FCC Industrial applied Lean and BIM solutions at the new hospital in Alcañiz, Teruel. The new hospital in Alcañiz, Teruel, combines a design adapted to the terrain with advanced technologies such as BIM and Lean Construction, in a commitment to energy efficiency, quality healthcare and sustainability.

The hospital has 193 beds and is built on a total floor area of 53,241.19 m², located on a 92,943 m² plot. The elongated, sloping terrain dictated an architectural design that adapts to the topography by means of three staggered platforms.

The car park is located on the lowest level, which acts as the base of the building. The main entrance is located on the intermediate level (level 0), raised above the entrance road, with direct views of the historic centre of Alcañiz on the other side of the Guadalope River. On level +1, to the northeast, is the service street, where the logistics and supply entrances are located. The facilities are housed in a separate building connected to the hospital by an underground gallery. The hospitalisation areas are grouped together in a separate block surrounded by landscaped areas.

This unique design, integrated into a natural environment of high environmental value, combines functionality and aesthetics, with a balance between surface area and height to avoid excessively long distances. The centre is designed to provide healthcare coverage for a reference population of 72,290 people from 85 municipalities.

The building is distributed over a ground floor and three upper floors, leaving the top floor open for future expansion. It currently has 162 beds (compared to 125 in the previous hospital), with the possibility of expanding to 266. It also includes an Intensive Care Unit (ICU) with eight beds and an Emergency Department. It also has a surgical block (six operating theatres and six URPA beds), an obstetric block (four delivery rooms), a rehabilitation area, 13 radiodiagnostic rooms and an outpatient services area with 62 outpatient clinics, 20 haemodialysis stations, five sample collection stations and three day hospitals: Oncology (11 beds), Medical (6) and Surgical (8). The hospital has clinical analysis, microbiology and pathological anatomy laboratories; a pharmacy; preventive medicine; user services; documentation; teaching and research areas with an auditorium and library; and areas for general services, staff and management.

Outside, there is a car park with 600 spaces and a 24-hour heliport.

The building has been designed according to sustainability and energy efficiency criteria. 474 photovoltaic panels have been installed, generating 213 kWp, with an estimated annual electricity production of 330 MWh. In addition, 186 m² of solar thermal panels have been incorporated for the production of domestic hot water, covering 78% of the centre's demand.

The air conditioning equipment is highly efficient, and both the thermal insulation of the building envelope and the exterior carpentry exceed regulatory requirements, significantly reducing energy demand. Likewise, the landscaped interior courtyards promote natural ventilation and create transitional microclimates between the exterior and interior of the building.

The project has integrated BIM (Building Information Modelling) as a central management tool, providing access to a common platform where all project stakeholders have the latest version of the model, with full traceability of changes and accurate, up-to-date ‘as-built’ documentation.

Lean Construction collaborative planning methodologies have also been applied, such as Takt Planning, which organises production by zones and times to optimise execution, and the Last Planner System, which promotes coordination between teams, ensuring a continuous and efficient work rhythm. The entire process has been supported by a centralised communication platform that guarantees agile, secure and documented information exchanges.

The new Alcañiz hospital has been awarded the Kobah Spain 2024 Award for Excellence, standing out as the first public hospital in Spain to be built entirely using Lean methodology and becoming an example of innovation, sustainability and efficiency in public healthcare infrastructure.