Summary of my professional career.

1. JOAQUIN GALAN ARCHITECTS
HEALTHCARE ARCHITECTURE AND ENGINEERING CONSULTINGHEALTHCARE ARCHITECTURE AND ENGINEERING CONSULTING
www.joaquingalan.es +034 639 48 73 02

2. 01 WORK’S PHILOSOPHY
¨If one does not know to which port is sailing, no
wind is favorable"
01- I’ll try to make a summary of my career, and also
an explanation of my work methodology, because I
know that it’s a little complicated to understand at
JOAQUIN GALAN ARCHITECTS
know that it’s a little complicated to understand at
first how it can fit three professional disciplines,
apparently very different to each other, but, at the
same time, complementary.
02 - In healthcare architecture, it´s very important to
know the order of priority of each field of Knowledge.
I have got to learn throughout my career how to turn
medical problems into technical solutions.
03 - A hospital is the building that is more complex
functionally, and, at the same time, the best prepared
technologically. Therefore, the more complex the
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technologically. Therefore, the more complex the
building is, the clearer the design should be. That's
why minimalist architecture fits in healthcare
projects.
04 - In this way you can use the best and more
expensive materials because you will need to
incorporate fewer different items, to be able to leave
the most of the budget in the facilities, and very often
to make structural reinforcements when it should be
necessary.

3. 01 WORK’S PHILOSOPHY
A - Medicine- At the first time, It should know the
project schedule, that includes the medical priority
and the correct healthcare Equipment to convert the
old unit area ( I don´t mind which the specialties are)
in the most modern and best functional new floor
after remodelling that I could make with the budget .
And making all the planning of works, to avoid
interferences with other Hospital floors. The works
should be efficient, fast, cleaner, and isolated from
JOAQUIN GALAN ARCHITECTS
should be efficient, fast, cleaner, and isolated from
the rest of the building, the development of works
should look like it doesn´t exit.
B - Architecture - The architect has to get at least
two achievements. The first, design the correct
project, be able to solve all the functional and
technical requirements of the doctors, and make the
correct implementation of new medical equipment
faster; also, it should be very easy to maintain by the
own electromedical equipment of hospital , and the
engineering of healthcare multinational equipment.
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The main objective, it´s dedicated to patients,
therefore I should give them more comfort about
colours, light, ventilation, etc. Thanks to my
knowledge and experience, I find the best design so
that patients could forget they are in a Hospital. For
the simple reason that we are aware that the user of
a hospital is the only person who is in a building
without having elected it, the medical rooms should
look like hotel rooms as much as possible, although
they have many more facilities.

4. 01 WORK’S PHILOSOPHY
At the same time, I make the
project in such a way that my
engineer collaborators could
provide the calculation of all the
facilities or even the structural
reinforcement.
C - Engineering-
Finally I should coordinate all
JOAQUIN GALAN ARCHITECTS
Finally I should coordinate all
the team , architects, engineers
and others. If you know the work
of engineers, they are usually
professional, very specialized and
efficient , and your own project
depends on them, but it is always
necessary to understand all the
specialties well enough to make
the managements of works,
because in this way you can
improve your calculations, and
you will be more independent to
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you will be more independent to
make changes very fast if you
think they are essential for the
correct work developments,
because, the experience tells me
when the works starts, there
always appear new things that
weren’t included in the project.
And I should resolve it, to be able
to fulfil both the deadline and
budget in time.

5. 01 WORK’S PHILOSOPHY (NEWS)
My works has been published in numerous
magazines especialized in architecture in Europe,
Asia, USA and South America, even one building of
them was selected as an example to teach a master
on BIM Healtcare architecture from the High of
Architecture of Barcelona (Spain).
ARCHILOVERS
JOAQUIN GALAN ARCHITECTS
ARCHILOVERS
ARCHITIZER
ARCHDAILY
HOUZZ
ARQUITEXS
PLATAFORMA ARQUITECTURA
ARCHELLO
BRANDED
ESCOLA SERT ARQUITECTURA (BARCELONA)
L’ARCA INTERNATIONAL
HOSPITECNIA
GRUPOVIA
UNIVERSIDAD DE MALAGA
ARQUIT. DE MÁLAGA DEL S. XXI
4/20
ARQUIT. DE MÁLAGA DEL S. XXI
COLEGIO DE ARQUITECTOS
MALAGA ARQUITECTURA
ARQUITECTURA HOSPITALARIA S. XXI (BARCELONA)
IPE-HN
ENTREVISTA EN GRUPOVIA
CENTROS DE SALUD EN ESPAÑA
EXTENDA USA
EUROPA PRESS
ARQUITECTURA ANDALUZA
LINKEDIN

6. 02 EFFICIENCY ENERGY & SUSTAINABILITYEFFICIENCY ENERGY & SUSTAINABILITY
MAIN SYSTEMS OF EFFICIENCY ENERGY IN HEALTHCARE
1-BIOCLIMAIC_DESIGN.
A bioclimatic building reduces the need for heating and
cooling since it is designed so that it obtains the highest
and best performance of its location, the climate in which
it is located and its orientation. As a result, energy
consumption of the building is reduced. Bioclimaticconsumption of the building is reduced. Bioclimatic
strategies can be combined with the use of renewable
energy sources.
2-COGENERATION.
In case of hospitals, the cogeneration is considered as one
of the leading technologies to get savings in energy
consumption. Understood as the simultaneous production
of heat and electricity through the use of natural gas that
converts water into vapour, and in turn it drives a turbine
of power generation. Cogeneration is fulfilling its role in
many hospitals in Europe, especially in France, UK,
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many hospitals in Europe, especially in France, UK,
Netherlands, Spain, Germany, Portugal and Italy, which get
savings of up to 50 percent of electric power.
3-GEOTHERMAL_ENERGY.
If obtaining geothermal energy is added to it, obtained
from the heat generated in the centre of our Earth, this
allows developing and at the same time complementing
other systems that use renewable energies, able to supply
a large part of the building, which we can generate almost
self-sufficient buildings from the energy point of view.

7. 02 EFFICIENCY ENERGY & SUSTAINABILITYEFFICIENCY ENERGY & SUSTAINABILITY
4-GREEN ROOFS.
Finally we might add the use of natural or
synthetic green roofs. In addition to providing
an additional living space, the green roof has
many other environmental and economic
benefits, such as prolonging the life of the
cover, reducing noise and pollution, water
retention, energy saving or improving climateretention, energy saving or improving climate
and the urban landscape.
5-DOMOTICS.
The use of different designs in facilities,
complemented with low energy lighting,
proper design of the domotic system, that are
coordinated by sensors and automation
control systems in certain facilities provides
comfort and energy savings.
6-SUSTAINABLE MATERIALS.
In addition, and if this were not enough, the
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In addition, and if this were not enough, the
negative effects are reduced that construction
has on the environment, with materials
involving energy savings, which have a long-
term duration and requiring very little
maintenance, so that is a considerable saving
in time, for example, the use of fireproof vinyl
rooms and corridors and patients rooms,
suspended ceilings in corridors for the
maintenance of the facilities, are being
standardized both in materials and measures.

8. 03 HEALTHCARE REMODELLING
0- PROLOGUE- In both Europe and
America, cities are getting bigger,
and the people tend to age at a rate
in the coming years, therefore the
new hospitals must be built on the
outskirts , which in terms of
emergency services to citizens and
not properly fulfil correctly yournot properly fulfil correctly your
function. At the same time, as
medicine improves very quickly, the
buildings should be prepared to be
remodelled and enlarged in an
orderly way. So it is necessary and
profitable to update the old
hospitals in the downtown.
1- SUMMARY OF REMODELATION .-
I want to summarise my experience
of remodelling hospitals. It’s
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of remodelling hospitals. It’s
complex but very profitable, both for
users and economic terms. The main
advantages are its central place
within the cities and the existing
transport infrastructure. If the
hospital must keep its normal
function all the time, how can we
reduce and avoid the impact of
works on the own building and
downtown.

9. 03 HEALTHCARE REMODELLING
-SUMMARY OF REMODELATION
-A correct plan of phases order is
necessary, including the program
and hospital priorities.
-Firstly, it needs designing different
access to hospital for users and
works staff.works staff.
-A free multifunctional floor is
designed to be used in all phases.
-Each phase should be completed
quickly before beginning the next
one.
-The works developed by phases
must be clean, dustless and
completely isolated from the rest of
the building.
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the building.
-The work materials needn’t be
stored as they are used just when
they arrive at the work, the same
happens with the facilities.
-The inconvenience is that in each
phase one medical area is moved
with sufficient capacity to full
services.

10. 03 HEALTHCARE REMODELLING
SUMMARY OF REMODELATION
-The hospitalised patients and
other users are not aware that the
building is under remodelling.
-The construction area will be free
of dust and noise, never interferingof dust and noise, never interfering
with the correct function of the
hospital.
-Each phase is developed in a few
months, and patients start using
the new floor the day after the
works end.
-The waiting areas must be able to
be enlarged and separated in
different medical specialties.
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- The last area to remodel should
be the administration and
management offices.

11. 03 HEALTHCARE REMODELLING
REMODELING AND MASTER PLANS
In this case it is remodeling a
hospital or a hospital complex. The
procedure requires a master plan
setting functional and economical
priorities and being flexible in
relation to that master plan. For
that, a series of deadlines, budgetsthat, a series of deadlines, budgets
and priorities of actions are set up
and, obviously, a number of areas
are selected as a flexible element
that allows the removal of each of
the functional activities so that the
work never paralyses the hospital
activity.
PARTIAL REMODELING
A number of areas for action are
established by parts of the directive
area both of general services and
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area both of general services and
doctors, from which the duration of
the works, its phases as well as its
full costs are programmed. This
action implies a great coordination
between the consulting business
and the hospital management,
especially due to dividing works in
phases, preventing that way the
subsequent closure of the service.

12. 03 HELTHCARE REMODELLING
It’s cheaper to improve the energy
efficiency by changing facilities,
material, etc. However, new
hospitals usually have large glass
surfaces, which is more expensive.
“The hospital should look like a hotel
as much as possible.”
IMPROVEMENT IN SUSTAINABILITYIMPROVEMENT IN SUSTAINABILITY
& ENERGY EFFICIENCY.
- When a building is remodelled,
there is no choice but to change 3
things at least: facilities, materials
and facade.
The change of all the general and
partial facilities incorporating
lighting of low consumption, new
equipment, medical air, among
others must be replaced, and saving
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others must be replaced, and saving
in energy expenditure may be
applied cogeneration, and the air
conditioning installations are
optimized at all. Choosing materials
of both low-maintenance and high
durability will be incorporated. Only
with cogeneration at less 50 percent
of electricity could be saved. The
new materials could be the same as
the last most innovated hospital
built.

13. 03 HEALTHCARE REMODELLING
-SUSTAINABILITY & ENERGY EFFICIENCY.
-Moreover, Hospitals at the same time
can improve the aesthetics of the
building and increase energy efficiency
levels and profitability with adequate
insulation system in the facades
envelope. Modern ventilated facadeenvelope. Modern ventilated facade
systems ensure an improved thermal
insulation of the building.
The ventilated chamber creates a
"chimney effect" caused by heating the
outer face, which produces a variation in
the density of the air layer of the
interspaces with respect to the ambient
air, with a consequent upward
movement and will improve the comfort
and temperature.
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In most Hospital remodelling a
significant saving of air conditioning has
been noticed ( especially at night )
because it was at the time when the
calories accumulated on the outer walls
were coming back to the interior space.

14. 04 NEW HOSPITALS & HEALTH CENTERSNEW HOSPITALS & HEALTH CENTERS
PROLOGUE
With the objective of bringing
specialized health care to people, we
propose the models of High
resolution Hospital or Health centers
which are configured as small
hospitals nearby, likewise located in
remote geographical areas ofremote geographical areas of
metropolitan area, small town or in
zones with high population growth,
in order to increase the accessibility
of citizens to health services .
Improving the functioning of main
Hospitals.
HEALTH CENTERS with variable size
depend on different elements that
count or population they serve.
However, usually they all have
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However, usually they all have
access to resources and provide
basic services such as continuous
care and some common specialties
such as medical consulting, primary
care, traumatology, dentistry, day´s
hospital, ophthalmology, paediatrics
consulting, etc.

15. 04 NEW HOSPITALS & HEALTH CENTERSNEW HOSPITALS & HEALTH CENTERS
Usually the most complex specialties such as
surgery are not present and either patient
rooms , in these cases requiring always to
depend on the main Hospital .However the
most of time they usually include emergency
services and ambulances with easy
communication with it. (Sup. between 1500
and 5000 M2).and 5000 M2).
The main advantage of Health Centers , is
they are nearby for a neighbourhood or small
town, and it´s usually Include Permanent
Emergency Services.
AMBULANCES HEALTHCARE BUILDING
The main building, whose function is to serve
as a basis for ambulances 061 and health
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as a basis for ambulances 061 and health
personnel, has a large overhang, which has a
dual function, firstly isolate ambulances of
hospital environment and on the other
through that cantilevered cover the
replacement and maintenance of facilities
ambulances. It’s a building to fulfill a great
service for the hospital and it has the capacity
of allowing an accurate and fast service to
citizens.

16. 04 NEW HOSPITALS & HEALTH CENTERSNEW HOSPITALS & HEALTH CENTERS
CENTERS OF HIGH RESOLUTION:
Assume a higher degree of health care, which
try to improve the accessibility and
management, both in the diagnostic and
therapeutic, enhance the high resolution
through consultation single act, alternatives
to traditional hospitalization, outpatientto traditional hospitalization, outpatient
surgery, reduce response times and speed
circuits consultations and examinations, all as
part of a strategy of greater efficiency and
quality of care through new functional
structures that enhance the care process
cooperation between primary care and
specialized care. Or even only have one
medical specialty. Oncology, Maternity, Acute
treatment, etc.
The main advantage of Centers of High
Resolution should be they are becoming
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Resolution should be they are becoming
specialized small hospitals in each medical
specialty like oncology, mental health,
maternity, etc, with or without hospitalization
( or even day hospital only) in any case with
invasive operating rooms. They have a great
proximity to citizens and avoid congestion in
hospitals.

17. 04 NEW HOSPITALS & HEALTH CENTERSNEW HOSPITALS & HEALTH CENTERS
HOSPITALS.-
-Of course I will not pretend to teach them to
design a new plant hospital, although curiously
over the years, virtually the type of design has been
reduced to one or two, with different variants.
-Typically, they tend to build sanitary cities, which-Typically, they tend to build sanitary cities, which
are normally not very functional, because if the size
exceeds 100,000 M2 ,they stop being functional,
and eventually, they become several buildings
together, and has the problem that it is found on
the outskirts of the city. Obviously it also has a
number of advantages:
-It is important a rational, functional, minimalist
and clear hospital design will allow us to optimize
resources, facilities, control levels of sustainability
and energy efficiency, and likewise to optimize the
budget, which will let us choose the best materials
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budget, which will let us choose the best materials
inside, while the rest of the budget is left to make a
great building , architecturally of forefront, without
forgetting that a building is a reflection of its
interior.

18. 04 NEW HOSPITALS & HEALTH CENTERSNEW HOSPITALS & HEALTH CENTERS
HOSPITALS.-
Advantages:
-You can design the building at the
forefront of architecture.
-You can use the best technologies,-You can use the best technologies,
materials and using larger surfaces
reduces its cost.
-You can make tall buildings or glass
facades, but with fixed or adjustable
protections.
-The cost per M2 is lower.
- You can exploit energy efficiency to- You can exploit energy efficiency to
nearly zero consumption of the
building to become the most
sustainable and energy efficient.
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19. 04 NEW HOSPITALS & HEALTH CENTERSNEW HOSPITALS & HEALTH CENTERS
IMPROVEMENT IN SUSTAINABILITY & ENERGY
EFFICIENCY.
-You can implement cogeneration systems and save up to
50 percent on electricity, if you apply geothermal design
criteria, you save the other 50 percent. Therefore the
energy consumption could be almost zero.energy consumption could be almost zero.
- Hospitals can improve energy efficiency levels and
profitability with adequate insulation system in the
building envelope. Modern glass ventilated façade
systems guarantee even improve thermal insulation of the
building, allowing ventilate the facade. And even if some
sort of aluminium slats or "brise-soleil" fixed or adjustable
is designed, improving the design, and avoid lost energy.
Another saving system could be to use patios, in the lower
floors (even the upper floor, where there are usually the
patient rooms) which can have an easy control of both the
temperature and ventilation. And finally if possible,
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temperature and ventilation. And finally if possible,
developing green roofs, which create comfort and energy
savings.

20. 05 CONCLUSIONS
- Actually , the main healthcare
multinationals of equipment are
American or if they are European,
have even more presence here than
in Europe.
-We are talking about a market that
moves nearly 18 percent of US GDP.moves nearly 18 percent of US GDP.
(3000 billion dollars at year in health
within the country ) without
architecture and equipment
exported to other countries.
-It is necessary to clarify the design
of facilities, not necessary to use
many materials but whether the
best one. Thus we will keep much of
the budget to make a significant
building.
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-It is necessary to improve energy
efficiency, without ever sacrificing
design, as an example, it´ll be able to
use large glass facades, but
designing a series of fixed or rotary
umbrellas, which at the same time
can improve the design and regulate
the temperature and energy
efficiency.

21. 05 CONCLUSIONS
- My main added value is that perfect knowledge
how it works from with in hospitals and not a
theoretical way by having experience in design
and implementation of healthcare equipment in
almost all specialties, it can take advantage from
American technology, during the design of
projects and work´s management, and making
great architecture.great architecture.
- In the European model the architect has the
coordination of all the professional from
beginning to end.
- I don´t want to replace the engineers, by
contrast I try to complement them and take
advantage of their knowledge.
- In my humble opinion, during the works,
always appear new problems that didn´t exist in
the project. Therefore if the same architect has
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the project. Therefore if the same architect has
had the management of project, it will be easier
to make the necessary changes about the work´s
management without increasing the budget,
always having a coordination with all the team,
especially the engineers.
- If any professional would be able to achieve
these goals in healthcare architecture, the rest
of the different projects will be so much easier
for them logically.

22. JOAQUIN GALAN ARCHITECTS
A HOSPITAL IS THE BUILDING THAT IS FUNCTIONALLY MORE COMPLEX AND
PREPARED TECHNOLOGICALLY.
05 LAST CONCLUSION
“Therefore the more complex the building is, the clearer the design should be.
That´s why minimalist architecture fits in healthcare projects.”
HEALTHCARE ARCHITECTURE AND ENGINEERING CONSULTING
A HOSPITAL IS THE BUILDING THAT IS FUNCTIONALLY MORE COMPLEX AND THE SAME TIME IS THE BEST
PREPARED TECHNOLOGICALLY.
“Therefore the more complex the building is, the clearer the design should be.
s why minimalist architecture fits in healthcare projects.”
HEALTHCARE ARCHITECTURE AND ENGINEERING CONSULTING
www.joaquingalan.es +034 639 48 73 02