The new hospital is located downstream of the current hospital complex, in the hilly district of Carignano. The site has an extension of about 26,000 square meters and includes some free areas and some pavilions that are no longer functional to the health care structure and of no historical or architectural importance. Overall, an extension to the existing structure of 70,230 square meters is planned, for a total of 404 beds and an investment of more than 110 million euros for one of the first “BIM oriented” public projects in Italy.
The new hospital of the third millennium aims at the excellence both in terms of healthcare and assistance systems (with technology, research and teaching), and for the image and the role of the hospital as an urban-scale architecture in the city.
The new structure has a strong environmental and landscape value. The architectural composition of the complex has been defined following numerous landscape, urban, historical and monumental analyses that led to the definition of a “tailor-made” building, meeting all the needs of the new hospital perfectly integrated with the surrounding context.
The new semi-hypogeal plate organically follows the irregular size of the lot, on which the three regular volumes of the hospital’s wards are articulated, taking up the size of the urban scale defined by the surrounding buildings. A “hyper-urban” organism which is compact, solid and at the same time porous and open, thanks to the numerous patios and internal courtyards that give light and air to the spaces of the semi-hypogean plate.
The aggregation of the model of the “quintuple body” allowed an excellent orientation to the hospital rooms, rationalization of the paths, optimization of the realization with identical structural mesh for wards and underlying plates, regular functional and modular spaces. The green covering of the sanitary plate follows the irregular footprint of the lot, while acting as a landscape device for organic sewing of the area.
The internal organisational system is based on the centrality of the patient and attention to ergonomics. A high-tech centre where diagnosis and treatment is carried out by processes and therefore with a vision of continuity and integration of care.
From a functional point of view, the desire to create diagnosis and treatment services, with beds that are not differentiated by specialization but rather inserted in spaces where the centrality of the patient, becomes the fundamental aspect with respect to medical/surgical specializations. The structure has therefore been conceived in a compact way favouring the effectiveness of internal activities and the containment of management costs, reducing construction and maintenance costs.
All single and double beds wards have been designed according to criteria of flexibility, solar control and adequate privacy. In order to improve the efficiency of care and to optimize the relationship between assistants and caregivers, all wards have been designed to facilitate and rationalize the work of the operators. Each room is equipped with wardrobes accessible both from the external corridor and from inside the room. The necessary consumables and linen can thus be loaded, in view of Lean Production, without the patient being disturbed by the various distribution flows, facilitating and rationalizing the work of the operators.
The lower energy consumption and maximum efficiency are the objectives achieved by the Plants design of the new Hospital. Both are based on the careful design of the building envelope with the adoption of all technologies capable of reducing the needs of users in advance, thanks to the use of renewable energy and through the choice of plant types that allow a rational use of primary energy.
The new Hospital was designed entirely in BIM environment in just 4 months thanks to the integrated work of over 60 professionals. The process started with the drafting of the BIM Plan Post-contract in parallel to the point cloud survey with three-dimensional navigable rendering of the area, both fundamental elements for the proper subsequent design development.
On the various models – architectural, structural, plant engineering, outdoor areas and furnishings – clash detection and code checking activities were carried out. Given the geographical dispersion of the disciplinary teams, the management of the critical issues identified in this way made use of a cloud-based BIM Collaboration platform.
The BIM design represented an important advantage to keep the works costs works under control during the entire design process, but also for the verification of the design requirements. The model has also been enriched with digital content aimed at the subsequent phases of deteiled design, construction and use, divided by Model use.