New hospital in Kommunarka: medical cluster shortlisted for the MIPIM Awards

February 12
Construction and renovation

The multi-specialty hospital in Kommunarka will see its first patients in the coming months. The first construction phase of the modern medical cluster is completed. It already has all the necessary equipment.

Recently, the clinic construction project has been shortlisted for the high-profile real estate and urban development MIPIM Awards. In March, Moscow will present the hospital along with other finalist projects at the international competition in Cannes, France.

mos.ru took a look at the new complex from different perspectives and talked with Chief Medical Officer of the hospital and the lead architect of the project.

Denis Protsenko: One of the key advantages of the hospital is separated patient flows

Chief Medical Officer of the hospital complex in Kommunarka

The hospital will have multi-specialty departments for adult patients. These are cardiology, neurology, cardiovascular surgery, surgery, neurosurgery, trauma, and five cancer cluster departments.

Cancer specialisation will be one of the flagship ones. It will offer a comprehensive approach — from outpatient care to inpatient treatment, with a patient observed by a single team, a unified tumour conference, which includes specialists from both outpatient and inpatient departments followed by the best patient-specific treatment.

The medical cluster in Kommunarka boasts cutting-edge equipment. There are operating rooms with video communication and surgery broadcast on multiple monitors for all involved. These are endoscopic surgeries, when a surgeon has to look at the screen. Also, it can be broadcast in our educational hall for students to watch surgeries, with a teacher commenting on everything going on the screen. This is very important, since our hospital provides training too.

There are also less global, but convenient solutions. For example, contactless electric doors. Although it seems to be a small thing, it allows minimising spread of infections, facilitates patient care and makes it easier for doctors and paramedical staff.

The complex has MRI and CT scanners, angiographic (hybrid, supplied with high-tech equipment) operating rooms. Moreover, all the equipment can be used for both emergency and scheduled surgeries.

One of the key advantages of the hospital is separated patient flows. All clinical routes have been built so that they never intersect. So, situations when scheduled and emergency patients are placed in the same operating room are impossible now. They are sent to different places, since they are two different medical scenarios.

Our emergency room will adopt the triage method. This is a worldwide system for determining the priority of patients’ treatment according to the severity of their condition. The most 'severe' patients are sent to the red zone with an intensive care unit where they immediately get urgent care.

The yellow zone is intended for 'moderately severe' patients. They are admitted to a diagnostic bed. Here we work according to the 'doctor-to-patient' principle. It means it is not the patient who has to visit various offices to see doctors, but specialists come to the patient, with equipment for examination delivered — ultrasound, X-ray, ECG machines, etc., with rare exceptions, since, for example, a CT scanner cannot be brought into the ward. Stable patients will be sent to the third, green zone.

Photo: Press Service of Moscow Mayor and the Moscow Government. Maxim Mishin

Like other Moscow hospitals, we will surely take advantage of the United Medical Information and Analytical System. This system greatly expands doctors’ decision-making, as they can study a patient's history and present condition at the hospital, view test results, and read about any treatment provided. All this helps physicians make the right clinical decision about the patient.

I think the hospital was shortlisted for a prestigious international competition thanks to cutting-edge solutions and technology, and collaboration of builders, architects and doctors. It really is a state-of-the-art facility. This recognition is a fair reward for the coordinated work of various specialists.

As part of the second phase construction, Kommunarka will have a perinatal centre, an infectious diseases unit, an outpatient diagnostics unit, and a children's care unit. There will be a simulation centre for advanced training, too, a very important facility, as doctors never stop learning. A simulation centre provides continuous post-graduate medical education. Solutions employed here can fully simulate complex clinical scenarios and practice manipulative motor skills.

Vladimir Plotkin: No one believed that such a huge complex could be built in such a short time

Project Manager, Chief Architect

Our concept has won the competition among Moscow leading architectural companies.

This is a grand project covering about 150,000 sq m. Our top priority was to make the hospital as functional and compact as possible, since the area was rather small. Our team has designed the shortest functional links between the main building, treatment departments and other units.

The complex in Kommunarka is a state-of-the-art facility. On the one hand, it boasts a very rational design, on the other hand, we did not want the buildings to look boring. So we made coloured inserts on the light facades. In addition to white, there are also red and brick-faced buildings. Each building has its own colour identification for easy navigation both on the grounds and inside the hospital buildings.

According to global trends, healthcare construction should be rational, clear-cut and precise, and, surely, green. We have narrowed down the construction site to leave more space for landscaping and recreation areas. The buildings are designed so that all the wards overlook the green area.

All our solutions comply with the energy efficiency principles. These include ultimate reduction of both vertical and horizontal communication lines, right orientation of the buildings in accordance with the cardinal points in order to mitigate the impact of wind and excessive overheating on sunny days. We used the highest quality supplies during the construction: glass, metal, and sometimes brick.

This medical complex performs an important social function. Typically, when we build infrastructure facilities, we do it as the second phase: first we build housing facilities, with hospitals and clinics following. In Kommunarka, the construction of such a big medical cluster was running almost parallel with district development.

Personally, I am very happy with the result. It was a painstaking project with extremely tight deadlines. No one believed that such a huge complex could be built in such a short time. We started designing in the late 2016. In three years, the first phase was already completed and put into operation.

Source: mos.ru

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