Archwerk
Rachma Husada General Hospital Masterplan
located in sub-urban area and surrounded by rice field which form the site shape and orientation. high program needs compacting in space consolidation and sharing facilities. phasing plan development scenario as a consequense of limited budget.
physical masteplan, commenced to next stage, 2007

Rachma Husada was a mother and child hospital with capacity of bed is 25. The owner wants to develop it to be general hospital with 80 bed capacity. There are some challenges in design process:

1. Accommodate the needs of space to get qualified space on site which have irregular shape.
2. The development must consider the existing asset. It has to minimize demolition the existing asset.
3. The construction process must be sensitive to the lack of cash flow of the hospital budget. It is hard for the hospital to build all of the facilities in the one phase.

To accommodate it, the design process has some strategies and phase:

1. Evaluation of the existing asset (post occupancy evaluation)

This phase is discovering the asset to get information that contains the status of the building. There criteria are based on the standards of general hospital building.

2. Design the new plan

After we got the status of the asset we start to design the new development by considering the needs of the new space and the existence of existing asset. Where designing the new plan, there are some main consideration related to the health services and medical aspect. They are:

1. divided the access to the some installation, such as:

- emergency access

- outpatient access

- visitors of inpatient access

- services access

There are some different criteria and priority related to the every installation.

2. Divided the internal circulation into:

- patient & medic

- general & non-medic

- utility & services

Every circulation of patient and utility must be one way. It means dirty utility/non-sterile patient never meet clean utility/sterile patient.

3. Divided the zones into:

- medic central (emergency, COT, CSSD)

- outpatient (clinics)

- inpatient (wards)

- diagnostic (laboratory, radiology)

- medical support (pharmacy, medical rehabilitation)

- services (laundry, kitchen, morgue)

- offices (director board, staff, medical committee)

3. Planning the process of construction (phasing plan)

To accommodate the budgeting for construction, the design strategic is to create some cluster of installation (zone) in the different buildings. By this type of building mass configuration, the construction process can be going on in some phases. The phasing plans are:

1. First phase. Construct the building A + ramp as a diagnostic function and wards. This is to support the existing clinics and emergency services. There is no diagnostic function at the present.
   

2. Second phase. Construct the building B as a medic central of the hospital (emergency, COT, ICU) and wards. The existing medic central will be moved to this building after the construction finished. The emergency room and COT in the existing building can be converted to clinical services + supporting facilities.
   

3. Third phase. Construct maternal (delivery) + child center + premium wing (wards). The delivery baby’s room in existing building moved to this building after the construction finished and the existing rooms can be converted to the clinical services and supporting facilities.