1. Construction of MOH Building on the St. Joseph’s Hospital Property 1
DRAFT
CONSTRUCTION OF THE MOH BUILDING ON THE
ST. JOSEPH’S HOSPITAL PROPERTY

2. Construction of MOH Building on the St. Joseph’s Hospital Property 2
TABLE OF CONTENTS
The Approach:..............................................................................................................................................................................3
Assumptions:................................................................................................................................................................................3
Critical Components ..................................................................................................................................................................3
Scope:...............................................................................................................................................................................................4
Effort.................................................................................................................................................................................................5
Design Development .................................................................................................................................................................5
Design:.............................................................................................................................................................................................5
Architectural and Structural Design..................................................................................................................................6
Other Critical Schematic-design Issues.............................................................................................................................7
Environment.................................................................................................................................................................................9
Site Infrastructure...................................................................................................................................................................10
Construction:.............................................................................................................................................................................11
Essential Engineering Services:.........................................................................................................................................11
Sustainability .............................................................................................................................................................................12
Site Plans .....................................................................................................................................................................................13
Floor Layouts.............................................................................................................................................................................13
Exterior Elevations..................................................................................................................................................................13
Space Planning..........................................................................................................................................................................14
Interior Designs........................................................................................................................................................................14
Engineering Services..............................................................................................................................................................14
Financing Options....................................................................................................................................................................15
Other Issues................................................................................................................................................................................15
Research: Sources: ..................................................................................................................................................................16

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THE APPROACH:
1. Pre-design studies
2. Design Analysis Report
3. Conceptual Architectural Design
4. Schematic Design
5. Structural design-calculations(CAD design software);preferably Finite Element Method
of structural analysis
6. Design Development
7. Financing
8. Construction and Building Completion
9. Commissioning of structure and component services/utilities
ASSUMPTIONS:
Pre-requisite will include:
1. Feasibility study to determine needs analysis and include the requirements of each
department or services to be provided within the building
2. Topographical Survey
3. Soil Investigation(s)
4. Environmental Impact Assessment Studies(EIA) are essential for major structures
CRITICAL COMPONENTS
Codes and standards regarding facility design

4. Construction of MOH Building on the St. Joseph’s Hospital Property 4
Design:
1. Safety Standards
2. /Fire Code(s);CuBiC and other guidelines
3. CuBiC - Caribbean Uniform Building Code for wind and seismic load analysis
4. Security Standards
5. Emergency Management
6. Life safety and infection control
7. Facility design must focus on producing productive and effective environments for staff
and visitors (Should incorporate Green technology-environmentally friendly design)
8. Commissioning of the building must entail best practices in design and construction
works
9. ;Constuction methodology suitable for low to medium rise structures bearing in mind –
Compound of Health Facility
SCOPE:
Conceptual design of the structure/infrastructure should meet the requirements of the Health
Ministry.
Pre-design planning specific but not limited to:
1. Functional requirements of the building(workflow,utilities and services)
2. Safety and security
3. Space allocation and aesthetics
4. Equipment needs and scheduling

5. Construction of MOH Building on the St. Joseph’s Hospital Property 5
EFFORT
1. The investment in the planning effort is critical to the successful design and ultimately
the building of a facility best suited to the efficient operational requirements of the MOH.
2. Policies articulated so that the facility design can reinforce the new MOH policies
DESIGN DEVELOPMENT
1. Preparation of a model or plans, sections and perspective drawings of what is
needed;
2. Discussions with Administrative staff of the type of structure best suited to
effectively meet the needs of the MOH.
DESIGN:
1. Building free-standing
a. Number of Square feet(suggest..Total 4,000 m2/44000 ft2)
b. Number of floors and floor space(7floors)
c. Number of Offices for
i. Directors and
ii. Other Personnel
2. Having ready access to roads for emergency cases

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3. Improving labour efficiencies and a holistic environment
4. The design philosophy should include:
a. Private offices with external views
b. Noise Reduction
c. Way- finding(Internal navigational) systems including Braille for the
visually impaired and appropriate signage.
d. Adaptable building features(flexible design layout) for efficient re-
configuration when absolutely necessary.
e. Independent male and female bathroom facilities with appropriately
planned air extraction features
f. Auditorium to accommodate conferences/large staff
meetings(Appropriate acoustic design is required)
g. Design layout and functionality incorporating natural features .such as :
i. Natural lighting,
ii. Adequate Ventilation(appropriately engineered air conditioning
where necessary)
iii. Possible internal landscaping(which entails internal green spaces)
ARCHITECTURAL AND STRUCTURAL DESIGN
1. Provide notes necessary and sufficient (sketches included) data to explain the architect’s
general understanding of the client’s requirements

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2. Outline plan for the best approach to fulfilling the building/infrastructural needs of the
Ministry Of Health for at least the next 50 years
3. Design intent and project scope linking overall mission and values of the organization
4. Optimization of building location
5. Circulation/workflow) pattern
6. Overall form and configuration of the building (include study of suitability of building
material(s)
7. Type of engineering system.Design calculations for major structural elements of the
proposed design;whole-building structural analysis;Finite element analysis- including
seismic reactivity of structure - utilization of Engineering CAD design-software );CuBiC
Codes.
8. Parking layout and access points
9. Floor to floor heights( consideration given to the claustrophobic)
10. Strategic layout of functional areas
11. Construction budget and sources of financing
12. Project schedule(timeline) charts
OTHER CRITICAL SCHEMATIC DESIGN ISSUES
1. Use of energy - efficient materials (DIGICEL Building)
2. Use of materials with low emissivity and reflectivity to minimize fire hazards and
glare.Use of Fire-retardants and avoiding those materials and coatings which emit volatile
organic pollutants
3. Use of natural lighting for energy conservation and natural ambience

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4. Solar heating for lighting and hot water facilities-for canteen conveniences
5. Incorporation of alternative electricity - generating technology.An hybrid system being
preferable(wind and solar energy used simultaneously).Cost savings and benefits over 1
financial year studied(DIGICEL)
6. Water- saving devices to shower heads and tap water systems-including low-water toilets
and urinals
7. Acoustic systems to provide comfort to staff(sound - deadening features for privacy
where necessary).
8. Use of light-weight building materials where they enhance the design.Lightest isn’t always
best)
9. Maintenance of landscaping features (in-house gardening prudent)
10. Ventilation to enhance :-
a. Proper air filtration
b. Comfortable levels of humidity
c. Temperature control
d. Air quality control;HEPA filtration
11. Catering Services to include:
a. Kitchen bulk storage for refrigeration and dry goods
b. Dining areas
c. Washing and stacking facilities
d. Equipment sterilization
e. Fire protection/retardant systems;automatic fire extinguishing capability
f. Administrative services

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g. LPG storage-central piping system
12. Engineering Services:
a. Maintenance department-HFMU
b. Standby generator rooms
c. Cold water storage
d. Administration
e. Engineering equipment workshop;compressor for air delivery
f. Delivery and service parking areas
13. Maintenance of landscaping features (in-house gardening prudent) -discuss
a.
14. Security Services
a. Access control system with support cameras/audio
b. Video surveillance system
c. Intrusion detection system (motion detector-lights and devices )
d. Secured parking facilities
e. Intrusion-free Radio communication system
f. Police-securitypost(s)
ENVIRONMENT
1. The building should enhance the dignity of staff and permit privacy and confidentiality
2. Building should minimize stress to staff and visitors
3. Flexible design to accommodate changes in technology
4. Building- enhancing efficiencies and productivity of staff without compromising safety

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5. Auspicious alignment of structure).-consideration given to flow of existing buildings on
compound.( alignment of main entrance-exit)
SITE INFRASTRUCTURE
1. Roadways to all entrances with loading and unloading areas
2. Covered walkway to protect from the elements
3. Convenient parking facilities –including parking for physically challenged
4. Adequate directional signage
5. Emergency access for ambulance, fire, civil- defense
6. Strategically demarcated(chain link) reinforced concrete helipad and support
services;appropriate flight path(s) for noise reduction and safety;suggest 33m x 33m
perimeter;20m dia helipad )
7. Security systems
8. Landscaping
9. Grounds lighting
10. Ground services including:
a. Electrical mains
b. Water mains
c. Storm water channels
d. Fire mains
e. Sewage-to main outlets-National Water and Municipal Sewage system
f. Communications
g. Medical gas- wellness centre

11. Construction of MOH Building on the St. Joseph’s Hospital Property 11
h. LPG for canteen facilities
i. Underground storage tank systems-adequate and reliable water supply
j. Service culverts(for infrastructure maintenance)
CONSTRUCTION:
1. Environmental Impact assessment
a. Provision for environmental pollution controls and regulations
b. Obtaining requisite approvals prior to construction
c. Preparation and delivery of Environmental Impact Assessment document
with requisite charts,graphs and other information
2. Health Risk Assessment
a. Ensuring safety, infection control,, utilities,
b. Air quality
c. Noise and vibration levels(Hospital compound)
3. Operational Risk Management
a. Emergency management-including mass evacuation plan with regular drills
b. Facilities to support disaster management
ESSENTIAL ENGINEERING SERVICES:
1. Provision for electrical mains
2. Emergency power plant
3. Emergency lighting systems

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4. Communication networks
5. Public Address systems-to support emergency systems
6. Fire safety (fire alarms,fire escapes and security systems adhering to international safety
standards);automatic fire - extinguishing capabilities
7. Medical gas systems-wellness centre
8. LPG delivery system –for canteen facilities
9. Main water treatment plant/facilities of design commensurate wtth International sewage
standards.(suggest containerized bio-filtration plant)
SUSTAINABILITY
1. Efficiency-economy of water usage
2. Electricity supply including UPS
3. Energy conservation
4. Controls on atmosphericpollutants
5. Material resources-including adequate storage for inventories and supplies such as
stationery and sanitary items
6. Indoor environmental air quality inclusive of interior green spaces for 100% fresh
air
15. Material Management System
a. Areas structurally designed to accommodate delivery trucks
b. Access to service lifts
c. Sorting and storing of incoming supplies
d. Inventory system to regulate the quality of the above(c)

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SITE PLANS
1. Building positioning and location to other facilities and services(East to west like
the existing main structure on the compound auspicious)
2. Road works plan with detailed cross-sectional layouts,curves and slopes
3. Property lines-including topography in accordance with engineering specifications
prepared by HFMU
4. Easements and adherence to Town Planning/Municipal Covenants
5. Zoning constraints.Appropriate signage on roadways leading to the complex.
FLOOR LAYOUTS
1. Building dimensions(imperial and metric)
2. Layout showing:
a. Functional areas;common areas
b. Offices
c. Department boundaries
d. Department sizes
e. locations of major equipment/services locations
EXTERIOR ELEVATIONS
Appearance
1. Aesthetically pleasing sizes and aspect ratios of structures in relation to each other
including roof profiles(harmony of flow with existing)

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2. Grading and slope of the landscape in relation to the building
SPACE PLANNING
Furniture and equipment layout
Standardization of offices
Conformanceto KSAC Regulations
configuration of interior space
Wall/floor finishes(natural colours and textures-inclusion of rustic textures for a natural
feel)
Details of interior wall sections
Optimal location and functionality of Mechanical features ??
Proximity of support structures/areas
INTERIOR DESIGNS
Health-enhancing finishes-walls/ceiling /floors
Architectural finishes and fabrics-anti-bacterial and fire-retardant materials
Joinery and cabinet works with longevity in mind
Equipment mounting
REQUISITE ENGINEERING SERVICES
1. Civil
2. Structural
3. Communications

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4. Electrical
5. Mechanical and electro-mechanical
6. Security systems
7. Fire safety
FINANCING OPTIONS
1. J$20.0 million budgeted (GOJ) toward Feasibility Study( including Environmental
Impact Assessment tests and reporting-a major structure on compound of health facility)
2. GOJ Budgetary Support
3. Public -Private Partnership
4. Private Developers
5. Friendly Government (China etc)
OTHER ISSUES
Frontage of St. Joseph’s property is a cemetery
1. Health Risk-infectious diseases(Environmental Impact Assessment should incorporate study ofthis
risk)
2. Obtaining approval to excavate at thelocation
3. Implementing policy relating to managing the exhumation of remains
4. Impact of a major structure on compound of health facility)
5.

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RESEARCH: SOURCES:
1. Town Planning
2. National Library of Jamaica
3. Catholic Church
4. Gleaner Company
5. Bureau of Standards
6. NEPA
7. National Land Agency