international total engineering corporation may 09 th, 2013 hiroyuki tsuchiya (1st class registered...

INTERNATIONAL TOTAL ENGINEERING CORPORATION

May 09th, 2013

Hiroyuki TSUCHIYA (1st Class Registered Architect)

General Manager ITEC (International Total Engineering Corporation)

“APPLICATION AND RESULTS IN HEALTHCARE IN TURKEY, PARTICIPATION OF LOCAL PRODUCERS-OFFSET APPLICATIONS”

Hospital Design and PPP in JAPAN

Japan Association of Health Service Management Consultants Certified Health Service Management Consultant Corporation (No10-0003) 1st Class Registered Architect Office (No.24666)

Total Health Service Management Consulting Firm

INTERNATIONAL TOTAL ENGINEERING CORPORATION

INTERNATIONAL TOTAL ENGINEERING CORPORATION 2

Established in 1981

Ratio of Sales Amount[2012] Domestic 50%

Overseas 50%

ExperiencesDomestic ：

　　　 more than 700 contractsOverseas ：

　　　 more than 70 countries

Overseas OfficesAnkara Office (Turkey)

Baghdad Office (Iraq)

About ITEC

http://www.itec-ltd.co.jp/englishtopHomepageHomepage

The first consulting firm in Japan specialized in the hospital and healthcare field.

The first consulting firm in Japan specialized in the hospital and healthcare field.

Overseas ExperiencesOverseas Experiences


ITEC’s PPP Hospital Consulting Experiences in Japan

Saga HIMAT (Heavy Ion Beam Therapy Center)

Tokyo Metropolitan Cancer and Infectious diseases Center

(801 beds)

Tokyo Metropolitan MATSUZAWA Hospital

(897 beds)

Nagasaki Municipal Hospital(500 beds)

Tokyo Metropolitan Tama Medical Center (750 beds)

Tokyo Metropolitan Children's Medical Center (600 beds)

Ehime Prefectural Central Hospital

(823 beds)

Tsukuba University Hospital(800 beds)

Fukuoka Children's Hospital& Medical Center for Infectious

Diseases (200 beds)


Characteristics of Design Trend in Japan

LCC (Life Cycle Cost) approach (→ Energy Saving Technology) LCC (Life Cycle Cost) approach (→ Energy Saving Technology)

BCP (Business Continuity Plan) → Seismic Isolator BCP (Business Continuity Plan) → Seismic Isolator

Operational Efficiency

Operational Efficiency

Disaster MeasureDisaster Measure

Key Design Trends Key words & Technologies applied


Breakdown of Life Cycle Cost (15years)

Initial Cost20%

Initial Cost20%

Reference : Tama Medical PFI Corporation

Operational Cost80%

Operational Cost80%


Life Cycle Cost

Initial CostInitial Cost

Running CostRunning Cost

Private Sector’sKnow - How

↓VFM

(Value for Money)

Private Sector’sKnow - How

↓VFM

(Value for Money)

Life Cycle Cost

Life Cycle Cost

PublicSector

PrivateSector


■ Environmentally Friendly Hospital ■ Long Life Building Eco Item Measures1 Leave the Nature Taking advantage of the existing geographical feature, unnecessary cutting and the soil discharge are

avoided and maintain ecosystem . 2 Natural Lighting / Natural Ventilation Natural lighting and wind are taken by using the open ceiling. 3 Tree Planting Plant trees on the building roof or hang grass in the exterior. 4 Solar Generation Hybrid outdoor power generation light is installed to the outdoors. 5 Thermal Solar Control the amount of the gas used by the hot-water supply of thermal solar conversion. 6 Rain Water Storage rain water is used for washing of toilet or watering of plant. 7 Energy Management Use of BEMS 8 Use of Quake-Absorbing Layer Use as cool pit and warm pit. 9 Effective Use of Heat Hot water supply by heat discharge of boiler

10 Highly Efficient Glass Adoption of the high double-glazed glass for the air-conditioning load mitigation effect. 11 Exterior Louver Direct rays are intercepted externally. 12 Long-life Building Frame Arrangement of spare sleeve for MEP piping to steel frame beam. 13 Skeleton Infill The dry type method is adopted which divides building frame and interior material. 14 Eco Materials Natural material and recycling material are used for finishing. 15 Water-saving Equipment Use of automatic foucet. 16 Lighting Control Use of motion sensor and daylight saving 17 High Efficiency Equipment Use of top runner transformer, LED light

1. Leave the Nature

2. Natural Lighting / Ventilation

3. Tree Planting

4. Solar Generation(Hybrid PW generator)

5. Thermal Solar

6. Rain Water

7. Energy Management

8. Use of Quake-Absorbing Layer 9. Effective Use of Heat

10. Highly Efficient Glass 11. Exterior Louver

14. Eco Materials

12. Long-life Building Frame 13. Skeleton Infill

15. Water-saving Equipment

16. Lighting Control

17. High Efficiency Equipment

The Hospital Design and PPP in JAPAN Trend of Japan in Medical, Health Facility 　


Frequency of Earthquake / Number of Death Victims （ 1980 ～2000 ）　

　

← Frequency of Earthquake per 　　 Country’s area / 380,000km2

Frequency of Earthquake →　

Earthquake frequency is earthquake beyond magnitude 5.5. (Source: UNDP)

China IndonesiaIran JapanAfghanistanTurkeyMexicoIndiaPakistanPeruGreecePhilippinesItalyColombia USAEcuadorAlgeriaCosta RicaPNGRussiaChiliGuatemalaBangladeshGuru ZiaBoliviaAustraliaSouth AfricaVenezuelaNicaraguaArmenia

Frequency of Earthquake (times / year)

0.63

　 0.05

　1,190.

5 　

Number of Disaster Death Victims (persons / year)

Hospital Design and PPP in JAPAN Trend of Japan in Medical, Health Facility 　


Hospital Design and PPP in JAPANTrend of Japan in Medical, Health Facility 　

■ BCP (Business Continuity Plan)

Concept to continue hospital critical operation even at the time of disaster


Reference : Ishinomaki Red-Cross Hospital

Great East Japan Earthquake in 2011,

Hospital Design and PPP in JAPANTrend of Japan in Medical, Health Facility 　


World First Life Continuity Building supporting BCP

Site Plan

Emergency Entrance

Public Entrance

Item ContentsLocation Shizuoka Pref. Kakegawa City, JapanNo. of Bed 500Beds, 26 Beds (Special)No. of Service 32 Healthcare ServicesSite Area 137,200 ㎡Building Area 11,300 ㎡Floor Area 44,000 ㎡Stories 8 Stories (No Basement)Building Height 38.9 mStructure Steel Structure (Anti-Seismic)No. of Parking 730 (Public), 770 (Staff)

Break Down of 500 Beds4 Beds Rm. 328 Beds

2 Beds Rm. 12 BedsSingle Rm. 141 Beds

Others 19 Beds

The Hospital Design and PPP in JAPAN Trend of Japan in Medical, Health Facility 　


Heri-port for Patient Transport (Service in Usual)

Window Sash not crashed by deformation

Secure Triage Space in case of Disaster

Maintenance Balcony for protect to fall the glass

Self Generation System

Multi-Patient Room to support increase Bed in case of emergency

Stock Storage for Disaster

Anti- Seismic for Energy Center

Use Parking Space for Support Space to Helicopter(Disaster Time)

Oil Tank

Enough Water Capacity in case of Disaster

Distilled Rain Water in case of Disaster

Spring Water in case of Disaster

Anti-Seismic Structure 1.5 more than standard

Daylight & Ventilation for Treatment Space in case of Disaster

Double Intake Power Line (Continuous Power Receiving)

MAIN FEATURES

♣ Fall preventive measures follows in footsteps of a large-scale quake-absorbing.♣ 140 ton of water supply reservoirs for drinking water and 350 ton for other water supply. ♣ Using rain water and spring water for miscellaneous use.♣ 700 ton of sewage storage tank in case of sewer infrastructure is suffered.♣ Sufficient capacity for the oil tanks, generating electricity♣ Extends the supply period for maximum of 20 days.



Hospital Design and PPP in JAPAN Divertible floor plan for disaster case

EntranceHall ↓Triage Space


Hospital Mall

4 Bed Room

Emergency Medical Gas Supply



High Level Seismic Isolation System for BCP

Building without Seismic Isolator Building with Seismic Isolator

Reference : Shimizu Corporation

Life saving , reducing of structural damage and minimizing secondary damage to equipment inside the building


　 Seismic Isolated Members

・ Bearing: Absorption of Shock or Rolling

・ Damper: Absorption of Earthquake Energy

・ Bearing + Damper Natural RubberLead Plug

Inner Steel Plate

Cover Rubber

Bolt Hole

Steel Flange Plate

Lead Rubber Bearing

Oil Damper Steel Damper

Rolling Bearing Natural Rubber Bearing

Natural RubberBolt HoleInner Steel Plate

Cover Rubber

Steel Flange Plate

Slide Bearing

Stainless Steel Plate

Steel Flange Plate

PTFE Slide Material

Outside PipeMovable Pipe

Inside PipeViscous Body

Viscous Body Damper in Brace Type


Experience and Evolution of Hospital PPP in Japan

Led strongly by Public Sector

↓Limited Private Sector’s know-

how

Led strongly by Public Sector

↓Limited Private Sector’s know-

how

3 years3 years

1st Generations

Ex. Kochi Medical Center *2001 BOT 28 years

2nd Generations

Ex. Tokyo MTP Tama Medical Center *2004 BTO 15 years

3rd Generations

Ex. Tsukuba University Hospital *2007 BTO 20 years

* Announcement of Implementation Policy

1999 : Enacted PFI law

Detailed OperationPlanningBetween

Public & Private

Detailed OperationPlanningBetween

Public & Private

BecamePartnership

BetweenPublic & Private

BecamePartnership

BetweenPublic & Private

international total engineering corporation may 09 th, 2013 hiroyuki tsuchiya (1st class registered...

Documents

breakdown of life cycle

years initial cost

overseas experiences

infectious diseases

experiences domestic

money private sectors

vfm value

rain waterstorage rain