40 PROJECT REPORT: HEALTHCARE BUILD & DESIGN
The aim was to provide a very public building, not an institute, with a clear role in the city
By 2025 the area will be full of apartment blocks grouped around workplaces offering world-leading research and highly specialised medical care, plus cultural attractions and green spaces. The area is already populated by an array of old hospital buildings, surrounded by the Institute’s academic facilities. One notable recent structure is Aula Medica, the Institute’s auditorium – encased in a rounded and expressively glazed form by Swedish practice Windgårdhs. Project architect for Tengbom, Christine Hammarling, told ADF that connecting to the university was “a very important part of the decision to choose the site.” She adds that it was decided during design development to centralise all facilities in one new building on one site rather than an initial idea to disperse buildings across both the Institute and hospital campuses.
Design collaboration
The project (a 16.2bn SEK investment – £1.4bn) was hugely demanding in terms of design resource. Around 60 Tengbom staff joined White Arkitekter in a specific project company, WhiteTengbomTeam, totalling 120. They set up shop in a dedicated office next to the site in 2010 – at the time the biggest architecture office in Sweden. The project was initially the result of a design competition, which resulted in White being appointed as the client’s architect, and therefore barred from entering the tender for the public-private partnership to build and then run the hospital. Skanska subsequently won what would be the
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country’s largest public-private project, with Tengbom as their architect. Christine Hammarling explains how the collaboration worked: “We had team leaders that worked on different areas, who raised questions to a focus group represented by two architects from Tengbom and two from White.” The hospital was the country’s most advanced BIM project yet, both supporting and relying on the strong collaboration across the teams.
Hammarling says that the hospital’s facilities management team had an unusually large role: “From the beginning, they were a part of the bid, and the design process, including making revisions. Now they own the BIM model and are responsible for driving the hospital.” Now the hospital’s in operation, they are able to use the model as a 3D manual for example to assist them with locating and planning maintenance.
Bringing care to the patient Before the project started in 2006, Karolinska University had developed a new operating model that “better integrates care, research and education,” while “addressing the challenges of a fragmented organisation.” The Karolinska Hospital (which opened in 1940) became increasingly specialist, but this meant that departments were increasingly operating as separate silos. Care was often fragmented, with patients travelling between the hospital’s 60 clinics. The ‘value-based care’ solution for the
ADF JANUARY 2019
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