Client
Helse Møre og Romsdal
Area
58 000 m² new buildings, 5000 m² renovation
Function
Emergency hospital
Discipline
Project group management, architect, interior designer, responsible applicant
The hospitals’ design strengthens the conditions for patient care and an attractive workplace with stable academic environments enabling robust competence and good interaction. The emergency hospital at Hjelset has been through an optimization stage resulting in a reduction of the gross area from 72,000 m² in the original preliminary project to 58,000 m².
The architect has prepared a new concept in area and management frameworks focusing on HSE, costs, quality, construction time, and environmentally correct solutions. Intensive efforts are being made so that the construction can be completed without injuries to personnel within the management framework for costs. These solutions fulfil the requirement for function, quality and the environmental follow-up plan by the end of 2024. The district medical centre in Kristiansund includes the remodelling og parts of the existing local hospital of approximately 20,000 m2.
Architecture
Emphasis is placed on the hospital representing good contemporary architecture, forward-looking solutions and premises that are attractive to all users of the facilities, so that it will be an attractive workplace with stable academic environments to ensure the best possible patient care. Great care is demonstrated in the interior design for universal accessibility, with good public meeting points with a robust and tactile use of materials and colours, as well as integrated art. The building structure with slats provide a good view of the beautiful surrounding landscape and makes optimal use of the sloping plot.
The large hospital facility will be visible at great distance in the open landscape. The design helps tone down the effect of the large facility with its main volume in various heights. Important governing assumptions have been tight budget goals, good operational economy as well as an industrial building method with a high degree of prefabrication and system-build
and a short assembly time. One has therefore chosen anodised aluminium cassettes as the main material for facade cladding. The material is very well suited for the wind and moisture exposed local climate, and the surface interacts well with the changing daylight, and is perceived in a broad range of variations depending on the daylight and viewing angle. The surfaces of the low volumes are given a dark anodised coating and higher facades have a lighter one. The hospital auditorium facing the vestibule signals the main entrance of the hospital, and it appears as a separate, closed volume covered in wood panelling.
Function
The emergency hospital at Hjelset is a building specially adapted for somatic medicine as well as a building for mental health care – connected by a two-storey glass-enclosed passageway. The co-location of somatic and psychiatric functions facilitates integration and interdisciplinary collaboration. It has been arranged for the joint use of medical service functions and common functions, such as kitchen, research, and meeting areas. The physical design of the hospital is to support activities at all levels, and good functionality and logistics enable easy navigation for patients and employees. These are key concepts of the project. Examples include establishing front desks, self-check-ins and various types of waiting areas adapted to patient needs near stairs and elevators on all floors.
Heavy treatment functions are collocated towards the east. The emergency ward with helipad is placed in close proximity to imaging diagnostics and the observation ward/short-term ward, operating rooms, post-operative and intensive care, as well as the sterile centre. Outpatient and inpatient care are separated.
Day treatment with outpatient clinics and dialysis are easily accessible from the main entrance at entry level and the four lower floors.
Bed areas, patient hotels, paediatric ward and maternity ward are gathered on the upper floors for efficient operation. Deliveries, bed cleaning, sterile centre, MOMD and production kitchen on the lower function floor ensure effective logistics. Mental health care contains a psychiatric emergency ward and outpatient areas, as well as beds, of which several are sheltered.
Focus is on the patient in all planning and design. Security, integrity and comfort are safeguarded by providing all patients with their own bedrooms with bathroom. This gives more privacy, less risk of medication errors and contamination. Provisions have also been made for health professionals to work in teams with the patient and offer advanced diagnostics and treatment from several specialisations at once.
Flexible solutions for future treatment have guided the choice of solutions. A robust building structure has been established with high floors suited to fulfil the hospital's need for years to come, with a possibility for many different types of rooms, good access to daylight, technical infrastructure and supplies. This helps facilitate structural adaptations to future development of work methods, research and technical solutions.
Execution
The design is carried out within the framework of shared turnkey contracts with collaboration. Collaboration is done through weekly project and the meetings with contractor, developer (SB/HMR) and PG, where work is based on an execution model based on VDC (Virtual Design and Construction).
Progress is planned with simultaneous design and construction with pathways according to LEAN principles in collaboration with the contractor, client and technical disciplines.
