Is the Hospital of the Future Made of Mass Timber?

Is the Hospital of the Future Made of Mass Timber?

Research and Tools October 14, 2024

For centuries, mass timber has proven to be a reliable and durable material and structure for buildings. Wood is renowned for its natural beauty, low carbon footprint, and constructability benefits. Mass timber structures have quickly gained momentum across building types in North America, from airports to offices to labs, yet mass timber remains underutilized in hospitals and healthcare settings. 

ZGF and Swinerton, along with an expert team of technical consultants, set out to study current barriers to adoption of mass timber in acute care settings and create a technical kit of parts. The resulting report, “Mass Timber Hospital: The Future of Healthcare,” explores strategies and solutions for increasing the uptake of mass timber in healthcare and offers a proof of concept for a 40-bed mass timber hospital. 

Studies show positive physical and emotional user responses in spaces that emulate natural environments. “Mass Timber Hospital: The Future of Healthcare” also explores the application of operable windows in acute care patient rooms.

Mass Timber’s Benefits 

Today, timber is transitioning back to the forefront of our construction industry as a sustainable alternative to carbon-intensive steel and concrete. With hospitals and medical offices as some of the most energy and carbon intensive building types, mass timber can offer a cost-effective solution in the healthcare industry's push toward reducing embodied carbon, while improving outcomes for patients and staff. 

Healthy Environments: Studies show positive physical and emotional responses in environments that mimic natural environments. Wood plays a vital role in creating a sense of well-being and can improve perceptions of interior acoustics, help regulate humidity, and reduce the presence of volatile organic compound (VOC) emissions. Wood also has naturally occurring microbial properties. 

Lower Carbon Footprint: Wood stores biogenic carbon from its time as a tree and as part of a forest. Climate Smart Forestry can result in forests that grow more trees than are harvested. Timber manufacturing has significantly lower carbon emissions than traditional materials like concrete and steel. 

Sourcing Benefits: Sustainably and responsibly sourcing wood creates an opportunity for a project to support rural communities and underrepresented parts of the supply chain. Transparency-based procurement practices tie wood back to its forest of origin and its local community. The lower cost of ground transportation makes wood feasible in any region. 

Cost Efficiencies: Wood structures benefit from quicker assembly through prefabrication and modular construction, reductions in foundation materials given the lighter weight, less site work for soil stability, and lower cost for additional interior finishes. 

The mass timber hospital case study conceptualizes a 220,000 SF mid-sized community hospital, including a 40-bed program supported by an emergency department, labor and delivery, surgery, imaging, food service, and a full array of clinical support.

Mass Timber in Healthcare Design: A Proof of Concept 

Even with wood’s many documented benefits, technical challenges unique to healthcare design impact mass timber usage. “Mass Timber Hospital: The Future of Healthcare,” explores the material cost, construction process, schedule impacts, and counters the perception that mass timber costs more than steel or concrete construction.  

To test hypotheses and address critical questions and technical solutions, the team developed a proof-of-concept hospital. The 220,000 SF mid-sized community hospital concept includes a 40-bed program supported by an emergency department, labor and delivery, surgery, imaging, food service, and a full array of clinical support. Detailed within the report are approaches to code, infection control, vibration, MEP integration, and more to provide healthcare institutions and project teams a framework to make informed decisions about mass timber in healthcare design and construction.     

Building Code: 2021 International Building Code allows I-2 occupancy for Type IV-B construction with limitations. 2024 IBC will allow 100% unprotected ceiling, including beams. 

Spans and Structural Grid: An efficient 32’ x 32’ grid can be shortened in one direction to 22’+10”= 32’ to support vibration criteria.

Gravity System: Alternative framing approaches help counter the increased depth of wood framing members.

Vibration: An additional row of columns in the corridor alters the frequency of patient areas and limits vibrations. 

Lateral System: Mass timber structures with traditional lateral systems and steel moment frames are possible today in high seismic areas outside of HCAI jurisdiction.

MEP+T Integration: Upfront costs of a built-up or cassette structural system can be offset by lower floor-to-floor heights and more direct pathways for systems design. 

Acoustics: Concrete toppings can be reduced by 30% and still meet acoustic targets.

Infection Control: Many wood species exhibit antimicrobial activity, including oak and pine.

Envelope: Mass timber envelopes are a key embodied carbon opportunity. Up to 68% savings is possible for the assembly. 

Embodied Carbon: 57% embodied carbon reduction is possible compared to a traditional steel structure. 

Cost: Analysis shows that mass timber, concrete, and steel structures are nearly cost-neutral, but mass timber offers significant schedule savings. 

Use the interactive section diagram above to explore key takeaways from the report.

From Concept to Reality 

Taking advantage of all that mass timber has to offer requires alignment of mission, vision, and values; early goal-setting; and close coordination amongst all stakeholders and disciplines. Embracing the benefits of mass timber in healthcare settings can yield significant opportunities for a more sustainable care model, for both healthcare institutions and the communities they serve.  

Click here to learn more and download the proof of concept report “Mass Timber Hospital: The Future of Healthcare” 

“Mass Timber Hospital: The Future of Healthcare” was developed by ZGF and Swinerton, in partnership with Timberlab, Degenkolb, Arup, University of Oregon Institute for Health in the Built Environment, PeaceHealth, KPFF, Jensen Hughes, and Pierce McVey.