THE CHERAS REHABILITATION HOSPITAL MALAYSIA

Transcription

1 THE CHERAS REHABILITATION HOSPITAL MALAYSIA Tat-Hong Chiam

2 The Rehabilitation Hospital, Cheras An initiative by the Ministry of Health, Malaysia Managed by JKR (Public Works Department) Design-built by a private construction company (Konsortium Gadang Perembun) The hospital is the first comprehensive, dedicated, specialist referral rehabilitation hospital to be set up in Malaysia and in South East Asia. Introduction

3 SITE SPORTS & ACADEMIC SITE ACADEMIC N RESIDENTIAL/ COMMERICAL HOSPITAL N Location

4 TEACHERS COLLEGE EXISTING HEALTH CLINIC VALLEY Existing Site and Photographs

5 Heritage Building to be retained Site Photographs

6 1) Inpatient Services: beds (future expansion to 300 beds) Trauma/Brain Injury Stroke/Neurology Spinal Cord Injury Amputees/Orthopaedics Paediatrics Geriatric Common Ward (pre-discharge) 3) Outpatient and Community Based Services:- - Rehabilitation Specialist Clinics - Traditional/Complementary Medicine - Daycare Services - Home Based Care/Home Nursing - Independent Living : 5 studio units 2) Core Rehabilitation Services:- - Rehabilitation Medicine Consultation - Physiotherapy - Occupational Therapy - Speech Therapy - Community Rehabilitation - Health Education and Injury Prevention - Prosthetic and Orthotic Rehabilitation - Paediatric Neurodevelopmental Rehabilitation Facilities/Services

7 MAIN ACCESS TEACHERS COLLEGE UTILITIES BUDRIAH ORPHANAGE LEGEND Vehicular Route Pedestrian Route APARTMENTS Parking HEALTH CLINIC (5 ACRES) EXISTING ACCESS Landscape Buffer Landscape Garden HERITAGE BUILDING MOH STAFF QUARTERS (6 ACRES) OUTPATIENT REHAB. HOSPITAL THERAPY APARTMENTS SUPPORT UTILITIES VALLEY WARDS TEACHERS COLLEGE FUTURE EXPANSION HOUSING STAFF ACCESS UTILITIES NURSES HOSTEL TYPE D STAFF QUARTERS TYPE F VALLEY CONDO Hospital acres Health Clinic acres MOH Staff Quarters acres Total Site Area acres HUKM CONDO TYPE G N Zoning Plan

8 MAIN ACCESS TEACHERS COLLEGE SUCTION TANK BUDRIAH ORPHANAGE APARTMENTS HEALTH CLINIC (5 acres) GUARD HOUSE MOH STAFF QUARTERS (6 acres) STP HERITAGE BUILDING PLANT HOUSE MAIN ENTRANCE OUTPATIENT REHAB. HOSPITAL (39.1 acres) SUPPORT THERAPY WARDS EXISTING ACCESS APARTMENTS HOUSING TEACHERS COLLEGE VALLEY TNB PPU FUTURE EXPANSION FUTURE EXPANSION TYPE D SLOPES CONDO STAFF ACCESS ELEVATED WATER TANK TNB SUB-STATION NURSES HOSTEL STAFF QUARTERS TYPE F TYPE G Total Site Area = 50.1 acres 47% Green Area (incl the valley) CONDO N CARPARKS Hospital 396 nos Staff Accommodation 393 nos HUKM Masterplan

9 LEGEND MAIN ACCESS Vehicular Access Pedestrian Access Lifts HERITAGE BUILDING SPECIALIST CLINICS TCM MAIN ENT. CAFE EXISTING ACCESS AUDIOLOGY/ OCCUPATIONAL THERAPY SPECIALIST CLINICS OUT-PATIENT/ IN-PATIENT PHARMACY ADMISSIONS IMAGING PATHOLOGY ORTHOTICS/ PROSTHETICS ATRIUM AUDI- TORIUM LIFTS LIFTS STAFF/ COMMON GARDEN MAIN THERAPY GARDEN PHYSIO/ GYM/ HYDROTHERAPY MEDITEL MEDICAL SOCIAL SERVICE PATIENT ASSESSMENT/ SECURITY THERAPY GARDEN STROKE/ NEURO WARDS SPINAL WARDS THERAPY GARDEN LIFTS COMMON SHARED FACILITIES GERIATRICS/ COMMON/ PREDISCHARGE WARDS N PEDESTRIAN LINK TO STAFF QUARTERS Ground Floor Layout

10 LEGEND Vehicular Access Pedestrian Access Lifts SPECIALIST OFFICES ADMIN CME HEALTH ED/ QA/ RESEARCH LIFTS IT/ MEDICAL RECORDS AUDI TORIUM LIFTS TRAUMA/ BRAIN WARDS AMPUTEE/ ORTHO WARDS LIFTS PAEDS WARDS COMMON SHARED FACILITIES N First Floor Layout

11 LEGEND Vehicular Access Pedestrian Access Lifts LOADING LINEN/ ENG MEDICAL STORE CSSD M&E MORTUARY HOUSE KEEPING LIFTS CATERING LOADING N Lower Ground Floor Layout

12 Flexible use of spaces Grouping of like-spaces and functional adjacencies - operational efficiencies - patients convenience TCM THERAPY GARDEN THERAPY GARDEN SPECIALIST CLINICS MAIN ENTRANCE CAFE THERAPY GARDEN SPECIALIST CLINICS OUT-PATIENT/ IN-PATIENT PHARMACY ATRIUM THERAPY GARDEN ADMISSIONS THERAPY AREAS PUBLIC LIFTS IMAGING PATHO- LOGY AUDITORIUM SERVICE LIFTS Functional Planning

13 Shallow space planning - Natural daylighting - Natural ventilation THERAPY GARDEN - Views out - Integration with outdoor spaces THERAPY GARDEN STROKE/ NEURO WARDS THERAPY GARDEN PATIENT ASSESSMENT/ SECURITY SPINAL WARDS THERAPY GARDEN LIFTS THERAPY GARDEN GERIATRICS/ COMMON/ PREDISCHARGE WARDS COMMON SHARED FACILITIES THERAPY GARDEN PEDESTRIAN LINK TO STAFF QUARTERS N Functional Planning

14 Landscaped Therapy Garden Natural Ventilation Verandah Verandah Verandah Daylight in/ Views out A/C Bed room Open Bed Bay Lounge/Dining/Activity Open Bed Bay A/C Bed rooms A/C Bed room Verandah Open Bed Bay Nurse Station Open Bed Bay A/C Bed rooms Verandah Verandah Verandah Daylight in/ Views out Landscaped Therapy Garden Landscaped Therapy Garden Typical Ward Layout

15 Inpatient Nurse Station/Lounge/Activity Area

16 Inpatient 4 Bed Bay

17 Inpatient 1 Bed Room

18 Inpatient Paediatric Ward

19 Inpatient Paediatric Ward

20 Treatment/Therapy Aids to Daily Living (ADL)

21 Treatment/Therapy Aids to Daily Living (ADL)

22 Treatment/Therapy Aids to Daily Living (ADL)

23 Treatment/Therapy Gymnasium

24 Treatment/Therapy Gymnasium

25 Treatment/Therapy Gymnasium

26 Treatment/Therapy Hydrotherapy

27 Treatment/Therapy Traditional Complementary Medicine (TCM)

28 Treatment/Therapy Traditional Complementary Medicine (TCM)

29 Outdoor Spaces Landscaped Masterplan 1 HOSPITAL COMPLEX GROUND healing, comfort and patient friendly environment THE MAIN ACCESS avenue planting MAIN ACCESS a b THE STREET green street concept THE ENTRANCE decorative concept THE CAR PARK green canopy THE COURTYARD GARDENS theme gardens - Picturesque Garden Viewing garden -Relaxing Garden Stimulating garden PEMBANGUNAN AKAN DATANG KLINIK KESIHATAN 2 PEMBANGUNAN AKAN DATANG KUARTERS KKM 4 5b 2 3 HOSPITAL COMPLEX 5a 5c 6 c d e -Recreational Therapy Garden Active therapy garden -Physical Therapy Gardens Therapeutic & natural healing garden -Pediatric Therapy Garden Stimulating play environment KOLAM TADAHAN 5e 5d WARDS 6 THE PERIMETER cluster of forest trees 7 STAFF QUARTERS GROUND living and recreational with nature STAFF ACCESS STAFF QUARTERS 7 SPORT PARK Active recreational area

30 Outdoor Spaces Landscaped Therapy Garden at Wards

31 Outdoor Spaces Landscaped Therapy Garden at Wards

32 Outdoor Spaces Physical Therapy Gardens

33 Outdoor Spaces Physical Therapy Gardens

34 Social/Public/Interactive Spaces Contemplative/Spiritual Gardens

35 Social/Public/Interactive Spaces Open Waiting Areas

36 Social/Public/Interactive Spaces Outdoor Waiting Areas

37 Social/Public/Interactive Spaces Indoor Waiting Areas

38 Social/Public/Interactive Spaces Cafeteria

39 Categories Energy Efficiency - It is the first hospital in Malaysia to integrate energy-efficiency (EE) and sustainable design principles into the overall development. Rehabilitation Hospital Energy Index Normalised to 2800 hours Base 207 Low-E Single Glazing instead of clear glazing Roof insulation increased to 100mm Brickwall to 150mm ALC wall TFT monitor instead of CRT monitors Daylighting (2m depth) Ramps, guide rails, etc Efficient Lighting 15W/m2 to 10 W/m2 Efficient Fan (60% eff to 80% eff) Total Pressure 400 Pa Heat Recovery Wheel (100% fresh air rooms only) Timer on Vending Machine & Hot Water Urn Efficient Chiller (COP 5.4 to 5.7) Efficient Pumping VSD (Efficiency Improve 30% assumption) 137 Air tight building (label on doors & door seal) (ach 2 to 1) 119 Roof Insulation Wall Insulation Low-E Glazing for all external windows Daylight Infiltration Control Naturally cooled Central Atrium Energy Index (kwh/m2/year) Design Considerations

40 Daylighting and Thermal Comfort Central Atrium Design Considerations

41 Daylighting Central Atrium P L A N V I E W O F B L I N D 2 m 0.5 m Design Considerations

42 Insulated Walls Design Considerations

43 Daylighting Light Shelf Design Considerations

44 Daylighting Light Shelf Design Considerations

45 Constuction It is also the first hospital in Malaysia to implement the use of Industrialised Building System (IBS) in the effort to promote greater efficiency, reduction in labour, and cost-effectiveness in construction. Insitu concrete with reusable system formwork Hollow core floor slabs Precast panel walls (Acotec) Lightweight precast precision blockwalls (ALC) Prefab proprietary metal roof system Modular/standardised building components Design Considerations

46 Thank You