Green Building Council of Australia

SAN RAFAEL GENERAL HOSPITAL : ARCHITECTURE THAT CAN HELP TO THE HEALING PROCESSLANSANG, PRINCESS JOY G.2011123109Background of the studyHospitals play an essential role in the whole world. Hospitals are health care institutions that serves 24/7. it serves as the core of health care delivery in the Philippines, offers high-quality medical care. However, even the best hospitals may not meet the standards of medical care, sanitation, comfort andinfrastructure design of hospitals in other countries. Hospitals in the Philippines are one of the structure of yesterday that simply not able to deliver todays clinical services and these buildings are not designed for sustainability. JUSTIFICATIONWhat : A SUSTAINABLE, GENERAL HOSPITAL : ARCHITETURE THAT CAN HELP TO THE HEALING PROCESSWhy : THERE ARE LOT OF ISSUES EMERGING IN HOSPITALS, EX. ARE TOO MUCH ENERGY CONSUMPTION, WRONG CIRCULATION, NOT READY FOR FUTURE DEVELOPMENT, HOSPITALS IN THE PHILIPPINES ARE SIMPLY CANNOT COPE WITH TODAYS ISSUES. AS A STRUCTURE THAT OPENS 24/7 TO THE PUBLIC, PROBLEMS AND ISSUES IN INFRASTRUCTURE NEEDS TO BE SOLVE FOR THE SAFETY, SECURITY AND COMFORT OF THE USERS ALL THE TIME. Who : TARGET USERS - PUBLIC Where : SAN RAFAEL, BULACAN

Hospitals pose a demanding situation in power generation. With an fully occupied wards operating 24 x 7, a typical hospital utilizes hundreds of kilowatts of power daily, taken entirely from the grid. Its a massive challenge for hospitals to deploy energy saving programs. Moreover, the high cost of electricity in the Philippines takes its toll on large-scale power consumers like hospitals. To make the establishment financially viable, the cost is shared with patients, thereby increasing the price tag on healthcare.

In this regard, a system that pays for itself through energy savings makes business and environmental sense.THESIS FOCUSIMPROVEMENT OF GENERAL HOSPITAL

SUSTAINABILITYGREEN ROOFVEGETABLE FARMINGRADIANT AND WIND ENERGYINDOOR GARDENIMPROVED SPACESADDITIONAL SPACESNATURE AND ART

STATEMENT OF THE PROBLEM:What are the most common problem in the infrastructure of a hospital?What are the improvements and innovations that can be applied to the design of a hospital?How can nature and art affect the healing process?How can nature and art improve the hospital?How can this hospital be sustainable?

PROJECT GOALS, OBJECTIVESAND STRATEGIES

To improved and introduced new spaces that are needed.To create a patient focused, patient centered architecture.To have an architecture that can help to the healing process.To have a sustainable structure. Introducing new approaches to lessen energy consumption.To design a hospital that is connected to nature and environmental-friendly.Easy access of the usersControlled Circulation

PROJECT GOALS, OBJECTIVES AND STRATEGIESTo improved and introduced new spaces that are needed.To create a patient focused, patient centered architecture.To have an architecture that can help to the healing process.To have a sustainable structure. Introducing new approaches to lessen energy consumption.To design a hospital that is connected to nature and environmental-friendly.Easy access of the usersControlled Circulation

SIGNIFICANT OF THE STUDY (BENEFACTORS)CONTRIBUTION TO THE DEVELOPMENT OF GENERAL HOSPITALS.PROMOTES SUSTAINABLE DESIGN.SOLVES THE CURRENT PROBLEM OF GENERAL HOSPITALS.CAN BE A NEW START FOR HOSPITAL DESIGN IN THE PH.RESEARCHERS ABOUT GENERAL HOSPITAL

SCOPE AND LIMITATIONThis study will focus on the ff: architectural problems and possible solutions in the improvement of a general hospital.This will focus more on the design of the structure in terms of space, functionality, sustainability, and circulation.limited to architectural design.

Sustainable Design Theory Green Theory VERTICAL FARMING THEORYComplex systems

data gathering from reliable sourcesinterview from different professionals that are related to the study. Natural Observations in the hospital

CONCEPTUAL FRAMEWORKASSUMPTIONSREVIEW OF RELATED STUDIESLOCALST. Lukes HospitalUSTH

INTERNATIONALKLINIKUM KLAGENFURT Austria's third largest hospitalSwedishs Issaquah Highlands hospital

RESEARCH METHOD USEDdescriptive methodcase studyInterviewgroup discussionSurveyresearch of facts.Article reviews RESEARCH INSTRUMENTSobservation techniqueconducted interviewSurveygroup discussion. RESEARCH LOCAL (UDMC)NEED ANALYSISIMPROVED SPACESA HOMING HOSPITALIMPROVE LIGHTINGIMPROVE VENTILATIONADDITIONAL SPACEPLAYGROUND FOR KIDSSTUDY AREA FOR DOCTORS AND PATIENTSIMPROVE CIRCULATIONACCESSIBILTYRECREATIONAL ROOMCONNECT TO ENVIRONMENT

PROBLEMATIC STRUCTURE:PROBLEMS:LIGHTINGVENTILATIONSPACESCIRCULATIONACCESSIBILTYINDOOR ENVIRONMENT QUALITYENERGYDESIGNAMBIANCECANT COPE WITH TODAYS TECHNIOLOGYEXPANSION

Population Universegroup discussion with the doctorsinterviews from the community of the chosen

Sampling Procedureprobability samplingrandom samplingProfessionalsGroup Discussion (3 doctors)Based on the information gathered, the need analysis came up to satisfy the needs of the users.Waiting area for visitorsAdditional outletsLEED lightsEntertainment room and study area for doctors

SUGGESTED SPACESAway zonesArt recovery program/creative art studioOpen spaces (gardens/healing sanctuary)Recreational room ( kids and adults )Playroom for kids

Conclusions and RecommendationsIt is important to examine the issues that emerging in hospitals today to see the current problems. Hospital should be sensitive not just to the needs of patients but also to the needs of the staff, nurses, doctors and visitors including patients family. Lot of hospitals doesnt meet the needs of these users, they focuses on the needs of the patients physically. Studying and analyzing the issues in the hospital architecturally shows lot of problems, using the developing trends and various strategic options available for designing, planning and constructing hospital can help a lot to innovate the structure and adapt to the environment today. RESEARCH FOCUS(RATIONALE)With hospitals playing a big role in the community it and in the health care system. They are health care institutions that delivers medical related services 24 hours per day, 7 days per week. Hospitals should meet the demands of the users continuously. Hospitals must continue to evolve in response to factors such as changing health care needs, population growth, changing environment and emerging technologies. Principles and Relevance to the Projectprinciples of Go green/sustainablehumanizing architecture principleDOH and NBC laws and regulationprinciples in Achievement of Patient Centered Care,Principle of using genericPrinciples to Support Economic ViabilityPrinciple of protection, separation, circulation and control.to meet the current needs and solve the issues of the hospitals.Application to the ProjectWith the use and application of the developed principles, an innovative vision of general hospital can be successfully established. The Improved design of the hospital can make a big difference and be a new start for an improved new experience for health care institutions. Site Identification and AnalysisCriteria for Site Selection

Environment: A hospital and other health facilities shall be so located that it is readily accessible to the community and reasonably free from undue noise, smoke, dust, foul odor, flood, and shall not be located adjacent to railroads, freight yards, children's playgrounds, airports, industrial plants, disposal plants.

Site selectionLevel 3 hospital Malolos BulacanLevel 2 hospital Malolos, Pulilan, Plaridel, 3-Meycauayan, 2-BocaueLevel 1 hospital 6 Baliwag, San Jose Del Monte, Bulacan, Calumpit, Giginto, 3 Hagonoy, Nor Zagaray, 4 Sta. Maria, San Miguel, Malolos, 2 Balagtas, 3 Bocaue, 2 bustos, calumpit, guguinto, marilao, 6 meycauayan, nor zagaray, paumbong, 5 plaridel, 3 pulilan, 1 san ildefonso, san Miguel, 13 malolos.None Dona Remedios Trinidad, obando, pandi, san rafaelSan Rafael is one of the municipality of Bulacan that doesnt have a hospital with its 86,000 population. 20SAN RAFAEL BULACANa first class municipalityPopulation: 86,000 as of 2010 with an annual growth rate of 2.1%Projected population of 2020 : 105,768Composed of 11 subdivisions, 5 banks, 6 cemetery, 13 hotels and resorts, 32 elementary schools, 11 secondary schools, 1 technical and 1 collegeDoesnt have a general hospital

Indicator2010 population2000 PopulationPopulation Growth RatePhilippines92,337,85276,506,9281.90Central Luzon10,137,7378,204,7422.14Bulacan2,924,4332,234,0882.73San Rafael85,92169,7702.10

SITE CRITERIA (DOH)A hospital and other health facilities shall be located hat is readily accessible to the community and reasonably free from undue noise, smoke, dust, foul odel, flood and shall not be located adjacent to railroads, freight yards, childrens playground, airports, industrial plants, disposal plants.JUSTIFICATION:

CRITERIA/FACTORSGENERAL WEIGHT SITE A SITE B SITE CLOCATION/AREA/ACCESSIBILTY10%10109CONTOUR OF LOT10%10810VEGETATION10% 101010AVAILABILTY OF VIEW10% 999NOISE10% 10810DUST10% 999SMOKE10% 999FOUL-ODOR10% 10 10 10FLOOD10% 107TOTAL 100%979194LOT A - 091

AREA: 42, 693

EASY ACCESS TO BUS TERMINAL

ACCESSIBILITY ENVIRONMENT/VEGETATION NOISE FREE DUST FREE SMOKE FREE FLOOD FREE ADJACENT TO: MUNICIPAL HALL POLICE STATION FIRE DEPARTMENT

SITE B-88,89,37AREA: 16,090ACCESSIBILTY

NEAR THE ON GOING PROJECT OF BYPASS.NEAR SAN ILDEFONSONEAR THE GAS STATIONENVIRONMENT/VEGETATION NOISE FREE DUST FREE SMOKE FREE FLOOD FREE

C-03AREA: 30,664ACCESSIBILTY ENVIRONMENT/VEGETATION NOISE FREE DUST FREE SMOKE FREE FLOOD FREE

CHOSEN SITE:SITE A IS THE CHOSEN SITE.AREA : 42, 693LOCATION : OPPOSITE OF THE MUNICIPALITY OF SAN RAFAELTARGET USERS : COMMUNITY LIVING IN SAN RAFAEL AND NEIGHBORING MUNICIPALITYACCESSIBILTY: ALONG THE MAJOR ROAD. PROBLEM DIAGNOSISBUILDING TYPE :INSTITUTIONALLOCATION :SAN RAFAEL , BULACANLOT AREA : 42, 693 SQMLEAGAL PARAMETERS :NATIONAL BUILDING CODEACCESSIBILITY LAWFIRE CODELOCAL CITY ORDINANCEOCCUPANTS :DOCTORS AND NURSESADMINISTRATORSTAFF / EMPLOYEESPATIENTSVISITORS

DESIGN CRITERIATO DESIGN A 200 BED LEVEL 2 GENERAL HOSPITAL THAT WILL CATER THE GROWING NEEDS, IN TERMS OF HEALTH, IN SAN RAFAEL, BULACAN. THE DESIGN OF THE FACILTY MUST BE ONE-OF-A-KIND HOSPITAL, THE ARCHITECTURE OF HOSPITAL MUST HELP TO THE HEALING PROCESS OF THE PATIENTS, CONNECTING ENVIRONMENT, ARCHITECTURE AND THE USERS. MUST COMPETE WITH THE TOP HOSPITALS IN TERMS OF FACILITIES.PHILOSOPHYP R O G R A M M I N GTHE FIRST RULE OF SUSTAINABILITY IS TO ALIGN WITH NATURAL FORCES, OR AT LEAST NOT TO TRY TO DEFY THEM.PAUL HAWKENSITE ANALYSIS

BEHAVIORAL ANALYSIS

SURGICAL SUITE

FUNCTIONAL ZONING

ORGANIZATIONAL STRUCTURE

MATRIX AND INTER-RELATIONSHIP DIAGRAM

COMPUTATION : PROJECTED POPULATION 5 YEARS FROM 2015FIRST CATCHMENT : SAN RAFAEL, BULACAN : 105, 768SECOND CATCHMENT :CANDABA : 129, 394BALIUAG : 170, 542SAN ILDEFONSO : 100, 967DONA REMEDIOS : 23, 044ANGAT : 64, 595

BED COMPUTATION: TOTAL POPULATION (PRIMARY CATCHMENT) : 105, 768TOTAL POPULATION (SECONDARY CATCHMENT) : 488, 532TOTAL NO. OF BEDS = 365TOTAL BEDS : 365/594,300 = 0.0006LACK OF 230 BEDSCONCEPT DEVELOPMENTARCHITECTURAL (concept)STRUCTURAL

STEEL CONSTRUCTIONENERGYUSE OF SOLAR PANELSUSE OF WIND TURBINESUSE OF AUTOMATIC ENERGIESRENEWABLE ENERGIESUSE OF RENEWABLE ENERGIES TO LESSEN THE ENERGY CONSUMPTION OF THE HOSPITAL.

COLUMN ALIGNMENTSteel is a "green" product; it is structurallysound and manufacturedTo strict specificationsand tolerances. It is alsoenergy efficient. AnyExcess material is 100%recyclable.Steel does not easily warp, buckle, twist or bend,and is therefore easy to modify and offers designflexibility. Steel is also easy to installSteel allows for improved quality of construction and less maintenance, while offering improved safety and resistance.With the propagation of mold and mildew in residential buildings, using steel minimizes these infestations. Mold needs moist, porous material to grow. Steel studs do not have those problems.COLUMN ALIGNMENT FOR STABILITYDescription The Angel Festival in San Rafael, Bulacan is an extravagant parade where thousands of young people dance on the streets as "angels dressed in colorful and magnificent costumes"

LIGHTINGELECTRICALPLUMBINGMECHANICALFIRE PROTECTION

REFLECTION OF LIGHTS

USE OF NATURAL LIGHTNG - TO SAVE ENERGY (FOR HALLWAYS)USE OF LED LIGHTS (ALL LIGHTS WILL BE LED LIGHTS) USE OF LIGHT COLORS FOR REFLECTION (LIGHTS REFLECTS MORE ON LIGHT COLORS) USE OF CURTAIN WALLS (FOR LIGHTS TO ENTER THE STRUCTURE) USE OF LIGHTING SHELFALIGNMENT OF PIPESCOLOR CODING SYSTEMUSE OF SEPTIC TANKSUSE OF WATER RECYCLING SYSTEM

SPRINKLER SYSTEM AND USE OF GREY WATERthe system is inherently eco-friendly. In the event of fire, not only is less water used (typically10-20 times less water than the Fire Service would need to apply), but also, by acting early on, the sprinkler system minimises the polluting effects of the fire, whether from smoke or fire service runoff.UNINTERRUPTIBLE POWER SUPPLYUSE OF BACK-UP GENERATORS

NATURAL VENTILATIONCENTRALIZATIONAUTOMATIC AC

A reliable UPS will guarantee a flow of continuous, clean power to the data center no matter what happens on the power supply side. No critical data center operates without an effective UPS.To attain zero downtime, a continuous supply of clean power must be and a key component in ensuring this is the uninterruptible power supply (UPS).LESS ENERGY CONSUMPLTIONAVOID BLDG. SICK SYNDROME

34SCHEME 1

SITE DEVELOPMENTBASEMENT

GROUND FLOOR PLANSECOND FLOOR PLAN36

TYPICAL PLAN 3RD FLOOR AND UPSCHEME 2

SITE DEVELOPMENTBASEMENT

GROUND FLOOR PLANSECOND FLOOR PLAN

TYPICAL PLAN 3RD FLOOR AND UP