MID COAST

HOSPITAL
BATH, BRUNSWICK
INTRODUCTION

Mid Coast Hospital is a full-service, 93-bed, independent, not-for-profit hospital governed by a community
Board of Directors
⁻ Survey data for the latest year available shows that 24,170 patients visited the hospital's emergency
room. The hospital had a total of 4,630 admissions.
⁻ Its physicians performed 1,378 inpatient and 5,342 outpatient surgeries.
SITE AT MACRO LEVEL

SOURCES: www.midcoasthealth.com
MAIN WINGS OF THE HOSPITAL

SOURCES: www.midcoasthealth.com
SPECIALITIES

⁻ Primary Care
⁻ Multi-specialty Medical Care
⁻ Cardiology
⁻ Orthopedics & Joint Replacement
⁻ Surgery
⁻ OB/GYN, Oncology
⁻ Emergency Services
⁻ Wound Care
⁻ Women's Health
⁻ Pediatrics
⁻ Pulmonology
⁻ Mental Health
⁻ Intensive Care
⁻ Home Health
⁻ Senior Health
⁻ Addiction
⁻ Diagnostics`
1st LEVEL PLAN

DIAGNOSTIC IMAGING
( X-RAY MRI, ETC)- 1994 sqm
AMBULATORY CARE-1202 sqm
OUT PATIENTS SURGERY- 392 sqm
SURGERY SERVICE AND OPERATION ROOM-813
sqm
2nd LEVEL PLAN

INTENSIVE CARE UNIT-24482 sqm

MATERNITY CARE-38225 sqm
NURSE STATION AND DINING-21908 sqm
MEDICAL/SURGERY NORTH-59921 sqm
3rd LEVEL PLAN

CARDIOLOGY 469 sqm

PULMONOLOGY 339 sqm
GASTROENTEROL 229 sqm
NEPHROLOGY 145 sqm
HEALTH CENTRE 628 sqm
PULMONOLOGY LAB 153 sqm
OFFICE 115 sqm
VERTICAL PLACEMENT
FIRST FLOOR
⁻ Kennebec Pharmacy
⁻ Patient Accounts/Cashier
⁻ Surgical Suite
⁻ Medical Staff Office
⁻ Quality & Patient Safety
⁻ Medical Records
⁻ Human Resources
⁻ Administration
⁻ Café & Conference Rooms
SECOND FLOOR
⁻ Cardio Rehab / Pulmonary Rehab / Running Start Adult Fitness
⁻ Asthma Education / Tobacco Education / Healthy Weight for a Lifetime
⁻ Surgical Care
⁻ Midcoast Pediatrics
⁻ Women’s Health Care
THIRD FLOOR
⁻ Cardiology
⁻ Pulmonary, Critical Care & Sleep Medicine
⁻ Gastroenterology
⁻ Nephrology
⁻ Rheumatology
⁻ Digestive Health Center/Endoscopy Suites
SOURCES: www.midcoasthealth.com
VERTICAL PLACEMENT

FIRST FLOOR

⁻ Ambulatory Care (ACU)

⁻ Pre-Op Teaching
⁻ Surgical Services
⁻ Diagnostic Imaging
⁻ Emergency Department
⁻ Laboratory/Blood Draw

SECOND FLOOR

⁻ Maternity Care
⁻ Inpatient Behavioral Health
⁻ Meditation Area
⁻ Intensive Care (ICU)
⁻ Medical/Surgical -North & South

SOURCES: www.midcoasthealth.com
VERTICAL CIRCULATION
PARKING AND VEHICULAR MOVEMENT SPACE
PARKING AND VEHICULAR MOVEMENT SPACE

WAY TO PARKING
ROAD LEADING TO HOSPITAL
DROP OFF ROUNDABOUT
ZONING
GENERAL VIEW OF HOSPITAL CIRCULATION TO MAIN ZONES
VIEWS

SOURCES:
https://www.wright-ryan.com/blog/portfolio/mid-coast-ho
spital/
NEYVELI GENERAL
HOSPITAL
NLC TOWNSHIP, TAMIL NADU
NEYVELI GENERAL HOSPITAL
SITE LOCATION : NLC TOWNSHIP, TAMIL NADU, INDIA
SITE LAYOUT The hospital is interspersed with a lot
of greenery, which not only makes the
hospital zone silent but also provides
a healing environment
INTRODUCTION
LOCATION:
● Neyveli hospital, NLC township, Tamil Nadu.
● It is a quiet location with the possibility of future development within the site area itself.

HOSPITAL TYPE:
● 350 Bedded ● Ortho/physiotherapy
● Multi specialty ● Chest clinic
● Pediatric ● Maternity clinic
● Opthalmology ● Well baby clinic
● ENT ● Psychiatry
● Dermatology
AREA:
•TOTAL AREA: 229,589.25 m² - 56.7 acres
•PERIMETER: 1.89 km
•BUILT AREA: 29805.639 m² - 7.3 acres
•PARKING:
•Total area: 3,222 m²+600 m² ( 0.8acre + 0.14acre)
•Total area: 3,822 m² (0.94acre)

FLOORS:
•G+1 floors
•The hospital is divided into blocks, but all the blocks are connected through corridors.
•The Three different blocks are as follows:
•Admin and IP
•OP
•Maternity and well baby clinic
SITE PLAN
SITE ZONING
CIRCULATION
PARKING PERCENTAGE OF PARKING
a) Provided – 3882 sq.m
b) Required – 5961 sq.m

KEY PLAN
ZONING - Open spaces
ZONING CIRCULATION - Ground floor
ZONING CIRCULATION - first floor
ZONING - MAIN BLOCK - Ground Floor
ZONING - OP BLOCK - Ground Floor
ZONING - CASUALITY - Ground Floor
ZONING - MATERNITY BLOCK - Ground floor
MATERNITY BLOCK ZONING - Labour room
ZONING MAIN BLOCK - First floor
OPERATION THEATRE
RADIOLOGY AND DIAGNOSTIC DEPARTMENTS
ZONING - General ward
AREAS
● Single person room - 35sqm + 10sqm(washroom) ● Radiology 821 m²
● Sharing room - 68 sqm + 10sqm(washroom) ● ENT 122.7
● 435 total general ward = 150 bed + 110 nurse and doc + 125 ● Ophthalmology 215
corridor + 30 toilet + 10 stairs ● Dentist 98.38
● Maternity (labour block 387.53+waiting pharmacy consultant etc ● Lab 335(261+74 corridor)
490+113 (corridor)) ● OT 855
● ICU 435 (222.16+30 nurse + lounge 40+125 corridor)
● Op waiting area 37.30
● Op consultation 30
● Pharmacy block- 525 (medicine storage 215+medicine issue 98 +
200)
● Admin 2294.74 (open space 812.31+ corridor 437.95)
 Massachusetts
General Hospital
Lunder Building Boston,
Massachusetts
Massachusetts General Hospital
Location: Boston, United States

● Established in 1811
● 3rd oldest hospital in united states which
has a capacity of 999 beds.
● Massachusetts General Hospital (MGH)
Renowned for its excellence in medical
care, education, and research
● It is one of the top five hospitals in
United States
 Massachusetts General Hospital

CLIENT Massachusetts General

Hospital
SIZE 5,30,000 sf
COMPLETION DATE 2011 NBBJ
SERVICES PROVIDED Programming,
architectural design, medical planning,
interior design, environmental
graphics design, lighting design

-The massing of the building is a reflection of the program within, where the five-story bed tower is visually
separated from the procedural floors below.
-The exterior of the building is a formal response to the horizontal and vertical nature of the adjacent
Yawkey and White buildings, respectively - creating a visual language that fits with the surrounding urban
context.
Urban Response
-Fritted fins along the lower levels provide privacy for
patients and staff on the inside and help break down the
exterior mass of the building for pedestrians below.

-At street level, a paved walkway, stairs, and a canopy

create a distinct place and pathway for visitors, directing
them to the hospital’s main entrance.
VERTICAL COMPOSITION OF THE HOSPITAL-

Managing Complexity

- The 10-story building houses a five-story

patient tower, high-tech procedural floors, an
emergency department, receiving dock, a
sterile processing department, a processing
department, a five-story patient tower, and
new emergency and radiation oncology units.

- The challenge was to stack this varied

program onto an extremely compact site in a
way that would maximize future flexibility and
minimize disruption to the hospital’s services
elsewhere on campus.

-Due to constrictive floor-to-floor ceiling

heights within existing buildings, the decision
was made to limit connections to five floors,
where pedestrian traffic and logistical
connections to existing buildings were most
critical.
CONNECTION OF SPACES-

-NBBJ developed numerous options for maximizing

daylight and the number of patient beds per floor while
minimizing travel distances for staff.
-The big “a-ha” was in fracturing and shifting the floor
plate to break apart the nursing pods and create a
central circulation spine that traverses the floor plate
diagonally.
-The spine creates a direct link between an interior
atrium and exterior garden, improves wayfinding, and
allows daylight deep into the core of the building.
CONNECTION OF SPACES - FINAL PATIENT TOWER FLOOR PLATE DESIGN

FLOOR PLATE DESIGN STUDIES-

SITE-
PLANS-
PLANS-

ZONES
BED FLOOR PLAN-

PATIENT
ROOM
SAFETY
FEATURES
 SECTION OF THE HOSPITAL-

BED
FLOORS

MECHANICAL
ZONE

PROCEDURAL
ZONE

LOBBY
AMBULANCE
LOADING STERILE ZONE
RADIOACTIVE AND ONCOLOGY ZONE
MATERIALS USED-

-. Elevators, public waiting areas, and staff

meeting rooms are located along the central
circulation spine away from the patient rooms.

-Dispersed “interaction zones” prevent nurses

and clinicians from congregating at one main
nursing station, while support and service
areas are tucked away off the main corridor.

-Rubber flooring and acoustical ceiling tiles

buffer the sound of movement and chatter.

-Large, sliding glass doors to patient rooms

provide greater visibility and allow natural light
to enter the corridors, while keeping the noise
out when closed.
SPECIFICATIONS-

-Rather than having to transport patients for imaging post-surgery, surgeons can now perform precise imaging during procedures that will
allow unprecedented accuracy, safety, and efficiency.
-The hybrid rooms feature an imaging system that captures previously difficult vantage points during procedures for both catheter and
open cases. -A radiolucent operating table can be interchanged with a traditional operating table for standard procedures, doubling the
functionality of each room.
SPECIFICATIONS-
-The design of the suite
required meticulous
planning.

-The 18,000 pound imaging

device has a magnetic field
60,000 times more powerful
than the Earth’s, so the
magnet had to be shielded
from steel columns, beams,
and electrical transformers.

-To contain the magnet’s

forces and keep
interferences out, copper
and silicon steel make up a
continuous barrier behind all
wall surfaces, the ceiling, and
floors to create this shield.

* The three-room IMRI suite

includes a magnetic resonance
imaging device mounted on a
ceiling track that can move
between two ORs.
SPECIFICATIONS - MULTI SPLIT FLOW PROCESS
 SPECIFICATIONS-
A HEALTHY NEIGHBOUR
The Lunder Building is LEED NC Gold certified, and features sustainability measures that add to the aesthetics, experience, and
efficiency of the building.
Material Selection
More than one-third of the materials used for construction were recycled or locally extracted or manufactured materials.
Renewable materials were used for interior finishes.
Water Conservation
Low-flow plumbing fixtures were installed to reduce water consumption by 1.4 million gallons per year (20%). To eliminate the use
of potable water for plant irrigation, systems capture rainwater and air cooling condensate for irrigation.
SPECIFICATIONS-
Energy Conservation
The exterior glazing system minimizes heat gain and loss while allowing daylight to enter. This system improves thermal
performance by 39% and reduces baseline solar heat gain by 31%. The design achieves an overall reduction of energy
demand by 10%.
Healthy Indoor Air
Interior finishes and furnishings are free of volatile organic compounds. An enhanced ventilation system maintains a
constant supply of clean, healthy air.
Enhancing the Urban Environment
Greenery covers more than half of the building’s footprint area and light fixtures have been carefully selected to reduce light pollution.
Delivery trucks and ambulances enter through the Lunder Building core to keep noise and activity off neighborhood streets.

SOURCES:
1.https://d3pxppq3195xue.cloudfront.net/media/files/Mass_G
eneral_Case_Study.pdf
2.http://www.nbbj.com/work/massachusetts-general-hospital-
lunder-building/
3.https://www.architecturalrecord.com/articles/7467-massach
usetts-general-hospital-the-lunder-building
4.nbbj firm works