The existing buildings and structures at the BR site no longer meet operational requirements. This applies to both functional and structural-technical criteria. In the future, the increasing requirements and standards can no longer be met, especially in the area of hygiene and safety. A refurbishment of the existing building substance with conversion and extension measures would be very expensive, costly and time-consuming and would not bring any significant improvement in functional and procedural terms. Therefore, it was decided to build a replacement building in Bad Reichenhall, which can accommodate all acute inpatient beds and facilities of the current Bad Reichenhall location in an ideal manner. This replacement building is called Zentralklinik Berchtesgadener Land (Zentralklinik BGL). In a later expansion stage (expansion stage 2), the Central Hospital BGL is also to make it possible to accommodate the acute inpatient beds and facilities of the Berchtesgaden site. Through the new building with further development into a central emergency and acute care clinic, the range of care within the region is to be concentrated, specialized and expanded. The service focuses on comprehensive, already established conservative and operative emergency and acute care, supplemented by gynaecological/obstetric services and lung medicine. Due to the newly created structural structures based on the aforementioned content-related care priorities, the Central Hospital Berchtesgadener Land will be the heart of acute inpatient care in the Berchtesgadener Land. Together with Klinikum Traunstein, it forms one of the two main areas of care in the network of clinics in southeastern Bavaria. The new Central Hospital Berchtesgadener Land will be built close to the current hospital and will in future include a capacity of 240 (level 1) beds as well as areas for the following functions: 1. Diagnosis and therapy with 1. central emergency room 2. central elective admission 3. Medical services 4. Endoscopy 5. Functional diagnostics 6. Laboratory 7. Radiology 8. O.R. Department 9. Obstetrics 10. Therapy center 2. Five general care units 3. Domestic ward 4. Intensive care unit with integrated stroke unit 5. Palliative care unit 6. Heliport 7. General Services and Hospital Management 1. Logistics 2. Parking garage 3. Staff changing room 4. Food supply/cafeteria 5. Management/administration 8. With regard to architecture and open space planning, the new hospital building is to fit into the overall urban planning concept of the city of Bad Reichenhall and the natural environment of the mountain landscape - with the aim of creating a new hospital building oriented towards the future, which, despite economic challenges, meets the requirements of a modern hospital to the highest degree. The following thoughts must therefore be taken into account in the conception: To provide a modern medical offer, to keep staff satisfaction at the highest level, to focus on the feel-good factor for patients, as well as to focus on the sustainability and cost-effectiveness of the new central clinic. The patient should be the focus - therefore, a structural environment must be designed that promotes the recovery process, creates short distances and consistently aligns structures and processes to the needs of the patients. Employees should feel comfortable in their working environment. This is why the central clinic must be staff-friendly, so that the working conditions for nursing staff and doctors are optimal. In addition to the good accessibility of the clinic for employees, it is particularly important to create appropriate structures to optimally support employees in their interaction with patients. The Central Hospital Berchtesgadener Land will be - as now the District Hospital Bad Reichenhall - an "Academic Teaching Hospital". In conjunction with extensive training authorizations for the chief physicians, the recruitment of employees in the medical service can be significantly improved. The workplaces can be permanently secured and employee turnover can be reduced through high job satisfaction. In the structural implementation, climate-friendly energy production, a sustainable, resource-saving construction and low energy consumption in operation are important. The Central Hospital Berchtesgadener Land is not intended to cause avoidable environmental pollution and damage, but to align itself with the German Climate Protection Plan 2050 and its sub-goals in a forward-looking manner. Accordingly, the clinic should be able to operate largely greenhouse gas-neutrally by 2050. In summary, the new central clinic should at least meet the requirements of the "Green Hospital Plus" initiative with regard to an ecological and economic overall concept.
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