Parkway Health Master

PARKWAY HEALTH KHUBCHANDANI HOSPITAL Mumbai, India

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PARKWAY HEALTH KHUBCHANDANI HOSPTIAL

September 25, 2009

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To position as “Boutique Hospital” and create a hospitality environment To cater upper middle income and higher income market segment To provide best facilities for Physicians/Specialists and staff Phase -1: 350 beds and Phase -2: 100 beds To aim for JCI and NABH accreditation

VISION STATEMENT

To provide sustainable, responsible design Keywords: functional, elegant, simple, quality of care, cost effective, easy maintenance

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SITE CONTEXT

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Mumbai is a cosmopolitan city with varied cultural societies. It is a city of contrast; a blend of old and new. The city has a rich cultural heritage which reflects its glorious past and dynamic present.

The people who have made this city a lively place are called Mumbaikars and live a fast-paced life. Embedded in the diversity of its people, music, art, dance, religion and lifestyle is a free liberal spirit that is so Mumbai. Mumbaikars are lively people, who live life to its fullest.

Mumbai’s culture is full of energy and color full diversity. Its culture - a blend of traditional festivals, variety of food, love for music and unique night life.

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SITE CONTEXT

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The site for Parkway Health Khubchandani Hospital (PKH) is strategically located at Juhu, Andheri West, Mumbai. PKH is part of a large scale development which includes a hospital, a health park, a hotel and commercial complex, a shopping mall and a sports complex, etc. The site is surrounded by vacant land to the north, a proposed sport complex to the south, a proposed Health Park to the east and AAI land to the west. The site can be accessed from the east by a proposed 90’-0” road and from the south-west by a subsidiary road. The area for the PKH site is 10,000 sq. mts. N

PKH SITE AAI SITE

AAI SITE

SITE

N HUTMENT

AAI SITE

SITE

SITE

AAI SITE

HUTMENT

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SITE CONTEXT

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Average High: January 59 F Average Low: April 93 F

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2

Summer Wind: Southwest Winter Wind: Northeast

3 Average High: September 174 mm Average Low: January 4.9 mm

Winter Wind

View from Highway Exit AAI SITE

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AAI SITE

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View from Highway

View from Residences

Summer Wind

View to City

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PKH

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Sports Complex

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Future Health Park

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Mall

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Main Access Proposed 90’ Road

Secondary Access

View to Sea

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SITE CONTEXT

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6am

12pm

SUN ANGLES STUDY

1pm

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7pm

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SITE CONTEXT

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SITE VISIT

Gleneagles Hospital

Mount Elizabeth Hospital

• 380 bed private tertiary acute care hospital

• Performs the largest number of cardiac surgeries & neurosurgeries in the private sector

• Provides a wide range of medical and surgical services for the total management of patients. • Patient focus, user-friendly services, quality care, specialists' expertise and proven technology. • Gleneagles was accredited with the Joint Commission International (JCI), the world leader in improving the quality of healthcare, in

in the region. • One Major Operating Theatre with 12 operating rooms and one operating room dedicated to IVF • The hospital is accredited with the Joint Commission International (JCI); and is the first private hospital in Asia to win the Asian Management Award for exceptional people development and management

2006

Parkway Health Gleneagles Hospital, Singapore

Parkway Health Mount Elizabeth Hospital, Singapore © 2 0 0 9

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SITE CONTEXT

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CONCEPT

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THE PICTURE WINDOW

The picture window is composed of small, jewel sized pieces of glass assembled to form a delicate framework of transparency

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Picture windows emit a warm light while framing activities and people within, especially during periods of waning light

PARKWAY HEALTH KHUBCHANDANI HOSPTIAL

September 25, 2009

Human activity is marked by the architectural frame and glass, welcoming and comforting visitors

CONCEPT

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HEALING GARDENS

Contemplative Journey

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Beyond Medicinal Healing

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Psychology of Wellness

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CONCEPT

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SERVICE ENTRY

Site Access

MOB ENTRY BELOW

Separate MOB Entrance PUBLIC ENTRY

SITE CHALLENGES

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CONCEPT

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Integrated Flow

Optimize Patient Care Unit

Continuum of Care – create a healing community

As a world class health care facility, the design of PKH incorporates VIP bed towers, ambulatory care, charity suites and a medical services tower in an efficient and elegant approach that is sensitive to the complex nature of hospital operations.

OPERATIONAL CHALLENGES

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CONCEPT

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CONCEPT DEVELOPMENT The towers were studied as complex floating sculptural elements atop a simpler and cleaner podium with minimal material and textural changes.

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CONCEPT

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CONCEPT DEVELOPMENT The final design combines a series of planning studies with the inspiration of the picture window to produce a succession of delicate picture window boxes floating over a terraced podium with graceful, understated detail.

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CONCEPT

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INTERIOR CONCEPTS

Lobby

Family Waiting

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Dining Area

Materials Board

Patient Room

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ICU Sub-Nurse Station

CONCEPT

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DRAWINGS

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SITE PLAN

Notes: 1. Designate location for taxi pick-up away from main entrance. 2. Taxi – call in only. 3. Angular ambulance parking. 4. Shuttle bus pick-up/drop-off should be at South-west corner. 5. Shuttle bus pick-up/drop-off for staff in basement. 6. Parking place to be designated for loading vehicle during filling of Liquid oxygen.

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DRAWINGS 18

VIP

MOB

BASEMENT Hospital

FF = +24.6M Area = 7101 SQM

Notes: 1. Provide control access from basement. 2. Provide separate ventilation / exhaust system. 3. Total number of parking = 166

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DRAWINGS 19

Security Class IV Entry

LOWER GROUND FLOOR FF = +29.1M Area = 5676 SQM Public Zone Public Toilet CLEAN SUPPLIES DIRTY SUPPLIES CLASS IV EMPLOYEE ENTRANCE

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DRAWINGS 20

Connect to Imaging

MOB Directory

Reception/ Security Trauma connect to Imaging

Pharmacy Pick Up

GROUND FLOOR

Ambulance Drop Off Imaging Water Entry Wall Hospital Directory

Reception/ Security

Emergency Walk - In

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Gift Shop/ Cafe FF = +33.6M Area = 5078 SQM

Reception/ Security

Public Toilet

Natural Light Notes: 1. Maximize natural light in Lobby when layout registration area. 2. PET CT – follow AERB guideline. 3. Provide Grand Lobby, staircase to dining area and grand staircase by lobby entrance to First Floor outpatient area. 4. No north facing entrance. 5. Ground floor serve as control point. Elevator from basement to be controlled here. 6. Outsource operation of gift shop 7. Separate entrance for executive health and close to imaging.

MOB Drop Off

Main Entrance

INPATIENT CIRCULATION

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DRAWINGS 21

FIRST FLOOR

FF = +38.1M Area = 5522 SQM

Sec./ Public Toilet Grand Stair to Lobby below OUTPATIENT CIRCULATION INPATIENT CIRCULATION

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DRAWINGS 22

Heart OR VIP Elevators

General OR – Fast Turnaround Control

Patient Public Sec./ Public Toilet

Notes: 1. Provide Meditation Room by ICU. 2. Cath Lab – to be independent from Surgery. 3. Food Service to doctors’ lounge should not cross sub-sterile corridor. 4. Doctor’s lounge direct access to consultation rooms. 5. OR Control /Support Area should include scheduling desk, control room, manager office. 6. OR Support Area should also includes Anesthesia Workroom, Med prep, Rad. Processing, bio-med repair room. 7. Provide separate lockers for staff/physician per program.

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PAR - Surgery

SECOND FLOOR FF = +42.1M Area = 5525 SQM

ICU

PATIENT FLOW RED LINE

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DRAWINGS

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Supplies/ Storage

Supplies/ Storage

Soil

Heart Rooms Cath. Lab

Clean

Control Sterile Food

SECOND FLOOR

Non - Sterile

FF = +42.1M Area = 5525 SQM

Intensive Care Unit Intensive Care Unit

PHYSICIAN FLOW RED LINE

HEART – CATH - ICU

TO CONSULTATION NON-STERILE – Communicate with control desk without changing to scrubs STERILE – Communicate with control desk after changing to scrubs SUPPLIES / STORAGE

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LOCKERS TO LOUNGE

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DRAWINGS 24

THIRD FLOOR FF = +50.0M Area = 4655 SQM

Security/ Public Toilet

N.S.

Notes: 1. Charity Ward – separate male and female patients. 2. Avoid nurses stations that are too open. 3. Provide one toilet/shower for each open bay. 4. Use larger bay (no. 4) for 6 beds ward. 5. Conference room – non auditorium . 6. Central Charting alcove, no big nurses station.

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Charting Alcove

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STAFF CIRCULATION CHARITY WARDS CIRCULATION Charity Ward support area: 1. Nursing station, work area, clean, soiled utility, equipment storage, medication room, housekeeping, exam and treatment room, storage alcoves, staff lockers, staff lounge, conference room, offices. Reference space program for detail area requirements.

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DRAWINGS 25

N.S.

FOURTH FLOOR

N.S.

FF = +53.8M Area = 3851 SQM Security/ Public Toilet

N.S.

N.S.

INPATIENT CIRCULATION Notes: 1. Provide Meditation Room by ICU. 2. Provide security on all patient floor. 3. Sub-charting station in between ICU beds.

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FAMILY/VISITORS CIRCULATION ICU Support area: 1. Nursing station, sub-charting station between patient beds, work area, clean, soiled utility, equipment storage, medication room, housekeeping, exam and treatment room, storage alcoves, staff lockers, staff lounge, conference room, offices. Also include med gas machine, RT area and mobile X-Ray. Reference space program for detail area requirements.

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DRAWINGS 26

N.S.

Charting Alcove

FIFTH FLOOR

N.S.

FF = +57.6M Area = 4056 SQM Security/ Public Toilet

Notes: 1. Provide Meditation Room by ICU. 2. Provide security on all patient floor. 3. Sub-charting station in between ICU beds. 4. Sub-charting station in between two larger Nursing Station on M/S side.

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N.S.

N.S.

INPATIENT CIRCULATION FAMILY/VISITORS CIRCULATION ICU Support area: 1. Nursing station, sub-charting station between patient beds, work area, clean, soiled utility, equipment storage, medication room, housekeeping, exam and treatment room, storage alcoves, staff lockers, staff lounge, conference room, offices. Also include med gas machine, RT area and mobile X-Ray. Reference space program for detail area requirements.

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DRAWINGS 27

N.S.

Charting Alcove

SIXTH & SEVENTH FLOOR N.S. FF (Sixth) = +61.4 M FF (Seventh) = +65.2 M Area = 4247 SQM Security/ Public Toilet

N.S.

Charting Alcove

N.S.

INPATIENT CIRCULATION Notes: 1. Provide security on all patient floor. 2. Sub-charting station in between two larger Nursing Station.

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FAMILY/VISITORS CIRCULATION Medical / Surgical Support area: 1. Nursing station, work area, clean, soiled utility, equipment storage, medication room, housekeeping, exam and treatment room, storage alcoves, staff lockers, staff lounge, conference room, offices. Reference space program for detail area requirements.

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DRAWINGS 28

N.S.

Charting Alcove

EIGHTH FLOOR N.S. FF = +69.0 M Area = 4219 SQM Security/ Public Toilet

Notes: 1. Provide security on all patient floor. 2. Sub-charting station in between two larger Nursing Station. VIP Medical / Surgical Support area: 1. Provide Day Lounge at Deluxe Med/Surg Unit.

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N.S.

Charting Alcove

N.S.

INPATIENT CIRCULATION FAMILY/VISITORS CIRCULATION Medical / Surgical Support area: 1. Nursing station, work area, clean, soiled utility, equipment storage, medication room, housekeeping, exam and treatment room, storage alcoves, staff lockers, staff lounge, conference room, offices. Reference space program for detail area requirements.

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DRAWINGS 29

N.S.

NINTH FLOOR N.S.

FF = +72.8 M Area = 3915 SQM Security/ Public Toilet

Notes: 1. Provide security on all patient floor. 2. Sub-charting station in between two larger Nursing Station. VIP Medical / Surgical Support area: 1. Provide Day Lounge at Deluxe Med/Surg Unit. 2. Visitors lounge – to be shared with VIP suites on the same floor

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N.S.

Charting Alcove

N.S.

INPATIENT CIRCULATION FAMILY/VISITORS CIRCULATION Medical / Surgical Support area: 1. Nursing station, work area, clean, soiled utility, equipment storage, medication room, housekeeping, exam and treatment room, storage alcoves, staff lockers, staff lounge, conference room, offices. Reference space program for detail area requirements.

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DRAWINGS 30

ROOF PLAN FF = +76.6 M

Notes: 1. Consider wind directions while designing mechanical equipments. 2. Mechanical exhaust outlet should be at roof top and not at side of buildings.

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DRAWINGS 31

SECTION

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DRAWINGS 32

ALTERNATE SECTION

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DRAWINGS 33

CONCEPT SECTION

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DRAWINGS

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CONCEPT SECTION

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DRAWINGS

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CONCEPT SECTION

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DRAWINGS

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Notes: 1. Provide separate sink within each patient room.

NINTH FLOOR VIP – 1 DOOR OPTION

NINTH FLOOR VIP – 2 DOORS OPTION

MED/SURG PATIENT ROOM

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ROOM LAYOUTS

5 BED CHARITY WARD

ICU PATIENT ROOM

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VIP MED/SURG PATIENT ROOM DRAWINGS 37

Scheme A

MOB LAYOUTS Scheme B

Scheme C

Leasing Option A

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8 – A Medium

B

3 – B Large

C

1 – C Small

PARKWAY HEALTH KHUBCHANDANI HOSPTIAL

Hospital Owned Option Notes: 1. 2 levels of hospital owned option - 28 consultation rooms per floor 2. 4 levels of leasing option – 12 suites per floor 3. 6 levels of Medical Office Building total. 4. Provide sliding door between exam and consultation room for leasing option.

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DRAWINGS 38

AREA AND FLOOR SPACE INDEX (FSI) STATEMENT

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AREA STATEMENT

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AREA STATEMENT

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FSI STATEMENT

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EXTERIOR

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EXTERIOR

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ELEVATIONS WEST

EAST Composite Metal Panels Portland Cement Plaster

Glazed Alum. Wall System Composite Metal Column Portland Cement Plaster

Portland Cement Plaster Glazed Alum. Wall System

Stone Masonry ST01

Portland Cement Plaster Glazed Alum. Wall System Stone Masonry ST01 Stone Masonry ST02 Composite Metal Panels

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EXTERIOR

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ELEVATIONS NORTH

SOUTH

Glazed Alum. Wall System Stone Masonry ST01 VIP Outdoor Garden Portland Cement Plaster Glazed Alum. Wall System

Stone Masonry ST01

Stone Masonry ST02 Composite Metal Panels

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Main Entrance

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EXTERIOR

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