The University Hospital of Tomorrow

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The University Hospital

of Tomorrow

Come along on one of Sweden’s most exciting construction projects!

May 2013

DESIGN:

KAMIS

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We are the

university hospital

of tomorrow

New Karolinska Solna (NKS) is the project name for the

state-of-the-art hospital under construction at the Karolinska

University Hospital in Solna. Highly specialized healthcare will

be provided alongside research and training of the very

highest quality.

NKS  will  be  a  hospital  that  provides  a  faster  response  and  improved   SDWLHQWVDIHW\DQGD³SDWLHQWDOZD\V¿UVW´YLVLRQ,QGLYLGXDOURRPVIRULQ-­ SDWLHQWVDOORZDVKDUSHUIRFXVRQDQGZRUOGFODVVFDUHIRUWKHVHYHUHO\LOO 7KHFXVWRPHULVWKH6WRFNKROP&RXQW\&RXQFLO7KHSURMHFW  

company  Swedish  Hospital  Partners  is  responsible  for  the  design,  con-­ VWUXFWLRQ¿QDQFLQJRSHUDWLRQDQGPDLQWHQDQFHXQWLOWKH\HDU7KH GHVLJQEXLOGFRQWUDFWRULV6NDQVNDZKLFKLVFRQVWUXFWLQJWKHKRVSLWDODQG WKHRSHUDWLRQDODQGVHUYLFHVSURYLGHULV&RRU6HUYLFH0DQDJHPHQW1.6 LVVFKHGXOHGWRUHFHLYHLWV¿UVWSDWLHQWLQDQGEHFRPSOHWHO\¿QLVKHG LQ

A unique project in every way

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A showroom has been set up to provide more information on the NKS project. It receives visitors from around the globe.

Sweden’s largest array of on-site cabins for project offices, trades workers and subcontractors. At the project’s peak 1,800 people will be working on the construction site.

The new hospital will contain approximately 8,000 rooms, including: - 36 operating theatres - 8 radiation units - 168 examination rooms - A research lab - Classrooms

Total gross area will be approximately 320,000 m2,

including a patient hotel. Up to 12 floors, including 1-2 basement levels with parking, changing rooms, logistics area and goods receiving.

Customer: Stockholm County Council Builder: Skanska

Architect: WTT - White Tengbom Team Service partner: Coor Service Management Construction cost: SEK 14.5 billion

Construction: 2010–2017 New Karolinska Solna 2010

INTRODUCTION

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The New Karolinska Solna is a vast

under-taking, so it has been broken down into

several subprojects. Even so, each stage is

on a huge scale.

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It all comes down to

project planning

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One gigantic

project made up

of many sizable

subprojects

Technology building The technology building is a coordina-tion center for technology and provides energy to the entire hospital. This is also where shipments are handled, for deliveries to and from the hospital. To be completed in 2014.

Parking garage

The parking garage was in-augurated in December 2012 and has 818 parking spaces, 75 equipped with charging stations for electric cars.

Research building

The research building is home to lab areas, training facilities and lecture and conference halls. To be completed in 2016.

Hospital part 1

The first part of the hospital will be completed in 2016. Radiation building To be completed in 2016. Hospital part 2 To be completed in 2017. Patient hotel Accommodation for patients who need to stay close to their care provider. To be completed in 2016. New Karolinska Solna 2012

PROJECT IMPLEMENTATION

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2001

2004

2008

2010

2016

2017

2040

The proposal to build a new hospital in Stockholm is presented for the first time.

The two hospitals Karolinska and Huddinge are merged to become Karolinska University Hospital. The possibility of building a new hospital is investigated.

A formal decision is made to construct a new hospital within the current hospital area in Solna, adjacent to the Karolinska Institute. The decision is made to carry out the NKS project as a “public-private partnership” (PPP) project, from procurement through operation.

Contracts are awarded in the PPP process. The project is assigned to Swedish Hospital Partners AB, and construction of New Karolinska Solna begins.

New Karolinska Solna receives its first patient.

The contract with Swedish Hospital Partners for operations and maintenance expires. New Karolinska Solna and

Hagastaden 2025

New Karolinska Solna is completely finished.

THE HOSPITAL IN THE CITY

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The Stockholm County Council and Skanska are working

together to make the New Karolinska Solna a reality, with a

common starting point: that everything to be created, built

and organized within the framework of the project is based

on the patient’s perspective.

Project goals

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NKS – Driving the

development of

Hagastaden life

science city

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IMAGE SOURCE: S TOCKHO LMS CITY

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New Karolinska Solna is a high-tech

hospi-tal, designed for optimal clinical

functional-ity. A streamlined logistical flow and faster

response to patient needs will enhance the

hospital experience.

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Adaptability for future needs

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A welcoming hospital

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Design solutions with a focus on

function and good logistics

The helipad can accommodate two helicopters. Elevators provide quick access to the trauma department on level 5.

SMART AND FLEXIBLE SOLUTIONS

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The hospital setting harmonizes with the interiors and is designed to maximize the healthcare experience.

All inpatient rooms are private rooms with space for family members to spend the night.

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A pioneering model for infrastructure

The design, construction, financing and operation of New Karolinska Solna were procured according to

the public-private partnership (PPP) model. PPP is new to Sweden but has been successfully employed in

many other countries.

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A smart, turnkey “package”

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Security for the customer

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“Thanks to the PPP model we’ve followed, the Stockholm County Council can focus completely on providing care, because we are managing construction and operations until 2040,” says Ulf Noréhn, CEO of Swedish Hospital Partners.

On September 3, 2010, the “groundbreaking” ceremony for the New Karolinska Solna took place. Sweden’s Crown Princess Victoria detonated a charge and wished NKS the best of luck.

THE PPP MODEL

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PPP Procurement

FINANCING

PLANNING

ORGANIZATION

PROJECT PLANNING

CONSTRUCTION

FINANCING

PLANNING

ORGANIZATION

PROJECT PLANNING

CONSTRUCTION

OPERATION,

MAINTENANCE

Traditional Procurement

OPERATION,

MAINTENANCE

= Customer responsibility = Contractor responsibility

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The construction site is classified as a “Green Site,” with sustainable solutions at all stages.

The Stockholm County Council is on the

absolute cutting edge when it comes to

high-level environmental requirements, and right

from the start the goal was to create one of

the world’s most sustainable university

hospitals. Skanska is building and certifying

the New Karolinska Solna according to the

Swedish third-party certification Miljöbyggnad

and aiming for Gold.

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Environmental thinking at all levels

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A green hospital

Environmentally friendly operations

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Good conditions for green traffic

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The concrete plant established on the construction site provides the project with concrete and reduces the number of trips by a total of 20,000.

The nearest recycling bin is never far away on the construction site.

ENVIRONMENT AND SUSTAINABILITY

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14

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Environmental thinking

…to the finished hospital

During construction…

ILL USTRA TION : T OMAS Ö HR LING © 2013

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Training in occupational health and safety is held to prevent accidents. :LWKPDQ\GLIIHUHQWSURFHVVHVDQGDODUJHQXPEHURI WUDGHVZRUNHUVDQGVXEFRQWUDFWRUVLQFRQVWDQWPRYHPHQW RQWKHFRQVWUXFWLRQVLWHKHDOWKDQGVDIHW\PXVWEHJLYHQ WKHDEVROXWHKLJKHVWSULRULW\&DUHIXOULVNDQDO\VLVVWULFWO\ VHWURXWLQHVGHWDLOHGZRUNGHVFULSWLRQVDQGLPPHGLDWHDF-­ WLRQDJDLQVWXQVDIHZRUNLQJFRQGLWLRQVDUHVHOIHYLGHQWIRU HYHU\RQHLQYROYHGLQSURDFWLYHVDIHW\ZRUN

Knowledge helps boost safety

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Proactive health & safety work

Skanska has a zero-accident vision, and the company’s ambition is always to be one step ahead

when it comes to health and safety work – with the goal of holding a world-leading position. This

is one more area in which New Karolinska Solna stands out as a unique project where standards

are also set as to how the construction industry’s safety work should be carried out.

Personal safety equipment is evaluated and upgraded continually.

Action against unsafe working conditions is automatic to everyone involved in proactive health and safety work.

SAFETY AND WORKING ENVIRONMENT

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Challenges beyond the ordinary

A project as involved as New Karolinska Solna sets the bar high when it comes to logistics.

Spe-cific circumstances prevail on every construction site, but there is much more to account for in

this case, requiring planning down to the smallest detail. It is not just the size and complexity of

the project that affect logistics work. Traffic, noise and vibrations must not be allowed to disrupt

activity going on around the clock in the nearby Karolinska University Hospital and

Karolinska Institute.

Planning down to the smallest detail

7KHVFRSHRIWKHSURMHFWDQGWKHIDFWWKDWWKHUHLVOLPLWHG VWRUDJHDUHDRQWKHDFWXDOFRQVWUXFWLRQVLWHDOVRHQWDLO H[WHQVLYHWUDQVSRUWDWLRQ7KHFRPSOLFDWHGORJLVWLFVDURXQG WKHFRQVWUXFWLRQVLWHQHFHVVLWDWHDSODQIRUHYHU\GHOLYHU\   $FOHDU³MXVWLQWLPH´ERRNLQJV\VWHPHQVXUHVWKDWGHOLYHU-­ LHVDUULYHDWSUHFLVHO\WKHULJKWWLPHDQGSODFHZLWKRXWFUH-­ DWLQJREVWDFOHVIRURWKHUGHOLYHULHVRUVXUURXQGLQJDFWLYLW\ 7RIXUWKHUIDFLOLWDWHWUDQVSRUWDWLRQWKHUHDUHOLPLWHGVKRUW stay  waiting  areas  nearby,  and  interim  storage  and  holding   IDFLOLWLHVDURXQGWKHUHJLRQKDYHDOVREHHQHVWDEOLVKHGIRU SURMHFWVXSSOLHUV

Smart solutions to reduce transportation

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New Karolinska Solna is being constructed in close prox-imity to ongoing activity at Karolinska University Hospital,

putting extra demands on logistics flows. A number of food service stations are found on the worksite to provide everyone involved in the project with food.

LOGISTICS

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The hospital’s design is based entirely on the clinical and functional requirements set by the

Stock-holm County Council. Skanska has used these as the basis for developing solutions that were then

approved by the County Council’s experts and healthcare specialists. Ensuring patient safety has

been given the highest priority, so people representing the various professional categories that will

work at the hospital were given the chance to provide input.

A well-appointed hospital

Prefabricated sanitary rooms are delivered as boxes.

Cranes lower the modules through the roof. The sanitary rooms are complete and ready to be used. The modules, lifted into place using cranes, are sealed until they are put into use.

Form follows function

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Modules provide major advantages

7KHSURMHFWDOVRPDNHVH[WHQVLYHXVHRISUHIDEULFDWHG PRGXOHVZKLFKVLJQL¿FDQWO\IDFLOLWDWHVFRQVWUXFWLRQZRUN DQGUHGXFHVWKHQXPEHURIGHOLYHULHVGXULQJFRQVWUXFWLRQ 3URGXFLQJWKHPRGXOHVLQDVHFXUHIDFWRU\HQYLURQPHQW   DOVRJXDUDQWHHVKLJKHUTXDOLW\LQWKHHQGSURGXFWWKDQ EXLOGLQJWKHPRQVLWHZRXOG7KHPRGXOHVHQDEOHDKLJK   GHJUHHRIÀH[LELOLW\LQRSWLPL]DWLRQ)RUH[DPSOHWKH   sanitary  rooms  of  the  hospital  are  completely  prefabricated   in  a  factory  and  delivered  in  sealed  boxes  that  can  then   be  smoothly  lifted  into  their  proper  place  –  simply   SOXJDQGSOD\  

A WELL-APPOINTED HOSPITAL

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BIM in daily operations

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A simpler way to build

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KHDWLQJYHQWLODWLRQDQGVDQLWDWLRQVSHFLDOLVWVWRSXUFKDV-­ ing  managers  –DUHZRUNLQJDFFRUGLQJWRRQHDQGWKHVDPH PRGHORIWKHSURMHFW %\ZRUNLQJLQDFRPPRQPRGHOHYHU\RQHGHVLJQLQJWKH YDULRXVSDUWVRIWKHEXLOGLQJFDQVHHKRZWKHLUVHFWLRQ¿WV LQWRWKHEXLOGLQJDVDZKROH7KHEXLOGLQJVHFWLRQVDUHWKHQ ³GUHVVHG´ZLWKLQIRUPDWLRQRQWKHLUDWWULEXWHVWXUQLQJWKH PRGHOLQWRDZHOORUJDQL]HGLQIRUPDWLRQKXE6LPSO\SXW %,0VHUYHVDVDQXQEURNHQFKDLQRILQIRUPDWLRQWKDW   DOORZVHYHU\RQHWRZRUNWRZDUGVDFOHDUDQGFRPPRQJRDO

A model of clarity

The New Karolinska Solna project employs a method of designing and constructing buildings

entirely in 3D, which presents information about all the attributes of every object included.

This is known as Building Information Modeling (BIM).

The BIM model is used by all the different roles in the project.

An example of how the BIM model might look: Even the smallest detail in the project is described in the model.

THE BIM MODEL

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Figure

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References

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