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FUTURE HEALTH AND MEDICAL PLAN / STOCKHOLM NEW KAROLINSKA UNIVERSITY HOSPITAL CHARLOTTE RUBEN Architect and Partner, White Arkitekter, Sweden EHD2016 LONDON 27-29 JUNE

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Page 1: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

FUTURE HEALTH AND MEDICAL PLAN / STOCKHOLM

NEW KAROLINSKA UNIVERSITY HOSPITAL

CHARLOTTE RUBEN Architect and Partner, White Arkitekter, Sweden

EHD2016 LONDON

27-29 JUNE

Page 2: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL June 2, 2016

Page 3: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL ”FORUM KAROLINSKA” – 1ST PRICE - DESIGN COMPETITION 2006

Page 4: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

Clarc Center, Stanford Mission Bay

UCLA, Ronald Reagan MC

Mayo Clinic Northwestern Memorial Hospital

Texas Medical MC

Johns Hopkins MC

New York University MC

New York University MC Leiden MC

Radboud MC

London

NEW KAROLINSKA UNIVERSITY HOSPITAL BENCHMARK 2005-7

Page 5: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL June 2, 2016

Page 6: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL MISSION

THE PATIENT ALWAYS FIRST

Page 7: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

Akademiska Uppsala

Danderyd

Huddinge Karolinska

Linköping

NKS

CURRENT HEALTHCARE PROJECTS BY WHITE

€9.5 BILLION National investment plan (2010-20)

Page 8: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

2013 Sweden was top-ranked

for successful outcome!

Based on:

– Equity

– Publicly financed “free”

– Cost efficient (9 of GDP)

SWEDISH HEALTHCARE SWEDISH HEALTHCARE IN TRANSITION

Page 9: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

Challenges:

-  Disjointed

-  Long waiting times

SWEDISH HEALTHCARE

!SWEDISH HEALTHCARE IN TRANSITION

Page 10: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

–  9.5 million inhabitants

SWEDEN AT GLANCE SWEDISH HEALTHCARE IN TRANSITION

21county councils

Page 11: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

SWEDEN AT GLANCE SWEDISH HELATHCARE IN TRANSITION

3 4

6

5

2

1

–  a new region plan

–  more efficient

–  better coordinated

–  2019-23 implementation period

21 6

Page 12: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

is the fastest growing city in Europe! –  11% growth 2010-2020 (compared to London 5,8%)

–  2,6 million inhabitants by 2020 (+ 385 000)

–  Excess of births, immigration, relocation, increased lonevity

THE STOCKHOLM COUNTY COUNCIL THE FUTURE PLAN FOR HEALTH- AND MEDICAL CARE

STOCKHOLM

Page 13: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

Future health and medical care in Stockholm – € 5,15 billion investment

– 6 new buildings for advanced treatment

– 10 refurbishment projects for primary- and specialist centers – 

THE STOCKHOLM COUNTY COUNCUL THE FUTURE PLAN FOR HEALTH - AND MEDICAL CARE

Karolinska Solna

Karolinska Huddinge Danderyd Hospital S:t Görans Hospital Söder Hospital Södertälje Hospital Norrtälje Hospital

Handen Hospital S:t Eriks Eye Hospital

Sabbatsberg Hospital

Dalens Hospital Bromma Hospital Jakobsbergs Hospital

Nacka Hospital Löwenströmska Hospital

Sollentuna Hospital

HIGHLY SPECIALIZED

CARE

Page 14: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

High accessibility

Healthcare at the right time

Good quality and participation

Safe healthcare for the right patient at

the right place

High efficiency Safe healthcare at the right time,

to the right patient, at the right place, and at

the right cost

OBJECTIVES 2025

Page 15: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

THE NEW KAROLINSKA UNIVERSITY HOSPITAL

Page 16: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL

KAROLINSKA INSTITUTE

N E W U R B A N D E V E L O P M E N T P L A N

Page 17: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

“The project shall create attractive and humane environments with high architectural values,

both within and around the hospital.”

Page 18: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

1. A public space in an urban context

2. A knowledge hub for innovation

3. A safe place for healing and recovery

4. A dynamic and flexible working place

Sustainable hospital design “The project shall create attractive and humane environments with high

architectural values, both within and around the hospital”

Page 19: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

1. A public space in an urban context

Page 20: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

Healthcare by White. Anna Montgomery

health

NEW KAROLINSKA UNIVERSITY HOSPITAL 1. A PUBLIC SPACE IN AN URBAN CONTEXT

Page 21: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL NEW KAROLINSKA UNIVERSITY HOSPITAL

EXTENSION

1. A PUBLIC SPACE IN AN URBAN CONTEXT

NEW KAROLINSKA UNIVERSITY HOSPITAL

KAROLINSKA INSTITUTE

EXISTING KAROLINSKA UNIVERSITY HOSPITAL

HAGASTADEN – A NEW URBAN DEVELOPMENT

Page 22: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL 1. A PUBLIC SPACE IN AN URBAN CONTEXT

Page 23: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

2. A knowledge hub for innovation

Page 24: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL 2. A KNOWLEGE HUB FOR INNOVATION

Page 25: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

2. A KNOWLEGE HUB FOR INNOVATION

Page 26: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

3. A safe place for healing and recovery

Page 27: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL CLINICAL ENVIRONMENTS

Page 28: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL CLINICAL ENVIRONMENTS

Page 29: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL DAYLIGHT AND VIEWS

Page 30: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL DAYLIGHT AND VIEWS

Page 31: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL INFECTION SAFE DESIGN

PATIENTSAFETY

How can design prevent the spread of infections?

Page 32: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

JIT-storage

integrated cabinets

glazed door

sink location

ceiling mounted equipment

wall mounted cabinets

private hygiene rooms

dish washer

pass-through cabinets

pass-through cabinets

ante-rooms

Page 33: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA UNIVERSITY HOSPITAL INFECTION SAFE DESIGN

Page 34: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

4. A dynamic and flexible working place

Page 35: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

2000 sq. 4.9m

6kN/sq.

3.2m

NEW KAROLINSKA UNIVERSITY HOSPITAL FLEXIBILITY

Page 36: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

TECHNICAL

DESIGN

DESIGN

CONCEPTS

CLINICAL DESIGN

NEW KAROLINSKA UNIVERSITY HOSPITAL PARALLELL PLANNING PROCESS

THEME THEME THEME THEME THEME THEME THEME

PARALLEL PROCESS

Page 37: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

NEW KAROLINSKA

SOLNA

NEW KAROLINSKA UNIVERSITY HOSPITAL FLEXIBILITY

Page 38: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

2016

2017/18

Page 39: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

Architecture can(not) save life - but certainly reduce suffering and accelerate a healthy spirit!

1. A public space in an urban context

2. A knowledge hub for innovation

3. A safe place for healing and recovery

4. A dynamic and flexible working place

Sustainable hospital design

Page 40: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

Architecture can(not) save life - but certainly reduce suffering and accelerate a healthy spirit!

Sustainable hospital design

Page 41: NEW KAROLINSKA UNIVERSITY HOSPITAL · new karolinska university hospital charlotte ruben architect and partner, white arkitekter, sweden ehd2016 london 27-29 june . june 2, 2016 new

THANK YOU!

ORGANISATION

CLIENT: Stockholm County Council CONTRACTOR: Scandinavian Hospital Partner (SHP/Skanska) ARCHITECT: WhiteTengbomTeam CONSTRUCTION: Skanska Teknik / Ramböll MEP: SWECO / ÅF