Healthcare Design - April 2018 - 11

URBAN OASIS

Shanghai Jiahui International Hospital, opened
December 2017

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HANGHAI JIAHUI INTERNATIONAL HOSPITAL, a privately owned

facility that opened in Shanghai in December 2017, is one of
the first and largest foreign-funded tertiary-level general
hospitals in China. In response to a call from the Chinese
government for alternatives to traditional public hospitals,
a goal of the project is to define the future of medical services in Asia. It's built to achieve Joint Commission International (JCI) accreditation and incorporates best practices,
operations, and training standards from U.S. hospitals such as Massachusetts General Hospital.
The project is a joint effort by owner Trustbridge Partners, clinical consultant Partners Health International, and NBBJ (New York, Shanghai, and Columbus, Ohio). Located on an 8-acre campus in Shanghai's Xuhui District,
the hospital features a 15-story inpatient tower with 246 beds; an emergency
department; interventional suites; a central utility plant; and outpatient clinics
that house such services as pediatrics, oncology, and physical rehabilitation.
The design of the sustainable and patient- and family-friendly facility relied on a "hospital in a garden" approach, driven by research on the healing
benefits of nature in healthcare environments and the desire to mitigate pollution issues within the city. Large shade trees around the hospital act as a
buffer to the city, provide shade and noise reduction, and create a threshold
for patients entering the building, while varied understory plantings provide a tapestry of different plant colors and textures. Within the hospital, a
sunken central courtyard also provides access to green space and is visually
accessible from the main lobby, surrounding corridors, waiting areas, and
admissions. The space is filled with a variety of pavers, plant types, calming
water features, and seating to provide a retreat for patients. 
As the first hospital in China to receive LEED Gold for Healthcare certification, Shanghai Jiahui International Hospital features design strategies
that optimize energy performance such as a terra-cotta façade, solar shading
components, and an east-west orientation that maximizes natural light and
views in the patient tower and reduces direct solar exposure.
One of the greatest challenges on the project was getting government support and approval for several of the hospital design features that were either
new in China or demanded further coordination with local practice or code
interpretation. For example, designers recommended a clean core operating
room suite arrangement to improve clinical workflow and infection control
rather than the more traditional dedicated corridor arrangement commonly
found in Chinese hospitals. In addition, a case cart delivery system, which assembles and delivers materials for surgery and then handles any waste, was
specified for the first time in Shanghai. The design team researched international planning healthcare guidelines and concepts, including JCI codes and
local regulations, product manufacturer information, case studies, and benchmarking, and presented findings back to government health authorities and
expert panel review boards, which advise and recommend changes to the governing body of the local health authority. Working directly with
the local health authorities to negotiate changes was essential to
achieving the goals of the project.

APRIL 2018

11
Healthcare Design - April 2018

Table of Contents for the Digital Edition of Healthcare Design - April 2018
