The document provides information about Jurong General Hospital in Singapore. It discusses the hospital's 700-bed capacity and design which features natural ventilation, flexible clinical spaces, and a connection bridge between the main and community hospitals. Key patient-centered design elements discussed include an emergency department with dedicated ambulance access and trauma rooms, and innovative fan-shaped wards providing windows and natural light for every patient.

1. SUBMITTED TO :-
Ar.ABHISHEK
AGNIHOTRI HOSPITAL
SUBMITTED BY :-
DEVAANG AGARWAL
B-Arch IV Year
8TH SEMESTER

2. I N T R O D U C T I O N :-
INTRODUCTION :- A hospital is an institution that provides a broad range of medical services to sick, injured, or pregnant
patients. It employs medical, nursing, and support staff to provide inpatient care to people who require close medical monitoring
and an outpatient care to people who need ambulatory care. Hospitals provide diagnosis and medical treatment of physical and
mental health problems, surgery, rehabilitation, health education programs, and nursing and physician training. Many hospitals
also serve as centres for innovative research and medical training. However there is a current trend in hospital management to
decrease in patient service and to increase outpatient ambulatory care. .Out Patient Department in any hospital is considered to be
a shop window of the hospital (Kunders, 1998) referred to the hospital unit that a patient attended for treatment or consultation and
did not stay overnight in the hospital. Out Patient Department is one of the departments of the hospital which cares for the
ambulatory patient who comes for the diagnosis. Now a days, patients are looking for hassle free and quick services. This demand
is only possible with optimum utility of the resources through multitasking in a single window system of the OPD (Srinivasan, 2000).
In the United States, it wasn’t long ago that hospitalization was routine for most patients. But lengthy hospital stays are largely now
a thing of the past. Today, many patients receive much of their health care as outpatients—a trend that many see as benefiting the
health system. Much of the move toward outpatient care in the US has been driven by third-party payers in an effort to control
expenses. But this change has been perhaps one of the benefits of managed care, in that it has challenged healthcare providers to
find safe and effective ways to deliver care on an outpatient basis, which is clearly to the benefit of o patients (Onco Log 2004)
For every hospital, patients are the main users. The primary function of the hospital is patient care. It is one of the yardsticks to
measure the success of services that it produces. Effectiveness of the hospital relates to provision of good patient care as
intended. According to Swamy (1975) patient satisfaction is the real testimony to the efficiency of hospital administration. As the
hospital serves all the members of the society, the expectations of the users differ from one individual to another individual
because everyone carries a particular set of thoughts, feelings and needs. Hence determination of patient’s real feelings is very
difficult. It is the responsibility of the administrator team. "Put yourself in your patient's shoes," was a proverb that explains how to
proceed with a patient. Living in the world of information and technology, nowadays patients are aware of their needs and rights.
They know that health care facilities are established to provide satisfactory and quality health services to them. If the health care
facilities fail to do so, they are considered unsuccessful in implementing their assigned tasks. Health care facility performance
can be best assessed by measuring the level of Patient satisfaction. A completely satisfied patient believes that the organization
has potential in understanding patient needs and demands related to health care. The World Health Organization conference,
supporting health for all, held in 1990 defined future development in health to be human centred. A lot of stress has been made on
investment in health, patient care and patient’s right to delivery of quality health care leading to patient satisfaction. Patient
satisfaction is essential due to multiple reasons. Any unsatisfied patient will not come back to the hospital, and it will lead to loss of
money of patient, as well as wastage of government resources. High satisfaction level will indicate that hospital is working
efficiently. On the other hand, poor satisfaction level helps the management of a hospital to improve on the health services.
Satisfaction is linked to quality of information, advice and general communication sensitivity, perceived effectiveness, competence
or professionalism, attitude of staff, including concern for privacy, ease of access, waiting time, continuity of care, involvement in
decision making and benefit from the treatment or intervention.There are multiple reasons to study the concept of patient
satisfaction. It is considered as an important outcome of the quality of healthcare. Getting views of the patients on the care services
is a much realistic tool to evaluate and improve the health care services since it is based on direct experiences of the users. The
rising strength of consumerism and quality consciousness in the society with a shift from doctor-to-patient relationship to modern
provider-client attitude has highlighted the importance of recording patient views on healthcare delivery. It is also the largest
revenue generating department in the Hospital. Patient satisfaction results in enhanced compliance of the patients to the medical
regimens, appropriate use of medical resources and quick recovery from illness besides, evaluation by the patients makes medical
staff aware about their shortcomings. The employees understand that they will be held accountable to the patients as well as
administration. As a result care
providers tend to acknowledge patient rights and involve them in treatment decisions. Patients’ suggestions also help policy
makers and planners to identify bottlenecks in the system, thereby introducing customized improvements in the service. Physical
facilities are tangible facilities and preparation such as ease of location, department’s cleanliness and tidiness, bed, ventilation and
lighting system, waiting chair, sanitary rest room, ventilation, light, noise, sitting facilities, clean toilets and sufficient examination
room adequate area space availability.Doctor’s service is referred to the physicians’ communication and consultation skills such as
self-introduction, effective consultation techniques, attentiveness, time management, physicians’ punctuation courtesy, respect of a
doctor for a patient and time spent by the doctor in physical examination. Nurse’s service is referred to the nurses’ communication
and assistance skills such as polite and respectful manner towards the patients, feedback to patients ‘questions, patientreferring
process, and nurses’ punctuation Pharmacy service is referred to the respect and attention shown by pharmacy staff, drug
preparation and explanation, adequate amount of drugs, and pharmacy staff’s punctuation. Registration staff services include the
courtesy paid by the registration staff and his/her good communication skills.
CLINICAL SPECIALITIES PROVIDED ARE:
• Anaesthesiology
• Chest medicine
• Dental
• ENT
• General surgery
• Internal medicine
• Oncology
• Ophthalmology
• Physiotherapy
• Plastic reconstruction surgery
• Pulmonology
• Radiology
SERVICES PROVIDED BY FEHA: FOLLOWING ARE THE SERVICES PROVIDED BY FEHA
:
• Diagnostic services
• Detection of coronary artery disease (CAD)
• ECG Tread mill test(TMT)
• Blood chemistry
• Telemedicine(EHAS)
• Stress Echo
• Thallium study
• Angiography
• Radio diagnostic and imaging
• X-Ray
• Echocardiography
• Ultrasonography
• CT scan
• Doppler study
NOTE:- TAKEN FROM “ WIKIPEDIA & BOOKS ”.

3. NOTE:- TAKEN FROM “ WIKIPEDIA & OTHERS”.
VEDANTA HOSPITAL , RAIPUR (CHHATTISGARH)

4. LITERATURE STUDY OF AN INTERNATIONAL HOSPITAL :-
JURONG GENERAL HOSPITAL, JURONG, SINGAPORE :-
I N T R O D U C T I O N :-
SILVER THOMAS HANLEY IN ASSOCIATION WITH ARCHITECTS TEAM 3 PTE, SINGAPORE UNDERTOOK A DESIGN COMPLETION FOR THE CREATION OF A
700 BED TERTIARY HOSPITAL AND A 200 BEDCOMMUNITY HOSPITAL MEDICAL PRECINCT FOR SINGAPORE HEALTH. THE SITE WAS LOCATED AT
JURONG, SINGAPORE.THE FOCUS OF THE BRIEF WAS TO DELIVER A “STATE OF THE ART” MEDICAL PRECINCT THAT WAS TO BE OPERATIONALLY
EFFICIENT AND COST EFFECTIVE, WITH FLEXIBILITY FOR FUTURE EXPANSION. WITH THE MODERN AND UNIQUE DESIGN, THE RESULT INTEGRATED A
CONNECTION BRIDGE LINKING THE COMMUNITY HOSPITAL TO THE TERTIARY, REGIONAL HOSPITAL. THE FACILITIES INCLUDED MEDICAL, SURGICAL,
REHABILITATION AND OBSTETRIC AND PAEDIATRIC INPATIENT UNITS, INTENSIVE CARE UNITS, ASSOCIATED CLINICAL SUPPORT AREAS SUCH AS
OPERATING SUIT, EMERGENCY DEPARTMENT, SPECIALIST OUTPATIENT AND AMBULATORY CARE UNITS AND DIAGNOSTIC AND TREATMENT
AREAS.THE NATURALLY VENTILATED FLOOR PLATES WERE DESIGNED TO PROVIDE AN ENERGY EFFICIENT FACILITY AND THE LANDSCAPE SPACES
THROUGHPUT PROVIDED FOR A POSITIVE ATTITUDE TO HEALING.
PROJECT SIZE:
700 BEDS (MAIN HOSPITAL)
200 BEDS (COMMUNITY HOSPITAL)
CLIENT:
SINGAPORE HEALTH
CHALLENGE :-
FLOOR AREA OF 90,000 M2 TO BE PREPARED
WITH ARDEX FEATHER
FINISH AND PRIMED WITH ARDEX P 51
BEFORE LEVELLED WITH
ARDEX CL 11 AND DUNLOP UFL. ALL BAGS
NEEDED TO BE
DELIVERED WITHIN 3 MONTHS. DURING
APPLICATION OF THE
SELF LEVELLING, MOST OF THE WALL STILL
HAS NOT BEEN
ERECTED WHICH CAUSES THE SELF
LEVELLING TO SET FASTER THAN USUAL.
ARDEX TECHNICAL AND SALES TEAM
PROVIDED BEST SERVICES AND SOME
ADJUSTMENTS OF THE WORKING TIME OF
THE PRODUCTS HAS BEEN DONE
TO SUIT THE SPECIAL SITE CONDITIONS.
0UNIQUE ELEMENTS:-
SELF LEVELLING TO BE CARRIED OUT IN MULTIPLE LOCATIONS BY DIFFERENT
FLOORING CONTRACTORS USING ARDEX
CL 11 AND DUNLOP UFL. WITH TWO MONTHS TO FINISH THE PROJECT, THE TIME
FRAME WAS TIGHT. HOWEVER,
DUE TO ITS EXCELLENT SERVICE AND PRODUCT PERFORMANCE, ARDEX
MANAGED TO ACHIEVE THE PERFECT
RESULT ON TIME.DESIGNED FOR ENVIRONMENTAL SUSTAINABILITY, THE NG
TENG FONG GENERAL HOSPITAL AND JURONG COMMUNITY HOSPITAL HAS
RECEIVED THE FOLLOWING AWARDS WITHIN THE BUILDING INDUSTRY:
PATIENT-CENTRED FEATURES THAT I LIKE TO ADOPTE :-
OVERVIEW
PATIENT-CENTRED FEATURES AT OUR NEW HOSPITALS
FLEXIBLE, SCALABLE AND INTEGRATED EMERGENCY CARE
BUILDING AN EMERGENCY DEPARTMENT THAT READILY RESPONDS TO
EMERGENCY CASES TOOK A LOT OF PLANNING. AT NTFGH, EMERGENCIES ARE
HANDLED WITH A 360⁰ PERSPECTIVE.
-DEDICATED AMBULANCE DROP-OFF ZONES
-DEDICATED AMBULANCE DROP-OFF FROM BOON LAY WAY ALLOWS SWIFT ACCESS
TO THE CORE OF THE EMERGENCY DEPARTMENT TO FACILITATE RESUSCITATION OF
CRITICALLY ILL PATIENTS. THERE IS ALSO A SEPARATE DRIVEWAY FOR WALK-INS.
DEDICATED TRAUMA LIFTS WITH DEDICATED TRAUMA LIFTS, CRITICAL CASES
CAN BE TRANSFERRED DIRECTLY TOTHE OPERATING THEATRES AND INTENSIVE
CARE UNITFOR SWIFT AND IMMEDIATE MEDICAL CARE.MODULAR TRAUMA-READY
ROOMSEACH ROOM COMBINES TWO TYPICAL RESUSCITATION UNITS TO PROVIDE
SPACEFOR LIFE-SAVING CARE.
WARD DESIGN:-
THE DESIGN OF OUR WARDS IN NTFGH AND JCH BREAKS AWAY FROM THE NORM
WITH AN INNOVATIVE FAN SHAPE. THIS REVOLUTIONARY DESIGN PROVIDES A
WINDOW FOR EVERY PATIENT, WHICH SIGNIFICANTLY IMPROVES VENTILATION AND
MAXIMISES NATURAL LIGHT. THESE ATTRIBUTES NOT ONLY ENHANCE THE PATIENT’S COMFORT AND RATE
OF RECOVERY, THEY ALSO IMPROVE INFECTION CONTROL. IN ADDITION, THIS WARD DESIGN PROVIDES A
MORE SPACIOUS AND CONDUCIVE WORKING ENVIRONMENT FOR THE MEDICAL TEAM.
NOTE:- TAKEN FROM “ HO+K OFFICIL SITE”.
+
GREEN CERTIFICATION
GREEN MARK PLATINUM
SIZE
1.84 MILLION SQ. FT. / 171,300 SQ. M.
SERVICES
ARCHITECTURE,CAMPUS PLANNING,MASTER PLANNING,MEDICAL PLANNING,SUSTAINABLE DESIGN
AWARDS
AIA COMMITTEE ON THE ENVIRONMENT – TOP 10 GREEN
PROJECTS
AIA HONG KONG – HONOR AWARD IN ARCHITECTURE
BUILDING BETTER HEALTHCARE
SUSTAINABLE DEVELOPMENT AWARD
INTERNATIONAL DESIGN – HIGHLY COMMENDED
DESIGN & HEALTH INTERNATIONAL ACADEMY AWARDS
HIGHLY COMMENDABLE, INTERNATIONAL HEALTHCARE PROJECT
ABOVE 40,000 SQ.M.
SALUTOGENIC DESIGN PROJECT WINNER
SUSTAINABLE URBAN AND BUILT ENVIRONMENT WINNER
EUROPEAN HEALTHCARE DESIGN AWARDS – HONORABLE
MENTION
FUTURARC JOURNAL – GREEN LEADERSHIP AWARD, AWARD OF
MERIT
FLOW CHART
SITE PLAN
GEOLOGICAL STUDY :-
• C0MES UNDER THE ZONE OF LIMESTONE DEPOSITS SIT BELOW A
10-km STRECH FROM TELOK BLANGAH ROAD TO WEST COAST
ROAD .THE ROCKS – HARDER THAN CONCRETE-CAN ALSO BE
FOUND AT THE TUASSECOND LINK.
• JURONG FORMATION - DISTRIBUTION: WESTERN AND
SOUTHWESTERN SINGAPORE ISLAND AND THE SOUTHERN
ISLANDS. AGE: LATE TRIASSIC TO EARLY JURASSIC (235 – 175 MY)
DEVELOPMENT: SEDIMENTS FROM WEATHERED MATERIAL OF
OLDER ROCKS WERE DEPOSITED IN A SHALLOW MARINE BASIN
FORMED BETWEEN BUKIT TIMAH GRANITE AND THE MAIN RANGE
GRANITE AND LATER LITHIFIED INTO ROCKS. THROUGH LATERAL
BASIN COMPRESSION, THEY WERE UPLIFTED, FOLDED, FAULTED,
AND METAMORPHOSED.
• THE MAINLAND OF SINGAPORE MEASURES 50 KILOMETRES (31 MI)
FROM EAST TO WEST AND 27 KILOMETRES (17 MI) FROM NORTH TO
SOUTH WITH 193 KILOMETRES (120 MI) OF COASTLINE. THESE
FIGURES ARE BASED ON 2.515 METRES (8 FT 3.0 IN)
• HIGH WATER MARK CADASTRAL SURVEY BOUNDARIES.
I
M
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B
A
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5. + ABOUT THE PROJECT PERIMETERS , ORIENTATION , CIRCULATION AND
FUNDAMENTALS THAT THEY ADOPT IN THIS HEALTH CARE ENVOLOPE :-
SITE ZOANING / ORIENTATION
• PATIENT EXPERIENCE
• COMMUNITY HOSPITAL
• WARDS
AREA DEMARKATED IN SQ,MT 53844
KEY FEATURES ( WINDOWS
FOR EVERY PATIENT )
WIND FLOW FOR BETTER VENTELATION
(NORTH SOUTH ORIENTATION TO OPTIMISE
VENTILATION & AVOID EAST – WEST SUN
FURTHER DISTRIBUTION OF BUILDING
INTO ITS FUNCTIONAL MANNER THAT
CONSISTS.
• WARDS
• CRITICAL CARE UNITS
• COMMUNITY HOSPITAL
• CONSULTANCY
CLINICAL SERVICES THAT IS
CONCERNED IN HOSPITAL
PREMICES
• NEUROLOGY
• OPTHALMOLOGY
• CARDIOLOGY
• UROLOGY
• RADIOLOGY
• SPORTS MEDICINE AND SURGERY
• PHARMACY
• ORTHOPAEDIC
• OPTOMETRY
• PLASTIC SURGERY
• AUDIOLOGY
• DENTAL
• DERMATOLOGY
• DIETETICS AND NUTRITION
• EAR , NOSE & THROAT
• HEAD AND NECK SURGERY
• NURSING
• GASTROENTEROLOGY & HEPATOLOGY
• GENERAL SURGERY
• GAYNAECOLOGY
NOTE:- REFRENCES TAKEN FROM REPORTS , SITE WORKING UPDATES AND OTHER WIKIPIDEA LITERATURE

6. + CONNECTIVITY , ZOANING , DISTRIBUTION , PLANS
NOTE:- REFRENCES TAKEN FROM REPORTS , SITE WORKING UPDATES AND OTHER WIKIPIDEA LITERATURE
SURROUNDING AND ITS NEARBY FEATURES
• BUSES SERVICES
• METRO LINE
• CONNECTING BRIDGES
• OTHER EMPLOYMENT SECTORS
• BIX BOX
• WESTGATE ANDTRANSPORT HUB
NG TENFG FONG GENERAL HOSPITAL TOWER A PLANS
NG TENFG FONG GENERAL HOSPITAL TOWER B PLANS
NG TENFG FONG GENERAL HOSPITAL TOWER C PLANS

7. THANK YOU FOR THE KIND VISSION
