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CLARK VINCE CAEZAR J. AFABLE

ANTHONY L. DACUTANAN
JAYSON L. CAHINDE
BSAR – 5A
3
INEPH
A DIALYSIS CUM RESEARCH CENTER COMPLEX IN EASTERN SAMAR
CHAPTER
OBJECTIVES 1

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1. To identify statistically the
number of patients who seeks C
dialysis treatment of a variety
of renal diseases in the
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province. I
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2. To identify the number of
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medical research stakeholders C
in the province.
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3. To know the vital space E
requirements and design C
standards for an efficient and
maximized function of the T
Center Complex. I
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4. To identify design
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considerations and pertinent C
laws for such kind of study.
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5. To formulate a general concept
for a sustainable and resilient
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design. T
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6. To select the most appropriate
site for the study.
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CHAPTER 5
SITE DEVELOPMENT, CONCEPTUALIZATION, AND ANALYSIS

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SITE SELECTION ANALYSIS

MACRO ANALYSIS MICRO ANALYSIS

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MACRO ANALYSIS
THIS SECTION DEALS WITH THE ASSESSMENT OF ALL THE ADMINISTRATIVE DIVISIONS WITHIN THE PROVINCE OF EASTERN SAMAR.
UNDER SITE SELECTION CRITERIA ARE DEMOGRAPHIC, ECONOMIC, AND HAZARD SUSCEPTIBILITY FACTORS WHICH WERE THE BASIS
OF THIS SECTION.

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MICRO ANALYSIS
THIS SECTION DEALS WITH THE ASSESSMENT OF BORONGAN CITY. UNDER SITE SELECTION CRITERIA ARE THE NATURAL,
ENVIRONMENTAL, AND PHYSICAL FACTORS; LEGAL, INSTITUTIONAL, ADMINISTRATIVE, AND AESTHETIC FACTORS; AND SOCIO
ECONOMIC, AND CULTURAL FACTORS IN WHICH WILL BE THE BASIS IN THIS SECTION.

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PROSPECTIVE SITES

PROSPECT SITE 01

Location: Barangay Songco, Borongan City, Eastern Samar, Philippines

PROSPECTIVE SITES

PROSPECT SITE 02

Location: Barangay Alang-Alang, Borongan City, Eastern Samar, Philippines

PROSPECTIVE SITES

PROSPECT SITE 03

Location: Barangay C, Borongan City, Eastern Samar, Philippines

AREA: 20,755.023 Square Meters
ENVIRONMENTAL
HAZARD FACTORS:
• NO ACTIVE FAULT LINES
• SUSCEPTIBLE TO INTENSITY VIII OR
HIGHER MAGNITUDE EARTHQUAKE
• LANDSLIDE-FREE SITE
• HIGH SUSCEPTIBILITY TO FLOODING
• HIGH SUSCEPTIBILITY TO STORM SURGE
ADVISORY 04
• TSUNAMI-FREE SITE
• HIGH SUSCEPTIBILITY TO LIQUEFACTION
SITE DESIGN CONCEPT:

HUMAN URINARY SYSTEM

MASTER SITE DEVELOPMENT PLAN
NOT DRAWN TO SCALE
CHAPTER
DESIGN DEVELOPMENT 6

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PERTINENT LAWS:
• National Building Code of the Philippines (P.D. 1096)

• Accessibility Law (B.P. 344)

• Fire Code of the Philippines (R.A. 9614)

• Sanitation Code of the Philippines (P.D. 856)

• National Plumbing Code of the Philippines (R.A. 1378)

• Philippine Electrical Code (R.A. 184)

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DESIGN STANDARDS & GUIDELINES:
• Manual on Technical Guidelines for Hospitals & Health Facilities Planning & Design (25 Beds). Department of Health, Manila. 2001
• Manual on Technical Guidelines for Hospitals & Health Facilities Planning & Design (100 Beds). Department of Health, Manila. 2001
• Guidelines in the Planning & Design of a Hospital & Other Health Facilities. Department of Health, Manila. 2004
• Signage Systems Manual for Hospitals and Offices. Department of Health, Manila. 1994
• Health Facilities Maintenance Manual. Department of Health, Manila. 1995
• Manual on Hospital Waste Management. Department of Health, Manila. 1997
• District Hospitals: Guidelines for Development. World Health Organization Regional Publications, Western Pacific Series. 1992
• Guidelines for Construction and Equipment of Hospital and Medical Facilities. American Institute of Architects, Committee on
Architecture for Health. 1992
• Revised Accreditation Requirements for Freestanding Dialysis Clinics Providing Hemodialysis. Philhealth Circular No. 20, s-2005
• Research Laboratory Guidelines, Daniel Watch & Deepa Tolat, 2017
• Parking Structure Design Guidelines, Capital City Development Corporation, Boise, Idaho, 2016
• Time Saver Standards for Building Types (2nd Edition), Joseph De Chiara & John Callender, 1983
• Planning & Designers Handbook (2nd Edition), Max B. Fajardo Jr.
• Other Design Considerations

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SUSTAINABLE DESIGN STRATEGIES:

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SUSTAINABLE DESIGN STRATEGIES:

WATER EFFICIENCY INDOOR ENVIRONMENTAL QUALITY

• Reduced Irrigation • Natural Ventilation Design
• Use of water efficient Fixtures, Appliances, and Process • Use of Acoustic Finishes
• Installation of permanent water meters • Interior Cross-contamination Prevention
ENERGY & ATHMOSPHERE • Lighting Control And Quality.
• Installation of advanced energy meters • Quality Views
• Solar Gardens INNOVATION IN OPERATIONS & REGIONAL PRIORITY
• Low-Impact Refrigerants • Use of Innovative Technologies
MATERIALS & RESOURCES SUSTAINABLE SITES
• Provide areas accessible to waste haulers • Provide Outdoor Space
• Design for future vertical expansion on at least 75% of the • Rainwater Management
roof • Sites That Are Planned For Future Development Or
Expansions
• Provide Places of Respite That Are Accessible To Patients
And Visitors
• Joint Use of Facilities
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ENVIRONMENTAL HAZARD RESILIENCY DESIGN STRATEGIES:

EARTHQUAKE MITIGATION STRATEGY:

BASE ISOLATION
TECHNOLOGY

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BUILDING CONCEPTUAL STRUCTURAL FRAMEWORK

SHEAR WALL

DIALYSIS CENTER RESEARCH CENTER PARKING BUILDING

ENVIRONMENTAL HAZARD RESILIENCY
DESIGN STRATEGIES:

FLOOD MITIGATION STRATEGY:

ELEVATED MAIN FLOORS
ENVIRONMENTAL HAZARD RESILIENCY DESIGN STRATEGIES:

FLOOD MITIGATION STRATEGY:

WATERTIGHT ROOL UP
DOORS & WINDOWS

BY: WALZ & KRENZER INC.

MODEL: WT-R
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ENVIRONMENTAL HAZARD RESILIENCY DESIGN STRATEGIES:

STRONG WINDS MITIGATION STRATEGY:

FLAT ROOFS
BUILDING DESIGN CONCEPT:

HUMAN KIDNEY + NEPHRONS

DIALYSIS CENTER
COMPUTATIONS FOR CAPACITY OF BUILDING
Table 02. Dialysis Patients per Administrative Division of Eastern Samar from 2014-2018.
ADMINISTRATIVE
2014 2015 2016 2017 2018 TOTAL
DIVISION
1. Arteche - - - - 1 1
2. Balangiga - 3 3 3 2 11
3. Balangkayan - 2 1 - 1 4
4. Borongan City 8 16 10 9 6 49
5. Can Avid - 1 2 - - 3
6. Dolores - 1 5 4 2 12
7. Gen. McArthur 1 2 1 1 3 8
8. Giporlos - 1 1 3 1 6
9. Guiuan 5 2 1 4 11 23
10. Hernani - - - - 1 1
11. Jipapad - 1 - - - 1
12. Lawaan - 3 3 1 2 9
13. Llorente 1 2 1 - 1 5
14. Maslog - - - - - -
15. Maydolong 1 2 1 - 3 7
16. Mercedes 1 - - 1 - 2
17. Oras 3 2 3 2 3 13
18. Quinapondan 4 1 1 3 - 9
19. Salcedo 2 - 4 4 4 14
20. San Julian 1 - 1 - 3 5
21. San Policarpo - - - - 1 1
22. Sulat 3 1 - 1 - 5
23. Taft - 1 - 2 5 8
TOTAL 30 41 38 38 50 197
30 41 38 38 50

AVERAGE INCREASE OF PATIENTS PER YEAR = TOTAL NUMBER OF PATIENTS IN 5 YEARS

N
AVERAGE INCREASE OF PATIENTS PER YEAR = 197
5
AVERAGE INCREASE OF PATIENTS PER YEAR = 39.4

POPULATION (t) = PO ( 1 + r/n ) nt

r = NUMBER OF BIRTHS – NUMBER OF DEATHS

N
r = 39.4 – 0
197
r = 0.2 OR 20%
POPULATION (t) = PO ( 1 + r/n ) nt

POPULATION (7) = 197 ( 1 + 0.2/1 ) (1 X 7)

POPULATION (7) = 706 PROJECTED PATIENTS IN 2026

HEMODIALYSIS MACHINE TO PATIENTS RATIO = 1:8

NUMBER OF MACHINES = TOTAL PROJECTED PATIENTS
8
NUMBER OF MACHINES = 706
8
NUMBER OF MACHINES = 88 HEMODIALYSIS MACHINES

HEMODIALYSIS MACHINES IS DIRECTLY PROPORTIONAL TO BEDS

88 MACHINES = 88 BEDS
HEMODIALYSIS MACHINE TO BACK-UP MACHINES = 1:15
= 6 MACHINES

PROVIDE 1 MACHINE FOR HEPATITIS B & C PATIENTS AND A CORRESPONDING 1 BACK-

UP MACHINE FOR EACH
= 4 MACHINES

TOTAL NUMBER OF MACHINES = 88 + 6 + 4

TOTAL NUMBER OF MACHINES = 98 HEMODIALYSIS MACHINES

Manual on Technical Guidelines for Hospitals & Health Facilities Planning & Design (100 Beds).
Department of Health, Manila. 2001
WATER TREATMENT:

DIALYSIS CENTER MULTIMEDIA FILTRATION

GROUND FLOOR PLAN
NOT DRAWN TO SCALE
WATER TREATMENT:

DIALYSIS CENTER WATER SOFTENER

GROUND FLOOR PLAN
NOT DRAWN TO SCALE
WATER TREATMENT:

DIALYSIS CENTER CARBON FILTRATION

GROUND FLOOR PLAN
NOT DRAWN TO SCALE
WATER TREATMENT:

DIALYSIS CENTER REVERSE OSMOSIS FILTRATION

GROUND FLOOR PLAN
NOT DRAWN TO SCALE
WATER TREATMENT:

DIALYSIS CENTER DEIONIZER FILTRATION

GROUND FLOOR PLAN
NOT DRAWN TO SCALE
WATER TREATMENT:

DIALYSIS CENTER WATER TANKS

GROUND FLOOR PLAN
NOT DRAWN TO SCALE
WATER TREATMENT:

DIALYSIS CENTER
ULTRAVIOLET FILTRATION
GROUND FLOOR PLAN
NOT DRAWN TO SCALE
WATER TREATMENT:

DIALYSIS CENTER
MICROFILTER FILTRATION
GROUND FLOOR PLAN
NOT DRAWN TO SCALE
DIALYSIS CENTER
SECOND FLOOR PLAN
NOT DRAWN TO SCALE
ENTRANCE
ENTRANCE
OUTPATIENT WAITING AREA
CONSULTATION ROOM
LABORATORY WAITING AREA
MAJOR OPERATING ROOM
RECOVERY SUITE
MEDICAL DIRECTOR’S OFFICE
DIALYSIS CENTER
THIRD FLOOR PLAN
NOT DRAWN TO SCALE
TREATMENT ROOM
NUSRSE STATION
REPROCESSING ROOM
ADMITTING ROOM
RESEARCH CENTER
“Unfortunately there is no particular agency that has a list of all the medical researcher stakeholders
in the region. We the EVHRDC may be a regional consortium but we don’t have a list of researchers although we
can trace some from submitted research proposals but it will only range from 20-25 researchers. The reason
for that is because we have a small population of members in the consortium which is why as well we are
conducting seminars all throughout the region including Eastern Samar to develop research activities and
encourage the people to submit research proposals. We can give you the data but it will not be a significant and
reliable number for basing the capacity of your facility.”
MS. MAE ANNE D. REYES
DOST REGIONAL OFFICE VIII
RESEARCH MANAGEMENT COMMTTEE MEMBER
RESEARCH CENTER
GROUND FLOOR PLAN
NOT DRAWN TO SCALE
RESEARCH CENTER
SECOND FLOOR PLAN
NOT DRAWN TO SCALE
LOBBY
LECTURE ROOM
RESEARCH CENTER
THIRD FLOOR PLAN
NOT DRAWN TO SCALE
LIBRARY
LABORATORY OBSERVATION ROOM
SURGERY OBSERVATION ROOM
RESEARCH CENTER
FOURTH FLOOR PLAN
NOT DRAWN TO SCALE
RESEARCH FACILITY
LOUNGE
PARKING BUILDING
PARKING BUILDING
GROUND FLOOR PLAN
NOT DRAWN TO SCALE
AMB ECOSTERYL 250
CAPACITY:
250 to 300 kg/hr
OR
4000 L/hr.
PARKING BUILDING
SECOND FLOOR PLAN
NOT DRAWN TO SCALE
PARKING BUILDING
TYPICAL 3RD-4TH FLOOR PLAN
NOT DRAWN TO SCALE
INEPH
A DIALYSIS CUM RESEARCH CENTER COMPLEX IN EASTERN SAMAR
SIGNIFICANCE OF THE PROJECT

PHILIPPINE COUNCIL
DEPARTMENT OF FOR HEALTH LGU & PRIVATE ARCHITECTS &
HEALTH (DOH) RESEARCH & INVESTORS BUILDERS
This study will contribute DEVELOPMENT This study will be This study will provide
to the department’s program on (PCHRD) beneficial as a source of additional knowledge and
providing at least one (1) This study will benefit the reference and information in information in planning and
accredited dialysis center in council through promoting conducting future construction designing such facility in the
every province of the country. research activities and and development regarding practice of profession.
contributing research such facilities and other related
proposals to promote research building types.
developmental interventions for
health advancement and 85
stability.
SIGNIFICANCE OF THE PROJECT

MEDICAL ARCHITECTURE MEDICAL RESEARCH

DIALYSIS PATIENTS
PROFESSIONALS STUDENTS STAKEHOLDERS
This study will promote This study will be a This study will provide an
accessible dialysis center from This study will provide an
productivity and increase skills reference and guideline to
all the administrative divisions accessible research center
through the provision of provide basic knowledge of
within the province to cut travel from all the administrative
training facilities to conduct information in planning and
time, fare cost, and provide divisions within the province to
training programs related to designing plate requirements of
convenience to a diverse group cut travel time, fare cost, and
such facility for better services such facility and other related
of patients. promote research
offered. building types.
developmental interventions for
health advancement and
stability. 86
THANK YOU