THE EXPANDABLE SMALL HOSPITAL HOSPITAL BIG IDEA The Expandable - - PowerPoint PPT Presentation

SMALL HOSPITAL BIG IDEA

The Expandable Hospital builds out in various directions, uti‐ lizing modular construction and technology. Ideal for rural, suburban or urban placement, expansion can occur in horizon‐ tal and vertical directions. Conceptually, the building core is the Octagonal “Great Room,” flanked by the modular wings of the

• hospital. The “Great Room” should be a welcoming center, a

vibrant family and patient community room, an education center, and the hub of the hospital. The patient wings should reflect the design of streetscapes that invite both the patients and hospital staff. The grounds should be a source of healing, with a wishing tree, a landscape labyrinth, reclamation water pond, and natural vegetation. The building materials and sys‐ tems should use natural ventilation and sustainable elements throughout the space. The hospital—itself—should heal.

THE EXPANDABLE HOSPITAL

EXPANSION/GROWTH CONCEPTS

The Expandable Hospital will grow in these ways.

Designed to be adaptable per‐site, the Expandable Hospital can easily be inserted into urban, suburban or rural areas as a common, customizable modular hospital format. This way it can similarly serve a wider range of patients and communities and place services in easily‐recognized places for Staff. But most importantly, it’s comfortable, and reflects how you would experience a public library

• r botanical garden.

And being modular, rooms and wings can be added efficiently, as needed. Here’s an example:

CORE CONCEPTS AND IDEAS

The Expandable Hospital site will be organized like this.

The environment for Kaiser Permanente Staff, Administration, Nurses and Doctors should facilitate their work. The environment for Kaiser Permanente’s Patients and Clients should holistically heal in it’s own way. Above all, the hospital’s exterior and interior environments should be so simple to navigate that it’s design puts you at ease the moment you walk in.

Some key points to The Expandable Hospital:

CORE CONCEPTS AND IDEAS

Construction Materials will be selected to be sus‐ tainable and to reduce life cycle cost (keeping it inexpensive to maintain). Electrical, mechanical, and plumbing systems will be designed to reduce lifecycle costs as well. Each wing is expandable horizontally, and vertically to three stories. One wing is administrative with offices and confer‐ ence rooms. One wing will lead directly to the Emergency Center. Corridors will serve as Patient “streets” with Patient lounges at their end. In the center of each Patient Wing will be a Nurs‐ es stations, the Doctors

• ffices, and a conference

room center. The Great Room will serve as an educational and recreational com‐ munity space. Because the wings and rooms are modular, they can each continue to expand in any direction.

The Expandable Hospital will provide patient amenities:

CONCEPTS AND IDEAS ‐ PATIENTS

Education Center in Great Room and Administration for better self‐care ser‐

• vices. An open environ‐

ment for learning about the self‐management of health. Creation of small rehab areas in specific de‐ partments instead of general rehab depart‐

• ment. (example – Orthopedics)

Computer Center for Families. IT Hubs – Wireless internet services for the patients and hospital Portable TV’s with disposable ear buds or headphones for patients. Keep noise down. Mini Hotel rooms to rent by the hour/ day (for an economical fee) for family members waiting for longer procedures. Comfortable lounge/ waiting rooms with nice chairs (lounge chairs for napping) . Electronic Board in the Great Room, like an airport that lets the family know if cases are later or running on time. Could give surgery updates, where the patient is or conditions. Patients would be num‐ bered to avoid privacy violations.

Garden walking path marked with distance (ex: ¼ mile, ½ mile, etc.)

The Expandable Hospital will provide staff amenities:

CONCEPTS AND IDEAS ‐ STAFF

Starbucks type kiosk in the Great Room for employees, patients and families. Web cams and screens in every patient room to communicate with hos‐ pital staff, nurses sta‐ tion, doctors, etc. Café like cafeteria and patio area Exercise gym for employees. Rest area for em‐ ployees to nap during long stays, with shower facilities. Conference Rooms throughout.

SITE CONCEPTS

The Expandable Hospital site should:

• Allow entrance to the Hospital

grounds from one, two, three or four sides, depending on the plan.

• Feature parking designed in a

radial pattern around the hospital building with continuous LED solar‐ powered lighting around the prem‐ ises.

• Feature a view toward the main

entry and Great Room from the courtyard.

• Be landscaped with natural, eco

‐conscious vegetation.

• Feature a walking trail for em‐

ployees as well as for patients that moves from indoors to outdoors.

• Include a site water reclama‐

tion pond and water reclamation areas throughout the site.

• Feature views of the hospital

that constantly changing depending

• n your perspective.
• Decorate the exterior metal

screens with visuals that emphasize Kaiser’s Thrive and Wellness con‐ cepts.

GREAT ROOM ENTRY COURTYARD KP MARKETING SCREEN MODULES WATER RECLAMATION POND RADIAL LED SOLAR LIGHTING CO‐GEN R A D I A L P A R K I N G

BUILDING CONCEPTS

The Expandable Hospital building should:

• Feature a view of the Great

Room and patient wings from the Main Entrance Plaza.

• Feature a walking trail for em‐

ployees as well as for patients that moves from indoors to outdoors.

• Feature views of the hospital

that constantly changing depending

• n your perspective.
• Decorate the exterior metal

screens with visuals that emphasize Kaiser’s Thrive and Wellness con‐ cepts.

• Allow for a community gather‐

ing area at the Main Entrance to the Plaza for multiple civic functions.

MAIN ENTRANCE AND PLAZA PATIENT WING, MODULAR UNITS GREAT ROOM PIVOTAL SOLAR UNITS METAL SCREENS

THE GREAT ROOM CONCEPTS

The Expandable Hospital “Great Room” will:

• Serve as a community room at the

center of the hospital, and a friendly first impression to patients and fami‐ lies, with a water element to provide a soothing effect .

• Provide amenities, including a

coffee kiosk (ex. Starbucks), lounge areas, interior landscaping, a pharmacy and small gift shop, with comfortable seating a lounge areas throughout.

• Include an Electronic Board in the

Great Room, much like in an airport, that keeps families informed.

• Include an Education Center and

learning area for better self‐care.

• Feature the Great Room exterior

entry courtyard a an important part of the indoor/outdoor concept, extending the community space outside.

• Include a full Pharmacy.

CAFÉ AREA CALMING WATER FIXTURE EDUCATION CENTER

THE CORRIDOR CONCEPTS

Corridors in The Expandable Hospital will be designed like this:

PATIENT STREET PATIENT LOUNGE GREAT ROOM PATIENT ROOMS PATIENT STREET PATIENT ROOMS DR. OFF. DR. OFF. DR. OFF. DR. OFF. CONFER‐ ENCE ROOM NURSES STATION FAMILY HOTEL ROOMS PATIENT ROOMS NATURAL LIGHT WELL NATURAL LIGHT WELLS SPECIAL THERAPY ROOMS

THE CORRIDOR CONCEPTS

Corridors in The Expandable Hospital will be planned in order to:

• Centralize the nurses station, doctors offices and conference

rooms for easy access and use.

• Best allow for all finishes to be anti‐microbial.
• Encourage wireless internet services for patient use.
• Naturally lead patients and family to the Lounge at the end of the

Patient Street.

• Allow for Patient modules to have a solar component that moves

with the position of the sun on the east, west and south sides of the building, as well as retain a view of patio rooftop areas and the build‐ ing’s unique exterior.

• Serve as a “Patient Street,” for interaction and information.
• Provide natural light through the skylight and light wells
• Present distinctive architectural entrances to each room
• Present warm and easy‐going seating and interior landscaping
• Allow for energy‐efficient LED light fixtures to be suspended from

the ceiling.

• Use warm materials (sustainable woods finishes) and colors to

make the spaces more inviting.

LIGHT WELL PATIENT STREET PATIENT STREET CENTRAL NURSES STATION LOUNGE ENVIRONMENT WIRELESS INTERNET ACCESS WARM FINISHES/ MATERIALS DESTINCTIVE ENTRYWAYS

LANDSCAPE CONCEPT

The Expandable Hospital landscape design will appear like this:

LANDSCAPE CONCEPTS

• Calming and intimate “Human scale” spaces as a respite from the less‐private interiors of the hospital.
• Barrier‐free settings that allow all users—handicapped or not—to experience the garden spaces.
• Energy‐conscience design which shows best Green practices, such as carbon footprint reduction and water

management.

• A Healing Garden, as well as promote healing through sensual design elements such as the following:
• 1. Planting seasonal, hypoallergenic flowering plants. Plants should provide a variety of texture and color,

both in their seasonal flower as well as leaf and structural qualities.

• 2. Providing soothing sounds by means of active water elements with bubbler jets or falling water.
• 3. Providing plants that attract birds, and even consider using an integrated outdoor music system.
• 3. Tactile and visual elements such as Koi pond w/ water lilies, kinetic elements such as wind sculpture

(Mobiles), raked garden, etc…

• 4. A Wishing Tree to encourage patients and guests to write down their “Wishes/Prayers” to place on a

pedestal/tree in the outdoor space.

• 5. A Healing Labyrinth to promote focus and meditation.
• 6. Design elements that evoke a need to touch, such as such as rammed earth or rock walls w/welded wire

frame.

The Expandable Hospital should nurture social interaction and allow privacy by involving these elements:

SUSTAINABLE AIR SYSTEMS

The Expandable Hospital will be designed in a completely sustainable way:

Heating/Ventilation/Air Condition (HVAC) Systems will include:

• Natural ventilation by using the height of the building as a “chimney” and

allowing hot air to rise to draw fresh air in through openings on the lower

• floors. Filtration will be needed.
• Heat recovery by using water alongside heat pumps. Removing heat from
• ne water loop creates chilled water, while rejecting this same heat into anoth‐

er loop creates hot water. The efficiency is greatest when simultaneously heat‐ ing and cooling.

• Geothermal heating and cooling, using ground source heat to loop pipe

condenser water below the Earth’s surface to absorb or reject heat as needed. Taking the place of a cooling tower, this system saves fan energy and water.

• Green refrigerant, and use no chlorofluorocarbons (CFCs) or halogenated

chlorofluorocarbons (HCFCs) as refrigerants.

• Demand‐controlled ventilation, and use Carbon Dioxide sensors to modu‐

late fresh air in densely‐occupied spaces, cooling only as much fresh air as the space needs.

• Economizers, and use 100% fresh air when outside temperatures allow for

“free cooling”.

• Earth Tubes, which will bring fresh air into the building via numerous

small pipes buried 6 or more feet below the surface. This system uses the earth to pre‐cool air.

• Commissioning, which will involve installing an efficient system to con‐

stantly test to ensure that the desired results have been achieved.

DEMAND‐ CONTROLLED VENTILATION GEOTHERMAL TEMPERATURE CONTROL EARTH TUBES NATURAL VENTILATION IN GREAT ROOM GREYWATER REUSE

SUSTAINABLE WATER & ELECTRICAL SYSTEMS

The Expandable Hospital will be designed in a completely sustainable way:

Plumbing Systems will include:

• Storm water management which should be used for irrigation. Excess

storm water should be used to recharge ground water.

• Siphonic roof drains that can be used to convey storm water using zero‐

slope to a central location for storm water management.

• Solar water heating which will use any space not better‐served with photo‐

voltaic panels.

• Low‐flow fixtures which will be applicable for non‐hospital fixtures such

as break room sinks and public restrooms.

• Grey water re‐use by first treating grey water to Title 22 requirements and

then piping the reclaimed water for use in toilet flushing. Electrical Systems will include:

• A Co‐generation system which will provide onsite gas‐powered emergency

generator with heat exchanger to reuse waste heat for hospital hot water and heating use.

• Photovoltaic panels that will fill unused areas of the roof to minimize grid‐

based power consumption.

• A Dynamic lighting control system responsive to individual use and out‐

door lighting levels.

• Lighting Fixtures that use LED and fluorescent luminaries.

CO‐GENERATION SYSTEM SIPHONIC ROOF DRAINS PHOTOVOLTAIC PANELS DYNAMIC/PIVOTING LIGHTING CONTROL SYSTEM (SOLAR SYS‐ TEM TO TRACK SUN PATH)

SMALL HOSPITAL BIG IDEA

The Expandable Hospital is a democratic design. It is an easy‐to‐build hospital that serves patients, staff and profession‐ als with minimal upkeep and maximum efficiency. But most im‐ portantly, it can serve many people in many proactive ways.

THE EXPANDABLE HOSPITAL