BININI PARTNERS

Electrophysiology and hemodynamics at the IRCCS Policlinico San Donato Hospital

Restructuring and extension of the IRCCS Policlinico San Donato hospital in Milan

Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria

1st implementation – Restructuring and extension of the ground floor of block
A for the creation of the new electrophysiology and hemodynamics department

The IRCCS Policlinico San Donato hospital is the first structure of the San Donato group, University and Research hospitals and among the most important private hospital operators in Italy. With regard to size, type of services offered and number of patients, the scientific healthcare and research institute is a highly specialised hospital with its courses in medicine and surgery and nursing science. It is the first on a regional level based on case mix and also houses the center for adult and child heart disease that is also the location of a cardiovascular department that is among the best in Italy for business volume and effectiveness of service.
The hospital has started up a complex program of interventions and activities that will lead to the restructuring, change of function and extension of the whole original structure, built at the end of the 50’s, according to the approved general masterplan. The project also includes the extension for the creation of a new venue for he research and university department and for a “multifunctional transfer area” to strengthen the global technological equipment with intensive therapy, operating theatres, sterilisation centers, classrooms, research labs etc. This is also to allow the transfer of part of the activities during the restructuring work using the above mentioned “multifunctional transfer area”.

The first implementation, completed and activated in two successive lots in 2015 and 2016, consisted in the restructuring and the extension the ground floor of block A for the creation of the new “Centro del cuore” ( Heart center), one of the most modern and innovative in this field on an international level. With this intervention the San Donato hospital wishes to become the most important heart healthcare enter in Europe, with regard to number of patients assisted.
The new cardiology department includes three electrophysiology rooms and three hemodynamics rooms, for a total of six operating theatres. These rooms are more than twice the size of the minimum standard and are equipped with the most advanced technologies currently available on the market as well as all of the support rooms and structures (awakening preparation area, filters, medical offices, stock rooms). Inside the new department a training room has been created which can be accessing by visiting medical trainees or doctors in for up-date courses and, in general, all external guests that come to see the modern techniques and equipment installed.

Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria

The project was completed with a technological block in the extended area which will house all the necessary equipment, not only for the activation of the new department, but also to renew the transformer room of the old section of the hospital.

The succession of building phases and the articulation of the phases of the project in general have been carefully studied and calibrated considering the system and function complexities of the building, without ever interrupting the healthcare service.
For this reason, the work was performed in two consecutive and independent phases from a functional point of view. The first phase included the creation of the electrophysiology department in the extension area at the same time as the new transformer room and the technical areas for the whole compartment. The study of the perimeters allowed the creation, from the very start, of all the support areas required for the activation of the department. Once the first sector was activated, it was possible to transfer the electrophysiology department to its definitive location and the hemodynamics department to the second floor in the two preparatory rooms. In this way, in the free existing area, work on the secondo lot can start, completing the last three rooms with related support services.

To be able to prepare the way for the work on the electrophysiology and hemodynamics department described above, the following works were performed between 2014-2015 thanks to three different tenders:

  • building and system works required for the creation of 2 hemodynamics operating theatres on the second floor of block A;
  • building and systems works for the creation of an underground system tunnel outside of block A;
  • building and systems works for the demolition and the electrical by-pass, the sewer system, medical gasses etc., located on the ground floor or the second of block A.

Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria

Electrophysiology and hemodynamics at the IRCCS Policlinico San Donato Hospital


Client
:
IRCCS Policlinico San Donato

Year of execution:
2013 – 2016

Performed service level:
Preliminary, definitive and executive design, safety coordination in the design phase, work supervision and work management

Work progress:
concluded

Indication of work classes and categories:

  • Preparation work:
    – Restructuring of the second floor of block A for the creation of 2 operating theatres for hemodynamics and related structures
    – new external systems tunnel outside block A and the system by-passes. Work costs:
    Building work (E.10, ex ID) € 960.408,77
    Mechanical installations (IA.02, ex IIIB) € 505.556,22
    Electrical systems (IA.04, ex IIIC) € 467.902,86
    Total for works € 1.933.867,85
  • Restructuring and extension of the ground floor of block A for a new electrophysiology and hemodynamics department:
    Building work (E.10, ex ID) € 2.955.000,00
    Mechanical installations (IA.02, ex IIIB) € 1.700.000,00
    Electrical systems (IA.04, ex IIIC) € 1.845.000,00
    Total for works € 6.500.000,00

Total cost of assigned works:
€ 8.433.867,85

Total surface:

  • Restructuring of the second floor of block A for the creation of 2 hemodynamics operating theatres and related structures:
    area of intervention 870 m²
  • Electrophysiology and hemodynamics on the ground floor of block A: Total surface 2.500 m², of which:
    – extension: 500 m²
    – restructuring: 2.000 m²
    Utility areas: 1.110 m² (including covering)

Operating block:
Electrophysiology and hemodynammics department on the ground floor of block A:
– n° 3 Electrophysiology rooms of which 1 hybrid (1 of 60 m², 1 of 70 m² and 1 of 80 m²)
– n° 3 hemodynamics rooms (2 of 50 m² and 1 of 80 m²)

Project/service signatory technicians:
Binini Partners srl
Eng. Tiziano BininiEng. Raffaele RamoliniEng. Cristian Torelli,

Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria
Elettrofisiologia ed Emodinamica IRCCS Policlinico San Donato, Binini Partners, Società di architettura e ingegneria

Electrophysiology and hemodynamics at the IRCCS Policlinico San Donato Hospital
Restructuring and extension of the IRCCS Policlinico San Donato hospital in Milan