China has made progress in developing new green hospital buildings at scale, however most major hospitals are located in city centers and cannot be rebuilt, so retrofitting existing buildings is important. Traditional hospital design prioritized function over appearance, resulting in sterile, tense environments for patients. As full green transformation of hospitals is needed, retrofitting existing buildings will play a key role and is a necessary future trend.
Pre versus post-occupancy evaluation of daylight quality in hospitalsDania Abdel-aziz
This study examines the impact of hospital occupancy on indoor daylight quality by comparing pre-occupancy simulations to post-occupancy measurements in the King Abdullah University Hospital in Jordan. In the pre-occupancy phase, simulations were conducted to predict indoor daylight levels. In the post-occupancy phase, measurements were taken of actual indoor daylight levels. The study found significant differences between the predicted and actual indoor daylight levels, indicating that hospital occupancy and interior design factors significantly impact indoor daylight quality in terms of illuminance levels and daylight factors.
A Sustainable future for healthcare designIMK Architects
Rahul Kadri, Principal Architect and Partner, IMK Architects highlights the need to rethink
model of Indian healthcare design to support health and overall wellbeing rather than simply
treating illnesses
The article discusses the need to rethink the design of healthcare infrastructure in India to make it more sustainable and patient-centered. It suggests segregating buildings into separate wings with natural ventilation to reduce infection risks. It advocates designing hospitals based on biophilia to connect patients to nature through daylight, greenery and views. New technologies like BIM can help create healthier buildings and shorten construction times. Overall, redesigning hospitals to support wellness rather than just treat disease can improve patient outcomes and the sustainability of India's healthcare system.
Executive Summary, Overview, and Financial Data for Investmentin t.docxSANSKAR20
Executive Summary, Overview, and Financial Data for Investment
in the Rural Urgent Care Center
I. Executive Summary
Urgent care is the delivery of ambulatory care in a facility dedicated to the delivery of unscheduled, walk-in care outside of a hospital emergency department. Development of the Rural Urgent Care (RUC) facility in Sylacauga, Alabama will facilitate access to care providers through extended service hours within closer geographic proximity to patients, families, and caregivers. The Director of Emergency Services will provide clinical monitoring to ensure quality service provisions. The RUC facility will act to alleviate demand for emergency department (ED) services by shifting lower acute patients to a less resource-intensive environment.
II. Program Overview: Market Opportunities and Utilization Patterns
The RUC will provide treatment to patients suffering from non-life-threatening conditions that require quick attention, including bone fractures, pneumonia and flu, and minor lacerations. Since the late 1980s and early 1990s, hospitals have looked to facilities such as RUCs as a means to reduce rates of inappropriate ED utilization by triaging non-emergent patients to less acute settings. The ED is not the most appropriate care setting for many patients. Non-urgent patients account for well over 10 percent of the average ED’s caseload, and semi-urgent cases account for another 20 percent (refer to Figure 1)
. At the other end of the acuity spectrum, most emergent patients would be better served in an inpatient unit, but many are forced to board in the ED because beds are unavailable.
Year4,8825,1265,3825,6525,934
Month407427449471495
Week9499104109114
Day1314151616
Visit volume will increase by 5% each year
Service AreaVisitsYear 1Year 2Year 3Year 4Year 5
Figure 1
Triaging patients to an appropriate site of care properly allocates resources to meet patient acuity and results in better clinical outcomes. RUC staffing and treatment approaches are fundamentally different from those in an ED; patients get more abbreviated and pointed clinical work-ups, which provides care more efficiently by clinicians who are oriented to less intense discovery and intervention.
The RUC will also address community needs for convenient, reliable access to care. Current alternatives to RUCs include the ED, which like other comparable U.S. and U.K. EDs, has long wait times and potentially stressful patient environments. Decreasing wait times is positively correlated with better outcomes.
Figure 2
Services
To meet the needs of the community and provide the appropriate level of care without unnecessary duplication of a resource-intensive emergency department, the RUC will provide basic emergent procedures, diagnoses, and treatments.
· Nursing triage
· Physician assessments
· Minor procedures
· Basic lab services
· Basic diagnostic imaging
· Vital signs
· IV therapy
· EKG
· Wound care
The potential to house ambulance services out ...
The document provides details on Keith Spurlin's design portfolio, which includes medical facilities in North Carolina, Georgia, South Carolina, and Louisiana. As project designer or coordinator, Spurlin led overall building design and construction documents for ambulatory surgery centers, medical office buildings, hospitals, and mixed-use developments. His role included detailing building facades with materials like brick, glass, and metal panels.
C205 Ahmad (2011) Space Standardisation and Flexibility on Healthcare Refurbi...HadiOliveraNikoli
This document summarizes a research paper on space standardization and flexibility in healthcare refurbishment projects. It discusses how flexibility allows healthcare facilities to adapt to changes like growth and new technologies. Standardization can improve patient care and staff performance by reducing errors and establishing routines. The document reviews literature on flexibility drivers like changes and advancements. It examines how flexibility and standardization impact key drivers of healthcare refurbishment like adapting to future challenges, users' needs, and uncertainties.
The document discusses the design of physical hospital layouts. It begins by describing how traditional hospital layouts were inefficient and negatively impacted patient care. New designs were needed to make hospitals more patient-centered by improving privacy, reducing noise and congestion, and creating a more comfortable environment. The document outlines factors to consider in the hospital design process like research, simulations, and evidence-based methods to determine the best layout. The goal is an effective layout that allows for quality patient care and satisfies patients' needs.
With a decade of expertise in Healthcare Consulting, Altido emerges as a prominent service provider specializing in hospital planning and designing. We excel in offering innovative solutions and leveraging our knowledge to optimize healthcare facilities, leading to enhanced patient care and improved operational efficiency.
Pre versus post-occupancy evaluation of daylight quality in hospitalsDania Abdel-aziz
This study examines the impact of hospital occupancy on indoor daylight quality by comparing pre-occupancy simulations to post-occupancy measurements in the King Abdullah University Hospital in Jordan. In the pre-occupancy phase, simulations were conducted to predict indoor daylight levels. In the post-occupancy phase, measurements were taken of actual indoor daylight levels. The study found significant differences between the predicted and actual indoor daylight levels, indicating that hospital occupancy and interior design factors significantly impact indoor daylight quality in terms of illuminance levels and daylight factors.
A Sustainable future for healthcare designIMK Architects
Rahul Kadri, Principal Architect and Partner, IMK Architects highlights the need to rethink
model of Indian healthcare design to support health and overall wellbeing rather than simply
treating illnesses
The article discusses the need to rethink the design of healthcare infrastructure in India to make it more sustainable and patient-centered. It suggests segregating buildings into separate wings with natural ventilation to reduce infection risks. It advocates designing hospitals based on biophilia to connect patients to nature through daylight, greenery and views. New technologies like BIM can help create healthier buildings and shorten construction times. Overall, redesigning hospitals to support wellness rather than just treat disease can improve patient outcomes and the sustainability of India's healthcare system.
Executive Summary, Overview, and Financial Data for Investmentin t.docxSANSKAR20
Executive Summary, Overview, and Financial Data for Investment
in the Rural Urgent Care Center
I. Executive Summary
Urgent care is the delivery of ambulatory care in a facility dedicated to the delivery of unscheduled, walk-in care outside of a hospital emergency department. Development of the Rural Urgent Care (RUC) facility in Sylacauga, Alabama will facilitate access to care providers through extended service hours within closer geographic proximity to patients, families, and caregivers. The Director of Emergency Services will provide clinical monitoring to ensure quality service provisions. The RUC facility will act to alleviate demand for emergency department (ED) services by shifting lower acute patients to a less resource-intensive environment.
II. Program Overview: Market Opportunities and Utilization Patterns
The RUC will provide treatment to patients suffering from non-life-threatening conditions that require quick attention, including bone fractures, pneumonia and flu, and minor lacerations. Since the late 1980s and early 1990s, hospitals have looked to facilities such as RUCs as a means to reduce rates of inappropriate ED utilization by triaging non-emergent patients to less acute settings. The ED is not the most appropriate care setting for many patients. Non-urgent patients account for well over 10 percent of the average ED’s caseload, and semi-urgent cases account for another 20 percent (refer to Figure 1)
. At the other end of the acuity spectrum, most emergent patients would be better served in an inpatient unit, but many are forced to board in the ED because beds are unavailable.
Year4,8825,1265,3825,6525,934
Month407427449471495
Week9499104109114
Day1314151616
Visit volume will increase by 5% each year
Service AreaVisitsYear 1Year 2Year 3Year 4Year 5
Figure 1
Triaging patients to an appropriate site of care properly allocates resources to meet patient acuity and results in better clinical outcomes. RUC staffing and treatment approaches are fundamentally different from those in an ED; patients get more abbreviated and pointed clinical work-ups, which provides care more efficiently by clinicians who are oriented to less intense discovery and intervention.
The RUC will also address community needs for convenient, reliable access to care. Current alternatives to RUCs include the ED, which like other comparable U.S. and U.K. EDs, has long wait times and potentially stressful patient environments. Decreasing wait times is positively correlated with better outcomes.
Figure 2
Services
To meet the needs of the community and provide the appropriate level of care without unnecessary duplication of a resource-intensive emergency department, the RUC will provide basic emergent procedures, diagnoses, and treatments.
· Nursing triage
· Physician assessments
· Minor procedures
· Basic lab services
· Basic diagnostic imaging
· Vital signs
· IV therapy
· EKG
· Wound care
The potential to house ambulance services out ...
The document provides details on Keith Spurlin's design portfolio, which includes medical facilities in North Carolina, Georgia, South Carolina, and Louisiana. As project designer or coordinator, Spurlin led overall building design and construction documents for ambulatory surgery centers, medical office buildings, hospitals, and mixed-use developments. His role included detailing building facades with materials like brick, glass, and metal panels.
C205 Ahmad (2011) Space Standardisation and Flexibility on Healthcare Refurbi...HadiOliveraNikoli
This document summarizes a research paper on space standardization and flexibility in healthcare refurbishment projects. It discusses how flexibility allows healthcare facilities to adapt to changes like growth and new technologies. Standardization can improve patient care and staff performance by reducing errors and establishing routines. The document reviews literature on flexibility drivers like changes and advancements. It examines how flexibility and standardization impact key drivers of healthcare refurbishment like adapting to future challenges, users' needs, and uncertainties.
The document discusses the design of physical hospital layouts. It begins by describing how traditional hospital layouts were inefficient and negatively impacted patient care. New designs were needed to make hospitals more patient-centered by improving privacy, reducing noise and congestion, and creating a more comfortable environment. The document outlines factors to consider in the hospital design process like research, simulations, and evidence-based methods to determine the best layout. The goal is an effective layout that allows for quality patient care and satisfies patients' needs.
With a decade of expertise in Healthcare Consulting, Altido emerges as a prominent service provider specializing in hospital planning and designing. We excel in offering innovative solutions and leveraging our knowledge to optimize healthcare facilities, leading to enhanced patient care and improved operational efficiency.
Adrian W. Orr has over 25 years of experience in clinical research and R&D for medical devices. He specialized in developing and restructuring clinical research departments for mid-sized global corporations. Currently he is the Global Clinical Research Director at Haemonetics, where he is responsible for global regulatory and post-marketing clinical research on blood management devices. Previously he held clinical research leadership roles at several medical device companies.
1) India is emerging as an attractive destination for outsourcing clinical research due to its large patient pools, low costs, and trained workforce.
2) The clinical research industry in India has grown significantly in recent years and is expected to grow from $100 million in 2004 to over $300 million by 2010.
3) India offers many advantages over other countries for clinical trials including lower costs, treatment-naïve patients, and investigators trained in Western practices.
Cannon Design has over 65 years of experience in healthcare facility design and is ranked among the top 10 healthcare design firms. It has 400 LEED accredited professionals on staff. The document discusses several of Cannon Design's healthcare projects, noting details about services provided, sizes, recognition received, and how the designs have improved performance."
This document provides an overview of hospital planning and project management. It discusses the importance of conducting thorough market research and a feasibility study before conceptualizing a hospital project. The key steps involved are:
1) Conducting surveys of households, doctors, and existing institutions to understand healthcare needs and deficiencies in the target area.
2) Analyzing the collected data to determine an appropriate facility mix and scale for the proposed project.
3) Preparing a detailed cost estimate for the project under various heads such as civil works, equipment, furniture, and professional fees.
4) Making assumptions to forecast the potential income from inpatient and outpatient services based on the facility mix, bed capacity, and average tariffs.
This document provides information on various architecture and design projects related to healthcare facilities. It lists upcoming events from the Architects for Health organization in 2014, including conferences and regional events. It also provides descriptions of several completed projects from architecture firms David Morley Architects and Sheppard Robson, including details on new hospitals, healthcare centers, and refurbishments in the UK.
Cost accounting project report - CT & MRI Scan Analysis at a Superspeciality ...Aditya Kumar Varshney
Economic constraints are one of the major limitations on the quality of health care even in India’s urbanized cities. Quality improvement demands optimizing the existing facilities within available resources. In addition, the cost of medical services has risen dramatically in the past decade. This has laid a lot of importance to understand the actual cost of providing medical services.
Radiology, which is an integral component of diagnostic modalities in a tertiary setting. With more patients availing these services at tertiary care hospitals, thus with this study, we strive to assess the cost analysis of MRI and CT scan radiology services at a tertiary care hospital.
This document discusses the benefits of bringing diagnostic imaging services in-house in the emergency department (ED). It notes that as diagnostic capabilities have expanded, imaging has played an increasingly important role in ED evaluation and management. Housing imaging within the ED can improve efficiency by reducing imaging turnaround times. The document provides guidelines for selecting appropriate imaging modalities for an in-house ED based on annual imaging volumes, patient populations, distance from main imaging services, and staffing. Factors like imaging location within the ED and availability of prior studies can also impact turnaround times and unnecessary repeat imaging. Careful planning of in-house ED imaging can enhance patient care, efficiency and reduce costs.
Hospital planning requires thorough preliminary study and consideration of community needs, resources, and future changes. The planning process involves assessing needs, feasibility studies, developing a master plan, and financial planning. Key principles of hospital planning are providing high quality patient-centered care, effective community orientation, and economic viability. Planning ensures the building meets clinical, technological, and safety standards while considering staff roles.
Healthcare public design Selected hospital designSiniša Prvanov
The document summarizes a healthcare interior design project for the expansion of St. Joseph's Health System's medical campus in Patterson, NJ. The expansion included a new Critical Care Building (CCB) with an unusual elliptical shape, connected by a two-story lobby. Natural light was a key design consideration to aid the healing process. The lobby features a 30x30 foot LED-lit acrylic wall that changes color and a custom globe fixture. The project brings natural light deep into the spaces and provides views of nature to aid patients.
Quattro Design has over 17 years of experience designing healthcare facilities. They have expertise in areas like operating theatres, mental health facilities, diagnostic imaging, and community care. For operating theatres, they have successfully delivered advanced clinical spaces within tight schedules. Their psychiatric intensive care unit in Gloucester provides high quality, sustainable facilities. They also have experience designing diagnostic imaging centers, inpatient wards, clinical support spaces, and primary care practices.
This month's community call is part two in a series on Clinical Transformation. The presentations will highlight how Clinical Transformation affects outcomes AND the bottom-line of health care organizations. The presentation will provide a proof point on how Clinical Transformation has a direct Return on Investment (ROI) for both the patient and the provider organization.
This topic is both clinical and administrative in nature and will likely be useful to physicians, nurses and others interested in outcomes, as well as health care CIOs, CFOs and administrators.
Please feel free to forward this invitation to any colleagues or associates who you believe would find this topic of interest or would like to participate in the discussion.
What: Clinical Transformation (Part II)
- Clinical Transformation
- a Blueprint
- in Practice
- Transformation Working Group Update
- Review of status
- Framework for Planning
- Discussion
- Open Project Updates
- OpenVista/GT.M Integration
- CCD/CCR collaboration
- Medsphere.org: Tip of the month
When: March 26, 12:30 - 2pm Pacific
Where: Dial-in: (888) 346-3950 // Participant Code: 1302465
Web conference: http://www.medsphere.com/infinite/
===
The community calls are listed on the Medsphere.org event calendar (http://medsphere.org/community-events/) and we will update each month's call as the agenda is solidified.
Details and Recording available here: http://medsphere.org/blogs/events/2009/03/26/community-call-march-2009
Discover a comprehensive 7-point guide on how to start a hospital in India. Learn the essential steps and find out how Public Media Solution can help market your hospital effectively.
KIN-219 shows promise for treating oral mucositis and inflammatory bowel disease. In animal studies, KIN-219, a small molecule mimetic of antimicrobial peptides, reduced severe oral mucositis by over 90% and reduced severity of colitis. Kinnear Pharmaceuticals is developing KIN-219 as a rinse for oral mucositis and as a drug for IBD, with plans to conduct preclinical and clinical trials over the next 3 years. If successful, KIN-219 could generate over $500 million annually in sales and help address significant unmet needs in oncology supportive care and gastrointestinal diseases.
India - Emerging healthcare destination - VFinal-1Kanaga Lakshmi
The document discusses India's potential as a healthcare destination from a value perspective. It highlights how despite steep inflation over 30 years, the average cost of cardiac surgery in India ($3000) is much lower than in the US ($76,425). Apollo Hospitals in India have introduced clinical excellence and delivered world-class healthcare affordably through economic, technological, process and clinical excellence as well as focus on patient experience. Medical tourism to India is growing at 55% annually and could realize significant opportunities for cross-border partnerships that leverage globalization.
Medical Imaging Seminar Company PresentationsSpace IDEAS Hub
Medical Imaging - Opportunities for Business Seminar
24/01/12
Short Company Presentations
14 companies took the opportunity to present a short sales pitch of their work and interests to the audience.
Evidence-based design: definition and application in the healthcare setting Innovations2Solutions
This paper will define evidence-based design and identify outcomes of evidence-based design in healthcare. Two examples will be provided of areas where evidence can – and should – be integrated into healthcare facility design, in order to optimally support healthcare workers and patients.
Consulting on hospital projects is a multidimensional endeavor that requires a deep understanding of healthcare operations, regulatory frameworks, and technological advancements. With the healthcare landscape constantly evolving, the role of consultants becomes increasingly indispensable in creating modern, efficient, and patient-centered medical facilities. Their expertise not only ensures the successful completion of projects but also contributes to the enhancement of healthcare services and the well-being of the communities they serve.
This Audit Report made possible by the hospitals from Indonesia and the Philippines will historically demonstrate the bulk of plastics in the hospital waste stream and importantly, put emphasis on the role of the healthcare sector in positioning itself as a critical stakeholder for reduction and elimination of plastic pollution.
SAVE THE DATE!
October 4 - 5, 2018
Khoo Teck Puat Hospital in Singapore
For more info, send an email to greenhospitalsasia@no-harm.org or info@no-harm.org
More Related Content
Similar to WORKSHOP 3: Di Yan Qiang_buildings_2017
Adrian W. Orr has over 25 years of experience in clinical research and R&D for medical devices. He specialized in developing and restructuring clinical research departments for mid-sized global corporations. Currently he is the Global Clinical Research Director at Haemonetics, where he is responsible for global regulatory and post-marketing clinical research on blood management devices. Previously he held clinical research leadership roles at several medical device companies.
1) India is emerging as an attractive destination for outsourcing clinical research due to its large patient pools, low costs, and trained workforce.
2) The clinical research industry in India has grown significantly in recent years and is expected to grow from $100 million in 2004 to over $300 million by 2010.
3) India offers many advantages over other countries for clinical trials including lower costs, treatment-naïve patients, and investigators trained in Western practices.
Cannon Design has over 65 years of experience in healthcare facility design and is ranked among the top 10 healthcare design firms. It has 400 LEED accredited professionals on staff. The document discusses several of Cannon Design's healthcare projects, noting details about services provided, sizes, recognition received, and how the designs have improved performance."
This document provides an overview of hospital planning and project management. It discusses the importance of conducting thorough market research and a feasibility study before conceptualizing a hospital project. The key steps involved are:
1) Conducting surveys of households, doctors, and existing institutions to understand healthcare needs and deficiencies in the target area.
2) Analyzing the collected data to determine an appropriate facility mix and scale for the proposed project.
3) Preparing a detailed cost estimate for the project under various heads such as civil works, equipment, furniture, and professional fees.
4) Making assumptions to forecast the potential income from inpatient and outpatient services based on the facility mix, bed capacity, and average tariffs.
This document provides information on various architecture and design projects related to healthcare facilities. It lists upcoming events from the Architects for Health organization in 2014, including conferences and regional events. It also provides descriptions of several completed projects from architecture firms David Morley Architects and Sheppard Robson, including details on new hospitals, healthcare centers, and refurbishments in the UK.
Cost accounting project report - CT & MRI Scan Analysis at a Superspeciality ...Aditya Kumar Varshney
Economic constraints are one of the major limitations on the quality of health care even in India’s urbanized cities. Quality improvement demands optimizing the existing facilities within available resources. In addition, the cost of medical services has risen dramatically in the past decade. This has laid a lot of importance to understand the actual cost of providing medical services.
Radiology, which is an integral component of diagnostic modalities in a tertiary setting. With more patients availing these services at tertiary care hospitals, thus with this study, we strive to assess the cost analysis of MRI and CT scan radiology services at a tertiary care hospital.
This document discusses the benefits of bringing diagnostic imaging services in-house in the emergency department (ED). It notes that as diagnostic capabilities have expanded, imaging has played an increasingly important role in ED evaluation and management. Housing imaging within the ED can improve efficiency by reducing imaging turnaround times. The document provides guidelines for selecting appropriate imaging modalities for an in-house ED based on annual imaging volumes, patient populations, distance from main imaging services, and staffing. Factors like imaging location within the ED and availability of prior studies can also impact turnaround times and unnecessary repeat imaging. Careful planning of in-house ED imaging can enhance patient care, efficiency and reduce costs.
Hospital planning requires thorough preliminary study and consideration of community needs, resources, and future changes. The planning process involves assessing needs, feasibility studies, developing a master plan, and financial planning. Key principles of hospital planning are providing high quality patient-centered care, effective community orientation, and economic viability. Planning ensures the building meets clinical, technological, and safety standards while considering staff roles.
Healthcare public design Selected hospital designSiniša Prvanov
The document summarizes a healthcare interior design project for the expansion of St. Joseph's Health System's medical campus in Patterson, NJ. The expansion included a new Critical Care Building (CCB) with an unusual elliptical shape, connected by a two-story lobby. Natural light was a key design consideration to aid the healing process. The lobby features a 30x30 foot LED-lit acrylic wall that changes color and a custom globe fixture. The project brings natural light deep into the spaces and provides views of nature to aid patients.
Quattro Design has over 17 years of experience designing healthcare facilities. They have expertise in areas like operating theatres, mental health facilities, diagnostic imaging, and community care. For operating theatres, they have successfully delivered advanced clinical spaces within tight schedules. Their psychiatric intensive care unit in Gloucester provides high quality, sustainable facilities. They also have experience designing diagnostic imaging centers, inpatient wards, clinical support spaces, and primary care practices.
This month's community call is part two in a series on Clinical Transformation. The presentations will highlight how Clinical Transformation affects outcomes AND the bottom-line of health care organizations. The presentation will provide a proof point on how Clinical Transformation has a direct Return on Investment (ROI) for both the patient and the provider organization.
This topic is both clinical and administrative in nature and will likely be useful to physicians, nurses and others interested in outcomes, as well as health care CIOs, CFOs and administrators.
Please feel free to forward this invitation to any colleagues or associates who you believe would find this topic of interest or would like to participate in the discussion.
What: Clinical Transformation (Part II)
- Clinical Transformation
- a Blueprint
- in Practice
- Transformation Working Group Update
- Review of status
- Framework for Planning
- Discussion
- Open Project Updates
- OpenVista/GT.M Integration
- CCD/CCR collaboration
- Medsphere.org: Tip of the month
When: March 26, 12:30 - 2pm Pacific
Where: Dial-in: (888) 346-3950 // Participant Code: 1302465
Web conference: http://www.medsphere.com/infinite/
===
The community calls are listed on the Medsphere.org event calendar (http://medsphere.org/community-events/) and we will update each month's call as the agenda is solidified.
Details and Recording available here: http://medsphere.org/blogs/events/2009/03/26/community-call-march-2009
Discover a comprehensive 7-point guide on how to start a hospital in India. Learn the essential steps and find out how Public Media Solution can help market your hospital effectively.
KIN-219 shows promise for treating oral mucositis and inflammatory bowel disease. In animal studies, KIN-219, a small molecule mimetic of antimicrobial peptides, reduced severe oral mucositis by over 90% and reduced severity of colitis. Kinnear Pharmaceuticals is developing KIN-219 as a rinse for oral mucositis and as a drug for IBD, with plans to conduct preclinical and clinical trials over the next 3 years. If successful, KIN-219 could generate over $500 million annually in sales and help address significant unmet needs in oncology supportive care and gastrointestinal diseases.
India - Emerging healthcare destination - VFinal-1Kanaga Lakshmi
The document discusses India's potential as a healthcare destination from a value perspective. It highlights how despite steep inflation over 30 years, the average cost of cardiac surgery in India ($3000) is much lower than in the US ($76,425). Apollo Hospitals in India have introduced clinical excellence and delivered world-class healthcare affordably through economic, technological, process and clinical excellence as well as focus on patient experience. Medical tourism to India is growing at 55% annually and could realize significant opportunities for cross-border partnerships that leverage globalization.
Medical Imaging Seminar Company PresentationsSpace IDEAS Hub
Medical Imaging - Opportunities for Business Seminar
24/01/12
Short Company Presentations
14 companies took the opportunity to present a short sales pitch of their work and interests to the audience.
Evidence-based design: definition and application in the healthcare setting Innovations2Solutions
This paper will define evidence-based design and identify outcomes of evidence-based design in healthcare. Two examples will be provided of areas where evidence can – and should – be integrated into healthcare facility design, in order to optimally support healthcare workers and patients.
Consulting on hospital projects is a multidimensional endeavor that requires a deep understanding of healthcare operations, regulatory frameworks, and technological advancements. With the healthcare landscape constantly evolving, the role of consultants becomes increasingly indispensable in creating modern, efficient, and patient-centered medical facilities. Their expertise not only ensures the successful completion of projects but also contributes to the enhancement of healthcare services and the well-being of the communities they serve.
Similar to WORKSHOP 3: Di Yan Qiang_buildings_2017 (20)
This Audit Report made possible by the hospitals from Indonesia and the Philippines will historically demonstrate the bulk of plastics in the hospital waste stream and importantly, put emphasis on the role of the healthcare sector in positioning itself as a critical stakeholder for reduction and elimination of plastic pollution.
SAVE THE DATE!
October 4 - 5, 2018
Khoo Teck Puat Hospital in Singapore
For more info, send an email to greenhospitalsasia@no-harm.org or info@no-harm.org
SUSTAINABILITY IN ACTION: Best Practices from GGHH Asia Members and other Cou...HCWHAsia
This document summarizes research conducted by the China National Health Development Research Center on developing a Green Health and Care System (GHCS) in China. The research established a theoretical framework for GHCS, incorporated GHCS elements into national standards and plans, and raised awareness among policymakers. GHCS is a new healthcare delivery model that is people-centered, efficient, sustainable and promotes lifelong health. It consists of three interconnected subsystems: health management, medical services, and public health services. The research will now analyze experiences from other countries to develop implementation roadmaps and pilot projects for GHCS in China.
This document discusses the basics of green dentistry, which aims to reduce the environmental impact of dental practices. It promotes reuse, reduction, rethinking processes, and recycling. Specific goals include phasing down the use of mercury in dental amalgam and promoting alternatives. It identifies conventional x-ray systems, infection control methods using disposable items, and vacuum saliva ejector systems as generating the most waste. The document advocates shifting to digital x-rays, reusable items for infection control, and dry vacuum systems to be more sustainable. It also discusses the Minamata Convention which calls for phasing down dental amalgam use and strengthening prevention, research, education, and financial support for alternatives.
The document summarizes a presentation given by Dr. Heng-Chia Chang from Taipei Tzu Chi Hospital about their efforts to become a green and healthy hospital. The hospital has established a Health Promotion Hospital Committee with 4 subgroups to lead various sustainability initiatives. They have implemented numerous programs to reduce waste and promote recycling, conserve water and energy, incorporate green building design, and educate staff, patients and the community on environmental health topics. Through these ongoing efforts, Taipei Tzu Chi Hospital has received several national awards recognizing its leadership in sustainability and health promotion.
The document discusses the Buddhist Tzu Chi Dialysis Centre's efforts to promote low carbon healthcare. It details how the centre implements a vegetarian food policy using reusable containers, reducing plastic waste and carbon emissions. Over 300 days, this policy is estimated to save 163 trees worth of carbon dioxide emissions. The centre also recycles waste, uses recycled water, and employs energy saving practices like timer controls to reduce environmental impact. Patients and visitors are briefed on the centre's sustainability policies and regulations.
This document discusses the carbon footprint of dialysis and opportunities to improve its sustainability. It notes that dialysis exacts a heavy environmental toll through high water and power consumption and medical waste generation. The annual carbon footprint of hemodialysis for one patient is over 10 tons of CO2 equivalents. Efforts are needed to minimize water and power use, optimize waste management, and develop more sustainable technologies and practices. Examples from the UK, Australia and other countries demonstrate that green nephrology initiatives can significantly reduce environmental impacts and costs of dialysis.
This document discusses leadership strategies for greening hospitals. It begins by describing the leadership shown by Yonsei University Health System in Korea, which established a green task force and implemented initiatives like a building energy management system and greenhouse gas reduction programs. It then discusses the Korean government's support for green hospitals through partnerships and funding. Finally, it outlines the academic leadership of the Korea Society for Green Hospitals in sharing best practices through conferences.
1. The document outlines a presentation on sustainable procurement in the health sector by Dr. Rosemary Kumwenda at the Green Hospitals Asia Conference in 2017.
2. It discusses the UN's Sustainable Procurement in the Health Sector task team, their goals of leveraging procurement to lower environmental and social impacts and improve health.
3. Examples are given of partnerships with NGOs to develop green procurement criteria and mapping sustainability risks in health commodity supply chains. Results shown include emissions reporting, packaging reduction, and solar power initiatives to make healthcare more sustainable.
This document discusses the global plastic pollution crisis. It notes that the world's oceans are polluted with over 5 trillion pieces of microplastics and that one garbage truck worth of plastic is dumped into the ocean every minute. The plastic pollution is contaminating the food chain, water supply, and humans are ingesting plastic particles. The plastic production is largely dependent on fossil fuels and a massive expansion of plastic production capacity is planned that could undermine efforts to reduce plastic pollution. The document calls for governments and companies to take action to reduce single-use plastics and transition toward more sustainable circular economic systems to address the plastic pollution crisis.
WORKSHOP 4: Susan Wilburn_procurement_2017HCWHAsia
This document discusses climate smart health care and strategies for the health sector to address climate change. It outlines how climate change poses significant health risks and impacts globally. It then discusses how health care is a major contributor to greenhouse gas emissions but can transition to more sustainable, low-carbon systems. This includes reducing energy and waste, using renewable energy, building resilient infrastructure, and leading by example on climate policies. The document presents several case studies of hospitals that have implemented low-carbon and resilient designs.
Paeng Lopez of the Healthy Energy Initiative gave a presentation at the GGHH Asia Conference 2017 in Taiwan on transitioning the health sector to clean energy. The presentation noted that burning fossil fuels like coal for energy production harms the environment and human health, with coal being particularly damaging and responsible for hundreds of thousands of premature deaths globally each year. It argued that while Southeast Asia faces severe health impacts from coal pollution, the health sector does not need to continue relying on fossil fuels and can transition to cleaner, healthier energy sources to reduce its large carbon footprint. Making this transition would allow the health sector to once again prioritize healing.
WORKSHOP 3: Nick Thorp_greenhealthchallenges_2017HCWHAsia
GGHH is a project of Health Care Without Harm that aims to reduce the environmental footprint of the health sector. The health sector accounts for 3-5% of annual carbon emissions in countries like China, India, Indonesia, and Thailand. Approximately 66% of healthcare facilities in Southeast Asia lack adequate healthcare waste disposal. GGHH addresses this issue through its Green Health Challenges initiative, which provides targets and indicators for healthcare organizations to measurably reduce their environmental impact in areas like energy use, climate resilience, and waste management.
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Green Hospital outlines the green initiatives at Khoo Teck Puat Hospital in Singapore. It began with early experimentation at Alexandra Hospital, including waste segregation and composting. For Khoo Teck Puat Hospital, a focus was placed on stakeholder engagement and designing the hospital to be integrated with the local community. This included making space for public use and connecting to nearby parks. The hospital implemented various green building features for energy and water conservation. Through initiatives like recycling programs and using safer chemicals, the hospital achieved reductions in waste and resource usage over time. Leadership and continued messaging have helped make sustainability part of the hospital's operations and culture.
The document discusses energy use and policy in India. It notes that India is the third largest energy consumer globally and relies heavily on fossil fuels for electricity generation. However, renewable energy has increased from 12-14% of the energy mix from 2005-2015. The National Energy Policy, 2017 aims to reduce emissions intensity and increase the share of non-fossil fuel capacity to above 40% by 2030. It also outlines targets to increase renewable energy capacity from wind, solar, biomass and small hydro sources to 175GW by 2022 and 597-710GW by 2040. The document further discusses how unreliable and irregular energy access impacts rural health services in India and highlights case studies of hospitals transitioning to solar power.
Air pollution is a major public health issue that causes millions of premature deaths annually. In Chennai, India, with a population of over 8 million people, there are only 3 government air quality monitors, providing insufficient data on pollution levels. Hospitals and healthcare facilities have an important role to play in addressing air pollution through education, advocacy, and monitoring of local air quality near their facilities, as demonstrated by a case study of the Huma Lung Foundation in Chennai. The Foundation installed air quality monitors at their hospital to obtain better data and raise awareness of this important issue among patients, staff, and the public.
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4. 1、中国绿色医院发展概况 Development of green hospitals in China
#LowCarbonHealthCare
政策体系 Policy
《“健康中国2030”规划纲要》Outline of the plan for healthy China 2030
5项重点内容:普及健康生活、优化健康服务、完善健康保障、建设健康环境、发展健康产业。
《关于加快推动我国绿色建筑发展的实施意见》财建[2012]167号
Implementation opinions on accelerating the development of green building in China
《绿色建筑行动方案》国办发[2013]1号 Green building action plan
《“十二五”绿色建筑和绿色生态城区发展规划》"Green building and green ecological city development plan" In 12th
Five-Year
政府投资的国家机关、学校、医院等建筑,单体建筑面积超过2万平方米的机场、车站、宾馆、饭店、商场、写字楼等大型公共建筑,
自2014年起全面执行绿色建筑标准。
国家卫生计生委、住建部、财政部启动全国医疗卫生机构建筑能耗监管系统试点建设工作
Pilot construction of energy consumption supervision system for medical and health institutions
近期目标:建设针对44家委属(管)医院的综合能耗数据监管平台;长期目标:建设完善覆盖全国医疗卫生机构的节能管理信息平台
。
中国北京市、江苏省、安徽省、广东省、山东省、武汉市、惠州市等地相继出台政策通知,要求政府投资的公益性建筑全面执行绿色建筑标准。
《建筑节能与绿色建筑发展“十三五”规划》 Building energy-saving and green building development plan “In 13th
Five-Year”
继续推动政府投资保障性住房、公益性建筑以及大型公共建筑等重点建筑全面执行绿色建筑标准。
5. #LowCarbonHealthCare
标准体系 Standard
序号 标准名称
1 《综合医院建筑设计规范》GB51039-2014
2 《医院洁净手术部建筑技术规范》GB50333-2013
3 《洁净手术室用空气调节机组》GB/T 19569-2004
4 《医疗建筑电气设计规范》JGJ312-2013
5 《洁净室施工及验收规范》GB50591-2010
6 《传染病医院建筑设计规范》GB50849-2014
7 《医院消毒卫生标准》GB15982-2012
8 《医院空气净化管理规范WS/T368-2012》
9 《医院消毒供应中心第1部分:管理规范》WS 310.1-2016
10
《医院消毒供应中心第2部分:清洗消毒及灭菌技术操作规范》WS
310.2-2016
序号 标准名称
11 《绿色医院建筑评价标准》GB/T 51153-2015
12 《既有建筑绿色改造评价标准》GB/T 51141-2015
13 《既有建筑绿色改造技术规程》T/CECS465-2017
14 《医院建筑绿色改造技术规程》(征求意见稿)
15 《医院建筑运行维护技术标准》(初稿)
1、中国绿色医院发展概况 Development of green hospitals in China
6. #LowCarbonHealthCare
绿色医院认证 Green hospital certification
序号 星级 地区 项目名称
申报建筑面积
(万㎡)
单位面积能耗
(kwh/㎡a)
节能率
(%)
单位面积增量成本
(元/㎡)
可节约运行费用
(万元/年)
No
Evaluation
Level
Region Project Name Total Area
Energy
consumption per
unit area
Energy
saving rate
Incremental cost
per unit area
Operating
cost saving
1 ★★ 浙江 浙江大学医学院附属妇产科医院科教综合楼 3.9
2 ★★★ 北京 东直门社区卫生服务中心 1.4 107.6 64.9 557.7 37.3
3 ★★ 浙江 杭州市第十人民医院医疗综合楼 4.0 65.4 58.3 60.4 25.2
4 ★★★ 江苏 常州南夏墅街道卫生院项目 2.3 97.2 63.1 97.4 38.0
5 ★ 广东 深圳市光明医院改扩建工程医技住院楼 3.1 40.7 62.2 44.5 42.6
6 ★★ 江西 萍乡市人民医院三期建设工程 11.3 50.2 60.1 40.4 69.6
7 ★★ 江苏 解放军第四五四医院礼堂改造 0.3 80.9 65.4 79 5.4
8 ★ 广东 深圳市宝安区妇幼保健院 9.9 —— 51.8 19.8 241.3
9 ★★ 江苏 沭阳县人民医院 14.77 72.5 65 4.7 /
10 ★★ 江苏 沭阳南关医院综合楼及辅助楼项目 2.5 43.4 65 161.2 /
1、中国绿色医院发展概况 Development of green hospitals in China
7. #LowCarbonHealthCare
绿色医院认证 Green hospital certification
序号 星级 地区 项目名称
申报建筑面积
(万㎡)
单位面积能耗
(kwh/㎡a)
节能率
(%)
单位面积增量成本
(元/㎡)
可节约运行费用
(万元/年)
No
Evaluation
Level
Region Project Name Total Area
Energy
consumption
per unit area
Energy
saving rate
Incremental cost
per unit area
Operating cost
saving
11 ★★ 广西 广西妇女儿童医院 5.85 102.7 50 470.4 1094.2
12 ★★ 河南 项城市中医院整体迁建项目门诊医技病房综合楼 4.11 114.3 65 146 90
13 ★ 河北 沧州市人民医院医专院区门诊病房综合楼 10.86 198.8 52
14 ★★ 山东 青岛平度市人民医院综合门诊楼 6.79 80.1 60.7 146.2 152.8
15 ★ 广东 深圳市盐港医院门诊医技综合楼 2.65 37.6 50.7 20.9 12.8
16 ★★ 广西 广西临桂县人民医院医技住院综合楼 3.2 79.5 62.7 86.6 26.1
17 ★★ 河南
中国人民解放军第九十一中心医院(综合楼、全军
精神疾病防治中心楼)
6.8 45 65.8 576 150
18 ★★ 浙江 浙江大学医学院附属妇产科医院科教综合楼 3.87 46.7 51.9 236.5 180
19 ★★ 湖北 石首市人民医院第一期工程 6.1 87.4 50.7 116.4 58
20 ★ 陕西 宝鸡市中心医院内科住院楼工程 3.85 147.8 51 4.7 3.6
1、中国绿色医院发展概况 Development of green hospitals in China
8. #LowCarbonHealthCare
绿色医院认证 Green hospital certification
序号 星级 地区 项目名称
申报建筑面积
(万㎡)
单位面积能耗
(kwh/㎡a)
节能率
(%)
单位面积增量成本
(元/㎡)
可节约运行费用
(万元/年)
No
Evaluation
Level
Region Project Name Total Area
Energy
consumption
per unit area
Energy
saving rate
Incremental cost
per unit area
Operating cost
saving
21 ★★ 浙江 浙江大学医学院附属义乌医院 11 68.3 50.9 48.8
22 ★★ 青海 青海省妇女儿童医院门诊住院综合楼 3.28 120.2 53.7 7.7 15.7
23 ★ 广东
深圳市福田区人民医院后期工程新建门诊住院大
楼(01)
17 99.4 50 16.0 7.9
24 ★ 广东 深圳市滨海医院 35.25 112.9 61 111.8 1436.2
25 ★★★ 上海
第二军医大学第三附属医院上海安亭院区一期工
程
18
26 ★★ 河南 邓州市中心医院 8.23 95.6 50 147 150
27 ★ 广东 深圳市光明新区公明人民医院扩建工程和综合楼工程 4.08 80.3 52.5 55.6 76.7
28 ★★ 云南 临沧市人民医院青华医院 14.95 67.9 58.4 147.1 272.0
29 ★★ 河南 鹤壁人民医院主病房楼 8.62 148.2 65.2 26.5 61.0
30 ★★ 广西 北海市第二人民医院整体搬迁一期工程 9.31 52.4 62.3 141.2 487.8
1、中国绿色医院发展概况 Development of green hospitals in China
9. 1、中国绿色医院发展概况 Development of green hospitals in China
#LowCarbonHealthCare
小结 Summary
中国规模化强制性推进新建医院建筑绿色发展,并取得一定成效;
China’s large-scale development of new green hospital buildings has achieved certain results;
中国大型的、综合性的、知名的医院,多数位于市中心,条件不允许大面积新建医院
建筑,且绝大部分面临改扩建。
Firstly, China‘s large, integrated and well known hospitals are mostly located in the centre of
the city and are not allowed to build large scale new buildings,and most of them are facing
retrofitting ;
医院建筑全面实现绿色化,既有医院建筑的绿色化改造所占分量举足轻重;且传统医
院建筑的设计更多注重功能设计,立面风格千篇一律,易给患者留下紧张、恐惧的印
象。
It is very important for the green retrofitting of hospitals, and the design of traditional
hospital buildings pays more attention to functional design, and the facade style is
stereotyped, which gives the patient the impression of tension and fear.
医院建筑的绿色化改造是未来必然趋势。
Therefore, the green retrofitting of hospital buildings is the trend in future.
11. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
调研城市:黑龙江、内蒙古、吉林、北京、天津、河北、江苏、江西、上海、广东、广西等
Survey cities: located in Heilongjiang, Inner magnolia, Jilin, Beijing, Tianjin, Hebei, Jiangsu, Shanghai, Guangdong, Guangxi
医院类型:综合医院(一、二、三级)、专科医院、中医医院、教学医院
Hospital type: General hospital (1,2,3 grade), special hospital, traditional Chinese Medicine hospital, Teaching hospital
调研医院汇总 Survey hospital summary
气候分区
Climate zone
医院名称 Hospitals
北方地区
North china: Cold area
内蒙古医学院附属医院、内蒙古医院、乌兰察布第三医院、乌兰察布第四医院、吉林中日联谊医院、
北京中医药大学、东直门中医院、北京中医药大学东方医院、天津市人民医院、天津市第一中心医
院、牡丹江第一人民医院、牡丹江第六人民医院、北京地坛医院、北京积水潭医院…………….
中部地区
Middle china: Hot summer
and cold winter area
瑞金医院嘉定北院、上海市胸科医院、上海市第一人民医院、上海市第十人民医院、上海仁济医院、
南京市鼓楼医院、南京市四五四医院、上海精神卫生中心、上海公共卫生临床中心、上海曙光医
院……………..
南部地区
South china: Hot summer
and warm winter area
桂林市中医院、桂林市中西结合医院、桂林市医学院附属医院、桂林市第二人民医院、柳州柳江人
民医院、平南县第二人民医院、临桂县人民医院、广州医学院附属第一医院、南方医科大学第三附
属医院、南方医院,江门五邑中医院,广西妇幼保健院………………..
气候区
Climate zone
严寒
Severe
cold area
寒冷
Cold
area
夏热冬冷
Hot summer
and
cold winter
area
夏热冬暖
Hot summer and
warm winter area
合计
Total
三级甲等
Class Ⅲ Grade 1 hospital
4 14 18 14 50
三级乙等
Class Ⅲ Grade 2 hospital
1 5 5 2 13
二级甲等
Class Ⅱ Grade 1 hospital
3 7 8 5 23
二级乙等
Class Ⅱ Grade 2 hospital
2 4 7 1 14
合计
Total
10 30 38 22 100
床位数
Number of
beds
100~500 500~1000 1000~1500 >1500
合计
Total
医院数量
Hospital Qty 39 40 10 11 100
13. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
医疗功能部门分化、使用功
能复杂
Medical department is
dispersed and has
complex function
医院规模扩大
Scale enlargement
交通流线缩短
Traffic flow is overlapping,
causes crowd
整合集中化
Integration and centralization
能耗增大
环境质量恶化
不能充分利用自然
采光、自然通风
Energy consumption
increase,
environment quality
deteriorate, can not
adequately utilize of
natural light and
ventilation.
Functional layout and space utilization
14. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
装饰材料种类少
Few kinds of decoration
materials
装饰色彩单调,缺乏丰富
性
Decorative color monotone,
lack of rich diversity
未充分考虑色彩的医疗辅助
作用
Medical assistant role of
color is not fully taken into
account
缺少明确区分空间的色彩
系统,环境混乱
Lack of a clear spatial color
system, environmental
confusion
忽视了颜色对病人视
觉及心理的影响
Ignoring the visual
and psychological
effects of color on the
patient
某医院1层大厅
楼层低采光
不够,室内
显得昏暗,
加之装饰颜
色暗淡,让
人感觉压抑
且生冷
某医院2层大厅
黑色墙砖、浅
灰色地砖搭配
黑色波导线。
采光顶大部分
被黑色涂布覆
盖,室内装修
均为冷色调,
给人带来生冷
感
Functional layout and space utilization
15. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
Energy system
严寒地区
Severe cold
area
不同气候区热耗水平分布
Distribution of heat
consumption levels in
different climatic
zones
16. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
水平1:单位建筑面积电耗/热耗分布
Level 1: electricity consumption / heat consumption distribution per unit floor area
电力主要用于中央空调、医疗设备、电梯、照明系统和办公设备等;
Electricity is mainly used in central air conditioning, medical equipment, elevators, lighting systems and office equipment, etc.
将耗电量和锅炉耗气(油、煤)量全部折算成一次能源进行热耗分析,严寒地区和寒冷地区医院还要考虑采暖季热力站实际耗热量;
The electricity consumption and the consumption of boiler gas (oil, coal) are converted into primary energy to analyze. Heating energy
consumption should be considered in hospitals in cold area and severe cold area.
南方医院的总热耗水平整体高于北方医院。
The total heat consumption of the southern hospital was higher than that of the northern hospital.
17. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
水平2:单位床位电耗/热耗分布
Level 2: electricity consumption / heat consumption distribution per unit bed
医院空调系统的一次能源消耗量一般是办公建筑的1.6~2.0倍;
The primary energy consumption of a hospital air conditioning system is 1.6 to 2 times that of an office building;
能源支出在医院总运行费用支出比例占到1-4%之间。
Energy expenditure accounted for 1-4% of the hospital's total operating expenses.
18. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
水平3:单位建筑面积水耗分布
Level 3: water consumption distribution per unit floor area
夏热冬冷地区和夏热冬暖地区的医院单位面积耗水量明显高于严寒地区和寒冷地区的医院,显然与当地的气候特征有关;
The water consumption per unit area in hot summer and cold winter area and hot summer and warm winter area is obviously
higher than that in severe cold area and cold area. It is obviously related to local climate characteristics;
19. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
水平4:计量、监测、照明、运维管理情况
Level 4: measurement, monitoring, lighting, operation and maintenance management
1 2 3 4
有
能
耗
台
账
有
电
力
分
级
计
量
有
冷
热
量
计
量
有
完
整
能
耗
监
测
系
统
建立能耗监测计量系统的医院比例
Establishment proportion of energy
consumption monitoring and measuring system
不同气候区医院空调系统运行管理水平
Operation management level of hospital air
conditioning system in different climatic zones
照明控制手段
Lighting control
节能灯具使用比例
Utilization ratio of
energy-saving lamps and lanterns
20. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
系统多且相互独立
,互不耦合,缺乏
协同优化,整体容
量偏大,运行能效
偏低。
Multi independent
energy systems
are not operated
in integrated
mode. The system
has huge machine
capacity, low
operation
efficiency
供能系统形式多元
multi-energy system
医院用能集中在空调、供暖、生活热水、蒸汽、照
明、动力等
Hospital energy consumption mostly include
cooling, heating, hot water, steam, lighting and
power
能耗种类多、区域能耗分布不均匀Plenty energy
consumption type, unbalanced distribution
分批次改扩建,每一栋楼独立一个系统
Each building is an independent system
电锅炉、燃油锅炉还存在。
Electrical boiler and oil boiler is still in
operation
可再生能源应用比例偏低。
Lack of renewable energy utilization
供冷、热同时存在,缺乏协调,综合效率偏低。
Cold and heat exist simultaneously, lack of
coordination, low comprehensive efficiency.
常规与可再生能源设计,运行缺乏协同优化。
Lack of optimization between regular and
renewable energy system
21. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
缺乏实效的管理模式及调控策略
The lack of effective management model and control strategy
蒸汽凝结水直接排放、周围水汽现象严重
The steam condensed water is discharged
directly, and the water vapor around it is
serious 未能做到“废热
利用”、“冷热
兼用”Failed
to achieve
waste heat
utilization
燃气锅炉烟气直接排放,影响美观及环境
The direct emission of flue gas in gas
boiler affects the appearance and
environment
机组排热未有效利用
The heat rejection of the unit is not
effectively utilized
缺少分项计量系统
Lack of sub metering system
未设置能耗监测平台,不能有效把握系
统运行状态
Energy monitoring platform is not
installed, can not effectively grasp
the system running state
不同功能区域(门诊,医技,病房,洁
净用房)用户端用能需求差异较大。
Different functional areas (outpatient,
medical, ward, clean room) with
different end users demand.
运行不能全面反映
用能分布及状态
Operation can
not fully reflect
the distribution
and status of
energy
consumption
22. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
部分区域存在交叉感染
Cross infection
室内环境质量
不容乐观
Indoor
environment
quality is not
very
optimistic
增加换气次数,导致气流组织变差
Increase the number of ventilation,
resulting in poor air distribution
洁净功能用房换气次数与室内污染物分
布、去除效果的关联性及敏感性研究,
污染控制与节能始终是一对矛盾
The relationship between the number of
clean function rooms, the distribution of
indoor pollutants and the removal
efficiency of the clean function, and the
sensitivity of pollution control and energy
saving are always contradictory
增加换气次数而导致能耗增大Increase
the number of ventilation, resulting in
increased energy consumption
挂号、候诊、输液室等房间空气
质量对医患构成较大威胁
Registration, waiting room,
transfusion room and other
room air quality pose a great
threat to doctors and patients
Indoor environment quality
23. 2.中国医院建筑现状及绿色改造需求分析
Present situation of Chinese hospital building and demand analysis of green retrofitting
#LowCarbonHealthCare
我国医院建筑绿色化改造的影响因素
Influencing factors of green retrofitting of hospital buildings in China
自然因素
Natural factors
地理
Geography
地形
Terrain
气候条件
Climate condition
社会文化因素
Socio-cultural factors
观念意识
Perception
市政规划
Municipal planning
医疗观念
Medical concept
管理体制
Management system
科学技术
Science and technology
材料
Material
医学
Medical Science
工程技术
Engineering Technology
经济因素
Economic factors
经济体制
Economic system
投资方式
Investment mode
改造需求巨大
Great demand for
green retrofitting
25. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
医院建筑绿色化改造关键技术体系
医疗功能用房绿色化
改造关键技术Key
technologies of
green retrofitting
of medical
function room
功能布局“适度集中化”评价指标体系
Evaluation index system of moderate
centralization of function layout
空间高效利用技术
Space efficient utilization technology
医院建筑装修材料优化配置方法
Hospital building decoration materials
optimization method
装饰空间色彩优化设计技术
Decorative space color optimization design
technology
医院建筑绿色化改造关键技术体系
Technical system for hospital building green
retrofitting
医疗功能用房绿色化
改造关键技术
Key technologies of
green retrofitting of
medical function
room
医院能源系统节能改造与能效提升
关键技术
Key technologies of energy
saving and energy efficiency
improvement in hospital energy
system
医院建筑室内环境质量综合改善与安全
保障关键技术
Key technologies for comprehensive
improvement and safety assurance
of indoor environmental quality in
hospital buildings
医院建筑室外环境生态化、人性化改造设
计与功能提升关键技术
Key technologies of ecological and
humanized design and function
promotion of outdoor environment of
hospital building
医疗废气、废水、废物无害化处
理升级改造关键技术
Key technologies of medical
waste gas, waste water and
waste harmless treatment and
upgrading
医院能源系统节能改造与能效
提升关键技术
Key technologies of energy
saving and energy efficiency
improvement in hospital
energy system
既有医院能源系统综合评价体系与决策支持系
统
Comprehensive evaluation system and
decision support system of energy system
in existing hospitals
既有能源系统分项计量改造与能耗监测平台
Measurement reform and energy
consumption monitoring platform of
existing energy system
复合能源耦合供能升级改造技术
Composite energy supply coupling energy
supply upgrading and transformation
technology
医院建筑余热、废热回收再利用技术
Hospital building waste heat recovery and
reuse technology
26. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
医院建筑绿色化改造关键技术体系
医院建筑室内环境质量综合改
善与安全保障关键技术Key
technologies for
comprehensive
improvement and safety
assurance of indoor
environmental quality in
hospital buildings
室内空气质量评价系统
Indoor air quality evaluation system
洁净功能用房下限换气次数优化计算方法
Optimization calculation method of
ventilation rate at lower limit of clean
function room
洁净功能用房污染控制与节能降耗一体化关
键技术
Key technologies of integration of
pollution control and energy saving and
consumption reduction in clean function
rooms
室内空气质量监测预警技术
Indoor air quality monitoring and early
warning technology
医疗废气、废水、废物无
害化处理升级改造关键技
术
Key technologies of
medical waste gas,
waste water and waste
harmless treatment and
upgrading
医疗废气无害化处理升级改造技术
Harmless treatment and upgrading of
medical waste gas
医疗废水消毒工艺改进及无害化处理技术
Improvement of medical waste water
disinfection process and harmless
treatment technology
与医疗废物焚烧技术配套的尾气升级改造技术
Tail gas upgrading technology matched
with medical waste incineration technology
医院建筑室外环境生
态化、人性化改造设
计与功能提升关键技
术
Key technologies of
ecological and
humanized design
and function
promotion of
outdoor
environment of
hospital building
室外环境生态化规划设计与升级改造关键技
术
Key technologies of ecological planning,
design and upgrading of outdoor
environment
室外环境人性化改造设计、功能提升关键技
术与园艺疗法
Humanized design of outdoor
environment, key technologies of
functional promotion and horticultural
therapy
医院建筑绿色改造工程案例集
Green Retrofitting for Existing
Hospital Buildings-Case Studies
医院建筑绿色改造技术指南
Technical Guide for Hospital Building Green Retrofitting
27. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
夏热冬冷地区Hot summer and cold winter area
上海胸科医院位于上海市徐汇区,为三甲专科医院,占地
面积2.6万㎡,改造的门急诊楼始建于2000年,总建筑面
积10465㎡,总建筑占地面积为1615㎡。主体结构为框架
结构。
Shanghai Chest Hospital is located in Xuhui District in
Shanghai City, a Tertiary hospital, It covers an area of
26000 square meters, the emergency building to be
transformed was built in 2000, its overall floorage is
10465 square meters, its gross building area is 1615
square meters. The main structure is frame structure.
上海市胸科医院【示范工程名称】
Demonstration project
【工程概况】
Project overview
【评价等级】
Rating
一星级 One star
改造内容
Reform
content
28. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
院区建于上世纪80年代,1号门急诊医技楼建于2000年;2号病房楼投用于2006年;旧病房楼原址改扩建“上海市肺部
肿瘤临床医学中心综合病房楼”,即3号楼。2015年,1号门急诊医技楼进行大修,同时拆除东大楼改做绿化。
It was built in the 80s of last century, On the site of the ward building, the "Comprehensive Ward Building of Shanghai lung cancer
clinical medical center" was changed and expanded, that is building No.3,which was put into operation. The overhaul of No.1
emergency building and demolition of the East building to do the green have been proposed in 2015.
②病房楼
旧病房楼
(拆建)①门急诊楼
③综合病
房楼(新)①门急诊楼
(拟大修)
②病房楼
④东大楼
④东大楼
(拟拆)
1. 功能布局 Function layout
29. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
1. 功能布局 Function layout
旧病房楼南楼6层、北楼10层,原址改扩建的3号综合病房楼,集病房、放疗、会议、图书档案、办公、食堂、俱乐部于
一体,并与原有2号病房楼以连廊连接,两栋建筑形体呼应,外观协调,交通连贯,功能完善。
The old South Ward Building 6 layer and North building 10 layer , were changed and expanded to No. 3 Comprehensive Ward
Building, and connect with the original 2 ward floor corridor, two buildings echo to body, and fully functional.
②病房楼
旧病房楼 ③综合病房楼(新)
②病房楼③综合病房楼(新)
30. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
评价案例 Evaluation case:
采用课题成果“适度集中化”评价指标体系对项目进行评价,改造前其适度集中化指数为71%,针对性地提出增设连廊措施改
造后,其适度集中化指数为82%。
The evaluation index system of "moderate centralization" is adopted to evaluate the project. Before the retrofitting,
its moderate concentration index was 71%, after additional corridor measures added, the moderate concentration
index was 82%.
增设连廊
Adding corridor
32. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
室内外风环境模拟分析
Simulation analysis of indoor and outdoor
wind environment
室内自然采光模拟分析
Simulation analysis of
indoor nature lighting
33. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
2.装饰色彩 Decorative color
改造前以纯白色为主,结合“装饰色彩优化设计”技术,采用不同的装饰色彩营造出不同功能区域的装饰风
格,体现色彩的辅助医疗作用。
Combined with "decorative color optimization design" technology, using different decorative colors to create
different functional areas of decorative style to reflect the color of the auxiliary role of medical treatment.
不同科室装饰色
彩对比
Contrast of
decorative colors
in different
departments
34. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
燃油锅炉改为燃油燃气型, Oil-fired boiler to fuel gas type
在原有总烟道上安装一个锁风阀,开一支管,在支管后装一套超导换
热装置,回收锅炉余热用来循环加热设置于旁边的6吨保温水箱中的
自来水,供生活热水系统。Installing a air lock valve in the original flue ,
installing a set of superconducting heat exchanger on the added branch
pipe , the recovered boiler waste heat is used to circulate the tap water
provided in the next insulated water tank for the living hot water system.
【改造内容】
Contents of reform
3.复合能源系统
Energy system
在原有系统供水端增设了太阳能热水系统 Solar hot water system has
been added in the original system of water supply side.
集热器总面积约383.4㎡,热水箱容积为24m³, Collector with a total
area of 383.4 ㎡, the hot water tank volume is 24 cubic meters
据统计,系统年节能率达到30.44%,年节能量约50t标准煤。
According to statistics, annual energy-saving rate reached 30.44%, annual
energy savings about 50 tons of standard coal.
储热水箱
热水
热水
高区13~15层
容积式交换器
容积式交换器
容积式交换器
容积式交换器
中区1~12层
原中区冷水管
保温处理
(热水)
原高区冷水管
保温处理
(热水)
蒸汽
锅炉房
蒸汽
其他用热区域
屋顶水箱
T3
T4
水泵
集热器 集热器
热水供应原理示意图
Schematic diagram of hot water supply system
燃气锅炉
Gas-fired boiler
烟气余热回收
Flue gas heat recovery
35. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
0.00
5.00
10.00
15.00
20.00
25.00
30.00
35.00
40.00
45.00
50.00
55.00
60.00
9月 10月 11月 12月 1月 2月 3月 4月 5月 6月 7月 8月
经太阳能热水系统提升的温度
特点:波动范围在10~15℃之
间,基本不随季节变化。
屋顶水箱补水温度
特点:随季节变化趋势明显,
冬季水温在0~10℃之间,夏
季在20~25℃之间,过渡季节
在10~20℃之间。
需要地下室热交换机组补足的温度
特点:冬季高、夏季低
太阳能热水系统 Solar hot water system
36. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
征用原有放疗科部分办公用房,改造成监控室、值班室、资料室Some of the original
office rooms in the radiotherapy section have been requisitioned and transformed into the
monitoring room, duty room and information room
平台主要工作内容包括空调系统、公共照明、生活用水系统等七大部分实时监测、故
障报警等. The main work of the platform includes real-time monitoring, fault alarm and
so on. which is applied to seven major parts, such as air conditioning system, public
lighting and living water system
确保了医院各类设备的安全运行,进一步提高后勤精细化管理水平,为医院可持续发
展奠定了基础. This ensures the safe operation of all kinds of equipment in the hospital,
and further improves the management level of logistics refinement, and lays the
foundation for the sustainable development of the hospital.
【改造内容】
Contents of reform
4.能耗监测平台
Energy monitoring platform
智能监控平台现场
Scene of intelligent monitoring platform
医院建筑分项电耗模型
Sectional power
consumption model of
hospital buildings
37. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
【改造内容】
Contents of reform
5.医疗废水消毒工艺改进及无害化处理
Improvement of medical waste water disinfection process and harmless treatment
位置从院区东侧移至集中绿化景观的地下 Its location moves
from the east side of the courtyard to the ground of the central
green landscape
日处理量由原先的800t/d增至2000t/d,并由人工加药改为自动
加药. The daily processing capacity increased from 800t/d to
2000t/d, and changed from manual dosing to automatic dosing.
旧污水处理间(拆除)
Old sewage treatment room (demolition)
新污水处理系统
New sewage
treatment system
改造完
工后
After
retrofitting
38. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
2号病房楼5层裙房设有2处屋顶绿化,北侧病房楼可直接欣赏到该景观。屋顶花园的设置丰富了院区景观,增加绿化面积的同时起到净
化空气、愉悦心情、促进病患康复和提高医护人员工作效率的重要作用。
No. 2 ward building has 2 roof greening, the north side ward building can directly appreciate the landscape. The setting of Roof garden enriches
the landscape of the courtyard, increases the green area, and plays an important role in purifying the air, enjoying the mood, promoting the
rehabilitation of the patients and improving the efficiency of the medical staff.
2号楼裙房5层屋面屋顶绿化
Roof greening of 5 layer
podium at No. 2 building
2号楼入口大厅屋顶绿化
Roof green of entrance
hall, at No. 2 building
2号楼平面图Floor plan of Building No. 2
5层裙房共设置2处屋顶绿化
Roof greening was set in two places of 5 layer
podium at No. 2 ward building
6.室外环境生态化改造
Ecological retrofitting of outdoor environment
39. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
人性化的医院标识导向系统,不仅是医院整体形象与内部使用功能的重要组成部分,也自然会使人们在
使用中感到方便、自然、体贴。
Humanized hospital marking guidance system is not only an important part of hospital's overall image and
internal use function, but also makes people feel convenient, natural and considerate in use.
根据医院的室内外设计、建筑用料、视线焦点、标识与门的间距、与天花板的间距、
用的文字、色彩等因素,进行人性化的四级标识导向系统的改造方案设计
According to the hospital's interior design, construction materials, the focus of attention,
and the identification distance, and the ceiling space, with text, color and other factors, the
modification scheme is four level signage system of humanized design.
一级导向Primary
guidance
二级导向Two stage
guidance
三级导向
Three stage
guidance
四级导向
Four stage
guidance
户外/楼宇标牌Outdoor /
building signs
楼层,通道标牌
Floor, channel sign
各功能单元标牌
Each function unit
sign
门牌、窗口牌
Number plate,
window plate
1、建筑单体标示
Architectural monomer
designation
2、建筑出入口标识
Building entrance sign
3、道路指引标识Road
marking guidelines
4、服务设施设施Service
facilities
5、总体平面图General
plan
6、户外形象标识
Outdoor logo
1、楼层总索引Floor
general index
2、楼层索引和平面图
Floor index and floor
plan
3、大厅、通道标识Hall
and channel identification
4、公共服务设施标识
Identification of public
service facilities
5、出入口索引Entry
index
1、各功能单元标
识Each function
unit ID
2、各行政、会议
单元标识
Identification of
administrative and
conference units
3、各后勤保障单
位标识
Identification of
logistic support
units
l、各房间门牌
House number
2、窗口牌
Window card
一级标识系统改造前后
Before and after transformation of primary identification
system
7.室外环境人性化改造 Humanized retrofitting of outdoor environment
40. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
1、2号楼整体更换成T5节能灯,实现绿色照明;
Building 1 and Building 2 replaced the whole lamps to T5 energy-saving lamps to achieve green lighting;
安装沐浴刷卡器 Install shower card holders
中央空调大功率水泵、污水处理站水泵上安装变频设备性。
The pumps of central air conditioning and sewage treatment stations were installed frequency conversion equipment.
水泵变频设备
Pump frequency conversion equipment
T5节能灯
T5 energy-saving lamps
沐浴刷卡器
Shower card holders
8.其他改造 Other reforms
41. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
年份
Year
电(万元)
electric
(Ten thousand yuan)
天然气(万元)
natural gas
(ten thousand yuan)
柴油(万元)
diesel
(ten thousand
yuan)
水(万元)
Water
(ten thousand
yuan)
合计(万元)
total
(Ten thousand yuan)
总建筑面积
(㎡)
Total area
2009 686.6 33.4 487.8 39 1246.8 49556
2010 688.1 41.1 569.6 44.7 1343.5 49556
2011 678.2 37.2 564.9 46.2 1326.5 48297
2012 743.6 108.7 497.4 77.6 1427.3 51912
2013 960.3 353.2 0 83.4 1396.9 64901
通过一系列节能措施,2012年底医院肺部肿瘤临床医学中心病房楼启用,2013年能耗费用较2012年节约
30.4万元。
Through a series of energy-saving measures, at the end of 2012, the hospital lung cancer clinic
medical center ward building was opened. In 2013, the energy cost was saved by 304 thousand
yuan compared with 2012.
2009年~2013年医院能耗费用汇总表
Summary of hospital energy expenditure from 2009 to 2013
42. 3、医院建筑绿色化改造技术体系与案例分析
Technical system and case analysis for hospital building green retrofitting
#LowCarbonHealthCare
改造环境效益分析Environmental benefit
analysis of transformation
44. #LowCarbonHealthCare
绿色医院的设计与改造应因地制宜,因项目制宜
Design and improvement of green hospital should be adapted to local conditions, and project characteristics
1
高度重视医院绿色改造的复杂性,充分发挥各专业间的耦合作用
Attach great importance to the complexity of green retrofitting in hospital, make full use of interconnection
between different professions
2
设计与改造前期将绿色医院建筑技术与常规医院建筑设计融合
In the early stage of design and retrofitting, integrate green hospital building technology with conventional
hospital architectural design
3
加强绿色医院建筑设备运行调试及建筑运行后的管理
Strengthen the green hospital construction equipment commissioning and construction management after
the operation
4
4、小结与建议
Summary and suggestion
46. Let’s put the health care
sector back in the center of
healing!
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