Efficiency of Intensive Care Space in Class C Hospitals through IPD: Case Studies of RS JIH Purwokerto and RSA UII

Authors

DOI:

https://doi.org/10.26593/risa.v9i3.53-64

Keywords:

BIM, intensive care room configuration, integrated project delivery, spatial efficiency, RS JIH Purwokerto

Abstract

The spatial organization of intensive care units (ICUs) in hospitals plays a crucial role in supporting the effectiveness of medical services, infection control, and patient comfort. This study aims to evaluate the spatial adequacy and configuration of intensive care spaces at RS JIH Purwokerto in accordance with national standards (Ministry of Health Regulation No. 40 of 2022) and to draw insights from RSA UII Yogyakarta as a comparative case. A qualitative–descriptive approach was employed, incorporating spatial analysis and document review, supported by technical plan visualizations and comparative matrices. The findings indicate that although most units meet the minimum area requirements, there remains room for improvement in spatial efficiency, sterile–non-sterile zoning, and integration of supporting facilities. The analysis also highlights the relevance of applying the Integrated Project Delivery (IPD) approach as a collaborative strategy to enhance design efficiency through interdisciplinary coordination, the use of Building Information Modeling (BIM), and early user involvement during the design process. The novelty of this research lies in the integration of spatial evaluation with the IPD framework within the context of Class C hospitals in Indonesia. These findings contribute to the development of efficient, adaptive, and collaborative design strategies for mid-sized healthcare facilities.

References

Ai, D., Bienko, J., Nanda, U., & Rybkowski, Z. (2021). Value Analysis of Lean-IPD and Target Value Design in Akron Children's Hospital. AIA Academy of Architecture for Health.

Ashcraft, H. W. (2014). Integrated project delivery: Optimizing project results, increasing value to the owner. The American Institute of Architects.

Cohen, J. (2010). Integrated Project Delivery: Case Studies. American Institute of Architects.

Hanna, A., Zhu, Z., & Morrison, J. (2023). Integrated Project Delivery (IPD) for Healthcare Projects: A Company‑Specific Analysis. Proceedings of the 31st Annual Conference of the International Group for Lean Construction (IGLC31), 321–332. https://doi.org/10.24928/2023/0192

He, H., Gan, X., Liu, L., & Zhang, X. (2024). Adaptability analysis of Integrated Project Delivery in large- and medium-sized engineering projects: A FAHP-based modeling solution. Buildings, 14(7), 1999. https://doi.org/10.3390/buildings14071999

Kemenkes. (2007). Pedoman Teknis Sarana dan Prasarana Rumah Sakit Kelas C. Jakarta: Pusat Sarana, Prasarana, dan Peralatan Kesehatan, Sekretariat Jenderal Depkes RI.

Kemenkes. (2012). Pedoman Teknis Bangunan Rumah Sakit: Ruang Perawatan Intensif. Jakarta: Direktorat Bina Upaya Kesehatan.

Kemenkes. (2020). Denah Prototype Ruang Perawatan Intensif Rumah Sakit. Jakarta: Direktorat Jenderal Pelayanan Kesehatan.

Kementerian Kesehatan Republik Indonesia. (2022). Peraturan Menteri Kesehatan Nomor 40 Tahun 2022 tentang Persyaratan Teknis Bangunan, Prasarana, dan Peralatan Kesehatan Rumah Sakit. Jakarta: Kemenkes RI.

Obeidat, B., Younis, M. B., & Al-Shlool, E. (2022). Investigations into the Impact of Nursing Unit Layout on Critical Care Nurses. Heliyon, 8, e08929. https://doi.org/10.1016/j.heliyon.2022.e08929

Salman, N. A. H., & Kadhim, M. K. (2025). The Role of the Spatial Configuration of the System Designed for Intensive Care Units in Creating Healing Environment - Iraqi Hospitals as a Case Study. International Journal of Sustainable Development and Planning, 20(2), 453-467. https://doi.org/10.18280/ijsdp.200201

Shultz, J., Borkenhagen, D., Rose, E., Gribbons, B., Rusak‑Gillrie, H., Fleck, S., Muniak, A., & Filer, J. (2020). Simulation‑based mock‑up evaluation of a universal operating room. HERD: Health Environments Research & Design Journal, 13(4), 45–59. https://doi.org/10.1177/1937586719855777

United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development. https://sdgs.un.org/2030agenda

Wijaya, A., Jufan, A. Y., & Adiyanto, B. (2024). Modern Intensive Care Unit Design: A Literature Review. International Journal of Medical Science and Health Research, 4(4), 39–44.

World Health Organization. (2020). Strengthening the health system response to COVID-19: Technical guidance #1. WHO Regional Office for Europe. https://www.who.int/publications/i/item/WHO-EURO-2020-855-40590-55125

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Published

2025-12-19