Region Hovedstaden Nyt Hospital Nordsjælland

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Region Hovedstaden Nyt Hospital Nordsjælland Revised Project Proposal Presentation, 02.06.2017 Herzog & de Meuron - Vilhelm Lauritzen Arkitekter - Ramboll - MOE - Vogt - Henrik Jørgensen

PLANNING EVOLUTION

Competition Plan LEVEL 1 LEVEL 2/3

100% Outline Proposal Plan LEVEL 1 LEVEL 2/3

Consolidation Phase Plan LEVEL 1 LEVEL 2/3

Revised Project Proposal Phase Plan LEVEL 1 LEVEL 2/3

Level 1 Functions Laboratories Mammography Blood sampling ENT Staff Orthopaedic surgery, Anaesthesiology Rehabilitation Gynecology & Obstetrics, Neurology Administration Research & Education FAM Canteen Oncology Pulmonary Chemotherapy Main Entrance Paediatrics, Cardiology Ophtalmology, Rheumatology, Nefro & Endocrinology Dialysis

Level 0 - Functions Surgery Recovery Lockers Endoscopy Delivery Woman & Child FAM Chapel Intensive Care Lockers Emergency - Public Ambulance Diagnostics & Imaging Day Treatment Helipad

Level 2 functional plan ENT Neurology Orthopedic Neuro rehabilitation Orthopedic Oncology Cardiology Pediatric Pulmonary

Bed Ward Support Functions

Bedward Improved Layout & Circulation Arrival to Bed wards Training Lounge Coordination Base Head Nurse office Revised Outline Proposal Revised Project Proposal

Outpatient Clinic Typical Department Layout

Outpatient Clinic Team Base

Outpatient Clinic Typical examination room outpatient clinic plan 1 2 3 1 Examination Area 2 Conversation Area 3 Changing Area

Surgery Theaters 8 Repetive Clusters Bed access Pass-through cabinet Equipment storage Operation table

Key development during Project Proposal / Revised Project Proposal Functional and architectural detailed development Room planning and equipment definition w/nhn and users Supply / Logistics development Materiality development in accordance with hygienic, technical and financial requirements Project optimization through Value Management to gain Contingencies

Gross Area a) Main Building Revised Project Proposal Gross Area (m2) Basement 16,184 Level 0 30,860 Level 1 28,295 Level 2 17,246 Level 3 17,036 Subtotal Main building (A) 109,621 b) Service Village Level 0 including tunnel 5,077 Level 1 1,076 Subtotal Service Village (B) 6,153 Total Gross Area (A + B) 115,774 Herzog & de Meuron

ACCESIBILITY

Scale Comparison 310 m 280 m Level 2/3 Rigshospitalet

Concept The plan is the marriage of two contradictory needs: The desire for a large central garden and the necessity for short internal connections.

Circulation & Accessibility: The main flows (outpatient, inpatient) are separated vertically. The two levels of the pedestal each serve a primary flow wards wards Therapies / Dialysis / Canteen Diagnostic Imaging / FAM Technical Plant Spaces Outpatient Clinics ICU / Surgery Main entrance FAM entrance

Lobby Plan Mammography ENT STAFF ENTRANCE Bedwards access Surgery access Rehab Blood sampling Access to roof garden Main lobby Auditorium ICU access Bedwards access Canteen D&I access Bedwards access Reception MAIN ENTRANCE

Accessibility - Level 0/1 CATEGORY A PATIENT AREAS (Min 13M Door) CATEGORY B PUBLIC AREAS (Min 11M Door) CATEGORY C STAFF AREAS (Min 10M Door)

Accessibility - Level 2/3 CATEGORY A PATIENT AREAS (Min 13M Door) CATEGORY B PUBLIC AREAS (Min 11M Door) CATEGORY C STAFF AREAS (Min 10M Door)

SUSTAINABILITY

Energy Calculation 80 70 71.3 Energy consumption 40 % below current building code Energy consumption [kwh/m² pr. year] 60 50 40 30 20 41.0 25.0 23,7 We work with energy optimization at three levels: 1. Minimize needs 2. Optimize operation 3. Renewable energy production High focus on cost efficient solutions Value for money 10 0 Energy frame 2010 Low Energy 2015 Building Class 2020 NHN

Key Sustainability Concepts Site Analysis (Conservation) Program Review / Flexibility and Re-use Mobility Concepts Renewable Energy Day Light vs. Solar Protection Water Demand Air Quality User Interaction with the System (individual control / thermal comfort) Material Selection (Life Cycle Analysis)

Sustainability Concept - Building Green roofs High daylight factors reduces electricity consumption for lighting Solar panels 350mm insulation Exterior sun shading Energy lighting strategy 250mm insulation 240mm insulation Energy efficient, individually controlled ventilation 3-Layer windows District cooling / District heating 300mm insulation Efficient building envelope

Sustainability Concept Green Areas and Water Retention

Public accessible courtyard Patient accessible courtyard

Adaptable Building Design Symmetry & Standardization: Departments (Level 1) Central Functional Blocks Standard Width Courtyard Support Room Zone

Adaptable Building Design Bedward Symmetry A A Standard Units Large Units A A B A A B A A

Adaptable Building Design Patient Room Examination Room

Natural Daylight - Courtyards Light and Nature in the Work Place

Indoor climate Enhanced control of the indoor temperature particularly in the summer. High air quality (CO2<900 ppm) Daylight level according to Building code 2020 and with a focus on good access to daylight in area of permanent working. 27 24 Kat. III Kat. II Kat. I 21 Kat. II Kat. III 18 Man Tirs Ons Tors Fre Lør Søn Man

SustainabilityConcept outdoor materials

Sustainability Concept indoor materials

Facade plinth

Timber Facade Timber selection Based on the design and maintenance requirements, as well as mechanical properties, sustainability and cost criteria: - Western Red Cedar - Thermowood D (modified wood no biocides) - Kebony Character (modified wood no biocides) Life expectancy for the 3 wood types selected (based on a report by Skog og Landskap (2014) in Norway) - 60 years Maintennance An annual inspection of selected façade elements secures that any damaged parts are replaced before they can negatively affect the performance. Replacement - In a well constructed wooden façade, normally very few boards are replaced due to fungal decay damages. - A limited number of boards are expected to suffer from mechanical damages due to collisions etc. In conclusion it is without doubt that a number of selected wooden materials can be used with success in the façade elements on Nyt Hospital Nordsjælland.

Ceilings in a hospital PROJECT PROPOSAL SUBMISSION 16.12.2016 Micro-perforated wood board ceiling Acoustic ceiling tile system REVISED PROJECT PROPOSAL SUBMISSION 5.5.2017 + Wood slats or profiles Lobbies On-stage corridors Examination & clinical rooms Off-stage corridors Offices Bedwards corridors Patient rooms

Lobbies Wood profiles open ceiling Wood window frames & fixed furniture Terrazzo flooring

Bedwards corridors / Onstage Corridors Wood window frames & paneling in lounges Acoustic panel ceiling with wood profiles Linoleum flooring White doors with wood corner & wall protection

Bedwards patient room Acoustic panel ceiling with wood profiles White window & door frames Wood flooring

Off-stage corridors Exposed concrete columns & cores Acoustic panel ceiling Linoleum flooring HPL panel wall protection

Clinical Acute rooms Acoustic panel ceiling Linoleum flooring Hygienic wall coating

Material Testing - Wood flooring in patient rooms Hardwood flooring: local repair & stress tests Reference: extensive use of hardwood flooring in nursing homes

Material Testing - Mockups in NHN project OVERVIEW

SERVICE VILLAGE / BASEMENT

STATEMENT MAY 2016 Service Village Moved Below Main Building Service Village Relocation Key Improvements Logistics center access closer to main roads. Proximity to distribution ring improves logisitics and overall function Distribution bottleneck at Tunnel removed Synergy between preparation kitchen for bedwards and canteen. Workshop in proximity to assistive aids and integrated in main building. Synergy of use reduced duplication of staff rooms (uniform store, wardrobes and offices)

Service Village Relocation MAY 2017 Consolidation phase layouts Consolidation phase layouts

NHN Hospital

Site Plan before Consolidation PARKING NUMBER 2800

Site Plan after Consolidation PARKING NUMBER 2800

Site Plan Revised Outline Proposal PARKING NUMBER 2400

Service Village Diesel Generators Preparation kitchen Plant Room Buffer zone Manoeuvering zone Cooling Central Waste Handling LEVEL 1 LEVEL 2/3

Service Village Expansion 2,000 m2 Level 0 Level 1 Expansion legend New build extension

STATEMENT MAY 2017 Service Village Moved Back above Grade Service Village Relocation Key Improvements Logistics center access closer to main roads. ok: non critical Proximity to distribution ring improves logisitics and overall function ok: non critical Distribution bottleneck at Tunnel removed ok: non critical Synergy between preparation kitchen for bedwards and canteen. ok: non critical Workshop in proximity to assistive aids and integrated in main building. workshops centralized in main building now Synergy of use reduced duplication of staff rooms (uniform store, wardrobes and offices) ok: non critical Civil planning improved as the conflict between ramps and drainage is avoided Risk of flooding of Logistics Center Underground avoided Trucks maneuvering in open air area - enlarged space Noise from trucks away from building Easier expansion of the service village

New North Zealand Hospital Hillerød This document is an instrument of service whose owner and author is Herzog & de Meuron - Vilhelm Lauritzen Arkitekter. Its use is governed by the agreement between Herzog & de Meuron - Vilhelm Lauritzen Arkitekter and the Owner and is to be used solely with respect to this project. Unless otherwise indicated, all material contained herein has been created by Herzog & de Meuron - Vilhelm Lauritzen Arkitekter and is therefore Herzog & de Meuron - Vilhelm Lauritzen Arkitekter. It is a draft document that represents Herzog & de Meuron - Vilhelm Lauritzen Arkitekter design intent only. It does not constitute a comprehensive, technically correct or coordinated document and is intended as input to the Ower s Consultants who shall use it as defined in the agreement between Herzog & de Meuron - Vilhelm Lauritzen Arkitekter and the Owner. All dimensions shall be checked on site by others.