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THE CHERAS REHABILITATION HOSPITAL MALAYSIA
THE CHERAS REHABILITATION HOSPITAL MALAYSIA Tat-Hong Chiam THE REHABILITATION HOSPITAL CHERAS, MALAYSIA The Rehabilitation Hospital, Cheras • An initiative by the Ministry of Health, Malaysia • Managed by JKR (Public Works Department) • Design-built by a private construction company (Konsortium Gadang Perembun) The hospital is the first comprehensive, dedicated, specialist referral rehabilitation hospital to be set up in Malaysia and in South East Asia. Introduction THE REHABILITATION HOSPITAL CHERAS, MALAYSIA SITE SPORTS & ACADEMIC SITE ACADEMIC N RESIDENTIAL/ COMMERICAL HOSPITAL N Location THE REHABILITATION HOSPITAL CHERAS, MALAYSIA TEACHERS COLLEGE VALLEY EXISTING HEALTH CLINIC 1 2 2 3 3 4 4 1 Existing Site and Photographs THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Heritage Building to be retained Site Photographs THE REHABILITATION HOSPITAL CHERAS, MALAYSIA 1) Inpatient Services:- 166 beds (future expansion to 300 beds) Trauma/Brain Injury Stroke/Neurology Spinal Cord Injury Amputees/Orthopaedics Paediatrics Geriatric Common Ward (pre-discharge) 3) Outpatient and Community Based Services:- Rehabilitation Specialist Clinics Traditional/Complementary Medicine Daycare Services Home Based Care/Home Nursing - Independent Living : 5 studio units 2) Core Rehabilitation Services:- - Rehabilitation Medicine Consultation Physiotherapy Occupational Therapy Speech Therapy Community Rehabilitation Health Education and Injury Prevention Prosthetic and Orthotic Rehabilitation Paediatric Neurodevelopmental Rehabilitation Facilities/Services THE REHABILITATION HOSPITAL CHERAS, MALAYSIA MAIN ACCESS LEGEND TEACHERS ‘ COLLEGE BUDRIAH ORPHANAGE UTILITIES Vehicular Route 1111 APARTMENTS Pedestrian Route Parking HERITAGE BUILDING 1111111 11 Landscape Buffer HEALTH CLINIC (5 ACRES) Landscape Garden EXISTING ACCESS APARTMENTS OUTPATIENT THERAPY REHAB. HOSPITAL MOH STAFF QUARTERS (6 ACRES) SUPPORT UTILITIES WARDS VALLEY HOUSING TEACHERS’ COLLEGE FUTURE EXPANSION TYPE D UTILITIES STAFF QUARTERS NURSES HOSTEL STAFF ACCESS TYPE F VALLEY CONDO Hospital Health Clinic MOH Staff Quarters Total Site Area - - 39.1 acres - 5.0 acres - 6.0 acres - 50.1 acres HUKM TYPE G CONDO N Zoning Plan THE REHABILITATION HOSPITAL CHERAS, MALAYSIA MAIN ACCESS TEACHERS ‘ COLLEGE BUDRIAH ORPHANAGE SUCTION TANK APARTMENTS GUARD HOUSE HEALTH CLINIC (5 acres) HERITAGE BUILDING EXISTING ACCESS MAIN ENTRANCE OUTPATIENT APARTMENTS THERAPY REHAB. HOSPITAL (39.1 acres) MOH STAFF QUARTERS (6 acres) PLANT HOUSE SUPPORT HOUSING WARDS STP VALLEY TEACHERS’ COLLEGE FUTURE EXPANSION TNB PPU SLOPES STAFF ACCESS FUTURE EXPANSION TYPE D ELEVATED WATER TANK NURSES HOSTEL TNB SUB-STATION CONDO TYPE F STAFF QUARTERS TYPE G Total Site Area = 50.1 acres CONDO N 47% Green Area (incl the valley) CARPARKS Hospital 396 nos Staff Accommodation 393 nos HUKM Masterplan THE REHABILITATION HOSPITAL CHERAS, MALAYSIA LEGEND Vehicular Access MAIN ACCESS Pedestrian Access Lifts EXISTING ACCESS HERITAGE BUILDING SPECIALIST CLINICS TCM SPECIALIST CLINICS OUT-PATIENT/ IN-PATIENT PHARMACY CAFE MAIN ENT. ATRIUM PATHOLOGY ORTHOTICS/ PROSTHETICS PHYSIO/ GYM/ HYDROTHERAPY GARDEN MEDITEL LIFTS ADMISSIONS IMAGING AUDIOLOGY/ OCCUPATIONAL THERAPY AUDITORIUM LIFTS STAFF/ COMMON MEDICAL SOCIAL SERVICE MAIN THERAPY GARDEN THERAPY GARDEN PATIENT ASSESSMENT/ SECURITY STROKE/ NEURO WARDS SPINAL WARDS THERAPY GARDEN LIFTS COMMON SHARED FACILITIES PEDESTRIAN LINK TO STAFF QUARTERS GERIATRICS/ COMMON/ PREDISCHARGE WARDS N Ground Floor Layout THE REHABILITATION HOSPITAL CHERAS, MALAYSIA LEGEND Vehicular Access Pedestrian Access Lifts ADMIN SPECIALIST OFFICES CME LIFTS IT/ MEDICAL RECORDS HEALTH ED/ QA/ RESEARCH AUDI TORIUM LIFTS TRAUMA/ BRAIN WARDS AMPUTEE/ ORTHO WARDS PAEDS WARDS LIFTS COMMON SHARED FACILITIES N First Floor Layout THE REHABILITATION HOSPITAL CHERAS, MALAYSIA LEGEND Vehicular Access Pedestrian Access Lifts LOADING LINEN/ ENG MEDICAL STORE CSSD M&E HOUSE KEEPING MORTUARY LIFTS CATERING LOADING N Lower Ground Floor Layout THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Flexible use of spaces THERAPY GARDEN Grouping of like-spaces and functional adjacencies - SPECIALIST CLINICS operational efficiencies patients convenience MAIN ENTRANCE CAFE THERAPY GARDEN TCM THERAPY GARDEN SPECIALIST CLINICS OUT-PATIENT/ IN-PATIENT PHARMACY THERAPY GARDEN ATRIUM THERAPY AREAS ADMISSIONS PUBLIC LIFTS IMAGING PATHOLOGY AUDITORIUM SERVICE LIFTS Functional Planning THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Shallow space planning - Natural daylighting THERAPY GARDEN Natural ventilation Views out STROKE/ NEURO WARDS Integration with outdoor spaces THERAPY GARDEN SPINAL WARDS PATIENT ASSESSMENT/ SECURITY THERAPY GARDEN THERAPY GARDEN LIFTS GERIATRICS/ COMMON/ THERAPY GARDEN PREDISCHARGE WARDS THERAPY GARDEN COMMON SHARED FACILITIES N PEDESTRIAN LINK TO STAFF QUARTERS Functional Planning THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Landscaped Therapy Garden Verandah A/C Bed room A/C Bed room Open Bed Bay Open Bed Bay Verandah Verandah Lounge/Dining/Activity Natural Ventilation Daylight in/ Views out Verandah Open Bed Bay Nurse Station Open Bed Bay A/C Bed rooms A/C Bed rooms Verandah Verandah Verandah Landscaped Therapy Garden Daylight in/ Views out Landscaped Therapy Garden Typical Ward Layout THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Inpatient – Nurse Station/Lounge/Activity Area Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Inpatient – 4 Bed Bay Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Inpatient – 1 Bed Room Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Inpatient – Paediatric Ward Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Inpatient – Paediatric Ward Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Treatment/Therapy – Aids to Daily Living (ADL) Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Treatment/Therapy – Aids to Daily Living (ADL) Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Treatment/Therapy – Aids to Daily Living (ADL) Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Treatment/Therapy – Gymnasium Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Treatment/Therapy – Gymnasium Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Treatment/Therapy – Gymnasium Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Treatment/Therapy – Hydrotherapy Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Treatment/Therapy – Traditional Complementary Medicine (TCM) Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Treatment/Therapy – Traditional Complementary Medicine (TCM) Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Outdoor Spaces – Landscaped Masterplan MAIN ACCESS HOSPITAL COMPLEX GROUND healing, comfort and patient friendly environment 1 1 THE MAIN ACCESS • avenue planting STREET 2 THE • green street concept 2 PEMBANGUNAN AKAN DATANG KLINIK KESIHATAN 2 ENTRANCE 3 THE • decorative concept 4 CAR PARK 4 THE • green canopy COURTYARD GARDENS 5 THE • theme gardens 3 PEMBANGUNAN AKAN DATANG 5b KUARTERS KKM HOSPITAL COMPLEX 5a - Picturesque Garden a Viewing garden 6 5c Garden b -Relaxing Stimulating garden -Recreational Therapy Garden c Active therapy garden 5d KOLAM TADAHAN Therapy Gardens d -Physical Therapeutic & natural healing garden WARDS 5e Therapy Garden e -Pediatric Stimulating play environment 6 THE PERIMETER cluster of forest trees 7 STAFF ACCESS STAFF QUARTERS STAFF QUARTERS GROUND living and recreational with nature PARK 7 SPORT • Active recreational area Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Outdoor Spaces – Landscaped Therapy Garden at Wards Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Outdoor Spaces – Landscaped Therapy Garden at Wards Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Outdoor Spaces – Physical Therapy Gardens Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Outdoor Spaces – Physical Therapy Gardens Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Social/Public/Interactive Spaces– Contemplative/Spiritual Gardens Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Social/Public/Interactive Spaces – Open Waiting Areas Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Social/Public/Interactive Spaces – Outdoor Waiting Areas Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Social/Public/Interactive Spaces – Indoor Waiting Areas Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Social/Public/Interactive Spaces – Cafeteria Key Environments THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Energy Efficiency - It is the first hospital in Malaysia to integrate energy-efficiency (EE) and sustainable design principles into the overall development. Rehabilitation Hospital Energy Index Normalised to 2800 hours Base 207 Low-E Single Glazing instead of clear glazing 201 Roof insulation increased to 100mm Ramps, guide rails, etc Brickwall to 150mm ALC wall Categories TFT monitor instead of CRT monitors 194 192 Daylighting (2m depth) 188 Efficient Lighting 15W/m2 to 10 W/m2 174 Efficient Fan (60% eff to 80% eff) Total Pressure 400 Pa 169 Heat Recovery Wheel (100% fresh air rooms only) 157 Timer on Vending Machine & Hot Water Urn 157 Efficient Chiller (COP 5.4 to 5.7) 154 Efficient Pumping VSD (Efficiency Improve 30% assumption) 137 Air tight building (label on doors & door seal) (ach 2 to 1) • • • • • • 198 119 Roof Insulation Wall Insulation Low-E Glazing for all external windows Daylight Infiltration Control Naturally cooled Central Atrium - 50 100 Energy Index (kWh/m2/year) 150 200 Design Considerations THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Daylighting and Thermal Comfort – Central Atrium Design Considerations THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Daylighting – Central Atrium PLAN VIEW OF BLIND 2m 0.5 m Design Considerations THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Insulated Walls Design Considerations THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Daylighting – Light Shelf Design Considerations THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Daylighting – Light Shelf Design Considerations THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Constuction – It is also the first hospital in Malaysia to implement the use of Industrialised Building System (IBS) in the effort to promote greater efficiency, reduction in labour, and cost-effectiveness in construction. • Insitu concrete with reusable system formwork • Hollow core floor slabs • Precast panel walls (Acotec) • Lightweight precast precision blockwalls (ALC) • Prefab proprietary metal roof system • Modular/standardised building components Design Considerations THE REHABILITATION HOSPITAL CHERAS, MALAYSIA Thank You
