Unique by design

The newly inaugurated Aster RV Hospital is the second facility by Aster DM Healthcare for the city of Bengaluru A ster DM Healthcare, one of the largest integrated healthcare service network in the GCC and the third largest healthcare company in India, has commissioned its second multi-specialty quaternary care hospital in Bengaluru called Aster RV Hospital. Located in the heart of the city at JP Nagar 1st Phase, the hospital has been formally inaugurated by the Governor of Karnataka, Vajubhai Vala this month. The 250-bed Aster RV Hospital is introducing specialty services through its centres of excellence in cardiac-sciences, neuro-sciences, gastro-sciences, general and laparoscopic surgery, integrated liver care, organ transplant, urology and nephrology, orthopaedics, urology and nephrology and general medicine; with added features like Bi Plane Cath Lab, Da Vinci Robotic System for robotic surgeries, intra-operative MRI machine, integrated liver care and 53 critical care beds across ICU, CCU and TICU. Spread across 1.5 lakh square feet of built up area, the quaternary care hospital has 39 out-patient consultation rooms, nine operating theatres and offers other specialties like ENT, general medicine, endocrinology, plastic surgery, dermatology, radiology among others, supported by a team of highly qualified doctors, medical professionals and nurses. During the launch of the hospital, Dr Azad Moopen, founder chairman and managing director, Aster DM Healthcare, said, “It gives us great pleasure to launch our second world-class healthcare facility in the Garden City of India. Aster entered Karnataka with its first hospital in Hebbal few years back and was promptly recognised as a trusted name. This prompted us to come up with the second hospital so quickly at J P Nagar.” After the launch of Aster RV, the India will have a bed strength of 4,573 beds spread across five states "The long-standing ambition of Rashtreeya Sikshana Samithi Trust of providing different services like quality health science education and quality health services has come to fruition with the opening of Aster RV Hospital. RV Institutions are happy to be associated with Aster DM Healthcare, one of the world’s best health services provider. Aster RV Hospital will provide state of the art modern healthcare to south Bengaluru which hitherto lacked these services," said Dr Panduranga Setty, president, RV Group of institutions. Vision and USP of the project What was the purpose behind setting up the project? Dr Says Harish Pillai, Chief Executive Officer, Aster - India, Aster DM Healthcare , “In a short span of three years, Aster DM Healthcare has been successful and dominant in delivering best of primary care to quaternary care based out of north Bengaluru through Aster CMI hospital. Going forward Aster DM Healthcare is on a focused mission to make its world class medical expertise accessible and affordable to all segments of population across Bengaluru. As a result, we now have our second quaternary care hospital named Aster RV hospital in south Bengaluru. Aster is still on course to add two more quaternary care hospitals at Bengaluru in next two to three years’ time.” The USP of the project is to deliver world class healthcare services through many centre’s of excellence built on Aster DM Healthcare’s culture of excellence. This is done by creating an ecosystem which associates and provides the platform for the best of talents to further their aspiration and unleash their full potential to deliver the highest possible level of health care, both contemporary and futuristic. Aster RV Hospital is keen to proactively address the health needs of people with special needs in Bengaluru and with this though, the group has introduced the 'Aster Enable' privilege cards for the special-needs community on the occasion of the launch. The privilege card will allow the card holder to have access to exclusive privileges and services. These services would also be extended to people with special needs across Aster facilities in India. The patient catchment area is the immediate catchment of south Bengaluru, neighboring districts and states. And extended catchment area is across India and southeast Asian countries. “We are very active in attracting lot of medical value travel patients especially from GCC, middle eastern and African countries,” says Dr Pillai. Roadblocks to the project What were the challenges to execute the project? The hospital was conceptualised almost 10 years back and the shell was completed five years back. The group had to redesign the entire hospital to suit the present-day requirement. A professional hospital architect was appointed to redesign the internal layout. “A lot of structural changes had to be bought in to add bed lifts and accommodate two MRIs. Water table at the site is very high and we had to call a special team from Chennai to create a water tight basement with raft foundation,” says Dr Pillai. Design of the project What the brief given to the architects and interior designer, RJB Architects, Delhi and Archventure, Bengaluru, for the project? What was the design supposed to convey? All Aster DM Healthcare hospitals are designed with a theme “Feel better to Heal better”. The primary brief was that the project must not look, feel or smell like a typical hospital. The mandate was to design areas with maximum natural light. A contemporary look was a working criterion in all aspects of design elements. The architect mandated the interiors to carry the same theme from the hospital entry gate, façade, main lobby, reception, IP areas and throughout the hospital for a seamless flow experience. All interiors including loose furniture were customised and colour coordinated. Fixed furniture and counters have simplistic Acrylic (Corian) finish to enable easy maintenance and cleaning. Design of a few key areas a. Lobby: The double height lobby was designed to have a pleasing and easy access with glass to allow maximum daylight. The lobby seamlessly flows into a common waiting area with convenient access to pharmacy, admissions, discharge, main reception, ER, coffee shop, OP and IP elevators, staircase apart from ramp. b. OPD waiting area: The intent was to segregate the crowd and create sub-waiting for different specialties, to enable minimum criss-cross of patient movement. The waiting areas have been designed with maximum natural light, having piped-in music with customised comfortable sofas in contrast to tandem seating. convenient air-conditioned seating with drinking water, rest room access (including handicapped washroom), magazines and coffee shop and convenient lab sample collection rooms for every floor in ground, first and second floors. Decentralised ‘single window’ concept is followed across all OPDs where registration, billing, report collection and cash collection happens. c. Diagnostic wing: It has been designed for easy access to OPD, ER and IP patients to imaging services. CT scan, MRI, X-ray, BMD, mammography, ultrasound and doppler are all conveniently located in the same wing. The images are pushed through PACS to all systems across the hospital for real-time access on HIS. In-patient elevators open into radiology main lobby giving easy access to IP and ER cases. OPD patients can access the floor phlebotomy rooms, where the general physical examination is done along with blood sample collection. All sample collection rooms are connected to the main diagnostic lab through PTS (Pneumatic Tube System) for quick transport of samples. d. Consultation room: Consultation rooms are designed with customised tables based on the specialty requirement. All our consultations rooms have glass doors to bring in light from corridors. Consultation rooms are provided with motorised examination couches for patient examination. Simple steps like provision of hot water in each OPD sinks have been taken care to enhance doctors’ comfort. All OPDs have individual VAV controlled HVAC system so that required temperature can be maintained. All consultation rooms have been designed for easy access of wheel chair for immobile patients e. Types of rooms; It has individual rooms as well as twin sharing rooms. It has created different categories of rooms to cater to all kinds of requirement from general wards to suit rooms. All rooms are designed with centralised AC . The architects ensured hat each room has a full wall size windows opening to scenic view of trees and landscaping. It has custom designed sofa cum bed for each room to comfort patient attendants. Each room floors has designated room dialysis option. Centrally positioned nursing station takes care of room in east wing and west wing. To decongest nursing station from non-clinical activities, a separate floor admin office is planned in each floor which takes care of billing, discharge summaries, floor manager activities and medical transcriptions. Each floor has a pantry to provided patient diet on time, every time hot food is served in cutlery unlike packed food in most hospitals. Each patient floor has an attendant lounge to enable meet doctors for counseling or to attend to visitors without disturbing the patient. g. Operating rooms: Aster RV Hospital has nine state-of-the-art modular operation theaters. Seven OTs are in eighth floor and two OTs are provided in lower floor which has intra operative MRI facility. Biplane cath lab has been planned with a hybrid OR to operate immediately in case of need. All the OTs are smart OTs with central control panel designed to control the temperature, RH, medical gas, OT lighting, PACS and EMR. This enhances surgeons operating comfort. All OTs adhere to NABH and ASHRE standards h. Cafeteria: Hospital has provided two coffee shops in OPD floor to service the need of patients and attendants. Hospital has an exclusive patient diet kitchen inside the hospital building. It also has a full fledged cafeteria outside the main building to cater to need of staff and visitors. Kind of flooring used The hospital has used different floorings in different areas based on the requirement. All areas of the hospital where patients are treated has gone with anti-microbial vinyl flooring. “This enables us to maintain the hygiene of the floor since we can achieve joint less surface and coved wall skirting which can be easily cleaned,” says Dr Pillai. All OTs and heavy equipment area like cathlab, MRI and procedure rooms have used anti-static, anti-microbial vinyl floor which controls static discharge. This enhances the performances of medical equipment. In high traffic areas like lift lobby and OPD waiting lounges, it has used granite so that it takes care of wear and tear of the floor. The hospital has avoided marble as it is porous and requires regular polishing. It has used special pavers in the driveways which enhances ground water recharge and meet the requirement of the fire department A green hospital Aster RV Hospital has taken care and worked towards building a green hospital even though it has not applied for any LEED certification. It uses LED lights throughout the building to bring down the electricity usage. Fifty per cent of the hospital outer surface is covered with glass which enables it to use minimal lighting in day time. It has installed a special chiller called brine chiller where ethylene glycol is used in place of normal water in the chilled water piping system. “Using this brine chiller, we store cold energy/ ice at -5*C in specially designed TES tanks. This ice making happens in the night when the ambient atmospheric temperature is low. Since electricity has lower tariff in non-peak time and night temperature is low, it allows us to store ice with minimal energy consumption. The ice stored in the night is used in case of power shutdown (which allows us to use minimal DG backup) or peak demand without switching on an additional chiller. Using this brine chiller, we will be able to save 15%-20% of electricity consumption,” says Dr Pillai. It is a zero-discharge hospital, when it comes to sewage disposal. It has most advanced STP and ETP system installed to recycle the waste water. Recycled water is used for cooling towers, gardening, maintenance of the exterior’s surfaces. Using ultra filtration, we filter the STP discharged water and use it for chillers. It is in processes of installing an organic waste convertor to convert food waste and garden waste into manure. Use of green landscape and colour Despite space constraints, it has done landscape around the building and also creating green walls on the fencing. It has also transplanted few trees which had to be removed from the drive way for fire engine movement. The hospital has used plain light colours to enhance the look of the place. It has bought in element of wall paper and paneling to break away from the monotony. It has used warm white lighting than traditional white light inside the hospital to bring the warmth. Hospital furniture and signage highlight the brand colours to bring in similarity across all the Aster hospitals. The newly inaugurated Aster RV Hospital is the second facility by Aster DM Healthcare for the city of Bengaluru

Aster RV Hospital, Aster DM Healthcare, Dr Harish Pillai, RJB Architects, Archventure

Aster DM Healthcare, one of the largest integrated healthcare service network in the GCC and the third largest healthcare company in India, has commissioned its second multi-specialty quaternary care hospital in Bengaluru called Aster RV Hospital. Located in the heart of the city at JP Nagar 1st Phase, the hospital has been formally inaugurated by the Governor of Karnataka, Vajubhai Vala this month.


The 250-bed Aster RV Hospital is introducing specialty services through its centres of excellence in cardiac-sciences, neuro-sciences, gastro-sciences, general and laparoscopic surgery, integrated liver care, organ transplant, urology and nephrology, orthopaedics, urology and nephrology and general medicine; with added features like Bi Plane Cath Lab, Da Vinci Robotic System for robotic surgeries, intra-operative MRI machine, integrated liver care and 53 critical care beds across ICU, CCU and TICU. Spread across 1.5 lakh square feet of built up area, the quaternary care hospital has 39 out-patient consultation rooms, nine operating theatres and offers other specialties like ENT, general medicine, endocrinology, plastic surgery, dermatology, radiology among others, supported by a team of highly qualified doctors, medical professionals and nurses.


During the launch of the hospital, Dr Azad Moopen, founder chairman and managing director, Aster DM Healthcare, said, “It gives us great pleasure to launch our second world-class healthcare facility in the Garden City of India. Aster entered Karnataka with its first hospital in Hebbal few years back and was promptly recognised as a trusted name. This prompted us to come up with the second hospital so quickly at J P Nagar.” After the launch of Aster RV, the India will have a bed strength of 4,573 beds spread across five states.

"The long-standing ambition of Rashtreeya Sikshana Samithi Trust of providing different services like quality health science education and quality health services has come to fruition with the opening of Aster RV Hospital. RV Institutions are happy to be associated with Aster DM Healthcare, one of the world’s best health services provider. Aster RV Hospital will provide state of the art modern healthcare to south Bengaluru which hitherto lacked these services," said Dr Panduranga Setty, president, RV Group of institutions.

Vision and USP of the project
What was the purpose behind setting up the project?  Says Dr Harish Pillai, Chief Executive Officer, Aster  - India, Aster DM Healthcare , “In a short span of three years, Aster DM Healthcare has been successful and dominant in delivering best of primary care to quaternary care based out of north Bengaluru through Aster CMI hospital. Going forward Aster DM Healthcare is on a focused mission to make its world class medical expertise accessible and affordable to all segments of population across Bengaluru. As a result, we now have our second quaternary care hospital named Aster RV hospital in south Bengaluru. Aster is still on course to add two more quaternary care hospitals at Bengaluru in next two to three years’ time.”


The USP of the project is to deliver world class healthcare services through many centre’s of excellence built on Aster DM Healthcare’s culture of excellence. This is done by creating an ecosystem which associates and provides the platform for the best of talents to further their aspiration and unleash their full potential to deliver the highest possible level of health care, both contemporary and futuristic.


Aster RV Hospital is keen to proactively address the health needs of people with special needs in Bengaluru and with this though, the group has introduced the 'Aster Enable' privilege cards for the special-needs community on the occasion of the launch. The privilege card will allow the card holder to have access to exclusive privileges and services. These services would also be extended to people with special needs across Aster facilities in India.   


The patient catchment area is the immediate catchment of south Bengaluru, neighboring districts and states. And extended catchment area is across India and southeast Asian countries. “We are very active in attracting lot of medical value travel patients especially from GCC, middle eastern and African countries,” says Dr Pillai.

Roadblocks to the project
What were the challenges to execute the project?  The hospital was conceptualised almost 10 years back and the shell was completed five years back. The group had to redesign the entire hospital to suit the present-day requirement. A professional hospital architect was appointed to redesign the internal layout.  
“A lot of structural changes had to be bought in to add bed lifts and accommodate two MRIs. Water table at the site is very high and we had to call a special team from Chennai to create a water tight basement with raft foundation,” says Dr Pillai.

Design of the project
What the brief given to the architects and interior designer, RJB Architects, Delhi and Archventure, Bengaluru, for the project? What was the design supposed to convey? All Aster DM Healthcare hospitals are designed with a theme “Feel better to Heal better”. The primary brief was that the project must not look, feel or smell like a typical hospital. The mandate was to design areas with maximum natural light. A contemporary look was a working criterion in all aspects of design elements. The architect mandated the interiors to carry the same theme from the hospital entry gate, façade, main lobby, reception, IP areas and throughout the hospital for a seamless flow experience. All interiors including loose furniture were customised and colour coordinated. Fixed furniture and counters have simplistic Acrylic (Corian) finish to enable easy maintenance and cleaning.

Design of a few key areas
a. Lobby: The double height lobby was designed to have a pleasing and easy access with glass to allow maximum daylight. The lobby seamlessly flows into a common waiting area with convenient access to pharmacy, admissions, discharge, main reception, ER, coffee shop, OP and IP elevators, staircase apart from ramp.


b. OPD waiting area: The intent was to segregate the crowd and create sub-waiting for different specialties, to enable minimum criss-cross of patient movement. The waiting areas have been designed with maximum natural light, having piped-in music with customised comfortable sofas in contrast to tandem seating. convenient air-conditioned seating with drinking water, rest room access (including handicapped washroom), magazines and coffee shop and convenient lab sample collection rooms for every floor in ground, first and second floors. Decentralised ‘single window’ concept is followed across all OPDs where registration, billing, report collection and cash collection happens.


c. Diagnostic wing: It has been designed for easy access to OPD, ER and IP patients to imaging services. CT scan, MRI, X-ray, BMD, mammography, ultrasound and doppler are all conveniently located in the same wing. The images are pushed through PACS to all systems across the hospital for real-time access on HIS. In-patient elevators open into radiology main lobby giving easy access to IP and ER cases. OPD patients can access the floor phlebotomy rooms, where the general physical examination is done along with blood sample collection. All sample collection rooms are connected to the main diagnostic lab through PTS (Pneumatic Tube System) for quick transport of samples.


d. Consultation room:  Consultation rooms are designed with customised tables based on the specialty requirement. All our consultations rooms have glass doors to bring in light from corridors. Consultation rooms are provided with motorised examination couches for patient examination.
Simple steps like provision of hot water in each OPD sinks have been taken care to enhance doctors’ comfort. All OPDs have individual VAV controlled HVAC system so that required temperature can be maintained. All consultation rooms have been designed for easy access of wheel chair for immobile patients 


e. Types of rooms; It has individual rooms as well as twin sharing rooms. It has created different categories of rooms to cater to all kinds of requirement from general wards to suit rooms. All rooms are designed with centralised AC . The architects ensured hat each room has a full wall size windows opening to scenic view of trees and landscaping. It has custom designed sofa cum bed for each room to comfort patient attendants.


Each room floors has designated room dialysis option. Centrally positioned nursing station takes care of room in east wing and west wing.  To decongest nursing station from non-clinical activities, a separate floor admin office is planned in each floor which takes care of billing, discharge summaries, floor manager activities and medical transcriptions. Each floor has a pantry to provided patient diet on time, every time hot food is served in cutlery unlike packed food in most hospitals. Each patient floor has an attendant lounge to enable meet doctors for counseling or to attend to visitors without disturbing the patient.


g. Operating rooms: Aster RV Hospital has nine state-of-the-art modular operation theaters. Seven OTs are in eighth floor and two OTs are provided in lower floor which has intra operative MRI facility. Biplane cath lab has been planned with a hybrid OR to operate immediately in case of need. All the OTs are smart OTs with central control panel designed to control the temperature, RH, medical gas, OT lighting, PACS and EMR. This enhances surgeons operating comfort. All OTs adhere to NABH and ASHRE standards


h. Cafeteria: Hospital has provided two coffee shops in OPD floor to service the need of patients and attendants. Hospital has an exclusive patient diet kitchen inside the hospital building. It also has a full fledged cafeteria outside the main building to cater to need of staff and visitors.

Kind of flooring used
The hospital has used different floorings in different areas based on the requirement. All areas of the hospital where patients are treated has gone with anti-microbial vinyl flooring. “This enables us to maintain the hygiene of the floor since we can achieve joint less surface and coved wall skirting which can be easily cleaned,” says Dr Pillai.


All OTs and heavy equipment area like cathlab, MRI and procedure rooms have used anti-static, anti-microbial vinyl floor which controls static discharge. This enhances the performances of medical equipment.
In high traffic areas like lift lobby and OPD waiting lounges, it has used granite so that it takes care of wear and tear of the floor. The hospital has avoided marble as it is porous and requires regular polishing.  It has used special pavers in the driveways which enhances ground water recharge and meet the requirement of the fire department

A green hospital
Aster RV Hospital has taken care and worked towards building a green hospital even though it has not applied for any LEED certification. It uses LED lights throughout the building to bring down the electricity usage. Fifty per cent of the hospital outer surface is covered with glass which enables it to use minimal lighting in day time.


It has installed a special chiller called brine chiller where ethylene glycol is used in place of normal water in the chilled water piping system. “Using this brine chiller, we store cold energy/ ice at -5*C in specially designed TES tanks. This ice making happens in the night when the ambient atmospheric temperature is low. Since electricity has lower tariff in non-peak time and night temperature is low, it allows us to store ice with minimal energy consumption.  The ice stored in the night is used in case of power shutdown (which allows us to use minimal DG backup) or peak demand without switching on an additional chiller. Using this brine chiller, we will be able to save 15%-20% of electricity consumption,” says Dr Pillai.


It is a zero-discharge hospital, when it comes to sewage disposal. It has most advanced STP and ETP system installed to recycle the waste water. Recycled water is used for cooling towers, gardening, maintenance of the exterior’s surfaces. Using ultra filtration, we filter the STP discharged water and use it for chillers.  It is in processes of installing an organic waste convertor to convert food waste and garden waste into manure.

Use of green landscape and colour
Despite space constraints, it has done landscape around the building and also creating green walls on the fencing. It has also transplanted few trees which had to be removed from the drive way for fire engine movement.
The hospital has used plain light colours to enhance the look of the place. It has bought in element of wall paper and paneling to break away from the monotony. It has used warm white lighting than traditional white light inside the hospital to bring the warmth. Hospital furniture and signage highlight the brand colours to bring in similarity across all the Aster hospitals.

KEY PROJECT DETAILS
• Name of the project: Aster RV Super-specialty Hospital
• Promoted by: Aster DM Healthcare & RV Trust
• Cost of the project: Rs 240 crore
• Total bed strength: 250 beds
• Operational bed strength: 178 beds
• Number of storeys:  11 Floors (Ground + 8 floors + 2 basements)
• No of doctors and employees: Over 65 doctors and 331 staff (including outsourced)
• Duration of the project: 28 months from restarting the project
• Date of commissioning of the project: 15th April 2019
• In built area: 2.26 lakh square feet
• Land area: 1.17 acre
• Architects: RJB Architects, Delhi & Archventure, Bengaluru
• Interior designer: Archventure, Bengaluru

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