Isn’t the point of a medical facility outpatient pavilion to at first provide some sense of healing and comfort to a patient? The recently completed Koman Family Outpatient Pavilion at UC San Diego Health-La Jolla completely misses the mark. The exterior is cold and foreboding. The interior is equally abysmal. There is no sense of warmth and welcome in this behemoth that is adorned to look more like an industrial park tilt-up office building. UCSD has endeavored for many years to attain architectural excellence having received numerous orchids for architecture, but something went terribly awry in the design and implementation process with this project. UCSD has a Design Review Board too…they must have been asleep at the wheel on this one? It is too bad that the excellence of UC San Diego Health is not embodied with the excellence of architecture on this project.