SSH Materi 2 sustainablitya hospital design thinking.pdf

materi karya

1. SUSTAINABILITY
HOSPITAL
ARCHITECTURE
IN
A r . T I T O H A R I P R A D I A N T O , M T . I A I .

2. SUSTAINABILITY?

3. SUSTAINABILITY?
SURVIVABILITY?
VIABILITY?
MEMPERTAHANKAN HIDUP
MELANGSUNGKAN HIDUP
MELANJUTKAN HIDUP

4. E
C
O
L
O
G
I
C
A
L
E
C
ONOMIC
A
L
S
O
C
I
A
L
LSUSTAINABILITY
1
2
3

5. Profesor di Jurusan Arsitektur dan Pusat Arsitektur Fasilitas Kesehatan
University of Chalmers, Swedia
Roger S. Ulrich
E
C
O
L
O
G
I
C
A
L
E
C
ONOMIC
A
L
S
O
C
I
A
L
IMPACT OF
A WINDOW VIEW
ON PATIENT
RECOVERY!
L
EVIDENCE-BASED
DESIGN

6. Profesor di Jurusan Arsitektur dan Pusat Arsitektur Fasilitas Kesehatan
University of Chalmers, Swedia
Roger S. Ulrich
E
C
O
L
O
G
I
C
A
L
E
C
ONOMIC
A
L
S
O
C
I
A
L
L
EVIDENCE-BASED
DESIGN
REGULATIONS
RESEARCHES
REFERENCES

7. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L
L
3
COST EFFICIENCY
K E Y W O R D :

8. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L
LIKE

9. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L
LIKE

10. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L
MAINTENANCE
COST

11. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L
MAINTENANCE
COST
HOSPITAL
HAVE THE HIGHEST
CONSTRUCTION COST THAN
OR

12. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L
MAINTENANCE
COST
HOSPITAL
2%
HIGHEST UNIT PRICE

13. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L
TECHNOECONOMICAL
?
NLA
?
GLA
NET LEASABLE AREA
GROSS LIVING AREA
This term refers to the total area
within a property, that can be leased for
the exclusive use of a tenant.
It does not include common areas such as
hallways, restrooms, staircases, or elevators.
the total area of finished, above-grade
(above the ground) of building space.
( D I C T I O N A R Y O F R E A L E S T A T E A P P R A I S A L , 7
T H
E D I T I O N )

14. TECHNOECONOMICAL
0,4%
ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L ?
NLA
?
GLA6,988 M²
CASE STUDY
OF HOSPITAL X EXISTING (2-STOREY) BUILDING
INSTALASI GAWAT DARURAT
INSTALASI RAWAT JALAN
INSTALASI FARMASI
INSTALASI LABORATORIUM
INSTALASI RADIOLOGI
INSTALASI KEBIDANAN & KANDUNGAN
INSTALASI BEDAH SENTRAL
INSTALASI RAWAT INTENSIF
INSTALASI RAWAT INAP
INSTALASI PEMULASARAAN JENAZAH
INSTALASI GIZI
INSTALASI PENCUCIAN LINEN & UNIT STERILISASI
INSTALASI PEMELIHARAAN SARANA RS
UNIT ADMINISTRASI & KESEKRETARIATAN
UNIT SERVIS & SIRKULASI VERTIKAL
A U L A
K O R I D O R
2,8%
2,8%
2,8%
2,2%
2,5%
3.9%
3.9%
1,3%
13,8%
1,7%
2,4%
1,4%
2,3%
14,8%
1,4%
3,6%

15. TECHNOECONOMICAL
ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L
GLA6,988 M²
CASE STUDY
OF HOSPITAL X EXISTING (2-STOREY) BUILDING
INSTALASI GAWAT DARURAT
INSTALASI RAWAT JALAN
INSTALASI FARMASI
INSTALASI LABORATORIUM
INSTALASI RADIOLOGI
INSTALASI KEBIDANAN & KANDUNGAN
INSTALASI BEDAH SENTRAL
INSTALASI RAWAT INTENSIF
INSTALASI RAWAT INAP
INSTALASI PEMULASARAAN JENAZAH
2,8%
2,8%
2,8%
2,2%
2,5%
3.9%
3.9%
1,3%
13,8%
1,7%
NLA2,665 M² 38,14%

16. 0,6%
TECHNOECONOMICAL
0,3%
ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L
GLA9,765 M²
CASE STUDY
OF HOSPITAL X DESIGN (4-STOREY) BUILDING
INSTALASI GAWAT DARURAT
INSTALASI RAWAT JALAN
INSTALASI FARMASI
INSTALASI LABORATORIUM
INSTALASI RADIOLOGI
INSTALASI KEBIDANAN & KANDUNGAN
INSTALASI BEDAH SENTRAL
INSTALASI RAWAT INTENSIF
INSTALASI RAWAT INAP
INSTALASI PEMULASARAAN JENAZAH
INSTALASI GIZI
INSTALASI PENCUCIAN LINEN & UNIT STERILISASI
INSTALASI PEMELIHARAAN SARANA RS
UNIT ADMINISTRASI & KESEKRETARIATAN
UNIT SERVIS & SIRKULASI VERTIKAL
A U L A
K O R I D O R
5,1%
4,4%
1,9%
4,9%
2,3%
4,1%
5,1%
4,8%
18,7%
1,6%
2,6%
4,5%
16,7%
2,9%
6,1%
UNIT HEMODIALISIS 2,3%
INSTALASI REHABILITASI MEDIK 2,1%
0,3%MINIMARKET

17. 0,6%
TECHNOECONOMICAL
ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L
GLA9,765 M²
CASE STUDY
OF HOSPITAL X DESIGN (4-STOREY) BUILDING
INSTALASI GAWAT DARURAT
INSTALASI RAWAT JALAN
INSTALASI FARMASI
INSTALASI LABORATORIUM
INSTALASI RADIOLOGI
INSTALASI KEBIDANAN & KANDUNGAN
INSTALASI BEDAH SENTRAL
INSTALASI RAWAT INTENSIF
INSTALASI RAWAT INAP
INSTALASI PEMULASARAAN JENAZAH
5,1%
4,4%
1,9%
4,9%
2,3%
4,1%
5,1%
4,8%
18,7%
UNIT HEMODIALISIS 2,3%
INSTALASI REHABILITASI MEDIK 2,1%
0,3%MINIMARKET
NLA5,528 M² 56,61%

18. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L

19. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L

20. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L

21. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L

22. ECO
L
O
G
I
C
A
L
E
C
O
N
O
M
I
C
A
L
S
O
C
IA
L

23. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
LSUSTAINABILITY
EASE OF ACTIVITY
K E Y W O R D :

24. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
LSUSTAINABILITY
EASE OF ACTIVITY
K E Y W O R D :
APPROXIMITY ACCESSIBILITY
VISIBILITY RECOVERY

25. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY

26. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY

27. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
ZONING
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY
VERY HIGH
HIGH
MEDIUM
LOW
PRIVAT
SEMIPUBLIK
PUBLIK
MEDICAL & CARE
SUPPORT & OPERATIONAL
GENERAL & ADMINISTRATION

28. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
ACCESSIBILITY
VISIBILITY
RECOVERY
APPROXIMITY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

29. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

30. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L

31. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L

32. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L

33. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L

34. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L

35. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
ACCESSIBILITY
VISIBILITY
RECOVERY
APPROXIMITY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

36. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
ACCESSIBILITY
VISIBILITY
RECOVERY
APPROXIMITY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

37. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
ACCESSIBILITY
VISIBILITY
RECOVERY
APPROXIMITY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

38. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
ACCESSIBILITY
VISIBILITY
RECOVERY
APPROXIMITY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

39. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
ACCESSIBILITY
VISIBILITY
RECOVERY
APPROXIMITY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

40. ACCESSIBILITY
VISIBILITY
RECOVERY
C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

41. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
ACCESSIBILITY
VISIBILITY
RECOVERY
APPROXIMITY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

42. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
ACCESSIBILITY
VISIBILITY
RECOVERY
APPROXIMITY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

43. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
ACCESSIBILITY
VISIBILITY
RECOVERY
APPROXIMITY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

44. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
RISK LEVEL
PRIVACY
FUNCTION PROXIMITY

45. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
T H E
UNIVERSAL
DESIGN
BUILDING
AMENITIES
PERMEN PUPR
14/2017
PERMENKES
40/2022

46. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
equality of space usage
safety and security for all
obstacle/barrier free
ease of access to information
independency of space usage
efficiency of user efforts
ergonomic suitability of size and space
T H E
UNIVERSAL
DESIGN

47. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
CIRCULATION
EQUIPMENT’S DIMENSION
USER’S MOVEMENT’S SPACE
B
A
SIC
SIZEOF
S
P
A
C
E
T H E
UNIVERSAL
DESIGN

48. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
T H E
UNIVERSAL
DESIGN

49. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
T H E
UNIVERSAL
DESIGN

50. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
T H E
UNIVERSAL
DESIGN

51. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
T H E
UNIVERSAL
DESIGN

52. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
T H E
UNIVERSAL
DESIGN

53. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
T H E
UNIVERSAL
DESIGN

54. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
T H E
UNIVERSAL
DESIGN

55. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
T H E
UNIVERSAL
DESIGN

56. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
WAYFINDING
DISORIENTATION

57. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
WAYFINDING
DISORIENTATION

58. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
WAYFINDING
DISORIENTATION

59. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
MISDIAGNOSE
COLOR AND LIGHTING
CAN CHANGE
SKIN TONE.
(MARTINKAUPPI ET AL, 2005)

60. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY
MISDIAGNOSE
JAUNDICE!

61. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY

62. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY

63. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY

64. C
O
L
O
G
ICAL
ECO
N
O
M
I
C
A
S
O
C
I
A
L
APPROXIMITY
ACCESSIBILITY
VISIBILITY
RECOVERY

65. E
C
O
L
O
G
I
C
A
L
E
C
O
N
O
M
ICAL
S
O
C
I
A
L
LSUSTAINABILITY
ENVIRONMENTALLY
FRIENDLY
K E Y W O R D :

66. E
C
O
L
O
G
I
C
A
L
E
C
O
N
O
M
ICAL
S
O
C
I
A
L
GREEN HOSPITAL
G U I D E L I N E S
2 0 1 8

67. E
C
O
L
O
G
I
C
A
L
E
C
O
N
O
M
ICAL
S
O
C
I
A
L
GREEN HOSPITAL

68. E
C
O
L
O
G
I
C
A
L
E
C
O
N
O
M
ICAL
S
O
C
I
A
L
GREEN HOSPITAL
GREEN AREAS
PRECISE LOCATION
ACCESS TO PUBLIC FACILITIES
BICYCLE PARKING LOT
RAINHARVESTING MANAGEMENT SYSTEM

70. E
C
O
L
O
G
I
C
A
L
E
C
O
N
O
M
ICAL
S
O
C
I
A
L
GREEN HOSPITAL
3 kVA PER BED FOR POWER RATIO
SUNLIGHTING IN WARDS
NATURAL AIR FOR INDOOR CIRCULATION
USAGE OF RENEWABLE ENERGY

72. E
C
O
L
O
G
I
C
A
L
E
C
O
N
O
M
ICAL
S
O
C
I
A
L
GREEN HOSPITAL
400 LITRES PER BED PER DAY FOR WATER USAGE RATIO
USAGE OF ALTERNATIVE WATER RESOURCES
RAINWATER TANK

74. E
C
O
L
O
G
I
C
A
L
E
C
O
N
O
M
ICAL
S
O
C
I
A
L
GREEN HOSPITAL
NO CHLORO-FLUORO CARBON AS REFRIGERANT
USAGE OF GREEN MATERIAL CERTIFIED
USAGE OF LOCAL MATERIAL

76. E
C
O
L
O
G
I
C
A
L
E
C
O
N
O
M
ICAL
S
O
C
I
A
L
GREEN HOSPITAL
NO-SMOKING SIGNAGE
NO POLLUTANTS (VOLATILE ORGANIC COMPOUNDS)
REDUCE NOISES

78. E
C
O
L
O
G
I
C
A
L
E
C
O
N
O
M
ICAL
S
O
C
I
A
L
GREEN HOSPITAL
INDOOR AND OUTDOOR GREEN FACILITIES
DESIGN THAT HAS A HEALING EFFECTS
RELAXES PATIENTS AND STAFFS

80. E
C
O
L
O
G
I
C
A
L
E
C
O
N
O
M
ICAL
S
O
C
I
A
L
GREEN HOSPITAL
WASTE SEPARATION
COMPLETION OF ICRA (INFECTION CONTROL RISK
ASSESMENT) DOCUMENT
DO SURVEYS FOR USER’S CONVENIENCE PERIODICALLY

83. SUSTAINABILITY
HOSPITAL
ARCHITECTURE
IN
T H A N K Y O U