entrance of the ACE Unit. Below: Artist ty dining room where patients Masayuki Nagase created hand-carved granite boulders that are installed in the garden, including ™ Breath Between Sky and Ocean.™ can gather for meals and boasts a sprawling view of the signed to bring peace. Artist Headlands. city. Masayuki Nagase designed a ™ Boredom is common in ™ It' s wonderful to see the series of hand-carved granite hospitals, Pierluissi said. ™ This community that develops, boulders, sculptural benches type of environment helps Pierluissi said. ™ Sometimes and pavers that are installed alleviate that. there are many different lan- throughout the garden, con- Pierluissi estimates there are guages spoken here but that nected by arching paths. approximately 250 ACE units in doesn' t seem to stop patients ™ I wanted the artwork to the United States and the num- from bonding with each other. offer a restful and restorative ber is growing. The one he has And, ultimately that sense of experience for the patients and run for 10 years was the first in community helps healing. their families and the Zucker- California and the second on In fact, views and aesthetics berg San Francisco General the West Coast. He says they are an important part of the staff, Nagase said. The garden are now springing up at other new ACE unit. It is centered by itself provides a space where hospitals, including UCSF, the shimmering blue-green- patients can stroll or sit in Veterans Affairs and Kaiser to colored stained-glass windows wheelchairs and enjoy the meet the growing demand of at the entrance to the unit, views of the Golden Gate caring for frail older adults who designed by renowned stained- Bridge and the Marin are at risk. glass artist Alan Masaoka. ™ My thoughts on what in- spired me were from my walks ACE UNIT POINT IN HISTORY along the local Carmel Valley River and how the flow and offers inpatient care specifically reflective light revitalized me, 2007 tailored to the needs of older and how it was very healing adults. experience, Masaoka said. For example, older patients ™ So I found it was a very natu- In February, the hospital at Zuckerberg San Francisco ral theme for my windows. My launched its Acute Care for General participate in programs hope was that they would cre- Elders Unit, the first ACE unit in specifically to maintain and ate a moment of reflection and California. improve their cognitive function peace. And that this creative The unit was developed to in addition to their physical gift would last well beyond my combat declines in cognitive health. years. and physical health that many Now, the ACE Unit features The artwork on the unique older adults go through after a rooftop garden where pa- rooftop garden is also de- hospitalization. The ACE unit tients can relax and heal. PHOTO BY ARLA ESCONTRIAS N20 Advertising Feature Sunday, May 22, 2016

LAURA MORTON / SPECIAL TO THE CHRONICLE Artist Rupert Garcia. Finding healing through the creative process

By Carey Sweet added incredible depth and an brilliant rivers of teal, cerulean, first project for a public hospi- The theme is flowers – emotional layer to his work. apricot and rich raspberry – tal. As the anchor of an array of instantly recognizable in the It was cruel timing that ™ It gave me new apprecia- he glows now, his eyes framed other artist creations spanning impressionist, tulip-reminiscent shortly after artist Rupert Gar- tion for what hospitals are, and by large, fashionably round nearly every nook and cranny installation over the reception cia was awarded his installation should be, he said. ™ There' s glasses. of the 484,000-square-foot desk – yet only revealed after commission for Zuckerberg San very serious business going on Boasting commissions at facility, his pieces frame the studying the two-story, enor- Francisco General Hospital and here, so I wanted to create an prominent projects like the San entire lobby, from the terrazzo mous checkerboard panel Trauma Center in 2009, he was inviting environment filled with Francisco International Airport floor, to two massive mosaic staircase abstract, and the long diagnosed with a grave illness. vitality, color and hope. and at Oakland' s Elihu M. Har- pieces, one above the recep- petal designs flowing across Yet as he labored through Standing in the lobby – ris State Office Building, a tion area and the other dom- the floor across what Garcia treatment, and eventual recov- literally on top of one of his biography that spans a dozen inating the landing of an ad- calls ™ an ocean of tranquillity. ery, he found that the gamut of pieces – a dramatic travertine pages of international shows jacent, glass and steel ™ I' ve always loved flowers, emotions he was experiencing floor inlay that explodes in and awards. This was Garcia' s staircase. the San Francisco Bay Area- Sunday, May 22, 2016 Advertising Feature N21

ª ™ When you come in sick, it feels like gravity is working against you. I want you to feel buoyant, uplifted. Rupert Garcia based artist said. ™ Growing up in Stockton, my mother grew roses and carnations. Flowers hold such potential symbolism in their colors, shape, bloom- ing, withering and rejuvenation. Above the highly polished, nearly glass-like floor, the mo- saics draw the eye upward to soaring multi-level ceilings, and frameworks of tall windows reaching toward the sky. Stepping on the shimmering floor feels a bit like floating, as if a guest might fly above the space like a bird. ™ When you come in sick, it feels like gravity is working against you, Garcia said. ™ I want you to feel buoyant, uplifted. Indeed, flooded with natural light against the stimulating color and virtual motion of the pieces, the lobby does its re- markable job of making the patients, providers, nurses, staff and visitors feel impossibly free. ™ There' s a relationship be- tween nature and healing ill- nesses and an ancient and contemporary connection to alleviate sickness, the artist said. ™ This association is my conceptual and symbolic motif. Even those colors have spe- cial meaning for their very spe- cial place, he explained. Each floor of the hospital is designat- ed by a unique San Francisco icon and vibrant color. When Garcia discovered that, he knew his palette had been decreed. ™ But since we go to the hospital to cure or mitigate our infirmities, why shouldn' t the point of entry be part of the treatment, too? he mused. ™ I hope the lobby, and my art, can be experienced as an encour- aging part of the healing PHOTO BY ARLA ESCONTRIAS process. The hospital interweaves art throughout the building, including artist Rupert Garcia' s pieces in the lobby. N22 Advertising Feature Sunday, May 22, 2016 The art of healing

By Carey Sweet erberg San Francisco General, CLIFF GARTEN – ` ETHEREAL BODIES' they are greeted with hundreds Many studies have been of original pieces including As you pull up to the car conducted on the role art plays metal and stone sculptures, turnaround at the new hospital, in reducing anxiety and alleviat- stained glass, mosaic murals, the first art piece you see is ing depression and chronic terrazzo floor designs, video eight brushed stainless steel stress. Ultimately, as many health installations, framed works and columns, made dynamic with and psychology professionals artist-created seating. Instantly, LED lights and tall grasses believe, viewing and interacting moods lift and spirits soar. planted on the median. with art brings physical, mental The artwork collection was ™ The sculpture offers the and social wellbeing. selected by the San Francisco public two different images, Yet it doesn' t take a team of Arts Commission, fulfilling a Garten said. ™ One by day when scientists to prove this. city policy that sets aside two their transparent structures fill As patients and visitors pass percent of the construction with sunlight, and another at through the courtyards, lobby cost of civic buildings for public night when LED light illumina- and hallways of the new Zuck- art. tion changes the colors of each rod. Their position in the center island of the roundabout offers a cinematic quality, blending different shapes interacting with one another as one travels around them. MILDRED HOWARD – ` FOREVER YOURS'

Let yourself be drawn into the glass mural of overlaid and collaged photographs, and wander the impressionistic beauty of springtime poppies against the golden hills of San Francisco. The artist, who was born at the hospital, created her piece for the third floor PHOTOS BY LAURA MORTON / SPECIAL TO THE CHRONICLE and worked with Lenehan NANCY BLUM – ` REVIVAL' Architectural Glass and Mag- nolia Editions in Oakland to With curved glass walls fram- nal benefits, including arnica, craft her star-fire glass that is ing the elevator lobby and interi- angelica, foxglove, aconite, hand painted with vitreous or courtyard windows flanking passion flower, yarrow and enamel paint and embedded the central corridor of the fifth Echinacea. with a digital printed inner floor, the artist' s ™ Revival incor- ™ The word ` revival' is defined layer. porates vitreous (coated glass) as ` an improvement in the condi- ™ Trees, plants and the natu- enamels and sandblasting for 25 tion or strength of something,' ral world have a calming, re- dramatic panels spanning a total Blum said. ™ These plants histor- storative function that is es- of a total of 100-feet long and 7 ically are valued for their ability sential to our physical and feet high. Divided into five hall to help in acute care situations; I mental health, Howard said. the building; it transforms the enjoy, one that will impart a length compositions, the pieces based my drawings on their ™ My imagery seeks to bring space by creating an atmo- mood of gentle strength, heal- showcase flowers indigenous to flowers, and robust botanical this engaging potential of the sphere that patients, family ing and vitality to help process the Bay Area that boast medici- imagery. natural world to the interior of members and medical staff can stress and challenges. STEPHEN GALLOWAY – ` REDBUD REDUX SUITE'

The installation graces the within, for a feeling a visitor is hospital, said Galloway. ™ I 4th floor in an 8-by-8-foot walking through nature and focused on calming, life affirm- curved piece of backlit glass, experiencing up-close the ing colors, a sense of nature welcoming guests to the eleva- beauty of the Western Redbud and health. The amazing, tor lobby and drawing them on native California shrub. round Redbud leaves reflect to two courtyard windows. ™ The work is art with a job to light, they transmit it, they Backlit by natural light, the do, to enhance the design of glow, and they go dark and flat, encapsulated photography the space and support the making a transitional photo works appear to glow from therapeutic mission of the corridor you travel through. Sunday, May 22, 2016 Advertising Feature N23

JULIO CÖ SAR MORALES – ` REPEAT MELODY' PAUL KOS – ` QUAKING ASPENS' Flanking the sixth floor ele- to capture the community that Like taking a stroll through the The installation acts as an oasis in or friend of that patient said vator lobby, this glass with ink is Zuckerberg San Francisco forest, viewing this video inspires the surgery waiting room. Kos. ™ Addressing what can be and vitreous enamels creation General. with a virtual view of Aspen trees ™ The Emergency Surgery high anxiety in a concentrated was inspired by photographs ™ I wanted to capture the dancing in the wind, offering Waiting Room is the last place moment, Quaking Aspens at- taken during the artist' s collab- hospital' s variety of experienc- soothing movement of leaves to one would ever want to enter, as tempts to calm and pacify that oration with patients, visitors es and people, and to explore create a meditative visual poem. a patient, or as a family member experience. and hospital staff as he strove its social interactions, he said. ARTHUR STERN – ` THE STREETS AND HILLS OF SAN FRANCISCO'

The hospital' s interior western courtyard glows in two, 25-foot-long lami- nated hand blown and textured glass walls ac- cented by water jet cut aluminum, for images depicting a colorful patchwork of buildings, parks, streets and sky. ™ The work speaks to the international neigh- borhoods and unique mix of cultures that make up modern San Francisco, said Stern. ™ The art expe- rience is inclusive, like the city, which prides itself on ANNA VALENTINA MURCH – ` ARCHIPELAGO' welcoming everyone of any age, gender, identity, An entire Pedestrian planters, olive trees, LED elements that drift primary language or Plaza on the east side of lights and structural through the linear plaza, immigration status. The the new building comes forms. And, the seating creating places were stepped design of the alive as a visual metaphor areas act as islands, flow- people can sit and catch hills also references the of life, in the changing ing to areas of solitude their spiritual breath at a theme of transition – for and adapting course of a anchored by an internally time of emotional anxiety, example, the aging pro- river. Incorporating gran- lit sculpture. uncertainty and reflec- cess or the experience of ite, stainless steel, glass ™ Archipelago is a se- tion, said the late artist' s healing itself. fiber reinforced concrete ries of illuminated seating widower, Doug Hollis. N24 Advertising Feature Sunday, May 22, 2016