Ronald Reagan UCLA Medical Center


The Ronald Reagan UCLA Medical Center is a hospital located on the campus of the University of California, Los Angeles, in Westwood, Los Angeles, California, United States. It is currently ranked the 6th best hospital in the United States by U.S. News & World Report, and 1st on the West Coast. The hospital provides tertiary care to Los Angeles and the surrounding communities.
UCLA Medical Center has research centers covering nearly all major specialties of medicine and nursing as well as dentistry and is the primary teaching hospital for the David Geffen School of Medicine at UCLA and the UCLA School of Nursing. The hospital's emergency department is a certified level I trauma center for both adult and pediatric patients. Ronald Reagan UCLA Medical Center is a constituent part of UCLA Health, a comprehensive consortium of research hospitals and medical institutes affiliated with UCLA, including Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, Resnick Neuropsychiatric Hospital at UCLA, UCLA Mattel Children's Hospital, and UCLA Medical Group.
Collectively, the hospitals and specialty-care facilities of the UCLA Health system make it among the most comprehensive and advanced healthcare systems in the United States. The hospital has been ranked in the top twenty in 15 of the 16 medical specialties ranked by the US News ranking. Ten of those specialties were ranked in the top ten. In 2005, the American Nurses Credentialing Center granted the medical center "Magnet" status.

Architecture

On June 29, 2008, the new Ronald Reagan UCLA Medical Center opened and became fully operational, replacing the older facilities across the street. The older hospital complex had suffered moderate interior structural damage in the 1994 Northridge earthquake. Because numerous hospitals in the area were severely damaged during the Northridge earthquake and injured people had to be transported long distances for emergency care, the state of California passed SB1953, an amendment to an older law requiring all hospitals to move their acute care and intensive care units into earthquake-resistant buildings by 2008.
Originally budgeted at $598 million in 1998, construction began in 1999 and was completed in 2004. Cost overruns and construction delays attributed to rising construction costs and design changes due to medical advances resulted in the price of the building increasing to $829 million. Equipment purchased for the new building increased the total cost to over $1 billion. The Federal Emergency Management Agency contributed $432 million in earthquake relief funds to the project, and the state of California contributed $44 million. Private donations raised over $300 million for the project, including $150 million in President Reagan's name. The new building was constructed to withstand an 8.0 magnitude earthquake, one of the first buildings in California built to the most recent seismic standards.
The new hospital is named after the late President of the United States and Governor of California Ronald Reagan. It was designed by C.C. "Didi" Pei of Pei Partnership Architects in collaboration with his father, Pritzker Prize-winning architect I.M. Pei. The hospital will contain fewer patient beds than the one it replaces. Patient beds in the intensive-care units will be accessible to nurses and physicians from 360 degrees, and surgical floor plans will be modular, allowing them to be expanded and reconfigured as medical technology evolves. The hospital is sheathed with mechanically honed, cream-colored, horizontally grained travertine marble panels sold at below-market-rate cost by Primo Marrioti, the owner of an Italian quarry whose cancer was cured at UCLA. The travertine elements were fastened to a sophisticated interlocking panelized aluminum cladding system developed by Benson Industries of Portland, Oregon. The building envelope is designed to resist and survive severe seismic events and maintain excellent resistance to air and water infiltration.
The older center itself is a sprawling 11-story brick building designed by Welton Becket. It is considered a landmark of early modern architecture. The center was built in several phases, the first of which was completed in 1953. The hospital has a "tic-tac-toe" layout of intersecting wings, creating a series of courtyards throughout the complex. The first floor is unusual in that most of its walls are completely clad in a thick layer of naturally-weathered, unfilled, travertine, creating an unusual "organic" appearance. The exterior architecture is very simple, consisting of a red brick wall with horizontal bands of stainless-steel louvers over the windows to keep direct sunlight from heating the building.
Some of the old complex will be torn down, and some of it will be renovated and turned into office space when it is no longer an operational hospital. The law does not require that all parts of a hospital be made earthquake-safe, only the most important parts. Much of the extensive travertine wall cladding from the building's interior will most likely be salvaged and re-used.

Facilities

Area covered for the paramedics

Ronald Reagan UCLA Medical Center has covered paramedic areas for the Fire Department.
The Stewart & Lynda Resnick Neuropsychiatric Hospital at UCLA is a 74-bed acute care psychiatric hospital located within the Ronald Reagan UCLA Medical Center. Following a donation, the hospital was named for Lynda Resnick and her husband. The hospital has a pediatrics unit, adolescent unit, an adult unit, and a geriatrics unit

UCLA Mattel Children's Hospital

UCLA Mattel Children's Hospital at Ronald Reagan UCLA Medical Center is a pediatric acute care hospital located in Los Angeles, California. The hospital has 156 beds. It is affiliated with the University of California, Los Angeles David Geffen School of Medicine, and is a member of UCLA Health. The hospital provides comprehensive pediatric specialties and subspecialties to pediatric patients aged 0–21 throughout California. UCLA Mattel Children's Hospital features a pediatric level 1 trauma center. The UCLA Mattel Children's Hospital is located on the third and fifth floors of the newly constructed Ronald Reagan UCLA Medical Center.

Nobel Prize in Medicine

UCLA faculty member and pharmacologist Louis Ignarro's discovery of one of the most important signaling molecules in the human body, nitric oxide, led to his winning the Nobel Prize in medicine in 1998. This discovery revolutionized the fields of cardiopulmonary medicine and immunology.

Notable physicians

''Mo'' cell line controversy

UCLA Medical Center is well known as the defendant in a famous Supreme Court of California case, Moore v. Regents of the University of California, 51 Cal. 3d 120. The court decided that patient John Moore had no property rights in the immensely profitable "Mo" cell line which UCLA researchers had discovered when they removed his cancerous spleen.

CRE outbreak

As of 2015, seven people had been infected by and two have died from carbapenem-resistant Enterobacteriaceae, a drug-resistant superbug. A total of 179 people were exposed to the bacteria via two duodenoscopes which were not disinfected sufficiently. The outbreak is not serious, however, as the superbug is not a serious threat to healthy patients, and cannot be transmitted easily through its own means. The risk of infection via duodenoscope is very low as well, with procedures being performed on over 500,000 individuals between 2013 and 2014, and only 135 cases of CRE being reported as a result. Some doctors believe several more outbreaks of this nature are imminent. Since the outbreak, demands have been made to the FDA to improve their regulation and sanitation of medical devices.