Adding Specialized Outpatient Services for Central San Diego
UC San Diego Hillcrest Medical Campus Redevelopment Phase 1 | San Diego, California
The McGrath Outpatient Pavilion at UC San Diego Health, part of the first phase of the UC San Diego Long-Range Development Plan, is a six-floor, 255,000-sq.-ft. advanced medical facility. It houses key clinical programs, addressing the region's growing demand for specialized diagnostic, treatment and surgical services, including orthopedic care and infusion therapy for cancer treatment. Phase 1 also included a new parking structure with 1,850 spaces for employees, patients and visitors, as well as related road and utility upgrades.
About the Project
The logistically, topographically complex site was located above a maze of underground utilities. Make-ready included filling in a ravine that had a 80-ft. elevation change from end to end. Besides being on an active hospital campus, adjacent to the Emergency Department driveway, the site is in the middle of a residential neighborhood with many one-way streets. DPR's planning and coordination of deliveries and staff arrival were critical.
Phase 1 meets seismic standards and responds to the community's growing healthcare needs, while optimizing the limited space of the site. Modern facilities, including state-of-the-art technology for imaging and oncology, also offer a more streamlined patient experience. This includes patient access to the basement-level lobby via an underground corridor from the 9-level parking garage across the street.
We will transform lives in the new Outpatient Pavilion—ranging from regular checkups for orthopedic care, to infusion therapy for cancer treatment.
Lisa Rhodes
Chief Administrative Officer, UC San Diego Health
Project Innovations
Underground Utility Mapping
DPR had to account for several unknown existing utilities, as well as new utilities being installed, to serve the outpatient pavilion, parking structure and central utility plant. Using a combination of as-builts and potholing, then laser-scanning all new pipe installations, our in-house VDC team modeled all existing and new utilities against the project's design and logistics plan.
Having a full 3D underground map of the site afforded the team better scheduling and site logistics, and also helped them make important changes to utility scopes and locations before they caused potential disruptions to campus. The team elected to shift the proposed storm drain line to within the project boundary, being a deeper and longer-duration scope than other lines. This choice avoided a potentially long-term closure of the Emergency Department’s main ambulance route.
Logistics Planning
The site is in an urban setting and on an active hospital campus with a 24-hour Level 1 trauma center, sitting on top of 60 years of underground utility additions. Logistics have required planning and coordination to ensure not only that construction runs smoothly, but that the nearby homes and living areas remain accessible and are minimally impacted by construction.
Using our expertise in preconstruction and virtual design and construction (VDC), DPR created a robust and thorough plan for the budget, site logistics and mapping of the project site, including all underground utilities. Access to the emergency room and trauma center were kept open through a complex series of road closures surrounding the site, which accommodated the movement of different trades and equipment, including concrete trucks and cranes.
Robotic Layout
The Dusty Robotics FieldPrinter or “Dusty” is a tool that automates field layout. Using a digital model, a single operator uses the robot to print layout lines and text on the floor. DPR is one of only a few firms nationwide that have certified in-house operators for the Dusty robot.
On the outpatient pavilion, the team partnered with DPR’s internal Field Technology group to model and coordinate walls and MEP systems with the help of our trade partners. From here, the team uploaded the coordinated BIM model to Dusty, which printed lines and labels for walls, soffits, and wall penetrations/block-outs. The tool significantly reduced the time and crew needs involved with performing manual layout.
Modular Elevators
The parking structure includes a bank of four of the tallest modular or prefabricated elevators ever installed. These units were fabricated in Illinois (cab, shaft, rails, machinery, and all), shipped to the site in November, and were erected in one week.
Since the elevators were built on their sides in a controlled environment, the safety and quality concerns typically associated with a vertical shaft were avoided entirely. This approach also provided sequencing advantages and the potential to save considerable time at building turnover.
Self-Performing Highly Technical Work
Early design engagement of our self-perform team allowed DPR to mitigate several unique challenges on the project. DPR installed multiple Div. 07 scopes, including a fragile porcelain tile rainscreen system, porcelain panel substructure, continuous mineral wool insulation, and fluid-applied weather barrier assembly. While the large-format tiles were being transported from Italy to the fabrication facility in Houston, engineering and design coordination continued on the project.
Installing over 15,000 sq. ft. of porcelain rainscreen panels was a complex task, calling for special handling procedures on site, critical BIM coordination of MEPFS penetrations, and an intricate substructure with concealed fasteners. Each tile is approx. 85 sq. ft. and 238 lbs. with clips attached—requiring special erection aids for installation. DPR’s self-perform team was able to plan the installation before start of construction and accelerate the install schedule of the fragile tiles.
Innovations
Underground Utility Mapping
DPR had to account for several unknown existing utilities, as well as new utilities being installed, to serve the outpatient pavilion, parking structure and central utility plant. Using a combination of as-builts and potholing, then laser-scanning all new pipe installations, our in-house VDC team modeled all existing and new utilities against the project's design and logistics plan.
Having a full 3D underground map of the site afforded the team better scheduling and site logistics, and also helped them make important changes to utility scopes and locations before they caused potential disruptions to campus. The team elected to shift the proposed storm drain line to within the project boundary, being a deeper and longer-duration scope than other lines. This choice avoided a potentially long-term closure of the Emergency Department’s main ambulance route.
Logistics Planning
The site is in an urban setting and on an active hospital campus with a 24-hour Level 1 trauma center, sitting on top of 60 years of underground utility additions. Logistics have required planning and coordination to ensure not only that construction runs smoothly, but that the nearby homes and living areas remain accessible and are minimally impacted by construction.
Using our expertise in preconstruction and virtual design and construction (VDC), DPR created a robust and thorough plan for the budget, site logistics and mapping of the project site, including all underground utilities. Access to the emergency room and trauma center were kept open through a complex series of road closures surrounding the site, which accommodated the movement of different trades and equipment, including concrete trucks and cranes.
Robotic Layout
The Dusty Robotics FieldPrinter or “Dusty” is a tool that automates field layout. Using a digital model, a single operator uses the robot to print layout lines and text on the floor. DPR is one of only a few firms nationwide that have certified in-house operators for the Dusty robot.
On the outpatient pavilion, the team partnered with DPR’s internal Field Technology group to model and coordinate walls and MEP systems with the help of our trade partners. From here, the team uploaded the coordinated BIM model to Dusty, which printed lines and labels for walls, soffits, and wall penetrations/block-outs. The tool significantly reduced the time and crew needs involved with performing manual layout.
Modular Elevators
The parking structure includes a bank of four of the tallest modular or prefabricated elevators ever installed. These units were fabricated in Illinois (cab, shaft, rails, machinery, and all), shipped to the site in November, and were erected in one week.
Since the elevators were built on their sides in a controlled environment, the safety and quality concerns typically associated with a vertical shaft were avoided entirely. This approach also provided sequencing advantages and the potential to save considerable time at building turnover.
Self-Performing Highly Technical Work
Early design engagement of our self-perform team allowed DPR to mitigate several unique challenges on the project. DPR installed multiple Div. 07 scopes, including a fragile porcelain tile rainscreen system, porcelain panel substructure, continuous mineral wool insulation, and fluid-applied weather barrier assembly. While the large-format tiles were being transported from Italy to the fabrication facility in Houston, engineering and design coordination continued on the project.
Installing over 15,000 sq. ft. of porcelain rainscreen panels was a complex task, calling for special handling procedures on site, critical BIM coordination of MEPFS penetrations, and an intricate substructure with concealed fasteners. Each tile is approx. 85 sq. ft. and 238 lbs. with clips attached—requiring special erection aids for installation. DPR’s self-perform team was able to plan the installation before start of construction and accelerate the install schedule of the fragile tiles.
About the Parking Garage
Located across from the new outpatient pavilion, the nine-level, 1,850-stall parking structure was designed to provide convenient, efficient access for patients, visitors, and staff. An underground pedestrian “spine” beneath First Street directly connects the garage to the outpatient facility, ensuring safe, weather-protected travel. The 60-stall spine prioritizes ADA parking and includes patient pick-up and drop-off areas, valet service, and medical transport van parking—reducing congestion both below grade and at the building entrance.
The project reflects a strong commitment to sustainability, targeting Parksmart Silver Certification in support of LEED goals. The structure incorporates EV charging for 10% of parking stalls, along with two DC fast chargers and infrastructure to support an additional 20% in the future. A secure bicycle entry provides access to dedicated bike parking, and the structure was designed to accommodate future photovoltaic panels.
To improve efficiency and shorten construction duration, the team installed modular elevator systems—specifically a bank of four of the tallest prefabricated elevators ever built. Fully assembled in Illinois, the units were shipped to site in November and erected in just one week. Constructed horizontally in a controlled environment, the elevators minimized typical vertical shaft safety and quality risks while providing sequencing advantages that helped accelerate building turnover. Together, these features deliver a modern, sustainable, and patient-focused parking solution that enhances accessibility, safety, and the overall user experience.
Award-Winning Safety
The project achieved a DART of 0.73 and zero lost-time incidents over 1.64 million labor hours, receiving the Liberty Mutual Silver Safety Award. This began with proactive safety planning and "Prevention through Design." Early work between DPR, designers, UC San Diego facilities, and our trade partners fed into a Site-Specific Safety Plan. The project also held bilingual site-specific safety orientations, mobile safety audits with HammerTech, task-specific Job Hazard Analyses, and pre-task plans--all fostering a safety culture of shared leadership.
Construction Reaches Halfway Point on Revamped UC San Diego Health
Hillcrest
With the first phase of UC San Diego Health's nearly $3 billion expansion to their Hillcrest campus halfway complete, CBS 8 News toured the site with UC San Diego Health's Lisa Rhodes and DPR's Ian Pyka.
Phase 1 Under Way on UC San Diego Health Hillcrest
Redevelopment
California Builder & Engineer spotlighted the Phase 1 project, exploring how our "One Team" approach has eliminated waste and built shared accountability.
McGrath Foundation Pledges $25 Million for Outpatient
Pavilion
The San Diego-based McGrath Family Foundation pledged $25 million to support the new Outpatient Pavilion, slated to open in 2025, as reported by the Times of San Diego.