NKS-project State of the art hospital Building · State of the art hospital Building Gustav Eriksson ... wind turbin power. ... • No installed irrigation system 12 NKS - state of

NKS-project

State of the art hospital Building

Gustav Eriksson

2017-02-15

Karolinska sustainability challenges

ACCESSABILTY

CONSUMABLES

WASTE

ENERGY

FOOD

CHEMICALS

PHARMACEUTICALS

TRANSPORTS

WORKING ENVIRONMENT

2 NKS - state of the art hospital buildning

PLANNED HOSPITAL BEDS 2018

Total of 715 in-patient beds *

629 beds in the new hospital building

86 beds in other buildings on the hospital grounds

Total of 287 outpatient treatment rooms

140 outpatient treatment rooms in the new hospital building

147 outpatient treatment rooms in other site buildings

Total of 129 day care rooms

103 day care rooms in the new hospital building

26 day care rooms in other buildings on the hospital grounds

Total of 43 operating theatres

35 operating theatres, of which 5 in the new hospital building

are hybrid theatres

8 operating theatres in other buildings on the hospital

grounds

TARGET HEALTHCARE PRODUCTION 2018

50,000 care episodes per year

36,500 care episodes adult patients

13,500 care episodes child patients

25,000 – 30,000 acute visits adults

approx. 35,000 acute visits children

KAROLINSKA UNIVERSITY HOSPITAL 2018

Some speciality room resource available in addition

* number of beds including psychiatry



Concept

is launched

by the County Council's

Board of Directors

“3S

enquiry”

Project

programme

2001 20052004 2007

SNUS

enquiry

2002

Design

competition prize awarded

White Winner

2006

Decision for

new university

hospital

Design

competition

Decision to

build NKS

Decision for PPP

procurement

PPP procurement

starts

2008 2010

PPP procurement

complete, agreement signed

Construction start

2013 2017

Decision on

FHS and NKS

business

content

Hospital construction

complete

(autumn)

The hospital

opens

20162012

Karolinska

University

Hospital is

tasked with

planning the

business

content

FROM CONCEPT TO NEW HOSPITAL IN 16 YEARS


Together towards a world class

sustainable hospitalSLL vision 2015 for NKS

• Climate neutral

• Energy effecient buildings

• Environmental 3rd part certified buildings

• Healthy indoor environment

• Sustainable materials and use of resources

• Transports with low environmental impact

• Minimize waste generation


Facts and figures

NKS - state of the art hospital buildning7

• Gross total area: 330.000 sq.m.

• No. of floors: up to 12

• 630 single patient rooms

• Construction time: July 2010 – March

2018 (first opening in 2016)

• The largest project ever for the

Stockholm County Council, and for

Skanska

• Sweden’s first Public-Private

Partnership (PPP) for a hospital, and

one of the first of any kind

Energy efficiancy


100 % of the electricity from

renewable energy production with

low CO2 emissions. 20 % from

wind turbin power.

Local energy production =

geothermal borehole

District heating and cooling from

biomass, waste and other

renewable sources

Figures: 40 % less bought energy

compared to BBR, 110 kWh/m2.

Produce 65 %, buy 10 % district

heating and 25 % district cooling


Heat

Pump

Heating and cooling

from Boreholes

Heat and Cool storage

Cooling for process and comfort cooling.

Heating for hot water and heating

Heat recovery from equipment and

facilitySolar Panels

Technical Building

Renewable energy from district

heating and cooling

220 m deep

boreholes

Hospital building

Renewable electricity

Energy efficiancy


High performance glass and

envelope max U-value 0,5 W/m2 K

Double glass layers in the façade

Designing for daylight, air

tightness, solar radiation and heat

loss factor

Automatic shading curtains

Healthy indoor environment

1. Single patient rooms with controls of the climate

2. Environmental approved material

3. Questionnaire

4. Ventilation requirement

5. Dayligh factor ≥1,2

6. Radon in the indoor air max 50 Bq/m3

7. Moisture Safety Management according to Bygga F

8. Formaldehyde in the indoor air <0.04 mg/m3

9. Accoustic clas B/C

10. Thermal comfort


Green FM• Green roof

• Water consumption 20% under norm

• Environmental friendly transportation

to, from and within the hospital

• Pedestrian and bikeways and

sharing station for electrical cars

• Internal logistic system for AGV and

pneumatic tube post

• Waste to be sorted in 35 fractions

• No installed irrigation system


Miljöbyggnad – NKS will get Gold

• Swedish certification system

Sweden Green Building Council, 3rd party

• Focus areas

Energy, Indoor Environment and Chemical substances

• 4 certification levels

Gold, Silver, Bronze, Certified

13


LEED GOLDLeadership in Energy and Environmental Design

• Independent 3rd Party Certification

USGBC – U.S. Green Building Council

• Includes 6 categories8 mandatory requirements

110 total points that can achieve

• 4 certification levelsPlatinum, Gold, Silver, Certified

• Holistic approach to the building’s

environmental performance

• NKS have achieved Gold for 1 building, 3

gold certifications left to do


Sustainability in clinical work

Two important activities

• Procurement

• Adapt our ways of working


Home titration


Length of

treatment

Number of meetings

Patient - Doctor

Spent doctor

time

Before Inpatient 9 days 31,5 315 min

After Telemedicine at

home3 days 9 90 min

Video in open care saves CO2


Our largest positive impact


To share our experience

INTERIOR


Thank you!

Documents

NKS-project State of the art hospital Building · State of the art hospital Building Gustav Eriksson ... wind turbin power. ... • No installed irrigation system 12 NKS - state of