Hospital renovation

With over 10 years of expertise

Hospital refurbishment during ongoing operations

The refurbishment of hospitals and clinics places the highest demands on general contractors. Life-support systems must not be interrupted, patient care must be ensured at all times and complex technical infrastructures require extensive specialist knowledge.

As a specialist general contractor for hospital refurbishment in the Frankfurt am Main area, chore bauen GmbH implements sophisticated hospital modernizations - without disrupting ongoing 24/7 operations.

Get advice now

At a glance

challenges

What are the challenges of hospital refurbishment?

The modernization of hospitals differs fundamentally from conventional construction projects. Two central aspects determine every planning and execution phase:

1. continuous patient care in 24/7 operation

Hospitals cannot be shut down - not even partially. Emergency care, intensive care units and life-support systems must remain available throughout. Refurbishment therefore requires specially developed concepts for:

  • Redundant supply systems: guarantee uninterrupted operation throughout the entire modernization phase
  • Alternative wards: Enable flexible patient transfer without gaps in care
  • Emergency scenarios: Ensure medical care even in the event of unforeseen incidents during construction work
  • Staff training: Guarantees smooth processes in everyday hospital life despite parallel construction activities

2. highest hygiene requirements during the construction phase

Hospital hygiene during refurbishment poses significantly higher requirements than in conventional construction projects. Special measures must be implemented to protect patients and hospital staff:

  • Dust control: Prevents the spread of harmful particles, especially for immunocompromised persons
  • Area separation: Minimizes the risk of germ transmission between the construction site and sensitive treatment zones
  • Decontamination: systematically removes potential pathogens from all affected work areas
  • Air quality control: Ensures a hygienically perfect indoor climate for all clinic users

Our services

Refurbishment services from chore

Every hospital area has specific requirements in terms of technology, hygiene and functionality. Our refurbishment services cover the entire spectrum of modern hospital infrastructure:

Operating theaters and surgical technology

The refurbishment and modernization of operating theatres requires the highest technical and hygienic standards. As a general contractor with many years of experience, we carry out OR refurbishments that meet all requirements in terms of room air, medical technology and safety - during ongoing hospital operations.

Clean rooms according to DIN 1946-4

  • Laminar flow systems: ensure particle-free air flow to reduce post-operative infections
  • Seamless surfaces: prevent bacteria nests, make cleaning easier
  • Special floors: antistatic, hygienic, durable
  • Medical technology integration: optimal connection shortens operating times

Technical equipment and OR integration

  • Ceiling systems: freely positionable for ergonomic working
  • Endoscopy and imaging interfaces: precise diagnostics during the procedure
  • Anesthesia and suction systems: safe and redundant
  • Emergency communication: the ability to react quickly in critical situations

Hybrid ORs

  • Imaging and therapy combined in one room
  • Reinforced ceilings, radiation protection concept and digital device networking for maximum precision

Intensive care units

Modern intensive care units require highly specialized technology, functional room concepts and maximum operational safety. Our refurbishment approach takes into account both the medical requirements and the needs of the nursing staff and patients.

Patient monitoring and safety

  • Central monitoring systems: detect life-threatening changes in real time
  • Redundant power supply: prevents device failure and ensures the vital function of medical systems
  • Flexible room layout: enables quick adaptation to changing occupancy situations
  • Isolation options: prevent nosocomial infections and protect other patients

Optimized personnel areas

  • Central monitoring station: shortens response times thanks to optimal visual connections to all patient rooms
  • Recreation and standby rooms: promote concentration and performance through structured recovery phases
  • Medication and material storage: enable short distances and speed up critical processes in emergency care
  • Emergency equipment and crash carts: ensure immediate access in the event of acute cardiovascular incidents

Emergency room and first aid

Every second counts in the emergency room. Our rehabilitation concepts optimize logistical processes, reduce critical handover times and ensure rapid initial treatment under all conditions - even with high patient volumes or parallel rescue operations.

Logistics, routing and organization

  • Short distances: increase the chances of survival through the fastest possible medical treatment
  • Separate entrances: prevent delays if rescue equipment arrives at the same time
  • Waiting areas: offer relatives places to retreat to in emotionally stressful exceptional situations
  • Digital administration and admission systems: enable treatment to begin quickly and minimize bureaucratic hurdles

Triage and initial medical care

  • Flexible treatment rooms: can be quickly adapted to different emergency scenarios
  • Shock room: enables immediate surgical intervention in life-threatening conditions
  • Direct connection to diagnostics: shortens the time to a confirmed diagnosis in acute cases
  • Isolation options: protect other emergency patients with infectious diseases

Patient rooms & wards

Modern patient rooms are a central component of inpatient care - they have a decisive influence on the healing process, well-being and quality of stay. Our refurbishment concept combines medical functionality with comfortable furnishings and an environment designed for rest and relaxation.

Comfort equipment 

  • Single and twin rooms: promote the recovery process through retreat options and privacy
  • Individual light and climate control: for improved sleep quality and thus accelerated healing success
  • Modern entertainment systems and WLAN: shorter subjective length of stay with increased patient satisfaction

Medical infrastructure

  • Central gas supply: enables life-saving oxygen therapy without wasting time
  • Nurse call systems and communication solutions: A sense of security thanks to care staff being available at all times
  • Flexible power supply: for the use of modern therapy devices without complex conversion measures
  • Hygienic surfaces and materials: reduce the risk of infection thanks to simple surface disinfection

Diagnostics and imaging

Precise diagnostics are the basis of every successful therapy. This requires structural conditions that both meet the highest technical requirements and take into account strict legal requirements for radiation protection. Our refurbishment concepts combine functionality, safety and efficiency - tailored to the latest standards and generations of equipment.

Radiation protection and structural safety

  • Lead cladding and radiation protection doors: protect personnel from cumulative radiation damage and late effects
  • Dosimeter monitoring and warning systems: for documenting exposure and fulfilling legal obligations to provide evidence
  • Separate entrances: optimized workflows through separation of patient and staff flows
  • Special foundation: prevents costly damage to buildings with heavy appliance loads

Device integration and climate control concepts

  • MRI rooms: precise diagnostics without electromagnetic interference
  • CT rooms: for constant image quality thanks to optimum air conditioning of the high-performance technology
  • X-ray rooms: accelerated diagnosis via direct digital image transmission
  • Ultrasound and mammography areas: enable gentle early detection without radiation exposure

    Individual rehabilitation according to medical specialties

    Every specialist medical department has its own requirements in terms of room structure, technical infrastructure and hygiene standards. We develop customized refurbishment solutions tailored to the individual processes, safety requirements and functional logic of your clinic.

    Surgical departments

    Surgical areas combine different treatment phases from preparation to post-operative care. The structural requirements range from sterile operating theatres to specialized reprocessing rooms.

    • Pre-operative areas: create confidence through professional preparation in a reassuring atmosphere
    • Operating theaters: several operating theaters with various specialist equipment
    • Recovery rooms: enable close monitoring to avoid postoperative complications
    • Sterile supply: ensure patient safety through hygienically perfect instruments

    Internal medicine and cardiology

    Internal medicine departments focus on comprehensive diagnostics and interventional procedures, which is why the refurbishment work must take into account the requirement for complex medical technology.

    • Functional diagnostics: detects cardiovascular diseases at an early stage and prevents life-threatening events
    • Endoscopy: minimally invasive examinations with rapid patient recovery
    • Cardiac catheter laboratories: acute vasodilatation in the event of a heart attack to prevent permanent damage
    • Dialysis areas: ensure quality of life with chronic kidney failure

    Obstetrics and gynecology

    From routine examinations and obstetrics to complex gynecological surgery, women's clinics cover a broad spectrum. This diversity requires variable room concepts that enable both an intimate atmosphere and high medical performance.

    • Delivery rooms: positive birth experiences in a family-friendly environment
    • C-section standby: immediate operative delivery in high-risk situations
    • Postnatal wards: for a fostered mother-child bond in undisturbed family time
    • Outpatient gynecology: consultation hours and check-ups

    Pediatrics and pediatric medicine

    Children's clinics require an age-appropriate environment that takes into account both young patients and their families. Colour design, safety aspects and family-oriented room concepts should be taken into account as part of the modernization process.

    Child-friendly design: reduces treatment anxiety and improves readiness for therapy
    Family-oriented patient rooms: emotional stability with parental presence around the clock
    Neonatology: increases the chances of survival of premature babies through specialized intensive care medicine

    Technical and legal requirements

    Technical and legal requirements for the refurbishment of modern hospitals

    Modern hospitals are highly complex systems with strict requirements in terms of technology, operational safety and legal framework conditions. A professional refurbishment takes into account both the legal requirements and the current state of the art - for maximum security of supply, cost-effectiveness and sustainability.

    Building automation and smart hospital

    Intelligent building technologies are revolutionizing hospital operations through automated processes and networked systems. The integration of building management systems and medical processes optimizes energy efficiency and operational safety.

  • Central building management system

    • Monitoring of all technical systems: prevents expensive breakdowns through early detection of faults
    • Energy management and optimization: to drastically reduce operating costs
    • Predictive maintenance: avoids unplanned downtime thanks to data-based intervention
    • Integration into hospital information systems: for improved treatment quality through intelligent process control

  • Automated logistics

    • Pneumatic pneumatic tube system: accelerates laboratory diagnostics by transporting samples in seconds
    • Automatic medication dispensing: to prevent dangerous mix-ups through digital control
    • Laundry and food transportation: relieves nursing staff for patient-related activities
    • Waste disposal systems: minimized risk of infection during transport

    • IT infrastructure & communication

    Digitalization in the healthcare sector requires resilient IT systems, secure data processing and networked communication. At the same time, the reliability of life-sustaining systems must not be jeopardized at any time.

  • Hospital Information System (HIS)

    • Central patient data management: avoids treatment errors thanks to complete availability of information
    • Electronic patient file: saves valuable time with immediate access to previous findings
    • Medication management: for increased drug therapy safety
    • Quality assurance and controlling: identifies potential for improvement via data-based analysis

  • Communication networks

    • High-speed LAN and WLAN: enables mobile ward rounds with digital access to patient data
    • Telephony and communication systems: shorter waiting times thanks to direct accessibility of all departments
    • Video conferencing: for the use of external expertise by means of digital consultation services
    • Emergency communication and alerting: saves lives with alarm forwarding in seconds

    • Energy and supply engineering

    Hospitals are in continuous operation - around the clock. The requirements for fail-safe, energy-efficient and sustainable supply technology are correspondingly high.

  • Energy efficiency

    • Combined heat and power generation: reduces energy costs through simultaneous electricity and heat generation
    • Heat recovery from exhaust air: to reduce heating costs
    • LED lighting with daylight control: improved working environment and cost savings at the same time
    • Smart grid integration: optimizes electricity consumption by using favourable tariff times

  • Redundant supply

    • Multiple mains connections and transformers: guarantee power supply even in the event of a mains failure
    • Diesel emergency power generators: for the automatic safeguarding of life-support systems
    • Battery storage: bridges critical switching times without voltage interruption
    • Fuel storage: enables self-sufficient operation in the event of long-term supply crises

    • Legal requirements & approval processes

    Hospital refurbishments are subject to a dense network of medical, building and safety regulations. Early coordination with the authorities and standard-compliant planning and execution are crucial for legally compliant operation.

  • Important regulations and specifications:

    • Medical Device Operator Ordinance: Protecting patients from defective medical devices
    • DIN standards: guarantee functional reliability through uniform technical standards
    • X-ray ordinance: for the prevention of radiation damage by means of strict limit values
    • Workplace ordinance: ensures the health of hospital staff in the workplace

  • Typical approval procedures:

    • Building permit: legitimizes construction projects in compliance with all safety requirements
    • Operating license: authorized to provide patient care in accordance with statutory quality standards
    • Radiation protection: for the legally compliant operation of radiological diagnostics
    • Fire protection: protects lives through special precautions for people with restricted mobility

      • hygiene and infection protection

      Safe refurbishment for sensitive hospital areas

      Hygiene is non-negotiable in hospital construction. As a general contractor, we take infection protection measures into account not only during construction, but also during the planning phase - in accordance with the recommendations of the Robert Koch Institute (RKI) and the Commission for Hospital Hygiene (KRINKO).

      Our structural, technical and organizational concepts ensure sustainable hygiene, protect against nosocomial infections and enable a flexible response to epidemiological challenges.

      Isolation areas and organizational infection protection

      Our sanitation concepts include flexible solutions for spatial separation and safe patient management in the event of infectious diseases.

      • Cohort isolation: limited outbreak incidence in infected patients
      • Single room isolation: to protect particularly vulnerable patient groups from life-threatening infections
      • Airlock systems: prevent the spread of germs through multi-stage decontamination zones
      • Special disposal concepts: eliminates the risk of infection with professional treatment of contaminated waste
        ection protection

      • Structural hygiene measures according to RKI standards

        • Seamless wall and floor surfaces: eliminate bacterial niches and reduce nosocomial infection rates
        • Disinfectant-resistant materials: years of functionality despite aggressive cleaning agents
        • Hand sanitizer dispensers: increase compliance through strategic placement on all walkways
        • Separate disposal routes: to prevent dangerous cross-contamination between clean and unclean areas

      • Ventilation technology & air purity

        • Directed airflows: protect patients from airborne pathogens
        • HEPA filter: removal of 99.95% of all harmful particles from the room air
        • Positive and negative pressure concepts: prevent uncontrolled spread of pathogens into neighboring areas
        • Regular maintenance and checks: ensure that the ventilation systems provide reliable protection in the long term

      economic aspects

      Economic aspects of hospital refurbishment: investment security and business continuity

      Hospital renovations are not only technical challenges, but also economic ones. The aim is to modernize the medical infrastructure without jeopardizing the economic performance of the hospital. Planning security, investment strategies and maintaining operational continuity are key factors for success.

      Business continuity and securing sales

      A central economic goal of any refurbishment is to maintain the clinic's operations in order to secure revenue and avoid patient migration. Thanks to intelligent process and space planning, our refurbishment concept enables operations to continue parallel to the construction work - without any loss of quality.

      • Capacity management: prevents sales losses through clever occupancy management
      • Case-mix optimization: maximizes revenue by focusing on lucrative treatments
      • Outpatient care: compensates for inpatient capacity bottlenecks by means of alternative forms of care
      • Cooperation with partner clinics: to maintain the patient base through temporary relocation to partner clinics

      Investment planning & financing options

      Renovations in the healthcare sector require long-term and resilient financing models. We support clinics in making optimum use of subsidies, realistically calculating investment costs and finding customized financing solutions.

      • State subsidy programs: reduce equity requirements through non-repayable grants
      • KfW loans: for energy-efficient renovations
      • Private financing and leasing models: to protect liquidity by means of distributed cash flows
      • Public-private partnership (PPP): shared investment risk between the public sector and private investor

      Profitability calculation & cost optimization

      Holistic planning not only considers construction costs, but also long-term operating expenses, energy consumption and maintenance. In this way, investments do not become a burden, but an economic opportunity.

      • Life cycle costs: consideration of all follow-up costs
      • Energy cost savings: amortize investment through verifiable reduction in consumption
      • Revenue increases: for refinancing the modernization through higher case numbers and patient satisfaction
      • Maintenance and operating cost optimization: reduce running costs thanks to modern system technology

      the chore approach

      Your partner for demanding hospital projects

      Hospital renovations require maximum coordination, technical expertise and unrestricted reliability. As a group of companies, chore combines all the necessary expertise under one roof - for coordinated processes, fast response times and the highest quality in sensitive hospital operations.

      All trades in-house - perfect coordination

      The chore group of companies covers all relevant trades internally - from planning to commissioning. This reduces interfaces, speeds up decision-making processes and increases project stability - a key advantage in complex clinic modernizations.

      This integrated structure results in smoothly functioning processes that are precisely tailored to the requirements of hospital operations.

      24/7 availability for critical infrastructure

      Hospitals work around the clock - and so do we. Our project teams are specialized in working during ongoing hospital operations, avoiding disruptions and reacting to unforeseen situations at short notice.

      • Permanent availability: contact person even outside regular working hours
      • Emergency response: in the event of technical failures or safety-critical events
      • Flexible construction times: Work during off-peak hours and night shifts to avoid disruption to hospital operations
      • Coordinated project logistics: planning in close coordination with shift systems and operational processes

      Specialized healthcare expertise

      More than ten years of experience in hospital construction make chore a reliable partner for medical facilities. Our team knows the regulatory, technical and operational particularities of the healthcare sector - and plans every project with this understanding.

      • Understanding hospital processes: safe navigation in complex operating procedures
      • Technical expertise: in-depth knowledge of medical technology and TGA
      • Hygiene expertise: standard-compliant implementation of strict RKI and KRINKO requirements
      • Contact with authorities: established communication channels with health authorities, building authorities and supervisory authorities
      Get advice now

      success factors

      Success factors in hospital refurbishment: planning, communication and quality

      The refurbishment of a medical facility places the highest demands on project management, hygiene standards and technical coordination. In our experience, three key success factors have emerged that determine the success of a project - especially during ongoing hospital operations.

      Thorough planning phase

      A successful hospital refurbishment begins with a detailed analysis of all operational processes and technical systems. Comprehensive preliminary investigations and risk analyses create the basis for trouble-free project implementation.

      • Inventory:
        Detailed analysis of the existing infrastructure
      • Determining requirements:
        Collaboration with all specialist departments
      • Phase planning:
        Step-by-step implementation without interrupting operations
      • Risk management:
        Backup concepts for all critical systems

      Close cooperation with the clinic management

      The complex requirements of a hospital refurbishment require intensive coordination between construction and medical operations. Regular communication with all parties involved ensures that the project runs smoothly.

      • Project Steering Committee:
        Regular coordination with the Management Board
      • Department manager involvement:
        Consideration of all technical requirements
      • Transparent communication:
        Transparent communication about construction progress
      • Coordination with authorities:
        Joint coordination with supervisory authorities

      Quality assurance at a medical level

      Continuous monitoring and systematic checks ensure compliance with all medical and technical standards. From hygiene checks to functional testing of medical equipment, every step is carried out according to strict quality criteria.

      • Hygiene monitoring:
        Monitoring hygiene standards
      • System tests:
        Tests of all medical technology systems
      • Structured acceptance procedures:
        Structured handover to hospital staff
      • Long-term support:
        Service and maintenance even after project completion

      chore - Quality is our foundation

      Contact for your renovation project

      Are you planning to renovate or modernize your clinic? As a specialized general contractor for hospital projects in Frankfurt and the surrounding area, we are at your disposal with our comprehensive healthcare expertise.

      Contact us for a no-obligation project consultation. Our clinic specialists will work with you to develop a tailor-made refurbishment concept that meets the highest medical standards and ensures continuous 24/7 operation.

      You can rely on over 10 years of healthcare expertise and proven solutions for the most complex refurbishment tasks. Together, we will modernize your clinic - without interrupting operations, with the highest quality and absolute adherence to deadlines.

      +49 69 6066 4500

      info@chore.de