HOSPITAL
EFFICIENCY
FLEXIBILITY
THERAPEUTIC ENVIRONMENT
CLEANLINESS AND SANITAION
ACCESSIBILITY
CONTROLLED CIRCULATION
SUSTAINABILITY
SAFETY/SECURITY
3
3
University of Perpetual Help System Dalta Molino III, Bacoor, Cavite, Philippines
University of Perpetual Help System Dalta Molino III, Bacoor, Cavite, Philippines
Chapter I: INTRODUCTION
General Introduction
A hospital is a health care institution providing patient treatment with specialized medical and nursing staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a heart attack. A district hospital typically is the major health care facility in its region, with large numbers of beds for intensive care and additional beds for patients who need long-term care. Specialized hospitals include trauma centers, rehabilitation hospitals, children's hospitals, seniors' (geriatric) hospitals, and hospitals for dealing with specific medical needs such as psychiatric treatment (see psychiatric hospital) and certain disease categories. Specialized hospitals can help reduce health care costs compared to general hospitals.
A teaching hospital combines assistance to people with teaching to medical students and nurses. The medical facility smaller than a hospital is generally called a clinic. Hospitals have a range of departments (e.g.: surgery and urgent care) and specialist units such as cardiology. Some hospitals have outpatient departments and some have chronic treatment units. Common support units include a pharmacy, pathology, and radiology.
Hospitals are usually funded by the public sector, by health organizations (for profit or nonprofit), by health insurance companies, or by charities, including direct charitable donations. Historically, hospitals were often founded and funded by religious orders, or by charitable individuals and leaders.
Background of the Study
The General hospital provide qualitative Health care services but maintains that they do not just heal mere physical illness which attacks the human body, but a much deeper and holistic healing of the entire human person. These service areas include all the wards (medical and surgical for male and female, pediatrics, chest unit and the maternity section as a whole. Other departments are out patient department (OPD), laboratory department, pharmacy department, central sterling and supply department (C.S.S.D), XRAY department community medicine and the mobile clinic, and theatre department. The roles of these departments are complementary and depict what they call team-work in patient management, the patient always beings at the center. The Hospital since its establishment has demonstrated a very keen interest in the staff recruitment and development of highly skilled and very dependable medical and paramedical personnel. Presently, their work force stands at 460.
Historical Background
In the 2010s, hospitals are largely staffed by professional physicians, surgeons, and nurses, whereas in the past, this work was usually performed by the founding religious orders and members of their order or by volunteers. However, there are various Catholic religious orders, such as the Alexians and the Bon Secours Sisters that still focus on hospital ministry in the late 1990s, as well as several other Christian denominations, including the Methodists and Lutherans, which run hospitals. In accordance with the original meaning of the word, hospitals were originally "places of hospitality", and this meaning is still preserved in the names of some institutions such as the Royal Hospital Chelsea, established in 1681 as a retirement and nursing home for veteran soldiers.
Traditionally, hospitals have provided restorative care to the ill and injured. Although hospitals are chiefly viewed as institutions that provide care to patients/clients, they also have other functions such as providing resources for health-related research and teaching. Furthermore hospitals are venues where students from various health disciplines acquire and practice their knowledge and skills (Chan, 2001).
Student nurses are required to practice in arange of hospitals during their training so that the knowledge acquired in the classroom can be put into practice and that after they have graduated, they may be able to practice safely An BordAltranis (2003).
Statement of the Problem
This is a user access management system that will manage user permissions and provide access for individual user.
1. Insufficient resources for conducting evaluations of the built environment.
2. Financial challenges and hospital productivity
3. Maintaining patient safety
4. Regulatory standards and emerging energy mandates
5. Hospital security
Significance of the Study
This research would benefit the following entities in relation Building of Hospitals in Municipality of Bacoor Province of Cavite.
TO THE HOSPITAL ESTABLISHMENTS The result of the study could be used as their reference in planning to build a Hospital. they could plan better strategy to attract more people .
TO THE STAFF OF HOSPITAL ESTABLISHMENT For they could use this study for their reference in how to improve the service to the patient of the hospital.
TO THE PATIENT .The results of this study that they continue to trust the hospital in their health.
TO THE FUTURE RESEARCHERS. The findings can help other studies that are related to self-concept and academic performance.
Project Goals and Objectives
To Enhance patient safety by reducing infection risk, injuries from falls and medical errors.
To Eliminate environmental stressors, such as noise, that negatively affect patient outcomes and staff performance.
To Reduce stress and promote healing by making hospitals more pleasant, comfortable and supportive for patients and staff alike.
To create a health care environment personalized to each patient that focuses on health and wellness, provides and wellness.
To Provides convenience and case of access and incorporate the latest technologies.
To Community Hospital will be the hospital Choice for the services we provide
To the Visitors should have a simple and direct route to each patient nursing unit without penetrating other functional areas.
Architectural Objectives
To Promote staff efficiency by minimizing distance of necessary travel between frequently used spaces
To Include all needed spaces, but no redundant ones. This requires careful pre-design programming.
To Provide an efficient logistics system, which might include elevators, pneumatic tubes, box conveyors, manual or automated carts, and gravity or pneumatic chutes, for the efficient handling of food and clean supplies and the removal of waste, recyclables, and soiled material
To Group or combine functional areas with similar system requirements
To Provide optimal functional adjacencies, such as locating the surgical intensive care unit adjacent to the operating suite. These adjacencies should be based on a detailed functional program which describes the hospital's intended operations from the standpoint of patients, staff, and supplies.
Building Development
Building, Renovation, Upgrading, Construction and Operating.
Providing an end to end solutions for hospital in a various scales and types. Our services include: planning and building of mobile and fixed hospitals, establishment of infrastructure and support systems, design of operational concept, training, quality control (physical and budget) and schedule monitoring.
Establishment of Hospitals Services- for feasibility studies, building design, construction management, project management, and consulting
Construction of a hospital- Program Preparation, Preliminary Planning, Master Plan, Economic and Engineering Project Survey , Permits From Relevant Institutions, Detailed Planning and Coordination of, Execution.
Training and Operations Support- On going education and courses, frontal classes and simulations for medical teams: Use of equipment, Team training in order to best utilization of the facility , hospital operational protocols and maintenance protocols.
Management System of Medical Records and Telemedicine -using of IT & communication technology to provide and support quality healthcare from patient end to the doctor's end, without limitations of geographical boundaries.
Justification
Community Hospital will Improve the health and quality of life of the Individualsand Communities we serve Building the new hospital has allowed us to invest in the very latest equipment, bringing our services right up-to-date with the latest medical advances available to the NHS. This means the latest diagnostic scanners, new theatre equipment and even robots deployed in our pharmacy and laboratories to make drug dispensing and testing faster and safer.
the new hospital is designed specifically around the needs of patients and visitors, making coming to hospital easier and more pleasant. For example, there are dedicated patient and visitor lifts, with other lifts available for staff and the moving of goods. The new hospital allows us to support new ways of working that benefit both patients and staff.
This helps our emergency services, in particular, to provide care precisely when and where it is required. Despite its size, the hospital is designed to operate on a human scale, putting our patients at ease.
Chapter II: METHODOLOGY
2.1 Methodology
This involves the specification of procedures for collecting and analyzing data necessary to define or solve the problem for which the research is embarked upon. The scope of this research covers the general hospital.
2.2 Research Framework
hospitals should have certain common attributes, An efficient hospital layout, medical needs and modes of treatment will continue to change, hospitals must be easy to clean and maintain, area access inside and out, a complex system of interrelated functions requiring constant movement of people and goods, general safety concerns of all buildings, significant impact on the environment and economy of the surrounding.
2.2.1 Introduction
Hospitals are the most complex of building types. Each hospital is comprised of a wide range of services and functional units. This diversity is reflected in the breadth and specificity of regulations, codes, and oversight that govern hospital construction and operations. Comprised of a wide range of services and functional units. The functional units within the hospital can have competing needs and priorities. Idealized scenarios and strongly-held individual preferences must be balanced against mandatory requirements, actual functional needs (internal traffic and relationship to other departments), and the financial status of the organization.
2.2.2 Data Gathering
In conducting the Review of the Hospital Data Collection, i conducted an evaluation and research with the two main objectives of:
improving the collection, management and handling efficiency of hospital data, so as to reduce data management burdens where possible and to encourage participation in accountability reforms; and
identifying ways to have an accurate location of a hospital.
2.2.2.1 Existing Structures
System analysis is meant to reveal the current system of administration and record keeping of the hospital which were studied under the system investigation. This analysis meant to propose a well designed computer base management information system that will take care of the existing problems of the current system.
The investigation carried out revealed that when a patient visits the hospital, he will first of all obtain a card at the registry, called reference card. Another card Doctor prescription will be given.
The Doctor diagnoses illness, its causes and prescribes drugs for it treatment. The Doctor will then direct the patients to the O.P.D pharmacy to collect the drugs. The treatment card will be filled at the O.P.D at the end of the day, the treatment caret will be collected from the O.P.D filling section and filed according to their registration numbers.
If the patient comes on the data given to him by the Doctor for check up, he will still present his reference card to the check who update his files and this is done with the help of the name and registration number. The patient will still be asked to see the Doctor for actual "check up".
But if the patient is on admission, a case note which will contain the Doctor, the patients' name, Address, Occupation, Date of admission, Religion, Age, Date of discharge index no, the year the patient is admitted to the hospital, the disease, ward or unit prepared.
After the patient must have been treated and discharged, the case note will be collected from the war. The medical record officer will know
the total number of patients discharge, the number of days stayed and this diagnosis will then be coded according to the number of the disease falls into.
2.2.2.2 Direct Communication
This involves oral interviews conducted with various personnel in the hospital, review and sharing their experience about the difficulties they undergo in using file methods.
2.2.2.3 Secondary Communication
This includes the use of textbooks, dictionaries, journals, newspapers, electronic books and internet downloads to collect data and aid comprehension of the system.
2.3 Data Analysis Methodology
2.3.1 Conceptualization of Project
The first step in hospital planning to freeze the project concept in terms of:
Identification of the market needs
Finalization of the facility
Deriving of the appropriate size of the project
Determining of the possibility getting skilled manpower
All of the above factors have a bearing on the project costs and vialbility in future. This process helps understand the need of the community that will be served by the hospital in the given location. For doing this, one needs to undertake a detailed market survey by collecting data from various sources. Unfortunately it doesn't have a reliable mechanism for capturing health related data especially in the private sector.
2.3.2 Case Study
Massachusetts General Hospital
For 200 years, Massachusetts General Hospital has been at the forefront of patient care, medical innovation and education. In July 2011, Mass General opened the doors to the new Lunder Building. The Lunder Building, a 530,000-square-foot, 14- oor medical facility located at the heart of MGH's main campus in Boston, re ects this progressive tradition with its state-of-the-art facilities and leading-edge technology.
History
In late 2010, Mass General launched the largest fundraising campaign in its 200 year history and the largest capital campaign among health care institutions in the area. The three-year effort to raise $1.5 billion was called the "Campaign for the Third Century of MGH Medicine." An imperative part of the Campaign was the opening of the new building for the 3rd Century of MGH , the Lunder Building
.It was important to MGH to uphold their reputation of offering the latest in medical technology and environmentally friendly design. The new building would allow MGH to continue to provide advanced, patientcentered care.
The MGH planning team knew they wanted to use ceiling booms to best care for their patients who were staying in the Neuro Intensive Care Unit-a department consisting of 22 beds where all patients would need to be centrally monitored by the clinicians on the oor.
They needed to create a space that would best service their high acuity patients, retain the culture of a therapeutic environment with eco-friendly construction and design and include comfortable furnishings for family members.
In early 2008, a design team complete with architects , nurses , engineers and administration turned to Modular Services Company to help design a boom system that best t their needs.
Partnering With Modular Services Company
Through a series of meetings, site visits, and mockups, it was determined that MGH would need a unique design applied to the service
modules of their Stratus® booms. The nursing side would need toincorporate an extensive amount of services to best care for their high acuity patients, while the respiratory side of the patient bed needed to house the ventilator. Therefore, it was essential for one of the service modules to be designed as a shorter column so that the ventilator could be rolled and kept underneath the service unit.
Not only was the function of the unit important, but the staff also they were looking for a product that would t in with their eco-friendly construction. There was a need to install a product that would help to reduce the stay of the patient and create an environment where the staff and clinicians would be able to do their best work. Speci cally, the NeuroIntensive Care Unit would feature intra-operative imaging, the latest technology in brain tumor removal surgery. Therefore, for safety as well as convenience, the patients needed to remain in one bed on the same oor. After comparing ceiling booms to determine which unit best t their need, MGH found Modular'sStratus® Boom to be the answer.
Delivering Excellence
The Stratus® unit aids in maximizing patient healing and comfort. With the exibility of MSC's Stratus® Boom in each patient room, nurses can arrange rooms to cater to each patient's needs.
"In the last ICU, the centers were stationary, but they are maneuverable around the bed at the Lunder Building. This gives nurses the ability to adjust the room according to the patient's needs, " said Tara Tehan, RN, nursing director of the Neuro ICU.
"When we began planning for the Lunder Building more than six years ago, we worked with our MGH staff and architects to incorporate a number of important environmentally friendly aspects to the building," said Jean Elrick, MD, senior vicepresident for Administration and LunderBuilding executive sponsor. "Along with the patient safety and excellent quality care, we focused on sustainability. Environmental conservation studies have shown that a natural environment can help to promote healing for sick patients. The practice of green building is a science, and we have been working with some of the best in the architectural eld to be among the leaders in this area."
"The Neuro ICU staff has been looking forward to moving into the Lunder Building, as the new [Stratus®] unit has allowed us to provide more family and patient-centeredcare in a technologically cutting-edge environment, " says Tehan.The 10-story Lunder Building has provided
150 new inpatient beds and 28 new procedural rooms, to increase MGH's number of hospital beds by nearly 20 percent. It has expanded, collated and enhanced services in cancer, neurology, neurosurgery, radiation oncology and emergency care.
2.3.3 Architectural Programming
Notes:
1. 0.65/person – Unit area per person occupying the space at one time
2. 5.02/staff – Work area per staff that includes space for one (1) desk and one (1) chair, space for occasional visitor, and space for aisle
3. 1.40/person – Unit area per person occupying the space at one time
4. 7.43/bed – Clear floor area per bed that includes space for one (1) bed, space for occasional visitor, and space for passage of equipment
5. 1.08/stretcher – Clear floor area per stretcher that includes space for one (1) stretcher
2.3.3.1 Macro
2.3.3.2 Micro
2.4 Conclusion
Deficits in hospital care quality were common in all countries. Improvement of hospital work environments might be a relatively low cost strategy to improve safety and quality in hospital care and to increase patient satisfaction.
2.5 Recommendation
Ensure that establish and sustain a safety culture
Create centralized and coordinated oversight of patient safety
Create a common set of safety metrics that reflect meaningful outcomes
Increase funding for research in patient safety and implementation science
Address safety across the entire care continuum
Support the health care workforce
Partner with patients and families for the safest care
Ensure that technology is safe and optimized to improve patient safety
Chapter III: CASE STUDY
3.1 Architectural Data Reference
3.1.1 Interior
Nigeria-Abuja International Medical Center
Size -6,000 m2
Main components:
Medical facility including : Emergency, Preventive medicine
ICU and patient wards
Services provided
Definition of the program
Preliminary planning.
Detailed planning and co ordination of planning.
3.1.2 Exterior
La Paz Medical CenterIn Bata Equatorial Guinea
120 beds hospital including:
4 Operating theatres, 12 beds ICU
2 labor and delivery rooms
8 beds new born nursery
Two 38 bed wards
Surgical and internal radiology institute including CT, X-Ray, fluoroscopy, mammography and Ultrasound
Dialysis unit
Gastroenterology institute
Services Provided
Definition of the program
Preliminary planning according to the program economic and engineering survey of the project
Economic and engineering survey of the project
Construction
Permits from relevant institutions
Detailed planning and coordination of planning
Execution of the project from start to finish.
3.2 Related Design Features
The design is based on the existing hospital's qualities and potential, and presents a cohesive sustainable, architectural, functional and technical vision of a clear, compact, green and inviting hospital complex.
Health-promoting setting
It was built., and the facility comprises a low, densely built hospital complex with a single overall traffic system and pleasant and welcoming courtyard gardens and day rooms.
The Hospital will build on these qualities to create a modern, health-promoting and restorative environment for patients, relatives and staff: The grounds of the hospital will be developed with landscaped areas, lakes and watercourses. All inpatient wards will have views of the green surroundings, ample daylight, courtyard gardens, green roofs and views are key elements of the concept of health-promoting architecture.
Clear and effective
From here, each with their own related courtyard garden area, making it easy to find one's way around the complex. The main hall will be expanded, and new courtyard gardens and roof lighting will be added.
Due to the compactness of the building, there will be fewer corridors in the new hospital, and shorter distances for staff to walk. The relatively limited area required in relation to the building's size will make it possible to add new wings in all directions at a later time.
Innovative logistics solutions
Technical installations such as electricity, HVAC, ventilation, fire prevention measures, etc. are traditionally centrally located in a hospital,decentralised, and located adjacent to each room. This will make optimum use of the available building space, keeping the floors free for the primary clinical functions. This will also help to ensure the future proofing of the building, since it will be easier to adjust the functions, and related technical supplies, of each room.
Mobile robots, or AGVs (automated guided vehicles), to transport meals, linen, medicine, used tableware, etc., and a pneumatic tube post system, will automate the internal logistics systems and release staff resources for the care and treatment of patients.
The hospital is thus designed to be a flexible response to future needs in terms of technology, treatment types and working methods, and will significantly improve the quality of patients' healthcare experience and the staff's working conditions.
3.3 Architectural Case Study
Case Study: Macau Island Hospital
With relevance to the above consideration in clinical laboratory design and planning similar concepts are adopted as part of the architecture and interior planning
of the new Macau Island Hospital in Macau, SAR. The physical design of the clinical lab and the quality of systems implemented are flexible and versatile enough to accommodate not only hematopoietic stem cell processing, but also adaptable to introduce a wide range of potential cellular and gene therapeutic projectsand trials in the future. This facility is designed
to be ready to apply for the following accreditations/ certifications/registrations:
CAP accreditation
AABB accredited
FDA registered
FACT/ISCT accredited
JACIE accredited
ASHI/EFI accredited
Macau Island Hospital
Pandemic Outbreaks Readiness
HKS was engaged by the Macau Health Bureau in the winter of 2014 to consult on the design of a new 1200 bed Macau Government Hospital Complex in Macau, SAR. As the HKS team began to conceive the design and planning for the new hospital complex, emergency and disaster preparedness were key elements of discussion during design phases. The new facility was designed with several key elements that support the hospital's objectives for meeting emergency and disaster preparedness initiatives.
Key Design Elements
Departmental Compartmentalization
Expandable/Convertible exterior space
Mass Casualty Decontamination Design Solutions
Dedicated Patient Transfer Elevators
Emergency Observation Unit Conversion to Pandemic
Isolation Floors
Mechanical System Infrastructure (Seasonal/Pandemic
Exhaust Design)
Emergency Department Design
The Emergency department was designed to operate under normal circumstances with 6 key zones including a Fever Clinic, multiple floors with 23-hour emergency observation, Level 1 Trauma/resuscitation rooms, Level 2 and 3 emergency room beds, Level 4 and 5 Fast Track/Triage area and dedicated CT and Radiology Imaging services. The final design (figure 2) was developed to allow for compartmentalization into multiple zones which provide isolation and expandability during a mass casualty or pandemic outbreak. The department was designed in such a way to allow for a portion of the emergency department to be isolated for a mass casualty or contagious outbreak, while at the same time allowing for the main emergency department to remain operational. Both the interior of the emergency department as well as the exterior were designed to allow for expansionand compartmentalization. Several design features (figure 3 a–b) are integral to allow for the expansion of exterior Emergency dropoffarea into a temporary triage area and separate decontamination area that allows for the treatment of potentially contagious or contaminated patients.
Structural davit connections or permanent ceiling mounted tracks can be provided to accommodate temporary fabric partitions or curtains.
Strategically located hose bibs with shower heads for decontamination of patients
Trench drains with dedicated plumbing diverted
Chapter IV: DATA REFERENCE ANALYSIS
4.1 Site Inventory
4.1.1 Site Selection
The property is situated in barangay sikatalfonso,cavite bounded in garden hills subdivision and in the municipality of laurel batangas.The Site is located in between Tagaytay and Alfonso Cavite.
4.1.1.1 Site Criteria
4.1.1.1.1 Major Criteria
-The stated site has a great opportunity for land use for a more future expansion as the hospital and users growing needs
-The hospital would also be a good site landmark in the area.
4.1.1.1.2 Minor Criteria
- The site has a great opportunity through its neighbouring establishments such as schools, hotels, restaurants, and village,
- The property location is situated near the cliff from taal lake of batangas that will greatly give good view and scenery for the patients and users of the hospital.
-This might be a good help in its neighbour villages for its medical needs.
4.1.2 Site Justification
The property has its good site location for it will give great opportunities and benefits through its neighbouring establishments. As its common known purpose of being a hospital it will give aid and medical assistance and needs for the site area location population.Such as its communities and tourist bounded from tagaytay city.
4.2 Macro Site Analysis
SOUTH WEST MONSOONNORTH EAST MONSOONSUNPATH
SOUTH WEST MONSOON
NORTH EAST MONSOON
SUNPATH
STRENGTH WEAKNESSES
-Proximity to the communities -Climatic conditions dew to -Existing frequent circulation surroundings -Contributes significantly in economic and social activity-Increasing passenger traffic
OPPURTUNITY THREAT
-A future development and expansion on the site -Security measures -Increasing establishment -Limited public transportation
4.2.1 Physical Profile
The property is situated in barangay sikatalfonso,cavite bounded in garden hills subdivision and in the municipality of laurel batangas
The Site is located in between Tagaytay and Alfonso Cavite.
TagaytayTagaytay City, (Filipino: LungsodngTagaytay), is a component city in the province of Cavite, in the Philippines. It is one of the country's most popular tourist destinations because of its outstanding scenery and cooler climate provided by its high altitude. Tagaytay overlooks Taal Lake in Batangas and provides views of Taal Volcano Island in the middle of the lake through various vantage points situated in the city. Tagaytay has a total land area of 66.1 km2 (26 sq mi) which represents about 4.37% of the total area of the Province of Cavite. It lies within 120° 56' longitude and 14° 6' latitude and overlooks Manila Bay to the North, Taal Volcano and Lake to the south and Laguna de Bay to the east.
Tagaytay is relatively close to the capital city of Manila, only 59 kilometres (37 mi) away via Aguinaldo Highway, providing an easy escape for the locals from the heat of the huge metropolis.
Alfonso is a first class municipality in the province of Cavite, Philippines. According to the 2015 census, it has a population of 51,839 people.
Alfonso is an upland town situated at the south-western portion of the Cavite province. It is 74 kilometers from Manila via Tagaytay City. Magallanes bounds it on the west, Batangas province on the south, Mendez and Tagaytay City on the east, General Aguinaldo on the north-west and Indang on the north-east.
4.2.1.1 Background of the Site
Alfonso was totally forested until the 17th century when a few pocket settlements sprouted. The town was originally part of Barrio Lumampong in the town of Indang. In the course of time, the pocket settlements grew into sitios and later on into barrios. The town became a separate district municipality from Indang on 16 May 1859 through the efforts of the community leaders BonifacioAveo and Felix delMundo. The new town was called Alas-as for a period of seventeen years. The name refers to the name of a tree used for the construction of houses and bears sweet fruit. It was, eventually, named after King Alfonso XII of Spain, son of Isabella II. Alfonso was initially composed of the barrios of Taywanak, Pajo, Esperanza, Marahan, Matagbak, Sinaliw and Kaytitinga. Don NarcisoMojica was the capitan municipal of Alfonso at the outbreak of the Philippine Revolution.
4.2.1.2 Physical Description
The property has almost trees as its vegetation it also has existing minor structures such as small house and guard houses. It also has existing 8m wide minor road inside that will be used as accessibility to building parking and hospital.
4.2.1.3 Population
Alfonso is an upland town situated at the south-western portion of the Cavite province. It is 74 kilometers from Manila via Tagaytay City. Magallanes bounds it on the west, Batangas province on the south, Mendez and Tagaytay City on the east, General Aguinaldo on the north-west and Indang on the north-east.
In the 2015 census, the population of Alfonso, Cavite, was 51,839 people, with a density of 780 inhabitants per square kilometre or 2,000 inhabitants per square mile.
Population census of Alfonso
Year
Pop.
±% p.a.
1990
28,944
—
1995
34,613
+3.41%
2000
39,674
+2.97%
2007
47,973
+2.65%
2010
48,567
+0.45%
2015
51,839
+1.25%
4.2.1.4 Maps
4.3 Micro Site Analysis
SUNPATHNSOUTH WEST MONSOONNORTH EAST MONSOON``
SUNPATH
N
SOUTH WEST MONSOON
NORTH EAST MONSOON
Chapter V: CONCEPT SHEET
5.1 Design Philosophy
. "The layout can affect the life and death circumstances of a patient because time is often a critical factor in a patient's care," - GeneKlow
5.2 Design Concept
Green building (also known as green construction or sustainable building) refers to both a structure and the using of processes that are environmentally responsible and resource-efficient throughout a building's life-cycle: from siting to design, construction, operation, maintenance, renovation, and demolition. In other words, green building design involves finding the balance between homebuilding and the sustainable environment.
As hospital projects to continue to grow and remain on a steady uptrend, health administrators are increasingly looking to introduce green initiatives and environment-friendly practices into the design, building and management of healthcare facilities. This shift to sustainable healthcare facilities is primarily centeredaround reducing the carbon footprint of hospitals and the incorporation of modern "Green Building" design elements into the healthcare environment to improve patient care and allow hospital occupants to feel more at ease.
5.3 Form Concept
MODERN ARCHITECTURE concept the aesthetically, durability
and its use will be maximize by its potential while preserving the classic Philippine architectural characters such as the influences of the conquerors. Wood & Stone materials and green architecture has been its prime architectural character.
RANDOM CUBES
5.4 Design Objectives
The Aesthetics is Important closely related to creating a therapeutic environment (homelike, attractive.) It is important in enhancing the hospital's public image and is thus an important marketing tool. A better environment also contributes to better staff morale and patient care. Dedicated service elevators for deliveries, food and building maintenance services.
To prepare an architectural brief that would help the architect to build a functional, economical and efficient hospital.
5.5 Design Considerations
ACCESSIBLE
Pertains to building elements, heights and clearances implemented to address the specific needs of disabled people.
Related topics:
Provide Equal Access and Flexibility
History of Accessible Facility Design
Beyond Accessibility to Universal Design
AESTHETICS
Pertains to the physical appearance and image of building elements and spaces as well as the integrated design process.
Related topics:
Understanding the Language and Elements of Design
Engage the Integrated Design Process
Design Awards
COST-EFFECTIVE
Pertains to selecting building elements on the basis of life-cycle costs (weighing options during concepts, design development, and value engineering) as well as basic cost estimating and budget control.
Related topics:
Utilize Cost and Value Engineering Throughout the Project Life Cycle
Use Economic Analysis to Evaluate Design Alternatives
Consider Non-Monetary Benefits such as Aesthetics, Historic Preservation, Security, Safety, Resiliency, and Sustainability
.
FUNCTIONAL / OPERATIONAL
Pertains to functional programming—spatial needs and requirements, system performance as well as durability and efficient maintenance of building elements.
Related topics:
Account for Functional Needs
Ensure Appropriate Product/Systems Integration
Meet Performance Objectives
HISTORIC PRESERVATION
Pertains to specific actions within a historic district or affecting a historic building whereby building elements and strategies are classifiable into one of the four approaches: preservation, rehabilitation, restoration, or reconstruction.
Related topics:
Apply the Preservation Process Successfully
Update Building Systems Appropriately
Accommodate Life Safety and Security Needs
Provide Accessibility for Historic Buildings
PRODUCTIVE
Pertains to occupants' well-being—physical and psychological comfort—including building elements such as air distribution, lighting, workspaces, systems, and technology.
Related topics:
Integrate Technological Tools
Assure Reliable Systems and Spaces
Design for the Changing Workplace
Promote Health and Well-Being
Provide Comfortable Environments
SECURE / SAFE
Pertains to the physical protection of occupants and assets from man-made and natural hazards.
Related topics:
Fire Protection
Occupant Safety and Health
Natural Hazards Mitigation
Security for Building Occupants and Assets
SUSTAINABLE
Pertains to environmental performance of building elements and strategies.
Related topics:
Optimize Site Potential
Optimize Energy Use
Protect and Conserve Water
Optimize Building Space and Material Use
Enhance Indoor Environmental Quality (IEQ)
Optimize Operational and Maintenance Practices
HOSPITAL
EFFICIENCY
FLEXIBILITY
THERAPEUTIC ENVIRONMENT
CLEANLINESS AND SANITAION
ACCESSIBILITY
CONTROLLED CIRCULATION
SAFETY/SECURITY
SUSTAINABILITY
