UNCHARTED WATERS A HOSPITAL IN SHENZHEN, CHINA
University of Illinois at Urbana-Champaign School of Architecture ARCH 572 Behavior + Environment Spring 2014
Xili People's Hospital
FOREWORD In
response to the demand for private hospital beds in China, our team aimed for designing a private, “Western” style hospital in Shenzhen. The hospital program includes inpatient care (170 beds); diagnostic and therapeutic services; administrative and public areas; support services; and outpatient clinics accommodated in approximately 450,000 GSF. FGI Guidelines for Design and Construction of Health Care Facilities, were incorporated in designing the hospital. Physical Program of the hospital was amended in way to respond most effectively to the conditions unique to the Chinese healthcare environment. Design process began with defining the underlying themes and design objectives, guiding every design decision made throughout the development of the project. Contextual analysis of the site such as the socio-economic condition of the Xili neighborhood, were explored to help us recognize and highlight the community needs. By choosing “Providing Access to Nature in a Healthcare Setting” as the project’s fundamental theme -backed by primary research- the proposed design has responded to the health implications of fundamental environmental stressors in Chinese cities such as degraded air quality and related rise in respiratory disease. In this project we analyzed and amended the program to respond to emergency “surge” situations such as recent SARS and Avian Flu epidemics. Moreover, concepts of “Resiliency” has been analyzed and incorporated into the project.
Evidence Based Design Evidence-Based-Design (EBD) methodology played a major role throughout the design of this project, as environmental and behavioral peer-reviewed articles informed the project’s principal design decisions and directions. Some of the other concepts addressed in this project are: advocating for healthy community, bringing care to patient, enhancing user experience, and providing ample respite spaces for patients, family visitors, and clinicians. The state-of-the-art Xili People's Hospital will represent a new healthcare delivery, which embraces the philosophy of creating the focal point of wellness in its community. A place that offer education about wellness and a healthy lifestyle, a building that embrace its climate and context to minimize energy consumption, and a facility that utilize technology to achieve an efficient care delivery.
Faculty Advisor Prof. William Worn, AIA, LEED AP, EDAC Associate Professor, was the Director: Master of Architecture in Health Design at the University of Illinois at Chicago. In 2010, he joined the University of Illinois at Urbana-Champaign as an Associate Professor, while simultaneously continuing his role as President of Worn Jerabek Architects P.C.
2
Project Introduction
in Chicago.
Acknowledgements T
hroughout this course, various industry professionals have contributed their time and expertise to assist in the development of our knowledge and design of healthcare environments. We had the opportunity to experience healthcare architecture via guest lectures, hospital tours, and a firm visit at VOA Associates. We would like to express our heartfelt gratitude to all who participated, including:
Brenda Bush-Moline, AIA, EDAC, LEED AP VOA Sheila Cahnman, Leader Healthcare Market Sector, AECOM Todd Eicken, Senior Vice President, HDR Thomas Fromm, Health + Science Practice Leader, SOM Timothy Gregg, Principal Proteus Scott Harding, Vice President of Facilities Carle Foundation Hospital Kenneth Kaiser, AIA, SASHE, CHFM Northwestern Memorial Hospital Doug King, Principal at VOA Associates Incorporated, VOA David Kuffner, AIA Cannon Design Kevin Matuszewski, Senior Vice President Healthcare, Cannon Design Clark Miller, Healthcare Principal, Perkins + Will Rebel Roberts, AIA, ACHA
VOA Associates
Arch 572: Behavior + Environment
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CONTENTS
4
Project Introduction
6
Site Analysis
16
Program Analysis
24
A New Approach To Delivering Care
Arch 572: Behavior + Environment
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SITE ANALYSIS
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Project Introduction
Arch 572: Behavior + Environment
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GEOGRAPHIC LOCATION
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Project Introduction
Arch 572: Behavior + Environment
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Project Introduction
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Project Introduction
SHENZHEN •
•
Shenzhen is a major city in southern china. It is china’s first and one of the most successful special economic zones (SEZs). There are six major administrative districts. Nanshan district, where our project is located, is shenzhen’s high-tech industrial, manufacturing, and higher education base.
POPULATION • •
Shenzhen’s population is the fifth largest in china. In 2012, there were 10,419,400 residents. Shenzhen has the fastest population growth between 2000 and 2010 in the Guangdong province, which had increased from 8.22% to 9.33%.
TEMPERATURE • • • •
Average range: 54-90°f Air conditioning will always be needed. Energy use can be greatly reduced if building design minimizes overheating. Orient most of the glass to the north, shade by vertical fins.
PRECIPITATION • • • •
Average monthly rainfall (MaySeptember): 13.54 inches Average monthly rainfall (OctoberApril): 2.63 inches Access to site during inclement weather. Efficient ways to collect and reuse rain water. Arch 572: Behavior + Environment
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WIND •
Prevailing winds from north-east towards south-east.
DAYLIGHT • • • •
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Average daily radiation: -177.0º Entire year: 0.71 kwh/m² Under heated: 1.36 kwh/m² Overheated: 0.25 kwh/m²
Project Introduction
WIND ANALYSIS DIAGRAMS
Arch 572: Behavior + Environment
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PROGRAM ANALYSIS
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Project Introduction
Arch 572: Behavior + Environment
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ADMIN AND PUBLIC HOSPITAL PROGRAM
IN-PATIENT CARE
INPATIENT CARE
ADMINISTRATIVE AND PUBLIC
DIAGNOSTIC AND DIAGNOSTIC AND THERAPUTIC THERAPEUTIC SERVICES
SUPPORT SERVICES SUPPORT SERVICES
HEALTH AND PROGRAM SUMMARY:
• •
Respiratory diseases Digestive diseases
ACUTE DISEASES: • • • • •
Tuberculosis HIV and sexually transmitted diseases Viral hepatitis Gastrointestinal infection Other infectious disease like Avian Influenza
CHRONIC DISEASES (NON-COMMUNICABLE DISEASES) • • 18
Cancer (lung, liver) Cardiovascular diseases
Project Introduction
DISEASE BURDEN • • •
Chronic lung cancer, COPD, and respiratory diseases Chronic cardiovascular diseases, hypertension Epidemics Like infectious diseases are potential disease burden in southern China, because of the potentially high mortalities in short amount of time (past examples are SARS and H1N1 outbreaks)
2012
2008
1.) Chronic lung cancer, C tory diseases MORTALITY 2.) Chronic cardiovascula [COMPARISON] BY DISEASE tension Diseases that cause the most mortality in Shenzhen are: Circulatory system/ cardiovascular diseases 3.) / Cancers / Like infecti Epidemics Respiratory diseases / Infectious diseases / Other/ unknown. The comparison between the proportional mortality in potential disease burden Shenzhen and Chicago reveals that deaths caused by cancer is becoming more prevalent in Shenzhen. China, because of the po BURDEN talities in short amount o amples are SARS and H1N Chicago (2009) Shenzhen (2010)
the henzhen, well as whole.
Health and Family Planning Commission of Shenzhen Municipality http://www.szhpfpc.gov.cn/wsj/view?fid=view&oid=menunews&ntyp=A10B032
Other/ Unknown
Other/ Unknown CVD
CVD
Infectious Diseases
Respiratory Diseases
ascular Infectious Diseases
China (2010)
Cancers
Respiratory Diseases
Cancers
United States (2010)
OF ILLINOIS URBANA-CHAMPAIGN
Arch 572: Behavior + Environment
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SHENZHEN HEALTH - FACILITIES
AVERAGE LENGTH OF STAY (ALOS)
US CHINA 20
Project Introduction
ADMINISTRATIVE AND PUBLIC
SUPPORT SERVICES
PROGRAMATIC BREAKDOWN
ADMINISTRATION & PUBLIC 4.01
ADMINISTRATION 2
TOTAL DEPARTMENT NET AREA (FT ) Department Area Multiplier
0.2
TOTAL DEPARTMENT GROSS AREA (DGSF) 4.02
TOTAL DEPARTMENT NET AREA (FT 2) 0.2
TOTAL DEPARTMENT GROSS AREA (DGSF)
TOTAL DEPARTMENT NET AREA (FT 2) 0.2
TOTAL DEPARTMENT GROSS AREA (DGSF)
TOTAL DEPARTMENT NET AREA (FT 2) 0.25
TOTAL DEPARTMENT GROSS AREA (DGSF)
7,000 1,750
8,750
CHILD CARE
TOTAL DEPARTMENT NET AREA (FT 2) Department Area Multiplier
0.25
TOTAL DEPARTMENT GROSS AREA (DGSF)
4.06
655 131
786
FITNESS CENTER
Department Area Multiplier
4.05
3,550 710
4,260
RETAIL PHARMACY
Department Area Multiplier
4.04
3,396
PUBLIC EDUCATION / COMMUNITY OUTREACH Provide multipurpose rooms, conference rooms, and classrooms
Department Area Multiplier
4.03
2,830 566
3,000 750
3,750
PUBLIC
TOTAL DEPARTMENT NET AREA (FT 2) Department Area Multiplier
0.2
TOTAL DEPARTMENT GROSS AREA (DGSF)
Arch 572: Behavior + Environment
2,580 516
3,096
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DIAGNOSTIC AND THERAPEUTIC SERVICES
PROGRAMATIC BREAKDOWN
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Project Introduction
PROGRAMATIC BREAKDOWN
ADMI
Notes
A 170-bed Private General Hospital in Shenzhen, China
1, 6
INPATIENT CARE
IN-PATIENT CARE
1.01
INPATIENT CARE 10 1 80 4 20 1 20 30 4
Intensive Care Beds Intensive Care Room - Isolation Medical/Surgical Beds Medical/Surgical Beds - Isolation Pediatrics Beds Pediatrics Room - Isolation Rehabilitation Room VIP Suite PICU
TOTAL DEPARTMENT NET AREA (FT 2) Department Area Multiplier
0.33
TOTAL DEPARTMENT GROSS AREA (DGSF) 1.02
92,200 30,426
122,626
SUPPO
LABOR & DELIVERY 16 1 12 1
LDRP Rooms Newborn Nursery NICU Cesarean Suite
TOTAL DEPARTMENT NET AREA (FT 2) Department Area Multiplier
0.33
TOTAL DEPARTMENT GROSS AREA (DGSF)
2 3
21,447 7,078
28,525
Arch 572: Behavior + Environment
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A NEW APPROACH TO DELIVERING CARE Uncharted Waters- Xili People's Hospital
Kimia Erfani, Ali Momen-Heravi
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A New Approach in Delivering Care
Kimia Erfani and Ali Momen Heravi
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HEALTHY COMMUNITIES THE 170-BED HOSPITAL IS: - The FOCAL POINT of WELLNESS in Your Community
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- A Place to Get EDUCATED about WELLNESS and a HEALTHY Lifestyle
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- Where You Go to Recieve a HIGHER LEVEL of CARE for Predictable but Uncontrolable Illness - A HUB for Interaction and Connectivity throughout the Healthcare System - The Center for the Community Vitalization, a Provider of Resources
HEALING THE SITE AND COMMUNITY THROUGH SUSTAINABILITY
170 BED HOSPITAL PROGRAM:
A
DM INI S
LIC
- Inpatient Care - Diagnostic & Therapeutic -Administrative & Public -Support Services - Mechanical Space
SUP
TRATIVE &
PU
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DIA G NO NT STIC & TREATME
INPATIENT CARE
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A New Approach in Delivering Care
MAXIMUM FLEXIBILITY THROUGH SCALABILITY & MODULARITY
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WITH SUSTAINABILITY WE CAN HEAL THE PATIENT, THE SITE AND THE COMMUNITY
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WITH MODULARITY WE CAN ACHIEVE MAXIMUM FLEXIBILITY
DESIGN VALUES AND OBJECTIVES The art of care is as important as the science of treatment. Our design places the patient at the center in control of their environment. Rethinking the hospital design by: • Advocating Healthy Community … • Bringing care to the patient … • Providing ample respite spaces for patients, family visitors, and clinicians … Empowering the patient by: • Designing furniture and systems in a way that allows patients to control their environment ( for example a patient room with operable shading system controlled by patient) • Presenting full access to external green spaces that support meditation or spirituality as an integrated part of the healing process Creating a healthy building by: • Embracing its climate and context to minimize its energy consumption. • Using shallow plan, low rise building block to maximize the use of passive energy • Providing courtyards and gardens for natural ventilation, shading, and evaporative cooling
WITH TECHNOLOGY WE CAN ACHIEVE AN EFFICIENT DELIVERY
Kimia Erfani and Ali Momen Heravi
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A New Approach in Delivering Care
Kimia Erfani and Ali Momen Heravi
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PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
(ED)
Patient Treatment
A New Approach in Delivering Care Pre-Operative Holding
(Rehab)
Reception / Waiting Staff Support
(Oncology) (Cardiac CC) Reception Reception Patient Sup. Clinic Sup.
(Cardiac Care Center) Patient Areas
Caesarean Suite
(Surgical Procedure)
(Oncology) Treatment Area
Patient Diagnostic Area
PACU
Clinical Sup.
(MOB) (Surgical Procedure)
Reception Staff Sup.
Pulmonary Lab
(Surgical Procedure)
Reception
(MOB)
Rehabilitation Area
(Rehabilitation)
(ED)
(ORT)
Clinical Support Staff Support - Offices
(Labor and Delivery) (Labor and Delivery)
Family Support Area NICU Family Support
(Labor and Delivery) (Labor and Delivery) (Labor and Delivery) Caesarean Suite Staff Support - Offices
Patient Care Support - L&D and Nursery NICU Patient Care Support
Staff Support Offices
(Inpatient Care)
(Inpatient Care) Patient Care Support
Public Education/ Community Outreach
Labor and Delivery Suite Patient Rooms - Newborn Nursery - NICU
Administration
(Inpatient Care) Inpatient Beds
(Outpatient Women's Health)
Procedure Support Spaces
(Surgical Procedure)
Surgical Suite
(ORT) (ORT)
(Imaging) Staff Sup. Reception Equipment Reception Staff Sup. Processing
(Surgical Procedure)
(MOB)
Exam Rooms
Imaging Support
(Imaging)
(ED)
Reception/ Waiting Emergency Entry
Main Pharmacy Area Receiving/Bulk Storage
Chiled & Adult Care Retail/ Pharmacy
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
(Surgical Procedure)
Dental Sup.
Reception
(Dental)
Mammography CT Scan - Nuclear Imaging Cardiac Catheterization Imaging Suite Radiography/ Fluoroscopy
(Imaging) MRI
Strile Admin. Support Areas
MM Receiving Dock & Staging
Entrance & Public Spaces
Fitness Space Fitness Center Sup.
Central Staff Support
Mechanical Spaces MM Solid MM Admin & Holding Dock Staff Sup.
CSSP CSSP Packing and Solid Strile Processing Processing
Lab. Laboratory + Staff Support
Information Technology
Cafeteria
Main Kitchen
(Inpatient Care) Family Support Area
ED WALK-IN MAIN ENTRY
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
30 CSSP Staff Suport
Admin & Support Food Service Patient Care Mech. Support
PRODUCED BY AN AUTODESK EDUCATIONAL PRODUCT
ACCESS TO THE SITE INPATIENT BEDS
P
MOB ENTRY
P LABOR & DELIVERY
AMBULANCE ENTRY
SERVICE ENTRY
PUBLIC ENTRY
IT
AT THE LEVEL OF DEPARTMENT
2D PROPORTIONAL DIAGRAM
N
SURGERY FITNESS CENTER
ED
LAB
DENTAL
PUBLIC EDUCATION ORT
PUBLIC LOBBY
PHARMACY ADMIN RETAIL PHARACY ONCOLOGY
IMAGING FOOD SERVICES
CENTRAL STERILE
PARKING MATERIAL MANAGEMENT MECHANICAL SPACES
MOB
CHILD CARE
REHAB
STAFF SUPPORT CAFE
WOMEN'S HEALTH
GROUND LEVEL: ENTRANCE 1
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MAIN ENTRY
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MOB ENTRY
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AMBULANCE ENTRY
Public Lobby
Administration
Reception
E.D.
PARKING ENTRY
Pharmacy
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Cafeteria
STAFF ENTRY
MOB Lobby
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Pharmacy
Laboratory F
PONDS
G
Oncology
Cafeteria UP
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M
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SERVICE ENTRY J
K
BUILDING AND SITE DESIGN Our approach to the hospital’s site and building design is informed by local conditions. As a tropical, sustainable 21st century vision, the building and the landscape integrate several new sustainable features. The building designed to float over the site which not only provides an effective solution for natural ventilation in tropical areas but also connects the community to the green adjacent mountain. Below the elevated building, the combination of green and water features results in a tropical landscape with small seating areas and cafes scattered throughout the park. The underside of the floating structure becomes its main elevation from which sunken glass cubes, the so-called hospital courtyards, offer perfect views over the lush tropical landscape below. INPATIENT BEDS INPATIENT BEDS SURGERY
LABOR & DELIVERY CHILD CARE ED IMAGING
PUBLIC EDUCATION
IT LAB MATERIAL MANAGEMENT
MOB
CENTRAL STAFF PHARMACY FOOD SERVICES
REHAB
CAFE PUBLIC LOBBY CENTRAL STERILE
ADMIN
ORT RETAIL PHARMACY
WOMEN'S HEALTH
FITNESS CENTER
ONCOLOGY ONCOLOGY
MECHANICAL SPACES
PARKING PARKING
Kimia Erfani and Ali Momen Heravi
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LEVEL 2- MEZZANINE 1. 2. 3. 4. 5.
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Public Education Childcare IT Staff Support Cafe
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LEVEL 3 21
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.
Labor and Delivery Public Waiting Fitness Center Nurse Stations in Surgery Pre-op Operating Rooms (OR) MRI- MROR PACU CTOR CT Rehabilitation Women Health Dentistry MOB Outpatient Respiratory Therapy
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LEVEL 4 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
Patient Room Nurse Station Support Isolation Room Waiting Area VIP Pediatric Patient Rooms Meditation Room Family Area Play Room Hotel Room
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LEVEL 5 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
Patient Room Nurse Station Support Isolation Room Waiting Area VIP Pediatric Patient Rooms Meditation Room Family Area Play Room Hotel Room
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A New Approach in Delivering Care
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Syestem 1: Glass curtain wall system with sun shading screens maximizes visual connection while filtering sunlight in, reducing solar exposures
Syestem 2: Low emission glass curtain wall system with lightshelves provides controlled shading while deflecting natural light deep into the room.
Syestem 3: Low emission insulating glass curtain wall system used predominantly on the north facade. This system maximizes indirect sunlight and views to the outdoor.
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195°
210°
17 17
Wh/m2
225°
1000+
240°
80°
900 255°
1st Jan
800
1st Feb 1st Mar
700 270°
600 500
1st Apr
400
285°
300
1st May
We advocate a strong focus on solutions that in Shenzhen’s context yield vibrant interaction spaces that draw the community into the life of the hospital and engage the hospital in the life of the community. Of great importance in Shenzhen to both human comfort and energy efficient building design is the creation of natural ventilation, strong shade, and effective sun protection.
200 100
1st Jun 300°
0
315°
330°
Summer Solstice: 89 Degrees Winter Solstice: 43 Degrees 345°
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A New Approach in Delivering Care N
Our site design gives physical form to the philosophy of inclusiveness and respect for individual identity, yet aggregation of service and community manifested in the project as a whole. From the intimate patient healing gardens to the vibrant social space of the ground floor, the separation of family and nurse respites that support the public and hospital community are finally tuned to thematic gardens that act as effective way finding elements throughout the hospital.
December 21st Daylight
July 21st Daylight
Creating a Micro Climate via Cooling Ponds
Using Bamboo which is a highly renewable and Local Material for Protection against sun and wind
Air Circulation in Courtyards
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A New Approach in Delivering Care
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2
AR S
CS-2
C
C Clear insulating glass with low-E coating
Custo D
K Suspended Ceiling
Clear insulating glass with low-E coating
15'
3 CS-2
Steel-grate maintenance catwalk Hollow raised floor system
PARTIAL ELEVATION
1
2
SCALE: 3/8" = 1'-0"
WALL SECTION SCALE: 3/8" = 1'-0"
8'
Clear Insulating glass with low-E coating 4'
Steel-grate maintenance catwalk
1
Adjustable shading system
Xili P
CS-3
3
PLA
SCALE: 3/8" = 1'-0"
Su
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C
PLAN
A New Approach in Delivering Care
The façade of the building is a double layer system. The layers consists of vision insulated glass and an operable wooden brisole. The uniqueness of curtain wall is the design of brisole. The shades are adjustable horizontally as well as vertically allowing rotation over centerline. Moreover, the system is designed to be controlled by patient through an App which will provide a dynamic façade that responds to individual patient needs. There are several hinges along the perimeter of the building that are distinguished in the facade by red color. In addition to providing the filling of open ended corridors, these hinges divide arrays of patient rooms into smaller bed aggregations (12-bed, and 8-bed sections which is compatible with efficient nursing station ratios); they also allow the penetration of natural sunlight into the corridors and provide several soft space alongside the patient rooms.
Vertically mounted shading system with integrated wiring and motors
Clear insulating glass with low-E coating Extruded-aluminum mullion Steel-grate maintenance catwalk on steel outrigger
Suspended ceiling
Hollow Raised Floor System
Steel Channel supporting the shading system Fire-safe insulation at slab edge
Spandral panel, back painted glass
Adjustable Bamboo Louvers
Kimia Erfani and Ali Momen Heravi
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HUMAN EXPERIENCE The term healing gardens is most often applied to green spaces in hospitals and other healthcare facilities that specifically aim to improve health outcomes. These gardens provide a place of refuge and promote healing in patients, families, and staff. According to two leaders in this field, Clare Cooper Marcus and Marni Barnes, healing comes because the gardens promote: Relief from symptoms, Stress reduction Improvement in overall sense of wellbeing and hopefulness. Any environment can promote healing, but gardens are particularly able to do so because humans are hard-wired to find nature engrossing and soothing. Healing gardens differ somewhat from therapeutic landscapes, which is another term used in healthcare. Therapeutic landscapes or gardens are designed to meet the particular needs of a specific patient population. They often engage that population actively and deliberately. Healing gardens, on the other hand, generally aim for a more passive involvement and are designed to provide benefits to a diverse population with different needs.
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A New Approach in Delivering Care
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A New Approach in Delivering Care
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DESIGN GOALS WITHIN WAITING ROOMS FRAIL
NEGATIVITY
COURAGE
NO ANXIETY
LIGHTING
NO DEPRESSION
HUMAN CONTROL
SUPPORT EDUCATION
FAMILY
CONTROL
PHYSICAL
HAPPY
PAIN MANAGEMENT
SURVIVOR
FURNITURE CHOICES
POSITIVITY
FAMILYOPTIMISTIC LIVING
CERTAIN COMUNITY
ENCOURAGE
STABILITY
K
POSITIVE DISTRACTION
NON STERILE
I
J
EMOTIONAL
stressful waiting experience today
DISBELIEF CHAOS
DYING
SAD
NERVOUS
PESSIMISTIC
FRAGILE
ALONE
M
PHYCHOLOGICAL
HOPELESS
H
It has been proved that one way to judge successful design is by patients' willingness to describe themselves and their circumstances in a more positive emotion. The goal is to awake the positive feelings within the space, and to reduce any negative precieved notions first brought into treatment.
PAIN
NEGLECT
UNCERTAIN
ISOLATION
Designing a more flexible waiting area
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IMAGING DEPARTMENT BIRD VIEW Outpatient flow Inpatient flow Nuclear Medicine Waiting Room with Media Pods
Gowing area Sky light is introduced into the space to reduce stress
Imaging Lobby with Sky Light and portable furniture creating flexibility in the waiting area
Media ceiling A screen which shows any preferred scene for patient as a means of positive distraction
Outpatient Elevators
SPATIAL ZONING CONFIGURATIONS Each zone supports each of the senses to maximize healing, comfort , and support. The furniture configurations should be designed for flexibility and promoting the ability to configure into almost any space. Curves maximize social support and views of any type of positive distraction.
SPECIAL CARE
SOCIAL SUPPORT
EDUCATIONAL AND INFORMATION SHARING
ACCESS TO DAYLIGHT
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A New Approach in Delivering Care
POSITIVE DISTRACTION
MEDIA POD DESIGN - NUCLEAR MEDICINE WAITING ROOM Adjustable Indirect Illumination
Acoustically friendly carpet
Custom RECLINER This recliner has been custom designed based on Hermanmiller Coalesse line to meet patients seeking immediate care in nuclear medicine imaging. Often times, patients undergoing nuclear injection are subject to hand foot syndrome. The design helps alleviate the symptoms and also has a media screen that is adjustable for positive distraction while the injected patient is waiting for the effective result of nuclear medicine. The patient will be able to plug in headphones for maximum privacy and can either listen to music or any other preferred media. The wood detail on the side of the recliner gives it a warm and inviting appearance.
Interactive media wall creating a media pod around patients in Nuclear Medicine Imaging
4'-8.5"
4'-8.8"
2'-0.2" 2'-1.4"
2'-8.5"
1'-6.9"
Kimia Erfani and Ali Momen Heravi
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WOW! Such a great view! I love working here!
You should take the patient in room 6 for a minor imaging now!
IN THE NURSE STATION... Implementation of natural materials in furniture Design ( The idea of Biophilia )
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Alright... Let's check his Symptoms through the monitor
Hey Look! These handrails allow me to stand... just like her!!!
The Corridor adjacent to the Courtyard themed with Bamboo Oh you are standing?! How are you feeling today?
Much better Doctor! I really enjoyed today's journey in the bamboo garden!
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Quite comfortable door! I hope he has got an idea of the imaging experience in our hospital!
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She's coming! Well, she seemed quite supportive till now... I hope the imaging experience is as easy as it was described in the video...
A New Approach in Delivering Care
Morning Dear! It was great falling asleep while watching the night sky! yeah... let's go!
Good Morning Darling! How was your sleep? You seem well prepared for the Imaging journey!
In Xili People's Hospital Your Imaging experience will be as easy as pie! Never stressed again!
Indirect illumination in the corridors. Evidence exists on effects of direct artificial light and increased stress in patients laying on a gurney
Patient: I should spend
some time in the courtyard enjoying the nice day!
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You can access any digital media you prefer - music, movies, internet- while we are waiting for the injection to affect your body
Nice! I prefer to browse internet now to chat with friends! Thanks!
Please feel free to wait in this family area designated for you and your dear children.They can also play around in the children's room over there!
I'm bored Mommy! I want to play!
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INPATIENT EXPERIENCE - DEVELOPING NARRATIVE Direct access to toilet in the CT room. Patients might be in urgent need due to injected medications in their bodies.
linoleum as a sustainable flooring in the CT room
Projection of nature in the CT room as a means of stress reduction for the patients.
Projection of nature - any preferred mediawith sound effects for the patient
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SAME-HANDED ROOM WITH CANTED HEADWALL MEDICAL / SURGICAL UNIT - PLANNING CONSIDERATIONS TO INCREASE PATIENT VIEWS.
FEATURES:
VIEW TO EXTERIOR
1) The entry into the patient room widens to provide more clinical work space away from the door swing; note the cubicle drape that can be pulled for privacy.
313 SF W/BATHROOM 272 SF W/O BATHROOM 14' 1" FROM HEADWALL TO FOOTWALL
FAMILY ZONE
2) Nurse server pass-through for replenishment of linen and supplies and for removal of soiled linen.
PATIENT VIEW RANGE
PATIENT ZONE PRIMARY VIEW
3) Clinical items (glove dispensers, sharps containers) stored out of patient's view; clinical handwash sink in optimal location, immediately inside room entry 4) Considered acuity-adaptable, room size allows room to be upgraded to critical care. Currently designed for med/surg to step-up (progressive) care.
DIMENTIONS
PATIENT UNITS LAYOUT
VIEW TO STAFF WET WORK ZONE DRY WORK ZONE HYGIENE ZONE
CLINICAL ZONE
CHARTING STATION
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Physical Model Scale 1”=60’
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