BUILDING DESIGN
by copper panels supported by a steel frame. The building structure is made from reinforced concrete panels fixed to regularly spaced pillars (7.80 m x 7.80 m, centre to centre) to form a grid of 9.5 x 4 spans. These are fastened on the roof to volumes housing the vertical connections and the installations. This load bearing structure is highly flexible and quick to assemble, especially as the internal partition walls also use modular systems that were dry assembled to cut costs and time during initial construction and during any future modifications. Due to the length of the building, it has been divided into two distinct sections that were joined using a system of shock transmitters that shift as the building expands or contracts with the heat, but stiffen to support the structure during seismic activity. As these shock transmitters only act in one direction, they were coupled with connectors that disperse the load at right angles.
Wellbeing and use The CORE building was designed to create healthcare spaces and services around patients in a healthcare and research facility that is at the cutting edge of professionalism and technology. The architectural layout offers privacy, customisation, humanisation, support and comfort to patients and staff. Numerous elements work together to achieve these goals. Following the approach already
adopted in the existing hospital, the pathways have been designed to clearly separate flows - emergency, staff, patients, public and logistics - to improve the functionality and internal orientation of the entire structure. The building has been conceived so that functions housed on the various floors and the layout can be altered without breaking the overall coherence. Such flexibility is arranged across various levels:
l Internal building flexibility – the building systems and the modular layout allow internal partitions to be moved as required. The double corridor layout is also suited to all hospital needs – healthcare, diagnosis or treatment – due to the sizeable structural framework adopted.
l Internal functional flexibility – the distribution layout and placement of the horizontal and vertical connections make it possible to divide the space into functional areas without hindering movement or other connections. The organisation of functions on the different floors follows recent trends in hospitals to encourage organisation based on integrated processes to aid an interdisciplinary approach and optimise use of resources.
l External plan flexibility – the placement, size and morphology of the building were all calculated to take into account the next addition, the Maternity and Infancy Reggio Emilia (MIRE) building , which will be connected to the original hospital to ensure integration and rationalisation of functions.
The design places great importance on ‘humanising’ the building; that is placing people and their needs at the centre of the planning. As such, the complex was envisaged as being suitable for people – comfortable, welcoming, understandable and functional – but also simple, economic and rational from a management perspective. In design terms, this translated into ensuring comfort, privacy, orientation, transparency, information and communication. Great importance was placed on natural light as sunlight is so important for the metabolism. Where such a requirement came into conflict with a functional approach, workstations were placed overlooking open seating areas along the corridor. At the same time, solutions were
found to ensure suitable levels of privacy, information and communication for patients and visitors to the hospital. To reduce energy consumption in the building, thermal insulation and ventilation systems were adopted to optimise the overall energy performance of the building envelope, especially in summer. The utilities structure on the roof was also designed to allow installation of photovoltaic panels to fulfil some of the power requirements (panels are already installed on adjacent roofs).
Health, art and architecture The need to humanise the treatment and care spaces extended to the harmonious combination of art, architecture and furniture; ‘beauty’ became the added value concept of such environments, influencing not only the architecture, but also the experience of patients and others in the hospital. Since CORE specialises in cancer and haematology diagnoses, treatment and research, concepts such as beauty, hope and comfort were placed at the heart of planning, influencing all aspects from structural, functional and technological choices to the ‘humanisation’ of spaces for patients, family and friends, staff, researchers and hospital visitors. The integrated project, the generous
involvement of artists and the synergies with the hospital staff - especially the directors and doctors - all combined to ensure the walls are decorated with works by emerging and well known local artists that were either donated by the artists themselves or their families or provided through charitable initiatives.
Planning for the future hospital A master plan was drawn up for the entire area to create a large, interconnected campus centred around a coherent, practical hospital; in essence, the idea was to make sure the centre matched the regional and national reputation of the hospital. This was an opportunity to determine the required size and optimal organisation of support structures and spaces (entrances, parking spaces, pathways, shops, bars and so on) given the forecast growth and development of the hospital. The CORE building was fundamental in
The digestive endoscopy department, hybrid operating room. 24
achieving research hospital accreditation (IRCCS) for ‘advanced technologies and healthcare models in oncology’. Such recognition is a clear indication of the importance of the hospital in the regional healthcare, scientific, research and training panorama, and has made it one of the points of excellence in the Emilia- Romagna healthcare system. The new building provides the required space for patients and research to ensure proper healthcare and technologically advanced services. The architectural design was based on the healthcare and
IFHE DIGEST 2018
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