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Landspitali - University Hospital

Landspitali - University Hospital. Jóhannes M. Gunnarsson MD Medical Project Manager. Förenad sjukhus i Reykjavik. Förenad 2000. 2018. Landspítali Fossvogur. Landspítali Hringbraut. Merging two hospitals – last step. Hringbraut site – overview 2010. Joint venture of:

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Landspitali - University Hospital

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  1. Landspitali - UniversityHospital Jóhannes M. Gunnarsson MD MedicalProject Manager Förenadsjukhus i Reykjavik

  2. Förenad2000 2018 Landspítali Fossvogur Landspítali Hringbraut Merging two hospitals – last step

  3. Hringbraut site – overview 2010

  4. Joint venture of: ASK ARKITEKTAR BJ.SNÆ ARKITEKT EFLA KANON ARKITEKTAR LAGNATÆKNI LANDARK TEIKNISTOFAN TRÖÐ Consultancy: NORCONSULT RATIO ARKITEKTER Helgi Már Halldórsson architect / Project Manager SPITAL group

  5. UniversityHospitalCampus, Face 1 Carpark Treatmentbuilding Labaratory building University Healthsience PatientHotel

  6. Viharbråttom

  7. Landspitali byggproject 2010 -2018 • Universitetsjukhusför Island, 320.000 • Lokalsjukhusför Reykjavik området, 220.000(2012) • 128.000 m² (75.000 nybygge + 53.000 äldrebyggnader) • Tomt: 140.000 sq.m • Vårdplatser: 600 + 80 beds I patient hotel • Staff : 3.650 heltid / 4.500 total (2011) • Ambulantpatienter: 450.000 /år (2011) • Vårddagar: 203.000/år (2011) • Driftskostnad pr. år: 38,3 miljarderIKr(2.2ma Skr)(2011) • Projecetskostnad*: 57 miljarder ISK (3.4 miljarderSkr) • Kostnad *: 445.000 ISK/m2 • Höjd: 4-6 våningar • * Not including renovation cost of old buildings

  8. Köken P-hotel Vårdavd Ambulatorium Barn- &kvinnokl. University Psykiatry ochbehandling Vård- Sjukhus- Labora-torier Medisinskfakultet Landspitali- fase 1, 2012 – 2018 Nyebygninger: 75,000 kvm, Gamlebygninger i brug: 53,000 kvm

  9. Kontorer Kök Stödvärksamhet Hotel Kvinnor- barn Psychiatri Vårdochbehandling Ambulantpatients Universitet Klin. Labaratoi Landspítali –framtidensorganisation

  10. SPITAL winning proposal

  11. New University Hospital Project Plan • Kravfrån IMF! • Tender for a Total Contractor Project • The contractor shall design, build, finance and run the buildings and lease them to the Buyer for the period of 35-40 years. • The Buyer will gain ownership over the buildings during the course of the lease. • Some technical solutions and systems will be tendered separately by Buyer or Contractor and approved by Buyer, and integrated into the Project Solution and delivered with the buildings ready for use as specified.

  12. Landspitali Project • Lokal plan: Reykjavik kommun– formal start in April ochslutbehandlingförväntad I Desember 2012, 8 veckorefter deadline angående comments ochanmärkningar • Althingisslutbehandlingavårets budget föråret 2013 väntasi December.

  13. Landspitali - University HospitalTidskema: • Utbudsdokumentförslutförandeav design prosessklara • 2 års design kontraktsommaren 2013 • Förberedelseavbyggnadsarbetet: Hösten 2013 • Byggperiod: 2014-2017 • Installation och test avtekniskapparatur mm. 2017-2018. • Nybyggetklartföranvändninghösten 2018

  14. LandspitaliProject • Nyckelidéer: • Sjukhusetsbesparingberäknas 2,5-3 miljarder ISK/år (150-190 miljonerSkr) • Betalarlånochlånekostnaderpå 30-35 år • Byggnadsprojektkangå I faser • Byggstartbehöverinteväntapåslutlig design • Ekonomiskvinstbehövernåsså fort sommöjligt • Nybyggets design strävarför: • Flexibility förframtidensbehov • Sustainability and more economical anv. • Automation, optimisation and performans I tekniskalösningar • Statligtprojekt under ekonomiskkrisocharbetslöshet – sätter fart påekonomien.

  15. The New University HospitalBuilding sustainability and economy BREEAM - The World´s leading design and assessment method for sustainable buildings • Pollution • Management • Health • Energy • Transportation • Water • Building materials • Waste • Ecology

  16. Något nytt för patienten? • Nyabehandlingsmetoderochdiagnostisktekniksomintestår till buds I Island: • PET/CT eller PET/MRI • Core Lab DaVinci robot kirurgi • Enkelrum • Ökadsäkerhet; färreinfectioner, incidenserochmisstag • Respektförpatientensprivatliv • Bättremölighetförfamiljattföljaochstödjapatienten • Patientvänligomgivning => kortarevårdtid • Centraliseradsjukhustjänst • Allaspecialiteterpå en plats • Ingen patient transport mellancampusar • Störrekapacitetför den storaefterkrigsgenerationen • Merän 100% ökatbehovavsjukhustjänst de närmaste 20 åren

  17. Helicopter platform 5 Technical rooms 5 BSL 3 lab Wash/disinfect. unit Virologi Clinical microbiology 4 Immunology Rheumatology Clinical biochemistry Genetics 3 Pathology Hematology Core lab Blood bank 2 1 Blood bank Pathology Wardrobes K Technical rooms KliniskaLaboratorier - 13.000 m²

  18. The Laboratory Building 2nd floor Core Lab Hematology Pathology Blood Bank

  19. The New University HospitalThe Treatment Building on 8 floors: • 5-6: Sjukvårdsavdelingar200 enkelrum • 4: HVAC/technical systems for level 3 • 3: Angiography senter 5-6 salarför coronary /neuro/peripher angiography/hybrid • 3: Intensivvård 24 enkelrum • 3: Operationssalar 16 ORs incl. 1-2 hybrid ORs • 3: Anaesthesi (12) and Recovery wards (25) • 2: Infectionsvård17 enkelrum (isolering) • 2: Diagnostic Imaging –Rtg. Ultraljud, CT, MRI, PET/CT • 2: Huvudingång, Lobby and Staff Cantina • 1: Akutmottagning – sammaingångförallapatienter • 1: Hospital Pharmacy: Automated drug distribution • 1: PET Production Labs: Automated FDG production • K1: Sterilisering • K1+K2: Technical systems

  20. NLSHThe Treatment Building - Basement: Cyclotron for PET - Wardropes – Changing Rooms - Sterilization Dept.

  21. NLSHThe Treatment Building - 1. floor: HospitalPharmacy, PET ProductionLaboratories, ER - EmergencyDepartment,

  22. NLSHThe Treatment Building - 2. floor: Infectious Decease Ward, Diagnostic Imaging, Physiotherapy, Main Lobby, Staff Cantina

  23. NLSHThe Treatment Building – 3. floor Angiograpgy Centre, Surgery Dept., Recovery/Anaesthesia, ICU

  24. NLSHThe Treatment Building – 5-6. floor 4 Patient Wards on each floor

  25. Inomhustrafik

  26. LandspitaliProjektNymedicinskteknologi • PET/CT - PET/MR - Molecular Imaging • 2 PET/CTs or a PET/CT + PET/MR • Automatic FDG Dispensing and Injection • Cyclotron and Automatic FDG Production Labs. • Automated Centralized Core Laboratory • Clinical Chemistry • Immunology • etc.. • National Electronic Patient Record (EPR)(?) • New Clinical Lighting Solutions

  27. LandspitaliProjekt • Andrautmaningar: • Kommunikationochnätsystem • IT-Infrastruktur: Cables, Wireless etc. • IP-Telefoner • GSM/TETRA/SMART tillgång I alla rum • Patient Info System:TV, DVD, Telefon, Internet ochkommunication

  28. Automatiskatekniskalösningar • Transport och distribution systems • AGV – Automated Guided Vehicles • Pneumatic Tube Transportationför transport avkliniskaspesimenochmediciner • Automatiskavfall transport • Automatiskdistributionochinsamlingavpersonalkläder - AutoDrop-off/Pick-up

  29. “I have nothing against progress, I just don´t like changes” Mark Twain

  30. Takk fyrir mig

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