The Viennese Concept of shaping future hospitals Design & Health 12th World congress & Exhibition Univ. Prof. Dr. Sylvia Schwarz 12th of July, 2017
2 The Vienna Hospital Association (KAV) at a glance 30.000 Employees 10.800 Beds in Hospitals and Special Care Homes 400.000 Clinical Treatments 3,5 Mio. Day-Hospital Treatments
Wiener Spitalskonzept 2030: restructuring the Viennese hospital landscape 3 7 cooperating Hospital Organisations New Emphases
The Vienna North Hospital in the restructured hospital landscape 4 Areas of urban development in the North-East of Vienna ( Transdanubien ) shifting existing hospitals and departments from their present location in the western area to the Vienna North Hospital Accompanied by adaption and reduction of the number of hospital beds
Integration of Hospitals and Departments 5 KH Floridsdorf Internal Medicine incl. Acute geriatric medicine, General and Visceral Surgery KH Gersthof Orthopaedic Surgery Semmelweis-Frauenklinik Gynaecology and Maternity Clinic KH Hietzing Cardiac and Vascular Surgery Cardiology Otto-Wagner-Spital Parts of Pneumology Thoracic Surgery 4th. Mental Ward Children s and Adolescent s Mental Ward Paediatrics Accident and Emergency Medicine Anaesthetics and Intensive Care EMIGRATION NEW Semmelweis-Frauenklinik KH Floridsdorf KH Hietzing Otto-Wagner-Spital KH Gersthof
Integration of Hospitals and Departments Semmelweis-Frauenklinik KH Floridsdorf KH Gersthof KH Hietzing Otto-Wagner-Spital
FACTS Vienna North Hospital 6 STRUCTURE DATA Capacity of Beds
Medical Competence Center Heart Cardiac and Vascular Surgery Cardiology Interventional Radiology Traumatology-Orthopaedic Emergency Surgery Orthopaedic Physical Medicine Lung Pulmonology Respiratory Care Unit Thoracic Surgery Bronchoscopy Psychiatry Childhood and Adolescent Psychiatry Regional Supply Services Parent - Child Gynaecology and Obstetrics Pediatrics and Adolescent Medicine Neonatology KAV-Humanmilchbank other Departments Emergency Medicine Anaesthesia and Intensive Care Internal Medicine with acute geriatrics/remobilisation General and Visceral Surgery
Emergency Centre Professional initial checkup and treatment Central, multidisciplinary drop-in center for all acute patients who do not have an appointment Patients are initially checked up It s a multidisciplinary emergency team The aim is to separate acute care from scheduled appointments
Scheduled Outpatient Clinic Patient-orientation by minimizing waiting times Departments organize their outpatient clinics for scheduled appointments Setting appointments increases the planning reliability Outpatient clinics are not interrupted by patients showing acute symptoms Scheduled patients have to expect any waiting time!
Surgery Level 16 Operating rooms Divided in 3 Operating-groups: Group 1: General Surgery Gynaecology and Obstetrics Day-care hospital interventions Group 2: Orthopaedic Emergency Surgery Group 3: Cardiac and Vascular Surgery Thoracic Surgery Planed operating period: Mo-Fr 08:00-19:00
Day Hospital Patient-oriented improvement in efficiency based on medical progress Autonomous ward own administration, own nursing team, own ward physician Multidisciplinary occupancy based on allocations/slots Direct link to central operating theater (preparation of surgery and follow-up at day hospital) Strict organizational and process planning Objectives: patient-oriented procedures, improvement in efficiency Precondition: Functional anaesthesiology clinics Multiple occupancies per day: Patients in the lounge prior to intervention, aftercare positions allocated post-intervention Special-class rooms (used as sleep labs at night)
Supply and service assistance Logistic support Patient service
Automated guided vehicle system In the right spot, at the right time Schedule-based transportation between supply and functional units Pharmacy items Material-management units Food Sheet laundry Waste disposal
Tube mail Speedy and reliable Lab samples (almost 100%) Automatic take-over into the lab distribution system Blood products Pathological specimens Direct link between the operating theater and pathology Urgent spontaneous transportation Medication Small material-management goods Documents, specialist literature, etc Ing. Sumetzberger GMBH approx. 400,000 batches/year approx. 100 end points pipes 160mm Ing. Sumetzberger GMBH
Mobile lockers Safety combined with appealing design Safekeeping for patients property Appreciative dealing with patients personal belongings Advanced safety for material assets Shifted along with patients
Food care Cook & Chill External delivery into the distribution kitchen for tableting In-house transportation via AGVS Demand-based heating at the ward Staff dining facilities, additional grill corner and salad buffet
Laundry service via the central wardrobe Staff clothing handed out: centrally and efficiently Staff clothing handed out automatically Pooled instead of personal laundry Dispensers Pieces of laundry identified with RFID Return machines Back posting of discarded laundry
9 Staff Involvement up to now Involvement in the planning process Operational planning Architectural Design Equipment Dimension 500 Clients involved Approx. 1000 meetings up to now All drafts and plans have been approved and signed by the clients
Project Data Vienna North Hospital 15 Location: Brünner Straße 68, 21st district of Vienna, Austria Site area: 113.000 m² Built-up area: 42.000 m² Gross floor area: 170.000 m² Employees approx. 2.500 Further information can be found on: www.wienkav.at/krankenhausnord www.awimmer.at SMART HOSPITAL THE VIENNESE MODEL
Urban planning draft the scale 16 Vienna North KH-NORD Hospital
Piazza Vienna North Hospital 17
Das Krankenhaus des 21. Jahrhunderts (healthy hospital) 18 Piazza Public Traffic
Das Krankenhaus des 21. Jahrhunderts (healthy hospital) Entrance hall 19
Pictures: KAV/Health Team KHN - Albert Wimmer ZT GmbH
Guidance System Seite 27
Building Structure 20
21 Das Krankenhaus des 21. Jahrhunderts (healthy hospital) Healing Garden
Magistrale / Health Care Centre 21
Waiting Area 22
Promenade deck 23
Patients Room 24
Pictures: KAV/Health Team KHN - Albert Wimmer ZT GmbH Atrium/Courtyard
Picture: KAV/Health Team KHN - Albert Wimmer ZT GmbH Court