Case Study: The New Chickasaw Nation Medical Center in Ada, OK—Designing for a “Nation within a Nation”
With a health care system serving 40,000 Native Americans annually, the Chickasaw Nation, headquartered in the central Oklahoma town of Ada, sees medicine differently than the rest of the United States. The semi-autonomous tribal group has for decades committed itself to universal, patient-centered care, that culminated with the dedication of a $145 million facility that embodies both traditional Chickasaw values and humane hospital design. The Chickasaw Nation Medical Center is the first state-of-the-art medical center fully owned and operated by Native American leadership. The 358,000 SF, 72-bed medical center is located on 230 acres of tribal lands. Tribal leadership of the Chickasaw Nation directed the design of the hospital to include strong influences of the community’s culture and history into all aspects of this project. For the Chickasaw people caring for the ill is a community function and responsibility. Native American culture emphasizes respect for nature and the medical center incorporates the beauty of the site as well as deference to its ecology as fully as possible into the design.
Learning Objectives:
- Identify the unique challenges in developing the first Native American Medical Center.
- The design approach and challenges for this unique healthcare facility.
- Address the cultural goals of the Chickasaw Tribal Art Program.






