Ospedale del Futuro-ING

Hospital of the Future - Sustainable System

1st

HOSPITAL registered MODEL at the European Level

THE HOSPITAL OF THE FUTURE: SUSTAINABLE, INNOVATIVE, AND FOCUSED ON NEW CARE NEEDS

Hospital of the Future - Sustainable System

FROM WHAT AND WHERE WAS THE IDEA BORN

+

50

YEARS

of professional experience and research born in the heart of the University of Florence

The project “Hospital of the Future, Sustainable System” was born from the attempt to answer the question: «How to guarantee the sustainability of a new hospital, adequate for today's healthcare, in a constantly evolving world?».

The question arises from the daily experience of professional life which over the years has highlighted the rigidity and conceptual antiquity of hospital structures, unsuitable for facing new challenges.

The “Hospital of the Future, Sustainable System” model was born as a synthesis of the organizational and management issues that affect the world of healthcare.

A multidisciplinary study and research team was formed that, sharing the initial question and contributing to a unitary vision of the hospital system, redesigned the place of care.

A MODEL CREATED TO RESPOND TO THE CHALLENGE OF HEALTHCARE SUSTAINABILITY

Hospital of the Future - Sustainable System

“Hospital of the Future, Sustainable System” is a building that develops horizontally (space for diagnosis and therapy) and vertically (space for care) around a gravitational center that connects all the health, logistical, and technological modules.

The central space is the hub for all hospital areas, facilitating orientation and reducing routes.

Around this hub, the building can be adapted to different healthcare needs, increasing or reducing building volumes without losing its original layout.

A PULSING “HEART” with limited land 7 HECTARES consumption

Hospital of the Future - Sustainable System

INNOVATIVE ASPECTS WHY A MODEL?

WHO NEEDS IT?

Transforming a design idea into a scheme that can be adapted to different conditions involves developing a model, made up of reference modules and aggregations. The model thus conceived aims to be an organized system, according to logical and pre-established criteria, capable of responding to the healthcare demand of today and tomorrow.

The configuration of the hospital structure to your needs is facilitated by the model's ability to be customized: adding or subtracting modules without altering the scheme, guarantees the maintenance of the principles underlying the work.

The “Hospital of the future, Sustainable System” model is a product for all subjects, healthcare and non-healthcare, who have the task and need to evaluate, analyze, identify the needs of new hospital constructions.

To consider the different healthcare, economic and financial options, the model is supported by a web tool, called “Configurator” linked to the “Hospital of the future, Sustainable System” model that facilitates planning the feasibility study.

THE MODEL IS PREPARED FOR THE SUBSEQUENT DESIGN PHASES

Hospital of the Future - Sustainable System

MODEL CRITERIA

Organization structured according to the intensity of care both for hospitalization and for therapy and diagnosis activities Reducing distances between functionally related areas Circular development of intensive care areas with centralized observation Rooms with the standards of a high-end hotel Barycentric nurses Separation of visitor – user – operator – supplier – maintenance routes Easy access for technology management Construction processes standardization Prevalence of management strategy over construction choices

Hospital of the Future - Sustainable System

THE MODEL KEYWORDS

Large ground-level technologies on Dedicated pathways the ground floor to facilitate access Renewal areas with different timeframes

Centralized observation and monitoring for patients

Structural constraints external to the department

Reduction of pathway distances

Easy internal orientation Free views and overlooks Free plan for the departments

Cultural sustainability

FUNCTIONAL

FLEXIBLE Adaptive building

SUSTAINABLE SYSTEM

Structural grids adapted to the intended uses Central core (focus point)

SUSTAINABLE

Economic sustainability

Different modules for different hospitals

SCALABLE

Horizontal and vertical extension

Environmental sustainability Social sustainability

Software to customize hospital

FUNCTIONAL: the healthcare process shapes the building structure, determines simple paths for all users with aggregation of clinical functions by intensity of care and multidisciplinarity.

FLEXIBLE: the architectural and plant structure must not be a limit to clinical and technological innovation but must, with its continuous change, guarantee continuity of care.

SCALABLE: to meet the Clients' needs, different functional modules can be aggregated around the original structural system.

SUSTAINABLE: the strategic vision of management is 360°: from functional aggregations to the useful operating surface, from energy efficiency to the safety of patients and healthcare workers.

Hospital of the Future - Sustainable System

FUNCTIONAL 1

3

Easy internal orientation of the user Reduction of waiting times inside the building No vertical paths for external users

Reduction of distances between functionally related areas

ACCESS

4 Orientation of the building for views onto open vistas (no introspection with other parts of the building)

ACCESS DISTRIBUTION BASIC FUNCTION

DIAGNOSTIC

DAY SERVICE

EMERGENCY ROOM INTENSIVE CARE

DAY SURGERY

OPERATING ROOM

SURGICAL OUTPATIENT CLINIC

5

NURSING CONTROL VERTICAL CONSTRAINTS NATURAL LIGHT COMMON ROOMS

Centrality of the observation and patient monitoring point

2

Large coplanar and ground floor technology (easy installation and replacement)

Combination of the benefits of the triple-body and five-body configurations

LEVEL 3: ASSISTANCE AND CARE LEVEL 2: ASSISTANCE AND CARE LEVEL 3: ASSISTANCE AND CARE LEVEL 0: EMERGENCY – THERAPY – DIAGNOSIS LEVEL -1: ENERGY – TECHNICAL – LOGISTICS

TRIPLE-BODY

SEPARATION

OPENING

INSERTION OF: Services Supports Cloisters Controls

6 Hybrid body for the hospitalization: triple body + quintuple body

Hospital of the Future - Sustainable System

4

FLEXIBLE 1

Distinct structural meshes suitable for the intended uses, without the presence of residual spaces

Easy maintenance with dedicated paths

Main access Distribution Basic functions Expansion 1 Expansion 2

5

Department Lift shafts Technical rooms

2 Structural constraints such as shafts, stairs, beyond the boundary of the departmentcompartment

Building adaptable to emergency phases Possibility of sectioning the building for particular needs, without interrupting ordinary activities LEVEL 0

SPACES DEDICATED TO ROUTINE ACTIVITIES PROGRESSIVE EXTENSION OF SPACES DEDICATED TO EPIDEMICS DEDICATED VERTICAL CIRCULATION CORES

3

Distinction of areas with different renewal times so that these can be carried out without blocking adjacent and/or underlying departments

PROPOSED SCHEME

TRADITIONAL SCHEME

Life cycle years

Technical rooms locali tecnici Inpatient degenzadepartments

Administration Inpatient departments Technology platform Outpatient clinics

High-tech activities Attività con Alta Tecnologia Outpatient Ambulatoriclinics High-tech activities Attività con Alta Tecnologia

locali tecnici Technical rooms

Outpatient clinics Ambulatori Amministrazione Administration Gen. services Outpatient clinics Servizi Ambulatori gen.

1ST LEVEL

2ST LEVEL

Hospital of the Future - Sustainable System

4

SCALABLE 1

Different modules for different hospitals

Central core (Focal Point) that gives cohesion to the building in the different aggregation solutions

SIZE S

SIZE M

SIZE L

Without the Emergency-Urgency module

Without the Emergency-Urgency module

Acute care hospital with the EMERGENCY-URGENCY module

2 Possibility of subsequent aggregation of modules for a horizontal extension

5

Original core Horizontal aggregations Vertical aggregations

3 Possibility of subsequent aggregation of modules for a vertical extension Original core Horizontal aggregations Vertical aggregations

Dedicated software to build the tailor-made hospital

3

Hospital of the Future - Sustainable System

Production of main fluids with advanced solutions: Reduction of cooling energy needs by 30% compared to a Standard case Reduction of heating energy needs by 30% compared to a Standard case Reduction of electricity needs by 10% compared to a Standard case Reduction of greenhouse gas production by 0.7%, compared to a Standard case

SUSTAINABLE ECONOMIC SUSTAINABILITY

Power trend HOSPITAL OF THE FUTURE MODEL

MEDIUM HOSPITAL

No patient room is exposed to the north Each room has an open view of the landscape No opposing facades

Electrical power

Cooling capacity

4000

3000

3000

KW

4000

2000

2000

1000

1000

ENVIRONMENTAL SUSTAINABILITY

Thermal p.

Cooling capacity

D IC

N O V

O CT

JU L

AG O SE PT

JU N

AP R

M AY

0

GEN FEB MAR APR MAG GIU LUG AGO SET OTT NOV DIC

FE B

0

JE N

Orientation and views

Thermal p.

M AR

electrical power

KW

1

Compact building shape, reduction of construction and management costs Reduction of energy consumption due to compact organization of functional areas

4

Reduced land consumption in the building footprint Large green spaces (in just 7 hectares) surrounding the building Reduction of the Heat Island effect Intensive use of renewable energy Reuse of excavated soil

5 2

SOCIAL AND CULTURAL SUSTAINABILITY

Power plants and sub-power plants in barycentric positions Maximum natural light for the illumination of work and shelter areas Adaptability of materials and colors to the local culture Paths adaptable to local cultures

Hospital of the Future - Sustainable System

ENTER AND CREATE YOUR PROJECT

THE CONFIGURATOR The Configurator is a digital tool that aims to support the user in customizing the hospital structure based on their clinical-healthcare needs.

The Configurator allows you to modulate the volumes, surfaces, the functional organization, the expected production volumes and returns summary data with the cost estimates of the entire Hospital system.

The demo link is accessible to everyone, the configurator link (functions) you can initiate it after we send a password

WEB APPLICATION THAT ALLOWS YOU TO CUSTOMIZE THE MODEL

https://demo.ospedaledelfuturo.it/

Hospital of the Future - Sustainable System

WHAT YOU CAN CUSTOMIZE No. of beds Presence of the Emergency and Urgency Department No. of operating rooms No. of diagnostic imaging rooms Change the intended use of the rooms

To design your hospital you can compose the modules: Horizontally for your needs of diagnosis and therapy Vertically for your needs of beds

TEST SIMULATE VERIFY

Hospital of the Future - Sustainable System

VIDEO COMPANY

CSPE Building Design Study Center

HOSPITAL CONSULTING Health and Environment

Presentation of the project LIFE EPISTEME ITALIA Innovation of quality of life

Hospital of the Future - Sustainable System

The Building Design Study Center - CSPE - was founded in Florence in 1975 and deals with the development of research, studies, planning and consultancy in the sector of health and social interventions.

Since 1999, the founding members have been joined by architects Giulio Felli, Corrado Lupatelli and Manola Caruso as Technical Directors.

CSPE has specialized experience of integrated design in both public and social healthcare sectors as well as community facilities.

Work in the field of research, design and construction management for the development of highly complex projects, coordinating all phases of the conception, implementation and management process, ensuring integration and interoperability with Building Information Modeling approaches.

Thanks to consolidated experience in the management of the entire building process, the group has developed and coordinated large-scale interventions which involved both urban and building ‘refunctionalizations’ and reorganizations and new construction.

With a continuous spirit of disciplinary rebuilding, for over thirty years, CSPE's design experiences have arisen from research that combines innovation and experimentation with the aim of redefining the relationships between technology, functionality and aesthetics.

Research has characterized the evolution of the studio with a continuous and constant commitment: in the early years, it represented a solid basis for cultural investigation which, in more mature years, found opportunities for verification and interaction with the ever-increasing design opportunities.

Over the years, CSPE, for the quality of its research and achievements, has received important recognition from international institutions such as the European Community, the World Health Organization and UNESCO.

www.cspe.net

Hospital of the Future - Sustainable System

Hospital Consulting was founded in Florence in 1980 by Prof. Dubini Silvano. University consulting and research activities have allowed us to acquire a careful vision of the healthcare world. Hospital Consulting is the first Italian company to provide consultancy on the safety of biomedical technologies. The company has evolved and become a Partner for more than 200 Hospital and Healthcare facilities, Regional Agencies for the Environment, in a logic of "One Health" approach for technological and engineering services. Today, Hospital Consulting is known on the healthcare market for its expertise and reliability, and for its innovative projects.

With its 700 employees, it operates throughout Italy, actively participating in the management of technological assets.

Since 2025, Hospital Consulting has been part of Fresenius Health Services, a company of the Fresenius Group. Fresenius Health Services offers services and consulting for the technical infrastructure of healthcare facilities.

This includes healthcare technology, facility management and sterilization services. Together with its customers, Fresenius Health Services develops sustainable concepts for efficient and sustainability-oriented operations.

The group operates in nine European countries, where it provides services in around 800 healthcare facilities with around 4,400 employees.

Further information is available at www.fresenius-health-services.com

www.hospital-consulting.it

Hospital of the Future - Sustainable System

Established in Rome in 2009 as part of a European joint venture, Life Episteme Italia s.r.l. was created for the research and promotion of innovative medical devices in the healthcare market and their introduction into clinical pathways.

It is now recognized as one of the most interesting players in innovation in the treatment of neuropathic pain: the training and verification activity on the outcome of the therapy, supported by continuous verification of clinical results, is evidence of the Company's attention to pursuing activities aimed at improving the patients’ quality of life.

The founders, thanks to their many years of experience in the needs, processes and perspectives of the healthcare world, wanted LEI as the channel for: • Invest in Technologies and Research • Development and Training • Market and distribute products • Integrated services and solutions for patient care and assistance Specific skills have allowed the direct management of a hospital facility and participation in a stable consortium for social assistance at patients' homes.

By integrating its experiences with those of social and health facilities, it is developing the national project "Accanto - No longer alone" for the care of families with chronic patients within the scope of corporate welfare services.

Research on the connection between the territory and the hospital for the sustainability of the National Health System has led to participation in various technical tables for the development of models suited to the modification of the health needs of the population.

In this perspective, since 2023, it has held, in partnership with other companies, experts in the hospital sector, the industrial and intellectual property rights of the Hospital of the Future Sustainable system model.

www.lifeepistemeitalia.it

Hospital of the Future - Sustainable System

AUTHORS

Prof. Arch. Paolo Felli

PROPERTY

Dott.sa Marisa Giampaoli

Arch. Giulio Felli

Arch. Nicoletta Dubini

The hospital model of the future, a sustainable system, is the synthesis of a research and in-depth study that lasted several years.

The design process, from the identification of the initial idea to its development, involved a team of professionals (Doctors, Biologists, Architects, Biomedical Engineers, Economists) belonging to Italian companies with expertise in the healthcare sector: Hospital Consulting SpA, CSPE s.r.l. and Life Episteme Italia s.r.l. The research team was coordinated by the Authors: imagining a hospital model as an effective synthesis of different skills and prefiguring the future certainly represented a challenge.

Hospital of the Future - Sustainable System

In 1976 he founds CSPE with Antonio Andreucci and Romano Del Nord, the practice based in Florence which became a reference point for research, studies, consulting and projects specifically targeted at complex interventions in the health and social sector.

Has been Professor of Architecture Technology at the “Pierluigi Spadolini” Department of Architecture and Design Technologies of the Faculty of Architecture of the University of Florence. Head of the final Synthesis Laboratory and member of the Teaching Board for the Technology of Architecture PhD at the same Faculty.

Teacher of the Project Management of Hospital Facilities Postgraduate Course; member of the Academy of the Art of Design of Florence, the Public Health Group/International Union of Architects (PHG/UIA), the scientific Committee of the Inter-University Research Centre (TESIS), the Italian Society of Hospital Organization (SITO) and the International Academy of Design and Health.

He was one of the promoters, founders and first President of the Italian Society of Architectural Technology (SITdA) which now forms an extensive network of academics and experts committed to the dissemination and development of the culture of architecture technology in science, and education.

Prof. Arch. Paolo Felli

RESPONSIBLE FOR INTERNATIONALLY RELEVANT RESEARCH

Coordinator of many international academic research projects, he has published extensively on technology and healthcare; among his main books: Ospedali Riuniti della Valdichiana a Montepulciano. L’Ospedale Unico (The United Hospitals of Valdichiana in Montepulciano. The Individual Hospital), Alinea Ed., Florence 2003; Il Progetto degli Edifici Complessi, in: Innovazione Tecnologica per l’Architettura: un diario a più voci (The Design of Building Complexes, in: Technological Innovation for Architecture: a diary with several entries) Edizioni ETS, Pisa 2004; P. Felli, G.M. Bargossi, F. Gurrieri, “Pietra Serena materia della città” (Pietra Serena material of the city) published by AIDA Edizioni, Florence 2002; M.C. Torricelli, R. Del Nord, P. Felli, Materiali e Tecnologie per architettura (Architectural Materials and Technologies), Ed. Laterza, Rome, 2000.

He began his professional life by collaborating with Prof. Pierluigi Spadolini on some seminal projects, including the Congress Building in Florence, the restoration of the historic headquarters of Monte dei Paschi di Siena and the Cassa di Risparmio of Pisa.

Working with a Master such as Spadolini, taught him a design methodology able to deal with the social and human sides of architecture, giving new meanings to the role of technology in the design process.

Hospital of the Future - Sustainable System

Graduated in Biological Sciences, biomedical specialization at the University of Florence, specialized in General Pathology at the University of Pavia, her professional career developed through applied research in the healthcare sector on onco-haematological and pulmonary pathologies, and then dedicated herself to healthcare organization, with particular reference to quality paths and managerial training of healthcare personnel.

Dott.sa Marisa Giampaoli

NATIONAL EXPERT IN HOSPITAL MANAGEMENT

Since 1989 she has taken on the role of CEO of companies operating in the environmental and healthcare sectors, for the management of technical services in the electro-medical field, the design of hospital structures, the organization of clinical services, up to the complete direct management of the hospital and related services.

From 1991 to 2024, CEO of the Hospital Consulting S.p.A. Company (health and environment), based in Bagno a Ripoli (Florence).

From 2005 to 2018, CEO of the Hospital Piccole Figlie srl Company, based in Parma, an accredited private hospital.

As an expert in healthcare facilities, she has participated in many practicums for standardization and sector representation. As President of the ANIE Services Group (National Association of Electronic Industries Confindustria), she participated as a Counselor in the Confindustria Health Consultation (Rome), a discussion table with the Ministry of Health.

She participates as a member in technical organizations representing the healthcare world, such as: National Center for Hospital Construction and Technology, National Institute for Risk Prevention in Technological Activities, Italian Association of Clinical Engineers.

For her interest in innovation in the industrial world, she has held the role of Regional Coordinator of Tuscany for FITA (Italian Federation of Advanced Tertiary Sector) and in this role she has participated in the National Territorial Coordination Council for the managerial training section.

Hospital of the Future - Sustainable System

After graduating, in Architecture from the University of Florence, he began collaborations with several studios in Europe, participating in the conceptualization and design of international projects and competitions on an urban scale, and dealing with issues relating to environmental and energy sustainability.

In 1996 he began his professional activity at the CSPE and in 1999 he became a Principal, dealing with the coordination of the design in the various phases, from the concept to the realization of the projects. Since 2006 he has held the role of Principal and Technical Director.

Arch. Giulio Felli

He works on various international projects and competitions as project manager, also in collaboration with renowned British and American design firms.

Many of the projects he has worked on have received awards and accolades for the environmental-friendly solutions adopted.

He held the role of Adjunct Professor at the Department of Architecture at the University of Ferrara focusing on the "Design of Building Systems" and Architectural Construction courses for 10 years.

PROJECT MANAGER OF INTERNATIONAL PROJECTS AND COMPETITIONS

Hospital of the Future - Sustainable System

Graduated in Architecture at the University of Florence, she has been a member of the Order of Architects of Florence since 1995 and as a freelancer she collaborates with companies specializing in the design of hospitals and healthcare facilities.

As a designer, project manager, and safety coordinator, she specialized in functional distribution and in the coordination and integration of specialized activities of complex structures.

From 2008 to 2014, she held the role of Head of the Department Planning and Continuity sector of Hospital Consulting SpA, developing in particular the integrated planning of operating blocks, intensive care units and diagnostics.

Arch. Nicoletta Dubini

Working on various national projects and competitions, she has organized and participated in working groups for research, promotion and study of organizational, management and design problems related to social-healthcare construction, in particular on the perception of space in patients in intensive care.

Since 2022 she has participated in the group UNI/CT 033/GL 34 “Hospitals and social-healthcare facilities” Since 2017 he has held the position of member of the CNETO National Council, and for the three-year period 2025-2027 she has been a member of the Executive Board.

PROJECT SPECIALIST OF FUNCTIONAL HOSPITAL STRUCTURES

Since 2023 she has been part of the Joint Research Platform (JRP), a medium/long-term strategic partnership between companies and the Politecnico di Milano, for the innovation and development of organizational and architectural models corresponding to new clinical, organizational, and economic needs.