PROPOSED CALABARZON

REGIONAL HEART CENTER

A PRESENTATION BY:
ARIZALA, CZARINA F.
PASIA, GABRIELLE P.
BSA-5A
 NINE PRIORITY SECTORS

HEALTH ENVIRONMENT AGRICULTURE HOUSING

URBAN/RURAL
DEVELOPMENT TOURISM EDUCATION

PHILIPPINE DEVELOPMENT PLAN 2016-2022

 Reduction of
infant mortality
rate through
quality maternal
health and child
care
Affordable Reproductive
universal health health and family
care and social planning
protection programs

OBJECTIVES
OF HEALTH
WORLD
WIDE
Establishing Programs and
specialty hospitals facilities to
for the treatment encourage
of special types of development of
illnesses healthy lifestyles

Eradication of
malnutrition
 14.00%
12.80%

12.00%
10.80%

10.00%

8.00%
5.80% 6.10%
6.00%
4.30%
4.00% 3.10%
2.20% 2.40% 2.40%
1.80%
2.00%

0.00%

MORTALITY GROWTH

TOP TEN DEADLY DISEASES IN THE WORLD AS OF 2016 BASED

ON WORLD HEALTH ORGANIZATION
TOP 1: 7.4 MILLION DEATHS

TOP 2: 6.7 MILLION DEATHS

TOP 3: 3.4 MILLION DEATHS

TOP 4: 3.28 MILLION DEATHS

TOP 5: 2.46 MILLION DEATHS

TOP 6: 1.78 MILLION DEATHS

TOP 7: 1.39 MILLION DEATHS

TOP 8: 1.34 MILLION DEATHS

TOP 9: 1.29 MILLION DEATHS

TOP 10: 1 MILLION DEATHS

TOP TEN MORTALITY CASES IN THE PHILIPPINES AS OF 2013 BASE ON
PHILIPPINE HEALTH STATISTICS
 TOP 1: Region IV-A - 18,621

TOP 2: National Capital Region – 18,208

TOP 3: Central Luzon – 15,738

TOP 4: Western Vizayas – 10,514

TOP 5: Central Vizayas – 9,310

TOP 6: Bicol Region – 7,676

TOP 7: Ilocos Region – 7,377

TOP 8: Davao Region – 4,687

Top 10 Cases of Heart Diseases per Region in
Philippines in year 2013 TOP 9: Northern Mindanao – 4,679
Based on Philippine Health Statistics
TOP 10: Eastern Vizayas – 4,477
 TOP 1: Region IV-A - 18,621
PHILIPPINE HEART CENTER
TOP 2: National Capital Region – 18,208
SUBIC HEART CENTER
TOP 3: Central Luzon – 15,738
ILO-ILO HEART CENTER W/IN
WESTERN VIZAYAS MEDICAL
TOP 4: Western Vizayas – 10,514
CENTEER
VICENTE SOTTO MEMORIAL
MEDICAL CENTER OPENS A TOP 5: Central Vizayas – 9,310
CATHERIZATION LABORATORY
BICOL HEART CENTER ONGOING TOP 6: Bicol Region – 7,676
CONSTRUCTION
MARIANO MARCOS MEMORIAL TOP 7: Ilocos Region – 7,377
HOSPITAL AND MEDICAL
CENTER TOP 8: Davao Region – 4,687
MINDANAO HEART CENTER

CAGAYAN DE ORO HOSPITAL TOP 9: Northern Mindanao – 4,679

TOP 10: Eastern Vizayas – 4,477

CURRENT PROBLEMS OF HEALTH CARE

Lack of Health Care Facilities, resulting

Facilities to overcrowding

Overcrowding of Patients, resulting to

Patients poor quality of service

Improper maintenance and sanitation of

Sanitation utilities

Specialty hospitals are too far away

Accessibility from rural areas
 AREA Diseases of the Heart
No. Rate
REGION IVA – 18,621 134.3
CALABARZON

Batangas 2,438 139.5

Cavite 3,986 124.6
Laguna 2,632 136.8
Quezon 2,538 138.8
Rizal 2,618 128.4
51.5 Hectares of Land Area

4,475 numbers in population (2010)

URBAN – Classification

Urban Redevelopment Zone

LOCATION:
51.5 Hectares of Land Area

4,475 numbers in population (2010)

URBAN – Classification

Urban Redevelopment Zone

PRESIDENTIAL DECREE No. 673 March 19, 1975
• CREATING THE PHILIPPINE HEART CENTER FOR ASIA
• WHEREAS, it is the policy of the State to secure the well-being of the people by providing them specialized
health services
• WHEREAS, it is imperative that specialized medical services should be provided for those suffering from heart
and allied diseases

PHILIPPINE DEVELOPMENT PLAN: EXECUTIVE ORDER NO. 5 S. 2016

• AmBisyon Natin 2040
• A guideline for development the nine priority sectors; housing and urban development, manufacturing (food
processing, housing-related goods and services, transport), connectivity (roads, ports, airports, bridges,
communication), education services, financial services, health services, tourism-related services, agricultural
development and countryside development.

PHILIPPINE HEALTH AGENDA 2016-2022 HEALTHY PHILIPPINES 2022

• the objective of the new government for an improve health care program are subjected to 3 guarantees; first is
that they have to guarantee the health of all life stages and guarantee their burden from different types of
diseases, second is that they will guarantee that services are improved and be delivered by networks that are fully
functional and third is that they will guarantee a universal health insurance whereas services are financed
predominantly by PhilHealth program.

Administrative Order for the Rationalization of Health Care Delivery System Based
on Need, June 15, 2006
• issued as a department order for developing specialty health care facilities in each and every region,
especially on those provinces with the highest rate suffering from diseases that needs specialized
care and treatment.
 THE GOAL:

“Health for Health; Be the leader in upholding the highest

standards of cardiovascular care, a sustainable specialized
hospital for the health needs of the Filipino people and for
the health needs of the environment.”
 THE OBJECTIVES:

Cater the growing needs of specialized hospitals

Provide better treatment for the people

Improve the medical capability of Calabarzon

Slow down the continuous growth of people dying

because of heart related diseases and having heart
diseases
Design a Regional Heart center for the people of
Calabarzon
 LITERATURE & STUDIES:
UNIVERSITY OF OTTAWA HEART INSTITUTE

PROS CONS
• Do not stop expanding and discovering new
• Higher fees for the patients
technology for better treatment.
• Training for the new generation • Budget depletion

• Use of updated and cutting edge technology

 LITERATURE & STUDIES:
PHILIPPINE HEART CENTER

PROS CONS
• Considered as an iconic structure in the
• Congestion
Philippines.
• Using glass in their exterior caused the
• Never stop improving temperature inside to rise

• The basis of specialty hospital design

 LITERATURE & STUDIES:
PHILIPPINE HEART CENTER

ONGOING EXPANSIONS IN PHC

 LITERATURE & STUDIES:
(LOCAL) Proposed General Hospital in Marilao, Bulacan: A biophilic village design that
contributes to healing

PROS CONS

• More landscaping • Increase moisture and humidity

• Direct experience of nature

• Indirect experience of nature

• Experience of space and place

 LITERATURE & STUDIES:
(FOREIGN) Improving Health and Productivity via Sustainable Design

PROS CONS

• Use of unharmful products • Increase moisture and humidity

• Use of natural aspects of the environment

• Allow sunlight into buildings

• Provide views of nature so that occupants and patients
can work and heal in comfortable and inviting areas
 DESCRIPTIVE METHOD:

RESEARCH METHODOLOGY
 People with bad
People with People with People with habits of
Obesity: Hypertension smoking and
Cardiovascular
drinking
Disease: Population Population alcoholic
Population • 6,310,000 • 410,432 beverages
•20,915
Population
• 29,200,000

RESPONDENTS:
Cardiovascular Patients

Hypertensive

Obese

Unhealthy
• n=278 • n= 277 • n= 278
• n= 277.7 or respondents respondents respondents
278
respondents

ATTAINED USING SLOVIN’S FORMULA:

n= no. of samples
 N= total number of population
 e= error margin/margin of error
ITEM NO.16

Clinical Laboratory

Cardiovascular Lab
Pediatrics facility

Obstetric Facility

Isolation Facility

Interventional
Radiology
votes
HEART DISEASE= 318 Young 47 41 41 31 35 43
adult=48

Adult=187 181 176 179 182 180 183

Senior=83 81 76 77 67 71 79
OBESE=247 Young 27 25 27 22 24 27 GRAPH 23 needed facilities
adult=27
96
Adult=160 155 158 157 159 154 155 94 94
Senior=86 60 48 54 44 47 55 94 93 93
HYPERTENSION=393 Young 63 61 61 19 58 68 92
adult=87 90
90
Adult=220 216 215 218 214 212 210
Senior=86 86 85 83 74 80 87 88
86
BAD HABITS=385 Young 64 57 56 51 47 54 86
adult=65
84
Adult=228 217 219 217 211 222 225
Senior=92 92 88 90 82 80 87 82
needed facilities
Young 201 184 185 123 164 192
adult=227
pediatrics clinical laboratory
Adult=795 769 768 771 766 768 773 obstetrics isolation facility
Senior=321 297 297 304 267 278 308
interventional radiology cardivascular laboratory

TOTAL=1343 1267 1249 1260 1156 1210 1273

Tally Breakdown of the needed Facilities

SUMMARY

The CALABARZON and MIMAROPA regions highly value the importance of health,
but due to the raising population of people with heart diseases, obesity, hypertension and bad
habits at risk with heart disease the hospitals in the regions are not enough to cater the needs of
the people, especially heart diseases, the people need to go to manila to have their checkups
and treatment. According to the interviews and survey given by the researchers to the locals in
CALABARZON and MIMAROPA area, their hospitals, especially the public could not cater
their health care demands anymore due to congestion, the lack of comfortability, facilities and
amenities to help patients for fast recovery. The hospitals also lack doctors and well trained
specialists to give the patients immediate health care response.
The CALABARZON region highly need a specialized hospital for heart diseases, thus the
researchers proposed a CALABARZON Regional Heart Center to fill up this needs in
accordance to the projects of the Philippine Heart Center and DOH to start building
Specialized Hospitals for every region. The researchers chose to start with the highest rate of
cases of heart disease which is the CALABARZON.
SITUATIONAL ANALYSIS
1) IDENTIFICATION/ASSESSMENT OF NEEDS
 A facility for heart care
 Support of government agencies
 Financial support
 Secured and safe healthcare facilities
 Laws, rules and regulation
 Latest yet cheapest equipment for surgical treatment
 Awareness programs
FINANCIAL VIABILITIES
Budget Flow Chart

The four main

sources of financing:
(1) national and local
government,
(2) insurance
(government and
private),
(3) user fees/out of
pocket and
(4) donors.
 In 1995, the National Health Insurance Program (NHIP) managed by
Philippine Health Insurance Corporation (PHIC or PhilHealth) was
institutionalized and signaled the movement towards a single-payer
premium-based financing or insurance system. However, the current
system continues to maintain a dual financing system existing parallel to
each other.

The specialty facility will be funded by the Department of Health through

the Health Facilities Enhancement Program. Since the proposal of
CALABARZON Regional Heart Center is a government hospital, the
budget proposed will be process through a hearing along with the budget
officials of DOH and HFEP Department.
 SITE NO. 1

NEAR ACCESSIBLE NEAR FREE

LOCATION SUFFICIENT NEAR
BUSINESS AND FROM ALL POWER AND
ECONOMIC KINDS OF
DRAINAGE
WATER
PUBLIC FROM
WISE DISTRICT TRANSPO
SUPPORT
SUPPLY
NECESSITIES THREATS
 SITE NO. 2

NEAR ACCESSIBLE NEAR FREE

LOCATION SUFFICIENT NEAR
BUSINESS AND FROM ALL POWER AND
ECONOMIC KINDS OF
DRAINAGE
WATER
PUBLIC FROM
WISE DISTRICT TRANSPO
SUPPORT
SUPPLY
NECESSITIES THREATS
LOCATION WISE

WITHIN 10 KM RADIUS
OF ANY OTHER
HOSPITALS

NEAR BUSINESS AND

ECONOMIC DISTRICTT

ACCESSIBLE FROM
ALL KINDS OF
TRANSPO

SUFFICIENT
SITE NO. 3
DRAINAGE SUPPORT

NEAR POWER AND

WATER SUPPLY

NEAR PUBLIC
NECESSITIES

FREE FROM THREATS

ADVANTAGEOUS
SHAPE OF LOT

NEAR THE GRAND

TERMINAL
 Providing a regional heart center that will give health
assistance to those who are suffering from heart ailments is
an advantage in the areas of CaLaBaRZon. This additional
facility will help not only to decrease the numbers of the
deceased caused by this kind of non-communicable disease,
but also to prevent it from growing.
 The proposed CALABARZON REGIONAL HEART
CENTER has different facilities that will surely meet the
high quality of services
 Consider Sustainability Design
 Amenities
 Facilities
THE PROPOSAL: A Regionalize Heart Centers
 PHILOSOPHY:

Design must reflect the practical and aesthetic value of buildings.

But above all, great design must primarily serve people. Put them at
ease, provide exterior and interiors which reflect their everyday life.
 CONCEPTS:
EXTRIOR: BRUTALIST ARCHITECTURE
• ROUGH, EDGY AND TEXTURED
• STRIKING GEOMETRIC APPEARANCE
• EXPRESSES ITS FUNCTION IN ITS
FORM

FORM CONCEPT

1st Chamber 3rd Chamber

COLOUR CONCEPT 2nd Chamber 4th Chamber

INTERIOR: HEALING ENVIRONMENT

• INVOKES REALXING EMOTION
• EMITS HEALING EFFECT
• FRIENDLY YET PROFESSIONAL VIBE
THE SITE: Site analysis

Area=

27,198.00sqm.

Location=

along Diversion

Road, Balagtas,

Batangas City
SWOT analysis
STRENGTH
• No fault lines
• Not in the flood
prone and landslide
prone area
• Have sufficient
source of public OPPORTUNITIES
utilities like water THREATS
supply, power • the use of innovated
technologies • Unpredictable
supply and drainage WEAKNESS
• At the development earthquake swarm
system
• Pollution zone of the • Pollution in the near
• Directly accessible
province future once area
to the road
started to develop.
• Many mean of
transportation
• 15-30 minutes and
below travel time
from near districts
• It is located in the
development areas
of the province.
SCHEMATIC DIAGRAM
VEHICULAR ANALYSIS
INTERRELATIONSHIP
DIAGRAM
BEHAVIORAL ANALYSIS
HAZARD MAP ANALYSIS
MEDICAL ARTS BUILDING (1ST & 2ND FLOOR) BEHAVIORAL ANALYSIS
MEDICAL ARTS BUILDING ( 3RD FLOOR & OPD) BEHAVIORAL ANALYSIS
HOSPITAL BUILDING (1ST & 2ND FLOOR) BEHAVIORAL ANALYSIS
HOSPITAL BUILDING (3RD FLOOR & EMERGENCY DEPT.) BEHAVIORAL ANALYSIS
HOSPITAL BUILDING (LABORATORY AND SURGICAL DEPT.) BEHAVIORAL
ANALYSIS
RADIOLOGY BUILDING BEHAVIORAL ANALYSIS
SERVICE BUILDING 1 & 2 BEHAVIORAL ANALYSIS
SERVICE BUILDING 1 BEHAVIORAL ANALYSIS
Environment behavior studies
HOSPITAL ZONES

OUTER ZONE- the Public oriented departments. The areas consists of

Reception/waiting, Emergency room, Doctor’s clinics, Chapel, outpatient
division, doctor’s offices, physical rehabilitation and business offices (cashier,
Billing, Admitting).
SECOND ZONE- The second zone is the one who generates outputs from the
outside zone, some part of the administration is accessible to public. The areas
consist of the Administration-non public departments, pharmacy, imaging
modalities (x-ray, ultrasound, Computerized Tomography(CT scan)
mammography, nuclear medicine, magnetic resonance Imaging(MRI)
Catherization Laboratory, Gamma knife, radiation oncology) and laboratories.
INNER ZONE- The inner zone is accessible to the public. This zone have the
nursing unit of the hospital where patients stay during treatments and
recuperation. The inner zone consist of the nursing wards, patients room, nurse
stations and nurse and staff quarters
DEEP ZONE- This zone must not be accessible to the public and requires aseptic
environment because in this zone are the operating suites, intensive care units,
delivery suites and nursery.
SERVICE ZONE-The service zone is not accessible to the public. This zone is
where supplies and wastes are loaded and unloaded, Dietary, materials recovery
Facility, Central Sterilizing and supply Room (CSSR), housekeeping, security
rooms, storage rooms and engineering are held.
TWILIGHT ZONE- In this zone is the Mortuary and the Morgue, they transport
the cadaver from the main hospital area here and prepare the cadaver for pick-up
of relatives or funeral service. This zone must not be accessible to the public and
only concerned people must be allowed to go
Thank you 