HOSPITAL DESIGN &

DESIGN PROCESS
Ar. Adi Utomo Hatmoko, M.Arch., IAI, AA, PHEng
Universitas Gadjah Mada
Adi Utomo Hatmoko
adiutomohatmoko@yahoo.com
Jakarta, January 29, 1969

Ir., Gadjah Mada University, cum laude, 1991

M.Arch., Georgia Institute of Technology, Atlanta,

USA, Fulbright Scholarship, 1996

IAI, Arsitek Utama, Indonesian Institute of Architect

AA, Asean Architect
PTPI, Expert Board, Professional Healthcare Engineer
P.H.Eng.

Architecture Department,
Gadjah Mada University, 1991-now
Associate Professor

Founder and Principal,

PT. Global Rancang Selaras, 2002-now
http://www.globalrancangselaras.com
More than 200 hospital design nationwide
PT Desain Sarana Intermatra, Co-founder
PT Altra Karya Selaras, Co-founder
 1. Healthcare Basics
2. Design Process Made Simple
3. Case 1 | A Cancer Hospital
4. Case 2 | A Garden Hospital
5. Case 3 | A Hospital Superblock
 Part 1

HEALTHCARE BASICS
 Medical
Services

Human Patient Journey,

Resources, Patient
Experiences
Equipments Hospital
Design

Design:
Budget and
Function
Space
and
Allocated
Character
Harmonious
Coherence
 Masterplan Rumahsakit
Standar Program, Tipe, Besaran, Standar Ruang:
Specific Requirements Medik Sentral, Services,
Outpatient, Inpatient
Function System Spatial System
Sirkulasi Pasien,
Pengunjung,
Standar Ruang Terbuka, Dokter, Paramedik,
Area Hijau, Services
Pengolahan Air dan Limbah
Aspek Green and Hospital Circulation System
Non-Fisik Blue System Masterplan

Massing and
Standar Air Bersih, Air Kotor,
Infrastructure System Components
Elektrikal dan Mekanikal,
Kebakaran, Penangkal Petir, System
Standar Material,
Alarm dan Tata Suara, Limbah
Keselamatan dan Keamanan
Cair dan Limbah Padat
Umum
 Healing Hospital
Proper
Function.
Proper
Zoning.
Healing Efficient
Space. Healing Circulation.
Human Hospital Effective
Character. Separation.
Green
Environment.
Green
Building.
 Rawat Kitchen,
Perinatologi ICU Inap Laundry,
Morgue

CSSD

One-day
VK OK Care

Admisi
Cafe
Rekam Medik
Komersial
Kasir
Bookstore
Farmasi

Gawat
Diagnostik Poliklinik
Darurat
Facets of Healthcare Facilities
• Radiology
Diagnostic • Laboratory

Front of the
Hospital • Clinics
• Emergency Room • Medical Check-Up
Emergency Outpatient • Pharmacy
• Cafes
Inpatient • Commercials
• Intermediate Care Wards :
Space for • Infectious vs Non-
High-Req Medical infectious
Processes • Premium vs Budget

• Surgery
Central • Morgue
• Delivery
Medical BackService
of the • Kitchen
• Perinatology
Unit • Laundry
• Intensive-Care Hospital • Office
• High-Care
Facets of Healthcare Facilities
• Radiology
Diagnostic • Laboratory

Mall-Like
Environment
• Clinics
• Emergency Room • Medical Check-Up
Emergency Outpatient • Pharmacy
• Cafes
Inpatient • Commercials
• Intermediate Care Hotel-Like
Wards :
High • Infectious vs Non-
Environment
infectious
Medical
• Premium vs Budget
Standards
• Surgery
Central • Morgue
• Delivery
Medical Effective and • Kitchen
• Perinatology Service
Unit • Laundry
• Intensive-Care Efficient • Office
• High-Care
 Complete
Range of
Practice

Café,
Centers
Commercial,
of Excellences
Amenities Mall-Like
Outpatient

Comfortable
Efficient
Medical
Services
Check Up
 High
Comfort
Level

Best High
Amenities Privacy
Hotel-Like
Inpatient
Separation of
High Infectious and
Nursing Non-
Standard Infectious
Appropriateness of Process

Existing
Hospital
Evaluation

Appropriate
Strategy

Design Masterplanning:
and Highest and
Construction Best Use
 Part 2

DESIGN PROCESS
MADE SIMPLE
 Concept in Architecture
Programmatic

Concept in Contextual
Architecture

Paradigmatic

1. Human needs, activities, setting

2. Site, environment, climate
3. Designers vision, paradigm, goals
 Learning to Design
Principles
Aspects and components

Design Templates
Learning Process Patterns and configurations

Precedents
Successful examples
Learning from Best Practices
• apa tema desain pada karya tersebut, dan darimana kira-
kira sang arsitek memulai rancangannya?
• bagaimana sang arsitek meletakkan bidang, melubangi
bidang, atau meneruskannya?
• bagaimana sang arsitek membentuk ruang, dan
menghubungkan ruang?
• bagaimana sang arsitek membentuk massa, dan
mengurangi/menambahnya?
• bagaimana sang arsitek mengelompokkan
fungsi/kegiatan?
• bagaimana sang arsitek menggunakan prinsip-prinsip
komposisi dalam rancangan tersebut?
Architectural Formal Analysis
• Analisis konstruksi geometris (geometrical construction).
Menganalisis karya arsitektur sebagai kumpulan raut,
tatanan titik, garis, bidang, dan pertemuan bidang dalam
ruang. Dalam hal ini, raut, bentuk, dan ruang dianalisis
sebagai hasil serangkaian operasi geometris yang terkait
dengan berbagai konsekuensi logisnya.

• Analisis konfigurasi keruangan (spatial configuration). Karya

arsitektur dibayangkan melalui pengalaman sejumlah ruang
dan rangkaian pengalaman ketika seseorang berjalan di
dalam bangunan, terutama melalui jalur tertentu atau pada
bidang-bidang tertentu, yang memegang peranan penting
dalam komposisi geometris.
 Part 3

CASE 1.
A CANCER HOSPITAL
 ANALISIS TAPAK

Zona

Sub Lokasi: Jl. Tol Jakarta-Bogor, Jl Sholeh Iskandar, Cibadak, Tanah Sereal, Bogor City, West Java 16166

Permukiman Perkotaan Kepadatan Sedang

PPK

LUAS LAHAN

5.856 BOGOR CANCER CENTER

m²
+CARDIOLOGY SPECIALITIES
KDB

75%
4.461,7 m²

KDH

10%
588,6 m²

24
 SITEPLAN

AREA HIJAU JALAN, & PERKERASAN LUAS LAHAN 5.856 m²

1.280m² 3.078 m² 1.498 m²
21,8% 52,5% 25,5%
MIN 588,6 m² (10%) TAPAK BANGUNAN REGULASI MAX 4.461,7 m² (75%)
HUMAN VIEW 1ST ALT
HUMAN VIEW 2ND ALT
AERIAL VIEW 1ST ALT

34
AERIAL VIEW 2ND ALT

35
 STACKING DIAGRAM
BOGOR CANCER CENTER+CARDIOLOGY
FLOOR FUNCTION AREA
7 IPD 585 SQM
6 IPD 691 SQM
5 IPD 954 SQM
4 IPD ISOLATION 1.030 SQM
3 CHEMOTHERAPY, MEDICAL REHAB, OFFICE 1.343 SQM
2 OK, CSSD, ICU 1.618 SQM
1 OPD BPJS 1.570 SQM
LOBBY, ADMISSION, CENTRAL PHARMACY,
UG
WELLNESS CENTER, MCU, OPD NON-BPJS 1.559 SQM
LG EMERGENCY. RADIOLOGY, LAB 1.498 SQM
B RADIOTHERAPY 1.316 SQM
TOTAL 12.164 SQM

INPATIENT BED CAPACITY

1ST CLASS 2ND CLASS (2 STANDARD INTENSIVE SUB
INPATIENT BED VVIP (1BED) VIP (1 BED) CLUSTER ISOLATION %
(1 BED) BED) (4 BED) TOTAL
ICU PICU NICU

2ND FLOOR 4 1 2 7
4TH FLOOR 10 10
ONCOLOGY 5TH FLOOR 4 20 24 57%
6TH FLOOR 4 5 9
7TH FLOOR 2 3 1 6

2ND FLOOR 3 2 1 6
4TH FLOOR 8 10 18
CARDIOLOGY 5TH FLOOR 12 12 43%
6TH FLOOR 5 5
7TH FLOOR 1 1 2

SUB TOTAL 3 4 5 4 10 40 20 7 3 3
TOTAL 16 10 40 20 13
99 100%
% 16% 10% 40% 20% 13%

36
 CAPACITY

FLOOR FUNCTION CAPACITY AREA FLOOR FUNCTION CAPACITY AREA

LINAC 1 UNIT LINAC 1 UNIT
CYCLOTRON
BRACHYTHERAPY
1 UNIT
1 UNIT
B RADIOTHERAPY PET CT ONCOLOGY OT
BRAIN 1 UNIT
1 UNIT 668 SQM
CT SIMULATOR
ONCOLOGY OT 1 UNIT
2 UNITS
B RADIOTHERAPY PET CT 1 UNIT 1.316 SQM CENTRAL SURGERY UNIT: GENERAL OT 1 UNIT
630 SQM
SPECT CT SCAN 1 UNIT
CT SIMULATOR 1 UNIT
RADIOTHERAPY SUPPORTING AREA
CARDIOLOGY OT 1 UNIT 216 SQM
DIAGNOSTIC LOBBY CATH LAB 1 UNIT 67 SQM
ANGIOGRAPHY 1 UNIT
CSSD MRI 1 UNIT 112 SQM
RADIOTHERAPY SUPPORTING AREA 120 SQM 2ND INTENSIVE CARE UNIT: CT SCAN
NICU 1 BEDS
3 UNIT
XRAY
ICU 1 BEDS
3 UNIT
DIAGNOSTIC LOBBY 67 SQM CARDIOLOGY USG MAMMAE 1 BEDS
UNIT
PICU 2 724 SQM
MRI 1 UNIT DIAGNOSTIC NON-EMERGENCY USG 1 UNIT
321 SQM
MSCT SCAN 1 UNIT ICU 4 BEDS
CANCER MAMOGRAPHY 1 UNIT
XRAY 1 UNIT PICU 1 BED
BONE DENSITOMETRY 1 UNIT
USG MAMMAE 1 UNIT etc. 152 SQM
DIAGNOSTIC NON-EMERGENCY USG 1 UNIT
321 SQM
LG ECHOCARDIOGRAM 1 UNIT
SUB TOTAL 1.618 SQM
MAMOGRAPHY 1 UNIT ENDOSCOPY 1 UNIT 50 SQM
BONE DENSITOMETRY 1 UNIT CATH-LAB
CHEMOTHERAPY 1 UNIT
12 BEDS
86
420
SQM
SQM
LG ECHOCARDIOGRAM 1 UNIT EMERGENCY
MEDICAL REHABILITATION 12 BEDS 319
454
SQM
SQM
ENDOSCOPY 1 UNIT 50 SQM LABORATORIUM 173 SQM
OFFICES 144 SQM
CATH-LAB 1 UNIT 86 SQM 3RD LINENROOM
AHU 28
69
SQM
SQM
EMERGENCY 12 BEDS 319 SQM
NUTRITION 23 SQM
LABORATORIUM 173 SQM
etc. 256 SQM
etc. SUB TOTAL 268 SQM
1.343 SQM
LINEN HUB. 28 SQM
SUB TOTAL 1551 SQM
NUTRITION INST. 23 SQM
INPATIENT DEPARTMENT
etc. 311 SQM OUTPATIENT DEPARTEMENT NON-BPJS 21 10
CLIINICS 787 SQM
SUB TOTAL 1.498 SQM 4TH ONCOLOGY
WELLNESS CENTER + MCU
CARDIOLOGY
ISOLATION
ISOLATION 8 10
BEDS
BEDS
CLINICS
1.030 SQM
205 SQM
CENTRAL PHARMACY STANDARD 8 BEDS 110 SQM
OUTPATIENT DEPARTMENT NON-BPJS 21 CLIINICS 787 SQM UG ADMISSION + COMMERCIAL 314 SQM
WELLNESS CENTER + MCU 8 CLINICS 205 SQM INPATIENT DEPARTMENT
etc. 143 SQM
CENTRAL PHARMACY 110 SQM
5TH STANDARD 20 BEDS
954 SQM
UG ADMISSION + COMMERCIAL 314 SQM
ONCOLOGY
2ND CLASS SUB4 TOTAL
BEDS 1559 SQM
CARDIOLOGY STANDARD 12 BEDS
etc. 143 SQM
OUTPATIENT DEPARTEMEN-BPJS:
SUB TOTAL 1.559 SQM 1ST ONCOLOGY INPATIENT DEPARTMENT 25 CLINICS 1570 SQM
CARDIOLOGY 74CLINICS
OUTPATIENT DEPARTMENT-BPJS: 6TH ONCOLOGY
1ST CLASS
CLUSTER
BEDS
5 BEDS
691 SQM
1ST ONCOLOGY 25 CLINICS 1.570 SQM CARDIOLOGY CLUSTER 5 BEDS
CARDIOLOGY 7 CLINICS
INPATIENT DEPARTMENT
VVIP 2 BEDS
ONCOLOGY
7TH VIP
1ST CLASS
3 BEDS
1 BEDS
585 SQM
VVIP 1 BED
CARDIOLOGY
VIP 1 BEDS
TOTAL 12.164 SQM
SECTION
BASEMENT FLOOR PLAN
LOWER GROUND FLOOR PLAN
UPPER GROUND FLOOR PLAN
1ST FLOOR PLAN
2ND FLOOR PLAN
 Part 4

CASE 2.
A GARDEN HOSPITAL
LAND AREA & PHASING

2,5 Ha
 3/10/23

LAND AREA & PHASING

HEALTHCARE LOTS

Hotel HKI
Inna Bali Beach
Resort

Inna Bali Beach

Garden H3 H2 H1
(Healthcare 1)
(Healthcare 3) (Healthcare 2)

Jl. B
ypa
EthnoBotanical Park

ss N
gur
ah
Rai
P1
(Parking Hub 1)

Prime Plaza Hotel

HC4
(Healthcare 4)
U1
(Utility)

Keyplan
PRINCIPLES
PATIENT CENTERED
POSITIVE EXPERIENCE

EFFECTIVE + EFFICIENT
MEDICAL WORKFLOW

HEALING NATURE + CULTURE

HOSPITAL CONCEPT
FILOSOFI DAN KONSEP KONSEP IHC PATIENT CENTERED

2,5 Ha

DOKUMEN METODE TEKNIS INI MERUPAKAN HAK CIPTA PT.PP (PERSERO) TBK.
DILARANG MENGGANDAKAN DOKUMEN METODE TEKNIS INI TANPA SEIJIN PT.PP (PERSERO) TBK. Hal. 18 18
 DESIGN CONCEPT

SITE PLAN & BUILDING

Hospital zoning adapting

Balinese cultural concept of
Nawasanga and Tri Angga in
horizontal and vertical way
 DESIGN CONCEPT

MASS ORIENTATION BUILDING CLUSTER

With this orientation, the building will be showered by the

Bali light without getting direct exposure and overheat
from the sun. Each building can also maximize it’s
orientation towards innercourt gardens while all the wards
Windows oriented toward beach & sunrise
would have windows to the beach and sunrise
 CAPACITY

HOSPITAL PHASE 1 & 2

50,000 SQM
LAND 203
WARDS
AROUND 16,000 SQM
FOOTPRINT

AROUND 60,000 SQM

47 16
INTENSIVE OT
TOTAL FLOOR CARES

18 Surgical ICU + 17 Medical ICU + 15 OT + 1 OT (in Delivery area)

12 NICU
BC FAR GOS
32,1% 1,20 36% 6
CENTER OF
EXCELLENCES

BC : Building Coverage (KDB)

FAR : Floor Area Ratio (KLB)
GOS : Green Open Space (KDH)
AERIAL VIEW
HUMAN VIEW
DROP OFF
HEALING GARDENS
HEALING GARDENS
HEALING GARDENS
HEALING GARDENS
INNERCOURT
INNERCOURT
ADMISSION
LIFT LOBBY
 CENTER OF EXCELLENCES

OT -1 THERAPY ROOM RADIO-THERAPY

• Bone marrow transplant
• Biological therapy for cancer
• Robotic surgery
• Image-guided radiation therapy
• Sentinel node biopsy
(IGRT)
• Stereotactic radiosurgery
• Intensity-modulated radiation
• Laparoscopic surgery
therapy (IMRT) WARDS CHEMO-THERAPY
• Lobectomy
• Targeted drug therapy
• Pneumonectomy
• Monoclonal antibody therapy
• Stereotactic radiosurgery
• Thoracoscopy CHEMOTHERAPY
• Video-assisted thoracoscopic
surgery (VATS) BRACHYTHERAPY
• Gamma knife radiosurgery ONCOLOGY
RESEARCH ROOM
MINOR OT • Clinical trials
• Minimally invasive surgery
• Needle biopsy DIAGNOSTICS
• Sentinel node biopsy DIAGNOSTICS & OT & PROCEDURE
• Positron emission tomography RESEARCH ROOM
• Image-guided tumor ablations (PET) scan
• CT Scan
CLINIC - 6 • Bone scan
• Magnetic resonance
• Cancer survivorship clinics elastography
• Cardio-Oncology Clinic • Molecular diagnostic testing CLINICS
• CAR T-cell Therapy Program • MRI
• Individualized Medicine Clinic
• Integrative Medicine LABORATORY
• Palliative care
• Stop-smoking services • Cell-free DNA testing
• Palliative care
RADIOTHERAPY
PROCEDURE ROOM • Radiation therapy
• Lung cancer screening • Proton Beam therapy
• Intraoperative electron
CATHLAB therapy
• Cryoablation for cancer
• Total body irradiation BRACHYTHERAPY CHEMOTHERAPY
• Radioactive eye plaques
• Radiofrequency ablation for • Energy Electron / Lineac
cancer
WARDS
LINAC
 CENTER OF EXCELLENCES
OT -1 CATHLAB
OR
• Heart Transplant • Atrial fibrillation ablation
• Heart-Lung Transplant • Atrial flutter ablation
• Surgery for congenital heart disease • Cardiac ablation
• Excision cardiac tumor • Cardiac catheterization
• Pericardiectomy • Cardiac resynchronization therapy
• Repair of laceration or perforation • Carotid angioplasty and stenting
• Removal of foreign bodies • Coronary angiogram WARDS & ICCU CATHLAB
• Tracheo-Bronchial Operations • Coronary angioplasty and stents
• Mediastinum • Pacemaker
• Diaphragm - Repair of hernia; congenital, • Percutaneous valve procedures
acquired, traumatic • Mechanical circulatory support device -
• Esophagus ventricular assist devices
• Arrythmia surgery • Mechanical circulatory support device -
• Aortic root surgery CARDIO-
total artifical heart VASCULAR
• Aortic valve repair and aortic valve • Transcatheter aortic valve replacement
replacement (TAVR)
• Carotid endarterectomy
• Coronary bypass surgery CLINIC
• Minimally invasive heart surgery • Lipid management
• Mitral valve repair and mitral valve • Wound ulcer healing
replacement • Preventative Cardiology CLINICS EXERCISE ROOM
• Neonatal and pediatric heart surgery • Heart Rhythm Services
• Pulmonary valve repair and replacement • Heart Rhythm Clinic
• Pulmonary vein isolation • Echocardiogram
• Sclerotherapy • Electrocardiogram (ECG or EKG)
• Tricuspid valve repair and tricuspid valve • EP study
replacement • Extracorporeal membrane oxygenation
• Valvuloplasty (ECMO) ECG/EKG
• Video-assisted thoracoscopic surgery (VATS) • Nuclear stress test
• Stress test
• SVT ablation
PROCEDURE ROOM • Transesophageal echocardiography
• Cardioversion
• Holter monitor DIAGNOSTIC UNIT
• Implantable cardioverter-defibrillators (ICDs)
• Implantable loop recorder: heart monitoring • CT coronary angiogram
device
• Palliative care THERAPY ROOM
• Critical care procedure • Cardiac rehabilitation
• Diagnostic and therapeutic thoracic
• Ablation therapy
procedures
• Ventricular assist device (VAD) RADIOTHERAPY ROOM
• Positron emission tomography
scan
ELECTROCARDIOGRAPHY CATHLAB
• Proton therapy
CARDIOLOGY
CONCEPT
Concept
 Cardiology

Reference
Research of zoning and proximity of Cardiology
installation in hospital • Pemeriksaan khusus
• Ekokardiografi Doppler dan warna
• Ekokardiografi Transesofagus
• Ekokardiografi stress
• Treadmill
• Monitor hoiter
• Fonokardiogarfi
• Poliklinik
• Diagnosis Klinis

ENTRANCE

• Kateterisasi jantung
• Unit perawatan intensif jantung
• (ICCU) dan CEU, HCU

• Farmasi • R. Dokter • Gudang Alat

• Laboratorium • Dapur • R. Perawat
• Radiologi • Gudang Obat • R. Kepala Unit
Cardiology Flow
Zoning
Patients’ Journey

Outpatient CENTRAL MEDICAL UNIT

Inpatient
Emergency • Cathlab & OR: Procedure
To Mortuary • ICU & ICCU: Hospitalization

WARDS
• Pre Procedure and
Recovery

COE OF CARDIOLOGY
• Consultation
• Cardiac Medical Check Up
• Pre-Procedure Assessment
DIAGNOSTIC
• Blood Sampling LOBBY
• Radiology Imaging • Initial Assessment
• Discharge
MEDICAL REHAB
• Pre Procedure Rehabilitation

MORTUARY
• Discharge
EMERGENCY
• Initial Assessment for
Cardiac Emergency
 Cardiology Clinic

Cardiology Clinic
Cardiology Clinic aims to provide excellent
consultation service for patients with
cardiac-related health problems.

Cardiology clinic provide non-invasive

diagnostic tests to assist in the confirmation
of the diagnosis of underlying disease.
Cardiology clinic act as cardiac health
education and resource centre and a
referral site for cardiac interventional
therapy or operation when needed.
Cardiology Clinic

Cardiology Clinic in Gleneagles Hospital, Hongkong

 Cardiology Procedures

TREADMILL
Treadmill is a heart exercise
test tool with weights to see
changes in the ECG
recording when
walking/running. Treadmills
can be used to find out:
narrowing of coronary
arteries that causes chest
ELECTROCARDIOGRAPGY (ECG) pain, heart rhythm
Cardiac recording device to find out disturbances and can find
how the electrical activity of the patient's out what types of exercise
heart. are safe for a person.

ECHOCARDIOGRAPHY
A machine to check whether there are abnormalities in the
heart organ through sound waves.

HOLTER
Holter is a non-invasive monitoring that allows studying the
frequency and type of heart rhythm.
 ICCU

ICCU
ICCU (Intensive Coronary Care Unit) is a special room
for patient’s treatment with a certain level of critically,
especially in heart disorders.
• This facility provides more intensice clinical
medicine expertise, with technology resources and
more coordinated treatmentof patients.
• A clinical profile of infrastructure, equipment and
staff that can provide complex care and treatment
intervantions including physiological and
psychosocial support for patients.
• More privacy and quiet ( one room one person)

ICCU room with smart glass and paque mode on during treatment
 ICCU

Case Study: Central United Hospital, India

• Well Equipped ICCU bed with central stations

• Aside multipara monitors with invasive pressures
monitoring, infusion pumps, peacemakers
• ICCU is managed by doctor that are well
trained.
• 2 beds to 1 nurse ratio
• Ultrasonic Nebulizers, Defibrillators, bedside
oxygen.
• Vacuum, Air lines.
• Separate post-operative cardiac CCU Bed.
• ICCU managed Round the clock by Qualified
Intensives.
• Diet planned By Qualified Dietician
• Multiple Parameter central station.

• All beds equipped with Multi-para monitors with • All beds equipped with:
• Invasive BP • 10 state of the art ventilator • Facility for bedside dialysis.
• Temperature • Intra-Aortic Balloon pump • Special Air Beds
• 2nd Invasive Line • Bedside Digital X-Rays. • Availability of pacemaker.
• CG • Debrillator (BPL) • Infusion Pumps— Syringe pumps,
volumetric pumps
• SPO2 • Ultrasonic nebulizer
• Latest carson carts
• NIBP • Bedside Oxygen, Vacuum line.
• BIPAP ventilators Available
• RESP • Capnography Monitor Available
• Muscle Pulsator to prevent DVT.
ICCU

Sunderland Royal Hospital ICCU

Catheterization Laboratory

Lenox Health Greenwich

village, Mather Hospital in
Port Jefferson

Procedure Room - The Control Room - The Patient Holding Area - Recovery Room -
procedure room within the Additional space for
catheterization laboratory control room should Recovery room is an
should be considered first allow control panels for patient holding to provide important part of the
when planning a cath lab. patient assessment before
After all, this is why the the imaging & and after the procedure.
cath lab as it not only
cath lab exists! The ACC hemodynamic monitors. enhances the
suggests 500-600 sq ft for assessment and immediate
the procedure area and The control room is post procedure care. The experience of the
150-200 sq ft for the control generally located near Patient holding area should patient, but assist with
room. The procedure to the procedure room. have enough space for the flow & functionality
room may also include
counter space, storage, The control room floor scheduling, of the lab.
sink and computer can be slightly elevated documentation etc with
terminals. bedside monitors for ECG,
for a better view of the
procedure room. blood press and O2 sat.
Catheterization Laboratory
 Catheterization Laboratory

Texas Children Hospital

 Catheterization Laboratory

Catheter Laboratory
Reference Australasian Health Facility Guidelines
 Catheterization Laboratory

Catheter – Control Room

Reference Australasian Health Facility Guidelines
 Catheterization Laboratory

1. C-Arm
2. X-ray Source tube
3. Detector
4. Catheterization table
5. X-ray Generator
6. Monitor
7. Control Handle
8. Pedals
9. Control room with diagnostic applications
 Catheterization Laboratory

Equipment Reference

GE Innova 3100
Patients’ Journey - Clinic
Hospital Corridor

Receptionist & Further Testing Consult

Digital Check In
Patient 8 Clinics ECG, Exercise Room, Echo

Staff 1,165 sqm Assessment Sampling Consult & Exam Discharge

Cardiology Clinic Cardiology Clinic (1165,74 m2)
Room Name0 Capacity Space/Room Total Space
Clininic 8 room 20 m2 160
Assessment Room 1 room 10,38 m2 10,38
Doctor Lounge 1 room 18,54 m2 18,54
Equipment storage 1 room 23,09 m2 23,09
MCU Cardiology 1 room 26,01 m2 26,01
ECO 1 room 85,51 m2 85,51
ECG 1 room 81,39 m2 81,39
Exercise Room 1 room 124,07 m2 124,07
Linen 1 room 17,49 m2 17,49
Pantry 1 room 18,54 m2 18,54
Changing VIP lounge 1 room 2,25 m2 2,25
Sampling Room 1 room 11,17 m2 11,17
Medicine Storage 1 room 7,75 m2 7,75
Staff Room 1 room 17,08 m2 17,08
Female Toilet 1 room 3,4 m2 3,4
Male Toilet 1 room 3,4 m2 3,4
Janitor 1 room 2,95 m2 2,95
Female Public Toilet 1 room 22,32 m2 22,32
Male Public Toilet 1 room 20,66 m2 20,66
Diffable Toilet 1 room 6,51 m2 6,51
Janitor Public 1 room 3,42 m2 3,42
Dirty Utiluty (DU) 1 room 8,4 m2 8,4
The total area in sqm
VIP Lounge 1 room 22,09 m2 22,09
VIP Lounge's Toilet 1 room 3,24 m2 3,24

160 11,18 493,95 MEP Room 1 room 16,91 m2 16,91

OUTPATIENT DIAGNOSTIC SUPPORTING Reception Area 1 room 13,77 m2 13,77

Circulation & Waiting
Area 396,6 m2 396,6
Stairs 1 room 18,6 m2 18,6
3rd Floor Keyplan
Lift 2 room 10,1 m2 20,2
 Part 5

CASE 3.
A HOSPITAL SUPERBLOCK
 BLOCKPLAN
TAHAP 2
LEGEND
1. IPT KIA KIARA
35 2. IPAL KIARA
34 3. KANTIN ARCADIA
4. GD. REHABILITASI MEDIK
5. GD. PENYAKIT DALAM
6. INST. RAWAT JALAN TERPADU
7. INST. GAWAT DARURAT
33
28 8. GARDU KIOS 4
2 9. POS KOMANDO
10. GD. EIJKMAN
29 11. IPT KENCANA
48 27 1 3 12. TOWER PARKING
32 13. GD. CMU 3
47
36 26 14. UTILITAS KENCANA
25 15. GARDU KIOS 1
37 4 16. GUDANG FARMASI PUSAT
46 17. GD. CMU 1
45 23 24 18. CATHLAB 3
38 5 19. MODC
21
30 22 20. INST. BEDAH PUSAT
44 31
43 21. PESC
20 22. GARDU SENTRAL AIR
19
42 6 23. GARDU EMERGENSI
39 24. GD. RADIOLOGI
16 18 7 25. GD. MRI
15 17 26. GD. RADIOTERAPI
41 40 14 TAHAP 2 | DIAGNOSTIC CENTER 27. BUNKER LINAC
8 Potential foot print area 5000 m2 28. GARDU KIOS 3
29. GD. H
9 30. GD. G
13
31. IPAL 2
32. INST. RANAP TERPADU GD A
10 TAHAP 1 | EMERGENCY CENTER 33. PANTRY GD A
12 34. PATOLOGI ANATOMI
35. KAMAR JENAZAH
11 36. IPAL 1
37. GD. CMU 2
38. DAPUR PUSAT
39. LAUNDRY
40. BOILER
41. IPT KIRANA
42. MASJID AS-SYIFA
43. POWER HOUSE
44. SUB POWER HOUSE
45. GUDANG LOGISTIK FARMASI
46. GD. ADMINISTRASI
47. RUMAH SINGGAH
48. INCINERATOR DAN TPS

BLOKPLAN RSCM INTEGRATED HEALTHCARE SUPERBLOCK

POTONGAN RSCM INTEGRATED
DENAH LANTAI HEALTHCARE
11 SUPERBLOCK
 OVERLAY FOOTPRINT

WING A
27 M
LOBBY AREA 3
ONCOLOGY
15 M ± 1000 M²
50 M

15 M

82 M

Wide Span Structure

LOBBY
ONCOLOGY Wide span structure digunakan dalam
55 M 55 M merespon bangunan cagar budaya dan
AREA 2
memaksimalkan pengembangan
CMU 3 ± 4510 M²
gedung di Area 3
RADIOLOGI
LOBBY LOBBY
PJT RADIOLOGI
DARI KLINIK
82 M

35 M

68 M
UGD
AREA 1
±2400 M²
EIJKMAN 68 M

URJT
35 M
LOBBY
UGD

RSCM INTEGRATED HEALTHCARE SUPERBLOCK

 AERIAL VIEW RSCM
PENGEMBANGAN RSCM INTEGRATED HEALTCHARE SUPERBLOCK

AERIAL VIEW RSCM INTEGRATED HEALTHCARE SUPERBLOCK

 AERIAL VIEW RSCM
PENGEMBANGAN RSCM INTEGRATED HEALTCHARE SUPERBLOCK

AERIAL VIEW RSCM INTEGRATED HEALTHCARE SUPERBLOCK

HUMAN VIEW RSCM INTEGRATED HEALTHCARE SUPERBLOCK
HUMAN VIEW RSCM INTEGRATED HEALTHCARE SUPERBLOCK
EMERGENCY DROP OFF RSCM INTEGRATED HEALTHCARE SUPERBLOCK
 EMERGENCY AMBULANCE
6 LOT

SITEPLAN RSCM INTEGRATED HEALTHCARE SUPERBLOCK

 RSCM

EMERGENCY (TAHAP 1) DIAGNOSTIC CENTER (TAHAP 2)

Level Floor Level Floor
FL Quantity Floor Area (sqm) Functional Content FL Quantity Floor Area (sqm) Functional Content
Name Name

R Roof MEP

25 25th Floor 1.925 sqm FUTURE DEVELOPMENT

24 24th Floor 1.925 sqm FUTURE DEVELOPMENT

23 23rd Floor 1.925 sqm FUTURE DEVELOPMENT

22 22nd Floor 1.925 sqm FUTURE DEVELOPMENT

21 21st Floor 1.925 sqm FUTURE DEVELOPMENT

20 20th Floor 1.925 sqm RESEARCH AND EDUCATION

MANAJEMEN RADIOLOGI, MANAJEMEN PJT,

19 19th Floor 1.925 sqm
MANAJEMEN DIALISIS

18 18th Floor 48 Beds 1.925 sqm RAWAT INAP

17 17th Floor 48 Beds 1.925 sqm RAWAT INAP

R Roof HELIPAD 16 16th Floor 48 Beds 1.925 sqm RAWAT INAP

OK , ICU , R. PINERE, TELEKONSULTASI

15 15th Floor 11 1.938 sqm 15 15th Floor 24 Beds 1.925 sqm RAWAT INAP JANTUNG
ISOLASI

14 14th Floor 11 1.938 sqm IGD, HD ISOLASI 14 14th Floor 48 Beds 1.925 sqm RAWAT INAP JANTUNG

13 13th Floor 1.938 sqm MANAJEMEN LAB, MIKROBIOLOGI 13 13th Floor 46 Beds 1.925 sqm RAWAT INAP NEUROSCIENCE

12 12th Floor 1.938 sqm LABORATORIUM PA 12 12th Floor 1.925 sqm REFUGE FLOOR

11 11th Floor 1.938 sqm LABORATORIUM IMUNOLOGI KHUSUS 11 11th Floor 18 Beds 1.925 sqm STROKE UNIT

10 10th Floor 1.938 sqm LABORATORIUM PK 10 10th Floor 40 Beds 1.925 sqm HCU

9 9th Floor 7 Unit 1.938 sqm ICCU, CATHLAB, OT HYBRID 9 9th Floor 40 Unit 2.095 sqm ICCU

8 8th Floor 6 Unit 1.938 sqm CICU, OT CARDIAC, OT IGD 8 8th Floor 18 Unit 2.095 sqm CICU, NEURO ICU

7 7th Floor Unit 1.938 sqm MANAJEMEN IGD 7 7th Floor 50 Clinic 2.590 sqm OUTPATIENT NEUROSCIENCE

6 6th Floor 27 Unit 1.938 sqm ICU IGD 6 6th Floor 50 Clinic 2.590 sqm OUTPATIET CCVC

5 5th Floor 24 Beds 1.938 sqm EMERGENCY, PPDS + KONSULEN 5 5th Floor 50 Unit 2.590 sqm DIALYSIS CENTER

4 4th Floor 24 Beds 1.938 sqm EMERGENCY, PPDS + KONSULEN 4 4th Floor Unit 2.590 sqm DIALYSIS CENTER

3 3rd Floor 27 Beds 1.938 sqm EMERGENCY 3 3rd Floor Unit 2.585 sqm RADIOLOGY, NUCLEAR MEDICINE

2 2nd Floor 23 Beds 1.938 sqm EMERGENCY 2 2nd Floor Unit 2.585 sqm RADIOLOGY

1 1st Floor 14 Rooms 1.938 sqm EMERGENCY (PROCEDURE) 1 1st Floor 2.230 sqm LOBBY , ADMISI, AREA PERSIAPAN ONCOLOGY

B B Floor 1.938 sqm SERVICE, MEP & PARKING B B Floor 3.236 sqm SERVICE, MEP

Total Kapasitas 40 Intensive Total Kapasitas 98 Intensive

5 Cathlab 280 Beds
6 OT 3 OT
Outpatient 50 Hemodialisis
112 ER Beds 100 Clinics
Parking Parking

TOTAL CONSTRUCTION FLOOR AREA TOTAL CONSTRUCTION FLOOR AREA

Basement to Roof Floor 31.008 sqm Basement to Roof Floor 55.986 sqm
TOTAL FOOTPRINT TOTAL FOOTPRINT
1.938 sqm 2.230 sqm

SUMMARY
TOTAL CONSTRUCTION FLOOR AREA 86.994 sqm
TOTAL FOOTPRINT 4.168 sqm
SITE AREA 9.701 sqm
KDB 42,96 %
KLB 8,97
JUMLAH BED 418 BEDS
JUMLAH PARKING LOTS

STACKING DIAGRAM RSCM INTEGRATED HEALTHCARE SUPERBLOCK

 SUMMARY

Gedung Emergency RSCM

(TAHAP 1)

IGD IGD INFEKSIUS OT & CATHLAB INTENSIVE LABORATORIUM

CARES
Medical Zona Hijau OT IGD & Cardiac ICU IGD, HCU, Patologi Khusus
GFA
Resuscitation (2
TT)
(6 unit) Neuro ICU (27
TT)
31,000 sqm
Surgical Zona Kuning OT Hybrid (1 ICCU (7 TT) Patologi Anatomi
Resuscitation (2 unit)
TT)
R. Tindakan (8 Area Prosedur Cathlab (4 unit) CICU (6 TT) Imunologi Khusus
TT) Isolasi
Behavioral HD Isolasi Mikrobiologi
Isolation (1 TT)
Treatment & OK & ICU isolasi Building Height
Observation (102
TT) 15 story
Additional: Ruang Pinere
- Xray (1 unit)
- CT Scan (1
unit)

SUMMARY RSCM INTEGRATED

DENAH LANTAI HEALTHCARE
11 SUPERBLOCK
 SUMMARY

Gedung Diagnostic RSCM

(TAHAP 2)

RADIOLOGI DIALYSIS CENTER KLINIK INTENSIVE RAWAT INAP

CARES
CT Scan 4 UNIT Doppler 2 RUANG Neuroscienc ICCU (40 TT) Ranap Jantung (72
GFA
MRI 4 UNIT
Ultrasound
CDL 1 RUANG
e Clinic
CCVC Clinic HCU (40 TT)
TT)
Ranap
56,000 sqm
Simulation Neuroscience (46
Training TT)
Xray 4 UNIT Predialysis 4 RUANG CICU (18 TT) Ranap Stroke (18
Clinic TT)
Mammography 2 One Day 6 RUANG Rawat Inap (144
RUANG Care Ward TT)
Fluoroscopy 1 UNIT Hemodialisis 50 UNIT
Angiography 1 UNIT CAPD
Training
1 RUANG
Building Height
USG 2
RUANG
CAPD Fluid
Well Drain
1 RUANG
25 story
HD Negative 3 RUANG
Pressure

SUMMARY RSCM INTEGRATED

DENAH LANTAI HEALTHCARE
11 SUPERBLOCK
Keyplan: Potongan

FLOORPLAN DENAH LANTAI BASEMENT

Keyplan: Potongan

FLOORPLAN DENAH LANTAI 1

Keyplan: Potongan

FLOORPLAN DENAH LANTAI 2

Keyplan: Potongan

FLOORPLAN DENAH LANTAI 9

Keyplan: Potongan

FLOORPLAN DENAH LANTAI 10

Keyplan: Potongan

FLOORPLAN DENAH LANTAI 11

Keyplan: Potongan

FLOORPLAN DENAH LANTAI 15

Keyplan: Potongan

FLOORPLAN DENAH LANTAI 16

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All cases are real on-going projects
All rights reserved
No part could be used
without permission
For educational purposes only