Reinier Haga Orthopaedic Clinic Zoetermeer

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Reinier OrthopaedicHaga Clinic, Zoetermeer Highly specialized, extremely peopleoriented and ultra-modern PROJECT MAGAZINE

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3Reinier Haga Orthopaedic Clinic Zoetermeer © EGM architects

clinicorthopaedicPrestigious

Highly specialized, extremely peopleoriented and ultra-modern, that’s the Reinier Haga Orthopaedic Clinic LocatedZoetermeer.inthe middle of the socalled ‘Care Heart’ in Zoetermeer is the recently opened Reinier Haga Orthopaedic Clinic (RHOC). This 7,500 m² clinic for orthopaedics is situated close to various primary and secondary healthcare institutions on the site. The clinic is connected to the adjoining LangeLand Ziekenhuis (LLZ) and, when required, it makes efficient use of all additional medical facilities at the LLZ. Together with the hospital, the RHOC increases both the quality and quantity of care provision. With 20 experienced orthopaedists from three hospitals - the Reinier de Graaf Gasthuis, the HagaZiekenhuis and LangeLand Ziekenhuis - this leading clinic is the largest facility for orthopaedic surgery in the country. The clinic has therefore taken a big step for quality and the future of specialist care in the Netherlands.

Movement as an overarching theme

4 Reinier Haga Orthopaedic Clinic Zoetermeer © EGM architects

Luxury urban villa - hotel outside, care facility inside The new RHOC is a compact, urban and contemporary volume with a clearly recognizable entrance of its own. The elegant white undulating façade panels are draped around the building like glass curtains, and the rhythm of the fenestration reflects the modern and progressive work that takes place inside. The cantilevered second floor creates a canopy above the main entrance. Besides the volumetric quality and additional space for the operating theatres on the second floor, the cantilever makes the main entrance clearly contemporary and recognizable. Large windows in this canopy work as a double-sided stimulus for patients: daylight entering helps patients recover, while patients also feel more connected with the world outside and the idea of ‘returning home’. In terms of scale, the three-floor structure aligns with the surrounding buildings and blends easily into its setting. Compact but urban and contemporary with white wavy facade panels and sleek windows

The overall theme in orthopaedics is ‘movement’. This is reflected not only in the care processes but also in the exterior and interior of the clinic. Everything at the RHOC is geared to encouraging patients to move around the building as much as possible. For example, the staircases are adorned with inspiring artworks that invite people to climb the stairs instead taking the lifts, which are strategically placed behind the staircases. Wavy movements, subtle interplay of lines in the facades and timber partitions, abundant daylight, undulating timber lamellas and an attractive espresso bar at the back of the atrium contribute to the holistic way in which the modern clinic motivates and stimulates movement.

Axonometry and functions Compact volume as a city villa Rehabilitation around green atrium Atrium as a spatialCompact volume as a city villa Rehabilitation around green atrium Atrium as a spatial Representing movement in the facadearound green atrium Atrium as a spatial connector Design concept Ground floor 1st floor 2nd floor Consultation rooms Public functions Staff TreatmentInpatientPublicInpatientInpatientPublicDiagnosticsupportdepartmentsfunctionswardswardsfunctionswardsdepartments 3rd floor Technical rooms 5Reinier Haga Orthopaedic Clinic Zoetermeer © EGM architects

Personal approach immediately upon entering Atrium with daylight and a calming, homely waiting and meeting square With plentiful daylight entering through the glass roof, vibrant and fresh colours, timber screens for privacy, lush greenery on the walls, four giant floor lamps, inviting benches and views of the floors above, the spacious atrium connects all functions to one another and provides a calm and attractive waiting area. Grouped around this central atrium are public functions such as the consultation and examination rooms and the policlinics. The people-centred approach lies at the heart of the new facility. Entering on the ground floor, people do not encounter a traditional main reception desk but four modern and compact desks with friendly staff who welcome patients in a friendly manner and point them in the right direction. From these accessible desks, visitors and patients are naturally drawn to the spacious atrium that is flooded in daylight. At the heart of the building, the atrium is the defining feature of the RHOC interior.

6 Reinier Haga Orthopaedic Clinic Zoetermeer © EGM architects

Four modern and compact desks for a personal welcome By the atrium: catch up, wait or relax 7Reinier Haga Orthopaedic Clinic Zoetermeer © EGM architects

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The re-activation zones are positioned in front of the nursing rooms, which are arranged along the central circulation space around the atrium. Under the supervision of a physiotherapist, patients work on their recovery in this sports and movement area. The Reinier Haga Orthopaedic Clinic is known for its rapid turnaround time. All care is geared to letting patients recover as quickly as possible and return home. For patients who are required to stay longer, there is a choice of single rooms or four-bed rooms. The four-bed rooms have slightly angled rear walls so that patients face slightly away from one another, enhancing their sense of privacy. The LEDs in the rooms are adjustable. All rooms have views of the outdoors and of the reactivation zones adjoining the atrium, encouraging, motivating and stimulating recovery. Views of the atrium ensure that daylight and greenery are experienced to the full throughout the building. Around the atrium are the reactivation zones for sports and movement

Reinier Haga Orthopaedic Clinic Zoetermeer © EGM architects

The slightly sloping rear walls in the quadruple rooms offer the patient more privacy

Re-activation zones in front of the one-bed and four-bed nursing rooms

Ultra-modern operating theatres with daylight Located on the top floor are the outpatient department and the four RHOC showpieces: the operating theatres. Each theatre is about 50 m², the perfect size for safe and manageable orthopaedic interventions. The innovative air-treatment system by Opragon supplies highly purified air with the same highly sterile air quality in all operating theatres. Doctors, assistants and patients can follow the operation on large screens. Large windows in each operating theatre allow occupants to experience daylight and views outside. This ensures a good diurnal rhythm during the often lengthy operations, an important feature of this healthy building. LEDs regulate optimal lighting conditions, while the soothing background music, which can be chosen individually, offers a reassuring sense of calm.

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Ultramodern and spacious operating rooms with daylight for a healthy biorhythm and a view of greenery Haga Orthopaedic Clinic Zoetermeer © EGM architects

0 10 m5 A B A B 1. Ontvangst / entree 2. Spreek-onderzoekskamers 3. Backoffice 4. Röntgenkamers Begane grond 5. Publieksfuncties 5 2 33 3 4333 12 2 2 2 0 10 m5 0 10 m5 1. Ontvangst- en lunchruimte 2. Patiëntenkamers 3. Fysiotherapie 4. Koffie-/leesruimte 1 verdieping 5. Re-activeringszone 2 2 2 5 5 3 14 0 10 m5 1. Dagbehandeling 2. Wacht-/pauzeruimte 3. Operatiekamers 4. Holding / verkoever 2 verdieping 5. OK-ondersteuning 6. Kantoren / uitwerkruimte 6 6 6 6 2 5 5 5 3 4 1 0 10 m5 0 10 m5 1. Dagbehandeling 2. Wacht-/Pauzeruimte 3. Operatiekamers 4. Holding / Verkoever 2 verdieping 5. OK-ondersteuning 6. Kantoren / Uitwerkruimte 6 6 6 6 2 5 5 5 3 4 1 0 40 m20Situatie 0 40 m20Situatie Innovative thanks to the latest techniques and air-treatment system The innovative air-treatment system provides highly purified air in the sterile operating theatres. The RHOC is optimally sustainable thanks to the compact volume and the circular materials and details. The entire new building is designed for maximum flexibility to facilitate future modifications to both the architecture and installation engineering. The energy-efficient and low-maintenance installations, including four water pumps that can produce heat and cold at the same time, consume minimum energy and have a maximum life-span. Moreover, the demand for heating and cooling inside the building is minimized by the smart envelope, which is fitted with sun blinds. Induction elements are also incorporated into the climate ceilings. The amount of ventilation air in a space is responsive and based on the number of people present instead of on the heat demand or cooling load. Situation and floor plans Ground floor 1st 2ⁿdfloorfloorSituation 10 Reinier Haga Orthopaedic Clinic Zoetermeer © EGM architects

Valstar

Structural engineer RHOC and car park HaskoningDHV, Rotterdam Installations RHOC and car park

Size RHOC 7.600 m² bvo Size car park 9.880 m² bvo

Valstar Simonis, Rijswijk Building physics/fire advisor RHOC EGM adviseurs, Dordrecht

Aan

Design period car park Year of completion RHOC 2020 Year of completion car park 2020 Numbers 356 parking lots Photography Rob van Esch | Architectuurfotograaf, EGM architects Parking garage with sustainable and sound-absorbing lava rocks the lava stone supports and optimizes the growth of vegetation placed against the façade, which will thrive in the years ahead. This offers opportunities for greater biodiversity and increases air quality and sound Theabsorption.newRHOC building and adjoining car park have been designed by EGM architects. Valstar Simonis was responsible for the design and engineering installations, and Royal HaskoningDHV acted as engineer.

General contractor RHOC Sprangers Bouwbedrijf, Breda General contractor car park de Stegge Twello, Twello Systems RHOC Spie, Breda

LangeLand

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2018

Car park in sustainable lava stone Visitors to the care facility can make use of the new car park, with a capacity of 356 vehicles, built beside the RHOC. Traffic entering and leaving creates noise, but the effect is minimized by specific and sustainable design choices. For example, part of the car park façade consists of mesh panels filled with lava stones, which provide optimal sound absorption and acoustics. The colour pattern of the lava stones, which ranges from dark to light, gives the parking area a pleasant appearance. Owing to the moisture-retaining effect,

Facts and numbers

Client RHOC Stichting Reinier Haga Groep, Delft Client car park Ziekenhuis, Zoetermeer VOF RHOC and car park EGM architects, Dordrecht Simonis, Rijswijk Royal HaskoningDHV, Rotterdam Architect RHOC and car park EGM architects, Dordrecht Interior architect RHOC EGM architects, Dordrecht

Design period RHOC 2017 - 2018

Royal

EGM architects Wilgenbos 20 3311 JX Dordrecht +31 78 6330 660 The www.egm.nlinfo@egm.nlNetherlands

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