Direc'ons in Danish Healthcare Design by Søren Daugbjerg

Størrelse: px

Starte visningen fra side:

Download "Direc'ons in Danish Healthcare Design by Søren Daugbjerg"

Ellen Frandsen
5 år siden
Visninger:

1 Direc'ons in Danish Healthcare Design by Søren Daugbjerg

2 Agenda 1. Vilhelm Lauritzen Architects 2. Background 3. New Psychiatric Hospital in Slagelse 4. New Hospital North Zealand in Hillerød 5. Steno Diabetes Center Copenhagen 6. Q&A

3 1. Vilhelm Lauritzen Architects

4 VLA: A Copenhagen based architectural office. Wide porqolio of projects: housing, private and public many complex projects 140 staff mostly architects Established in 1922

5 2. Background

6 Quality Fund Projects in Denmark Na'onal expecta'ons 2007 to 2020 : Outpa'ent treatments increases by up to 50% Average stay for inpa'ents decrease from 5 to 3 days Need for beds decrease by 20 % Specializa'on and centraliza'on combined with more pre-hospital and community based diagnos'cs and treatment New technology and new treatment methods means need for flexibility

7 Quality Fund Projects in Denmark Resul'ng in: 8,2 billion CAD / 5,5 billion Euro investment ( index 09) to be realized before 2020 in 14 Soma'c Hospital Projects 2 Psychiatric Hospital Projects Reduc'on of main hospitals in Denmark from 40 to 21 FAM ( consolidated emergency unit ) an acute hospital within the hospital Single pa'ent bedrooms ( reduc'on of infec'on risks + treatment in room ) 20% of investment is reserved for IT-Medico / Equipment Reduc'on in opera'onal costs by 4 %-8 % of the overall opera'onal budget

8 3. New Psychiatric Hospital in Slagelse Quality Fund Project

9 The team Client Region Sjælland (Region Zealand) Main consultants and architects Karlsson arkitekter / Vilhelm Lauritzen Sub contractors Schønherr, landscape MOE, engineering construction NNE Pharmaplan,engineering installations Cenergia Energy, environmental consultants Consultants Bartenbach Lichtlabor, light consultants ARUP, glass constuctions

10 The assignment New psychiatric hospital Size m bia. dkr /162 million Euro Scope individuel patientrooms generel, forentics and high security - facilities for therapi, sports and activity - clinics, research and educating facilities employees

11 - national focus on health... 7 bio euro - renewing the infrastructure of Hospitals throughout the whole country, mostly Somatic, but also psykiatric.

12 UDVIDELSE AF SOMATISK SYGEHUS LUNDE AF TRÆGRUPPER UDLÆG 120 PLAD- SER SOMATISK SYGEHUS PARKERING PARKERING 200 PLADSER PARKERING LUNDE AF TRÆGRUPPER LUNDE AF TRÆGRUPPER STADIONVEJ PARKERING PARKERING 70 PLADSER VEJ SKRÅNING POLITI ADGANG ADGANG KÆLDER SKADESTUE / AMBULATORIUM FORPLADS VIDENSCENTER HOVED INDGANG VAREGÅRD POLITI ADGANG GRØNNINGEN SVØMME OG IDRÆTSFACILITETER VESTIBULE / CAFÉ CAFÉ STILLEHAVE GÅRDHAVE Bygherre Region Sjælland TENNISBANER STI SKRÅNING STILLEHAVE GÅRDHAVE FÆLLES HAVE ALMEN PSYKIATRISK PATIENTOMRÅDE SPORTS- BANE STILLEHAVE GRØN KILE STI SPORTSBANE GÅRDHAVE STILLEHAVE RETSPSYKIATRISK PATIENTOMRÅDE STILLEHAVE GÅRDHAVE SIKRINGEN LØBESTI SØ Totalrådgiver Karlsson arkitekter / VLA EGETRÆER Underrådgivere Schønherr Moe & Brødsgaard NNE Pharmaplan Cenergia Energy Consultants CIRKUS- PLADS Bartenbach Lichtlabor Signal SKRÅNING OPHOLDSKANTER STI SØ SIV SKRÅNING SKRÅNING GAPS PROJEKTKONKURRENCE EVT. STI OVER MOTORVEJ KARLSSON ARKITEKTER/VLA 2010 SITUATIONSPLAN

14 - the scope café high security 30 emergency main entrance out patient clinics clinics, workspace research education psychiatry 114 forensic 50

15 - treatment in the patient sections work Kontorarbejdspladser space behandlingsområder activity / treatment fælles facilities Ledelse mangement, på tværs staff afsnnit Patientafsnit ward -/ social størrelse group

16 - daytime staff area common activities - day time

17 KONKURRENCEFORSLAG Kontorer, teams m.m. Behandlingsområder Akutmodtagelse Undervisning Kantine, auditorium NYT UDKAST Undervisning Ambulatorium Akutmodtagelse Kontorer, teams m.m. Kantine

18 Belysning light guiding system from the public space to the most private patient rooms

19 På patientstuen Ophold i afsnit nær patientstue Fælles aktivitet i afsnit Gå lidt rundt uden for afsnit aktivitet uden for afsnit

20 På patientstuen Ophold i afsnit nær patientstue Fælles aktivitet i afsnit Gå lidt rundt uden for afsnit Fælles aktivitet uden for afsnit

21 På patientstuen Ophold i afsnit nær patientstue Fælles aktivitet i afsnit Gå lidt rundt uden for afsnit Fælles aktivitet uden for afsnit

22 På patientstuen Ophold i afsnit nær patientstue Fælles aktivitet i afsnit Gå lidt rundt uden for afsnit Fælles aktivitet uden for afsnit

23 På patientstuen Ophold i afsnit nær patientstue Fælles aktivitet i afsnit Gå lidt rundt uden for afsnit Fælles aktivitet uden for afsnit

24 - view from parkside

25 generel psychiatric, garden area

26 main entrance /reception

27 atrium - clinics and workspace

28 new ways of working...

29 daylight / artificial light combinations

(kontorer, stillerum, møde) Den centrale placering giver godt udsyn og nærhed

30 Køkkenhave Anretterkøkken Skærm gård Fælles haverum Udsigt Skærm ophold Gårdhave og udekøkken Ophold / tv-stue Multifunktionsrum Udsigt Personale (kontorer, stillerum, møde) Den centrale placering giver godt udsyn og nærhed til ophold og aktiviteter inde og ude Patientstuer Stillehave mellem patientstuer Multirum

31 change of tranparency

32 pallette - walls GUL A09 LYS GRØN A08 OMRÅDEFARVER VÆGFARVER - NCS Hvid B21 B22 B01 GRÅ A03 B20 B02 B19 B03 B18 B04 B17 B05 B16 B06 GYLDEN A06 B15 B07 BLÅ A01 B14 B08 GRÆSGRØN A07 B13 B09 KLAR BLÅ A02 B12 B11 B10 VIOLET A05 LILLA A10 RØD A04

34 patient areas

35 - outdoors

36 inactive

37 open doors

38 open rooms

New Psychiatric Hospital in Slagelse Post occupancy: It is very difficult to akract staff namely doctors / psychiatrists Hospital to 1,2 billion dkk is half empty with lots of

41 New Psychiatric Hospital in Slagelse Post occupancy: It is very difficult to akract staff namely doctors / psychiatrists Hospital to 1,2 billion dkk is half empty with lots of vacant beds ( Berlingske Newspaper ) Only Common Psychiatry and the Secured Department is up and running. The Forensic Psychiatry Department is s'll wai'ng to open due to lack of staff.

New Psychiatric Hospital in Slagelse Post occupancy: The planned reduc'on in opera'onal costs 4-8 % is achieved all ready by consolida'ng the former 4 psychiatric facili'es, that the hospital

42 New Psychiatric Hospital in Slagelse Post occupancy: The planned reduc'on in opera'onal costs 4-8 % is achieved all ready by consolida'ng the former 4 psychiatric facili'es, that the hospital replaces. For instance now only one emergency department instead of four. The budget for area, where the new hospital is situated, has thus been reduced from 37 mio CAD / 25,1 mio Euro to 34 mio CAD / 22,5 mio Euro to process a total of inpa'ents and outpa'ents. Poor work environment in the psychiatric hospital ( TV Øst website for regional broadcashng ) Lack of staff in combina'on with budget reduc'ons leads to a very stressed work environment and mixed enthusiasm.

New Psychiatric Hospital in Slagelse Lessons learned: It takes 'me for the staff to learn how to operate in the new facility The reduc'on of force is decreasing well in certain new departments The

43 New Psychiatric Hospital in Slagelse Lessons learned: It takes 'me for the staff to learn how to operate in the new facility The reduc'on of force is decreasing well in certain new departments The purchased beds are not op'mal. Staff complaints about occupa'onal health issues. CondiHons on Psychiatric hospital are being crihzed. Here is the region s answer ( TV Øst website for regional broadcashng ) Pa'ent has felt exposed during treatment, as they could be seen and heard from the outside. So much for transparency? We architects and users - have not got the degree of transparency right from the beginning. More masking of the glass walls will be introduced. Inves'ga'ons on beker sound insula'on are ongoing.

44 New Psychiatric Hospital in Slagelse Amazing reviews and awards for architecture and design:

45 4. New Hospital North Zealand Quality Fund Project

46 New Hospital North Zealand Client: Capital Region, Copenhagen Architects: Herzog & DeMeuron, Vilhelm Lauritzen Arkitekter Engineers: Ramboll, Moe Landscape: Vogt Landscape Serving ci'zens Floor Area: m2 570 single pa'ent rooms outpa'ent treatments per year 20 Clinical func'ons 4000 Employees

49 Concept The plan is the marriage of two contradictory needs: The desire for a large central garden and the necessity for short internal connections.

50 Circulation & Accessibility: The main flows (outpatient, inpatient) are separated vertically. The two levels of the pedestal each serve a primary flow wards wards Therapies / Dialysis / Canteen Diagnostic Imaging / FAM Technical Plant Spaces Outpatient Clinics ICU / Surgery Main entrance FAM entrance

51 NHN Hospital

Level 1 Functions Laboratories Mammography Blood sampling ENT Staff Orthopaedic surgery, Anaesthesiology Rehabilitation Gynecology & Obstetrics, Neurology

53 Level 1 Functions Laboratories Mammography Blood sampling ENT Staff Orthopaedic surgery, Anaesthesiology Rehabilitation Gynecology & Obstetrics, Neurology Administration Research & Education FAM Canteen Oncology Pulmonary Chemotherapy Main Entrance Paediatrics, Cardiology Ophtalmology, Rheumatology, Nefro & Endocrinology Dialysis

55 Level 0 - Functions Surgery Recovery Lockers Endoscopy Delivery Woman & Child FAM Chapel Intensive Care Lockers Emergency - Public Ambulance Diagnostics & Imaging Day Treatment Helipad

57 Lobby Plan Mammography ENT STAFF ENTRANCE Bedwards access Surgery access Rehab Blood sampling Access to roof garden Main lobby Auditorium ICU access Bedwards access Canteen D&I access Bedwards access Reception MAIN ENTRANCE

59 Level 2 functional plan ENT Neurology Orthopedic Neuro rehabilitation Orthopedic Oncology Cardiology Pediatric Pulmonary

60 Bed Ward Support Functions

65 Outpatient Clinic Typical Department Layout

68 5. Steno Diabetes Center Copenhagen

69 Steno Diabetes Center Copenhagen Client: Region Hovedstaden, Copenhagen Architects: Vilhelm Lauritzen Arkitekter, Mikkelsen Arkitekter Engineers: COWI A/S Landsscape: STED Floor area m2 + parking basement with 300 spaces Year: 2016 (konkurrence, 1. prize). Expected to be realized in pa'ents per year Locayed next to the regional Herlev Hospital

70 CONCEPT

72 LAYOUT

73 Sec'on Ground Floor Plan First Floor Plan

76 6. Q & A

Relaterede dokumenter

New Hospital & New Psychiatry Bispebjerg

New Hospital & New Psychiatry Bispebjerg The Bispebjerg Construction Project EUHPN, October 2012 Hospital plan for the Capital Region A major restructuring project of the Danish hospital structure is now taking place. Each of the 5 regions develops