Hospital Thesis

University of Perpetual Help System Dalta Molino III, Bacoor, Cavite,
Philippines
Chapter I: INTRODUCTION
1.1 General Introduction
A hospital is a health care institution providing patient treatment with specialized

medical and nursing staff and medical equipment. The best-known type of hospital is the
general hospital, which typically has an emergency department to treat urgent health
problems ranging from fire and accident victims to a heart attack. A district hospital
typically is the major health care facility in its region, with large numbers of beds for
intensive care and additional beds for patients who need long-term care. Specialized
hospitals include trauma centers, rehabilitation hospitals, children's hospitals, seniors'
(geriatric) hospitals, and hospitals for dealing with specific medical needs such as
psychiatric treatment (see psychiatric hospital) and certain disease categories.
Specialized hospitals can help reduce health care costs compared to general hospitals.
A teaching hospital combines assistance to people with teaching to medical students

and nurses. The medical facility smaller than a hospital is generally called a clinic.
Hospitals have a range of departments (e.g.: surgery and urgent care) and specialist
units such as cardiology. Some hospitals have outpatient departments and some have
chronic treatment units. Common support units include a pharmacy, pathology, and
radiology.
Hospitals are usually funded by the public sector, by health organizations (for profit or
nonprofit), by health insurance companies, or by charities, including direct charitable
donations. Historically, hospitals were often founded and funded by religious orders, or
by charitable individuals and leaders.
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1.2 Background of the Study
The General hospital provide qualitative Health care services but maintains that they do
not just heal mere physical illness which attacks the human body, but a much deeper
and holistic healing of the entire human person. These service areas include all the
wards (medical and surgical for male and female, pediatrics, chest unit and the maternity
section as a whole. Other departments are out patient department (OPD), laboratory
department, pharmacy department, central sterling and supply department (C.S.S.D),
XRAY department community medicine and the mobile clinic, and theatre department.
The roles of these departments are complementary and depict what they call team-work
in patient management, the patient always beings at the center. The Hospital since its
establishment has demonstrated a very keen interest in the staff recruitment and
development of highly skilled and very dependable medical and paramedical personnel.
Presently, their work force stands at 460.
1.3 Historical Background
In the 2010s, hospitals are largely staffed by professional physicians, surgeons,

and nurses, whereas in the past, this work was usually performed by the founding
religious orders and members of their order or by volunteers. However, there are various
Catholic religious orders, such as the Alexians and the Bon Secours Sisters that still
focus on hospital ministry in the late 1990s, as well as several other Christian
denominations, including the Methodists and Lutherans, which run hospitals. In
accordance with the original meaning of the word, hospitals were originally "places of
hospitality", and this meaning is still preserved in the names of some institutions such as
the Royal Hospital Chelsea, established in 1681 as a retirement and nursing home for
veteran soldiers.
Traditionally, hospitals have provided restorative care to the ill and injured. Although
hospitals are chiefly viewed as institutions that provide care to patients/clients, they also
have other functions such as providing resources for health-related research and
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teaching. Furthermore hospitals are venues where students from various health
disciplines acquire and practice their knowledge and skills (Chan, 2001).
Student nurses are required to practice in arange of hospitals during their training so that
the knowledge acquired in the classroom can be put into practice and that after they
have graduated, they may be able to practice safely An BordAltranis (2003).
1.4 Statement of the Problem
This is a user access management system that will manage user permissions and
provide access for individual user.
1. Insufficient resources for conducting evaluations of the built environment.
2. Financial challenges and hospital productivity
3. Maintaining patient safety
4. Regulatory standards and emerging energy mandates
5. Hospital security
1.5 Significance of the Study
This research would benefit the following entities in relation Building of Hospitals
in Municipality of Bacoor Province of Cavite.
TO THE HOSPITAL ESTABLISHMENTS The result of the study could be used as their
reference in planning to build a Hospital. they could plan better strategy to attract more
people .
TO THE STAFF OF HOSPITAL ESTABLISHMENT For they could use this study for
their reference in how to improve the service to the patient of the hospital.
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TO THE PATIENT .The results of this study that they continue to trust the hospital in
their health.
TO THE FUTURE RESEARCHERS. The findings can help other studies that are related
to self-concept and academic performance.
1.6 Project Goals and Objectives
To Enhance patient safety by reducing infection risk, injuries from falls and medical
errors.
To Eliminate environmental stressors, such as noise, that negatively affect patient

outcomes and staff performance.
To Reduce stress and promote healing by making hospitals more pleasant, comfortable
and supportive for patients and staff alike.
To create a health care environment personalized to each patient that focuses on health
and wellness, provides and wellness.
To Provides convenience and case of access and incorporate the latest technologies.
To Community Hospital will be the hospital Choice for the services we provide
To the Visitors should have a simple and direct route to each patient nursing unit without
penetrating other functional areas.
1.7 Architectural Objectives
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To Promote staff efficiency by minimizing distance of necessary travel between

frequently used spaces
To Include all needed spaces, but no redundant ones. This requires careful pre-design
programming.
To Provide an efficient logistics system, which might include elevators, pneumatic tubes,
box conveyors, manual or automated carts, and gravity or pneumatic chutes, for the
efficient handling of food and clean supplies and the removal of waste, recyclables, and
soiled material
To Group or combine functional areas with similar system requirements
To Provide optimal functional adjacencies, such as locating the surgical intensive care
unit adjacent to the operating suite. These adjacencies should be based on a detailed
functional program which describes the hospital's intended operations from the
standpoint of patients, staff, and supplies.
1.8 Building Development
Building, Renovation, Upgrading, Construction and Operating.
Providing an end to end solutions for hospital in a various scales and types. Our services
include: planning and building of mobile and fixed hospitals, establishment of
infrastructure and support systems, design of operational concept, training, quality
control (physical and budget) and schedule monitoring.
Establishment of Hospitals Services- for feasibility studies, building design,

construction management, project management, and consulting
Construction of a hospital- Program Preparation, Preliminary Planning, Master Plan,

Economic and Engineering Project Survey , Permits From Relevant Institutions, Detailed
Planning and Coordination of, Execution.
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Training and Operations Support- On going education and courses, frontal classes
and simulations for medical teams: Use of equipment, Team training in order to best
utilization of the facility , hospital operational protocols and maintenance protocols.
Management System of Medical Records and Telemedicine -using of IT &

communication technology to provide and support quality healthcare from patient end to
the doctor’s end, without limitations of geographical boundaries.
1.9 Justification
Community Hospital will Improve the health and quality of life of the
Individualsand Communities we serve Building the new hospital has allowed us to invest
in the very latest equipment, bringing our services right up-to-date with the latest medical
advances available to the NHS. This means the latest diagnostic scanners, new theatre
equipment and even robots deployed in our pharmacy and laboratories to make drug
dispensing and testing faster and safer.
the new hospital is designed specifically around the needs of patients and visitors,
making coming to hospital easier and more pleasant. For example, there are dedicated
patient and visitor lifts, with other lifts available for staff and the moving of goods. The
new hospital allows us to support new ways of working that benefit both patients and
staff.
This helps our emergency services, in particular, to provide care precisely when and
where it is required. Despite its size, the hospital is designed to operate on a human
scale, putting our patients at ease.
Chapter II: METHODOLOGY
2.1 Methodology
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This involves the specification of procedures for collecting and analyzing data
necessary to define or solve the problem for which the research is embarked upon. The
scope of this research covers the general hospital.
Research Framework
hospitals should have certain common attributes, An efficient hospital layout, medical
needs and modes of treatment will continue to change, hospitals must be easy to clean
and maintain, area access inside and out, a complex system of interrelated functions
requiring constant movement of people and goods, general safety concerns of all
buildings, significant impact on the environment and economy of the surrounding.
2.2.1 Introduction
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Hospitals are the most complex of building types. Each hospital is comprised of
a wide range of services and functional units. This diversity is reflected in the breadth
and specificity of regulations, codes, and oversight that govern hospital construction and
operations. Comprised of a wide range of services and functional units. The functional
units within the hospital can have competing needs and priorities. Idealized scenarios
and strongly-held individual preferences must be balanced against mandatory
requirements, actual functional needs (internal traffic and relationship to other
departments), and the financial status of the organization.
2.2.2 Data Gathering
In conducting the Review of the Hospital Data Collection, i conducted an

evaluation and research with the two main objectives of:
 improving the collection, management and handling efficiency of hospital

data, so as to reduce data management burdens where possible and to
encourage participation in accountability reforms; and
 identifying ways to have an accurate location of a hospital.
2.2.2.1 Existing Structures
System analysis is meant to reveal the current system of administration and

record keeping of the hospital which were studied under the system investigation.
This analysis meant to propose a well designed computer base management
information system that will take care of the existing problems of the current
system.
 The investigation carried out revealed that when a patient visits the hospital,
he will first of all obtain a card at the registry, called reference card. Another
card Doctor prescription will be given.
 The Doctor diagnoses illness, its causes and prescribes drugs for it treatment.
The Doctor will then direct the patients to the O.P.D pharmacy to collect the
drugs. The treatment card will be filled at the O.P.D at the end of the day, the
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treatment caret will be collected from the O.P.D filling section and filed
according to their registration numbers.
 If the patient comes on the data given to him by the Doctor for check up, he
will still present his reference card to the check who update his files and this is
done with the help of the name and registration number. The patient will still
be asked to see the Doctor for actual “check up”.
 But if the patient is on admission, a case note which will contain the Doctor,
the patients’ name, Address, Occupation, Date of admission, Religion, Age,
Date of discharge index no, the year the patient is admitted to the hospital, the
disease, ward or unit prepared.
 After the patient must have been treated and discharged, the case note will be
collected from the war. The medical record officer will know
the total number of patients discharge, the number of days stayed and this
diagnosis will then be coded according to the number of the disease falls into.
2.2.2.2 Direct Communication
This involves oral interviews conducted with various personnel in the

hospital, review and sharing their experience about the difficulties they undergo
in using file methods.
2.2.2.3 Secondary Communication
This includes the use of textbooks, dictionaries, journals,

newspapers, electronic books and internet downloads to collect data and aid
comprehension of the system.
2.3 Data Analysis Methodology
2.3.1 Conceptualization of Project
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The first step in hospital planning to freeze the project concept in terms of:
 Identification of the market needs

 Finalization of the facility
 Deriving of the appropriate size of the project
 Determining of the possibility getting skilled manpower
All of the above factors have a bearing on the project costs and vialbility in
future. This process helps understand the need of the community that will be
served by the hospital in the given location. For doing this, one needs to
undertake a detailed market survey by collecting data from various sources.
Unfortunately it doesn’t have a reliable mechanism for capturing health
related data especially in the private sector.
2.3.2 Case Study
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Massachusetts General Hospital
For 200 years, Massachusetts General Hospital has been at the forefront
of patient care, medical innovation and education. In July 2011, Mass General
opened the doors to the new Lunder Building. The Lunder Building, a 530,000-
square-foot, 14-floor medical facility located at the heart of MGH's main campus
in Boston, reflects this progressive tradition with its state-of-the-art facilities and
leading-edge technology.
History
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In late 2010, Mass General launched the largest fundraising campaign in

its 200 year history and the largest capital campaign among health care
institutions in the area. The three-year effort to raise $1.5 billion was called the
“Campaign for the Third Century of MGH Medicine.” An imperative part of the
Campaign was the opening of the new building for the 3rd Century of MGH , the
Lunder Building
.It was important to MGH to uphold their reputation of offering the latest in
medical technology and environmentally friendly design. The new building would
allow MGH to continue to provide advanced, patientcentered care.
The MGH planning team knew they wanted to use ceiling booms to best
care for their patients who were staying in the Neuro Intensive Care Unit-a
department consisting of 22 beds where all patients would need to be centrally
monitored by the clinicians on the floor.
They needed to create a space that would best service their high acuity
patients, retain the culture of a therapeutic environment with eco-friendly
construction and design and include comfortable furnishings for family members.
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In early 2008, a design team complete with architects , nurses , engineers

and administration turned to Modular Services Company to help design a boom
system that best fit their needs.
Partnering With Modular Services Company
Through a series of meetings, site visits, and mockups, it was

determined that MGH would need a unique design applied to the service
modules of their Stratus® booms. The nursing side would need

toincorporate an extensive amount of services to best care for their high
acuity patients, while the respiratory side of the patient bed needed to
house the ventilator. Therefore, it was essential for one of the service
modules to be designed as a shorter column so that the ventilator could
be rolled and kept underneath the service unit.
Not only was the function of the unit important, but the staff also
they were looking for a product that would fit in with their eco-friendly
construction. There was a need to install a product that would help to
reduce the stay of the patient and create an environment where the staff
and clinicians would be able to do their best work. Specifically, the
NeuroIntensive Care Unit would feature intra-operative imaging, the latest
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technology in brain tumor removal surgery. Therefore, for safety as well

as convenience, the patients needed to remain in one bed on the same
floor. After comparing ceiling booms to determine which unit best fit their
need, MGH found Modular’sStratus® Boom to be the answer.
Delivering Excellence
The Stratus® unit aids in maximizing patient healing and comfort.

With the flexibility of MSC’s Stratus® Boom in each patient room, nurses
can arrange rooms to cater to each patient’s needs.
“In the last ICU, the centers were stationary, but they are
maneuverable around the bed at the Lunder Building. This gives nurses
the ability to adjust the room according to the patient’s needs, “ said Tara
Tehan, RN, nursing director of the Neuro ICU.
“When we began planning for the Lunder Building more than six
years ago, we worked with our MGH staff and architects to incorporate a
number of important environmentally friendly aspects to the building,” said
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Jean Elrick, MD, senior vicepresident for Administration and

LunderBuilding executive sponsor. “Along with the patient safety and
excellent quality care, we focused on sustainability. Environmental
conservation studies have shown that a natural environment can help to
promote healing for sick patients. The practice of green building is a
science, and we have been working with some of the best in the
architectural field to be among the leaders in this area.”
“The Neuro ICU staff has been looking forward to moving into the
Lunder Building, as the new [Stratus®] unit has allowed us to provide
more family and patient-centeredcare in a technologically cutting-edge
environment, “ says Tehan.The 10-story Lunder Building has provided
150 new inpatient beds and 28 new procedural rooms, to increase MGH’s
number of hospital beds by nearly 20 percent. It has expanded, collated
and enhanced services in cancer, neurology, neurosurgery, radiation
oncology and emergency care.
2.3.3 Architectural Programming
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Notes:
1. 0.65/person – Unit area per person occupying the space at one time
2. 5.02/staff – Work area per staff that includes space for one (1) desk and one (1) chair, space
for occasional visitor, and space for aisle
3. 1.40/person – Unit area per person occupying the space at one time
4. 7.43/bed – Clear floor area per bed that includes space for one (1) bed, space for occasional
visitor, and space for passage of equipment
5. 1.08/stretcher – Clear floor area per stretcher that includes space for one (1) stretcher
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2.3.3.1 Macro
2.3.3.2 Micro
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2.4 Conclusion
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Deficits in hospital care quality were common in all countries. Improvement of hospital
work environments might be a relatively low cost strategy to improve safety and quality
in hospital care and to increase patient satisfaction.
2.5 Recommendation
 Ensure that establish and sustain a safety culture

 Create centralized and coordinated oversight of patient safety
 Create a common set of safety metrics that reflect meaningful outcomes
 Increase funding for research in patient safety and implementation science
 Address safety across the entire care continuum
 Support the health care workforce
 Partner with patients and families for the safest care
 Ensure that technology is safe and optimized to improve patient safety
Chapter III: CASE STUDY
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3.1 Architectural Data Reference
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3.1.1 Interior
Nigeria-Abuja International Medical Center
 Size -6,000 m2
 Main components:
  Medical facility including : Emergency, Preventive medicine

  ICU and patient wards
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Services provided
 Definition of the program
 Preliminary planning.
 Detailed planning and co ordination of planning.
3.1.2 Exterior
La Paz Medical CenterIn Bata Equatorial Guinea
 120 beds hospital including:
  4 Operating theatres, 12 beds ICU

  2 labor and delivery rooms
  8 beds new born nursery
  Two 38 bed wards
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 Surgical and internal radiology institute including CT, X-Ray, fluoroscopy,

mammography and Ultrasound
 Dialysis unit
 Gastroenterology institute
Services Provided
 Definition of the program
 Preliminary planning according to the program economic and engineering

survey of the project
 Economic and engineering survey of the project
 Construction
 Permits from relevant institutions
 Detailed planning and coordination of planning
 Execution of the project from start to finish.
3.2 Related Design Features
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The design is based on the existing hospital’s qualities and potential, and
presents a cohesive sustainable, architectural, functional and technical vision of a clear,
compact, green and inviting hospital complex.
Health-promoting setting
It was built., and the facility comprises a low, densely built hospital complex with
a single overall traffic system and pleasant and welcoming courtyard gardens and day
rooms.
The Hospital will build on these qualities to create a modern, health-promoting

and restorative environment for patients, relatives and staff: The grounds of the hospital
will be developed with landscaped areas, lakes and watercourses. All inpatient wards
will have views of the green surroundings, ample daylight, courtyard gardens, green
roofs and views are key elements of the concept of health-promoting architecture.
Clear and effective
From here, each with their own related courtyard garden area, making it easy to
find one’s way around the complex. The main hall will be expanded, and new courtyard
gardens and roof lighting will be added.
Due to the compactness of the building, there will be fewer corridors in the new
hospital, and shorter distances for staff to walk. The relatively limited area required in
relation to the building’s size will make it possible to add new wings in all directions at a
later time.
Innovative logistics solutions
Technical installations such as electricity, HVAC, ventilation, fire prevention

measures, etc. are traditionally centrally located in a hospital,decentralised, and located
adjacent to each room. This will make optimum use of the available building space,
keeping the floors free for the primary clinical functions. This will also help to ensure the
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future proofing of the building, since it will be easier to adjust the functions, and related
technical supplies, of each room.
Mobile robots, or AGVs (automated guided vehicles), to transport meals, linen,

medicine, used tableware, etc., and a pneumatic tube post system, will automate the
internal logistics systems and release staff resources for the care and treatment of
patients.
The hospital is thus designed to be a flexible response to future needs in terms of

technology, treatment types and working methods, and will significantly improve the
quality of patients’ healthcare experience and the staff’s working conditions.
3.3 Architectural Case Study
Case Study: Macau Island Hospital
With relevance to the above consideration in clinical laboratory design and planning
similar concepts are adopted as part of the architecture and interior planning
of the new Macau Island Hospital in Macau, SAR. The physical design of the clinical lab
and the quality of systems implemented are flexible and versatile enough to
accommodate not only hematopoietic stem cell processing, but also adaptable to
introduce a wide range of potential cellular and gene therapeutic projectsand trials in the
future. This facility is designed
to be ready to apply for the following accreditations/ certifications/registrations:
• CAP accreditation
• AABB accredited
• FDA registered
• FACT/ISCT accredited
• JACIE accredited
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• ASHI/EFI accredited
Macau Island Hospital
Pandemic Outbreaks Readiness
HKS was engaged by the Macau Health Bureau in the winter of 2014 to consult on the
design of a new 1200 bed Macau Government Hospital Complex in Macau, SAR. As the
HKS team began to conceive the design and planning for the new hospital complex,
emergency and disaster preparedness were key elements of discussion during design
phases. The new facility was designed with several key elements that support the
hospital’s objectives for meeting emergency and disaster preparedness initiatives.
Key Design Elements
• Departmental Compartmentalization
• Expandable/Convertible exterior space
• Mass Casualty Decontamination Design Solutions
• Dedicated Patient Transfer Elevators
• Emergency Observation Unit Conversion to Pandemic
Isolation Floors
• Mechanical System Infrastructure (Seasonal/Pandemic
Exhaust Design)
Emergency Department Design
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The Emergency department was designed to operate under normal circumstances with 6
key zones including a Fever Clinic, multiple floors with 23-hour emergency observation,
Level 1 Trauma/resuscitation rooms, Level 2 and 3 emergency room beds, Level 4 and 5
Fast Track/Triage area and dedicated CT and Radiology Imaging services. The final
design (figure 2) was developed to allow for compartmentalization into multiple zones
which provide isolation and expandability during a mass casualty or pandemic outbreak.
The department was designed in such a way to allow for a portion of the emergency
department to be isolated for a mass casualty or contagious outbreak, while at the same
time allowing for the main emergency department to remain operational. Both the interior
of the emergency department as well as the exterior were designed to allow for
expansionand compartmentalization. Several design features (figure 3 a–b) are integral
to allow for the expansion of exterior Emergency dropoffarea into a temporary triage
area and separate decontamination area that allows for the treatment of potentially
contagious or contaminated patients.
• Structural davit connections or permanent ceiling mounted tracks can be provided to

accommodate temporary fabric partitions or curtains.
• Strategically located hose bibs with shower heads for decontamination of patients
• Trench drains with dedicated plumbing diverted
Chapter IV: DATA REFERENCE ANALYSIS
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4.1 Site Inventory
4.1.1 Site Selection
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The property is situated in barangay sikatalfonso,cavite bounded in garden hills

subdivision and in the municipality of laurel batangas.The Site is located in
between Tagaytay and Alfonso Cavite.
4.1.1.1 Site Criteria
4.1.1.1.1 Major Criteria
-The stated site has a great opportunity for land use for a more future
expansion as the hospital and users growing needs
-The hospital would also be a good site landmark in the area.
4.1.1.1.2 Minor Criteria
- The site has a great opportunity through its neighbouring establishments

such as schools, hotels, restaurants, and village,
- The property location is situated near the cliff from taal lake of batangas
that will greatly give good view and scenery for the patients and users of
the hospital.
-This might be a good help in its neighbour villages for its medical needs.
4.1.2 Site Justification
The property has its good site location for it will give great opportunities
and benefits through its neighbouring establishments. As its common known
purpose of being a hospital it will give aid and medical assistance and needs for
the site area location population.Such as its communities and tourist bounded
from tagaytay city.
4.2 Macro Site Analysis
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NORTH EAST
MONSOON
SUNPATH
SOUTH WEST
MONSOON
STRENGTH WEAKNESSES
-Proximity to the communities -Climatic conditions dew to
-Existing frequent circulation surroundings
-Contributes significantly in economic and social activity-Increasing passenger traffic
OPPURTUNITY THREAT
-A future development and expansion on the site -Security measures
-Increasing establishment -Limited public transportation
4.2.1 Physical Profile
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The property is situated in barangay sikatalfonso,cavite bounded in garden hills

subdivision and in the municipality of laurel batangas
The Site is located in between Tagaytay and Alfonso Cavite.
TagaytayTagaytay City, (Filipino: LungsodngTagaytay), is a component city in the

province of Cavite, in the Philippines. It is one of the country's most popular
tourist destinations because of its outstanding scenery and cooler climate
provided by its high altitude. Tagaytay overlooks Taal Lake in Batangas and
provides views of Taal Volcano Island in the middle of the lake through various
vantage points situated in the city. Tagaytay has a total land area of 66.1 km2 (26
sq mi) which represents about 4.37% of the total area of the Province of Cavite. It
lies within 120° 56' longitude and 14° 6' latitude and overlooks Manila Bay to the
North, Taal Volcano and Lake to the south and Laguna de Bay to the east.
Tagaytay is relatively close to the capital city of Manila, only 59 kilometres (37 mi)
away via Aguinaldo Highway, providing an easy escape for the locals from the
heat of the huge metropolis.
Alfonso is a first class municipality in the province of Cavite, Philippines.

According to the 2015 census, it has a population of 51,839 people.
Alfonso is an upland town situated at the south-western portion of the Cavite

province. It is 74 kilometers from Manila via Tagaytay City. Magallanes bounds it
on the west, Batangas province on the south, Mendez and Tagaytay City on the
east, General Aguinaldo on the north-west and Indang on the north-east.
4.2.1.1 Background of the Site
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Alfonso was totally forested until the 17th century when a few pocket
settlements sprouted. The town was originally part of Barrio Lumampong in the
town of Indang. In the course of time, the pocket settlements grew into sitios
and later on into barrios. The town became a separate district municipality from
Indang on 16 May 1859 through the efforts of the community leaders
BonifacioAveo and Felix delMundo. The new town was called Alas-as for a
period of seventeen years. The name refers to the name of a tree used for the
construction of houses and bears sweet fruit. It was, eventually, named
after King Alfonso XII of Spain, son of Isabella II. Alfonso was initially composed
of the barrios of Taywanak, Pajo, Esperanza, Marahan, Matagbak, Sinaliw and
Kaytitinga. Don NarcisoMojica was the capitan municipal of Alfonso at the
outbreak of the Philippine Revolution.
4.2.1.2 Physical Description
The property has almost trees as its vegetation it also has existing minor
structures such as small house and guard houses. It also has existing 8m wide
minor road inside that will be used as accessibility to building parking and
hospital.
4.2.1.3 Population
Alfonso is an upland town situated at the south-western portion of the

Cavite province. It is 74 kilometers from Manila via Tagaytay
City. Magallanes bounds it on the west, Batangas province on the
south, Mendez and Tagaytay City on the east, General Aguinaldo on the north-
west and Indang on the north-east.
In the 2015 census, the population of Alfonso, Cavite, was 51,839 people, with a
density of 780 inhabitants per square kilometre or 2,000 inhabitants per square
mile.
Population census of Alfonso
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Year Pop. ±% p.a.
1990 28,944 —
1995 34,613 +3.41%
2000 39,674 +2.97%
2007 47,973 +2.65%
2010 48,567 +0.45%
2015 51,839 +1.25%
4.2.1.4 Maps
4.3 Micro Site Analysis
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NORTH EAST
MONSOON
SUNPATH
SOUTH WEST MONSOON
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Chapter V: CONCEPT SHEET
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5.1 Design Philosophy
. “The layout can affect the life and death circumstances of a patient because
time is often a critical factor in a patient’s care,” - GeneKlow
5.2 Design Concept
Green building (also known as green construction or sustainable building) refers to both a
structure and the using of processes that are environmentally responsible and resource-efficient
throughout a building's life-cycle: from siting to design, construction, operation, maintenance,
renovation, and demolition. In other words, green building design involves finding the balance
between homebuilding and the sustainable environment.
As hospital projects to continue to grow and remain on a steady uptrend, health administrators
are increasingly looking to introduce green initiatives and environment-friendly practices into the
design, building and management of healthcare facilities. This shift to sustainable healthcare
facilities is primarily centeredaround reducing the carbon footprint of hospitals and the
incorporation of modern “Green Building” design elements into the healthcare environment to
improve patient care and allow hospital occupants to feel more at ease.
5.3 Form Concept
51
Philippines
MODERN ARCHITECTURE concept the aesthetically, durability
and its use will be maximize by its potential while preserving the classic Philippine architectural
characters such as the influences of the conquerors. Wood & Stone materials and green
architecture has been its prime architectural character.
RANDOM CUBES
5.4 Design Objectives
The Aesthetics is Important closely related to creating a therapeutic environment

(homelike, attractive.) It is important in enhancing the hospital's public image and is thus
an important marketing tool. A better environment also contributes to better staff morale
and patient care. Dedicated service elevators for deliveries, food and building
maintenance services.
To prepare an architectural brief that would help the architect to build a

functional, economical and efficient hospital.
5.5 Design Considerations
52
Philippines
ACCESSIBLE
Pertains to building elements, heights and clearances implemented to address the

specific needs of disabled people.
Related topics:
 Provide Equal Access and Flexibility

 History of Accessible Facility Design
 Beyond Accessibility to Universal Design
AESTHETICS
Pertains to the physical appearance and image of building elements and spaces as well
as the integrated design process.
Related topics:
 Understanding the Language and Elements of Design

 Engage the Integrated Design Process
 Design Awards
COST-EFFECTIVE
53
Philippines
Pertains to selecting building elements on the basis of life-cycle costs (weighing options
during concepts, design development, and value engineering) as well as basic cost
estimating and budget control.
Related topics:
 Utilize Cost and Value Engineering Throughout the Project Life Cycle
 Use Economic Analysis to Evaluate Design Alternatives
 Consider Non-Monetary Benefits such as Aesthetics, Historic Preservation,
Security, Safety, Resiliency, and Sustainability
.
FUNCTIONAL / OPERATIONAL
Pertains to functional programming—spatial needs and requirements, system

performance as well as durability and efficient maintenance of building elements.
Related topics:
 Account for Functional Needs

 Ensure Appropriate Product/Systems Integration
 Meet Performance Objectives
HISTORIC PRESERVATION
Pertains to specific actions within a historic district or affecting a historic building

whereby building elements and strategies are classifiable into one of the four
approaches: preservation, rehabilitation, restoration, or reconstruction.
Related topics:
 Apply the Preservation Process Successfully

 Update Building Systems Appropriately
 Accommodate Life Safety and Security Needs
54
Philippines
 Provide Accessibility for Historic Buildings
PRODUCTIVE
Pertains to occupants' well-being—physical and psychological comfort—including

building elements such as air distribution, lighting, workspaces, systems, and
technology.
Related topics:
 Integrate Technological Tools

 Assure Reliable Systems and Spaces
 Design for the Changing Workplace
 Promote Health and Well-Being
 Provide Comfortable Environments
SECURE / SAFE
Pertains to the physical protection of occupants and assets from man-made and natural
hazards.
Related topics:
 Fire Protection
 Occupant Safety and Health
 Natural Hazards Mitigation
 Security for Building Occupants and Assets
55
Philippines
SUSTAINABLE
Pertains to environmental performance of building elements and strategies.
Related topics:
 Optimize Site Potential

 Optimize Energy Use
 Protect and Conserve Water
 Optimize Building Space and Material Use
 Enhance Indoor Environmental Quality (IEQ)
 Optimize Operational and Maintenance Practices
56

Hospital Thesis

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Hospital Thesis

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University of Perpetual Help System Dalta Molino III, Bacoor, Cavite,

1.1 General Introduction

A hospital is a health care institution providing patient treatment with specialized

A teaching hospital combines assistance to people with teaching to medical students

1.2 Background of the Study

1.3 Historical Background

In the 2010s, hospitals are largely staffed by professional physicians, surgeons,

1.4 Statement of the Problem

1. Insufficient resources for conducting evaluations of the built environment.

2. Financial challenges and hospital productivity

3. Maintaining patient safety

4. Regulatory standards and emerging energy mandates

1.5 Significance of the Study

1.6 Project Goals and Objectives

To Eliminate environmental stressors, such as noise, that negatively affect patient

1.7 Architectural Objectives

To Promote staff efficiency by minimizing distance of necessary travel between

To Group or combine functional areas with similar system requirements

1.8 Building Development

Building, Renovation, Upgrading, Construction and Operating.

Establishment of Hospitals Services- for feasibility studies, building design,

Construction of a hospital- Program Preparation, Preliminary Planning, Master Plan,

Management System of Medical Records and Telemedicine -using of IT &

Chapter II: METHODOLOGY

2.2.2 Data Gathering

In conducting the Review of the Hospital Data Collection, i conducted an

 improving the collection, management and handling efficiency of hospital

2.2.2.1 Existing Structures

System analysis is meant to reveal the current system of administration and

2.2.2.2 Direct Communication

This involves oral interviews conducted with various personnel in the

2.2.2.3 Secondary Communication

This includes the use of textbooks, dictionaries, journals,

2.3 Data Analysis Methodology

2.3.1 Conceptualization of Project

 Identification of the market needs

2.3.2 Case Study

Massachusetts General Hospital

In late 2010, Mass General launched the largest fundraising campaign in

In early 2008, a design team complete with architects , nurses , engineers

Partnering With Modular Services Company

Through a series of meetings, site visits, and mockups, it was

modules of their Stratus® booms. The nursing side would need

technology in brain tumor removal surgery. Therefore, for safety as well

The Stratus® unit aids in maximizing patient healing and comfort.

Jean Elrick, MD, senior vicepresident for Administration and

2.3.3 Architectural Programming

 Ensure that establish and sustain a safety culture

Chapter III: CASE STUDY

3.1 Architectural Data Reference

Nigeria-Abuja International Medical Center

  Medical facility including : Emergency, Preventive medicine

 Definition of the program

 Detailed planning and co ordination of planning.

La Paz Medical CenterIn Bata Equatorial Guinea

 120 beds hospital including:

  4 Operating theatres, 12 beds ICU

 Surgical and internal radiology institute including CT, X-Ray, fluoroscopy,

 Definition of the program

 Preliminary planning according to the program economic and engineering

 Economic and engineering survey of the project

 Permits from relevant institutions

 Detailed planning and coordination of planning

 Execution of the project from start to finish.